Loading...
BRES2023-0210 - HERS ReportRegistration Number: 423-P010104307A-000-001-E01031A-0000 Registration Date/Time: 2024-11-12   03:51:34 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:36 FENESTRATION INSTALLATION CF2R-ENV-01-E (Page 1 of 7) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. FENESTRATION INSTALLATION CF2R-ENV-01-E (Page 2 of 7) Registration Number: 423-P010104307A-000-001-E01031A-0000 Registration Date/Time: 2024-11-12   03:51:34 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:36 A. Fenestration/ Glazing Includes all Windows, Skylights, Greenhouse or Bay Windows and Glazed Doors( >= 25% glazing area).Note: If meeting Exception 1 to 150.1(c)3A, Installing <= 3 square feet (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 square feet (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 C OWENS 3.6000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens C 2 OWENS 3.6000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens C 3 OWENS 3.6000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 4 OWENS 120.0000 225 No 0.41 NFRC 0.24 NFRC Window Standard bug screens E2 OWENS 29.6000 225 No 0.32 NFRC 0.24 NFRC Window Standard bug screens E OWENS 6.4000 300 No 0.32 NFRC 0.24 NFRC Window Standard bug screens E1 OWENS 28.0000 300 No 0.32 NFRC 0.24 NFRC Window Standard bug screens D1 OWENS 6.2000 315 No 0.32 NFRC 0.24 NFRC Window Standard bug screens D OWENS 44.0000 315 No 0.32 NFRC 0.24 NFRC Window Standard bug screens GE OWENS 6.3000 45 No 0.32 NFRC 0.24 NFRC Window Standard bug screens GD OWENS 56.0000 45 No 0.32 NFRC 0.24 NFRC Window Standard bug screens GC OWENS 56.0000 45 No 0.32 NFRC 0.24 NFRC Window Standard bug screens GB1 OWENS 55.0000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. FENESTRATION INSTALLATION CF2R-ENV-01-E (Page 3 of 7) Registration Number: 423-P010104307A-000-001-E01031A-0000 Registration Date/Time: 2024-11-12   03:51:34 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:36 A. Fenestration/ Glazing Includes all Windows, Skylights, Greenhouse or Bay Windows and Glazed Doors( >= 25% glazing area).Note: If meeting Exception 1 to 150.1(c)3A, Installing <= 3 square feet (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 square feet (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 2 OWENS 80.0000 135 No 0.41 NFRC 0.24 NFRC Window Standard bug screens GB OWENS 33.0000 225 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 12 OWENS 30.0000 225 No 0.41 NFRC 0.24 NFRC Window Standard bug screens GA OWENS 26.0000 225 No 0.32 NFRC 0.24 NFRC Window Standard bug screens GF OWENS 6.3000 315 No 0.32 NFRC 0.24 NFRC Window Standard bug screens GF 2 OWENS 6.3000 315 No 0.32 NFRC 0.24 NFRC Window Standard bug screens GF 3 OWENS 6.3000 315 No 0.32 NFRC 0.24 NFRC Window Standard bug screens B1 OWENS 68.0000 45 No 0.32 NFRC 0.24 NFRC Window Standard bug screens A OWENS 23.0000 45 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 1 OWENS 50.0000 45 No 0.41 NFRC 0.24 NFRC Window Standard bug screens M1 OWENS 23.0000 45 No 0.32 NFRC 0.24 NFRC Window Standard bug screens B OWENS 50.0000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens H OWENS 32.5000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. FENESTRATION INSTALLATION CF2R-ENV-01-E (Page 4 of 7) Registration Number: 423-P010104307A-000-001-E01031A-0000 Registration Date/Time: 2024-11-12   03:51:34 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:36 A. Fenestration/ Glazing Includes all Windows, Skylights, Greenhouse or Bay Windows and Glazed Doors( >= 25% glazing area).Note: If meeting Exception 1 to 150.1(c)3A, Installing <= 3 square feet (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 square feet (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 G OWENS 18.0000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 8 OWENS 24.0000 135 No 0.41 NFRC 0.24 NFRC Window Standard bug screens F OWENS 12.0000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens F1 OWENS 12.0000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens F 2 OWENS 12.0000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens F1 2 OWENS 12.0000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 7 OWENS 24.0000 135 No 0.41 NFRC 0.24 NFRC Window Standard bug screens 6 OWENS 240.0000 225 No 0.41 NFRC 0.24 NFRC Window Standard bug screens 4 2 OWENS 120.0000 225 No 0.41 NFRC 0.24 NFRC Window Standard bug screens 5 OWENS 175.0000 315 No 0.41 NFRC 0.24 NFRC Window Standard bug screens M OWENS 90.0000 315 No 0.32 NFRC 0.24 NFRC Window Standard bug screens L OWENS 153.0100 315 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 2F OWENS 40.0000 45 No 0.32 NFRC 0.24 NFRC Window Standard bug screens NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. FENESTRATION INSTALLATION CF2R-ENV-01-E (Page 5 of 7) Registration Number: 423-P010104307A-000-001-E01031A-0000 Registration Date/Time: 2024-11-12   03:51:34 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:36 A. Fenestration/ Glazing Includes all Windows, Skylights, Greenhouse or Bay Windows and Glazed Doors( >= 25% glazing area).Note: If meeting Exception 1 to 150.1(c)3A, Installing <= 3 square feet (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 square feet (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 2F1 OWENS 20.0000 45 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 2E OWENS 8.0000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 2D OWENS 4.0000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 2D 2 OWENS 4.0000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 2D 3 OWENS 4.0000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 2C OWENS 12.5000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 2C 2 OWENS 12.5000 135 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 2B OWENS 9.0000 225 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 13 OWENS 108.0000 225 No 0.41 NFRC 0.24 NFRC Window Standard bug screens 2A OWENS 20.0000 315 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 2G OWENS 24.0000 315 No 0.32 NFRC 0.24 NFRC Window Standard bug screens 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. FENESTRATION INSTALLATION CF2R-ENV-01-E (Page 6 of 7) Registration Number: 423-P010104307A-000-001-E01031A-0000 Registration Date/Time: 2024-11-12   03:51:34 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:36 B. Fenestration Installation 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 followed when installing these products. The space between the fenestration product and rough opening shall be completely filled with insulation. If batt insulation is used, it is cut to size and placed properly around the fenestration product. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. FENESTRATION INSTALLATION CF2R-ENV-01-E (Page 7 of 7) Registration Number: 423-P010104307A-000-001-E01031A-0000 Registration Date/Time: 2024-11-12   03:51:34 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:36 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-E03029A-0000 Registration Date/Time: 2024-11-12   03:49:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:50:00 INSULATION INSTALLATION CF2R-ENV-03-E (Page 1 of 7) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 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 Ceiling Insulation R-value Insulation Depth (inches) Continuous Insulation Above the Roof Deck R-value Insulation Below the Roof Deck R-value R-38/ R19 vented Wood Framed Ceiling 15.12 2x4 16InchOC Fiberglass 38 n/a n/a n/a Attic RoofMaster Suite Wood Framed Ceiling 5.82 2x4 24InchOC Fiberglass 19 n/a 0 n/a Attic RoofGuest Casita Wood Framed Ceiling 5.82 2x4 24InchOC Fiberglass 19 n/a 0 n/a Attic RoofLiving Area Wood Framed Ceiling 5.82 2x4 24InchOC Fiberglass 19 n/a 0 n/a Attic RoofSecond Floor Wood Framed Ceiling 5.82 2x4 24InchOC Fiberglass 19 n/a 0 n/a NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. INSULATION INSTALLATION CF2R-ENV-03-E (Page 2 of 7) Registration Number: 423-P010104307A-000-001-E03029A-0000 Registration Date/Time: 2024-11-12   03:49:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:50:00 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 Core/Cavity Insulation R-value Insulation Depth (inches) Continuous Exterior Insulation R-value Continuous Interior Insulation R-value R-21 Wall Wood Framed Walls 6.88 2x6 16InchOC Fiberglass 21 n/a n/a n/a C. Mass Insulation This section does not apply to this project. D. Raised Floor Insulation 01 02 03 04 05 06 07 08 09 I.D.Manufacturer and Brand Framing Material Framing Size and Spacing Insulation Type Cavity Insulation R-value Insulation Depth (inches) Exterior Floor Insulation R-value Concrete Fill R-19 Floor (F.19.2x8.16)Wood framed floor 2x8 16InchOC Fiberglass 19 n/a n/a false E. Slab Floor/Perimeter Insulation (See Section F. For Insulation Requirements For Heated Slabs) This section does not apply to this project. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. INSULATION INSTALLATION CF2R-ENV-03-E (Page 3 of 7) Registration Number: 423-P010104307A-000-001-E03029A-0000 Registration Date/Time: 2024-11-12   03:49:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:50:00 G. Minimum Mandatory Measures 01 Insulation - 110.8(a): All installed Insulation is certified and listed with Department of Consumer Affairs, Bureau of Household Goods and Services. 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 the California Building Code (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(l): 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 light 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 Roof Deck - 150.0(a)1: All newly constructed attic systems have a maximum area-weighted average U-factor not exceeding U-0.184. 09 Ceiling/Rafter Roof - 150.0(a)2: All wood-frame ceiling have a minimum R-22 insulation or equivalent U-factor. 10 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). 11 Vapor Retarder - 150(g)2: In Climate Zones 14 and 16, a Class I 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. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. INSULATION INSTALLATION CF2R-ENV-03-E (Page 4 of 7) Registration Number: 423-P010104307A-000-001-E03029A-0000 Registration Date/Time: 2024-11-12   03:49:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:50:00 H. Installed Insulation 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. 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 ducting are not crushed. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. INSULATION INSTALLATION CF2R-ENV-03-E (Page 5 of 7) Registration Number: 423-P010104307A-000-001-E03029A-0000 Registration Date/Time: 2024-11-12   03:49:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:50:00 J. Ceiling/ Roof Insulation 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 (CF1R-ENV-02-E). 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 (CF1R-ENV-02-E). 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. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. INSULATION INSTALLATION CF2R-ENV-03-E (Page 6 of 7) Registration Number: 423-P010104307A-000-001-E03029A-0000 Registration Date/Time: 2024-11-12   03:49:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:50:00 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. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. INSULATION INSTALLATION CF2R-ENV-03-E (Page 7 of 7) Registration Number: 423-P010104307A-000-001-E03029A-0000 Registration Date/Time: 2024-11-12   03:49:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:50:00 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-E04030A-0000 Registration Date/Time: 2024-11-12   03:51:23 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:26 ROOFING-VENTILATION-RADIANT BARRIER CF2R-ENV-04-E (Page 1 of 5) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. General Information 01 Construction Type Attic 02 Total Attic Area (ft2)2000 03 Radiant Barrier Installed?Yes 04 Attic Space Ventilated or Unventilated?Ventilated 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 02 Installation Type Attached between truss/rafters, stapled to each side C. Schedule of Lower Vents The Net Free Area (NFA) of a manufactured product is stated on the packaging or on the manufacturer's specification data sheet. For non-manufactured products, assume that the net free area is one third of the total aperture area. 01 02 03 04 Type of Vent NFA per vent (in2)Number of Vents Installed Total NFA Per Vent Type (in2) Other 100 10 1000 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. ROOFING-VENTILATION-RADIANT BARRIER CF2R-ENV-04-E (Page 2 of 5) Registration Number: 423-P010104307A-000-001-E04030A-0000 Registration Date/Time: 2024-11-12   03:51:23 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:26 D. Schedule of Upper Vents The Net Free Area of a manufactured product is stated on the packaging or on the manufacturer's specification data sheet. For non-manufactured products, assume that the net free area is one third of the total aperture area. 01 02 03 04 Type of Vent NFA per vent (in2)/Per Linear Foot (ft)Number of Vents/Linear Feet Installed Total NFA Per Vent Type (in2) Other 100 10 1000 E. Required Vent Area 01 Combined NFA of installed upper and lower vents (in2)2000 02 Minimum required combined NFA of upper and lower vents (in2)960 03 NFA of installed upper vents (in2)1000 04 Minimum required NFA of upper vents (in2)288 05 Compliance Statement Building complies 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 Consumer Affairs, Bureau of Household Goods and Services, as specified by California Referenced Standards Code (CCR), Title 24, Part 12, Chapter 12-13, Standards for Insulating Material 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 Lower Vents NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. ROOFING-VENTILATION-RADIANT BARRIER CF2R-ENV-04-E (Page 3 of 5) Registration Number: 423-P010104307A-000-001-E04030A-0000 Registration Date/Time: 2024-11-12   03:51:23 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:26 G. Attic Ventilation - Additional Requirements 01 Lower vents are within one foot (1-ft) of the eave. Upper Vents 02 Upper vents are within three feet (3-ft) of the ridge. Vent Area 03 The NFA of upper vents must be within required NFA range of upper vents Note: per Exception to R806.2 of the California Building Code (CBC) Title 24, Part2, Vol.2.5, if the net free ventilating area is less than 1:150, then the upper ventilation must be at least 40% and no more than 50%. Part 2 contains additional requirements that must be met if the area is less than 1:150. The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met. H. Roofing Products (Cool Roof) Installation Information 01 02 03 04 05 06 07 08 09 10 11 12 Tag/ID Roof Pitch Cool Roof Rating Council (CRRC) Product ID Number Product type Cool Roof Rating Council (CRRC) Listed Aged Solar Reflectance Installed Required Initial Solar Reflectance Aged Solar Reflectance Thermal Emittance SRI Aged Solar Reflectance Thermal Emittance SRI Attic Master Suite Roof pitch is >= 2 :12 Clay roof tiles No .03 .06 .03 159951 0.61 0.88 n/a Attic Guest Casita Roof pitch is >= 2 :12 Clay roof tiles No .03 .06 .03 159951 0.61 0.88 n/a Attic Living Area Roof pitch is >= 2 :12 Clay roof tiles No .03 .06 .03 159951 0.61 0.88 n/a Attic Second Floor Roof pitch is >= 2 :12 Clay roof tiles No .03 .06 .03 159951 0.61 0.88 n/a 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. ROOFING-VENTILATION-RADIANT BARRIER CF2R-ENV-04-E (Page 4 of 5) Registration Number: 423-P010104307A-000-001-E04030A-0000 Registration Date/Time: 2024-11-12   03:51:23 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:26 I. Roofing Products (Cool Roof) - Additional Requirements 03 Mass roof 25 pounds per square foot (lb/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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. ROOFING-VENTILATION-RADIANT BARRIER CF2R-ENV-04-E (Page 5 of 5) Registration Number: 423-P010104307A-000-001-E04030A-0000 Registration Date/Time: 2024-11-12   03:51:23 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:26 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-P01032A-0000 Registration Date/Time: 2024-11-12   03:51:43 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:45 PHOTOVOLTAIC SYSTEMS CF2R-PVB-01-E (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 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 Declared emergency area before 1/1/20 06 Community Solar n/a B. Design Photovoltaic Systems Information This section does not apply to this project. C. Installed Photovoltaic Systems Information This section does not apply to this project. D. Solar Access Verification This section does not apply to this project. E. System Monitoring Requirements This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. PHOTOVOLTAIC SYSTEMS CF2R-PVB-01-E (Page 2 of 3) Registration Number: 423-P010104307A-000-001-P01032A-0000 Registration Date/Time: 2024-11-12   03:51:43 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:45 F. Qualifying Exception Requirement Declared emergency area If a building is damaged or destroyed in a declared emergency area prior to 1/1/2020 (AB-178), it must comply with PV requirements applicable on originally constructed permit date. Eligibility for this exception, such as income or insurance requirements, shall be confirmed by the enforcement agency. G. SMUD Solar Share Program This section does not apply to this project. H. Compliance Statement 01 Pass - dwelling does comply with the Photovoltaic System requirements NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. PHOTOVOLTAIC SYSTEMS CF2R-PVB-01-E (Page 3 of 3) Registration Number: 423-P010104307A-000-001-P01032A-0000 Registration Date/Time: 2024-11-12   03:51:43 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:45 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-C01028A-0000 Registration Date/Time: 2024-11-12   03:49:32 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:49:34 ELECTRIC READY REQUIREMENTS CF2R-ELC-01-E (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. General Information 1 Project Scope Electric Cooktop Ready (For systems using gas or proprane cooktop) B. Energy Storage System Ready 01 ESS Ready interconnection equipment with minimum backed up of 60 amps and 4 ESS branch circuits, OR A dedicated raceway from the main service to a panelboard (subpanel). The panelboard that supplies the branch circuits (subpanel) must be labeled "Subpanel shall include all backed-up load circuits." 02 A minimum of four branch circuits shall be identified and have their source of supply collocated at a single panelboard suitable to be supplied by the ESS. At least one circuit shall supply the refrigerator, one lighting circuit near the primary egress, and at least one circuit shall supply a sleeping room receptacle outlet. 03 The main panelboard shall have a minimum busbar rating of 225 amps. 04 Sufficient space shall be reserved to allow future installation of a system isolation equipment/transfer switch within 3 feet of the main panelboard. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. C. Heat Pump Space Heater Ready This section does not apply to this project. D. Electric Cooktop Ready 01 A dedicated 240 volt branch circuit wiring shall be installed within 3 feet from the cooktop and accessible to the cooktop with no obstructions. 02 The branch circuit conductors shall be rated at 50 amps minimum. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. ELECTRIC READY REQUIREMENTS CF2R-ELC-01-E (Page 2 of 3) Registration Number: 423-P010104307A-000-001-C01028A-0000 Registration Date/Time: 2024-11-12   03:49:32 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:49:34 D. Electric Cooktop Ready 03 The blank cover shall be identified as "240V ready". 04 All electrical components shall be installed in accordance with the California Electrical Code 05 The main electrical service panel shall have a reserved space to allow for the installation of a double pole circuit breaker for a future electric cooktop installation. The reserved space shall be permanently marked as "For Future 240V use". The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. E. Electric Clothes Dryer Ready This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. ELECTRIC READY REQUIREMENTS CF2R-ELC-01-E (Page 3 of 3) Registration Number: 423-P010104307A-000-001-C01028A-0000 Registration Date/Time: 2024-11-12   03:49:32 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:49:34 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-E21024A-0000 Registration Date/Time: 2024-11-12   03:47:46 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:48 QII - AIR INFILTRATION SEALING - FRAMING STAGE CF2R-ENV-21-H (Page 1 of 5) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 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/ft 2 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 airtight 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 airtight 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - AIR INFILTRATION SEALING - FRAMING STAGE CF2R-ENV-21-H (Page 2 of 5) Registration Number: 423-P010104307A-000-001-E21024A-0000 Registration Date/Time: 2024-11-12   03:47:46 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:48 C. Walls Adjacent to Unconditioned Space 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. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - AIR INFILTRATION SEALING - FRAMING STAGE CF2R-ENV-21-H (Page 3 of 5) Registration Number: 423-P010104307A-000-001-E21024A-0000 Registration Date/Time: 2024-11-12   03:47:46 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:48 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 airtight 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 rated to be Insulation Contact and Airtight (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. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - AIR INFILTRATION SEALING - FRAMING STAGE CF2R-ENV-21-H (Page 4 of 5) Registration Number: 423-P010104307A-000-001-E21024A-0000 Registration Date/Time: 2024-11-12   03:47:46 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:48 J. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - AIR INFILTRATION SEALING - FRAMING STAGE CF2R-ENV-21-H (Page 5 of 5) Registration Number: 423-P010104307A-000-001-E21024A-0000 Registration Date/Time: 2024-11-12   03:47:46 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:48 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable): NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-E22025A-0000 Registration Date/Time: 2024-11-12   03:47:55 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:57 QII - INSULATION INSTALLATION CF2R-ENV-22-H (Page 1 of 6) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Insulation Materials Installed 01 Roof Deck Insulation Material Installed n/a 02 Ceiling Insulation Material Installed n/a 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 California Building Code (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-inches of the 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - INSULATION INSTALLATION CF2R-ENV-22-H (Page 2 of 6) Registration Number: 423-P010104307A-000-001-E22025A-0000 Registration Date/Time: 2024-11-12   03:47:55 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:57 C. Raised Floor Adjacent to Unconditioned Space 03 Netting, or mesh, can be used if the cavity under the floor is filled and in contact with the subfloor. 04 When daylit 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. Ceiling Adjacent to Unconditioned Space 01 Insulation extends to the outside surface of the exterior wall. 02 Insulation is in direct contact with the ceiling air barrier so there are no gaps, voids or compression. 03 Chimneys and flues (except zero clearance) have a sheet metal collar at the ceiling level to prevent contact with the insulation. The collar is at least as tall as the depth of the insulation. There is a minimum 1-inch clearance between the collar and the chimney/flue for double wall vent, and 6-inches 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - INSULATION INSTALLATION CF2R-ENV-22-H (Page 3 of 6) Registration Number: 423-P010104307A-000-001-E22025A-0000 Registration Date/Time: 2024-11-12   03:47:55 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:57 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 square feet (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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - INSULATION INSTALLATION CF2R-ENV-22-H (Page 4 of 6) Registration Number: 423-P010104307A-000-001-E22025A-0000 Registration Date/Time: 2024-11-12   03:47:55 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:57 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. The total R-value may be calculated based on the thickness of insulation multiplied by the "tested R-value per inch" as certified by the Department of Consumer Affairs, Bureau of Household Goods and Services. 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-inches thick. 06 Open cell SPF: In area where an air barrier is required the foam is at least 5.5-inches thick. 07 Open cell SPF: Depressions in the foam insulation are not greater than 1/2-inch 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - INSULATION INSTALLATION CF2R-ENV-22-H (Page 5 of 6) Registration Number: 423-P010104307A-000-001-E22025A-0000 Registration Date/Time: 2024-11-12   03:47:55 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:57 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-inches 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-inch gypsum board. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - INSULATION INSTALLATION CF2R-ENV-22-H (Page 6 of 6) Registration Number: 423-P010104307A-000-001-E22025A-0000 Registration Date/Time: 2024-11-12   03:47:55 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:57 Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I 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: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable): NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-L01026A-0000 Registration Date/Time: 2024-11-12   03:48:00 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:48:02 LIGHTING SINGLE FAMILY DWELLINGS CF2R-LTG-01-E (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 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 Luminous Efficacy luminaires installed in any interior rooms. (See Section B.) No 02 JA8 compliant luminaires installed in any interior rooms. (See Section B.) No 03 Recessed downlight luminaires in ceilings in any interior room (See Section C). No 04 Light Sources in Enclosed or Recessed Luminaires (See Section D.)No 05 Lighting controls in bathrooms (See Section E.)No 06 Lighting controls in laundry rooms (See Section E.)No 07 Lighting controls in utility rooms (See Section E.)No 08 Lighting controls in garage (See Section E.)No 09 Lighting controls in walk-in closets. (See Section E.)No 10 Lighting controls in interior rooms except bathrooms, laundry rooms, utility rooms, and garages. (See Section E2.) No 11 Screw Based luminaires. (See Section F.)No 12 Internally illuminated address signs. (See Section G.)No 13 Outdoor lighting and controls (See Section H.)No 14 Parking Garages for eight or more Vehicles (See Section I)No 15 Blank Electrical Boxes installed more than 5 feet from finished floor (See Section J) No B. High Luminous Efficacy Luminaires This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. LIGHTING SINGLE FAMILY DWELLINGS CF2R-LTG-01-E (Page 2 of 3) Registration Number: 423-P010104307A-000-001-L01026A-0000 Registration Date/Time: 2024-11-12   03:48:00 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:48:02 C. Recessed Downlight LuminaIres in Ceilings This section does not apply to this project. D. Light sources in enclosed or recessed luminaires (other than recessed downlight luminaires in ceilings) This section does not apply to this project. E. Lighting controls in bathrooms, garages, laundry rooms, utility rooms, and walk-in closets. This section does not apply to this project. F. Lighting Controls in any interior rooms This section does not apply to this project. G. Screw Based Luminaires This section does not apply to this project. H. Address Signs This section does not apply to this project. I. Outdoor lighting and Controls This section does not apply to this project. J. Lighting for Residential Garages for Eight or More Vehicles This section does not apply to this project. K. Blank Electrical Boxes This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. LIGHTING SINGLE FAMILY DWELLINGS CF2R-LTG-01-E (Page 3 of 3) Registration Number: 423-P010104307A-000-001-L01026A-0000 Registration Date/Time: 2024-11-12   03:48:00 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:48:02 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M01001A-0000 Registration Date/Time: 2024-11-12   03:38:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:38:39 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 1 of 11) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. General Information 01 Dwelling Unit Name Single Family Dwelling 02 Climate Zone 15 03 Dwelling Unit Total Conditioned Floor Area (ft2)6628 04 Number of Space Conditioning Systems in this dwelling unit.4 05 Certificate of Compliance Type Performance (CF1R-PRF)06 Method Used to Calculate HVAC Loads (See Section 150.0(h))ACCA Manual J 07 Calculated Dwelling Unit Sensible Cooling Load (Btu/h)186000 08 Calculated Dwelling Unit Heating Load (Btu/h)186000 09 Dwelling Unit Number of Bedrooms 5 MCH-01a - Space Conditioning Systems Ducts and Fans - For use with Performance Certificate of Compliance NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 2 of 11) Registration Number: 423-P010104307A-000-001-M01001A-0000 Registration Date/Time: 2024-11-12   03:38:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:38:39 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 parent CC-PRF SC System Type Heating System Type Cooling System Type Central Fan Ventilation Cooling System Type Distribution System Type Required Thermostat Type Low Leakage Air-Handling Unit (LLAHU) Status Bypass Duct Status Cooling Zoning Type Cooling System Compressor Speed AC-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 Single Speed AC-22 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 Single Speed AC-3 & 43 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 Single Speed AC-54 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 Single Speed Notes: 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 13 SC System ID/ Name from parent CC-PRF Heating Efficiency Type Minimum Heating Efficiency Value Heat Pump Heating Capacity at 47 °F Heat Pump Heating Capacity at 17 °F Cooling Efficiency Type Minimum Cooling Efficiency SEER/SEER2 Minimum Cooling Efficiency EER/EER2/CE ER 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 AC-11 HSPF 10 47000 30550 EER/SEER 18 13 350 0.35 R-8    AC-22 HSPF 10 47000 30550 EER/SEER 18 13 350 0.35 R-8    AC-3 & 43 HSPF 10 55500 36075 EER/SEER 18 13 350 0.35 R-8    AC-54 HSPF 10 55500 36075 EER/SEER 18 13 350 0.35 R-8    Notes: NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 3 of 11) Registration Number: 423-P010104307A-000-001-M01001A-0000 Registration Date/Time: 2024-11-12   03:38:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:38:39 D. Installed Space Conditioning (SC) System Component Information 01 02 03 04 05 06 07 08 09 10 SC System ID/ Name from parent CC-PRF 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 AC-11 1 2128 Central split HP Central split HP 1 Unconditioned attic Setback Not Zonal Single Speed AC-22 2 1500 Central split HP Central split HP 1 Unconditioned attic Setback Not Zonal Single Speed AC-3 & 43 3 1500 Central split HP Central split HP 1 Unconditioned attic Setback Not Zonal Single Speed AC-54 4 1500 Central split HP Central split HP 1 Unconditioned attic Setback Not Zonal Single 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 4 of 11) Registration Number: 423-P010104307A-000-001-M01001A-0000 Registration Date/Time: 2024-11-12   03:38:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:38:39 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 parent CC-PRF 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 Capacity (ton) AC-11 1 1 HP Coil Ducted > 10ft length No TRANE TAM9AOC60V51DAB 23024NYAIV   AC-22 2 2 HP Coil Ducted > 10ft length No TRANE TAM9AOC60V51DAB 23024HE6   AC-3 & 43 3 3 HP Coil Ducted > 10ft length No TRANE TAM9AOC60V51DAB 23024HE64   AC-54 4 4 HP Coil Ducted > 10ft length No TRANE TAM9AOC60V51DAB 23024HE54V   Notes: H. Installed Heat Pump System - Split System Condensing Unit or Package Unit Equipment Information 01 02 03 04 05 SC System ID/ Name from parent CC-PRF SC System Description of Area Served Condenser or Package Unit Manufacturer Condenser or Package Unit Model Number Condenser or Package Unit Serial Number AC-11 1 TRANE TAM9AOC60V51DAB 23024H0HC AC-22 2 TRANE 4TWR7060A1000DC 233933GRTKF AC-3 & 43 3 TRANE 4TWR7060A1000DC 233655FXNRJF AC-54 4 TRANE 4TWR7060A1000DC 233045M6JF Notes: NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 5 of 11) Registration Number: 423-P010104307A-000-001-M01001A-0000 Registration Date/Time: 2024-11-12   03:38:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:38:39 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 parent CC-PRF 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/SEER2 System Rated Cooling Efficiency EER/EER2/CEER System Cooling Capacity at Design Conditions (Btu/h) Condenser Nominal Capacity (ton) AC-11 1 HSPF 96 47000 30550 18 13 60000 5 AC-22 2 HSPF 96 47000 30550 18 13 60000 5 AC-3 & 43 3 HSPF 96 55500 36075 18 13 60000 5 AC-54 4 HSPF 96.01 55500 36075 18 13 60000 5 Notes: J. Installed Duct System Information 01 02 03 04 05 06 07 08 09 10 11 12 13 14 SC System ID/ Name from parent CC-PRF 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 AC-11 1 1 Uncondition edAttic R8 Uncondition edAttic R8 NoException HERS_FanEff icacyAirflow Rate false 1 Yes Yes DuctsGT10F t AC-22 2 2 Uncondition edAttic R8 Uncondition edAttic R8 NoException HERS_FanEff icacyAirflow Rate false 1 Yes Yes DuctsGT10F t AC-3 & 43 3 3 Uncondition edAttic R8 Uncondition edAttic R8 NoException HERS_FanEff icacyAirflow Rate false 1 Yes Yes DuctsGT10F t AC-54 4 4 Uncondition edAttic R8 Uncondition edAttic R8 NoException HERS_FanEff icacyAirflow Rate false 1 Yes Yes DuctsGT10F t NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 6 of 11) Registration Number: 423-P010104307A-000-001-M01001A-0000 Registration Date/Time: 2024-11-12   03:38:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:38:39 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 each filter grille that displays the design airflow rate for that filter grille/rack and the maximum allowed clean filter pressure drop at the design airflow rate. This will inform the occupant of the airflow vs pressure drop performance required for replacement air filters. 01 02 03 04 05 06 07 08 09 10 11 12 13 SC System ID/ Name from parent CC-PRF 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 Rack Type Design Airflow Rate for Air Filter Device (cfm) Air Filter Nominal Depth (inch) Air Filter Nominal Length (inch) Air Filter Nominal Width (inch) Air Filter Calculated Nominal Face Area (inch2) Air Filter Required Minimum Face Area (inch2) Face Area Compliance Design Allowable Pressure Drop for Air Filter Device (inch W.C.) AC-11 1 1 Filter 1 Filter Grille 2000 3 36 36 1296 Specified by System Designer Specified by System Designer .01 AC-22 2 2 Filter 2 Filter Grille 2000 3 36 36 1296 Specified by System Designer Specified by System Designer .01 AC-3 & 43 3 3 Filter 3 Filter Grille 2000 3 36 36 1296 Specified by System Designer Specified by System Designer .01 AC-54 4 4 Filter 4 Filter Grille 2000 3 36 36 1296 Specified by System Designer Specified by System Designer .01 Notes: L. Air Filter Device Requirements 01 All recirculated air and all outdoor air (including make up air) supplied to the occupiable space is filtered before passing through the system's thermal conditioning components. 02 The space conditioning system shall be designed to accommodate the clean-filter pressure drop imposed by the system air filter device(s). The design airflow rate and maximum allowable clean-filter pressure drop at the design airflow rate applicable to each air filter shall be determined by the system designer. The system installer shall affix a sticker/label to each system air filter grille/rack 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 7 of 11) Registration Number: 423-P010104307A-000-001-M01001A-0000 Registration Date/Time: 2024-11-12   03:38:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:38:39 L. Air Filter Device Requirements 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. 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.. 06 Filter racks or grilles shall use gaskets, sealing, or other means to close gaps around inserted filters and prevent air from bypassing the filter. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met M. HERS Verification Requirements For Duct Systems 01 02 03 04 05 06 07 08 09 10 SC System ID/ Name from parent CC-PRF 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) MCH-28 Return Duct Design Table 150.0-B or C MCH-29 Supply Duct Surface Area R-Value Buried Ducts MCH30 . Central Fan Ventilation Cooling Credit AC-11 1 1 Yes No Yes Yes No No No AC-22 2 2 Yes No Yes Yes No No No AC-3 & 43 3 3 Yes No Yes Yes No No No AC-54 4 4 Yes No Yes Yes No No No Notes: NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 8 of 11) Registration Number: 423-P010104307A-000-001-M01001A-0000 Registration Date/Time: 2024-11-12   03:38:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:38:39 N. HERS Verification Requirements For Space Conditioning Equipment 01 02 03 04 05 SC System ID/ Name from parent CC-PRF SC System Description of Area Served MCH-25 . . Refrigerant Charge MCH-26 Rated SC System Equipment Verification MCH-33 VCHP Compliance Credit AC-11 1 Yes Yes No AC-22 2 Yes Yes No AC-3 & 43 3 Yes Yes No AC-54 4 Yes Yes No Notes: NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 9 of 11) Registration Number: 423-P010104307A-000-001-M01001A-0000 Registration Date/Time: 2024-11-12   03:38:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:38:39 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 or ducts can be uninsulated if the duct system is located entirely in conditioned space. Note that higher values may be required by the prescriptive or performance requirements. See Section 150.0(m)1B for exceptions. 12 Connections and Closures: All installed air-distribution system ducts and plenums must meet the requirements of CMC Sections 601.0, 602.0, 603.0, 604.0, 605.0 and ANSI/SMACNA-006-2006: Heat Pump Thermostat NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 10 of 11) Registration Number: 423-P010104307A-000-001-M01001A-0000 Registration Date/Time: 2024-11-12   03:38:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:38:39 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. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 11 of 11) Registration Number: 423-P010104307A-000-001-M01001A-0000 Registration Date/Time: 2024-11-12   03:38:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:38:39 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M27002A-0000 Registration Date/Time: 2024-11-12   03:39:14 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:39:17 INDOOR AIR QUALITY AND MECHANICAL VENTILATION CF2R-MCH-27-H (Page 1 of 6) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 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.-2019 Ventilation and Acceptable Indoor Air Quality in Low-Rise Residential Buildings subject to amendments specified by Title 24, Part 6 Section 150.0(o)1. A. Whole-Dwelling Mechanical Ventilation - General Information 01 Dwelling unit name Single Family Dwelling 02 Building Type Single family attached 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. ) 6628 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. MCH-27a - Single Family Attached/Detached NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. INDOOR AIR QUALITY AND MECHANICAL VENTILATION CF2R-MCH-27-H (Page 2 of 6) Registration Number: 423-P010104307A-000-001-M27002A-0000 Registration Date/Time: 2024-11-12   03:39:14 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:39:17 B. Single Family Attached/Detached General Information 01 Average Ceiling Height 11 02 Total Conditioned Volume 72908 03 Vertical distance between the lowest and highest above grade points within the pressure boundary in feet 21 04 Air Changes Per Hour at 50 Pa Default 05 Name of ANSI/ASHRAE Standard 62.2-2019 weather station for climate zone Palm Springs Intl 06 Weather and shielding factor (wsf) (Based on city identified above)0.45 C. Ventilation - Total Ventilation Rate A mechanical supply system, exhaust system or combination thereof shall provide whole-dwelling ventilation with outdoor air each hour at no less than the rate in 150.0(o)1Ci 01 Total Required Ventilation Rate (Qtot)243.84 02 Enclosure Leakage Rate (Q50)2430.27 03 Effective Annual Average Infiltration Rate (Qinf 82.84 04 Total Exterior Envelope Surface Area 2000 05 Unshared Exterior Envelope Surface Area (exclude surface areas attached to garages or other dwelling units) 2000 06 Required Mechanical Ventilation Rate (Qfan)215.7 D. Installed Ventilation - Total Ventilation Rate A mechanical supply system, exhaust system, or combination thereof shall provide whole-dwelling 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) 1 UTILITY 60 400 400 06 Total Installed Continuous Ventilation (CFM)400 E. Compliance Statement 01 Building Passes Mechanical Ventilation RateTest NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. INDOOR AIR QUALITY AND MECHANICAL VENTILATION CF2R-MCH-27-H (Page 3 of 6) Registration Number: 423-P010104307A-000-001-M27002A-0000 Registration Date/Time: 2024-11-12   03:39:14 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:39:17 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 dwelling 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. 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 31, NFPA 54/ ANSI Z223.1, NFPA 211, 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 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. INDOOR AIR QUALITY AND MECHANICAL VENTILATION CF2R-MCH-27-H (Page 4 of 6) Registration Number: 423-P010104307A-000-001-M27002A-0000 Registration Date/Time: 2024-11-12   03:39:14 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:39:17 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 dwelling complies with these requirements specified in ASHRAE 62.2 Section 6.1 through 6.9 if applicable. 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. 09 Air Filter Efficiency.Supply only ventilation systems, makeup air-systems, and supply side balanced systems including HRV/ERV shall be provided with air filters 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 0.30-1.0 um range and equal to or greater than 85% in the 1.0-3.0 um range when tested in accordance with AHRI Standard 680. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. 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 dwelling 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, and ANSI/AMCA Standard 300, and rated in accordance with the airflow and sound rating procedures of the Home Ventilating Institute (HVI 915, 916, 920). 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. INDOOR AIR QUALITY AND MECHANICAL VENTILATION CF2R-MCH-27-H (Page 5 of 6) Registration Number: 423-P010104307A-000-001-M27002A-0000 Registration Date/Time: 2024-11-12   03:39:14 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:39:17 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 dwelling complies with these requirements specified in ASHRAE 62.2 Section 7.1 through 7.4 if applicable. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. INDOOR AIR QUALITY AND MECHANICAL VENTILATION CF2R-MCH-27-H (Page 6 of 6) Registration Number: 423-P010104307A-000-001-M27002A-0000 Registration Date/Time: 2024-11-12   03:39:14 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:39:17 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable): NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M32023A-0000 Registration Date/Time: 2024-11-12   03:47:39 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:41 LOCAL MECHANICAL EXHAUST CF2R-MCH-32-H (Page 1 of 5) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 Title 24, Part 6, Section 150.0(o)Ventilation for Indoor Air Quality.All dwelling units shall meet the requirements of ASHRAE Standard 62.2. Ventilation and Acceptable Indoor Air Quality in Residential Buildings, subject to the amendments specified in Section 150.0(o)1. A. Local Mechanical Exhaust - General Information 01 Dwelling Unit Name Single Family Dwelling 02 Building Type Single family attached 03 Total Kitchen Floor Area 200 04 Kitchen Average Ceiling Height 10 05 Kitchen Total Conditioned Volume 2000 06 Kitchen Type Non-Enclosed 07 Dwelling Unit Total Floor Area 6628 08 Kitchen Range (Cooking Stove) Fuel Type Electric NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. LOCAL MECHANICAL EXHAUST CF2R-MCH-32-H (Page 2 of 5) Registration Number: 423-P010104307A-000-001-M32023A-0000 Registration Date/Time: 2024-11-12   03:47:39 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:41 B. LOCAL MECHANICAL EXHAUST SYSTEM (SECTION 150.0(O)1G) - FAN SELECTION AND DUCT DESIGN CRITERIA FOR COMPLIANCE Local mechanical exhaust fans shall be installed in each kitchen and bathroom in accordance with Section 150.0(o)1G. Systems shall be rated for airflow in accordance with ASHRAE 62.2 section 7.1 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 Tables 150.0-E, 150.0-F or 150.0-G 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 Table 150.0-H, Table 150.0_E Demand-Controlled Local Ventialtion Exhaust Aiflow Rates and Capture Efficiency Application AirFlow Enclosed Kitchen or Nonenclosed Kitchen Vented range hood, including appliance-range hood combinations shall meet either the capture efficiency (CE) or the airflow rate specified in Table 150.0-G as applicable. Enclosed Kitchen Other kitchen exhaust fans, including downdraft: 300 cfm or a capacity of 5 ACH Nonenclosed Kitchen Other kitchen exhaust fans, including downdraft: 300 cfm Bathroom 50 cfm Table 150.0_F Continuous Local Ventialtion Exhaust Aiflow Rates Application AirFlow Enclosed Kitchen 5 ach, based on kitchen volume. Bathroom 20 cfm Table 150.0_G Kitchen Range Hood Aiflow Rates (cfm) and ASTM E3087 Capture Efficiency(CE) Ratings According to Dwelling Unit Floor Area and Kitchen Range Fuel Type Dwelling Unit Floor Area (ft2)Hood Over Electric Range Hood Over Natural Gas Range >1500 50% CE or 110 cfm 70% CE or 180 cfm >1000-1500 50% CE or 110 cfm 80% CE or 250 cfm 750-1000 55% CE or 130 cfm 85% CE or 280 cfm <750 65% CE or 160 cfm 85% CE or 280 cfm Table 150.0_H Prescriptive Ventialtion System Duct Sizing Fan Airflow Rating, CFM at minimum static pressure of 0.25 in. water ≤50 (25)≤80 (40)≤100 (50)≤125 (60)≤150 (70)≤175 (85)≤200 (95)≤250 (120)≤350 (165)≤400 (190)≤450 (210)≤700 (330)≤800 (380) NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. LOCAL MECHANICAL EXHAUST CF2R-MCH-32-H (Page 3 of 5) Registration Number: 423-P010104307A-000-001-M32023A-0000 Registration Date/Time: 2024-11-12   03:47:39 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:41 Duct Type Minimum Duct Diameter, in. (mm)a,b Rigid duct 4e(100)5 (125)5 (125)6 (150)6 (150)7 (180)7 (180)8 (205)9 (230)10 (255)10 (255)12 (305)12d(305) Flex ductc 4 (100)5 (125)6 (150)6 (150)7 (180)7 (180)8 (205)8 (205)9 (230)10 (255)NP NP NP a For noncircular ducts, calculate the diameter as four times the cross-sectional area divided by the perimeter. b NP = application of the prescriptive table is not permitted for this scenario. c Use of this table for verification of flex duct systems requires flex duct to be fully extended and any flex ductelbows to have a minimum bend radius to duct diameter ratio of 1.0. d For this scenario, use of elbows is not permitted. e For this scenario, 4 in. (100 mm) oval duct shall be permitted, provided the minor axis of the oval is greater than or equal to 3 in. (75 mm) f When a vented range hood utilizes a capture efficiency rating to demonstrate compliance with 150.0(o)1Giiib, a static pressure greater than or equal to 0.25 in. of water at the rating point shall not be required, and the airflow listed in the approved directory corresponding to the compliant capture efficiency rating point shall be applied to Table 150.0-H for determining compliance. C. Kitchen Exhaust Systems 01 02 03 04 05 06 07 08 09 10 11 12 13 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 Method of Compliance Required Minimum Ventilation Rate Exception to Maximum Sound Rating Compliance Statement for Airflow Compliance Statement for Sound 1 ALTRANE Vented Range Hood 159369 400 .03 400 Demand Control Airflow 110 3 sone Complies 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. LOCAL MECHANICAL EXHAUST CF2R-MCH-32-H (Page 4 of 5) Registration Number: 423-P010104307A-000-001-M32023A-0000 Registration Date/Time: 2024-11-12   03:47:39 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:41 E. Other Requirements 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. LOCAL MECHANICAL EXHAUST CF2R-MCH-32-H (Page 5 of 5) Registration Number: 423-P010104307A-000-001-M32023A-0000 Registration Date/Time: 2024-11-12   03:47:39 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:47:41 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M20003A-0000 Registration Date/Time: 2024-11-12   03:39:27 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:39:29 DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information 01 Space Conditioning System Identification or Name AC-11 02 Space Conditioning System Location or Area Served 1 03 Indoor Unit Name or Description of Area Served 1 04 Building Type from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC?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) NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M20003A-0000 Registration Date/Time: 2024-11-12   03:39:27 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:39:29 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)2128 06 Measured AHU Airflow (cfm)n/a 07 Duct Leakage Test Conditions Test final 08 Duct Leakage Test Method Total leakage 09 Leakage Factor 0.06 10 Calculated Target Allowable Duct Leakage (cfm)120 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)56 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/llahu/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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M20003A-0000 Registration Date/Time: 2024-11-12   03:39:27 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:39:29 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable): NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M23004A-0000 Registration Date/Time: 2024-11-12   03:39:44 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:39:47 SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name AC-11 02 Space Conditioning System Description of Area Served 1 03 Indoor Unit Name 1 04 System Installation Type New 05 Nominal Cooling Capacity (tons)5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M23004A-0000 Registration Date/Time: 2024-11-12   03:39:44 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:39:47 C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate verification. Traditional Flow Capture Hood according to procedure in RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus alnor 03 Model number of Airflow Measurement Apparatus 371 04 Certification Status of the Airflow Measurement Apparatus Accuracy Certified by Manufacturer and listed on CEC Website at http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton)350 02 Required Minimum System Airflow Target (cfm)1750 03 Actual System Airflow Rate Measurement (cfm)1788 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M23004A-0000 Registration Date/Time: 2024-11-12   03:39:44 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:39:47 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M22005A-0000 Registration Date/Time: 2024-11-12   03:40:00 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:40:02 SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 System Identification or Name AC-11 02 System Location or Area Served 1 03 Indoor Unit Name or Description of Area Served 1 04 System Installation Type New 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M22005A-0000 Registration Date/Time: 2024-11-12   03:40:00 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:40:02 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 326 02 Actual Tested Airflow from MCH-23 (cfm)1788 03 Required Fan Efficacy (Watts/cfm)0.35 04 Actual Fan Efficacy (Watts/cfm)0.18 05 Compliance Statement:System fan efficacy complies D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Portable watt meters used for measurements of air handler watt draws shall be true power measurement systems (i.e. sensor plus data acquisition system) having an accuracy of +- 2% of reading or +- 10 Watts whichever is greater The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M22005A-0000 Registration Date/Time: 2024-11-12   03:40:00 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:40:02 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M25015A-0000 Registration Date/Time: 2024-11-12   03:43:38 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:43:41 REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-E (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information Each system requiring refrigerant charge verification will be documented on a separate certificate. 01 Space Conditioning System Identification or Name AC-11 02 Space Conditioning System Location or Area Served 1 03 Condenser (or package unit) Make or Brand TRANE 04 Condenser (or package unit) Model Number TAM9AOC60V51DAB 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser (or package unit) Serial Number 23024H0HC 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 2024-11-12 15 Refrigerant charge verification method used.New package unit factory charge 16 Person who performed the Refrigerant Charge Verification reported on this Certificate of Installation HVAC system installer 17 HERS Verification Compliance Requirement Status HERS verification of refrigerant charge is not required NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-E (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M25015A-0000 Registration Date/Time: 2024-11-12   03:43:38 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:43:41 MCH-25f - Refrigerant Charge Verification - New Package Unit With Factory Charge B. 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 C. Minimum System Airflow Rate Verification This section does not apply to this project. D. Verification of New Package Unit Factory Charge Note: There is no HERS verification requirement for the MCH-25f . The Enforcement Agency has responsibility for verification of the MCH-25f. 01 The responsible person's signature on this document affirms that this new package unit has correct refrigerant charge as provided by the manufacturer prior to shipment from the factory, and no modifications have been made to this packaged unit that would result in a change to the amount of refrigerant in the unit. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-E (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M25015A-0000 Registration Date/Time: 2024-11-12   03:43:38 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:43:41 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M26016A-0000 Registration Date/Time: 2024-11-12   03:44:19 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:44:22 RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 1 of 4) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information Procedures for verification of High SEER/SEER2 and EER/EER2 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 AC-11 02 Space Conditioning System Description of Area Served 1 03 Efficiency Metric EER2/SEER2 04 Status: SEER/SEER2 Performance Compliance Credit Check Yes 05 Status: EER/EER2 Performance Compliance Credit Check No 06 Status: Heat Pump Heating Output Performance Compliance Check Yes 07 Status: HSPF/HSPF2 Performance Compliance Credit Check Yes 08 Directory used to certify product performance AHRI 09 AHRI certification number for the installed space conditioning system from http://www.ahridirectory.org 1593574 10 Does the directory used to certify product performance require a specific air handler, furnace or fan coil make and model? Fancoil air-handling unit 11 Does the directory used to certify product performance require a time delay relay (+TDR)? Yes 12 Does the directory used to certify product performance require a TXV (+TXV)? Yes NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 2 of 4) Registration Number: 423-P010104307A-000-001-M26016A-0000 Registration Date/Time: 2024-11-12   03:44:19 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:44:22 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 SC System Description of Area Served Indoor Unit Name or Description of Area Served Installed Indoor Unit Type Outdoor Condenser or Package Unit - Installed Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-11 1 1 HP Coil TRANE TAM9AOC6 0V51DAB TRANE TAM9AOC6 0V51DAB n/a n/a 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 SC System Description of Area Served Indoor Unit Name or Description of Area Served Installed Indoor Unit Type Outdoor Condenser or Package Unit - Installed Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-11 1 1 HP Coil TRANE 4TWR7060A 1000DC TRANE 4TWR7060A 1000DC n/a n/a D. Verified Cooling System SEER/SEER2 01 Required minimum SEER/SEER2 18 02 Installed SEER/SEER2 18 03 Compliance Statement:System passes SEER/SEER2 verification Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required value listed on the parent Certificate of Compliance. E. Verified Cooling System EER/EER2 This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 3 of 4) Registration Number: 423-P010104307A-000-001-M26016A-0000 Registration Date/Time: 2024-11-12   03:44:19 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:44:22 F. Verified Heat Pump Heating Output 01 Required Heating BTU Output at 47 Degrees F 47000 02 Installed Heating BTU Output at 47 Degrees F 60000 03 Required Heating Output at 17 Degrees F 30550 04 Installed Heating Output at 17 Degrees F n/a 05 Compliance Statement:System Passes Heat Pump Heating Output Performance Compliance Verification G. Verified Heat Pump HSPF/HSPF2 01 Required minimum HSPF/HSPF 10 02 Installed HSPF/HSPF2 10 03 Compliance Statement:System Passes HSPF/HSPF2 Verification H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil 01 If a specific air handler, furnace or fan coil is required by the directory used to certify product performance, the responsible person certifies by signing this compliance document that the installed air handler/furnace matches the equipment specified by the Directory of Certified Product Performance. I. Verified Space Conditioning System Time Delay Relay 01 If a Time Delay Relay is specified by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the Time Delay Relay is installed and has been tested to operate correctly according to the protocols of RA3.4.3. J. Verified Space Conditioning System TXV 01 If a TXV is specified by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the TXV is properly installed and has been visually verified, including proper placement of the sensing bulb. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 4 of 4) Registration Number: 423-P010104307A-000-001-M26016A-0000 Registration Date/Time: 2024-11-12   03:44:19 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:44:22 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable): NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M20006A-0000 Registration Date/Time: 2024-11-12   03:40:12 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:40:14 DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information 01 Space Conditioning System Identification or Name AC-22 02 Space Conditioning System Location or Area Served 2 03 Indoor Unit Name or Description of Area Served 2 04 Building Type from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC?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) NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M20006A-0000 Registration Date/Time: 2024-11-12   03:40:12 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:40:14 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)1500 06 Measured AHU Airflow (cfm)n/a 07 Duct Leakage Test Conditions Test final 08 Duct Leakage Test Method Total leakage 09 Leakage Factor 0.06 10 Calculated Target Allowable Duct Leakage (cfm)120 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)66 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/llahu/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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M20006A-0000 Registration Date/Time: 2024-11-12   03:40:12 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:40:14 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable): NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M23007A-0000 Registration Date/Time: 2024-11-12   03:40:24 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:40:27 SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name AC-22 02 Space Conditioning System Description of Area Served 2 03 Indoor Unit Name 2 04 System Installation Type New 05 Nominal Cooling Capacity (tons)5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M23007A-0000 Registration Date/Time: 2024-11-12   03:40:24 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:40:27 C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate verification. Traditional Flow Capture Hood according to procedure in RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus alnor 03 Model number of Airflow Measurement Apparatus 371 04 Certification Status of the Airflow Measurement Apparatus Accuracy Certified by Manufacturer and listed on CEC Website at http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton)350 02 Required Minimum System Airflow Target (cfm)1750 03 Actual System Airflow Rate Measurement (cfm)1802 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M23007A-0000 Registration Date/Time: 2024-11-12   03:40:24 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:40:27 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M22008A-0000 Registration Date/Time: 2024-11-12   03:40:39 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:40:41 SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 System Identification or Name AC-22 02 System Location or Area Served 2 03 Indoor Unit Name or Description of Area Served 2 04 System Installation Type New 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M22008A-0000 Registration Date/Time: 2024-11-12   03:40:39 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:40:41 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 326 02 Actual Tested Airflow from MCH-23 (cfm)1802 03 Required Fan Efficacy (Watts/cfm)0.35 04 Actual Fan Efficacy (Watts/cfm)0.18 05 Compliance Statement:System fan efficacy complies D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Portable watt meters used for measurements of air handler watt draws shall be true power measurement systems (i.e. sensor plus data acquisition system) having an accuracy of +- 2% of reading or +- 10 Watts whichever is greater The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M22008A-0000 Registration Date/Time: 2024-11-12   03:40:39 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:40:41 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M25017A-0000 Registration Date/Time: 2024-11-12   03:44:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:44:39 REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-E (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information Each system requiring refrigerant charge verification will be documented on a separate certificate. 01 Space Conditioning System Identification or Name AC-22 02 Space Conditioning System Location or Area Served 2 03 Condenser (or package unit) Make or Brand TRANE 04 Condenser (or package unit) Model Number 4TWR7060A1000DC 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser (or package unit) Serial Number 233933GRTKF 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 2024-11-12 15 Refrigerant charge verification method used.New package unit factory charge 16 Person who performed the Refrigerant Charge Verification reported on this Certificate of Installation HVAC system installer 17 HERS Verification Compliance Requirement Status HERS verification of refrigerant charge is not required NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-E (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M25017A-0000 Registration Date/Time: 2024-11-12   03:44:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:44:39 MCH-25f - Refrigerant Charge Verification - New Package Unit With Factory Charge B. 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 C. Minimum System Airflow Rate Verification This section does not apply to this project. D. Verification of New Package Unit Factory Charge Note: There is no HERS verification requirement for the MCH-25f . The Enforcement Agency has responsibility for verification of the MCH-25f. 01 The responsible person's signature on this document affirms that this new package unit has correct refrigerant charge as provided by the manufacturer prior to shipment from the factory, and no modifications have been made to this packaged unit that would result in a change to the amount of refrigerant in the unit. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-E (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M25017A-0000 Registration Date/Time: 2024-11-12   03:44:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:44:39 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M26018A-0000 Registration Date/Time: 2024-11-12   03:45:13 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:45:15 RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 1 of 4) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information Procedures for verification of High SEER/SEER2 and EER/EER2 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 AC-22 02 Space Conditioning System Description of Area Served 2 03 Efficiency Metric EER2/SEER2 04 Status: SEER/SEER2 Performance Compliance Credit Check Yes 05 Status: EER/EER2 Performance Compliance Credit Check No 06 Status: Heat Pump Heating Output Performance Compliance Check Yes 07 Status: HSPF/HSPF2 Performance Compliance Credit Check Yes 08 Directory used to certify product performance AHRI 09 AHRI certification number for the installed space conditioning system from http://www.ahridirectory.org 1593574 10 Does the directory used to certify product performance require a specific air handler, furnace or fan coil make and model? No 11 Does the directory used to certify product performance require a time delay relay (+TDR)? Yes 12 Does the directory used to certify product performance require a TXV (+TXV)? Yes NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 2 of 4) Registration Number: 423-P010104307A-000-001-M26018A-0000 Registration Date/Time: 2024-11-12   03:45:13 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:45:15 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 SC System Description of Area Served Indoor Unit Name or Description of Area Served Installed Indoor Unit Type Outdoor Condenser or Package Unit - Installed Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-22 2 2 HP Coil TRANE 4TWR7060A 1000DC TRANE TAM9AOC6 0V51DAB n/a n/a 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 SC System Description of Area Served Indoor Unit Name or Description of Area Served Installed Indoor Unit Type Outdoor Condenser or Package Unit - Installed Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-22 2 2 HP Coil TRANE 4TWR7060A 1000DC TRANE 4TWR7060A 1000DC n/a n/a D. Verified Cooling System SEER/SEER2 01 Required minimum SEER/SEER2 18 02 Installed SEER/SEER2 18 03 Compliance Statement:System passes SEER/SEER2 verification Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required value listed on the parent Certificate of Compliance. E. Verified Cooling System EER/EER2 This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 3 of 4) Registration Number: 423-P010104307A-000-001-M26018A-0000 Registration Date/Time: 2024-11-12   03:45:13 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:45:15 F. Verified Heat Pump Heating Output 01 Required Heating BTU Output at 47 Degrees F 47000 02 Installed Heating BTU Output at 47 Degrees F 60000 03 Required Heating Output at 17 Degrees F 30550 04 Installed Heating Output at 17 Degrees F n/a 05 Compliance Statement:System Passes Heat Pump Heating Output Performance Compliance Verification G. Verified Heat Pump HSPF/HSPF2 01 Required minimum HSPF/HSPF 10 02 Installed HSPF/HSPF2 10 03 Compliance Statement:System Passes HSPF/HSPF2 Verification 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 by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the Time Delay Relay is installed and has been tested to operate correctly according to the protocols of RA3.4.3. J. Verified Space Conditioning System TXV 01 If a TXV is specified by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the TXV is properly installed and has been visually verified, including proper placement of the sensing bulb. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 4 of 4) Registration Number: 423-P010104307A-000-001-M26018A-0000 Registration Date/Time: 2024-11-12   03:45:13 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:45:15 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable): NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M20009A-0000 Registration Date/Time: 2024-11-12   03:42:10 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:42:13 DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information 01 Space Conditioning System Identification or Name AC-3 & 43 02 Space Conditioning System Location or Area Served 3 03 Indoor Unit Name or Description of Area Served 3 04 Building Type from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC?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) NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M20009A-0000 Registration Date/Time: 2024-11-12   03:42:10 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:42:13 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)1500 06 Measured AHU Airflow (cfm)n/a 07 Duct Leakage Test Conditions Test final 08 Duct Leakage Test Method Total leakage 09 Leakage Factor 0.06 10 Calculated Target Allowable Duct Leakage (cfm)120 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)114 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/llahu/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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M20009A-0000 Registration Date/Time: 2024-11-12   03:42:10 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:42:13 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable): NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M23010A-0000 Registration Date/Time: 2024-11-12   03:42:25 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:42:28 SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name AC-3 & 43 02 Space Conditioning System Description of Area Served 3 03 Indoor Unit Name 3 04 System Installation Type New 05 Nominal Cooling Capacity (tons)5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M23010A-0000 Registration Date/Time: 2024-11-12   03:42:25 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:42:28 C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate verification. Traditional Flow Capture Hood according to procedure in RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus alnor 03 Model number of Airflow Measurement Apparatus 371 04 Certification Status of the Airflow Measurement Apparatus Accuracy Certified by Manufacturer and listed on CEC Website at http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton)350 02 Required Minimum System Airflow Target (cfm)1750 03 Actual System Airflow Rate Measurement (cfm)1896 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M23010A-0000 Registration Date/Time: 2024-11-12   03:42:25 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:42:28 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M22011A-0000 Registration Date/Time: 2024-11-12   03:42:39 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:42:42 SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 System Identification or Name AC-3 & 43 02 System Location or Area Served 3 03 Indoor Unit Name or Description of Area Served 3 04 System Installation Type New 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M22011A-0000 Registration Date/Time: 2024-11-12   03:42:39 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:42:42 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 315 02 Actual Tested Airflow from MCH-23 (cfm)1896 03 Required Fan Efficacy (Watts/cfm)0.35 04 Actual Fan Efficacy (Watts/cfm)0.17 05 Compliance Statement:System fan efficacy complies D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Portable watt meters used for measurements of air handler watt draws shall be true power measurement systems (i.e. sensor plus data acquisition system) having an accuracy of +- 2% of reading or +- 10 Watts whichever is greater The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M22011A-0000 Registration Date/Time: 2024-11-12   03:42:39 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:42:42 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M25019A-0000 Registration Date/Time: 2024-11-12   03:45:24 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:45:27 REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-E (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information Each system requiring refrigerant charge verification will be documented on a separate certificate. 01 Space Conditioning System Identification or Name AC-3 & 43 02 Space Conditioning System Location or Area Served 3 03 Condenser (or package unit) Make or Brand TRANE 04 Condenser (or package unit) Model Number 4TWR7060A1000DC 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser (or package unit) Serial Number 233655FXNRJF 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 2024-11-12 15 Refrigerant charge verification method used.New package unit factory charge 16 Person who performed the Refrigerant Charge Verification reported on this Certificate of Installation HVAC system installer 17 HERS Verification Compliance Requirement Status HERS verification of refrigerant charge is not required NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-E (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M25019A-0000 Registration Date/Time: 2024-11-12   03:45:24 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:45:27 MCH-25f - Refrigerant Charge Verification - New Package Unit With Factory Charge B. 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 C. Minimum System Airflow Rate Verification This section does not apply to this project. D. Verification of New Package Unit Factory Charge Note: There is no HERS verification requirement for the MCH-25f . The Enforcement Agency has responsibility for verification of the MCH-25f. 01 The responsible person's signature on this document affirms that this new package unit has correct refrigerant charge as provided by the manufacturer prior to shipment from the factory, and no modifications have been made to this packaged unit that would result in a change to the amount of refrigerant in the unit. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-E (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M25019A-0000 Registration Date/Time: 2024-11-12   03:45:24 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:45:27 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M26020A-0000 Registration Date/Time: 2024-11-12   03:46:06 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:46:09 RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 1 of 4) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information Procedures for verification of High SEER/SEER2 and EER/EER2 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 AC-3 & 43 02 Space Conditioning System Description of Area Served 3 03 Efficiency Metric EER/SEER 04 Status: SEER/SEER2 Performance Compliance Credit Check Yes 05 Status: EER/EER2 Performance Compliance Credit Check No 06 Status: Heat Pump Heating Output Performance Compliance Check Yes 07 Status: HSPF/HSPF2 Performance Compliance Credit Check Yes 08 Directory used to certify product performance AHRI 09 AHRI certification number for the installed space conditioning system from http://www.ahridirectory.org 1593574 10 Does the directory used to certify product performance require a specific air handler, furnace or fan coil make and model? No 11 Does the directory used to certify product performance require a time delay relay (+TDR)? Yes 12 Does the directory used to certify product performance require a TXV (+TXV)? Yes NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 2 of 4) Registration Number: 423-P010104307A-000-001-M26020A-0000 Registration Date/Time: 2024-11-12   03:46:06 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:46:09 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 SC System Description of Area Served Indoor Unit Name or Description of Area Served Installed Indoor Unit Type Outdoor Condenser or Package Unit - Installed Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-3 & 43 3 3 HP Coil TRANE 4TWR7060A 1000DC TRANE TAM9AOC6 0V51DAB n/a n/a 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 SC System Description of Area Served Indoor Unit Name or Description of Area Served Installed Indoor Unit Type Outdoor Condenser or Package Unit - Installed Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-3 & 43 3 3 HP Coil TRANE 4TWR7060A 1000DC TRANE 4TWR7060A 1000DC n/a n/a D. Verified Cooling System SEER/SEER2 01 Required minimum SEER/SEER2 18 02 Installed SEER/SEER2 18 03 Compliance Statement:System passes SEER/SEER2 verification Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required value listed on the parent Certificate of Compliance. E. Verified Cooling System EER/EER2 This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 3 of 4) Registration Number: 423-P010104307A-000-001-M26020A-0000 Registration Date/Time: 2024-11-12   03:46:06 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:46:09 F. Verified Heat Pump Heating Output 01 Required Heating BTU Output at 47 Degrees F 55500 02 Installed Heating BTU Output at 47 Degrees F 60000 03 Required Heating Output at 17 Degrees F 36075 04 Installed Heating Output at 17 Degrees F n/a 05 Compliance Statement:System Passes Heat Pump Heating Output Performance Compliance Verification G. Verified Heat Pump HSPF/HSPF2 01 Required minimum HSPF/HSPF 10 02 Installed HSPF/HSPF2 10 03 Compliance Statement:System Passes HSPF/HSPF2 Verification 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 by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the Time Delay Relay is installed and has been tested to operate correctly according to the protocols of RA3.4.3. J. Verified Space Conditioning System TXV 01 If a TXV is specified by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the TXV is properly installed and has been visually verified, including proper placement of the sensing bulb. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 4 of 4) Registration Number: 423-P010104307A-000-001-M26020A-0000 Registration Date/Time: 2024-11-12   03:46:06 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:46:09 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable): NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M20012A-0000 Registration Date/Time: 2024-11-12   03:42:52 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:42:54 DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information 01 Space Conditioning System Identification or Name AC-54 02 Space Conditioning System Location or Area Served 4 03 Indoor Unit Name or Description of Area Served 4 04 Building Type from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC?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) NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M20012A-0000 Registration Date/Time: 2024-11-12   03:42:52 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:42:54 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)1500 06 Measured AHU Airflow (cfm)n/a 07 Duct Leakage Test Conditions Test final 08 Duct Leakage Test Method Total leakage 09 Leakage Factor 0.06 10 Calculated Target Allowable Duct Leakage (cfm)120 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)114 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/llahu/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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M20012A-0000 Registration Date/Time: 2024-11-12   03:42:52 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:42:54 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable): NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M23013A-0000 Registration Date/Time: 2024-11-12   03:43:06 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:43:09 SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name AC-54 02 Space Conditioning System Description of Area Served 4 03 Indoor Unit Name 4 04 System Installation Type New 05 Nominal Cooling Capacity (tons)5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M23013A-0000 Registration Date/Time: 2024-11-12   03:43:06 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:43:09 C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate verification. Traditional Flow Capture Hood according to procedure in RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus alnor 03 Model number of Airflow Measurement Apparatus 371 04 Certification Status of the Airflow Measurement Apparatus Accuracy Certified by Manufacturer and listed on CEC Website at http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton)350 02 Required Minimum System Airflow Target (cfm)1750 03 Actual System Airflow Rate Measurement (cfm)1814 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M23013A-0000 Registration Date/Time: 2024-11-12   03:43:06 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:43:09 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M22014A-0000 Registration Date/Time: 2024-11-12   03:43:24 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:43:26 SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 System Identification or Name AC-54 02 System Location or Area Served 4 03 Indoor Unit Name or Description of Area Served 4 04 System Installation Type New 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M22014A-0000 Registration Date/Time: 2024-11-12   03:43:24 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:43:26 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 265 02 Actual Tested Airflow from MCH-23 (cfm)1814 03 Required Fan Efficacy (Watts/cfm)0.35 04 Actual Fan Efficacy (Watts/cfm)0.15 05 Compliance Statement:System fan efficacy complies D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Portable watt meters used for measurements of air handler watt draws shall be true power measurement systems (i.e. sensor plus data acquisition system) having an accuracy of +- 2% of reading or +- 10 Watts whichever is greater The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF2R-MCH-22-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M22014A-0000 Registration Date/Time: 2024-11-12   03:43:24 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:43:26 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M25021A-0000 Registration Date/Time: 2024-11-12   03:46:18 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:46:20 REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-E (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information Each system requiring refrigerant charge verification will be documented on a separate certificate. 01 Space Conditioning System Identification or Name AC-54 02 Space Conditioning System Location or Area Served 4 03 Condenser (or package unit) Make or Brand TRANE 04 Condenser (or package unit) Model Number 4TWR7060A1000DC 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser (or package unit) Serial Number 233045M6JF 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 2024-11-12 15 Refrigerant charge verification method used.New package unit factory charge 16 Person who performed the Refrigerant Charge Verification reported on this Certificate of Installation HVAC system installer 17 HERS Verification Compliance Requirement Status HERS verification of refrigerant charge is not required NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-E (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M25021A-0000 Registration Date/Time: 2024-11-12   03:46:18 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:46:20 MCH-25f - Refrigerant Charge Verification - New Package Unit With Factory Charge B. 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 C. Minimum System Airflow Rate Verification This section does not apply to this project. D. Verification of New Package Unit Factory Charge Note: There is no HERS verification requirement for the MCH-25f . The Enforcement Agency has responsibility for verification of the MCH-25f. 01 The responsible person's signature on this document affirms that this new package unit has correct refrigerant charge as provided by the manufacturer prior to shipment from the factory, and no modifications have been made to this packaged unit that would result in a change to the amount of refrigerant in the unit. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-E (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M25021A-0000 Registration Date/Time: 2024-11-12   03:46:18 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:46:20 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M26022A-0000 Registration Date/Time: 2024-11-12   03:46:52 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:46:54 RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 1 of 4) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information Procedures for verification of High SEER/SEER2 and EER/EER2 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 AC-54 02 Space Conditioning System Description of Area Served 4 03 Efficiency Metric EER/SEER 04 Status: SEER/SEER2 Performance Compliance Credit Check Yes 05 Status: EER/EER2 Performance Compliance Credit Check No 06 Status: Heat Pump Heating Output Performance Compliance Check Yes 07 Status: HSPF/HSPF2 Performance Compliance Credit Check Yes 08 Directory used to certify product performance AHRI 09 AHRI certification number for the installed space conditioning system from http://www.ahridirectory.org 1593574 10 Does the directory used to certify product performance require a specific air handler, furnace or fan coil make and model? No 11 Does the directory used to certify product performance require a time delay relay (+TDR)? Yes 12 Does the directory used to certify product performance require a TXV (+TXV)? Yes NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 2 of 4) Registration Number: 423-P010104307A-000-001-M26022A-0000 Registration Date/Time: 2024-11-12   03:46:52 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:46:54 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 SC System Description of Area Served Indoor Unit Name or Description of Area Served Installed Indoor Unit Type Outdoor Condenser or Package Unit - Installed Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-54 4 4 HP Coil TRANE 4TWR7060A 1000DC TRANE TAM9AOC6 0V51DAB n/a n/a 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 SC System Description of Area Served Indoor Unit Name or Description of Area Served Installed Indoor Unit Type Outdoor Condenser or Package Unit - Installed Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-54 4 4 HP Coil TRANE 4TWR7060A 1000DC TRANE 4TWR7060A 1000DC n/a n/a D. Verified Cooling System SEER/SEER2 01 Required minimum SEER/SEER2 18 02 Installed SEER/SEER2 18 03 Compliance Statement:System passes SEER/SEER2 verification Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required value listed on the parent Certificate of Compliance. E. Verified Cooling System EER/EER2 This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 3 of 4) Registration Number: 423-P010104307A-000-001-M26022A-0000 Registration Date/Time: 2024-11-12   03:46:52 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:46:54 F. Verified Heat Pump Heating Output 01 Required Heating BTU Output at 47 Degrees F 55500 02 Installed Heating BTU Output at 47 Degrees F 60000 03 Required Heating Output at 17 Degrees F 36075 04 Installed Heating Output at 17 Degrees F n/a 05 Compliance Statement:System Passes Heat Pump Heating Output Performance Compliance Verification G. Verified Heat Pump HSPF/HSPF2 01 Required minimum HSPF/HSPF 10 02 Installed HSPF/HSPF2 10 03 Compliance Statement:System Passes HSPF/HSPF2 Verification 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 by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the Time Delay Relay is installed and has been tested to operate correctly according to the protocols of RA3.4.3. J. Verified Space Conditioning System TXV 01 If a TXV is specified by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the TXV is properly installed and has been visually verified, including proper placement of the sensing bulb. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF2R-MCH-26-H (Page 4 of 4) Registration Number: 423-P010104307A-000-001-M26022A-0000 Registration Date/Time: 2024-11-12   03:46:52 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:46:54 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable): NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-B22027A-0000 Registration Date/Time: 2024-11-12   03:49:25 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:49:27 HERS VERIFIED SINGLE DWELLING UNIT HOT WATER SYSTEM DISTRIBUTION CF2R-PLB-22-H (Page 1 of 4) CERTIFICATE OF INSTALLATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. DESIGN HERS VERIFIED DWELLING UNIT WATER HEATING SYSTEMS INFORMATION (OTHER THAN HPWH) This section does not apply to this project. A2. Design HERS Verified Dwelling Unit HPWH System Information 01 02 03 04 05 06 07 08 09 Dwelling Unit Name Water Heating System ID or Name Modeled Equipment Make and Model # of Like (or Identical) Water Heaters in System Tank Location Exterior Tank Insulation R-Value Dwelling Unit DHW System Distribution Type Compact Distribution Drain Water Heat Recovery Single Family Dwelling DHW Sys 1 HPS10-80H45DV 2** (80 gal, JA13)2 Outside n/a Standard Distribution System Expanded None B. INSTALLED HERS VERIFIED DWELLING UNIT WATER HEATING SYSTEMS INFORMATION (OTHER THAN HPWH) This section does not apply to this project. B2. Installed HERS Verified Dwelling Unit HPWH System Information This table reports the water heating systems(s) that were installed in this project. 01 02 03 04 05 06 07 08 09 10 Dwelling Unit Name Water Heating System ID or Name Make and Model # of Like (or Identical) Water Heaters in System Tank Location Exterior Tank Insulation R-Value Tank Volume Dwelling Unit DHW System Distribution Type Compact Distribution Drain Water Heat Recovery Single Family Dwelling DHW Sys 1 AOSmithHPS1080H4 5DV2xx 2 Outside   Standard Distribution System Expanded None NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. HERS VERIFIED SINGLE DWELLING UNIT HOT WATER SYSTEM DISTRIBUTION CF2R-PLB-22-H (Page 2 of 4) Registration Number: 423-P010104307A-000-001-B22027A-0000 Registration Date/Time: 2024-11-12   03:49:25 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:49:27 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     80.00 Outside 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     80 Outside E. Installed Water Heater Manufacturer Information 01 02 03 Water Heating System ID or Name Manufacturer Model Number DHW Sys 1 AO SMITH HWH159 DHW Sys 1 AO SMITH HWH159 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-3.5 or combination of R-16 internal and external Insulation. (Section 110.3(c)4). NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. HERS VERIFIED SINGLE DWELLING UNIT HOT WATER SYSTEM DISTRIBUTION CF2R-PLB-22-H (Page 3 of 4) Registration Number: 423-P010104307A-000-001-B22027A-0000 Registration Date/Time: 2024-11-12   03:49:25 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:49:27 F. Mandatory Measures For All Domestic Hot Water Distribution Systems 03 All domestic hot water pipes shall be insulated as specified in Section 609.11 of the California Plumbing Code. •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. 04 For Gas or Propane Water Heaters: Ensure either a or b are installed (Section 150.0(n))     a) A designated space at least 2.5 feet by 2.5 feet and 7 feet tall within 3 feet from the water heater 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 2.The conductor shall be labeled with the word "Spare" on both ends; and 3.A reserved single pole circuit breaker space next to the circuit breaker next to the branch circuit labeled "Future" 240V shall be provided. 4.A condensate drain no more than 2 inches higher than the base on water heater for natural draining     b) A designated space at least 2.5 feet by 2.5 feet and 7 feet tall more than 3 feet from the water heater 1.A dedicated 240 volt branch circuit shall be installed within 3 feet from the designated space. The branch circuit shall be rated at 30 amps minimum. The blank cover shall be identified as "240V ready"; and 2.The main electrical service panel shall have a reserved space to allow for the installation of a double pole circuit breaker for a future HPWH installation. The reserved space shall be permanently marked as "For Future 240V use"; and 3.Either a dedicated cold water supply, or the cold water supply shall pass through the designated HPWH location just before reaching the gas or propane water heater; and 4.The hot water supply pipe coming out of the gas or propane water heater shall be routed first through the designated HPWH location before serving any fixtures; and 5.The hot and cold water piping at the designated HPWH location shall be exposed and readily accessible for future installation of a HPWH; and 6.A condensate drain no more than 2 inches higher than the base of the installed water heater, and allows natural draining without pump assistance. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. HERS VERIFIED SINGLE DWELLING UNIT HOT WATER SYSTEM DISTRIBUTION CF2R-PLB-22-H (Page 4 of 4) Registration Number: 423-P010104307A-000-001-B22027A-0000 Registration Date/Time: 2024-11-12   03:49:25 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:49:27 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Signature Date: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Austin Simmons Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Simmons Air Position With Company (Title): Address: 41900 Yucca Ln CSLB License: 780534 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7605785993 Date Signed: 2024-11-12 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable): NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-E21024A-E21A Registration Date/Time: 2024-11-12   04:01:47 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:49 QII - AIR INFILTRATION SEALING - FRAMING STAGE CF3R-ENV-21-H (Page 1 of 6) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 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/ft 2 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 unless otherwise noted in the Verification Status and the Correction Notes. 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 airtight 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 unless otherwise noted in the Verification Status and the Correction Notes. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - AIR INFILTRATION SEALING - FRAMING STAGE CF3R-ENV-21-H (Page 2 of 6) Registration Number: 423-P010104307A-000-001-E21024A-E21A Registration Date/Time: 2024-11-12   04:01:47 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:49 C. Walls Adjacent to Unconditioned Space 01 All penetrations through the exterior wall air barrier are sealed to provide an airtight envelope to unconditioned spaces such as the outdoors, attic, garage and crawl space. 02 Exterior wall air barrier is sealed to the top plate and bottom plate in each stud bay. 03 All electrical boxes, including knockouts that penetrate the air barrier to unconditioned space are sealed. 04 All openings in top and bottom plate, including all interior and exterior walls, to unconditioned space are sealed; such as holes drilled for electrical and plumbing. 05 Exterior bottom plates (all stories) are sealed to the floor. 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 unless otherwise noted in the Verification Status and the Correction Notes. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - AIR INFILTRATION SEALING - FRAMING STAGE CF3R-ENV-21-H (Page 3 of 6) Registration Number: 423-P010104307A-000-001-E21024A-E21A Registration Date/Time: 2024-11-12   04:01:47 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:49 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 unless otherwise noted in the Verification Status and the Correction Notes. 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 unless otherwise noted in the Verification Status and the Correction Notes. 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 airtight 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 unless otherwise noted in the Verification Status and the Correction Notes. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - AIR INFILTRATION SEALING - FRAMING STAGE CF3R-ENV-21-H (Page 4 of 6) Registration Number: 423-P010104307A-000-001-E21024A-E21A Registration Date/Time: 2024-11-12   04:01:47 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:49 G. Cantilevered Floor Air Barrier 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 rated to be Insulation Contact and Airtight (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 unless otherwise noted in the Verification Status and the Correction Notes. 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 unless otherwise noted in the Verification Status and the Correction Notes. I. 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. 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 unless otherwise noted in the Verification Status and the Correction Notes. J. Special Requirements for ICF 01 ICF sections are considered an air barrier when properly sealed at top, bottom, sides and all penetrations. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - AIR INFILTRATION SEALING - FRAMING STAGE CF3R-ENV-21-H (Page 5 of 6) Registration Number: 423-P010104307A-000-001-E21024A-E21A Registration Date/Time: 2024-11-12   04:01:47 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:49 J. Special Requirements for ICF 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 unless otherwise noted in the Verification Status and the Correction Notes. K. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - AIR INFILTRATION SEALING - FRAMING STAGE CF3R-ENV-21-H (Page 6 of 6) Registration Number: 423-P010104307A-000-001-E21024A-E21A Registration Date/Time: 2024-11-12   04:01:47 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:49 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-E22025A-E22A Registration Date/Time: 2024-11-12   04:01:44 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:47 QII - INSULATION INSTALLATION CF3R-ENV-22-H (Page 1 of 7) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Insulation Materials Installed 01 Roof Deck Insulation Material Installed n/a 02 Ceiling Insulation Material Installed n/a 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 California Building Code (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-inches of the 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 unless otherwise noted in the Verification Status and the Correction Notes. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - INSULATION INSTALLATION CF3R-ENV-22-H (Page 2 of 7) Registration Number: 423-P010104307A-000-001-E22025A-E22A Registration Date/Time: 2024-11-12   04:01:44 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:47 C. Raised Floor Adjacent to Unconditioned Space 01 Insulation is in full contact with the subfloor. 02 Insulation hangers are spaced at 18 inches or less. Insulation hangers do not compress insulation. 03 Netting, or mesh, can be used if the cavity under the floor is filled and in contact with the subfloor. 04 When daylit 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 unless otherwise noted in the Verification Status and the Correction Notes. 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 unless otherwise noted in the Verification Status and the Correction Notes. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - INSULATION INSTALLATION CF3R-ENV-22-H (Page 3 of 7) Registration Number: 423-P010104307A-000-001-E22025A-E22A Registration Date/Time: 2024-11-12   04:01:44 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:47 E. Ceiling Adjacent to Unconditioned Space 01 Insulation extends to the outside surface of the exterior wall. 02 Insulation is in direct contact with the ceiling air barrier so there are no gaps, voids or compression. 03 Chimneys and flues (except zero clearance) have a sheet metal collar at the ceiling level to prevent contact with the insulation. The collar is at least as tall as the depth of the insulation. There is a minimum 1-inch clearance between the collar and the chimney/flue for double wall vent, and 6-inches 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 unless otherwise noted in the Verification Status and the Correction Notes. 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 square feet (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 unless otherwise noted in the Verification Status and the Correction Notes. 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). NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - INSULATION INSTALLATION CF3R-ENV-22-H (Page 4 of 7) Registration Number: 423-P010104307A-000-001-E22025A-E22A Registration Date/Time: 2024-11-12   04:01:44 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:47 G. Insulation in unvented Attics 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 unless otherwise noted in the Verification Status and the Correction Notes. 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 unless otherwise noted in the Verification Status and the Correction Notes. 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 unless otherwise noted in the Verification Status and the Correction Notes. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - INSULATION INSTALLATION CF3R-ENV-22-H (Page 5 of 7) Registration Number: 423-P010104307A-000-001-E22025A-E22A Registration Date/Time: 2024-11-12   04:01:44 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:47 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 unless otherwise noted in the Verification Status and the Correction Notes. 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 unless otherwise noted in the Verification Status and the Correction Notes. 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 unless otherwise noted in the Verification Status and the Correction Notes. M. Special Requirements for SPF Insulation 01 Installed product meets the claimed R-value per inch. The total R-value may be calculated based on the thickness of insulation multiplied by the "tested R-value per inch" as certified by the Department of Consumer Affairs, Bureau of Household Goods and Services. 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-inches thick. 06 Open cell SPF: In area where an air barrier is required the foam is at least 5.5-inches thick. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - INSULATION INSTALLATION CF3R-ENV-22-H (Page 6 of 7) Registration Number: 423-P010104307A-000-001-E22025A-E22A Registration Date/Time: 2024-11-12   04:01:44 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:47 M. Special Requirements for SPF Insulation 07 Open cell SPF: Depressions in the foam insulation are not greater than 1/2-inch of the required thickness provided these depressions do not exceed 10% of the surface area being insulated. 08 Open cell SPF: Insulation completely fills cavities of 2x4 framing. 09 SPF insulation is not applied directly to recessed lighting fixtures unless specifically allowed by manufacturer's instructions. when not allowed, can lights are: A.Covered with a minimum of 1.5-inches 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-inch 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 unless otherwise noted in the Verification Status and the Correction Notes. N. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies: All specified verification protocol requirements on this document are met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. QII - INSULATION INSTALLATION CF3R-ENV-22-H (Page 7 of 7) Registration Number: 423-P010104307A-000-001-E22025A-E22A Registration Date/Time: 2024-11-12   04:01:44 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:47 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M27002A-M27A Registration Date/Time: 2024-11-12   03:51:47 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:50 INDOOR AIR QUALITY AND MECHANICAL VENTILATION CF3R-MCH-27-H (Page 1 of 3) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 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.-2019 Ventilation and Acceptable Indoor Air Quality in Low-Rise Residential Buildings subject to amendments specified by Title 24, Part 6 Section 150.0(o)1. A. Whole-Dwelling Mechanical Ventilation - General Information 01 Dwelling unit name Single Family Dwelling 02 Building Type Single family attached 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. ) 6628 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. MCH-27a - Single Family Attached/Detached NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. INDOOR AIR QUALITY AND MECHANICAL VENTILATION CF3R-MCH-27-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M27002A-M27A Registration Date/Time: 2024-11-12   03:51:47 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:50 B. Single Family Attached/Detached General Information 01 Average Ceiling Height 11 02 Total Conditioned Volume 72908 03 Vertical distance between the lowest and highest above grade points within the pressure boundary in feet 21 04 Air Changes Per Hour at 50 Pa Default 05 Name of ANSI/ASHRAE Standard 62.2-2019 weather station for climate zone Palm Springs Intl 06 Weather and shielding factor (wsf) (Based on city identified above)0.45 C. Ventilation - Total Ventilation Rate A mechanical supply system, exhaust system or combination thereof shall provide whole-dwelling ventilation with outdoor air each hour at no less than the rate in 150.0(o)1Ci 01 Total Required Ventilation Rate (Qtot)243.84 02 Enclosure Leakage Rate (Q50)2430.27 03 Effective Annual Average Infiltration Rate (Qinf 82.84 04 Total Exterior Envelope Surface Area 2000 05 Unshared Exterior Envelope Surface Area (exclude surface areas attached to garages or other dwelling units) 2000 06 Required Mechanical Ventilation Rate (Qfan)215.7 D. Installed Ventilation - Total Ventilation Rate A mechanical supply system, exhaust system, or combination thereof shall provide whole-dwelling 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) 1 UTILITY 60 400 400 06 Total Installed Continuous Ventilation (CFM)400 E. Compliance Statement 01 Building Passes Mechanical Ventilation RateTest NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. INDOOR AIR QUALITY AND MECHANICAL VENTILATION CF3R-MCH-27-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M27002A-M27A Registration Date/Time: 2024-11-12   03:51:47 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   03:51:50 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M32023A-M32A Registration Date/Time: 2024-11-12   04:01:41 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:44 LOCAL MECHANICAL EXHAUST CF3R-MCH-32-H (Page 1 of 3) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 Title 24, Part 6, Section 150.0(o)Ventilation for Indoor Air Quality.All dwelling units shall meet the requirements of ASHRAE Standard 62.2. Ventilation and Acceptable Indoor Air Quality in Residential Buildings, subject to the amendments specified in Section 150.0(o)1. A. Local Mechanical Exhaust - General Information 01 Dwelling unit name Single Family Dwelling 02 Building Type Single family attached 03 Total Kitchen Floor Area 200 04 Kitchen Average Ceiling Height 10 05 Kitchen Total Conditioned Volume 2000 06 Kitchen Type Non-Enclosed 07 Dwelling Unit Total Floor Area 6628 08 Kitchen Range (Cooking Stove) Fuel Type Electric NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. LOCAL MECHANICAL EXHAUST CF3R-MCH-32-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M32023A-M32A Registration Date/Time: 2024-11-12   04:01:41 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:44 B. Kitchen Exhaust System 01 02 03 04 05 06 07 08 09 10 11 12 13 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 Method of Compliance Required Minimum Ventilation Rate (if demand controlled) Exception to Maximum Sound Rating Compliance Statement for Airflow Compliance Statement for Sound 1 ALTRANE Vented Range Hood 159369 400 .03 400 Demand Control Airflow 110 3 sone Complies 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 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. LOCAL MECHANICAL EXHAUST CF3R-MCH-32-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M32023A-M32A Registration Date/Time: 2024-11-12   04:01:41 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:44 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company:MLC Building Performance Date Signed:2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip:Palm Desert CA 92211 Phone:760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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:MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M20003A-M20A Registration Date/Time: 2024-11-12   04:00:44 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:00:47 DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 1 of 3) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information 01 Space Conditioning System Identification or Name AC-11 02 Space Conditioning System Location or Area Served 1 03 Indoor Unit Name or Description of Area Served 1 04 Building Type from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC?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)2128 06 Measured AHU Airflow (cfm)n/a 07 Duct Leakage Test Conditions Test final 08 Duct Leakage Test Method Total leakage NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M20003A-M20A Registration Date/Time: 2024-11-12   04:00:44 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:00:47 B. Duct Leakage Diagnostic Test 09 Leakage Factor 0.06 10 Calculated Target Allowable Duct Leakage (cfm)120 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 56 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/llahu/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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M20003A-M20A Registration Date/Time: 2024-11-12   04:00:44 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:00:47 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M23004A-M23A Registration Date/Time: 2024-11-12   04:00:47 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:00:49 SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 1 of 4) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name AC-11 02 Space Conditioning System Description of Area Served 1 03 Indoor Unit Name 1 04 System Installation Type New 05 Nominal Cooling Capacity (tons)5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 2 of 4) Registration Number: 423-P010104307A-000-001-M23004A-M23A Registration Date/Time: 2024-11-12   04:00:47 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:00:49 C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate verification. Traditional Flow Capture Hood according to procedure in RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus alnor 03 Model number of Airflow Measurement Apparatus 371 04 Certification Status of the Airflow Measurement Apparatus Accuracy Certified by Manufacturer and listed on CEC Website at http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton)350 02 Required Minimum System Airflow Target (cfm)1750 03 Actual System Airflow Rate Measurement (cfm)1788 04 Compliance Statement:System airflow rate complies E. Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system during system air flow rate measurement identified on this Certificate of Verification. 02 The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. 03 A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 3 of 4) Registration Number: 423-P010104307A-000-001-M23004A-M23A Registration Date/Time: 2024-11-12   04:00:47 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:00:49 E. Additional Requirements 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 4 of 4) Registration Number: 423-P010104307A-000-001-M23004A-M23A Registration Date/Time: 2024-11-12   04:00:47 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:00:49 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M22005A-M22A Registration Date/Time: 2024-11-12   04:00:53 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:00:55 SPACE CONDITIONING SYSTEM FAN EFFICACY CF3R-MCH-22-H (Page 1 of 3) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 System Identification or Name AC-11 02 System Location or Area Served 1 03 Indoor Unit Name or Description of Area Served 1 04 System Installation Type New 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF3R-MCH-22-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M22005A-M22A Registration Date/Time: 2024-11-12   04:00:53 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:00:55 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 326 02 Actual Tested Airflow from MCH-23 (cfm)1788 03 Required Fan Efficacy (Watts/cfm)0.35 04 Actual Fan Efficacy (watts/cfm)0.18 05 Compliance Statement:System fan efficacy complies D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Portable watt meters used for measurements of air handler watt draws shall be true power measurement systems (i.e. sensor plus data acquisition system) having an accuracy of +- 2% of reading or +- 10 Watts whichever is greater 08 Verification Status Pass - all applicable requirements are met. 09 Correction Notes The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. E. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies: All specified verification protocol requirements on this document are met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF3R-MCH-22-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M22005A-M22A Registration Date/Time: 2024-11-12   04:00:53 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:00:55 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M26016A-M26A Registration Date/Time: 2024-11-12   04:01:29 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:32 RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 1 of 5) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information Procedures for verification of High SEER/SEER2 and EER/EER2 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 AC-11 02 Space Conditioning System Description of Area Served 1 03 Efficiency Metric EER2/SEER2 04 Status: SEER/SEER2 Performance Compliance Credit Check Yes 05 Status: EER/EER2 Performance Compliance Credit Check No 06 Status: Heat Pump Heating Output Performance Compliance Check Yes 07 Status: HSPF/HSPF2 Performance Compliance Credit Check Yes 08 Directory used to certify product performance AHRI 09 AHRI certification number for the installed space conditioning system from http://www.ahridirectory.org 1593574 10 Does the directory used to certify product performance require a specific air handler/furnace make and model? Fancoil air-handling unit 11 Does the directory used to certify product performance require a time delay relay (+TDR)? Yes 12 Does the directory used to certify product performance require a TXV (+TXV)? Yes NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 2 of 5) Registration Number: 423-P010104307A-000-001-M26016A-M26A Registration Date/Time: 2024-11-12   04:01:29 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:32 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 Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-11 1 1 HP Coil TRANE TAM9AOC6 0V51DAB TRANE TAM9AOC6 0V51DAB n/a n/a 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 Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-11 1 1 HP Coil TRANE 4TWR7060A 1000DC TRANE 4TWR7060A 1000DC n/a n/a D. Verified Cooling System SEER/SEER2 01 Required minimum SEER/SEER2 18 02 Installed SEER/SEER2 18 03 Compliance Statement:System Passes SEER/SEER2 Verification Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required value listed on the parent MCH-26 Certificate of Installation E. Verified Cooling System EER/EER2 This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 3 of 5) Registration Number: 423-P010104307A-000-001-M26016A-M26A Registration Date/Time: 2024-11-12   04:01:29 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:32 F. Verified Heat Pump Heating Output 01 Required Heating BTU Output at 47 Degrees F 47000 02 Installed Heating BTU Output at 47 Degrees F 60000 03 Required Heating BTU Output at 17 Degrees F 30550 04 Installed Heating BTU Output at 17 Degrees F n/a 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 parent MCH-26 Certificate of Installation. G. Verified Heat Pump HSPF/HSPF2 01 Required minimum HSPF/HSPF2 10 02 Installed HSPF/HSPF2 10 03 Compliance Statement:System Passes HSPF/HSPF2 Verification H. Verified Space Conditioning System Air Handler, Furnace or Fan Coil 01 If a specific air handler, furnace or fan coil is required by the directory used to certify product performance, the responsible person certifies by signing this compliance document that the installed air handler/furnace matches the equipment specified by the Directory of Certified Product Performance. 02 Verification Status:Pass - all applicable requirements are met. 03 Correction Notes: The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. I. Verified Space Conditioning System Time Delay Relay 01 If a Time Delay Relay is specified by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the Time Delay Relay is installed and has been tested to operate correctly according to the protocols of RA3.4.3. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 4 of 5) Registration Number: 423-P010104307A-000-001-M26016A-M26A Registration Date/Time: 2024-11-12   04:01:29 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:32 J. Verified Space Conditioning System TXV 01 If a TXV is specified by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the TXV is properly installed and has been visually verified, including proper placement of the sensing bulb. 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. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 5 of 5) Registration Number: 423-P010104307A-000-001-M26016A-M26A Registration Date/Time: 2024-11-12   04:01:29 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:32 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M20006A-M20A Registration Date/Time: 2024-11-12   04:00:56 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:00:58 DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 1 of 3) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information 01 Space Conditioning System Identification or Name AC-22 02 Space Conditioning System Location or Area Served 2 03 Indoor Unit Name or Description of Area Served 2 04 Building Type from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC?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)1500 06 Measured AHU Airflow (cfm)n/a 07 Duct Leakage Test Conditions Test final 08 Duct Leakage Test Method Total leakage NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M20006A-M20A Registration Date/Time: 2024-11-12   04:00:56 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:00:58 B. Duct Leakage Diagnostic Test 09 Leakage Factor 0.06 10 Calculated Target Allowable Duct Leakage (cfm)120 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 66 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/llahu/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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M20006A-M20A Registration Date/Time: 2024-11-12   04:00:56 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:00:58 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M23007A-M23A Registration Date/Time: 2024-11-12   04:00:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:01 SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 1 of 4) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name AC-22 02 Space Conditioning System Description of Area Served 2 03 Indoor Unit Name 2 04 System Installation Type New 05 Nominal Cooling Capacity (tons)5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 2 of 4) Registration Number: 423-P010104307A-000-001-M23007A-M23A Registration Date/Time: 2024-11-12   04:00:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:01 C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate verification. Traditional Flow Capture Hood according to procedure in RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus alnor 03 Model number of Airflow Measurement Apparatus 371 04 Certification Status of the Airflow Measurement Apparatus Accuracy Certified by Manufacturer and listed on CEC Website at http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton)350 02 Required Minimum System Airflow Target (cfm)1750 03 Actual System Airflow Rate Measurement (cfm)1802 04 Compliance Statement:System airflow rate complies E. Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system during system air flow rate measurement identified on this Certificate of Verification. 02 The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. 03 A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 3 of 4) Registration Number: 423-P010104307A-000-001-M23007A-M23A Registration Date/Time: 2024-11-12   04:00:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:01 E. Additional Requirements 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 4 of 4) Registration Number: 423-P010104307A-000-001-M23007A-M23A Registration Date/Time: 2024-11-12   04:00:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:01 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M22008A-M22A Registration Date/Time: 2024-11-12   04:01:04 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:07 SPACE CONDITIONING SYSTEM FAN EFFICACY CF3R-MCH-22-H (Page 1 of 3) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 System Identification or Name AC-22 02 System Location or Area Served 2 03 Indoor Unit Name or Description of Area Served 2 04 System Installation Type New 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF3R-MCH-22-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M22008A-M22A Registration Date/Time: 2024-11-12   04:01:04 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:07 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 326 02 Actual Tested Airflow from MCH-23 (cfm)1802 03 Required Fan Efficacy (Watts/cfm)0.35 04 Actual Fan Efficacy (watts/cfm)0.18 05 Compliance Statement:System fan efficacy complies D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Portable watt meters used for measurements of air handler watt draws shall be true power measurement systems (i.e. sensor plus data acquisition system) having an accuracy of +- 2% of reading or +- 10 Watts whichever is greater 08 Verification Status Pass - all applicable requirements are met. 09 Correction Notes The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. E. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies: All specified verification protocol requirements on this document are met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF3R-MCH-22-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M22008A-M22A Registration Date/Time: 2024-11-12   04:01:04 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:07 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M26018A-M26A Registration Date/Time: 2024-11-12   04:01:33 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:35 RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 1 of 5) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information Procedures for verification of High SEER/SEER2 and EER/EER2 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 AC-22 02 Space Conditioning System Description of Area Served 2 03 Efficiency Metric EER2/SEER2 04 Status: SEER/SEER2 Performance Compliance Credit Check Yes 05 Status: EER/EER2 Performance Compliance Credit Check No 06 Status: Heat Pump Heating Output Performance Compliance Check Yes 07 Status: HSPF/HSPF2 Performance Compliance Credit Check Yes 08 Directory used to certify product performance AHRI 09 AHRI certification number for the installed space conditioning system from http://www.ahridirectory.org 1593574 10 Does the directory used to certify product performance require a specific air handler/furnace make and model? No 11 Does the directory used to certify product performance require a time delay relay (+TDR)? Yes 12 Does the directory used to certify product performance require a TXV (+TXV)? Yes NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 2 of 5) Registration Number: 423-P010104307A-000-001-M26018A-M26A Registration Date/Time: 2024-11-12   04:01:33 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:35 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 Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-22 2 2 HP Coil TRANE 4TWR7060A 1000DC TRANE TAM9AOC6 0V51DAB n/a n/a 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 Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-22 2 2 HP Coil TRANE 4TWR7060A 1000DC TRANE 4TWR7060A 1000DC n/a n/a D. Verified Cooling System SEER/SEER2 01 Required minimum SEER/SEER2 18 02 Installed SEER/SEER2 18 03 Compliance Statement:System Passes SEER/SEER2 Verification Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required value listed on the parent MCH-26 Certificate of Installation E. Verified Cooling System EER/EER2 This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 3 of 5) Registration Number: 423-P010104307A-000-001-M26018A-M26A Registration Date/Time: 2024-11-12   04:01:33 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:35 F. Verified Heat Pump Heating Output 01 Required Heating BTU Output at 47 Degrees F 47000 02 Installed Heating BTU Output at 47 Degrees F 60000 03 Required Heating BTU Output at 17 Degrees F 30550 04 Installed Heating BTU Output at 17 Degrees F n/a 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 parent MCH-26 Certificate of Installation. G. Verified Heat Pump HSPF/HSPF2 01 Required minimum HSPF/HSPF2 10 02 Installed HSPF/HSPF2 10 03 Compliance Statement:System Passes HSPF/HSPF2 Verification 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 by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the Time Delay Relay is installed and has been tested to operate correctly according to the protocols of RA3.4.3. 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. J. Verified Space Conditioning System TXV 01 If a TXV is specified by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the TXV is properly installed and has been visually verified, including proper placement of the sensing bulb. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 4 of 5) Registration Number: 423-P010104307A-000-001-M26018A-M26A Registration Date/Time: 2024-11-12   04:01:33 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:35 K. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 5 of 5) Registration Number: 423-P010104307A-000-001-M26018A-M26A Registration Date/Time: 2024-11-12   04:01:33 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:35 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M20009A-M20A Registration Date/Time: 2024-11-12   04:01:07 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:09 DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 1 of 3) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information 01 Space Conditioning System Identification or Name AC-3 & 43 02 Space Conditioning System Location or Area Served 3 03 Indoor Unit Name or Description of Area Served 3 04 Building Type from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC?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)1500 06 Measured AHU Airflow (cfm)n/a 07 Duct Leakage Test Conditions Test final 08 Duct Leakage Test Method Total leakage NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M20009A-M20A Registration Date/Time: 2024-11-12   04:01:07 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:09 B. Duct Leakage Diagnostic Test 09 Leakage Factor 0.06 10 Calculated Target Allowable Duct Leakage (cfm)120 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 114 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/llahu/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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M20009A-M20A Registration Date/Time: 2024-11-12   04:01:07 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:09 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M23010A-M23A Registration Date/Time: 2024-11-12   04:01:09 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:12 SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 1 of 4) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name AC-3 & 43 02 Space Conditioning System Description of Area Served 3 03 Indoor Unit Name 3 04 System Installation Type New 05 Nominal Cooling Capacity (tons)5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 2 of 4) Registration Number: 423-P010104307A-000-001-M23010A-M23A Registration Date/Time: 2024-11-12   04:01:09 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:12 C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate verification. Traditional Flow Capture Hood according to procedure in RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus alnor 03 Model number of Airflow Measurement Apparatus 371 04 Certification Status of the Airflow Measurement Apparatus Accuracy Certified by Manufacturer and listed on CEC Website at http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton)350 02 Required Minimum System Airflow Target (cfm)1750 03 Actual System Airflow Rate Measurement (cfm)1896 04 Compliance Statement:System airflow rate complies E. Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system during system air flow rate measurement identified on this Certificate of Verification. 02 The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. 03 A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 3 of 4) Registration Number: 423-P010104307A-000-001-M23010A-M23A Registration Date/Time: 2024-11-12   04:01:09 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:12 E. Additional Requirements 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 4 of 4) Registration Number: 423-P010104307A-000-001-M23010A-M23A Registration Date/Time: 2024-11-12   04:01:09 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:12 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M22011A-M22A Registration Date/Time: 2024-11-12   04:01:16 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:19 SPACE CONDITIONING SYSTEM FAN EFFICACY CF3R-MCH-22-H (Page 1 of 3) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 System Identification or Name AC-3 & 43 02 System Location or Area Served 3 03 Indoor Unit Name or Description of Area Served 3 04 System Installation Type New 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF3R-MCH-22-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M22011A-M22A Registration Date/Time: 2024-11-12   04:01:16 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:19 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 315 02 Actual Tested Airflow from MCH-23 (cfm)1896 03 Required Fan Efficacy (Watts/cfm)0.35 04 Actual Fan Efficacy (watts/cfm)0.17 05 Compliance Statement:System fan efficacy complies D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Portable watt meters used for measurements of air handler watt draws shall be true power measurement systems (i.e. sensor plus data acquisition system) having an accuracy of +- 2% of reading or +- 10 Watts whichever is greater 08 Verification Status Pass - all applicable requirements are met. 09 Correction Notes The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. E. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies: All specified verification protocol requirements on this document are met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF3R-MCH-22-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M22011A-M22A Registration Date/Time: 2024-11-12   04:01:16 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:19 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M26020A-M26A Registration Date/Time: 2024-11-12   04:01:35 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:38 RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 1 of 5) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information Procedures for verification of High SEER/SEER2 and EER/EER2 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 AC-3 & 43 02 Space Conditioning System Description of Area Served 3 03 Efficiency Metric EER/SEER 04 Status: SEER/SEER2 Performance Compliance Credit Check Yes 05 Status: EER/EER2 Performance Compliance Credit Check No 06 Status: Heat Pump Heating Output Performance Compliance Check Yes 07 Status: HSPF/HSPF2 Performance Compliance Credit Check Yes 08 Directory used to certify product performance AHRI 09 AHRI certification number for the installed space conditioning system from http://www.ahridirectory.org 1593574 10 Does the directory used to certify product performance require a specific air handler/furnace make and model? No 11 Does the directory used to certify product performance require a time delay relay (+TDR)? Yes 12 Does the directory used to certify product performance require a TXV (+TXV)? Yes NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 2 of 5) Registration Number: 423-P010104307A-000-001-M26020A-M26A Registration Date/Time: 2024-11-12   04:01:35 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:38 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 Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-3 & 43 3 3 HP Coil TRANE 4TWR7060A 1000DC TRANE TAM9AOC6 0V51DAB n/a n/a 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 Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-3 & 43 3 3 HP Coil TRANE 4TWR7060A 1000DC TRANE 4TWR7060A 1000DC n/a n/a D. Verified Cooling System SEER/SEER2 01 Required minimum SEER/SEER2 18 02 Installed SEER/SEER2 18 03 Compliance Statement:System Passes SEER/SEER2 Verification Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required value listed on the parent MCH-26 Certificate of Installation E. Verified Cooling System EER/EER2 This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 3 of 5) Registration Number: 423-P010104307A-000-001-M26020A-M26A Registration Date/Time: 2024-11-12   04:01:35 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:38 F. Verified Heat Pump Heating Output 01 Required Heating BTU Output at 47 Degrees F 55500 02 Installed Heating BTU Output at 47 Degrees F 60000 03 Required Heating BTU Output at 17 Degrees F 36075 04 Installed Heating BTU Output at 17 Degrees F n/a 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 parent MCH-26 Certificate of Installation. G. Verified Heat Pump HSPF/HSPF2 01 Required minimum HSPF/HSPF2 10 02 Installed HSPF/HSPF2 10 03 Compliance Statement:System Passes HSPF/HSPF2 Verification 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 by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the Time Delay Relay is installed and has been tested to operate correctly according to the protocols of RA3.4.3. 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. J. Verified Space Conditioning System TXV 01 If a TXV is specified by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the TXV is properly installed and has been visually verified, including proper placement of the sensing bulb. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 4 of 5) Registration Number: 423-P010104307A-000-001-M26020A-M26A Registration Date/Time: 2024-11-12   04:01:35 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:38 K. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 5 of 5) Registration Number: 423-P010104307A-000-001-M26020A-M26A Registration Date/Time: 2024-11-12   04:01:35 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:38 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M20012A-M20A Registration Date/Time: 2024-11-12   04:01:19 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:21 DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 1 of 3) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information 01 Space Conditioning System Identification or Name AC-54 02 Space Conditioning System Location or Area Served 4 03 Indoor Unit Name or Description of Area Served 4 04 Building Type from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC?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)1500 06 Measured AHU Airflow (cfm)n/a 07 Duct Leakage Test Conditions Test final 08 Duct Leakage Test Method Total leakage NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M20012A-M20A Registration Date/Time: 2024-11-12   04:01:19 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:21 B. Duct Leakage Diagnostic Test 09 Leakage Factor 0.06 10 Calculated Target Allowable Duct Leakage (cfm)120 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 114 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/llahu/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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M20012A-M20A Registration Date/Time: 2024-11-12   04:01:19 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:21 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M23013A-M23A Registration Date/Time: 2024-11-12   04:01:21 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:24 SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 1 of 4) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name AC-54 02 Space Conditioning System Description of Area Served 4 03 Indoor Unit Name 4 04 System Installation Type New 05 Nominal Cooling Capacity (tons)5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 2 of 4) Registration Number: 423-P010104307A-000-001-M23013A-M23A Registration Date/Time: 2024-11-12   04:01:21 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:24 C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate verification. Traditional Flow Capture Hood according to procedure in RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus alnor 03 Model number of Airflow Measurement Apparatus 371 04 Certification Status of the Airflow Measurement Apparatus Accuracy Certified by Manufacturer and listed on CEC Website at http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton)350 02 Required Minimum System Airflow Target (cfm)1750 03 Actual System Airflow Rate Measurement (cfm)1814 04 Compliance Statement:System airflow rate complies E. Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system during system air flow rate measurement identified on this Certificate of Verification. 02 The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. 03 A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 3 of 4) Registration Number: 423-P010104307A-000-001-M23013A-M23A Registration Date/Time: 2024-11-12   04:01:21 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:24 E. Additional Requirements 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 4 of 4) Registration Number: 423-P010104307A-000-001-M23013A-M23A Registration Date/Time: 2024-11-12   04:01:21 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:24 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M22014A-M22A Registration Date/Time: 2024-11-12   04:01:27 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:30 SPACE CONDITIONING SYSTEM FAN EFFICACY CF3R-MCH-22-H (Page 1 of 3) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. Ducted Cooling System Information 01 System Identification or Name AC-54 02 System Location or Area Served 4 03 Indoor Unit Name or Description of Area Served 4 04 System Installation Type New 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser Speed Type Single Speed 07 Cooling System Zonal Control Type Not Zonal 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status No Bypass Duct 10 Date of System Airflow Rate Measurement 2024-11-12 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 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF3R-MCH-22-H (Page 2 of 3) Registration Number: 423-P010104307A-000-001-M22014A-M22A Registration Date/Time: 2024-11-12   04:01:27 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:30 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 265 02 Actual Tested Airflow from MCH-23 (cfm)1814 03 Required Fan Efficacy (Watts/cfm)0.35 04 Actual Fan Efficacy (watts/cfm)0.15 05 Compliance Statement:System fan efficacy complies D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Portable watt meters used for measurements of air handler watt draws shall be true power measurement systems (i.e. sensor plus data acquisition system) having an accuracy of +- 2% of reading or +- 10 Watts whichever is greater 08 Verification Status Pass - all applicable requirements are met. 09 Correction Notes The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. E. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies: All specified verification protocol requirements on this document are met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM FAN EFFICACY CF3R-MCH-22-H (Page 3 of 3) Registration Number: 423-P010104307A-000-001-M22014A-M22A Registration Date/Time: 2024-11-12   04:01:27 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:30 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-M26022A-M26A Registration Date/Time: 2024-11-12   04:01:38 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:40 RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 1 of 5) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. System Information Procedures for verification of High SEER/SEER2 and EER/EER2 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 AC-54 02 Space Conditioning System Description of Area Served 4 03 Efficiency Metric EER/SEER 04 Status: SEER/SEER2 Performance Compliance Credit Check Yes 05 Status: EER/EER2 Performance Compliance Credit Check No 06 Status: Heat Pump Heating Output Performance Compliance Check Yes 07 Status: HSPF/HSPF2 Performance Compliance Credit Check Yes 08 Directory used to certify product performance AHRI 09 AHRI certification number for the installed space conditioning system from http://www.ahridirectory.org 1593574 10 Does the directory used to certify product performance require a specific air handler/furnace make and model? No 11 Does the directory used to certify product performance require a time delay relay (+TDR)? Yes 12 Does the directory used to certify product performance require a TXV (+TXV)? Yes NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 2 of 5) Registration Number: 423-P010104307A-000-001-M26022A-M26A Registration Date/Time: 2024-11-12   04:01:38 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:40 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 Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-54 4 4 HP Coil TRANE 4TWR7060A 1000DC TRANE TAM9AOC6 0V51DAB n/a n/a 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 Manufacturer Name Outdoor Condenser or Package Unit - Installed Model Number Indoor Unit - Installed Manufacturer Name Indoor Unit - Installed Model Number Installed Furnace Manufacturer Name Installed Furnace Model Number AC-54 4 4 HP Coil TRANE 4TWR7060A 1000DC TRANE 4TWR7060A 1000DC n/a n/a D. Verified Cooling System SEER/SEER2 01 Required minimum SEER/SEER2 18 02 Installed SEER/SEER2 18 03 Compliance Statement:System Passes SEER/SEER2 Verification Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required value listed on the parent MCH-26 Certificate of Installation E. Verified Cooling System EER/EER2 This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 3 of 5) Registration Number: 423-P010104307A-000-001-M26022A-M26A Registration Date/Time: 2024-11-12   04:01:38 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:40 F. Verified Heat Pump Heating Output 01 Required Heating BTU Output at 47 Degrees F 55500 02 Installed Heating BTU Output at 47 Degrees F 60000 03 Required Heating BTU Output at 17 Degrees F 36075 04 Installed Heating BTU Output at 17 Degrees F n/a 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 parent MCH-26 Certificate of Installation. G. Verified Heat Pump HSPF/HSPF2 01 Required minimum HSPF/HSPF2 10 02 Installed HSPF/HSPF2 10 03 Compliance Statement:System Passes HSPF/HSPF2 Verification 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 by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the Time Delay Relay is installed and has been tested to operate correctly according to the protocols of RA3.4.3. 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. J. Verified Space Conditioning System TXV 01 If a TXV is specified by the Directory of Certified Product Performance, the responsible person certifies by signing this compliance document that the TXV is properly installed and has been visually verified, including proper placement of the sensing bulb. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 4 of 5) Registration Number: 423-P010104307A-000-001-M26022A-M26A Registration Date/Time: 2024-11-12   04:01:38 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:40 K. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. RATED SPACE CONDITIONING SYSTEM EQUIPMENT VERIFICATION CF3R-MCH-26-H (Page 5 of 5) Registration Number: 423-P010104307A-000-001-M26022A-M26A Registration Date/Time: 2024-11-12   04:01:38 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:40 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company: MLC Building Performance Date Signed: 2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip: Palm Desert CA 92211 Phone: 760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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: MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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: 423-P010104307A-000-001-B22027A-B22A Registration Date/Time: 2024-11-12   04:01:49 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:52 HERS VERIFIED SINGLE DWELLING UNIT HOT WATER SYSTEM DISTRIBUTION CF3R-PLB-22-H (Page 1 of 5) CERTIFICATE OF VERIFICATION Project Name: 53293 Via Bellagio Enforcement Agency: La Quinta, City of Dwelling Address: Lot 309, 53293 via Bellagio Permit Number: 2023 City and Zip Code La Quinta, 92253 Permit Application Date: 2023-11-27 A. DESIGN HERS VERIFIED DWELLING UNIT WATER HEATING SYSTEMS INFORMATION (OTHER THAN HPWH) This section does not apply to this project. A2. Design HERS Verified Dwelling Unit HPWH System Information 01 02 03 04 05 06 07 08 09 Dwelling Unit Name Water Heating System ID or Name Modeled Equipment Make and Model # of Like (or Identical) Water Heaters in System Tank Location Exterior Tank Insulation R-Value Dwelling Unit DHW System Distribution Type Compact Distribution Drain Water Heat Recovery Single Family Dwelling DHW Sys 1 HPS10-80H45DV 2** (80 gal, JA13)2 Outside n/a Standard Distribution System Expanded None B. INSTALLED HERS VERIFIED DWELLING UNIT WATER HEATING SYSTEMS INFORMATION This section does not apply to this project. B2. Installed HERS Verified Dwelling Unit HPWH System Information This table reports the water heating systems(s) that were installed in this project. 01 02 03 04 05 06 07 08 09 10 Dwelling Unit Name Water Heating System ID or Name Make and Model # of Like (or Identical) Water Heaters in System Tank Location Exterior Tank Insulation R-Value Tank Volume Dwelling Unit DHW System Distribution Type Compact Distribution Drain Water Heat Recovery Single Family Dwelling DHW Sys 1 AOSmithHPS1080H4 5DV2xx 2 Outside   Standard Distribution System Expanded None 10 Compliance Statement System complies NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. HERS VERIFIED SINGLE DWELLING UNIT HOT WATER SYSTEM DISTRIBUTION CF3R-PLB-22-H (Page 2 of 5) Registration Number: 423-P010104307A-000-001-B22027A-B22A Registration Date/Time: 2024-11-12   04:01:49 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:52 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     80.00 Outside D. Installed HERS Verified Dwelling Unit Water Heating Efficiency Information 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 n/a n/a n/a n/a 80 Outside 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 AO SMITH HWH159 DHW Sys 1 AO SMITH HWH159 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-3.5 or combination of R-16 internal and external Insulation. (Section 110.3(c)4). NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. HERS VERIFIED SINGLE DWELLING UNIT HOT WATER SYSTEM DISTRIBUTION CF3R-PLB-22-H (Page 3 of 5) Registration Number: 423-P010104307A-000-001-B22027A-B22A Registration Date/Time: 2024-11-12   04:01:49 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:52 F. Mandatory Measures For All Domestic Hot Water Distribution Systems 03 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. •Insulation buried below grade must be installed in a waterproof and non-crushable casing or sleeve. •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. 04 For Gas or Propane Water Heaters: Ensure either a or b are installed (Section 150.0(n))     a) A designated space at least 2.5 feet by 2.5 feet and 7 feet tall within 3 feet from the water heater 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 2.The conductor shall be labeled with the word "Spare" on both ends; and 3.A reserved single pole circuit breaker space next to the circuit breaker next to the branch circuit labeled "Future" 240V shall be provided. 4.A condensate drain no more than 2 inches higher than the base on water heater for natural draining     b) A designated space at least 2.5 feet by 2.5 feet and 7 feet tall more than 3 feet from the water heater 1.A dedicated 240 volt branch circuit shall be installed within 3 feet from the designated space. The branch circuit shall be rated at 30 amps minimum. The blank cover shall be identified as "240V ready"; and 2.The main electrical service panel shall have a reserved space to allow for the installation of a double pole circuit breaker for a future HPWH installation. The reserved space shall be permanently marked as "For Future 240V use"; and 3.Either a dedicated cold water supply, or the cold water supply shall pass through the designated HPWH location just before reaching the gas or propane water heater; and 4.The hot water supply pipe coming out of the gas or propane water heater shall be routed first through the designated HPWH location before serving any fixtures; and 5.The hot and cold water piping at the designated HPWH location shall be exposed and readily accessible for future installation of a HPWH; and 6.A condensate drain no more than 2 inches higher than the base of the installed water heater, and allows natural draining without pump assistance. 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. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. HERS VERIFIED SINGLE DWELLING UNIT HOT WATER SYSTEM DISTRIBUTION CF3R-PLB-22-H (Page 4 of 5) Registration Number: 423-P010104307A-000-001-B22027A-B22A Registration Date/Time: 2024-11-12   04:01:49 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:52 G. HERS Verified Compact Hot Water Distribution Expanded Credit (CHWDS-H-EX) RA3.6.5 For dwelling units with multiple systems, enter the master bath distance and kitchen distance to the closest water heater, and enter the average of the furthest fixture to each water heater. 01 02 03 04 05 06 07 08 09 Dwelling Unit Name Number of Stories Master Bath distance of furthest fixture to Water Heater in feet Kitchen distance of furthest fixture to Water Heater in feet Furthest Third furthest fixture to Water Heater in feet. (Avg for multiple water heaters) Weighted Distance Qualification Distance Design Compactness Factor Calculated Compactness Factor DHW Sys 1 1 10 10 10 10 22.413 0.6 0.48 10 No hot water piping >1 inch diameter is allowed. 11 Length of 1 inch diameter piping is limited to 8 feet or less. 12 Two and three story buildings cannot have hot water distribution piping in the attic, unless the water heater is also located in the attic. 13 Eligible recirculating systems must be HERS-Verified Demand Recirculation: Manual Control conforming to RA4.4.17. 14 Verification Status:Pass - all applicable requirements are met. 15 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. R. Determination of HERS Verification Compliance 01 Complies: All specified verification protocol requirements on this document are met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. HERS VERIFIED SINGLE DWELLING UNIT HOT WATER SYSTEM DISTRIBUTION CF3R-PLB-22-H (Page 5 of 5) Registration Number: 423-P010104307A-000-001-B22027A-B22A Registration Date/Time: 2024-11-12   04:01:49 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2024-11-12   04:01:52 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Tom Bachus Documentation Author Signature: Company:MLC Building Performance Date Signed:2024-11-12 Address: 77825 Delaware Place CEA/ HERS Certification Identification (if applicable): RCN10140 City/State/Zip:Palm Desert CA 92211 Phone:760-360-0066 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of 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 understand 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, and I will take the necessary steps to ensure this requirement is accomplished. 6.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, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):Simmons Air Responsible Builder or Installer Name: Austin Simmons CSLB License: 780534 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:MLC Building Performance Responsible Rater Name: Tom Bachus Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN10140 Date Signed: 2024-11-12 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. 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. Scan to Validate CHEERS REGISTRY PROJECT STATUS REPORT CERTIFICATE OF COMPLIANCE (CF1R) DATE DOCUMENT TITLE REGISTRATION NUMBER STATUS 06/16/2023 CF1R-PRF-01-E Performance Compliance 423-P010104307A-000-000-0000000-0000 CERTIFICATE OF INSTALLATION (CF2R) DATE DOCUMENT TITLE REGISTRATION NUMBER STATUS 11/12/2024 CF2R-ELC-01-E Electric Ready 423-P010104307A-000-001-C01028A-0000 11/12/2024 CF2R-ENV-01-E Fenestration 423-P010104307A-000-001-E01031A-0000 11/12/2024 CF2R-ENV-03-E Insulation Installation 423-P010104307A-000-001-E03029A-0000 11/12/2024 CF2R-ENV-04-E Roofing Radiant Barrier 423-P010104307A-000-001-E04030A-0000 11/12/2024 CF2R-ENV-21-H QII 423-P010104307A-000-001-E21024A-0000 11/12/2024 CF2R-ENV-22-H QII 423-P010104307A-000-001-E22025A-0000 11/12/2024 CF2R-LTG-01-E Lighting 423-P010104307A-000-001-L01026A-0000 11/12/2024 CF2R-MCH-01a-E HVAC, Ducts and Fans 423-P010104307A-000-001-M01001A-0000 11/12/2024 CF2R-MCH-27a-H Mechanical Ventilation 423-P010104307A-000-001-M27002A-0000 11/12/2024 CF2R-MCH-32-H Local Mechanical Exhaust 423-P010104307A-000-001-M32023A-0000 11/12/2024 CF2R-PLB-22-H Hot Water Distribution 423-P010104307A-000-001-B22027A-0000 11/12/2024 CF2R-PVB-01-E Photovoltaic Systems 423-P010104307A-000-001-P01032A-0000 PROJECT SUMMARY Project Name:53293 Via Bellagio Address:Lot 309, 53293 via Bellagio City, State, Zip:La Quinta, CA 92253 Building Department:La Quinta, City of Permit Number:2023 Building Energy Code:2022 Standards ENERGY CODE COMPLIANCE COMPLETE HERS VERIFIABLE MEASURES COMPLETE NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using information that has been uploaded to that registration platform by third parties that are not affiliated or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this certificate. Page 1 of 4 - continued on next page - Scan to Validate CHEERS REGISTRY PROJECT STATUS REPORT CERTIFICATE OF INSTALLATION (CF2R) DATE DOCUMENT TITLE REGISTRATION NUMBER STATUS 1 11/12/2024 CF2R-MCH-20c-H Duct Leakage 423-P010104307A-000-001-M20003A-0000 11/12/2024 CF2R-MCH-22a-H Fan Efficacy 423-P010104307A-000-001-M22005A-0000 11/12/2024 CF2R-MCH-23a-H Airflow Rate 423-P010104307A-000-001-M23004A-0000 2 11/12/2024 CF2R-MCH-20c-H Duct Leakage 423-P010104307A-000-001-M20006A-0000 11/12/2024 CF2R-MCH-22a-H Fan Efficacy 423-P010104307A-000-001-M22008A-0000 11/12/2024 CF2R-MCH-23a-H Airflow Rate 423-P010104307A-000-001-M23007A-0000 3 11/12/2024 CF2R-MCH-20c-H Duct Leakage 423-P010104307A-000-001-M20009A-0000 11/12/2024 CF2R-MCH-22a-H Fan Efficacy 423-P010104307A-000-001-M22011A-0000 11/12/2024 CF2R-MCH-23a-H Airflow Rate 423-P010104307A-000-001-M23010A-0000 4 11/12/2024 CF2R-MCH-20c-H Duct Leakage 423-P010104307A-000-001-M20012A-0000 11/12/2024 CF2R-MCH-22a-H Fan Efficacy 423-P010104307A-000-001-M22014A-0000 11/12/2024 CF2R-MCH-23a-H Airflow Rate 423-P010104307A-000-001-M23013A-0000 AC-11 11/12/2024 CF2R-MCH-25f-E Refrigerant Charge 423-P010104307A-000-001-M25015A-0000 11/12/2024 CF2R-MCH-26-H High SEER & EER 423-P010104307A-000-001-M26016A-0000 AC-22 11/12/2024 CF2R-MCH-25f-E Refrigerant Charge 423-P010104307A-000-001-M25017A-0000 NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using information that has been uploaded to that registration platform by third parties that are not affiliated or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this certificate. Page 2 of 4 - continued on next page - Scan to Validate CHEERS REGISTRY PROJECT STATUS REPORT CERTIFICATE OF INSTALLATION (CF2R) DATE DOCUMENT TITLE REGISTRATION NUMBER STATUS 11/12/2024 CF2R-MCH-26-H High SEER & EER 423-P010104307A-000-001-M26018A-0000 AC-3 & 43 11/12/2024 CF2R-MCH-25f-E Refrigerant Charge 423-P010104307A-000-001-M25019A-0000 11/12/2024 CF2R-MCH-26-H High SEER & EER 423-P010104307A-000-001-M26020A-0000 AC-54 11/12/2024 CF2R-MCH-25f-E Refrigerant Charge 423-P010104307A-000-001-M25021A-0000 11/12/2024 CF2R-MCH-26-H High SEER & EER 423-P010104307A-000-001-M26022A-0000 CERTIFICATE OF VERIFICATION (CF3R) DATE DOCUMENT TITLE REGISTRATION NUMBER STATUS 11/12/2024 CF3R-ENV-21-H QII 423-P010104307A-000-001-E21024A- E21A 11/12/2024 CF3R-ENV-22-H QII 423-P010104307A-000-001-E22025A- E22A 11/12/2024 CF3R-MCH-27a-H Mechanical Ventilation 423-P010104307A-000-001-M27002A- M27A 11/12/2024 CF3R-MCH-32-H Local Mechanical Exhaust 423-P010104307A-000-001-M32023A- M32A 11/12/2024 CF3R-PLB-22-H Hot Water Distribution 423-P010104307A-000-001-B22027A- B22A 1 11/12/2024 CF3R-MCH-20c-H Duct Leakage 423-P010104307A-000-001-M20003A- M20A 11/12/2024 CF3R-MCH-22a-H Fan Efficacy 423-P010104307A-000-001-M22005A- M22A 11/12/2024 CF3R-MCH-23a-H Airflow Rate 423-P010104307A-000-001-M23004A- M23A 2 11/12/2024 CF3R-MCH-20c-H Duct Leakage 423-P010104307A-000-001-M20006A- M20A 11/12/2024 CF3R-MCH-22a-H Fan Efficacy 423-P010104307A-000-001-M22008A- M22A NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using information that has been uploaded to that registration platform by third parties that are not affiliated or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this certificate. Page 3 of 4 - continued on next page - Scan to Validate CHEERS REGISTRY PROJECT STATUS REPORT CERTIFICATE OF VERIFICATION (CF3R) DATE DOCUMENT TITLE REGISTRATION NUMBER STATUS 11/12/2024 CF3R-MCH-23a-H Airflow Rate 423-P010104307A-000-001-M23007A- M23A 3 11/12/2024 CF3R-MCH-20c-H Duct Leakage 423-P010104307A-000-001-M20009A- M20A 11/12/2024 CF3R-MCH-22a-H Fan Efficacy 423-P010104307A-000-001-M22011A- M22A 11/12/2024 CF3R-MCH-23a-H Airflow Rate 423-P010104307A-000-001-M23010A- M23A 4 11/12/2024 CF3R-MCH-20c-H Duct Leakage 423-P010104307A-000-001-M20012A- M20A 11/12/2024 CF3R-MCH-22a-H Fan Efficacy 423-P010104307A-000-001-M22014A- M22A 11/12/2024 CF3R-MCH-23a-H Airflow Rate 423-P010104307A-000-001-M23013A- M23A AC-11 11/12/2024 CF3R-MCH-26-H High SEER & EER 423-P010104307A-000-001-M26016A- M26A AC-22 11/12/2024 CF3R-MCH-26-H High SEER & EER 423-P010104307A-000-001-M26018A- M26A AC-3 & 43 11/12/2024 CF3R-MCH-26-H High SEER & EER 423-P010104307A-000-001-M26020A- M26A AC-54 11/12/2024 CF3R-MCH-26-H High SEER & EER 423-P010104307A-000-001-M26022A- M26A NOTICE: This compliance summary report has been generated by a registration platform provided by CHEERS using information that has been uploaded to that registration platform by third parties that are not affiliated or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this certificate. Page 4 of 4