BRES2021-0411 -Title 24Registration Number: 221-P010183591A-000-001-E01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:21:34
CERTIFICATE OF INSTALLATION CF2R-ENV-01-E
Fenestration Installation (Page 1 of 7)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La Quinta Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they
are responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. The signer agrees that all applicable Mandatory
Measures were met. Temporary labels are not to be removed before verification by the building inspector.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-01-E
Fenestration Installation (Page 2 of 7)
Registration Number: 221-P010183591A-000-001-E01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:21:34
A. Fenestration/ Glazing
Includes all Windows, Skylights, Greenhouse or Bay Windows and Glazed Doors.Note: If meeting Exception 1 to 150.1(c)3A, Installing <= 3 ft
2 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 ft
2 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 (ft
2)Orientation Chromogenic U-factor Source SHGC Source Fenestration
Type
Exterior
Shading
Devices
Comments/Sp
ecial Features
L Custom 6.3 90 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
K Custom 12.5 90 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
J Custom 22.5 90 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
I Custom 90 90 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
H Custom 12.5 90 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
G Custom 42 90 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
7 Custom 210 180 No 0.39 NFRC 0.23 NFRC Window Standard bug
screens
6 Custom 66 270 No 0.39 NFRC 0.23 NFRC Window Standard bug
screens
Q Custom 22.5 90 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
P Custom 8 90 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-01-E
Fenestration Installation (Page 3 of 7)
Registration Number: 221-P010183591A-000-001-E01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:21:34
A. Fenestration/ Glazing
Includes all Windows, Skylights, Greenhouse or Bay Windows and Glazed Doors.Note: If meeting Exception 1 to 150.1(c)3A, Installing <= 3 ft
2 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 ft
2 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 (ft
2)Orientation Chromogenic U-factor Source SHGC Source Fenestration
Type
Exterior
Shading
Devices
Comments/Sp
ecial Features
N Custom 50 90 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
U Custom 16 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
M Custom 60 90 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
5 Custom 560 180 No 0.39 NFRC 0.23 NFRC Window Standard bug
screens
4 Custom 150 180 No 0.39 NFRC 0.23 NFRC Window Standard bug
screens
F Custom 24 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
E1 Custom 30 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
E Custom 21 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
D Custom 12.5 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
C Custom 60 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-01-E
Fenestration Installation (Page 4 of 7)
Registration Number: 221-P010183591A-000-001-E01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:21:34
A. Fenestration/ Glazing
Includes all Windows, Skylights, Greenhouse or Bay Windows and Glazed Doors.Note: If meeting Exception 1 to 150.1(c)3A, Installing <= 3 ft
2 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 ft
2 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 (ft
2)Orientation Chromogenic U-factor Source SHGC Source Fenestration
Type
Exterior
Shading
Devices
Comments/Sp
ecial Features
B Custom 50 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
3 Custom 115 0 No 0.39 NFRC 0.23 NFRC Window Standard bug
screens
1 Custom 200 0 No 0.39 NFRC 0.23 NFRC Window Standard bug
screens
V Custom 60 0 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
2 Custom 55 90 No 0.39 NFRC 0.23 NFRC Window Standard bug
screens
Y Custom 69 90 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
A Custom 52.5 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
X Custom 69 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
GB Custom 20 0 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
GA Custom 14 0 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-01-E
Fenestration Installation (Page 5 of 7)
Registration Number: 221-P010183591A-000-001-E01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:21:34
A. Fenestration/ Glazing
Includes all Windows, Skylights, Greenhouse or Bay Windows and Glazed Doors.Note: If meeting Exception 1 to 150.1(c)3A, Installing <= 3 ft
2 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 ft
2 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 (ft
2)Orientation Chromogenic U-factor Source SHGC Source Fenestration
Type
Exterior
Shading
Devices
Comments/Sp
ecial Features
G2 Custom 24 90 No 0.39 NFRC 0.23 NFRC Window Standard bug
screens
G3 Custom 55 90 No 0.39 NFRC 0.23 NFRC Window Standard bug
screens
G4 Custom 115 180 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
GJ Custom 10 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
GH Custom 28 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
GG Custom 28 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
GF Custom 32.5 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
GE Custom 32.5 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
GD Custom 12.5 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
GC Custom 50 270 No 0.3 NFRC 0.2 NFRC Window Standard bug
screens
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-01-E
Fenestration Installation (Page 6 of 7)
Registration Number: 221-P010183591A-000-001-E01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:21:34
B. Fenestration Installation
01 The U-factor of the installed windows for new construction and existing buildings must be equal to or less than those listed on the CF1R.
02 The SHGC of the installed windows for new construction and existing buildings must be equal to or less than those listed on the CF1R in climate zones 2, 4 and 8-15. For climate zones 1,
3, 5 and 16 there is no SHGC requirement.
03 Temporary labels are not to be removed until verified by the building inspector.
04 The fenestration product manufacturer's installation specifications shall be 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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-01-E
Fenestration Installation (Page 7 of 7)
Registration Number: 221-P010183591A-000-001-E01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:21:34
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1.The information provided on this Certificate of Installation is true and correct.
2.I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of
features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized
representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf.
3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the
installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency.
4.I will ensure that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
2022-06-15 07:06:13
2022-06-15 07:06:13
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:13
Registration Number: 221-P010183591A-000-001-E03001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:22:24
CERTIFICATE OF INSTALLATION CF2R-ENV-03-E
Insulation Installation (Page 1 of 8)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La Quinta Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
Medium and light density SPF manufacturers claim various R-values per inch. In California the maximum R-value that can be claimed for ccSPF is an R-value of 5.8 per inch and for ocSPF is an
R-value of 3.6 per inch unless documentation is provided showing that the product and/or manufacturer has a current ICC Evaluation Service Report (ESR) that shows compliance with Acceptance
Criteria for Spray-Applied Foam Plastic Insulation (AC-377).
Note:The Energy Standards Section 110.7 requires that 'all joints, penetrations and other openings in the building envelope that are potential sources of air leakage shall be caulked, gasketed,
weather stripped, or otherwise sealed to limit infiltration and exfiltration.' In areas where spray foam (SPF) insulation is used, the SPF can be considered the air barrier. Other than rigid board
insulation, all other forms of insulation are not considered as an air barrier.
A. Roof/Ceiling Insulation
01 02 03 04 05 06 07 08 09 10
I.D.Manufacturer and
Brand
Assembly/Framin
g Material
Assembly
Thickness (inches)
Framing Size and
Spacing Insulation Type ESR Number
Core/Cavity
Insulation R-value
Insulation Depth
(inches)
Continuous
Insulation R-value
R-38 Pitched Roof
w/ R-1
MK Wood Framed
Ceiling 15.12 R-14.3 / 2x6 Fiberglass n/a 38 15 n/a
Attic RoofMaster
#1 MK Wood Framed
Ceiling 5.82 R-13.0 / 2x4 Fiberglass n/a 19 6 n/a
Attic
Roofbedroom
3/Utility
MK Wood Framed
Ceiling 5.82 R-13.0 / 2x4 Fiberglass n/a 19 6 n/a
Attic RoofGreat
Room/Kitchen MK Wood Framed
Ceiling 5.82 R-13.0 / 2x4 Fiberglass n/a 19 6 n/a
Attic RoofMaster
#2 MK Wood Framed
Ceiling 5.82 R-13.0 / 2x4 Fiberglass n/a 19 6 n/a
Attic
RoofFoyer/Flex MK Wood Framed
Ceiling 5.82 R-13.0 / 2x4 Fiberglass n/a 19 6 n/a
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-03-E
Insulation Installation (Page 2 of 8)
Registration Number: 221-P010183591A-000-001-E03001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:22:24
A. Roof/Ceiling Insulation
01 02 03 04 05 06 07 08 09 10
I.D.Manufacturer and
Brand
Assembly/Framin
g Material
Assembly
Thickness (inches)
Framing Size and
Spacing Insulation Type ESR Number
Core/Cavity
Insulation R-value
Insulation Depth
(inches)
Continuous
Insulation R-value
Attic RoofGuest
Suite MK Wood Framed
Ceiling 5.82 R-13.0 / 2x4 Fiberglass n/a 19 6 n/a
B. Wall Insulation
01 02 03 04 05 06 07 08 09 10
I.D.Manufacturer and
Brand
Assembly/Framin
g Material
Assembly
Thickness (inches)
Framing Size and
Spacing Insulation Type ESR Number
Core/Cavity
Insulation R-value
Insulation Depth
(inches)
Continuous
Insulation R-value
R-21 Wall MK Wood Framed
Walls 6.88 R-21 / 2x6 Fiberglass n/a 21 7 n/a
C. Mass Insulation
This section does not apply to this project.
D. Raised Floor Insulation
This section does not apply to this project.
E. Slab Floor/Perimeter Insulation (See Section F. For Insulation Requirements For Heated Slabs)
This section does not apply to this project.
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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-03-E
Insulation Installation (Page 3 of 8)
Registration Number: 221-P010183591A-000-001-E03001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:22:24
F. Heated Slabs Insulation
03
Alternatively, vertical insulation from top of slab at inside edge of outside wall down to the top of the horizontal insulation. Horizontal insulation from the outside edge of the vertical
insulation extending 4 feet toward the center of the slab in a direction normal to the outside of the building in plain view. Climate zones 1-5 require R-5, and climate zone 16 requires
R-10 vertical and R-7 horizontal.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Minimum Mandatory Measures
01 Insulation - 110.8(a): All installed Insulation is certified and listed with Department of Consumer Affairs, "Standards for Insulating Material".
02 Insulation - 110.8(b): Urea formaldehyde foam insulation is protected by 4 mil polyethylene vapor retarder.
03 Insulation - 110.8(c): Flame spread and smoke density requirements of CBC are met.
04 Raised Floor - 150.0(d): All raised wood-frame floor have a minimum R-19 insulation or equivalent U-factor
05 Slab Floor/Perimeter - 150.0(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 Ceiling/Rafter Roof - 150.0(a)1: All wood-frame ceiling have a minimum R-22 insulation or equivalent U-factor.
09 Vapor Retarder - 150(g)1: In Climate Zones 1 through 16, the earth floor of unvented crawl space shall be covered with a Class I or Class II vapor retarder. This requirement shall also
apply to controlled ventilation crawl space for buildings complying with the Exception to Section 150.0(d).
10 Vapor Retarder - 150(g)2: In Climate Zones 14 and 16, a Class 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.
11
Heated Slabs - 110.8(g): All heated slabs shall be insulated as required.
•Insulation shall be installed from the top of the slab, down 16 inches or to the frost line, whichever is greater. Climate zones 1-5 require R-5, and climate zone 16 requires R-10.
•Alternatively, vertical insulation from top of slab at inside edge of outside wall down to the top of the horizontal insulation. Horizontal insulation from the outside edge of the
vertical insulation extending 4 feet toward the center of the slab in a direction normal to the outside of the building in plain view. Climate zones 1-5 require R-5, and climate zone
16 requires R-10 vertical and R-7 horizontal.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-03-E
Insulation Installation (Page 4 of 8)
Registration Number: 221-P010183591A-000-001-E03001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:22:24
H. Installed Insulation
01 Installed insulation R-values are the same or greater than listed on the CF1R.
02 No gaps or voids between the insulation and framing.
03 No gaps between the sides or ends of batt insulation.
04 Loose-fill insulation must be installed to the minimum installed weight per square foot (density) of the manufacturer's cut sheet for the proposed R-value.
05 Batt insulation is not compressed (no stuffing of the insulation into the cavity) and is installed to its full thickness.
06 Insulation is cut around obstructions such as electrical boxes.
07 Batt insulation is delaminated around all plumbing and electrical lines in ceilings, walls and floors.
08 Band joists are insulated to the same R-value as the wall.
09 In all narrow cavities the insulation shall be cut to fit or filled with expanding foam.
10 Insulation was installed per manufacturer instructions.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
I. Wall Insulation
01 When allowed by manufacturer, low expanding foam shall be used to fill gaps and voids around windows and doors. If not, the cavity must be air tight and filled completely with
insulation. Batt insulation must be cut to width. No stuffing allowed.
02 Install wall insulation before installing tubs, showers and fireplaces.
03 Electric panels on walls separating conditioned and unconditioned space are sealed and insulated behind the panel with rigid insulation or expanding foam.
04 All walls of interior closets vented to the outside for HVAC or water heating equipment have the same R-value and air barrier as the exterior walls and ceiling. Doors are insulated and
weather stripped.
05 Ducting not allowed in exterior walls unless insulated to R6 or greater and the insulation and duct are not crushed. Ducting not allowed in 2x4 wall assemblies.
06 Corner channels, wall intersections, and double sided shear walls insulated to the required R-value before enclosing the wall.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-03-E
Insulation Installation (Page 5 of 8)
Registration Number: 221-P010183591A-000-001-E03001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:22:24
I. Wall Insulation
07 Insulation that does not fill the cavity placed against exterior air barrier.
08 Band joists are insulated to the same R-value as the walls.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
J. Ceiling Roof Insulation
01 Insulation extends to the outside edge of the exterior top plates and is flush against any ventilation dams/baffles.
02 Insulation is in direct contact with ceiling, so there are no gaps between the ceiling and the insulation.
03 For chimneys and flues, the insulation is in contact with the sheet metal collar.
04 Can lights are covered with insulation to the same depth as required by the CF1R for ceiling insulation. If not an area weighted calculation is required to be turned in with this
compliance document.
05 Walkways and mechanical platforms insulated to the same R-value as required for the ceiling. If not an area weighted calculation is required to be turned in with this compliance
document.
06 Insulate soffits by adding an air barrier and cover with insulation, or insulate the entire soffit including floor and walls.
07 Knee walls and skylight shafts are insulated to the wall R-value and in full contact with the interior air barrier. If framing on these surfaces is laid flat batt insulation is cut to fit around
the framing. Batt insulation is not allowed to be draped over the framing.
08 Attic access doors insulated to the same R-value as ceiling. The insulation is permanently attached using adhesive or mechanical fasteners.
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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-03-E
Insulation Installation (Page 6 of 8)
Registration Number: 221-P010183591A-000-001-E03001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:22:24
K. Raised Floor Insulation
02 Insulation hangers spaced at 18 inches or less, insulation hangers must not compress insulation.
03 If netting or mesh is used, the cavity under the floor is filled and in contact with the subfloor.
04 If the basement is conditioned the walls adjacent to the crawlspace must meet minimum wall R-value requirements. This includes framed stem walls, and vertical concrete retaining
walls.
05 If access to the crawl space is from the conditioned area, the raised floor must have an airtight insulated access hatch.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
L. Floor Above Garage Insulation
01 Insulation must be in full contact with subfloor if the air barrier is at the band joist at the garage/house wall.
02 Insulation hangers spaced at 18 inches or less, insulation hangers must not compress insulation.
03 If netting or mesh is used, the cavity under the floor is filled and in contact with the subfloor.
04 If air barrier is at the perimeter of the garage, below conditioned subfloor, the insulation is placed on the garage ceiling. The perimeter of subfloor is also insulated.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-03-E
Insulation Installation (Page 7 of 8)
Registration Number: 221-P010183591A-000-001-E03001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:22:24
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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-03-E
Insulation Installation (Page 8 of 8)
Registration Number: 221-P010183591A-000-001-E03001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:22:24
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1.The information provided on this Certificate of Installation is true and correct.
2.I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of
features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized
representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf.
3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the
installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency.
4.I will ensure that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
2022-06-15 07:06:13
2022-06-15 07:06:13
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:13
Registration Number: 221-P010183591A-000-001-E04001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:24:41
CERTIFICATE OF INSTALLATION CF2R-ENV-04-E
Roofing Radiant Barrier (Page 1 of 5)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La Quinta Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. General Information
01 Construction Type Attic
02 Total Attic Area (ft
2)2366
03 Radiant Barrier Installed?No
04 Attic Space Ventilated or Unventilated?Ventilated
05 Minimum Ventilation Method of Compliance 1/150
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
This section does not apply to this project.
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 For instance, eyebrow vent, eave vent, round vent
NFA per vent (in
2) (Manufacturer's
Specification Sheet)
Number of Vents Installed Total NFA Per Vent Type (in
2)
Eave vent 144 26 3744
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-04-E
Roofing Radiant Barrier (Page 2 of 5)
Registration Number: 221-P010183591A-000-001-E04001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:24:41
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 (For instance, eyebrow vent, eave vent, round
vent, ridge vent)
NFA per vent (in
2)/Per Linear Foot
(Manufacturer's Specification Sheet)
Number of Vents/Linear Feet Installed Total NFA Per Vent Type (in
2)
Eave vent 144 26 3744
E. Required Vent Area
01 Combined NFA of installed upper and lower vents (in
2)7488
02 Minimum required combined NFA of upper and lower vents (in
2)1135.68
03 NFA of installed upper vents (in
2)3744
04 Minimum required NFA of upper vents (in
2)340.7
05 Compliance Statement Building complies
F. Radiant Barrier - Additional Requirements
This section does not apply to this project.
G. Attic Ventilation - Additional Requirements
Lower Vents
01 Lower vents are within one foot of the eave.
Upper Vents
02 Upper vents are within three feet of the ridge.
Vent Area
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-04-E
Roofing Radiant Barrier (Page 3 of 5)
Registration Number: 221-P010183591A-000-001-E04001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:24:41
G. Attic Ventilation - Additional Requirements
03
The NFA of upper vents must be within required NFA range of upper vents
Note: per Exception to R806.2 of the 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
CRRC Product
ID Number
Product type
CRRC Listed
Aged Solar
Reflectance
Installed Required
Initial Solar
Reflectance
Aged Solar
Reflectance
Thermal
Emittance SRI Aged Solar
Reflectance
Thermal
Emittance SRI
Attic Master
#1
Roof pitch is <
2 :12
1 Asphalt
shingles No 0.81 0.81 0.91 0.81 0.81 0.91
Attic bedroom
3/Utility
Roof pitch is <
2 :12
1 Asphalt
shingles No 0.81 0.81 0.91 0.81 0.81 0.91
Attic Great
Room/Kitchen
Roof pitch is <
2 :12
1 Asphalt
shingles No 0.81 0.81 0.91 0.81 0.81 0.91
Attic Master
#2
Roof pitch is <
2 :12
1 Asphalt
shingles No 0.81 0.81 0.91 0.81 0.81 0.91
Attic
Foyer/Flex
Roof pitch is <
2 :12
1 Asphalt
shingles No 0.81 0.81 0.91 0.81 0.81 0.91
Attic Guest
Suite
Roof pitch is <
2 :12
1 Asphalt
shingles No 0.81 0.81 0.91 0.81 0.81 0.91
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
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-04-E
Roofing Radiant Barrier (Page 4 of 5)
Registration Number: 221-P010183591A-000-001-E04001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:24:41
I. Roofing Products (Cool Roof) - Additional Requirements
03 Mass roof 25 lb/ft
2 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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-04-E
Roofing Radiant Barrier (Page 5 of 5)
Registration Number: 221-P010183591A-000-001-E04001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:24:41
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1.The information provided on this Certificate of Installation is true and correct.
2.I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of
features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized
representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf.
3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the
installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency.
4.I will ensure that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
2022-06-15 07:06:13
2022-06-15 07:06:13
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:13
Registration Number:
221-P010183591A-000-001-E21001B-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:06:57
CERTIFICATE OF INSTALLATION CF2R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage (Page 1 of 5)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Air Barrier Materials
01
A continuous sealed exterior air barrier is required in all thermal envelope assemblies to limit air movement between unconditioned/
outside spaces and conditioned/ inside spaces, and must comply using one of the following methods:
1.Using individual materials that have an air permeance not exceeding 0.004 cfm/ft
2 under a pressure differential of 0.3 in. w.g.
(1.57 pcf) (0.02 L/s.m
2 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/ft
2 under a pressure
differential of 0.3 in. w.g. (1.57 pcf) (0.2 L/s.m
2 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.m
2 at 75 pa) when tested in accordance with ASTM E779 or an
equivalent approved method.
02 Method of Compliance Method 1 (Individual Materials)
Note:
SPF insulation is an acceptable air barrier and sealant when installed to a minimum thickness of 2 inches for closed cell and 5.5 inches for
open cell, except where not allowed by manufacturer (e.g. flues, vents, can lights, etc).
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
B. Raised Floor Adjacent to Unconditioned Space or Separate Dwelling Units
01 All gaps in the raised floor are sealed.
02 All chases sealed at floor level using a sealed hard cover.
03 All holes (e.g. for plumbing and electrical wires) that penetrate the floor or bottom plates of walls are sealed.
04 Subfloor sheathing is glued or sealed at all panel edges to create a continuous air tight subfloor air barrier.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
C. Walls Adjacent to Unconditioned Space
01 All penetrations through the exterior wall air barrier are sealed to provide an air-tight envelope to unconditioned spaces such as the
outdoors, attic, garage and crawl space.
02 Exterior wall air barrier is sealed to the top plate and bottom plate in each stud bay.
03 All electrical boxes, including knockouts that penetrate the air barrier to unconditioned space are sealed.
04 All openings in top and bottom plate, including all interior and exterior walls, to unconditioned space are sealed; such as holes drilled for
electrical and plumbing.
05 Exterior bottom plates (all stories) are sealed to the floor.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage (Page 2 of 5)
Registration Number:
221-P010183591A-000-001-E21001B-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:06:57
C. Walls Adjacent to Unconditioned Space
06 All gaps around windows and doors are sealed. The sealant used follows manufacturer specifications.
07 Rim joist gaps and openings are fully sealed.
08 Fan exhaust duct outlet/ damper at the exterior wall are sealed.
09 Knee walls have solid and sealed blocking at the bottom, top, left and right sides to prevent air movement into insulation.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
D. Ceiling Air Barrier Adjacent to Unconditioned Space
01 There is a continuous air barrier at the ceiling level. All openings into walls, drops, chases or double walls are sealed.
02 All penetrations through the top plate of interior and exterior walls are sealed.
03 Fire sprinklers penetrating a ceiling air barrier shall be sealed to prevent air movement according to the manufacturer's instructions.
04
All fixtures cut into the ceiling air barrier (e.g. HVAC registers, electrical boxes, fire alarm boxes, exhaust fan housing, and recessed lighting
fixtures) are sealed to the surrounding dry wall. If it is not possible to seal the fixture directly, a secondary air barrier shall be created
around the fixture.
05 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.
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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage (Page 3 of 5)
Registration Number:
221-P010183591A-000-001-E21001B-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:06:57
F. Conditioned Space Above Or Adjacent To Garage Air Barrier
01 All penetrations in the subfloor above the garage into conditioned space must follow the raised floor air barrier requirements above.
02
Infiltration between the space above the garage and subfloor is prevented by one of the following methods:
•Seal all edges of garage ceiling (typically drywall) at the perimeter of the garage to create a continuous air tight surface between
the garage and adjacent conditioned envelope. Seal all plumbing, electric and mechanical penetrations between the garage and
the adjacent conditioned space. For an open-web truss, airtight blocking is added on four sides of the garage perimeter. Insulation
can be placed on the garage ceiling.
•Seal the band joist above the wall at the garage to conditioned space transition. Seal all subfloor seams and penetrations between
the garage and adjacent conditioned space. Insulation must be placed in contact with the subfloor below the conditioned space.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Cantilevered Floor Air Barrier
01 Airtight blocking is installed between joists where the wall rim joist would have been located in the absence of a cantilever.
02 Exterior sheathing is installed to the bottom of the cantilever so that there is a continuous air and weather barrier for the cantilever. The
cantilevered joist must be insulated to the same R value as would be required for the subfloor prior to closing.
03 Any gaps, cracks or penetrations in the air barrier of the cantilever are sealed. Recessed can lights in the cantilever are IC and AT and
properly sealed to the sheathing.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
H. Walls For Attached Porch, Attic, Double Wall Air Barrier
01 An exterior wall air barrier is required at the intersection of the porch and exterior wall when there is conditioned space on the other
side. The exterior wall includes an air barrier where the attic attaches to the conditioned space.
02 Truss framing blocking is used at the top and bottom of each wall/ roof section.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
I. Air Barriers in Multifamily Dwellings
01 Each dwelling unit must be sealed to stop air movement between dwelling units. Treat adjacent dwelling units as unconditioned space for
air sealing.
02 All penetrations through the floor and ceiling of each dwelling unit are sealed including, electric and gas utilities, water pipes, drain pipes,
fire protection service pipes, and communication wiring.
03 Elevator penthouse, mechanical penthouse, stairwell doors, roof access hatches, and plumbing stacks that separate conditioned and
unconditioned space are all sealed.
04 Vertical chases for garbage chutes, elevator shafts, HVAC ducting and plumbing shall be treated as unconditioned space for sealing.
05 Common hallways shall be treated as unconditioned space for sealing.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage (Page 4 of 5)
Registration Number:
221-P010183591A-000-001-E21001B-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:06:57
J. Special Requirements for SIPs
01 SIPs are considered an air barrier when properly sealed at top, bottom, sides and all penetrations.
02 Air barrier is continuous across all surfaces, including between SIPs and non-SIP sections.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
K. Special Requirements for ICF
01 ICF sections are considered an air barrier when properly sealed at top, bottom, sides and all penetrations.
02 Air barrier is continuous across all surfaces, including between ICF and non-ICF sections.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-21-H
QII - Air Infiltration Sealing - Framing Stage (Page 5 of 5)
Registration Number:
221-P010183591A-000-001-E21001B-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:06:57
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:13
2022-06-15 07:06:13
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:13
Registration Number:
221-P010183591A-000-001-E22001B-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:06:59
CERTIFICATE OF INSTALLATION CF2R-ENV-22-H
QII - Insulation Installation (Page 1 of 5)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Insulation Materials Installed
01 Roof Deck Insulation Material Installed Batt and Blanket
02 Ceiling Insulation Material Installed Batt and Blanket
03 Exterior Wall Insulation Material Installed Batt and Blanket
04 Raised Floor Insulation Material Installed Batt and Blanket
05 Slab Edge Insulation Material Installed Batt and Blanket
B. All Surfaces
01 Air barrier installation and preparation for insulation was done and verified prior to insulation being installed.
02 All surfaces between conditioned and unconditioned space are sealed and insulated to meet or exceed the levels specified on the
Certificate of Compliance
03
All structural framing areas shall be insulated in a manner that resists thermal bridging through the assembly separating conditioned from
unconditioned space. Structural bracing, tie-downs, and framing of steel, or specialized framing used to meet structural requirements of
the CBC are allowed and must be insulated. These areas shall be called out on the building plans with diagrams and/ or specified design
drawings indicating the R-value of insulation and fastening method to be used.
04 All insulation was installed according to the manufacturer's installation instructions.
05 Labels or specification/ data sheets for each insulation material shall be provided to the HERS rater. Loose-fill material includes insulation
material bag labels or coverage charts.
06
Loose-fill insulation - the installed depth and density of insulation is verified in at least 6 random locations to ensure that the minimum
thickness and installed density meet R-value specified on the Certificate of Compliance, and are consistent with the manufacturer's
coverage chart.
07 If kraft paper faced insulation is used, paper is installed on the conditioned (warm in winter) side of surface. Paper must be in contact
with air barrier to within 2" framing (stud, joists, etc.).
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
C. Raised Floor Adjacent to Unconditioned Space
01 Insulation is in full contact with the subfloor.
02 Insulation hangers are spaced at 18 inches or less. Insulation hangers do not compress insulation.
03 Netting, or mesh, can be used if the cavity under the floor is filled and in contact with the subfloor.
04 When daylight basements are adjacent to crawlspaces, if the basement is conditioned the walls adjacent to the crawlspace are insulated
to the R-value listed on the Certificate of Compliance. This includes framed stem walls, and vertical concrete retaining walls.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-22-H
QII - Insulation Installation (Page 2 of 5)
Registration Number:
221-P010183591A-000-001-E22001B-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:06:59
C. Raised Floor Adjacent to Unconditioned Space
05 If access to the crawlspace is from the conditioned area the raised floor includes an airtight insulated access hatch. Where possible locate
crawl space access on the exterior.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been 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" clearance between the collar and the chimney/flue for double wall
vent, and 6" for single wall vent, unless manufacturer's instructions require otherwise. The collar is sealed to the ceiling with high
temperature sealant to prevent air leakage. The insulation is in contact with the sheet metal collar.
04 Recessed can lights penetrating the ceiling air barrier are covered with insulation to the depth needed to meet the ceiling R-value
specified on the Certificate of Compliance.
05 External surfaces of steel studs, steel-framed kneewalls, skylight shafts, and gable ends are covered with insulation.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-22-H
QII - Insulation Installation (Page 3 of 5)
Registration Number:
221-P010183591A-000-001-E22001B-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:06:59
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 ft
2). 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.
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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-22-H
QII - Insulation Installation (Page 4 of 5)
Registration Number:
221-P010183591A-000-001-E22001B-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:06:59
J. Special Requirements for Floors Above Garages
01 If the air barrier is at the perimeter of the garage below the conditioned subfloor, then the insulation may be placed on the garage ceiling.
The perimeter of the subfloor must also be insulated.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
K. Special Requirements for Cantilevered Floors
01 Sealed blocking shall be installed between joists where the wall rim joist would have been located in the absence of a cantilever.
Insulation shall be placed on both sides of the block.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
L. Special Requirements for Attached Porches
01 Exterior wall at the intersection of the porch roof is fully insulated above, below and behind the roof line.
02 Where truss framing is used, airtight blocking is used at the top and bottom of each wall/ roof section and is insulated.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
M. Special Requirements for SPF Insulation
01
Installed product meets the claimed R-value per inch. Non-standard values are supported by an ICC Evaluation Service Report (ESR)
number (e.g., ESR-xxxx) and documented on the CF2R-ENV-03. Non-standard values are anything greater than R-5.8/inch for closed cell
and R-3.6/inch for open cell.
02 Installed thickness meets the required R-value from the Certificate of Compliance. Verified in at least 6 random places for each surface
type: floors, walls and ceilings.
03 Insulation is spray applied to fully adhere to structural assembly framing, floor and ceiling joists, and other framing surfaces within the
construction cavity.
04 If multiple layers are applied, each foam lift (e.g., spray application) adheres to the substrate and foam interfaces.
05 Closed cell SPF: In area where an air barrier is required the foam is at least 2" thick.
06 Open cell SPF: In area where an air barrier is required the foam is at least 5.5" thick.
07 Open cell SPF: Depressions in the foam insulation are not greater than 1/2" of the required thickness provided these depressions do not
exceed 10% of the surface area being insulated.
08 Open cell SPF: Insulation completely fills cavities of 2x4 framing.
09
SPF insulation is not applied directly to recessed lighting fixtures unless specifically allowed by manufacturer's instructions. when not
allowed, can lights are:
A.Covered with a minimum of 1.5" of mineral fiber insulation or
B.Enclosed in a manufacturer's approved box fabricated from an approved material, such as 18 gauge sheet metal or 1/2" gypsum
board.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-ENV-22-H
QII - Insulation Installation (Page 5 of 5)
Registration Number:
221-P010183591A-000-001-E22001B-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:06:59
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:13
2022-06-15 07:06:13
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:13
Registration Number:
221-P010183591A-000-001-L01001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2022-06-15 06:21:15
CERTIFICATE OF INSTALLATION CF2R-LTG-01-E
Lighting Single Family Dwellings (Page 1 of 4)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Installed Lighting and Controls
Select Yes or No according to whether your work on the project includes each of the following types of lighting and controls. See sections B
through H for applicable requirements.
01 High Efficacy luminaires installed in any interior rooms. (See
Section B.)
Yes
02 JA8 compliant luminaires and controls installed in any interior
rooms. (See Section B.)
Yes
03 Recessed downlight luminaires in ceilings in any interior room (See
Section C).
Yes
04 Screw-based luminaires installed in any interior rooms (See Section
D.)
Yes
05 Enclosed or recessed luminaires installed in any interior room (See
Section D).
Yes
06 Lighting and controls in bathrooms (See Section E.)Yes
07 Lighting and controls in laundry rooms (See Section E.)Yes
08 Lighting and controls in utility rooms (See Section E.)Yes
09 Lighting and controls in garage (See Section E.)Yes
10 Outdoor lighting and controls (See Section H.)Yes
11 Blank electrical boxes installed more than 5 feet from finished floor.
(See Section F.)
No
12 Internally illuminated address signs. (See Section G.)No
B. High Efficacy Luminaires and Controls
01
150.0(k)1A and Table 150.0-A: All luminaires are installed with:
•Light sources of one of the lighting technologies specified under the "High Efficacy" column of Table 150.0-A; or
•JA8 compliant light sources and the light sources are marked with a label reading "JA8-2019" or "JA8-2019-E".
02 150.0(k)2J: Dimming control for all luminaires with dimmable JA8 compliant light sources except for those controlled by occupancy or
vacancy sensors.
03 150.0(k)2A: Forward phase cut dimmers used with LED light sources shall comply with NEMA SSL 7A.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-LTG-01-E
Lighting Single Family Dwellings (Page 2 of 4)
Registration Number:
221-P010183591A-000-001-L01001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2022-06-15 06:21:15
C. Recessed Downlight LuminaIres in Ceilings
01 150.0(k)1Cv: Do not contain screw based sockets.
02 The luminaire shall be marked with "JA8-2019".
03 150.0(k)1Ci: Listed for zero clearance insulation contact (IC)
04 150.0(k)1Cii: Has label certifying air tight
05 150.0(k)1Ciii: Sealed with a gasket or caulk between the luminaire housing and ceiling, and all air leakage paths between conditioned and
unconditioned spaces are sealed with a gasket or caulk.
06 150.0(k)1Civ: Allows ballast maintenance and replacement to be readily accessible to building occupants from below the ceiling without
requiring the cutting of holes in the ceiling.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
D. Additional Luminaire Requirements
01 150.0(k)1G: Screw based luminaires are installed with all of the following requirements: The luminaire is not recessed downlight
luminaire in ceilings; and The luminaires are installed with lamps or light sources marked with "JA8-2019".
02 150.0(k)1H: Enclosed or Recessed Luminaires are installed with lamps or other separable light sources marked with "JA8-2019-E".
03 150.0(k)1D: Ballasts for fluorescent lamps rated 13 Watts or greater are electronic.
04 150.0(k)1E: Night lights, step lights and path lights are rated to consume no more than 5 Watts of power and emit more than 150 lumens,
or in compliance with Table 150.0-A, or controlled by vacancy sensor.
05 150.0(k)1F: Lighting integral to exhaust fans meets the requirements of Table 150.0-A, with exception to the lighting installed by the
manufacturer in kitchen exhaust hoods.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
E. Additional Lighting Controls
01 150.0(k)2J: In bathrooms, garages, laundry rooms, and utility rooms, at least one luminaire in each of these spaces is controlled by an
occupant or vacancy sensor providing automatic-off functionality.
02 150.0(k)2B: Exhaust fans are controlled separately from lighting systems, or the lighting can be turned OFF on the same control as the fan.
03 150.0(k)2C: Lighting has readily accessible wall- mounted controls that allow the lighting to be manually turned ON and OFF.
04 150.0(k)2D: Lighting controls and equipment are installed in accordance with manufacturer's instructions
05 150.0(k)2E: No control bypasses a dimmer, occupancy sensor or vacancy sensor function where that dimmer or sensor has been installed
to comply with Section 150.0(k)
06 150.0(k)2F: Lighting controls comply with the applicable requirements in Section 110.9.
07
150.0(k)2G: Energy Management Control Systems used to comply with control requirements provide the functionality the specific control
in accordance with Section 110.9, meet the installation certificate requirements in Section 130.4, meets the EMCS requirements in
Section 130.0(e), and complies with all other applicable requirements in Section 150.0(k)2.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-LTG-01-E
Lighting Single Family Dwellings (Page 3 of 4)
Registration Number:
221-P010183591A-000-001-L01001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2022-06-15 06:21:15
E. Additional Lighting Controls
08 150.0(k)2H: A multi-scene programmable controller used to comply with dimmer requirements provides the functionality of a dimmer in
accordance with Section 110.9, and complies with all other applicable requirements in Section 150.0(k)2.
09 150.0(k)2K: Undercabinet lighting is controlled separately from ceiling installed lighting.
10 The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
F. Blank Electrical Boxes
This section does not apply to this project.
G. Address Signs
This section does not apply to this project.
H. Single Family Outdoor Lighting
01 150.0(k)1A and Table 150.0-A: High efficacy outdoor lighting or LED light sources are installed
02
150.0(k)3A: Outdoor lighting is controlled by a manual ON and OFF switch that permits one of the following automatic actions:
•Controlled be a photocell and either a motion sensor or an automatic time switch control;
•Controlled by an astronomical time clock control.
Control that override to ON shall not be allowed unless the override automatically returns to automatic control to its normal operation
within 6 hours.
An energy management control that provides the specified lighting control functionality and complies with all requirements applicable to
the specified controls may be used to meet the above requirements.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-LTG-01-E
Lighting Single Family Dwellings (Page 4 of 4)
Registration Number:
221-P010183591A-000-001-L01001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2022-06-15 06:21:15
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1.The information provided on this Certificate of Installation is true and correct.
2.I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person’s behalf.
3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4.I will ensure that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
2022-06-15 07:06:13
2022-06-15 07:06:13
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:13
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 1 of 15)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La Quinta Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. General Information
01 Dwelling Unit Name 81359 Perry Pl.02 Climate Zone 15
03 Dwelling Unit Total Conditioned
Floor Area (ft
2)9801 04 Number of Space Conditioning
Systems in this dwelling unit.
7
05 Certificate of Compliance Type Performance (CF1R-PRF)06 Method Used to Calculate HVAC
Loads ASHRAE Handbook
07 Calculated Dwelling Unit
Sensible Cooling Load (Btu/h)
420000 08 Calculated Dwelling Unit Heating
Load (Btu/h)
420000
09 Dwelling Unit Number of
Bedrooms 6
MCH-01a - Space Conditioning Systems Ducts and Fans - For use with Performance Certificate of Compliance
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 2 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
B. Design Space Conditioning (SC) System Component Specifications from CF1R
This table reports the space conditioning system features that were specified on the registered CF1R-PRF compliance document for this project.
01 02 03 04 05 06 07 08 09 10 11
SC System
ID/Name from
CF1R
SC System Type
Heating System
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
System 1
Heat pump
heating cooling
Central split HP
Central split
HP n/a Unconditioned
attic Setback Yes credit is taken
No Bypass
Duct Not Zonal Single Speed
System 2
Heat pump
heating cooling
Central split HP
Central split
HP n/a Unconditioned
attic Setback Yes credit is taken
No Bypass
Duct Not Zonal Single Speed
System 3
Heat pump
heating cooling
Central split HP
Central split
HP n/a Unconditioned
attic Setback Yes credit is taken
No Bypass
Duct Not Zonal Single Speed
System 4
Heat pump
heating cooling
Central split HP
Central split
HP n/a Unconditioned
attic Setback Yes credit is taken
No Bypass
Duct Not Zonal Single Speed
System 5
Heat pump
heating cooling
Central split HP
Central split
HP n/a Unconditioned
attic Setback Yes credit is taken
No Bypass
Duct Not Zonal Single Speed
System 6
Heat pump
heating cooling
Central split HP
Central split
HP n/a Unconditioned
attic Setback Yes credit is taken
No Bypass
Duct Not Zonal Single Speed
System 7
Heat pump
heating cooling
Central split HP
Central split
HP n/a Unconditioned
attic Setback Yes credit is taken
No Bypass
Duct Not Zonal Single Speed
Notes:
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
C. Design Space Conditioning (SC) System Compliance Requirements from CF1R
This table reports the space conditioning system features that were specified on the registered CF1R-PRF compliance document for this project.
01 02 03 04 05 06 07 08 09 10 11 12
SC System ID/ Name
from CF1R
Heating
Efficiency
Type
Minimum
Heating
Efficiency
Value (%)
Heat Pump
Heating
Capacity at 47
°F
Heat Pump
Heating
Capacity at 17
°F
Minimum
Cooling
Efficiency
SEER
Minimum
Cooling
Efficiency
EER/CEER
Minimum
Cooling
System
Airflow Rate
(CFM/ton)
Maximum Fan
Efficacy
(W/CFM)
Modeled Duct
R-Value
Central Fan
Ventilation
Cooling
Airflow
Central Fan
Ventilation
Cooling Fan
Efficacy
System 1 HSPF 10 60000 39000 18 12.5 350 0.45 R-8 n/a n/a
System 2 HSPF 10 48000 31200 18 13 350 0.45 R-8 n/a n/a
System 3 HSPF 10 60000 39000 18 12.5 350 0.45 R-8 n/a n/a
System 4 HSPF 10 60000 39000 18 12.5 350 0.45 R-8 n/a n/a
System 5 HSPF 10 60000 39000 18 12.5 350 0.45 R-8 n/a n/a
System 6 HSPF 10 48000 31200 18 13 350 0.45 R-8 n/a n/a
System 7 HSPF 10 60000 39000 18 12.5 350 0.45 R-8 n/a n/a
Notes:
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 4 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
D. Installed Space Conditioning (SC) System Component Information
01 02 03 04 05 06 07 08 09 10
SC System ID/
Name from CF1R
SC System
Description of
Area Served
Conditioned Floor
Area Served by
the System (ft
2)
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
System 1 Master 1696 Central split HP Central split HP 1 Unconditioned
attic Setback Not Zonal Single Speed
System 2 Bed 3 1062 Central split HP Central split HP 1 Unconditioned
attic Setback Not Zonal Single Speed
System 3 Great Room 1136 Central split HP Central split HP 1 Unconditioned
attic Setback Not Zonal Single Speed
System 4 Kitchen 1136 Central split HP Central split HP 1 Unconditioned
attic Setback Not Zonal Single Speed
System 5 Master 2 1675 Central split HP Central split HP 1 Unconditioned
attic Setback Not Zonal Single Speed
System 6 Foyer 1360 Central split HP Central split HP 1 Unconditioned
attic Setback Not Zonal Single Speed
System 7 Guest 1736 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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 5 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
G. Installed Split System Indoor Unit ( Coil or Fan Coil) Equipment Information - applicable to DX or hydronic heating or cooling, coils and fan coil units.
Systems with more than one indoor unit coil or fan coil unit (e.g. multi-split systems) shall provide information for each of the system indoor coils or fan coil units.
01 02 03 04 05 06 07 08 09 10
SC System ID/ Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Indoor Unit
Type
Indoor Unit
Duct Status
Does Indoor
Unit Provide
CFI IAQ
Ventilation?
Indoor Unit Manufacturer Indoor Unit Model Number Indoor Unit Serial Number
Indoor Unit
Nominal
Cooling
Capacity
(ton)
System 1 Master Master HP Coil
Ducted >
10ft length
No Trane TAM9a0c60v15DAB 21293SD91V Value not
required
System 2 Bed 3 Bed 3 HP Coil
Ducted >
10ft length
No Trane TAM9a0c60v15DAB 21293SD88S Value not
required
System 3 Great Room Great Room HP Coil
Ducted >
10ft length
No Trane TAM9a0c60v15DAB 21293SD84D Value not
required
System 4 Kitchen Kitchen HP Coil
Ducted >
10ft length
No Trane TAM9a0c60v15DAB 21293SD95C Value not
required
System 5 Master 2 Master 2 HP Coil
Ducted >
10ft length
No Trane TAM9a0c60v15DAB 21293SD92 Value not
required
System 6 Foyer Foyer HP Coil
Ducted >
10ft length
No Trane TAM9a0c60v15DAB 21293SD912 Value not
required
System 7 Guest Guest HP Coil
Ducted >
10ft length
No Trane TAM9a0c60v15DAB 21293SD91f Value not
required
Notes:
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 6 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
H. Installed Heat Pump System - Split System Condensing Unit or Package Unit Equipment Information
01 02 03 04 05
SC System ID/ Name
from CF1R
SC System Description
of Area Served
Condenser or Package Unit Manufacturer Condenser or Package Unit Model Number Condenser or Package Unit Serial Number
System 1 Master Trane 4twv8060a1000BE 21394F4Y1F
System 2 Bed 3 Trane 4twv8060a1000BE 21394F6H1F
System 3 Great Room Trane 4twv8060a1000BE 21394F2X1F
System 4 Kitchen Trane 4twv8060a1000BE 21394F8A1F
System 5 Master 2 Trane 4twv8060a1000BE 21394FUD1F
System 6 Foyer Trane 4twv8060a1000BE 21402xJJ1F
System 7 Guest Trane 4twv80360a1000BE 21394F211F
Notes:
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 7 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
I. Installed Heat Pump System -Efficiency and Performance Compliance Information
01 02 03 04 05 06 07 08 09 10
SC System ID/
Name from CF1R
SC System
Description of
Area Served
Heating Efficiency
Type
Heating Efficiency
Value
System Rated
Heating Capacity
at 47 °F
System Rated
Heating Capacity
at 17 °F
System Rated
Cooling Efficiency
SEER
System Rated
Cooling Efficiency
EER/CEER
System Cooling
Capacity at Design
Conditions
(Btu/h)
Condenser
Nominal Capacity
(ton)
System 1 Master HSPF 10 60000 39000 18 12.5 60000 5
System 2 Bed 3 HSPF 10 48000 31200 18 13 60000 5
System 3 Great Room HSPF 10 60000 39000 18 12.5 60000 5
System 4 Kitchen HSPF 10 60000 39000 18 12.5 60000 5
System 5 Master 2 HSPF 10 60000 39000 18 12.5 60000 5
System 6 Foyer HSPF 10 48000 31200 18 13 60000 5
System 7 Guest HSPF 10 60000 39000 18 12.5 36000 3
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 CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Supply Duct
Location
Supply Duct
R-Value
Return Duct
Location
Return Duct
R-Value
Exception
from Min
R-Value
Method of
compliance
with Airflow
and Fan
Efficacy
Req's in
150.0(m)13
Bypass Duct
Status
Number of
Air Filter
Devices on
Indoor Unit
Can
Approved
Airflow
Protocols be
used to test
this System?
Can
Approved
Fan Efficacy
Protocol be
used to test
this System?
Total Duct
Length
System 1 Master Master Uncondition
edAttic R8 Uncondition
edAttic R8 NoException
HERS_FanEff
icacyAirflow
Rate
0 1 Yes Yes DuctsGT10F
t
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 8 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
J. Installed Duct System Information
01 02 03 04 05 06 07 08 09 10 11 12 13 14
SC System
ID/ Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Supply Duct
Location
Supply Duct
R-Value
Return Duct
Location
Return Duct
R-Value
Exception
from Min
R-Value
Method of
compliance
with Airflow
and Fan
Efficacy
Req's in
150.0(m)13
Bypass Duct
Status
Number of
Air Filter
Devices on
Indoor Unit
Can
Approved
Airflow
Protocols be
used to test
this System?
Can
Approved
Fan Efficacy
Protocol be
used to test
this System?
Total Duct
Length
System 2 Bed 3 Bed 3
Uncondition
edAttic R8 Uncondition
edAttic R8 NoException
HERS_FanEff
icacyAirflow
Rate
0 1 Yes Yes DuctsGT10F
t
System 3 Great Room Great Room
Uncondition
edAttic R8 Uncondition
edAttic R8 NoException
HERS_FanEff
icacyAirflow
Rate
0 1 Yes Yes DuctsGT10F
t
System 4 Kitchen Kitchen Uncondition
edAttic R8 Uncondition
edAttic R8 NoException
HERS_FanEff
icacyAirflow
Rate
0 1 Yes Yes DuctsGT10F
t
System 5 Master 2 Master 2
Uncondition
edAttic R8 Uncondition
edAttic R8 NoException
HERS_FanEff
icacyAirflow
Rate
0 1 Yes Yes DuctsGT10F
t
System 6 Foyer Foyer Uncondition
edAttic R8 Uncondition
edAttic R8 NoException
HERS_FanEff
icacyAirflow
Rate
0 1 Yes Yes DuctsGT10F
t
System 7 Guest Guest Uncondition
edAttic R8 Uncondition
edAttic R8 NoException
HERS_FanEff
icacyAirflow
Rate
0 1 Yes Yes DuctsGT10F
t
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 9 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
K. Installed Air Filter Device Information
Mandatory requirements for air filter devices are specified in Section 150.0(m)12. The installer shall place a sticker in or near the filter grille displaying the filter grille/rack
design airflow rate and the maximum allowed clean filter pressure drop at the design airflow rate. This will inform the occupant of the airflow vs pressure drop performance
required for replacement air filters.
01 02 03 04 05 06 07 08 09 10 11 12 13
SC System ID/
Name from
CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Air Filter
Device Name
or
Description
of Area
Served
Air Filter
Device Type
Design
Airflow Rate
for Air Filter
Device (cfm)
Air Filter
Nominal
Depth (inch)
Air Filter
Nominal
Length (inch)
Air Filter
Nominal
Width (inch)
Air Filter
Calculated
Nominal Face
Area (inch
2)
Air Filter
Required
Minimum
Face Area
(inch2)
Face Area
Compliance
Design
Allowable
Pressure
Drop for Air
Filter Device
(inch W.C.)
System 1 Master Master Air Filter 1
Duct
Mounted 1 1 1 1 1 0.96 Complies 0.1
System 2 Bed 3 Bed 3 Air Filter 1
Duct
Mounted 1 1 1 1 1 0.96 Complies 0.1
System 3 Great Room Great Room Air Filter 1
Duct
Mounted 1 1 1 1 1 0.96 Complies 0.1
System 4 Kitchen Kitchen Air Filter 1
Duct
Mounted 1 1 1 1 1 0.96 Complies 0.1
System 5 Master 2 Master 2 Air Filter 1
Duct
Mounted 1 1 1 1 1 0.96 Complies 0.1
System 6 Foyer Foyer Air Filter 1
Duct
Mounted 1 1 1 1 1 0.96 Complies 0.1
System 7 Guest Guest Air Filter 1
Duct
Mounted 1 1 1 1 1 0.96 Complies 0.1
Notes:
L. Air Filter Device Requirements
01 The system shall be designed to ensure that all recirculated air and all outdoor air supplied to the occupiable space is filtered before passing through the system's thermal conditioning
components.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 10 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
L. Air Filter Device Requirements
02
The system shall be designed to accommodate the clean-filter pressure drop imposed by the system air filter device(s). The design airflow rate and maximum allowable clean-filter
pressure drop at the design airflow rate applicable to each air filter shall be determined by the system designer. The system installer shall affix a sticker/label to each system air filter
grille/rack location that discloses the filter's design airflow rate and the filter's maximum allowable clean-filter pressure drop at the design airflow rate. The sticker/labels shall be
permanently affixed to the air filter grille/rack, readily legible, and visible to a person replacing the air filter.
03 All system air filter devices shall be located and installed in such a manner as to allow access and regular service by the system owner.
04
The system shall be provided with air filter media having a designated efficiency equal to or greater than MERV 13 when tested in accordance with ASHRAE Standard 52.2, or a particle
size efficiency rating equal to or greater than 50% in the 0.30 to 1.0 µm range and equal to or greater than 85 percent in the 1.0 - 3.0 µm range when tested in accordance with AHRI
Standard 680.
05 The system shall be provided with air filters that have been labeled by the manufacturer to disclose efficiency and pressure drop ratings that conform to the efficiency and pressure drop
requirements for the air filter grilles/racks..
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 11 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
M. HERS Verification Requirements For Duct Systems
01 02 03 04 05 06 07 08 09 10
SC System ID/
Name from CF1R
SC System
Description of
Area Served
Indoor Unit Name
or Description of
Area Served
MCH-20
Duct Leakage Test
MCH-21
Duct Location
Verification
MCH-22
AHU Fan Efficacy
(W/cfm)
MCH-23
AHU Airflow Rate
(cfm/ton)
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
System 1 Master Master Yes No Yes Yes No No No
System 2 Bed 3 Bed 3 Yes No Yes Yes No No No
System 3 Great Room Great Room Yes No Yes Yes No No No
System 4 Kitchen Kitchen Yes No Yes Yes No No No
System 5 Master 2 Master 2 Yes No Yes Yes No No No
System 6 Foyer Foyer Yes No Yes Yes No No No
System 7 Guest Guest Yes No Yes Yes No No No
Notes:
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 12 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
N. HERS Verification Requirements For Space Conditioning Equipment
01 02 03 04 05
SC System ID/ Name from CF1R SC System Description of Area Served
MCH-25
Refrigerant Charge
MCH-26
Rated SC System
Equipment Verification
MCH-33
VCHP Compliance Credit
System 1 Master Yes Yes No
System 2 Bed 3 Yes Yes No
System 3 Great Room Yes Yes No
System 4 Kitchen Yes Yes No
System 5 Master 2 Yes Yes No
System 6 Foyer Yes Yes No
System 7 Guest Yes Yes No
Notes:
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 13 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
O. Space Conditioning Systems, Ducts and Fans -Mandatory Requirements and Additional Measures
Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly
installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements.
Heating Equipment
01 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations.
02 Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant to program the
temperature set points for at least four different periods in 24 hours. See Sections 150.0(i), 110.2(b).
03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections 150.0(h)1 and
2).
04 Furnace Temperature Rise: Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum inlet-to-outlet temperature
rise specification. See Section 150.0(h)4.
05 Standby Losses and Pilot Lights: Fan-type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(d).
Cooling Equipment
06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations.
07 Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section 150.0(j)2 and 3,
and Section 150.0(m)9.
08 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A.
09 Liquid Line Filter Drier: A liquid line filter drier shall be installed according to the manufacturer's specifications 150.0(h)3B
10 Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing. See Section 150.0(h)1 and 2.
Air Distribution System Ducts, Plenums and Fans
11 Insulation: The minimum duct insulation value is R-6. Note that higher values may be required by the prescriptive or performance requirements. See Section 150.0(m)1.
12
Connections and Closures: All installed air-distribution system ducts and plenums must meet the requirements of CMC Sections 601.0, 602.0, 603.0, 604.0, 605.0 and
ANSI/SMACNA-006-2006: Supply-air and return-air ducts and plenums must be insulated to a minimum installed level of R-6.0, otherwise a minimum of R-4.2 is allowed if the system is
enclosed entirely in conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference Residential Appendix
RA3.1.4.3.8. Exceptions for ducts in interior wall cavities or exposed ducts entirely in conditioned space are specified in Section 150.0(m)1B.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 14 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
O. Space Conditioning Systems, Ducts and Fans -Mandatory Requirements and Additional Measures
Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly
installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements.
Heat Pump Thermostat
13 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c).
14 The thermostat shall be installed in accordance with the manufacturers published installation specifications
15 First stage of heating shall be assigned to heat pump heating.
16 Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 15 of 15)
Registration Number: 221-P010183591A-000-001-M01001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:17:09
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1.The information provided on this Certificate of Installation is true and correct.
2.I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of
features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized
representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf.
3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the
installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency.
4.I will ensure that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
2022-06-15 07:06:13
2022-06-15 07:06:13
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:13
Registration Number:
221-P010183591A-000-001-M20001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:18:53
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
01 Space Conditioning System Identification or Name System 1
02 Space Conditioning System Location or Area Served Master
03 Indoor Unit Name or Description of Area Served Master
04 Building Type from CF-1R Single family
05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06 Verified Low Leakage Air Handling Unit Credit from CF1R?Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07 Duct System Compliance Category New
08 Portions of Duct Located in Garage?No
09 Is the system type Small Duct High Velocity (SDHV) ?No
MCH-20c - Low Leakage Air-Handling Unit (LLAHU)
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M20001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:18:53
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 (ft
2)n/a
06 Measured AHU Airflow (cfm)n/a
07 Duct Leakage Test Conditions Test final
08 Duct Leakage Test Method Total leakage
09 Leakage Factor 0.06
10 Calculated Target Allowable Duct Leakage (cfm)120
11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)88
12 Air Handling Unit Manufacturer Name Trane
13 Air Handling Unit Model Number TAM9A0c60v51DAB
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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M20001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:18:53
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:13
2022-06-15 07:06:13
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:13
Registration Number:
221-P010183591A-000-001-M20002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:19:15
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
01 Space Conditioning System Identification or Name System 2
02 Space Conditioning System Location or Area Served Bed 3
03 Indoor Unit Name or Description of Area Served Bed 3
04 Building Type from CF-1R Single family
05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06 Verified Low Leakage Air Handling Unit Credit from CF1R?Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07 Duct System Compliance Category New
08 Portions of Duct Located in Garage?No
09 Is the system type Small Duct High Velocity (SDHV) ?No
MCH-20c - Low Leakage Air-Handling Unit (LLAHU)
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M20002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:19:15
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 (ft
2)n/a
06 Measured AHU Airflow (cfm)n/a
07 Duct Leakage Test Conditions Test final
08 Duct Leakage Test Method Total leakage
09 Leakage Factor 0.06
10 Calculated Target Allowable Duct Leakage (cfm)120
11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)98
12 Air Handling Unit Manufacturer Name Trane
13 Air Handling Unit Model Number TAM9A0c60v51DAB
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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M20002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:19:15
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:13
2022-06-15 07:06:13
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:13
Registration Number:
221-P010183591A-000-001-M20003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:19:36
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
01 Space Conditioning System Identification or Name System 3
02 Space Conditioning System Location or Area Served Great Room
03 Indoor Unit Name or Description of Area Served Great Room
04 Building Type from CF-1R Single family
05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06 Verified Low Leakage Air Handling Unit Credit from CF1R?Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07 Duct System Compliance Category New
08 Portions of Duct Located in Garage?No
09 Is the system type Small Duct High Velocity (SDHV) ?No
MCH-20c - Low Leakage Air-Handling Unit (LLAHU)
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M20003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:19:36
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 (ft
2)n/a
06 Measured AHU Airflow (cfm)n/a
07 Duct Leakage Test Conditions Test final
08 Duct Leakage Test Method Total leakage
09 Leakage Factor 0.06
10 Calculated Target Allowable Duct Leakage (cfm)120
11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)76
12 Air Handling Unit Manufacturer Name Trane
13 Air Handling Unit Model Number TAM9A0c60v51DAB
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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M20003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:19:36
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:13
2022-06-15 07:06:13
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:13
Registration Number:
221-P010183591A-000-001-M20004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:20:20
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
01 Space Conditioning System Identification or Name System 4
02 Space Conditioning System Location or Area Served Kitchen
03 Indoor Unit Name or Description of Area Served Kitchen
04 Building Type from CF-1R Single family
05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06 Verified Low Leakage Air Handling Unit Credit from CF1R?Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07 Duct System Compliance Category New
08 Portions of Duct Located in Garage?No
09 Is the system type Small Duct High Velocity (SDHV) ?No
MCH-20c - Low Leakage Air-Handling Unit (LLAHU)
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M20004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:20:20
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 (ft
2)n/a
06 Measured AHU Airflow (cfm)n/a
07 Duct Leakage Test Conditions Test final
08 Duct Leakage Test Method Total leakage
09 Leakage Factor 0.06
10 Calculated Target Allowable Duct Leakage (cfm)120
11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)88
12 Air Handling Unit Manufacturer Name Trane
13 Air Handling Unit Model Number TAM9A0c60v51DAB
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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M20004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:20:20
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:13
2022-06-15 07:06:13
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:13
Registration Number:
221-P010183591A-000-001-M20005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:20:39
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
01 Space Conditioning System Identification or Name System 5
02 Space Conditioning System Location or Area Served Master 2
03 Indoor Unit Name or Description of Area Served Master 2
04 Building Type from CF-1R Single family
05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06 Verified Low Leakage Air Handling Unit Credit from CF1R?Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07 Duct System Compliance Category New
08 Portions of Duct Located in Garage?No
09 Is the system type Small Duct High Velocity (SDHV) ?No
MCH-20c - Low Leakage Air-Handling Unit (LLAHU)
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M20005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:20:39
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 (ft
2)n/a
06 Measured AHU Airflow (cfm)n/a
07 Duct Leakage Test Conditions Test final
08 Duct Leakage Test Method Total leakage
09 Leakage Factor 0.06
10 Calculated Target Allowable Duct Leakage (cfm)120
11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)78
12 Air Handling Unit Manufacturer Name Trane
13 Air Handling Unit Model Number TAM9A0c60v51DAB
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.
2022-06-15 07:06:13
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M20005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:20:39
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:13
2022-06-15 07:06:13
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:13
Registration Number:
221-P010183591A-000-001-M20006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:27:50
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
01 Space Conditioning System Identification or Name System 6
02 Space Conditioning System Location or Area Served Foyer
03 Indoor Unit Name or Description of Area Served Foyer
04 Building Type from CF-1R Single family
05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06 Verified Low Leakage Air Handling Unit Credit from CF1R?Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07 Duct System Compliance Category New
08 Portions of Duct Located in Garage?No
09 Is the system type Small Duct High Velocity (SDHV) ?No
MCH-20c - Low Leakage Air-Handling Unit (LLAHU)
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M20006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:27:50
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 (ft
2)n/a
06 Measured AHU Airflow (cfm)n/a
07 Duct Leakage Test Conditions Test final
08 Duct Leakage Test Method Total leakage
09 Leakage Factor 0.06
10 Calculated Target Allowable Duct Leakage (cfm)120
11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)74
12 Air Handling Unit Manufacturer Name Trane
13 Air Handling Unit Model Number TAM9A0c60v51DAB
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M20006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:27:50
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:13
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M20007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:20:57
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
01 Space Conditioning System Identification or Name System 7
02 Space Conditioning System Location or Area Served Guest
03 Indoor Unit Name or Description of Area Served Guest
04 Building Type from CF-1R Single family
05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06 Verified Low Leakage Air Handling Unit Credit from CF1R?Low Leakage Air Handling Unit (LLAHU) method Mch20c should be
used
07 Duct System Compliance Category New
08 Portions of Duct Located in Garage?No
09 Is the system type Small Duct High Velocity (SDHV) ?No
MCH-20c - Low Leakage Air-Handling Unit (LLAHU)
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M20007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:20:57
B. Duct Leakage Diagnostic Test
01 Air Handling Unit Airflow (AHU Airflow) Determination Method Cooling system method
02 Condenser Nominal Cooling Capacity (ton)3
03 Indoor Unit Nominal Cooling Capacity n/a
04 Heating Capacity (kBtu/h)n/a
05 Conditioned Floor Area Served by this HVAC System (ft
2)n/a
06 Measured AHU Airflow (cfm)n/a
07 Duct Leakage Test Conditions Test final
08 Duct Leakage Test Method Total leakage
09 Leakage Factor 0.06
10 Calculated Target Allowable Duct Leakage (cfm)72
11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)42
12 Air Handling Unit Manufacturer Name Trane
13 Air Handling Unit Model Number TAM9A0c60v51DAB
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M20007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:20:57
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M23001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:28:12
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 Space Conditioning System Identification or Name System 1
02 Space Conditioning System Description of Area Served Master
03 Indoor Unit Name Master
04 System Installation Type New
05 Nominal Cooling Capacity (tons)5
06 Condenser Speed Type Single Speed
07 Cooling System Zonal Control Type Not Zonal
08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system
09 System Bypass Duct Status No Bypass Duct
10 Date of System Airflow Rate Measurement 2022-06-04
11 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01 Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01 Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02 Manufacturer of Airflow Measurement Apparatus TSI
03 Model number of Airflow Measurement Apparatus EBT731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index.
html
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M23001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:28:12
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)1812
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M23001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:28:12
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M23002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:28:32
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 Space Conditioning System Identification or Name System 2
02 Space Conditioning System Description of Area Served Bed 3
03 Indoor Unit Name Bed 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 2022-06-04
11 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01 Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01 Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02 Manufacturer of Airflow Measurement Apparatus TSI
03 Model number of Airflow Measurement Apparatus EBT731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index.
html
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M23002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:28:32
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)1855
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M23002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:28:32
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M23003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:28:52
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 Space Conditioning System Identification or Name System 3
02 Space Conditioning System Description of Area Served Great Room
03 Indoor Unit Name Great Room
04 System Installation Type New
05 Nominal Cooling Capacity (tons)5
06 Condenser Speed Type Single Speed
07 Cooling System Zonal Control Type Not Zonal
08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system
09 System Bypass Duct Status No Bypass Duct
10 Date of System Airflow Rate Measurement 2022-06-04
11 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01 Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01 Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02 Manufacturer of Airflow Measurement Apparatus TSI
03 Model number of Airflow Measurement Apparatus EBT731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index.
html
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M23003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:28:52
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)1799
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M23003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:28:52
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M23004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:29:16
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 Space Conditioning System Identification or Name System 4
02 Space Conditioning System Description of Area Served Kitchen
03 Indoor Unit Name Kitchen
04 System Installation Type New
05 Nominal Cooling Capacity (tons)5
06 Condenser Speed Type Single Speed
07 Cooling System Zonal Control Type Not Zonal
08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system
09 System Bypass Duct Status No Bypass Duct
10 Date of System Airflow Rate Measurement 2022-06-04
11 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01 Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01 Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02 Manufacturer of Airflow Measurement Apparatus TSI
03 Model number of Airflow Measurement Apparatus EBT731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index.
html
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M23004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:29:16
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)1891
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M23004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:29:16
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M23005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:29:35
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 Space Conditioning System Identification or Name System 5
02 Space Conditioning System Description of Area Served Master 2
03 Indoor Unit Name Master 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 2022-06-04
11 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01 Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01 Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02 Manufacturer of Airflow Measurement Apparatus TSI
03 Model number of Airflow Measurement Apparatus EBT731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index.
html
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M23005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:29:35
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)1834
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M23005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:29:35
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M23006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:30:02
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 Space Conditioning System Identification or Name System 6
02 Space Conditioning System Description of Area Served Foyer
03 Indoor Unit Name Foyer
04 System Installation Type New
05 Nominal Cooling Capacity (tons)5
06 Condenser Speed Type Single Speed
07 Cooling System Zonal Control Type Not Zonal
08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system
09 System Bypass Duct Status No Bypass Duct
10 Date of System Airflow Rate Measurement 2022-06-04
11 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01 Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01 Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02 Manufacturer of Airflow Measurement Apparatus TSI
03 Model number of Airflow Measurement Apparatus EBT731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index.
html
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M23006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:30:02
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)1857
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M23006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:30:02
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M23007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:31:36
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 Space Conditioning System Identification or Name System 7
02 Space Conditioning System Description of Area Served Guest
03 Indoor Unit Name Guest
04 System Installation Type New
05 Nominal Cooling Capacity (tons)3
06 Condenser Speed Type Single Speed
07 Cooling System Zonal Control Type Not Zonal
08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system
09 System Bypass Duct Status No Bypass Duct
10 Date of System Airflow Rate Measurement 2022-06-04
11 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01 Method Used to Demonstrate Compliance with the HSPP/PSPP
Requirement
HSPP installed and labeled consistent with Figure RA3.3-1
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2.
01 Airflow Rate Measurement Type used for this airflow rate
verification.
Traditional Flow Capture Hood according to procedure in
RA3.3.3.1.4
02 Manufacturer of Airflow Measurement Apparatus TSI
03 Model number of Airflow Measurement Apparatus EBT731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index.
html
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M23007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:31:36
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01 Required Minimum System Airflow Rate (cfm/ton)350
02 Required Minimum System Airflow Target (cfm)1050
03 Actual System Airflow Rate Measurement (cfm)1121
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M23007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20191201
Report Generated: 2022-06-15 06:31:36
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M22001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:31:50
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 System Identification or Name System 1
02 System Location or Area Served Master
03 Indoor Unit Name or Description of Area Served Master
04 System Installation Type New
05 Nominal Cooling Capacity (tons) of Condenser 5
06 Condenser Speed Type Single Speed
07 Cooling System Zonal Control Type Not Zonal
08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system
09 System Bypass Duct Status No Bypass Duct
10 Date of System Airflow Rate Measurement 2022-06-04
11 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01 Fan Watt Verification Device Used.Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01 Actual Tested Watts 733
02 Actual Tested Airflow from MCH-23 (cfm)1812
03 Required Fan Efficacy (Watts/cfm)0.45
04 Actual Fan Efficacy (Watts/cfm)0.4
05 Compliance Statement:System fan efficacy complies
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M22001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:31:50
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M22001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:31:50
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M22002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:00
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 System Identification or Name System 2
02 System Location or Area Served Bed 3
03 Indoor Unit Name or Description of Area Served Bed 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 2022-06-04
11 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01 Fan Watt Verification Device Used.Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01 Actual Tested Watts 699
02 Actual Tested Airflow from MCH-23 (cfm)1855
03 Required Fan Efficacy (Watts/cfm)0.45
04 Actual Fan Efficacy (Watts/cfm)0.38
05 Compliance Statement:System fan efficacy complies
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M22002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:00
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M22002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:00
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M22003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 System Identification or Name System 3
02 System Location or Area Served Great Room
03 Indoor Unit Name or Description of Area Served Great Room
04 System Installation Type New
05 Nominal Cooling Capacity (tons) of Condenser 5
06 Condenser Speed Type Single Speed
07 Cooling System Zonal Control Type Not Zonal
08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system
09 System Bypass Duct Status No Bypass Duct
10 Date of System Airflow Rate Measurement 2022-06-04
11 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01 Fan Watt Verification Device Used.Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01 Actual Tested Watts 783
02 Actual Tested Airflow from MCH-23 (cfm)1799
03 Required Fan Efficacy (Watts/cfm)0.45
04 Actual Fan Efficacy (Watts/cfm)0.44
05 Compliance Statement:System fan efficacy complies
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M22003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:14
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M22003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:14
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M22004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:24
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 System Identification or Name System 4
02 System Location or Area Served Kitchen
03 Indoor Unit Name or Description of Area Served Kitchen
04 System Installation Type New
05 Nominal Cooling Capacity (tons) of Condenser 5
06 Condenser Speed Type Single Speed
07 Cooling System Zonal Control Type Not Zonal
08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system
09 System Bypass Duct Status No Bypass Duct
10 Date of System Airflow Rate Measurement 2022-06-04
11 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01 Fan Watt Verification Device Used.Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01 Actual Tested Watts 704
02 Actual Tested Airflow from MCH-23 (cfm)1891
03 Required Fan Efficacy (Watts/cfm)0.45
04 Actual Fan Efficacy (Watts/cfm)0.37
05 Compliance Statement:System fan efficacy complies
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M22004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:24
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M22004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:24
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M22005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:38
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 System Identification or Name System 5
02 System Location or Area Served Master 2
03 Indoor Unit Name or Description of Area Served Master 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 2022-06-04
11 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01 Fan Watt Verification Device Used.Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01 Actual Tested Watts 676
02 Actual Tested Airflow from MCH-23 (cfm)1834
03 Required Fan Efficacy (Watts/cfm)0.45
04 Actual Fan Efficacy (Watts/cfm)0.37
05 Compliance Statement:System fan efficacy complies
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M22005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:38
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M22005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:38
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M22006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:50
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 System Identification or Name System 6
02 System Location or Area Served Foyer
03 Indoor Unit Name or Description of Area Served Foyer
04 System Installation Type New
05 Nominal Cooling Capacity (tons) of Condenser 5
06 Condenser Speed Type Single Speed
07 Cooling System Zonal Control Type Not Zonal
08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system
09 System Bypass Duct Status No Bypass Duct
10 Date of System Airflow Rate Measurement 2022-06-04
11 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01 Fan Watt Verification Device Used.Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01 Actual Tested Watts 688
02 Actual Tested Airflow from MCH-23 (cfm)1857
03 Required Fan Efficacy (Watts/cfm)0.45
04 Actual Fan Efficacy (Watts/cfm)0.37
05 Compliance Statement:System fan efficacy complies
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M22006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:50
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M22006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:32:50
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M22007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:33:03
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Ducted Cooling System Information
01 System Identification or Name System 7
02 System Location or Area Served Guest
03 Indoor Unit Name or Description of Area Served Guest
04 System Installation Type New
05 Nominal Cooling Capacity (tons) of Condenser 3
06 Condenser Speed Type Single Speed
07 Cooling System Zonal Control Type Not Zonal
08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system
09 System Bypass Duct Status No Bypass Duct
10 Date of System Airflow Rate Measurement 2022-06-04
11 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement
12 Central Fan Ventilation Cooling System Status Not a CFVCS
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2.
01 Fan Watt Verification Device Used.Portable Watt Meter
MCH-22a Forced Air System Fan Efficacy Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3
01 Actual Tested Watts 392
02 Actual Tested Airflow from MCH-23 (cfm)1121
03 Required Fan Efficacy (Watts/cfm)0.45
04 Actual Fan Efficacy (Watts/cfm)0.35
05 Compliance Statement:System fan efficacy complies
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-M22007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:33:03
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.
2022-06-15 07:06:14
CERTIFICATE OF INSTALLATION CF2R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-M22007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:33:03
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:14
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:14
Registration Number:
221-P010183591A-000-001-M25001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:01:32
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 1 of 5)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01 Space Conditioning System Identification or Name System 1
02 Space Conditioning System Location or Area Served Master
03 Condenser (or package unit) Make or Brand Trane
04 Condenser (or package unit) Model Number 4twv8060a1000BE
05 Nominal Cooling Capacity (tons) of Condenser 5
06 Condenser (or package unit) Serial Number 21394F4Y1F
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 2022-06-04
15 Refrigerant charge verification method used.Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16 Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17 HERS Verification Compliance Requirement Status System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 2 of 5)
Registration Number:
221-P010183591A-000-001-M25001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:01:32
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01 Refrigerant metering device Thermostatic Expansion Valve (TXV)
02 Subcooling Method applicability status Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01 Date of Digital Refrigerant Gauge Calibration 2022-06-01
02 Date of Digital Thermocouple Calibration 2022-06-01
03 Digital Refrigerant Gauge Calibration Status Calibration is current
04 Digital Thermocouple Calibration Status Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01 Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01 02 03
Indoor Unit Name or Description of Area
Served Minimum Required System Airflow Rate (cfm)System Airflow Rate Verification Status
Master 1750 System complies with minimum airflow rate
requirements
04 SC System complies with Minimum System Airflow Rate Verification
Notes:
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 5)
Registration Number:
221-P010183591A-000-001-M25001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:01:32
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01 Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure ( °F)
78
02 Measured Condenser Air Entering Dry-Bulb Temperature
(Tcondenser, db)
92
03 Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04 Measured Liquid Line Temperature (Tliquid) ( °F)94
05 Measured Liquid Line Pressure (Pliquid) (psig)345
06 Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 ( °F)
106
07 Measured Subcooling (Line F06 - Lilne F04 ( °F)12
08 Target Subcooling from Manufacturer ( °F)12
09 Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01 Measured Suction Line Temperature (Tsuction) ( °F)57
02 Measured Suction Line Pressure (Psuction) (psig)127
03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 ( °F)
44
04 Measured Superheat (Line G01- Line G03) ( °F)13
05 Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06 Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Not known
07 Compliance Statement Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 4 of 5)
Registration Number:
221-P010183591A-000-001-M25001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:01:32
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 5 of 5)
Registration Number:
221-P010183591A-000-001-M25001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:01:32
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:14
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M25002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:02:28
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 1 of 5)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01 Space Conditioning System Identification or Name System 2
02 Space Conditioning System Location or Area Served Bed 3
03 Condenser (or package unit) Make or Brand Trane
04 Condenser (or package unit) Model Number 4twv8060a1000BE
05 Nominal Cooling Capacity (tons) of Condenser 5
06 Condenser (or package unit) Serial Number 21394F6H1F
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 2022-06-04
15 Refrigerant charge verification method used.Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16 Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17 HERS Verification Compliance Requirement Status System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 2 of 5)
Registration Number:
221-P010183591A-000-001-M25002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:02:28
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01 Refrigerant metering device Thermostatic Expansion Valve (TXV)
02 Subcooling Method applicability status Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01 Date of Digital Refrigerant Gauge Calibration 2022-06-01
02 Date of Digital Thermocouple Calibration 2022-06-01
03 Digital Refrigerant Gauge Calibration Status Calibration is current
04 Digital Thermocouple Calibration Status Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01 Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01 02 03
Indoor Unit Name or Description of Area
Served Minimum Required System Airflow Rate (cfm)System Airflow Rate Verification Status
Bed 3 1750 System complies with minimum airflow rate
requirements
04 SC System complies with Minimum System Airflow Rate Verification
Notes:
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 5)
Registration Number:
221-P010183591A-000-001-M25002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:02:28
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01 Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure ( °F)
79
02 Measured Condenser Air Entering Dry-Bulb Temperature
(Tcondenser, db)
94
03 Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04 Measured Liquid Line Temperature (Tliquid) ( °F)96
05 Measured Liquid Line Pressure (Pliquid) (psig)355
06 Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 ( °F)
108
07 Measured Subcooling (Line F06 - Lilne F04 ( °F)12
08 Target Subcooling from Manufacturer ( °F)12
09 Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01 Measured Suction Line Temperature (Tsuction) ( °F)59
02 Measured Suction Line Pressure (Psuction) (psig)132
03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 ( °F)
47
04 Measured Superheat (Line G01- Line G03) ( °F)12
05 Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06 Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Not known
07 Compliance Statement Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 4 of 5)
Registration Number:
221-P010183591A-000-001-M25002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:02:28
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 5 of 5)
Registration Number:
221-P010183591A-000-001-M25002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:02:28
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:15
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M25003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:03:03
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 1 of 5)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01 Space Conditioning System Identification or Name System 3
02 Space Conditioning System Location or Area Served Great Room
03 Condenser (or package unit) Make or Brand Trane
04 Condenser (or package unit) Model Number 4twv8060a1000BE
05 Nominal Cooling Capacity (tons) of Condenser 5
06 Condenser (or package unit) Serial Number 21394F2X1F
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 2022-06-04
15 Refrigerant charge verification method used.Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16 Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17 HERS Verification Compliance Requirement Status System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 2 of 5)
Registration Number:
221-P010183591A-000-001-M25003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:03:03
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01 Refrigerant metering device Thermostatic Expansion Valve (TXV)
02 Subcooling Method applicability status Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01 Date of Digital Refrigerant Gauge Calibration 2022-06-01
02 Date of Digital Thermocouple Calibration 2022-06-01
03 Digital Refrigerant Gauge Calibration Status Calibration is current
04 Digital Thermocouple Calibration Status Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01 Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01 02 03
Indoor Unit Name or Description of Area
Served Minimum Required System Airflow Rate (cfm)System Airflow Rate Verification Status
Great Room 1750 System complies with minimum airflow rate
requirements
04 SC System complies with Minimum System Airflow Rate Verification
Notes:
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 5)
Registration Number:
221-P010183591A-000-001-M25003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:03:03
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01 Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure ( °F)
81
02 Measured Condenser Air Entering Dry-Bulb Temperature
(Tcondenser, db)
91
03 Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04 Measured Liquid Line Temperature (Tliquid) ( °F)90
05 Measured Liquid Line Pressure (Pliquid) (psig)317
06 Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 ( °F)
100
07 Measured Subcooling (Line F06 - Lilne F04 ( °F)10
08 Target Subcooling from Manufacturer ( °F)12
09 Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01 Measured Suction Line Temperature (Tsuction) ( °F)50
02 Measured Suction Line Pressure (Psuction) (psig)113
03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 ( °F)
42
04 Measured Superheat (Line G01- Line G03) ( °F)8
05 Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06 Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Not known
07 Compliance Statement Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 4 of 5)
Registration Number:
221-P010183591A-000-001-M25003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:03:03
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 5 of 5)
Registration Number:
221-P010183591A-000-001-M25003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:03:03
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:15
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M25004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:03:58
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 1 of 5)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01 Space Conditioning System Identification or Name System 4
02 Space Conditioning System Location or Area Served Kitchen
03 Condenser (or package unit) Make or Brand Trane
04 Condenser (or package unit) Model Number 4twv8060a1000BE
05 Nominal Cooling Capacity (tons) of Condenser 5
06 Condenser (or package unit) Serial Number 21394F8A1F
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 2022-06-04
15 Refrigerant charge verification method used.Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16 Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17 HERS Verification Compliance Requirement Status System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 2 of 5)
Registration Number:
221-P010183591A-000-001-M25004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:03:58
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01 Refrigerant metering device Thermostatic Expansion Valve (TXV)
02 Subcooling Method applicability status Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01 Date of Digital Refrigerant Gauge Calibration 2022-06-01
02 Date of Digital Thermocouple Calibration 2022-06-01
03 Digital Refrigerant Gauge Calibration Status Calibration is current
04 Digital Thermocouple Calibration Status Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01 Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01 02 03
Indoor Unit Name or Description of Area
Served Minimum Required System Airflow Rate (cfm)System Airflow Rate Verification Status
Kitchen 1750 System complies with minimum airflow rate
requirements
04 SC System complies with Minimum System Airflow Rate Verification
Notes:
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 5)
Registration Number:
221-P010183591A-000-001-M25004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:03:58
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01 Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure ( °F)
80
02 Measured Condenser Air Entering Dry-Bulb Temperature
(Tcondenser, db)
90
03 Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04 Measured Liquid Line Temperature (Tliquid) ( °F)89
05 Measured Liquid Line Pressure (Pliquid) (psig)322
06 Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 ( °F)
99
07 Measured Subcooling (Line F06 - Lilne F04 ( °F)10
08 Target Subcooling from Manufacturer ( °F)12
09 Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01 Measured Suction Line Temperature (Tsuction) ( °F)49
02 Measured Suction Line Pressure (Psuction) (psig)129
03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 ( °F)
43
04 Measured Superheat (Line G01- Line G03) ( °F)6
05 Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06 Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Not known
07 Compliance Statement Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 4 of 5)
Registration Number:
221-P010183591A-000-001-M25004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:03:58
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 5 of 5)
Registration Number:
221-P010183591A-000-001-M25004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:03:58
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:15
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M25005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:04:35
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 1 of 5)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01 Space Conditioning System Identification or Name System 5
02 Space Conditioning System Location or Area Served Master 2
03 Condenser (or package unit) Make or Brand Trane
04 Condenser (or package unit) Model Number 4twv8060a1000BE
05 Nominal Cooling Capacity (tons) of Condenser 5
06 Condenser (or package unit) Serial Number 21394FUD1F
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 2022-06-04
15 Refrigerant charge verification method used.Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16 Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17 HERS Verification Compliance Requirement Status System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 2 of 5)
Registration Number:
221-P010183591A-000-001-M25005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:04:35
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01 Refrigerant metering device Thermostatic Expansion Valve (TXV)
02 Subcooling Method applicability status Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01 Date of Digital Refrigerant Gauge Calibration 2022-06-01
02 Date of Digital Thermocouple Calibration 2022-06-01
03 Digital Refrigerant Gauge Calibration Status Calibration is current
04 Digital Thermocouple Calibration Status Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01 Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01 02 03
Indoor Unit Name or Description of Area
Served Minimum Required System Airflow Rate (cfm)System Airflow Rate Verification Status
Master 2 1750 System complies with minimum airflow rate
requirements
04 SC System complies with Minimum System Airflow Rate Verification
Notes:
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 5)
Registration Number:
221-P010183591A-000-001-M25005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:04:35
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01 Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure ( °F)
78
02 Measured Condenser Air Entering Dry-Bulb Temperature
(Tcondenser, db)
97
03 Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04 Measured Liquid Line Temperature (Tliquid) ( °F)100
05 Measured Liquid Line Pressure (Pliquid) (psig)370
06 Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 ( °F)
111
07 Measured Subcooling (Line F06 - Lilne F04 ( °F)11
08 Target Subcooling from Manufacturer ( °F)12
09 Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01 Measured Suction Line Temperature (Tsuction) ( °F)58
02 Measured Suction Line Pressure (Psuction) (psig)142
03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 ( °F)
50
04 Measured Superheat (Line G01- Line G03) ( °F)8
05 Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06 Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Not known
07 Compliance Statement Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 4 of 5)
Registration Number:
221-P010183591A-000-001-M25005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:04:35
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 5 of 5)
Registration Number:
221-P010183591A-000-001-M25005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:04:35
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:15
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M25006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:05:23
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 1 of 5)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01 Space Conditioning System Identification or Name System 6
02 Space Conditioning System Location or Area Served Foyer
03 Condenser (or package unit) Make or Brand Trane
04 Condenser (or package unit) Model Number 4twv8060a1000BE
05 Nominal Cooling Capacity (tons) of Condenser 5
06 Condenser (or package unit) Serial Number 21402xJJ1F
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 2022-06-04
15 Refrigerant charge verification method used.Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16 Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17 HERS Verification Compliance Requirement Status System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 2 of 5)
Registration Number:
221-P010183591A-000-001-M25006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:05:23
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01 Refrigerant metering device Thermostatic Expansion Valve (TXV)
02 Subcooling Method applicability status Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01 Date of Digital Refrigerant Gauge Calibration 2022-06-01
02 Date of Digital Thermocouple Calibration 2022-06-01
03 Digital Refrigerant Gauge Calibration Status Calibration is current
04 Digital Thermocouple Calibration Status Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01 Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01 02 03
Indoor Unit Name or Description of Area
Served Minimum Required System Airflow Rate (cfm)System Airflow Rate Verification Status
Foyer 1750 System complies with minimum airflow rate
requirements
04 SC System complies with Minimum System Airflow Rate Verification
Notes:
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 5)
Registration Number:
221-P010183591A-000-001-M25006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:05:23
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01 Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure ( °F)
77
02 Measured Condenser Air Entering Dry-Bulb Temperature
(Tcondenser, db)
98
03 Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04 Measured Liquid Line Temperature (Tliquid) ( °F)102
05 Measured Liquid Line Pressure (Pliquid) (psig)391
06 Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 ( °F)
115
07 Measured Subcooling (Line F06 - Lilne F04 ( °F)13
08 Target Subcooling from Manufacturer ( °F)12
09 Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01 Measured Suction Line Temperature (Tsuction) ( °F)60
02 Measured Suction Line Pressure (Psuction) (psig)150
03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 ( °F)
52
04 Measured Superheat (Line G01- Line G03) ( °F)8
05 Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06 Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Not known
07 Compliance Statement Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 4 of 5)
Registration Number:
221-P010183591A-000-001-M25006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:05:23
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 5 of 5)
Registration Number:
221-P010183591A-000-001-M25006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:05:23
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:15
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M25007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:06:03
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 1 of 5)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01 Space Conditioning System Identification or Name System 7
02 Space Conditioning System Location or Area Served Guest
03 Condenser (or package unit) Make or Brand Trane
04 Condenser (or package unit) Model Number 4twv80360a1000BE
05 Nominal Cooling Capacity (tons) of Condenser 3
06 Condenser (or package unit) Serial Number 21394F211F
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 2022-06-04
15 Refrigerant charge verification method used.Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16 Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17 HERS Verification Compliance Requirement Status System qualifies for group sampling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 2 of 5)
Registration Number:
221-P010183591A-000-001-M25007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:06:03
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01 Refrigerant metering device Thermostatic Expansion Valve (TXV)
02 Subcooling Method applicability status Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01 Date of Digital Refrigerant Gauge Calibration 2022-06-01
02 Date of Digital Thermocouple Calibration 2022-06-01
03 Digital Refrigerant Gauge Calibration Status Calibration is current
04 Digital Thermocouple Calibration Status Calibration is current
D. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01 Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01 02 03
Indoor Unit Name or Description of Area
Served Minimum Required System Airflow Rate (cfm)System Airflow Rate Verification Status
Guest 1050 System complies with minimum airflow rate
requirements
04 SC System complies with Minimum System Airflow Rate Verification
Notes:
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 5)
Registration Number:
221-P010183591A-000-001-M25007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:06:03
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix
RA3.2.2.
01 Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure ( °F)
77
02 Measured Condenser Air Entering Dry-Bulb Temperature
(Tcondenser, db)
100
03 Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
04 Measured Liquid Line Temperature (Tliquid) ( °F)106
05 Measured Liquid Line Pressure (Pliquid) (psig)412
06 Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 ( °F)
119
07 Measured Subcooling (Line F06 - Lilne F04 ( °F)13
08 Target Subcooling from Manufacturer ( °F)12
09 Compliance Statement:
System complies with Subcooling Method - Must also pass
metering device verification, next section
G. Metering Device Verification
Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2
01 Measured Suction Line Temperature (Tsuction) ( °F)61
02 Measured Suction Line Pressure (Psuction) (psig)153
03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 ( °F)
54
04 Measured Superheat (Line G01- Line G03) ( °F)7
05 Measured Superheat (Line G04) is between 4 °F and 25 °F
(inclusive)
Passes CEC requirement
06 Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Not known
07 Compliance Statement Metering device verification passes
MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID)
H. Fault Indicator Display
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 4 of 5)
Registration Number:
221-P010183591A-000-001-M25007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:06:03
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 5 of 5)
Registration Number:
221-P010183591A-000-001-M25007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200901
Report Generated: 2022-06-15 07:06:03
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:15
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M26001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:36:38
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 1 of 4)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system requiring verification
must use a separate form.
01 Space Conditioning System Identification or Name System 1
02 Space Conditioning System Description of Area Served Master
03 Status: SEER Performance Compliance Credit Check Yes
04 Status: EER Performance Compliance Credit Check No
05 Status: Heat Pump Heating Output Performance Compliance Check Yes
06 Status: HSPF Performance Compliance Credit Check Yes
07 Directory used to certify product performance AHRI
08 AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
6750462
09 Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
Fancoil air-handling unit
10 Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
11 Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from nameplate of installed system component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 1 Master Master HP Coil Trane 4twv8060a1
000BE Trane TAM9a0c60v
15DAB n/a n/a
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 2 of 4)
Registration Number:
221-P010183591A-000-001-M26001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:36:38
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from the Directory used to certify product performance for the rated system
component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 1 Master Master HP Coil Trane 4twv8060a1
000BE Trane TAM9a0c60v
15DAB n/a n/a
D. Verified Cooling System SEER
01 Required minimum SEER 18
02 Installed SEER 18
03 Compliance Statement:System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01 Required Heating BTU Output at 47 Degrees F 60000
02 Installed Heating BTU Output at 47 Degrees F 60000
03 Required Heating Output at 17 Degrees F 39000
04 Installed Heating Output at 17 Degrees F 60000
05 Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 3 of 4)
Registration Number:
221-P010183591A-000-001-M26001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:36:38
G. Verified Heat Pump HSPF
01 Required minimum HSPF 10
02 Installed HSPF 10
03 Compliance Statement:System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
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
This section does not apply to this project.
J. Verified Space Conditioning System TXV
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 4 of 4)
Registration Number:
221-P010183591A-000-001-M26001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:36:38
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:15
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M26002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:36:54
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 1 of 4)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system requiring verification
must use a separate form.
01 Space Conditioning System Identification or Name System 2
02 Space Conditioning System Description of Area Served Bed 3
03 Status: SEER Performance Compliance Credit Check Yes
04 Status: EER Performance Compliance Credit Check No
05 Status: Heat Pump Heating Output Performance Compliance Check Yes
06 Status: HSPF Performance Compliance Credit Check Yes
07 Directory used to certify product performance AHRI
08 AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
6750462
09 Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
Fancoil air-handling unit
10 Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
11 Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from nameplate of installed system component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 2 Bed 3 Bed 3 HP Coil Trane 4twv8060a1
000BE Trane TAM9a0c60v
15DAB n/a n/a
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 2 of 4)
Registration Number:
221-P010183591A-000-001-M26002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:36:54
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from the Directory used to certify product performance for the rated system
component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 2 Bed 3 Bed 3 HP Coil Trane 4twv8060a1
000BE Trane TAM9a0c60v
15DAB n/a n/a
D. Verified Cooling System SEER
01 Required minimum SEER 18
02 Installed SEER 18
03 Compliance Statement:System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01 Required Heating BTU Output at 47 Degrees F 48000
02 Installed Heating BTU Output at 47 Degrees F 48000
03 Required Heating Output at 17 Degrees F 31200
04 Installed Heating Output at 17 Degrees F 48000
05 Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 3 of 4)
Registration Number:
221-P010183591A-000-001-M26002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:36:54
G. Verified Heat Pump HSPF
01 Required minimum HSPF 10
02 Installed HSPF 10
03 Compliance Statement:System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
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
This section does not apply to this project.
J. Verified Space Conditioning System TXV
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 4 of 4)
Registration Number:
221-P010183591A-000-001-M26002A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:36:54
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:15
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M26003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:37:09
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 1 of 4)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system requiring verification
must use a separate form.
01 Space Conditioning System Identification or Name System 3
02 Space Conditioning System Description of Area Served Great Room
03 Status: SEER Performance Compliance Credit Check Yes
04 Status: EER Performance Compliance Credit Check No
05 Status: Heat Pump Heating Output Performance Compliance Check Yes
06 Status: HSPF Performance Compliance Credit Check Yes
07 Directory used to certify product performance AHRI
08 AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
6750462
09 Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
Fancoil air-handling unit
10 Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
11 Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from nameplate of installed system component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 3 Great Room Great Room HP Coil Trane 4twv8060a1
000BE Trane TAM9a0c60v
15DAB n/a n/a
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 2 of 4)
Registration Number:
221-P010183591A-000-001-M26003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:37:09
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from the Directory used to certify product performance for the rated system
component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 3 Great Room Great Room HP Coil Trane 4twv8060a1
000BE Trane TAM9a0c60v
15DAB n/a n/a
D. Verified Cooling System SEER
01 Required minimum SEER 18
02 Installed SEER 18
03 Compliance Statement:System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01 Required Heating BTU Output at 47 Degrees F 60000
02 Installed Heating BTU Output at 47 Degrees F 60000
03 Required Heating Output at 17 Degrees F 39000
04 Installed Heating Output at 17 Degrees F 60000
05 Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 3 of 4)
Registration Number:
221-P010183591A-000-001-M26003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:37:09
G. Verified Heat Pump HSPF
01 Required minimum HSPF 10
02 Installed HSPF 10
03 Compliance Statement:System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
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
This section does not apply to this project.
J. Verified Space Conditioning System TXV
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 4 of 4)
Registration Number:
221-P010183591A-000-001-M26003A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:37:09
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:15
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M26004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:37:28
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 1 of 4)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system requiring verification
must use a separate form.
01 Space Conditioning System Identification or Name System 4
02 Space Conditioning System Description of Area Served Kitchen
03 Status: SEER Performance Compliance Credit Check Yes
04 Status: EER Performance Compliance Credit Check No
05 Status: Heat Pump Heating Output Performance Compliance Check Yes
06 Status: HSPF Performance Compliance Credit Check Yes
07 Directory used to certify product performance AHRI
08 AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
6750462
09 Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
Fancoil air-handling unit
10 Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
11 Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from nameplate of installed system component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 4 Kitchen Kitchen HP Coil Trane 4twv8060a1
000BE Trane TAM9a0c60v
15DAB n/a n/a
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 2 of 4)
Registration Number:
221-P010183591A-000-001-M26004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:37:28
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from the Directory used to certify product performance for the rated system
component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 4 Kitchen Kitchen HP Coil Trane 4twv8060a1
000BE Trane TAM9a0c60v
15DAB n/a n/a
D. Verified Cooling System SEER
01 Required minimum SEER 18
02 Installed SEER 18
03 Compliance Statement:System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01 Required Heating BTU Output at 47 Degrees F 60000
02 Installed Heating BTU Output at 47 Degrees F 60000
03 Required Heating Output at 17 Degrees F 39000
04 Installed Heating Output at 17 Degrees F 60000
05 Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 3 of 4)
Registration Number:
221-P010183591A-000-001-M26004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:37:28
G. Verified Heat Pump HSPF
01 Required minimum HSPF 10
02 Installed HSPF 10
03 Compliance Statement:System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
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
This section does not apply to this project.
J. Verified Space Conditioning System TXV
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 4 of 4)
Registration Number:
221-P010183591A-000-001-M26004A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:37:28
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:15
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M26005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:37:51
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 1 of 4)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system requiring verification
must use a separate form.
01 Space Conditioning System Identification or Name System 5
02 Space Conditioning System Description of Area Served Master 2
03 Status: SEER Performance Compliance Credit Check Yes
04 Status: EER Performance Compliance Credit Check No
05 Status: Heat Pump Heating Output Performance Compliance Check Yes
06 Status: HSPF Performance Compliance Credit Check Yes
07 Directory used to certify product performance AHRI
08 AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
6750462
09 Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
Fancoil air-handling unit
10 Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
11 Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from nameplate of installed system component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 5 Master 2 Master 2 HP Coil Trane 4twv8060a1
000BE Trane TAM9a0c60v
15DAB n/a n/a
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 2 of 4)
Registration Number:
221-P010183591A-000-001-M26005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:37:51
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from the Directory used to certify product performance for the rated system
component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 5 Master 2 Master 2 HP Coil Trane 4twv8060a1
000BE Trane TAM9a0c60v
15DAB n/a n/a
D. Verified Cooling System SEER
01 Required minimum SEER 18
02 Installed SEER 18
03 Compliance Statement:System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01 Required Heating BTU Output at 47 Degrees F 60000
02 Installed Heating BTU Output at 47 Degrees F 60000
03 Required Heating Output at 17 Degrees F 39000
04 Installed Heating Output at 17 Degrees F 60000
05 Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 3 of 4)
Registration Number:
221-P010183591A-000-001-M26005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:37:51
G. Verified Heat Pump HSPF
01 Required minimum HSPF 10
02 Installed HSPF 10
03 Compliance Statement:System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
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
This section does not apply to this project.
J. Verified Space Conditioning System TXV
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 4 of 4)
Registration Number:
221-P010183591A-000-001-M26005A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:37:51
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:15
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M26006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:38:21
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 1 of 4)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system requiring verification
must use a separate form.
01 Space Conditioning System Identification or Name System 6
02 Space Conditioning System Description of Area Served Foyer
03 Status: SEER Performance Compliance Credit Check Yes
04 Status: EER Performance Compliance Credit Check No
05 Status: Heat Pump Heating Output Performance Compliance Check Yes
06 Status: HSPF Performance Compliance Credit Check Yes
07 Directory used to certify product performance AHRI
08 AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
6750462
09 Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
Fancoil air-handling unit
10 Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
11 Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from nameplate of installed system component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 6 Foyer Foyer HP Coil Trane 4twv8060a1
000BE Trane TAM9a0c60v
15DAB n/a n/a
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 2 of 4)
Registration Number:
221-P010183591A-000-001-M26006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:38:21
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from the Directory used to certify product performance for the rated system
component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 6 Foyer Foyer HP Coil Trane 4twv8060a1
000BE Trane TAM9a0c60v
15DAB n/a n/a
D. Verified Cooling System SEER
01 Required minimum SEER 18
02 Installed SEER 18
03 Compliance Statement:System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01 Required Heating BTU Output at 47 Degrees F 48000
02 Installed Heating BTU Output at 47 Degrees F 48000
03 Required Heating Output at 17 Degrees F 31200
04 Installed Heating Output at 17 Degrees F 48000
05 Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 3 of 4)
Registration Number:
221-P010183591A-000-001-M26006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:38:21
G. Verified Heat Pump HSPF
01 Required minimum HSPF 10
02 Installed HSPF 10
03 Compliance Statement:System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
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
This section does not apply to this project.
J. Verified Space Conditioning System TXV
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 4 of 4)
Registration Number:
221-P010183591A-000-001-M26006A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:38:21
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:15
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M26007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:38:07
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 1 of 4)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system requiring verification
must use a separate form.
01 Space Conditioning System Identification or Name System 7
02 Space Conditioning System Description of Area Served Guest
03 Status: SEER Performance Compliance Credit Check Yes
04 Status: EER Performance Compliance Credit Check No
05 Status: Heat Pump Heating Output Performance Compliance Check Yes
06 Status: HSPF Performance Compliance Credit Check Yes
07 Directory used to certify product performance AHRI
08 AHRI certification number for the installed space conditioning
system from http://www.ahridirectory.org
6750462
09 Does the directory used to certify product performance require a
specific air handler, furnace or fan coil make and model?
Fancoil air-handling unit
10 Does the directory used to certify product performance require a
time delay relay (+TDR)?
No
11 Does the directory used to certify product performance require a
TXV (+TXV)?
No
B. Rated Space Conditioning System Equipment Information from Nameplate of the Installed System
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from nameplate of installed system component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 7 Guest Guest HP Coil Trane 4twv80360a
1000BE Trane TAM9a0c60v
15DAB n/a n/a
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 2 of 4)
Registration Number:
221-P010183591A-000-001-M26007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:38:07
C. Rated Space Conditioning System Equipment Information from Directory of Certified Product Performance
The data on the nameplate of the installed component shall conform to the data for the component as shown in the Directory used
to certify product performance in order to demonstrate compliance.
01 02 03 04
Data from the Directory used to certify product performance for the rated system
component
05 06 07 08 09 10
SC System
ID/Name
from CF1R
SC System
Description
of Area
Served
Indoor Unit
Name or
Description
of Area
Served
Installed
Indoor Unit
Type
Outdoor
Condenser
or Package
Unit -
Installed
Manufacture
r Name
Outdoor
Condenser
or Package
Unit -
Installed
Model
Number
Indoor Unit -
Installed
Manufacture
r Name
Indoor Unit -
Installed
Model
Number
Installed
Furnace
Manufacture
r Name
Installed
Furnace
Model
Number
System 7 Guest Guest HP Coil Trane 4twv80360a
1000BE Trane TAM9a0c60v
15DAB n/a n/a
D. Verified Cooling System SEER
01 Required minimum SEER 18
02 Installed SEER 18
03 Compliance Statement:System passes SEER verification
Signature by responsible person on this compliance document certifies that the installed cooling equipment meets or exceeds the required
value listed on the CF1R.
E. Verified Cooling System EER
This section does not apply to this project.
F. Verified Heat Pump Heating Output
01 Required Heating BTU Output at 47 Degrees F 60000
02 Installed Heating BTU Output at 47 Degrees F 60000
03 Required Heating Output at 17 Degrees F 39000
04 Installed Heating Output at 17 Degrees F 60000
05 Compliance Statement:
System Passes Heat Pump Heating Output Performance
Compliance Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 3 of 4)
Registration Number:
221-P010183591A-000-001-M26007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:38:07
G. Verified Heat Pump HSPF
01 Required minimum HSPF 10
02 Installed HSPF 10
03 Compliance Statement:System Passes HSPF Verification
Signature by responsible person on this compliance document certifies that the installed heat pump equipment meets or exceeds the
required value listed on the CF1R.
H. Verified Space Conditioning System Air Handler, Furnace Or Fan Coil
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
This section does not apply to this project.
J. Verified Space Conditioning System TXV
This section does not apply to this project.
2022-06-15 07:06:15
CERTIFICATE OF INSTALLATION CF2R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 4 of 4)
Registration Number:
221-P010183591A-000-001-M26007A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20190501
Report Generated: 2022-06-15 06:38:07
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:15
2022-06-15 07:06:15
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:15
Registration Number:
221-P010183591A-000-001-M27001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2022-06-15 06:38:59
CERTIFICATE OF INSTALLATION CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 1 of 5)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
Title 24, Part 6, Section 150.0(o)Ventilation for Indoor Air Quality.All dwelling units shall meet the requirements of ANSI/ASHRAE Standard
62.2.-2016 Ventilation and Acceptable Indoor Air Quality in Low-Rise Residential Buildings subject to amendments specified by Title 24, Part 6
Section 150.0(o)1.
A. Dwelling Mechanical Ventilation - General Information
01 Dwelling unit name 81359 Perry Pl.
02 Building Type Single family detached
03 Project scope Newly Constructed
04
Total Conditioned Floor Area of Dwelling Unit
(For addition projects the conditioned floor area equals existing
area plus addition area. )
9801
05
Number of Bedrooms in Dwelling Unit
(For addition projects the number of bedrooms equals the existing
bedrooms plus addition bedrooms)
6
06 Ventilation System Type Exhaust
07 Ventilation Operation Schedule Continuous
Note:
Non-dwelling units do not meet the definition for a dwelling unit as defined in Section 100.1(b). Non-dwelling units are not designed to provide
independent living facilities and do not provide permanent provisions for living, sleeping, eating, cooking and sanitation.
B. Single Family Attached/Detached General Information
01 Average Ceiling Height 11.69
02 Total Conditioned Volume 114573.69
03 Vertical distance between the lowest and highest above grade
points within the pressure boundary in feet
13.5
04 Air Changes Per Hour at 50 Pa Default
05 Name of ANSI/ASHRAE Standard 62.2-2016 weather station for
climate zone
Palm Springs Intl
06 Weather and shielding factor (wsf) (Based on city identified above)0.45
2022-06-15 07:06:16
CERTIFICATE OF INSTALLATION CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 2 of 5)
Registration Number:
221-P010183591A-000-001-M27001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2022-06-15 06:38:59
C. Ventilation - Total Ventilation Rate
A mechanical supply system, exhaust system or combination thereof shall provide whole-building ventilation with outdoor air each hour at no
less than the rate in 150.0(o)1Ci
01 Total Required Ventilation Rate (Qtot)346.53
02 Enclosure Leakage Rate (Q50)3819.12
03 Effective Annual Average Infiltration Rate (Qinf 109.09
04 Total Exterior Envelope Surface Area n/a
05 Unshared Exterior Envelope Surface Area (exclude surface areas
attached to garages or other dwelling units)
n/a
06 Required Mechanical Ventilation Rate (Qfan)312.19
D. Installed Ventilation - Total Ventilation Rate
A mechanical supply system, exhaust system, or combination thereof shall provide whole-building ventilation with outdoor air
each hour at no less than the rate in 150.0(o)1Ci
01 02 03 04 05
Fan Name Fan Location Runtime (min/hr)
Installed Mechanical
Ventilation Rate (CFM)
Equivalent Continuous
Ventilation (CFM)
bathroom 1 2 3 4 5 bathroom 60 357 357
06 Total Installed Continuous Ventilation (CFM)357
E. Compliance Statement
01 Building Passes Mechanical Ventilation RateTest
F. Other Requirements
The items listed below (6.1 through 6,6 abd 6.8 through 6.9) correspond to the information given in ASHRAE 62.2 Section 6 "Other
Requirements". Refer also to Chapter 4.6 of the Residential Compliance Manual (Section 4.6.8) for information describing these "Other
Requirements". The signature of the Responsible Person in the declaration statement below certifies that the building complies with these
requirements specified in ASHRAE 62.2 Section 6.1 through 6.9 if applicable.
01
6.1 Adjacent Spaces and Transfer Air.Measures shall be taken to minimize air movement across envelope components to dwelling units
from adjacent spaces such as garages, unconditioned crawl spaces, unconditioned attics and other dwelling. Supply and balanced
ventilation systems shall be designed and constructed to provide ventilation air directly from the outdoors.
6.1.1 Compliance for Attached Dwelling Units . One method of demonstrating compliance with Section 6.1 shall be to verify a leakage
rate below a maximum of 0.3 cfm per ft
2 (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 24
5 for information on instructions and labeling.
2022-06-15 07:06:16
CERTIFICATE OF INSTALLATION CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 3 of 5)
Registration Number:
221-P010183591A-000-001-M27001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2022-06-15 06:38:59
F. Other Requirements
The items listed below (6.1 through 6,6 abd 6.8 through 6.9) correspond to the information given in ASHRAE 62.2 Section 6 "Other
Requirements". Refer also to Chapter 4.6 of the Residential Compliance Manual (Section 4.6.8) for information describing these "Other
Requirements". The signature of the Responsible Person in the declaration statement below certifies that the building complies with these
requirements specified in ASHRAE 62.2 Section 6.1 through 6.9 if applicable.
03 6.3 Clothes Dryers.Clothes dryers shall be exhausted directly to the outdoors. Exception: Condensing dryers plumbed to a drain.
04
6.4 Combustion and Solid-Fuel Burning Appliances.
6.4.1 Combustion and solid-fuel burning appliances must be provided with adequate combustion and ventilation air and vented in
accordance with manufacturer installation instructions, NFPA 54 ANSI Z223.1,National Fuel Gas Code , NFPA 31,Standard for the
Installation of Oil-Burning Equipment , or NFPA 211,Standard for Chimneys, Fireplaces, Vents, and Solid-Fuel Burning Appliances , or other
equivalent code acceptable to the building official.
6.4.2 Where atmospherically vented combustion appliances or solid-fuel burning appliances are located inside the pressure boundary,
the total net exhaust flow of the two largest exhaust fans (not including a summer cooling fan intended to be operated only when
windows or other air inlets are open) shall not exceed 15 cfm/100 ft
2 (75 L/s per 100 m
2) of occupiable space when in operation at full
capacity. If the designed total net flow exceeds this limit, the net exhaust flow must be reduced by reducing the exhaust flow or providing
compensating outdoor airflow. Atmospherically vented combustion appliances do not include direct-vent appliances. Combustion
appliances that pass safety testing performed according to ANSI/BPI-1200, Standard Practice for Basic Analysis of Buildings, 21 shall be
deemed as complying with Section 6.4.2
05
6.5 Air Tightness Requirements
6.5.1 Garages.When an occupiable space adjoins a garage, the design must prevent migration of contaminants to the adjoining
occupiable space. Air seal the walls, ceilings, and floors that separate garages from occupiable space. To be considered air sealed, all
joints, seams, penetrations, openings between door assemblies and their respective jambs and framing, and other sources of air leakage
through wall and ceiling assemblies separating the garage from the residence and its attic area shall be caulked, gasketed, weather
stripped, wrapped, or otherwise sealed to limit air movement. Doors between garages and occupiable spaces shall be gasketed or made
substantially airtight with weather stripping.
06
6.6 Ventilation Opening Area.Spaces shall have ventilation openings as listed below. Such openings shall meet the requirements of
Section 6.8. Exception: Attached dwelling units and spaces that meet the local ventilation requirements set for bathrooms in Section 5 [of
ASHRAE 62.2].
6.6.1 Habitable Spaces.Each habitable space shall be provided with ventilation openings with an openable area not less than 4% of
the floor area or less than 5 ft2 (0.5 m2).
6.6.1 Toilets and Utility Rooms Toilets and utility rooms shall be provided with ventilation openings with an openable area not less
than 4% of the floor area or less than 1.5 ft2 (0.5 m2). Exceptions:
1.Utility rooms with a dryer exhaust duct.
2.Toilet compartments in bathrooms.
07
6.8 Air Inlets.Air inlets that are part of the ventilation design shall be located a minimum of 10 ft (3 m) from known sources of
contamination such as a stack, vent, exhaust hood, or vehicle exhaust. The intake shall be placed so that entering air is not obstructed by
snow, plantings, or other material. Forced air inlets shall be provided with rodent/insect screens (mesh not larger than 1/2 inch [13 mm]).
1.Ventilation openings in the wall may be as close as a stretched-string distance of 3 ft (1 m) from sources of contamination exiting
through the roof or dryer exhausts.
2.No minimum separation distance shall be required between windows and local exhaust outlets in kitchens and bathrooms.
3.Vent terminations covered by and meeting the requirements of the National Fuel Gas Code NFPA 54/ ANSI Z223.1)7 or equivalent.
4.Where a combined exhaust/intake termination is used to separate intake air from exhaust air originating in a living space other
than kitchens, no minimum separation distance between these two openings is required. For these combined terminations, the
exhaust air concentration within the intake air shall not exceed 10%, as established by the manufacturer.
08
6.9 Carbon Monoxide Alarms.A carbon monoxide alarm shall be installed in each dwelling unit in accordance with NFPA 720,Standard
for the Installation of Carbon Monoxide (CO) Detection and Warning Equipment 14, and shall be consistent with requirements of
applicable laws, codes, and standards.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
2022-06-15 07:06:16
CERTIFICATE OF INSTALLATION CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 4 of 5)
Registration Number:
221-P010183591A-000-001-M27001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2022-06-15 06:38:59
G. Air Moving Equipment
The items listed below (7.1 through 7.4) correspond to the information given in ASHRAE 62.2 Section 7 "Air-Moving Equipment". Refer also to
Chapter 4.6 of the Residential Compliance Manual (Section 4.6.9) for information describing these requirements in more detail. The signature of
the Responsible Person in the declaration statement below certifies that the building complies with these requirements specified in ASHRAE 62.2
Section 7.1 through 7.4 if applicable.
01
7.1 Selection and Installation.Ventilation devices and equipment shall be tested and listed in accordance with ANSI/ASHRAE Standard
51/ AMCA 210,Laboratory Methods of Testing Fans for Aerodynamic Performance Rating, and ANSI/AMCA Standard 300,Reverberant
Room Method for Sound Testing of Fans, and rated in accordance with the airflow and sound rating procedures of the Home Ventilating
Institute (HVI) (HVI 915,Loudness Testing and Rating Procedure; HVI 916 Airflow Test Procedure; and HVI 920,Product Performance
Certification Procedure Including Verification and Challenge). Installations of systems or equipment shall be carried out in accordance
with manufacturers' design requirements and installation instructions.
02
7.2 Sound Ratings for Fans.Ventilation fans shall be rated for sound at no less than the minimum airflow rate required by this standard,
as noted below. These sound ratings shall be at a minimum of 0.1 in. w.c. (25 Pa) static pressure in accordance with the HVI procedure
referenced in 7.1.
Exception: HVAC air handlers and remote mounted fans need not meet sound requirements. To be considered for this exception, a
remote mounted fan must be mounted outside the habitable spaces, bathrooms, toilets, and hallways, and there must be at least 4 ft (1
m) of ductwork between the fan and the intake grille.
7.2.1 Dwelling Unit Ventilation or Continuous Local Exhaust Fans.These fans shall be rated for sound at a maximum of 1.0 sone.
7.2.2 Demand-Controlled Local Exhaust Fans.Bathroom exhaust fans used to comply with Section 5.2 shall be rated for sound at a
maximum of 3 sone, Kitchen exhaust fans used to comply with Section 5.2 shall be rated for sound at a maximum of 3 sone at one or
more airflow settings greater than or equal to 100 cfm (47 L/s).
Exceptions:
1.Fans with minimum airflow settings exceeding 400 cfm (189 L/s) need not comply.
2.Kitchen Range hoods may be rated for sound at the static pressure determined at working speed as specified in HVI 916 section 7.
03
7.3 Exhaust Ducts.
7.3.1 Multiple Exhaust Fans Using One Duct.Exhaust fans in separate dwelling units shall not share a common exhaust duct. If more
than one of the exhaust fans in a dwelling unit shares a common exhaust duct, each fan shall be equipped with a back draft damper to
prevent the recirculation of exhaust air from one room to another through the exhaust ducting system.
7.3.2 Single Exhaust Fan Ducted to Multiple Inlets.Where exhaust inlets are commonly ducted across multiple dwelling units, one or
more exhaust fans located downstream of the exhaust inlets shall be designed and intended to run continuously, or a system of one or
more backdraft dampers shall be installed to isolate each dwelling unit from the common duct when the fan is not running.
04
7.4 Supply Ducts.Where supply outlets are commonly ducted across multiple dwelling units, one or more supply fans located upstream
of the supply inlets shall be designed and intended to run continuously, or a system of one or more backdraft dampers shall be installed
to isolate each dwelling unit from the common duct when the fan is not running.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
2022-06-15 07:06:16
CERTIFICATE OF INSTALLATION CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 5 of 5)
Registration Number:
221-P010183591A-000-001-M27001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20200401
Report Generated: 2022-06-15 06:38:59
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
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:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-15 07:06:16
2022-06-15 07:06:16
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:16
Registration Number: 221-P010183591A-000-001-B02001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:39:22
CERTIFICATE OF INSTALLATION CF2R-PLB-02-E
Single Dwelling Unit Hot Water System Distribution (Page 1 of 4)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La Quinta Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. Design Dwelling Unit Water Heating Systems Information
This table reports the water heating system features that were specified on the registered CF1R compliance document for this project.
01 02 03 04 05 06 07 08 09 10
Dwelling Unit Name
Water Heating
System ID or Name
Water Heating
System Type
Water-Heater
Type
# of Like (or
Identical) Water
Heaters in
System
Fuel Type
Rated Input
Type
Rated Input
Value
Dwelling Unit DHW System
Distribution Type
Compact Distrib.
Single Family DHW Sys 1
Domestic Hot Water
(DHW)
Consumer
Instantaneous 2 Natural Gas Btu/Hr 200000 Standard Distribution System None
B. Installed Dwelling Unit Water Heating Systems Information
This table reports the water heating system features that were installed in this project.
01 02 03 04 05 06 07 08 09 10
Dwelling Unit Name
Water Heating
System ID or Name
Water Heating
System Type
Water-Heater Type
# of Like (or
Identical) Water
Heaters in System
Fuel Type Rated Input Type Rated Input Value
Dwelling Unit DHW
System Distribution
Type
Compact Distrib.
Single Family DHW Sys 1
Domestic Hot Water
(DHW)
Consumer
Instantaneous 2 Natural Gas Btu/Hr 199000 Standard
Distribution System
None
C. Design 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 UEF 98 n/a 0 0 n/a
2022-06-15 07:06:16
CERTIFICATE OF INSTALLATION CF2R-PLB-02-E
Single Dwelling Unit Hot Water System Distribution (Page 2 of 4)
Registration Number: 221-P010183591A-000-001-B02001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:39:22
D. Installed 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 UEF 98 n/a 0 0 Attic
E. Installed Water Heater Manufacturer Information
01 02 03
Water Heating System ID or Name Manufacturer Model Number
DHW Sys 1 navien npe240a
F. Mandatory Measures For All Domestic Hot Water Distribution Systems
01 Equipment shall meet the applicable requirements of the Appliance Efficiency Regulations (Section 110.3(b)1).
02 Unfired storage tanks are insulated with an external R-12 or combination of R-16 internal and external Insulation. (Section 110.3(c)4).
03
All domestic hot water pipes shall be insulated as specified in Section 609.11 of the California Plumbing Code. In addition, the following piping conditions shall have a minimum
insulation wall thickness of 1 inch or a minimum insulation R-value of 7.7 (RA4.4.1)
•The first 5 feet (1.5 meters) of cold water pipes from the storage tank.
•All piping with a nominal diameter of 3/4 inch (19 millimeter) and less than 1 inch..
•All hot water pipes from the heating source to the kitchen fixtures.
•Piping from the heating source to storage tank or between tanks.
•All piping associated with a recirculation system.
•All underground piping.
•Insulation buried below grade must be installed in a waterproof and non-crushable casing or sleeve.
•Piping that penetrates framing members shall not be required to have pipe insulation for the distance of the framing penetration.
•Piping that penetrates metal framing shall use grommets, plugs, wrapping or other insulating material to assure that no contact is made with the metal framing. Insulation shall
butt securely against all framing members.
•Piping installed in interior or exterior walls that is surrounded on all sides by at least 1 inch (2.5 cm) of insulation.
•Piping installed in crawl space with a minimum of 1 inch (2.5 cm) of crawl space insulation above and below.
•Piping installed in attics with a minimum of 4 inches (10 cm) of attic insulation on top
•Piping insulation shall fit tightly and all elbows and tees shall be fully insulated.
2022-06-15 07:06:16
CERTIFICATE OF INSTALLATION CF2R-PLB-02-E
Single Dwelling Unit Hot Water System Distribution (Page 3 of 4)
Registration Number: 221-P010183591A-000-001-B02001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:39:22
F. Mandatory Measures For All Domestic Hot Water Distribution Systems
04
For Gas or Propane Water Heaters: Ensure the following are installed (Section 150.0(n))
1.A dedicated 120V, 20A electrical receptacle connected to the electrical panel with a 120/240V 3 conductor, 10AWG copper branch circuit, within 3 feet from the water heater
and accessible with no obstructions
1.The conductor shall be labeled with the word "Spare" on both ends; and
2.A reserved single pole circuit breaker space next to the circuit breaker next to the branch circuit labeled "Future" 240V shall be provided.
2.A Category III or IV vent, or a Type B vent with straight pipe between outside and water heater
3.A condensate drain no more than 2 inches higher than the base on water heater for natural draining
4.A gas supply line with capacity of at least 200,000 Btu/Hr
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Compact Hot Water Distribution (CHWDS) RA4.4.6
This section does not apply to this project.
H. Parallel Piping Requirements (PP) (RA4.4.4)
This section does not apply to this project.
I. Point of Use Requirements (POU) (RA4.4.5)
This section does not apply to this project.
J. Mandatory Requirements For All Recirculation Systems (RA4.4.7)
This section does not apply to this project.
K. Recirculation Non-Demand Controls Requirements (R-ND) (RA4.4.8)
This section does not apply to this project.
L. Demand Recirculation Manual Control (R-DRmc) (RA4.4.9)/ Sensor Control Requirements (RDRsc) (RA4.4.10)
This section does not apply to this project.
2022-06-15 07:06:16
CERTIFICATE OF INSTALLATION CF2R-PLB-02-E
Single Dwelling Unit Hot Water System Distribution (Page 4 of 4)
Registration Number: 221-P010183591A-000-001-B02001A-0000 Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:39:22
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1.The information provided on this Certificate of Installation is true and correct.
2.I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of
features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized
representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf.
3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the
installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency.
4.I will ensure that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
2022-06-15 07:06:16
2022-06-15 07:06:16
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:16
Registration Number:
221-P010183591A-000-001-V01001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:39:38
CERTIFICATE OF INSTALLATION CF2R-PVB-01-E
Photovoltaic Systems (Page 1 of 3)
Project Name: Madison Lot 59A-Radford Enforcement Agency: City of La
Quinta
Permit Number: on site
Dwelling Address: 81359 Perry Pl.City: La Quinta Zip Code: 92253
A. General Information
01 Project Location (City)La Quinta 02 Building type Single family
03 Climate Zone 15 04 Method of Compliance:Performance
05 Qualifying Exceptions NA 06 Community Solar n/a
B. Design Photovoltaic Systems Information
01 02 03 04 05 06 07 08 09 10 11 12 13
PV Array
ID or
Name
Adjusted
Minimum
PV Size
(kW)
Adjusted
Value
from
Exception
Module
Type CFI Azimuth
(deg)
Tilt Input
(deg/Pitc
h)
Angle/Tilt
Annual
Solar
Access
(%)
Inverter
Efficiency
(%)
Shading
Requirem
ent
Complian
ce Path
Array
Type
Module
Level
Power
Eletronics
PV Array
#1 12.35 12.35 Standard 0 180.0 TiltDegre
es 5 100 96
MinimalS
hadingCri
tierion
Fixed none
14 Total DC System Size
(kW)12.35
C. Installed Photovoltaic Systems Information
01 02 03 04 05 06 07 08 09 10
PV Array ID
or Name
DC System
Size (kW)
Module Type
Azimuth
(deg)
Tilt Input
(deg/Pitch)Angle/Tilt Annual Solar
Access (%)
Inverter
Efficiency (%)
Array Type
Module Level
Power
Eletronics
PV Array #1
12.35 Standard 180 TiltDegrees 5 100 96 Fixed Microinverte
rs
11 Total DC System Size (kW)12.35
D. Shading Requirement
Annual Solar Access Input
The shading condition of the PV array must be properly accounted for in the performance calculation by the annual solar access input.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
2022-06-15 07:06:16
CERTIFICATE OF INSTALLATION CF2R-PVB-01-E
Photovoltaic Systems (Page 2 of 3)
Registration Number:
221-P010183591A-000-001-V01001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:39:38
E. Solar Access Verification
01
The installer shall provide documentation that demonstrates the shading condition of the actual installation of the PV module is
consistent with the shading requirement in Table D. The verification must be done by measurements from an approved solar assessment
tool or other CEC approved alternative methods. The satellite, drone or other digital image of the obstructions that cast shadows on the
PV array must be created and dated after the installation of the photovoltaic system. If the image is dated before the installation, then
additional on-site pictures must be attached to clearly show that the installed system matches the system modeled in the solar
assessment report.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
F. System Monitoring Requirements
All installed PV systems must have a working web based portal and a mobile device application provide access to the following information:
01 Nominal kW rating of the PV system
02 Number of PV modules and nominal watt rating of each module
03 Hourly (or 15 min), daily, monthly and annual kWh production in numeric and graphic format
04 Running toal of daily kWh production
05 Daily kW peak power production
06 Current kW production of the entire PV system
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
G. Qualifying Exception Requirement
This section does not apply to this project.
H. SMUD Solar Share Program
This section does not apply to this project.
I. Compliance Statement
01 Pass - dwelling does comply with the Photovoltaic System requirements
2022-06-15 07:06:16
CERTIFICATE OF INSTALLATION CF2R-PVB-01-E
Photovoltaic Systems (Page 3 of 3)
Registration Number:
221-P010183591A-000-001-V01001A-0000
Registration Date/Time: HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2019 Residential Compliance
Report Version: 2019.1.006
Schema Version: rev 20210501
Report Generated: 2022-06-15 06:39:38
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Richard Doan
Documentation Author Signature:
Company:
DOAN RICHARD CONSTRUCTION
Signature Date:
Address:
P O BOX 8011
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1.The information provided on this Certificate of Installation is true and correct.
2.I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person’s behalf.
3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4.I will ensure that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Richard Doan
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
DOAN RICHARD CONSTRUCTION
Position With Company (Title):
owner
Address:
P O BOX 8011
CSLB License:
374118
City/State/Zip:
RANCHO SANTA FE CA 92067
Phone:
858-756-4930 X123
Date Signed:
2022-06-15 07:06:16
2022-06-15 07:06:16
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
2022-06-15 07:06:16