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HomeMy WebLinkAboutBMCH2024-0203BUILDING PERMIT DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type: Mechanical Permit Number: BMCH2O24-0203 Property Address: 79350 CANTERBURY APN: 775032002 Legal Description Property Zoning: Valuation: $2,450.00 PHONE (760) 777-7125 WWW.LAQUINTACA.GOV APPLIED DATE: 05/23/2024 ISSUED DATE: 05/24/2024 CALIFORNIA Owner: Gerry & Patricia Murphy Hirata Applicant: ANTHEM MECHANICAL 53800 POLK STREET, COACHELLA, CA 92236 Contractor: ANTHEM MECHANICAL / 1001659 53800 POLK STREET, COACHELLA, CA 92236 PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE FOLLOWING: LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2) 1) They are licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and the referenced License is in full force and effect, or; 2) That they are exempt from the Contractors' State License Law for the reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or she is exempt from licensure by a valid exemption. [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code] Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).) a) As owner of the property, or my employees with wages as their sole compensation, will do all of or portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). b) As owner of the property, will be exclusively contracting with licensed c) Are exempt from licensure under the Contractors' State License Law. As an Owner -Builder, they acknowledge that, except for their personal residence in which they must have resided in for at least one year prior to completion of the improvements covered by this permit, they cannot legally sell a structure built as an owner -builder if it has not been constructed in its entirety by licensed contractors. It is understood that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application was submitted at the following Web site: http://www.Ieginfo.ca.gov/calaw.htm1. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If applicable) A construction lender will be used for completion of the improvements covered by this permit and the name and information of which is on file for public inspection during the regular business hours of the public entity. Failure of the applicant to indicate the construction lender on the application does not relieve that person of the requirement to give the construction lender preliminary notice from that duty. WORKERS' COMPENSATION DECLARATION (1, 2 or 3) WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1) Has and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2) Has and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 3) Certifies that, in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. NOTICE TO APPLICANT (1, 2 and 3) 1) Each person upon whose behalf this application was made, each person at whose request and for whose benefit work is being performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2) Any permit issued as a result of this application becomes null and void if work is not commenced within 360 days from date of issuance of such permit, or if cessation of work for 180 days will subject permit to cancellation. On or after January 1, 2019, every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 12 months after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 12 months after the time the work is commenced. 3) Certified that they read the application and state that the information provided is correct. Agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above -mentioned property for inspection purposes. IMPORTANT: An Application for Permit was made to the Building Official, subject to the conditions and restrictions set forth at the time of application, which is now hereby an Issued Permit. If any part of the information being supplied on this permit is inaccurate or untrue, please contact the City of La Quinta at (760) 777-7125 immediately for correction. Printed: 5/24/24 8:14 am Page 1 of 3 Permit Type Mechanical BUILDING PERMIT Permit Number: Property Address BMCH2O24-0203 79350 CANTERBURY III=. mgm CONDENSER ONLY CHANGEOUT - 14.5 SEER/80 AFUE SPLIT SYSTEM. THIS PERMIT ONLY COVERS 1 OF 2 SYSTEMS. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2022 CALIFORNIA BUILDING CODES. Amount of 0 Amount of Packaged 0 Number of 1 Split-System(s) unit(s) Condensor(s) Number of Furnaces 0 Number of other 0 Repair/Alteration 0 equipment not yet accounted for Type Group Sq Ft Value 71nvoice No. Fee Fee Amount Amount Paid 06792 Permit Issuance $115.94 $115.94 Condensor Only PC $30.51 $30.51 Digital Archiving and Records Management Fee - OTC $12.00 $12.00 Technology Enhancement Fee $8.00 $8.00 Condensor Only $45.77 $45.77 Building Standards Administration $1.00 $1.00 Credit Card Convenience Fee $5.33 $5.33 Total for Invoice INV-00006792 $218.55 $218.55 Grand Total for Permit $218.55 $218.55 Workflow Step / Action Name Action Type Start Date End Date Plan Check v.1 05/23/2024 0:00 05/23/2024 13:27 ---------------------------------------------------------------------------------------------------------------------------------------- Permit Tech Review v.1 Receive Submittal 05/23/2024 0:00 05/23/2024 13:27 Permit Issuance v.1 05/23/2024 13:27 05/24/2024 8:14 ---------------------------------------------------------------------------------------------------------------------------------------- Verify Contractor info & Conditions have been met v.1 Generic Action 05/23/2024 13:27 ---------------------------------------------------------------------------------------------------------------------------------------- Verify & Invoice Fees v.1 Generic Action 05/23/2024 13:27 ---------------------------------------------------------------------------------------------------------------------------------------- Verify Fee Payment & Issue Permit v.1 Generic Action 05/24/2024 8:14 ---------------------------------------------------------------------------------------------------------------------------------------- Print, Attach, and Email Building Permit v.1 Create Report 05/24/2024 8:14 05/24/2024 8:14 Mechanical Inspections v.1 ---------------------------------------------------------------------------------------------------------------------------------------- Rough Mechanical v.1 Inspection Final Inspections v.1 ---------------------------------------------------------------------------------------------------------------------------------------- Final Mechanical v.1 Inspection Printed: 5/24/24 8:14 am Page 2 of 3 BUILDING PERMIT Permit Type: Mechanical Permit Number: BMCH2O24-0203 Property Address: 79350 CANTERBURY Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of any material required to allow inspection. It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this code. A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid. A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by the buildinq official. Printed: 5/24/24 8:14 am Page 3 of 3 PROJECT STATUS REPORT CaICERTS, Inc Effective 07/08/2024 14:07 (Page 1 of 2) GENERAL INFORMATION Energy Standards Code Year: 2022 Project Name: Hirata - 79350 Canterbury ■ Project Type: Alterations SFR 1 ■ 1 Address: 79350 Canterbury 1 ' City/State/Zip: La Quinta / CA / 92253 ; ■ ■ ■ Enforcement Agency: City of La Quinta ❑■ Easy to Verify @ calcerts.com Permit Number: BMCH2O24-0203 / 05-23-2024 OVERALL STATUS COMPLETE HERS VERIFIABLE MEASURES: COMPLETE CF1R INFORMATION - Certificate of Compliance (Document Lists Required Energy Features) V/ Certificate Type Compliance Registered Form CF1R-ALT-02 Registered Date 2024-05-23 11:14:30 Registration Number 224-A020064953A-000-000-0000000-0000 CF2R INFORMATION - Certificate of Installation (Documents the proper installation of required energy features) V/ System Form Registered Date Registration Number CF2R-MCH-01-E 2024-07-08 224-A020064953A-000-001-M01001A-0000 ✓ Space Conditioning 14:02:57 Michael Solomon Systems, Ducts and Fans (ANTHEM MECHANICAL) SA System 1: Living CF2R-MCH-20-H 2O24-07-08 224-A020064953A-000-001-M20001A-0000 ✓ Room Zone Duct Leakage 14:03:42 Michael Solomon SA (ANTHEM MECHANICAL) System 1: Living CF2R-MCH-23-H 2O24-07-08 224-A020064953A-000-001-M23001A-0000 ✓ Room Zone Airflow 14:04:24 Michael Solomon SA (ANTHEM MECHANICAL) CF2R-MCH-25-H 2O24-07-08 224-A020064953A-000-001-M25001B-0000 ✓ System 1 Refrigerant Charge 14:06:18 Michael Solomon SA (ANTHEM MECHANICAL) Non Default Value: CF2R-MCH-01 - System System 1 has different values in Section C. Non Default Value: CF2R-MCH-01 - System has different values in Section C. CF3R INFORMATION - Certificate of Verification (Documents the verification of HERS Measures) System Form Registered Date Registration Number HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards 2022 Residential Compliance Dec 2015 PROJECT STATUS REPORT CaICERTS, Inc Effective 07/08/2024 14:07 (Page 2 of 2) System 1: Living CF3R-MCH-20-H 2O24-07-08 224-A020064953A-000-001-M20001A-M20A Room Zone (Duct Leakage) 14:03:48 SHARI SIMS (CC2023074) (Advancing Home Performance, Inc.) System 1: Living CF3R-MCH-23-H 2O24-07-08 224-A020064953A-000-001-M23001A-M23A Room Zone (Airflow) 14:04:30 SHARI SIMS (CC2023074) (Advancing Home Performance, Inc.) CF3R-MCH-25-H 2O24-07-08 224-A020064953A-000-001-M25001B-M25B System 1 (Refrigerant Charge) 14:07:16 SHARI SIMS (CC2023074) (Advancing Home Performance, Inc.) SA = At least one document has used a Signature Agreement. - SHARI SIMS signed for Michael Solomon } HERS Provider: CaICERTS Inc. CA Building Energy Efficiency Standards 2022 Residential Compliance Dec 2015 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE ALTERATIONS TO SPACE CONDITIONING SYSTEMS (FORMERLY CF-IR-ALT-HVAC) CF1R-ALT 02-E (Page 1 of 3) Project Name: Hirata - 79350 Canterbury Enforcement Agency: City of La Quinta Dwelling Address: 79350 Canterbury Permit Number: TBD City and Zip Code La Quinta, 92253 Permit Application Date: A. General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. 01 Project Name Hirata - 79350 Canterbury 02 Date Prepared 2024-05-23 03 Project Location 79350 Canterbury 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Hirata - 79350 Canterbury Dwelling Unit Conditioned Floor 07 Zip Code 92253 08 Area (ft ) 2819 Number of Space Conditioning 09 Climate Zone 15 10 (SC) Systems in this Dwelling 2 Unit: B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 SC System ID or SC System CFA served by this Is the SC system a Installing a refrigerant Installing new SC Installing more Installing entirely Installing entirely Name Location or Area SC System (W) d ducted system? containing system than 25 feet of new duct system? new SC system? Alteration Type Served component? components? ducts? Altered space System 1 Living Room Zone 1409 Yes Yes Yes No No No conditioning system System 2 Location 2 1410 No No No No No No No Alteration Performed Registration Number: 224-A020064953A-000-000-0000000-0000 Registration Date/Time: 2024-05-23 11:14:30 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-05-23 11:14:29 Schema Version: rev 20220101 ALTERATIONS TO SPACE CONDITIONING SYSTEMS CALIFORNIA ENERGY COMMISSION (FORMERLY CF-IR-ALT-HVAC) C. Extension of Existing Duct System, Greater Than 25 Feet (Section 150.2(b)1Diib) This section does not apply to this project. CHR-ALT 02-E (Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 08 09 010 11 12 13 14 Cooling Cooling Minimum SC System Altered Heating Altered Minimum Efficiency Description Heating Heating Heating Minimum Cooling Cooling Cooling Efficiency Value Required New or System ID/ of Area System Component Efficiency Efficiency System Component Efficiency Value EER/EER2/C Thermostat Replaced New Duct Name Served Type s Type Value Type s Type SEER/SEER21 EER Type Duct Length R-Value Living Room Central gas No Heating Central split Outdoor System 1 Zone furnace Component AFUE 80 AC condensing EERSEER 14.5 11.7 Setback n/a n/a Altered unit Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 3, 5-7) and R8 (CZ 1, 2, 4, 8-16) CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 25 ft of duct length is replaced -Leakage rate compliance: less than or equal to 10% or less than or equal to 7% leakage to outside, or seal all accessible leaks. CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2R and CF3R-MCH-23 Airflow Rate greater than or equal to 300 CFM per ton required when MCH-25 is required. Exceptions: Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements. Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25. Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 224-A020064953A-000-000-0000000-0000 Registration Date/Time: 2024-05-23 11:14:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-05-23 11:14:29 Schema Version: rev 20220101 ALTERATIONS TO SPACE CONDITIONING SYSTEMS CALIFORNIA ENERGY COMMISSION (FORMERLY CF-IR-ALT-HVAC) CF1R-ALT 02-E (Page 3 of 3) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Michael Solomon Company: Signature Date: ANTHEM MECHANICAL 2024-05-23 11:14:30 Address: CEA/ HERS Certification Identification (if applicable): 53-800 POLK STREET City/State/Zip: Phone: COACHELLA CA 92236 760-469-2525 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 understand that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to accomplish this requirement. 6. 1 understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to accomplish these requirements. Responsible Designer Name: Responsible Designer Signature: Michael Solomon`e``��" °JO Company: Date Signed: ANTHEM MECHANICAL 2024-05-23 11:14:30 Address: License: 53-800 POLK STREET City/State/Zip: Phone: + Easy to Verify COACHELLA CA 92236 760-469-2525 at CaICERTS.com Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 224-A020064953A-000-000-0000000-0000 Registration Date/Time: 2024-05-23 11:14:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-05-23 11:14:29 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-MCH-01-E (Page 1 of 7) Project Name: Hirata - 79350 Canterbury Enforcement Agency: City of La Quinta Dwelling Address: 79350 Canterbury Permit Number: BMCH2O24-0203 City and Zip Code La Quinta, 92253 Permit Application Date: 2024-05-23 A. General Information 01 Dwelling Unit Name Hirata - 79350 Canterbury 02 Climate Zone 15 Dwelling Unit Total Conditioned Number of Space Conditioning 03 Floor Area (ftz) 2819 04 Systems in this Dwelling Unit. 2 05 Certificate of Compliance Type p Prescriptive alterations ( CF1R-ALT p ) 06 Method Used to Calculate HVAC Loads (See Section 150.0(h)) Not applicable - equipment eout, like -for -like q p ment chan g 07 Calculated Dwelling Unit n/a 08 Calculated Dwelling Unit Heating n/a Sensible Cooling Load (Btu/h) Load (Btu/h) 09 Dwelling Unit Number of 3 Bedrooms MCH-01b - Space Conditioning Systems Ducts and Fans - Prescriptive Alterations Registration Number: 224-A020064953A-000-001-M01001A-0000 Registration Date/Time: 2024-07-08 14:02:57 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-07-08 14:02:57 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 2 of 7) B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 SC System ID/ SC System Does work include installing Does work Does work Does work Does work CFA served by this Is the SC system a include installing include installing include installing include installing Name from Description of z SC System (ft) ducted system? a refrigerant new SC system more than 25 feet an "entirely new an "entirely new Alteration Type parent CC Area Served containing components? of ducts? duct system"? SC system"? component? Altered space System 1 Living Room Zone 1409 Yes Yes Yes No No No conditioning system No Alteration System 2 Location 2 1410 No No No No No No Performed Notes: C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 Cooling Cooling Number of Central Fan SC System SC System Heating Altered Heating Heating Cooling Altered Cooling Minimum Minimum Required Number of Ducted Integrated ID/ Name Description System Heating Efficiency Minimum System Cooling Efficiency E Efficiency Efficiency Thermostat Indoor Indoor (CFI) from of Area Type Componen Type Efficiency Type Componen Type Value Value Type Units for Units for Ventilation parent CC Served t Value t SEER/SEER EER/EER2/ this System System this System 2 CEER Status Living Central gas No Heating Central Outdoor Not a CFI System 1 Room Zone furnace Componen n/a n/a split AC condensing EER/SEER 14.5 11.7 Setback 1 1 system t Altered unit Notes: D. Installed Heating Equipment Information for Gas Furnace Indoor Unit, or Heat Pump Indoor Unit, or Packaged Unit (Gas Furnace or Heat Pump) This section does not apply to this project. Registration Number: 224-A020064953A-000-001-M01001A-0000 Registration Date/Time: 2024-07-08 14:02:57 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-07-08 14:02:57 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 3 of 7) E. Installed Cooling Equipment Information for Outdoor Condenser or Packaged Unit (Air Conditioner or Heat Pump) 01 02 03 04 05 06 07 08 09 10 System Cooling SC System ID/ SC System Cooling Efficiency Cooling Efficiency Cooling Efficiency Condenser or Package Condenser or Package Condenser or Capacity at Condenser Name from Description of Type Value SEER/SEER2 Value EER/EER2/CEER Unit Manufacturer Unit Model Number Package Unit Design Nominal parent CC Area Served Serial Number Conditions Capacity (tons) (Btu/h) System 1 Living Room EER/SEER 14.5 11.7 -T Daikin -T GSXN404210AA 2310220751 42000 3.5 Zone Notes: F. Altered Space Conditioning System Duct Information ( < 75% of duct system is altered; or duct system is not altered) 01 02 03 04 05 06 07 08 09 10 11 12 Indoor Unit Can Approved Indoor Unit SC System ID/ SC System Was Any New Installed New Installed New Installed New Installed New Exception Airflow Name from Description of Name or Ducting Required New Supply Duct Supply Duct Return Duct Return Duct from Min Protocols be Nominal Description of Duct R-Value Cooling parent CC Area Served Area Served Installed? Location R-value Location R-Value R-Value used to test capacity (tons) this System? System 1 Living Room No n/a n/a n/a n/a n/a n/a Yes n/a Zone G. Installed New or Complete Replacement Duct System Information This section does not apply to this project. H. Installed Air Filter Device Information This section does not apply to this project. I. Air Filter Device Requirements This section does not apply to this project. Registration Number: 224-A020064953A-000-001-M01001A-0000 Registration Date/Time: 2024-07-08 14:02:57 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-07-08 14:02:57 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 4 of 7) J. HERS Verification Requirements for Duct Systems 01 02 03 04 05 06 07 08 09 SC System SC System Indoor Unit Name Exemption From MCH-20 MCH-21 MCH-22 MCH-23 MCH-28 Identification or Description of Area or Description of Duct Leakage Duct Location AHU Fan Efficacy AHU Airflow Rate Return Duct Design Name Served Area Served Requirements Duct Leakage Test Verification (W/cfm) (cfm/ton) -Table 160.3-A or B System 1 Living Room Zone Living Room Zone None Yes No No Yes No Notes: K. HERS Verification Requirements For Space Conditioning Equipment 01 02 03 SC System ID/ Name from parent CC SC System Description of Area Served MCH-25 Refrigerant Charge System 1 Living Room Zone Yes Notes: Registration Number: 224-A020064953A-000-001-M01001A-0000 Registration Date/Time: 2024-07-08 14:02:57 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-07-08 14:02:57 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 5 of 7) L. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Heating Equipment 01 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 02 Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(i), 110.2(b). 03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections 150.0(h)1 and 2). 04 Furnace Temperature Rise: Central forced -air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum inlet -to -outlet temperature rise specification. See Section 150.0(h)4. 05 Standby Losses and Pilot Lights: Fan -type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(d). Cooling Equipment 06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 07 Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section 150.0(j)2 and 3, and Section 150.0(m)9. 08 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A. 09 Liquid Line Filter Drier: A liquid line filter drier shall be installed according to the manufacturer's specifications 150.0(h)3B 10 Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing. See Section 150.0(h)1 and 2. Air Distribution System Ducts, Plenums and Fans 11 Insulation: The minimum duct insulation value is R-6 or ducts can be uninsulated if the duct system is located entirely in conditioned space. Note that higher values may be required by the prescriptive or performance requirements. See Section 150.0(m)1B for exceptions. 12 Connections and Closures: All installed air -distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CIVIC Sections 601.0, 602.0, 603.0, 604.0, 605.0 and ANSI/SMACNA-006-2006. Heat Pump Thermostat Registration Number: 224-A020064953A-000-001-M01001A-0000 Registration Date/Time: 2024-07-08 14:02:57 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-07-08 14:02:57 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 6 of 7) L. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. 13 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c). 14 The thermostat shall be installed in accordance with the manufacturers published installation specifications 15 First stage of heating shall be assigned to heat pump heating. 16 Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. (...a lCl 1 E R 5 Registration Number: 224-A020064953A-000-001-M01001A-0000 r1-<()xt Registration Date/Time: 2024-07-08 14:02:57 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-07-08 14:02:57 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CALIFORNIA ENERGY COMMISSION CF2R-MCH-01-E (Page 7 of 7) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: /may SHARI SIMS Company: Signature Date: Advancing Home Performance, Inc. 2024-07-08 14:02:57 Address: CEA/ HERS Certification Identification (if applicable): 74801 Hovley Lane East Unit #12732 CC2023074 City/State/Zip: Phone: Palm Desert CA 92260 760-851-8648 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4. 1 understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5. 1 understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Michael Solomon n With Company7(Title): rManagement Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ANTHEM MECHANICAL Address: icense: 53-800 POLK STREET 1001659 City/State/Zip: Phone: Date Signed: COACHELLA CA 92236 760-469-2525 12024-07-08 14:02:57 Easy to Verify 0 LM at CaICERTS.com Digitally signed by CaICERTS. 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. ❑� r1 Registration Number: 224-A020064953A-000-001-M01001A-0000 Registration Date/Time: 2024-07-08 14:02:57 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Report Generated: 2024-07-08 14:02:57 Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION DUCT LEAKAGE DIAGNOSTIC TEST CERTIFICATE OF INSTALLATION CF2R-MCH-20-H (Page 1 of 3) Project Name: Hirata - 79350 Canterbury Enforcement Agency: City of La Quinta Dwelling Address: 79350 Canterbury Permit Number: BMCH2O24-0203 City and Zip Code La Quinta, 92253 Permit Application Date: 2024-05-23 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Living Room Zone 03 Indoor Unit Name or Description of Area Served Living Room Zone 04 Building Type from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC? No, credit is not taken 07 Duct System Compliance Category Alteration 08 Portions of Duct Located in Garage? No 09 Is the system type Small Duct High Velocity (SDHV) ? No MCH-20d - Complete Replacement or Altered Duct System Registration Number: 224-A020064953A-000-001-M 20001A-0000 CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:03:42 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:03:42 Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 2 of 3) B. Duct Leakage Diagnostic Test 01 Air Handling Unit Airflow (AHU Airflow) Determination Method Cooling system method 02 Condenser Nominal Cooling Capacity (ton) 3.5 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) 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 0.1 10 Calculated Target Allowable Duct Leakage (cfm) 140 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 69.1 12 Compliance Statement: System passes leakage test C. DUCTS LOCATED IN GARAGE SPACES This section does not apply to this project. D. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA ducts 02 used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 If a complete replacement, all supply and return register boots were sealed to the drywall. 04 Building cavities were not used as plenums or platform returns in lieu of ducts. 05 If cloth backed tape was used it was covered with Mastic and draw bands. 06 All connection points between the air handler and the supply and return plenums are completely sealed. If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements of Reference 07 Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample groups for HERS verification compliance. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 224-A020064953A-000-001-M 20001A-0000 CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:03:42 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:03:42 Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 3 of 3) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: syyG SHARI SIMS Company: Signature Date: Advancing Home Performance, Inc. 2024-07-08 14:03:42 Address: CEA/ HERS Certification Identification (if applicable): 74801 Hovley Lane East Unit #12732 CC2023074 City/State/Zip: Phone: Palm Desert CA 92260 760-851-8648 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. 1 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. 1 understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6. 1 understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Michael Solomon Position With Company (Title): Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Management ANTHEM MECHANICAL Address: CSLB License: 53-800 POLK STREET 1001659 City/State/Zip: Phone: Date Signed: COACHELLA CA 92236 760-469-2525 2024-07-08 14:03:42 Third Party Quality Control Program (TPQCP) Status: I Name of TPQCP (if applicable): Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 224-A020064953A-000-001-M 20001A-0000 CA Building Energy Efficiency Standards 2022 Residential Compliance Easy to Verify ad'i at CaICERTS.com Registration Date/Time: 2024-07-08 14:03:42 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:03:42 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEM AIRFLOW CF2R-MCH-23-H CALIFORNIA ENERGY COMMISSION RATE (Page 1 of 3) CERTIFICATE OF INSTALLATION Project Name: Hirata - 79350 Canterbury Enforcement Agency: City of La Quinta Dwelling Address: 79350 Canterbury Permit Number: BMCH2O24-0203 City and Zip Code La Quinta, 92253 Permit Application Date: 2024-05-23 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Description of Area Served Living Room Zone 03 Indoor Unit Name Living Room Zone 04 System Installation Type Alteration 05 Nominal Cooling Capacity (tons) 3.5 06 Condenser Speed Type n/a 07 Cooling System Zonal Control Type n/a 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status n/a 10 Date of System Airflow Rate Measurement 2024-07-05 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 HSPP installed and labeled consistent with Figure RA3.3-1 Requirement Registration Number: 224-A020064953A-000-001-M 23001A-0000 CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:04:24 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:04:24 Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW CF2R-MCH-23-H RATE (Page 2 of 3) 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 Traditional Flow Capture Hood according to procedure in verification. RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus ALNOR 03 Model number of Airflow Measurement Apparatus EBT731 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton) 300 02 Required Minimum System Airflow Target (cfm) 1050 03 Actual System Airflow Rate Measurement (cfm) 1293 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. The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Installation was 02 calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return 03 duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 08 Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 224-A020064953A-000-001-M 23001A-0000 CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:04:24 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:04:24 Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW CF2R-MCH-23-H RATE (Page 3 of 3) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: syyG SHARI SIMS Company: Signature Date: Advancing Home Performance, Inc. 2024-07-08 14:04:24 Address: CEA/ HERS Certification Identification (if applicable): 74801 Hovley Lane East Unit #12732 CC2023074 City/State/Zip: Phone: Palm Desert CA 92260 760-851-8648 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. 1 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. 1 understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6. 1 understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Michael Solomon Position With Company (Title): Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Management ANTHEM MECHANICAL Address: CSLB License: 53-800 POLK STREET 1001659 City/State/Zip: Phone: Date Signed: COACHELLA CA 92236 760-469-2525 2024-07-08 14:04:24 Third Party Quality Control Program (TPQCP) Status: I Name of TPQCP (if applicable): Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 224-A020064953A-000-001-M 23001A-0000 CA Building Energy Efficiency Standards 2022 Residential Compliance Easy to Verify ad'i at CaICERTS.com Registration Date/Time: 2024-07-08 14:04:24 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:04:24 Schema Version: rev 20220101 ZCALIFORNIA REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-H ENERGY COMMISSION (Page 1 of 5) CERTIFICATE OF INSTALLATION Project Name: Hirata - 79350 Canterbury Enforcement Agency: City of La Quinta Dwelling Address: 79350 Canterbury Permit Number: BMCH2O24-0203 City and Zip Code La Quinta, 92253 Permit Application Date: 2024-05-23 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 Living Room Zone 03 Condenser (or package unit) Make or Brand Daikin 04 Condenser (or package unit) Model Number GSXN404210AA 05 Nominal Cooling Capacity (tons) of Condenser 3.5 06 Condenser (or package unit) Serial Number 2310220751 07 Refrigerant Type R-410A 08 Other Refrigerant Type (if applicable) n/a 09 Liquid Line Filter Drier Installed According to Manufacturers Yes Specifications (if applicable) 10 System Installation Type Alteration 11 Fault Indicator Display (FID) Status (Note: Even systems with a FID This system does not have a FID device installed must have refrigerant charge verified by installer). Is the system of a type that the minimum airflow can be verified for Yes 12 all indoor units using an approved measurement procedure (RA3.3 or RA3.3.3)? Is the system of a type that approved refrigerant charge verification Yes, one of the Refrigerant charge verification procedures from 13 procedures can be used to verify compliance with the refrigerant RA3.2.2 or RA1 is applicable to this system and can be used to charge verification requirements when temperatures are >= 55 °F verify compliance (RA3.2.2, or RA1)? 14 Date of Refrigerant Charge Verification for this system 2024-07-05 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 HVAC system installer reported on this Certificate of Installation 17 HERS Verification Compliance Requirement Status System qualifies for group sampling Registration Number: 224-A020064953A-000-001-M 25001 B-0000 CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:06:18 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:06:19 Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-H (Page 2 of 5) MCH-25b - Refrigerant Charge Verification - Subcooling Method 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 2024-07-01 02 Date of Digital Thermocouple Calibration 2024-07-01 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 MAH installed and labeled consistent with Figure 3.2-1 Access Hole (MAH) Requirement 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 Minimum Required System Airflow Rate (cfm) System Airflow Rate Verification Status Served Living Room Zone 1050 System complies with minimum airflow rate requirements 04 SC System complies with Minimum System Airflow Rate Verification Notes: Registration Number: 224-A020064953A-000-001-M 25001 B-0000 CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:06:18 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:06:19 Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-H (Page 3 of 5) F. Data Collection and Calculations Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3.2.2. 01 Lowest Return Air Dry Bulb Temperature that Occurred During the 75 Refrigerant Charge Verification Procedure ( °F) 02 Measured Condenser Air Entering Dry -Bulb Temperature 88.6 (Tcondenser,db) 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling refrigerant charge verification method 04 Measured Liquid Line Temperature (Tiiquid) ( °F) 92.8 05 Measured Liquid Line Pressure (Piiquid) (psig) 323.5 06 Condenser Saturation Temperature (Tcondenser, sat) from Digital 101.1 Gauge or P-T Table using Line F05 ( °F) 07 Measured Subcooling (Line F06 - Lilne F04 ( °F) 8.3 08 Target Subcooling from Manufacturer ( °F) 8 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) 58.3 02 Measured Suction Line Pressure (Psuction) (psig) 127.3 03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital 43.8 Gauge or P-T Table using Line G02 ( °F) 04 Measured Superheat (Line G01- Line G03) ( °F) 14.5 05 Measured Superheat (Line G04) is between 4 °F and 25 °F Passes CEC requirement (inclusive) 06 Measured Superheat (Line G04) is within Manufacturer's Not known Specifications ( if 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. Registration Number: Registration Date/Time: 2024-07-08 14:06:18 HERS Provider: CalCERTS 224-A020064953A-000-001-M 25001 B-0000 CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2024-07-08 14:06:19 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-H (Page 4 of 5) I. Fault Indicator Display Additional Requirements This section does not apply to this project. CaICERTS, In, HERS PROVIMlrr Registration Number: Registration Date/Time: 2024-07-08 14:06:18 HERS Provider: CaICERTS 224-A020064953A-000-001-M 25001 B-0000 CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2024-07-08 14:06:19 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-H (Page 5 of 5) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: syyG SHARI SIMS Company: Signature Date: Advancing Home Performance, Inc. 2024-07-08 14:06:18 Address: CEA/ HERS Certification Identification (if applicable): 74801 Hovley Lane East Unit #12732 CC2023074 City/State/Zip: Phone: Palm Desert CA 92260 760-851-8648 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. 1 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. 1 understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6. 1 understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Michael Solomon Position With Company (Title): Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Management ANTHEM MECHANICAL Address: CSLB License: 53-800 POLK STREET 1001659 City/State/Zip: Phone: Date Signed: COACHELLA CA 92236 760-469-2525 2024-07-08 14:06:18 Third Party Quality Control Program (TPQCP) Status: I Name of TPQCP (if applicable): Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 224-A020064953A-000-001-M 25001 B-0000 CA Building Energy Efficiency Standards 2022 Residential Compliance Easy to Verify ad'i at CaICERTS.com Registration Date/Time: 2024-07-08 14:06:18 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:06:19 Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CERTIFICATE OF VERIFICATION CF3R-MCH-20-H (Page 1 of 3) Project Name: Hirata - 79350 Canterbury Enforcement Agency: City of La Quinta Dwelling Address: 79350 Canterbury Permit Number: BMCH2O24-0203 City and Zip Code La Quinta, 92253 Permit Application Date: 2024-05-23 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Living Room Zone 03 Indoor Unit Name or Description of Area Served Living Room Zone 04 Building Type from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC? No, credit is not taken 07 Duct System Compliance Category Alteration 08 Portions of Duct Located in Garage? No 09 Is the system type Small Duct High Velocity (SDHV) ? No MCH-20d - Complete Replacement or Altered Duct System B. Duct Leakage Diagnostic Test 01 Air Handling Unit Airflow (AHU Airflow) Determination Method Cooling system method 02 Condenser Nominal Cooling Capacity (ton) 3.5 03 Indoor Unit Nominal Cooling Capacity n/a 04 Heating Capacity (kBtu/h) n/a 05 Conditioned Floor Area Served by this HVAC System (ft2) 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 0.1 Registration Number: 224-A020064953A-000-001-M 20001A- M 20A CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:03:48 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:03:47 Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CF3R-MCH-20-H (Page 2 of 3) B. Duct Leakage Diagnostic Test 10 Calculated Target Allowable Duct Leakage (cfm) 140 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 69.1 12 Compliance Statement: System passes leakage test 13 Notes: C. Ducts Located in Garage Spaces This section does not apply to this project. D. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. 02 Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 If a complete replacement, all supply and return register boots were sealed to the drywall. 04 Building cavities were not used as plenums or platform returns in lieu of ducts. 05 If cloth backed tape was used it was covered with Mastic and draw bands. 06 All connection points between the air handler and the supply and return plenums are completely sealed. 07 If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample groups for HERS verification compliance. 08 Verification Status: Pass - all applicable requirements are met. 09 Correction Notes: The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. E. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 1 Complies: All specified verification protocol requirements on this document are met. Registration Number: 224-A020064953A-000-001-M 20001A- M 20A CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:03:48 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:03:47 Schema Version: rev 20220101 DUCT LEAKAGE DIAGNOSTIC TEST CALIFORNIA ENERGY COMMISSION CF3R-MCH-20-H (Page 3 of 3) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: syyG SHARI SIMS Company: Date Signed: Advancing Home Performance, Inc. 2024-07-08 14:03:48 Address: CEA/ HERS Certification Identification (if applicable): 74801 Hovley Lane East 74801 Hovley Lane East City/State/Zip: Phone: Palm Desert CA 92260 760-851-8648 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. 1 understand that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6. 1 understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): ANTHEM MECHANICAL Responsible Builder or Installer Name: CSLB License: Michael Solomon 1001659 HERS PROVIDER DATA REGISTRY INFORMATION Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS RATER INFORMATION HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater Name: Responsible Rater Signature: syyG SHARI SIMS Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2023074 2024-07-08 14:03:48 Easy to Verify 0 LM at CaICERTS.com } Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 224-A020064953A-000-001-M 20001A- M 20A CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:03:48 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:03:47 Schema Version: rev 20220101 SPACE CONDITIONING SYSTEM AIRFLOW CF3R-MCH-23-H CALIFORNIA ENERGY COMMISSION RATE (Page 1 of 4) CERTIFICATE OF VERIFICATION Project Name: Hirata - 79350 Canterbury Enforcement Agency: City of La Quinta Dwelling Address: 79350 Canterbury Permit Number: BMCH2O24-0203 City and Zip Code La Quinta, 92253 Permit Application Date: 2024-05-23 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Description of Area Served Living Room Zone 03 Indoor Unit Name Living Room Zone 04 System Installation Type Alteration 05 Nominal Cooling Capacity (tons) 3.5 06 Condenser Speed Type n/a 07 Cooling System Zonal Control Type n/a 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status n/a 10 Date of System Airflow Rate Measurement 2024-07-05 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 HSPP installed and labeled consistent with Figure RA3.3-1 Requirement Registration Number: 224-A020064953A-000-001-M 23001A- M 23A CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:04:30 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:04:30 Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW CF3R-MCH-23-H RATE (Page 2 of 4) 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 Traditional Flow Capture Hood according to procedure in verification. RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus ALNOR 03 Model number of Airflow Measurement Apparatus EBT731 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton) 300 02 Required Minimum System Airflow Target (cfm) 1050 03 Actual System Airflow Rate Measurement (cfm) 1293 04 Compliance Statement: System airflow rate complies E. Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system during system air flow rate measurement identified on this Certificate of Verification. The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Verification was 02 calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return 03 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. rO7 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. Registration Number: 224-A020064953A-000-001-M 23001A- M 23A CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:04:30 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:04:30 Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW CF3R-MCH-23-H RATE (Page 3 of 4) E. Additional Requirements 08 Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 09 Verification Status: Pass - all applicable requirements are met. 10 Correction Notes: The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table F. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies: All specified verification protocol requirements on this document are met. CaICER i fti, 1-1 E R 5 P R 0 V 1 ol r r Registration Number: Registration Date/Time: 2024-07-08 14:04:30 HERS Provider: CalCERTS 224-A020064953A-000-001-M 23001A- M 23A CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2024-07-08 14:04:30 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION SPACE CONDITIONING SYSTEM AIRFLOW CF3R-MCH-23-H RATE (Page 4 of 4) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: syyG SHARI SIMS Company: Date Signed: Advancing Home Performance, Inc. 2024-07-08 14:04:30 Address: CEA/ HERS Certification Identification (if applicable): 74801 Hovley Lane East 74801 Hovley Lane East City/State/Zip: Phone: Palm Desert CA 92260 760-851-8648 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. 1 understand that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6. 1 understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): ANTHEM MECHANICAL Responsible Builder or Installer Name: CSLB License: Michael Solomon 1001659 HERS PROVIDER DATA REGISTRY INFORMATION Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS RATER INFORMATION HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater Name: Responsible Rater Signature: syyG SHARI SIMS Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2023074 2024-07-08 14:04:30 Easy to Verify 0 L0 at CaICERTS.com } Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 224-A020064953A-000-001-M 23001A- M 23A CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:04:30 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:04:30 Schema Version: rev 20220101 ZCALIFORNIA REFRIGERANT CHARGE VERIFICATION CF3R-MCH-25-H ENERGY COMMISSION (Page 1 of 4) CERTIFICATE OF VERIFICATION Project Name: Hirata - 79350 Canterbury Enforcement Agency: City of La Quinta Dwelling Address: 79350 Canterbury Permit Number: BMCH2O24-0203 City and Zip Code La Quinta, 92253 Permit Application Date: 2024-05-23 A. System Information HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry. 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Living Room Zone 03 Condenser (or package unit) make or brand Daikin 04 Condenser (or package unit) model number GSXN404210AA 05 Nominal Cooling Capacity (tons) of Condenser 3.5 06 Condenser (or package unit) serial number 2310220751 07 Refrigerant Type R-410A 08 Other Refrigerant Type (if applicable) n/a 09 Liquid Line Filter Drier Installed According to Manufacturers Yes Specifications (if applicable) 10 System Installation Type Alteration 11 Fault Indicator Display (FID) Status (Note: Even systems with a FID This system does not have a FID device installed must have refrigerant charge verified by installer) Is the system of a type that the minimum airflow can be verified for Yes 12 all indoor units using an approved measurement procedure (RA3.3 or RA3.3.3)? Is the system of a type that approved refrigerant charge verification Yes, one of the Refrigerant charge verification procedures from 13 procedures can be used to verify compliance with the refrigerant RA3.2.2 or RA1 is applicable to this system and can be used to charge verification requirements when temperatures are >= 55 °F verify compliance (RA3.2.2, or RA1)? 14 Date of Refrigerant Charge Verification for this system 2024-07-05 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 HVAC system installer reported on this Certificate of Installation 17 HERS Verification Compliance Requirement Status System qualifies for group sampling Registration Number: 224-A020064953A-000-001-M 25001 B-M 25 B CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:07:16 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:07:16 Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION REFRIGERANT CHARGE VERIFICATION CF3R-MCH-25-H (Page 2 of 4) A. System Information HERS Rater to field -verify all system information, discrepancies to be noted by overwriting entry. 18 Refrigerant charge verification method used by HERS Rater. Subcooling MCH-25b - Refrigerant Charge Verification - Subcooling Method B. Metering Device Verification HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable metering device. 01 Refrigerant metering device Electronic Expansion Valve (EXV) 02 Subcooling Method applicability status Subcooling Method is applicable to this system. C. Instrument Calibration HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2 01 Date of Digital Refrigerant Gauge Calibration 2024-07-01 02 Date of Digital Thermocouple Calibration 2024-07-01 03 Digital Refrigerant Gauge Calibration Status Calibration is current 04 Digital Thermocouple Calibration Status Calibration is current D. Measurement Access Hole (MAH) Verification HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3 01 Method Used to Demonstrate Compliance with the Measurement MAH installed and labeled consistent with Figure 3.2-1 Access Hole (MAH) Requirement 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 Minimum Required System Airflow Rate (cfm) System Airflow Rate Verification Status Served Living Room Zone 1050 System complies with minimum airflow rate requirements 04 SC System complies with Minimum System Airflow Rate Verification Notes: Registration Number: 224-A020064953A-000-001-M 25001 B-M 25 B CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:07:16 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:07:16 Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION REFRIGERANT CHARGE VERIFICATION CF3R-MCH-25-H (Page 3 of 4) F. Data Collection and Calculations HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2 01 Lowest Return Air Dry Bulb Temperature that Occurred During the 75 Refrigerant Charge Verification Procedure ( °F) 02 Measured Condenser Air Entering Dry -Bulb Temperature 88.6 (Tcondenser,db) 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling refrigerant charge verification method 04 Measured Liquid Line Temperature (Tiiquid) ( 7) 92.8 05 Measured Liquid Line Pressure (Piiquid) (psig) 323.5 06 Condenser Saturation Temperature (Tcondenser, sat) from Digital 101.1 Gauge or P-T Table using Line F05 ( °F) 07 Measured Subcooling (Line F06 - Lilne F04 ( °F) 8.3 08 Target Subcooling from Manufacturer ( °F) 8 09 Compliance Statement: System complies with Subcooling Method - Must also pass metering device verification, next section G. Metering Device Verification HERS Rater must independently collect all data in this section. Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2 01 Measured Suction Line Temperature (Tsuction) ( °F) 58.3 02 Measured Suction Line Pressure (Psuction) (psig) 127.3 Evaporator Saturation Temperature (Tevaporator, sat) from Digital 43.8 03 Gauge or P-T Table using Line G02 ( °F) 04 Measured Superheat (Line G01- Line G03) ( °F) 14.5 05 Measured Superheat (Line G04) is between 3 °F and 26 °F Passes CEC requirement (inclusive) 06 Measured Superheat (Line G04) is within Manufacturer's Not known Specifications ( if known) 07 Compliance Statement: Metering device verification passes H. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 1 Complies: All specified verification protocol requirements on this document are met. Registration Number: Registration Date/Time: 2024-07-08 14:07:16 HERS Provider: CalCERTS 224-A020064953A-000-001-M 25001 B-M 25 B CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2024-07-08 14:07:16 2022 Residential Compliance Schema Version: rev 20220101 CALIFORNIA ENERGY COMMISSION REFRIGERANT CHARGE VERIFICATION CF3R-MCH-25-H (Page 4 of 4) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: syyG SHARI SIMS Company: Date Signed: Advancing Home Performance, Inc. 2024-07-08 14:07:16 Address: CEA/ HERS Certification Identification (if applicable): 74801 Hovley Lane East 74801 Hovley Lane East City/State/Zip: Phone: Palm Desert CA 92260 760-851-8648 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. 1 understand that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6. 1 understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): ANTHEM MECHANICAL Responsible Builder or Installer Name: CSLB License: Michael Solomon 1001659 HERS PROVIDER DATA REGISTRY INFORMATION Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS RATER INFORMATION HERS Rater Company Name: Advancing Home Performance, Inc. Responsible Rater Name: Responsible Rater Signature: syyG SHARI SIMS Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2023074 2024-07-08 14:07:16 Easy to Verify r L0 at CaICERTS.com } Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 224-A020064953A-000-001-M 25001 B-M 25 B CA Building Energy Efficiency Standards 2022 Residential Compliance Registration Date/Time: 2024-07-08 14:07:16 HERS Provider: CaICERTS Report Version: 2022.0.000 Report Generated: 2024-07-08 14:07:16 Schema Version: rev 20220101