HomeMy WebLinkAboutBMCH2022-0255BUILDING PERMIT
DESIGN & DEVELOPMENT
DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
PHONE (760) 777-7125
WWW.LAQUINTACA.GOV
APPLIED DATE: 05/11/2022
ISSUED DATE: 05/23/2022
Permit Type:
Permit Number:
Property Address:
APN:
Legal Description
Property Zoning:
Valuation:
Mechanical
78490 COYOTE CANYON CT
BMCH2022-0255
770240013
$2,500.00
Owner:Tony Litman
78490 Coyote Canyon Ct., La Quinta, CA 92253
Applicant:Angel Cardozo
67507 SAN ANDREAS, DESERT HOT SPRINGS,
CA 92240
Contractor:COMPLETE COMFORT AIR CONDITIONING AND
HEATING
67507 SAN ANDREAS, DESERT HOT SPRINGS,
CA 92240
Declaration / Acknowledgement
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.leginfo.ca.gov/calaw.html.
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.
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
Printed: 6/9/26 2:30 pm Page 1 of 4
Permit Type:
Permit Number:
Property Address:
Mechanical
BMCH2022-0255
78490 COYOTE CANYON CT
BUILDING PERMIT
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.
Quinta at (760) 777-7125 immediately for correction.
Printed: 6/9/26 2:30 pm Page 2 of 4
Permit Type:
Permit Number:
Property Address:
Mechanical
BMCH2022-0255
78490 COYOTE CANYON CT
BUILDING PERMIT
LITMAN/ CONDENSER CHANGE OUT *** HVAC CHANGE OUT - 14 SEER CONDENSER ONLY. LIKE FOR LIKE NO CHANGE OF
LOCATION. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2019 CALIFORNIA BUILDING
CODES..
Use of Permit
Construction Details
1Number of
Condensor(s)
Valuation Details
Type Group Sq Ft Value
Financial Information
Fee AmountFee Amount PaidInvoice No.
PERMIT-BMCH2022-025
5
$11.00 RECORDS MANAGEMENT FEE $11.00
$27.79 HVAC CHANGEOUT - CONDENSER ONLY PC $27.79
$105.60 PERMIT ISSUANCE $105.60
$41.68 HVAC CHANGEOUT - CONDENSER ONLY $41.68
$5.00 TECHNOLOGY ENHANCEMENT FEE $5.00
$1.00 BSAS SB1473 FEE $1.00
$192.07 $192.07 Total for Invoice PERMIT-BMCH2022-0255
Grand Total for Permit $192.07 $192.07
Workflow / Inspections
Workflow Step / Action Name Action Type Start Date End Date
Inspections v.1 05/11/2022 0:00
MECHANICAL FINAL** v.2 Inspection
MECHANICAL FINAL** v.1 Inspection
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.
Inspections
Printed: 6/9/26 2:30 pm Page 3 of 4
Permit Type:
Permit Number:
Property Address:
Mechanical
BMCH2022-0255
78490 COYOTE CANYON CT
BUILDING PERMIT
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.
Certificate of Occupancy
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 building official.
Service Utilities
Printed: 6/9/26 2:30 pm Page 4 of 4
Registration Number: 222-A020087460A-000-000-0000000-0000 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: 2022-05-04 13:52:11
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of 3)
Project Name: Litman - 78490 Coyote Canyon Ct., LQ Date Prepared: 2022-05-04
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF1R-ALT-02 document for each dwelling unit.
01 Project Name Litman - 78490 Coyote Canyon Ct., LQ 02 Date Prepared 2022-05-04
03 Project Location 78490 Coyote Canyon Ct.04 Building Type Single family
05 CA City La Quinta 06 Dwelling Unit Name Litman - 78490 Coyote Canyon Ct., LQ
07 Zip Code 92253 08 Dwelling Unit Conditioned Floor
Area (ft
2)5289
09 Climate Zone 15 10
Number of Space Conditioning
(SC) Systems in this Dwelling
Unit:
1
B. Space Conditioning (SC) System Information
01 02 03 04 05 06 07 08 09 10
SC System ID or
Name
SC System
Location or Area
Served
CFA served by this
SC System (ft
2)
Is the SC system a
ducted system?
Installing a
refrigerant
containing
component?
Installing new SC
system
components?
Installing more
than 40 feet of
ducts?
Installing entirely
new duct system?
Installing entirely
new SC system?
Alteration Type
System 1 Location 1 5289 Yes Yes Yes No No No
Altered space
conditioning
system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
2022-05-04 13:52:28
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 2 of 3)
Registration Number: 222-A020087460A-000-000-0000000-0000 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: 2022-05-04 13:52:11
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01 02 03 04 05 06 07 08 09 10 11 12 13
System ID/
Name
SC System
Description
of Area
Served
Heating
System Type
Altered
Heating
Components
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System Type
Altered
Cooling
Components
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
Required
Thermostat
Type
New or
Replaced
Duct Length
New Duct
R-Value
System 1 Location 1
Central gas
furnace
No Heating
Component
Altered
AFUE 80 Central split
AC
Outdoor
condensing
unit
SEER 14 Setback n/a n/a
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 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <= 15 percent or <= 10 percent 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 >= 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.
2022-05-04 13:52:28
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 3 of 3)
Registration Number: 222-A020087460A-000-000-0000000-0000 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: 2022-05-04 13:52:11
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Cardozo, Angel
Documentation Author Signature:
Company:
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Signature Date:
Address:
67507 SAN ANDREAS ST
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
DESERT HOT SPRINGS CA 92240
Phone:
760-623-2204 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 Compliance is true and correct.
2.I 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.That 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.I will ensure 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. I 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.
Responsible Designer Name:
Cardozo, Angel
Responsible Designer Signature:
Company :
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Date Signed:
Address:
67507 SAN ANDREAS ST
License:
1038958
City/State/Zip:
DESERT HOT SPRINGS CA 92240
Phone:
760-623-2204 X123
Easy to Verify
at CalCERTS.com
2022-05-04 13:52:27
2022-05-04 13:52:28
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.
2022-05-04 13:52:28
PROJECT STATUS REPORT CalCERTS, Inc
Effective 06/20/2022 12:15 (Page 1 of 2)
HERS Provider: CalCERTS Inc.
CA Building Energy Efficiency Standards 2019 Residential Compliance Dec 2019
GENERAL INFORMATION
Energy Standards Code Year:2019
Easy to Verify @ calcerts.com
Project Name:Litman - 78490 Coyote Canyon Ct., LQ
Project Type:Alterations SFR
Address:78490 Coyote Canyon Ct.
City/State/Zip:La Quinta / CA / 92253
Enforcement Agency:City of La Quinta
Permit Number:BMCH2022-0255
OVERALL STATUS COMPLETE
HERS VERIFIABLE MEASURES:COMPLETE
CF1R INFORMATION - Certificate of Compliance (Document Lists Required Energy Features)
Certificate Type Compliance
Registered Form CF1R-ALT-02
Registered Date 2022-05-04 13:52:28
Registration
Number 222-A020087460A-000-000-0000000-0000
CF2R INFORMATION - Certificate of Installation (Documents the proper installation of required energy features)
System Form Registered Date Registration Number
CF2R-MCH-01-E
Space Conditioning
Systems, Ducts and
Fans
2022-06-20
12:14:20
222-A020087460A-000-001-M01001A-0000
Angel Cardozo
(COMPLETE COMFORT AIR CONDITIONING AND
HEATING)
System 1:
Location 1
CF2R-MCH-23-H
Airflow
2022-06-20
12:14:20
222-A020087460A-000-001-M23001A-0000
Angel Cardozo
(COMPLETE COMFORT AIR CONDITIONING AND
HEATING)
System 1 CF2R-MCH-25-H
Refrigerant Charge
2022-06-20
12:14:20
222-A020087460A-000-001-M25001A-0000
Angel Cardozo
(COMPLETE COMFORT AIR CONDITIONING AND
HEATING)
Non Default Value: CF2R-MCH-01 - System System 1 has different values in Section C.
Non Default Value: CF2R-MCH-01 - Exemption from Duct Leakage Requirements claimed.
• Altered duct system has less than 40 ft of duct
CF3R INFORMATION - Certificate of Verification (Documents the verification of HERS Measures)
System Form Registered Date Registration Number
PROJECT STATUS REPORT CalCERTS, Inc
Effective 06/20/2022 12:15 (Page 2 of 2)
HERS Provider: CalCERTS Inc.
CA Building Energy Efficiency Standards 2019 Residential Compliance Dec 2019
System 1:
Location 1
CF3R-MCH-23-H
(Airflow)
2022-06-20
12:15:15
222-A020087460A-000-001-M23001A-M23A
Alexandra Winner (CC2006597)
(Advancing Home Performance, Inc.)
System 1 CF3R-MCH-25-H
(Refrigerant Charge)
2022-06-20
12:15:15
222-A020087460A-000-001-M25001A-M25A
Alexandra Winner (CC2006597)
(Advancing Home Performance, Inc.)
Registration Number: 222-A020087460A-000-000-0000000-0000 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: 2022-05-04 13:52:11
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of 3)
Project Name: Litman - 78490 Coyote Canyon Ct., LQ Date Prepared: 2022-05-04
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF1R-ALT-02 document for each dwelling unit.
01 Project Name Litman - 78490 Coyote Canyon Ct., LQ 02 Date Prepared 2022-05-04
03 Project Location 78490 Coyote Canyon Ct.04 Building Type Single family
05 CA City La Quinta 06 Dwelling Unit Name Litman - 78490 Coyote Canyon Ct., LQ
07 Zip Code 92253 08 Dwelling Unit Conditioned Floor
Area (ft
2)5289
09 Climate Zone 15 10
Number of Space Conditioning
(SC) Systems in this Dwelling
Unit:
1
B. Space Conditioning (SC) System Information
01 02 03 04 05 06 07 08 09 10
SC System ID or
Name
SC System
Location or Area
Served
CFA served by this
SC System (ft
2)
Is the SC system a
ducted system?
Installing a
refrigerant
containing
component?
Installing new SC
system
components?
Installing more
than 40 feet of
ducts?
Installing entirely
new duct system?
Installing entirely
new SC system?
Alteration Type
System 1 Location 1 5289 Yes Yes Yes No No No
Altered space
conditioning
system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
2022-05-04 13:52:28
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 2 of 3)
Registration Number: 222-A020087460A-000-000-0000000-0000 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: 2022-05-04 13:52:11
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01 02 03 04 05 06 07 08 09 10 11 12 13
System ID/
Name
SC System
Description
of Area
Served
Heating
System Type
Altered
Heating
Components
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System Type
Altered
Cooling
Components
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
Required
Thermostat
Type
New or
Replaced
Duct Length
New Duct
R-Value
System 1 Location 1
Central gas
furnace
No Heating
Component
Altered
AFUE 80 Central split
AC
Outdoor
condensing
unit
SEER 14 Setback n/a n/a
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 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <= 15 percent or <= 10 percent 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 >= 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.
2022-05-04 13:52:28
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 3 of 3)
Registration Number: 222-A020087460A-000-000-0000000-0000 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: 2022-05-04 13:52:11
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Cardozo, Angel
Documentation Author Signature:
Company:
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Signature Date:
Address:
67507 SAN ANDREAS ST
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
DESERT HOT SPRINGS CA 92240
Phone:
760-623-2204 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 Compliance is true and correct.
2.I 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.That 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.I will ensure 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. I 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.
Responsible Designer Name:
Cardozo, Angel
Responsible Designer Signature:
Company :
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Date Signed:
Address:
67507 SAN ANDREAS ST
License:
1038958
City/State/Zip:
DESERT HOT SPRINGS CA 92240
Phone:
760-623-2204 X123
Easy to Verify
at CalCERTS.com
2022-05-04 13:52:27
2022-05-04 13:52:28
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.
2022-05-04 13:52:28
Registration Number: 222-A020087460A-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: 2022-06-20 12:10:47
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 1 of 7)
Project Name: Litman - 78490 Coyote Canyon Ct., LQ Enforcement Agency: City of La Quinta Permit Number: BMCH2022-0255
Dwelling Address: 78490 Coyote Canyon Ct.City: La Quinta Zip Code: 92253
A. General Information
01 Dwelling Unit Name Litman - 78490 Coyote Canyon Ct., LQ 02 Climate Zone 15
03 Dwelling Unit Total Conditioned
Floor Area (ft
2)5289 04 Number of Space Conditioning
Systems in this Dwelling Unit.
1
05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT )06 Method Used to Calculate HVAC
Loads Not applicable - equipment changeout, like-for-like
07 Calculated Dwelling Unit
Sensible Cooling Load (Btu/h)
n/a 08 Calculated Dwelling Unit Heating
Load (Btu/h)
n/a
09 Dwelling Unit Number of
Bedrooms 4
MCH-01b - Space Conditioning Systems Ducts and Fans - Prescriptive Alterations
B. Space Conditioning (SC) System Information
01 02 03 04 05 06 07 08 09 10
SC System ID/
Name from CF1R
SC System
Description of
Area Served
CFA served by this
SC System (ft
2)
Is the SC system a
ducted system?
Installing a
refrigerant
containing
component?
Installing new SC
system
components?
Installing more
than 40 feet of
ducts?
Installing entirely
new duct system?
Installing entirely
new SC system?
Alteration Type
System 1 Location 1 5289 Yes Yes Yes No No No
Altered space
conditioning
system
Notes:
2022-06-20 12:14:20
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 2 of 7)
Registration Number: 222-A020087460A-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: 2022-06-20 12:10:47
C. Space Conditioning (SC) System Alterations Compliance 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
Heating
System
Type
Altered
Heating
Component
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System
Type
Altered
Cooling
Component
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
Required
Thermostat
Type
Number of
Indoor
Units for
this System
Number of
Ducted
Indoor
Units for
this System
Central Fan
Integrated
(CFI)
Ventilation
System
Status
System 1 Location 1
Central gas
furnace
No Heating
Component
Altered
n/a n/a Central split
AC
Outdoor
condensing
unit
SEER 14 Setback 1 1 Not a CFI
system
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.
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
SC System ID/
Name from CF1R
SC System
Description of
Area Served
Cooling Efficiency
Type
Cooling Efficiency
Value
Condenser or Package
Unit Manufacturer
Condenser or Package
Unit Model Number
Condenser or Package
Unit Serial Number
System Cooling
Capacity at
Design
Conditions
(Btu/h)
Condenser
Nominal
Capacity (ton)
System 1 Location 1 SEER 14 Goodman GSX140601KE 2204255940 60000 5
Notes:
2022-06-20 12:14:20
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 7)
Registration Number: 222-A020087460A-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: 2022-06-20 12:10:47
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
SC System ID/
Name from
CF1R
SC System
Description of
Area Served
Indoor Unit
Name or
Description of
Area Served
Was Any New
Ducting
Installed?
Required New
Duct R-Value
Installed New
Supply Duct
Location
Installed New
Supply Duct
R-value
Installed New
Return Duct
Location
Installed New
Return Duct
R-Value
Exception from
Min R-Value
Can Approved
Airflow
Protocols be
used to test
this System?
Indoor Unit
Nominal
Cooling
capacity (ton)
N N N NoNewDucts n/a n/a n/a n/a n/a NoException n/a
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.
J. HERS Verification Requirements for Duct Systems
01 02 03 04 05 06 07 08 09
SC System
Identification or
Name
SC System
Description of Area
Served
Indoor Unit Name
or Description of
Area Served
Exemption From
Duct Leakage
Requirements
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
System 1 Location 1 Location 1
Altered duct system
has less than 40 ft
of duct
No No No Yes No
Notes:
2022-06-20 12:14:20
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 4 of 7)
Registration Number: 222-A020087460A-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: 2022-06-20 12:10:47
K. HERS Verification Requirements For Space Conditioning Equipment
01 02 03
SC System ID/ Name from CF1R SC System Description of Area Served
MCH-25
.
.
Refrigerant Charge
System 1 Location 1 Yes
Notes:
2022-06-20 12:14:20
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 5 of 7)
Registration Number: 222-A020087460A-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: 2022-06-20 12:10:47
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. Note that higher values may be required by the prescriptive or performance requirements. See Section 150.0(m)1.
12
Connections and Closures: All installed air-distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CMC Sections 601.0, 602.0, 603.0, 604.0,
605.0 and ANSI/SMACNA-006-2006: Supply-air and return-air ducts and plenums must be insulated to a minimum installed level of R-6.0 otherwise a minimum of R4.2 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.
2022-06-20 12:14:20
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 6 of 7)
Registration Number: 222-A020087460A-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: 2022-06-20 12:10:47
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.
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.
2022-06-20 12:14:20
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 7 of 7)
Registration Number: 222-A020087460A-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: 2022-06-20 12:10:47
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
Company:
Advancing Home Performance, Inc.
Signature Date:
Address:
74998 Country Club Drive.
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
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.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:
Angel Cardozo
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Position With Company (Title):
Management
Address:
67507 SAN ANDREAS ST
CSLB License:
1038958
City/State/Zip:
DESERT HOT SPRINGS CA 92240
Phone:
760-623-2204 X123
Date Signed:
2022-06-20 12:14:20
2022-06-20 12:14:20
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.
2022-06-20 12:14:20
Registration Number:
222-A020087460A-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: 2022-06-20 12:12:25
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 3)
Project Name: Litman - 78490 Coyote Canyon
Ct., LQ
Enforcement Agency: City of La
Quinta
Permit Number:
BMCH2022-0255
Dwelling Address: 78490 Coyote Canyon Ct.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 Location 1
03 Indoor Unit Name Location 1
04 System Installation Type Alteration
05 Nominal Cooling Capacity (tons)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 2022-06-16
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 ALNOR
03 Model number of Airflow Measurement Apparatus EBT731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index.
html
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
2022-06-20 12:14:20
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 3)
Registration Number:
222-A020087460A-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: 2022-06-20 12:12:25
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)1500
03 Actual System Airflow Rate Measurement (cfm)1516
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.
2022-06-20 12:14:20
CERTIFICATE OF INSTALLATION CF2R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 3)
Registration Number:
222-A020087460A-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: 2022-06-20 12:12:25
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
Company:
Advancing Home Performance, Inc.
Signature Date:
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
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.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:
Angel Cardozo
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Position With Company (Title):
Management
Address:
67507 SAN ANDREAS ST
CSLB License:
1038958
City/State/Zip:
DESERT HOT SPRINGS CA 92240
Phone:
760-623-2204 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-20 12:14:20
2022-06-20 12:14:20
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.
2022-06-20 12:14:20
Registration Number:
222-A020087460A-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: 2022-06-20 12:13:59
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 1 of 5)
Project Name: Litman - 78490 Coyote Canyon
Ct., LQ
Enforcement Agency: City of La
Quinta
Permit Number:
BMCH2022-0255
Dwelling Address: 78490 Coyote Canyon Ct.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 Location 1
03 Condenser (or package unit) Make or Brand Goodman
04 Condenser (or package unit) Model Number GSX140601KE
05 Nominal Cooling Capacity (tons) of Condenser 5
06 Condenser (or package unit) Serial Number 2204255940
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 Alteration
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 2022-06-16
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
2022-06-20 12:14:20
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 2 of 5)
Registration Number:
222-A020087460A-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: 2022-06-20 12:13:59
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
Location 1 1500 System complies with minimum airflow rate
requirements
04 SC System complies with Minimum System Airflow Rate Verification
Notes:
2022-06-20 12:14:20
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 5)
Registration Number:
222-A020087460A-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: 2022-06-20 12:13:59
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)
75
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)99.2
05 Measured Liquid Line Pressure (Pliquid) (psig)362
06 Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 ( °F)
109.1
07 Measured Subcooling (Line F06 - Lilne F04 ( °F)9.9
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)55.9
02 Measured Suction Line Pressure (Psuction) (psig)103.6
03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 ( °F)
33.2
04 Measured Superheat (Line G01- Line G03) ( °F)22.7
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.
2022-06-20 12:14:20
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 4 of 5)
Registration Number:
222-A020087460A-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: 2022-06-20 12:13:59
I. Fault Indicator Display Additional Requirements
This section does not apply to this project.
2022-06-20 12:14:20
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 5 of 5)
Registration Number:
222-A020087460A-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: 2022-06-20 12:13:59
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
Company:
Advancing Home Performance, Inc.
Signature Date:
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
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.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:
Angel Cardozo
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Position With Company (Title):
Management
Address:
67507 SAN ANDREAS ST
CSLB License:
1038958
City/State/Zip:
DESERT HOT SPRINGS CA 92240
Phone:
760-623-2204 X123
Date Signed:
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
2022-06-20 12:14:20
2022-06-20 12:14:20
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.
2022-06-20 12:14:20
Registration Number:
222-A020087460A-000-001-M23001A-M23A
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: 2022-06-20 12:12:34
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 3)
Project Name: Litman - 78490 Coyote Canyon
Ct., LQ
Enforcement Agency: City of La
Quinta
Permit Number:
BMCH2022-0255
Dwelling Address: 78490 Coyote Canyon Ct.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 Location 1
03 Indoor Unit Name Location 1
04 System Installation Type Alteration
05 Nominal Cooling Capacity (tons)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 2022-06-16
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 ALNOR
03 Model number of Airflow Measurement Apparatus EBT731
04
Certification Status of the Airflow Measurement Apparatus
Accuracy
Certified by Manufacturer and listed on CEC Website at
http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index.
html
MCH-23a Forced Air System Airflow Rate Measurement - Newly Installed Non-Zoned Systems or Zoned Multi-Speed Compressor
2022-06-20 12:15:15
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 3)
Registration Number:
222-A020087460A-000-001-M23001A-M23A
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: 2022-06-20 12:12:34
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)1500
03 Actual System Airflow Rate Measurement (cfm)1516
04 Compliance Statement:System airflow rate complies
E. Additional Requirements
01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system
during system air flow rate measurement identified on this Certificate of Verification.
02
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Verification was
calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in
RA3.3.1.
03
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return
duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an
allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate
shall conform to the specifications listed on the Certificate of Compliance.
04 All registers were fully open during the diagnostic test.
05 System fan was set at maximum speed during the diagnostic test.
06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
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.
2022-06-20 12:15:15
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 3)
Registration Number:
222-A020087460A-000-001-M23001A-M23A
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: 2022-06-20 12:12:34
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
Company:
Advancing Home Performance, Inc.
Date Signed:
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
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.I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3.The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4.The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5.I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Responsible Builder or Installer Name:
Angel Cardozo
CSLB License:
1038958
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:
Alexandra Winner
Responsible Rater Signature:
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
2022-06-20 12:15:15
2022-06-20 12:15:15
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.
2022-06-20 12:15:15
Registration Number:
222-A020087460A-000-001-M25001A-M25A
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: 2022-06-20 12:14:06
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerant Charge Verification (Page 1 of 4)
Project Name: Litman - 78490 Coyote Canyon
Ct., LQ
Enforcement Agency: City of La
Quinta
Permit Number:
BMCH2022-0255
Dwelling Address: 78490 Coyote Canyon Ct.City: La Quinta Zip Code: 92253
A. System Information
HERS Rater to field-verify all system information, discrepancies to be noted by overwriting entry.
01 Space Conditioning System Identification or Name System 1
02 Space Conditioning System Location or Area Served Location 1
03 Condenser (or package unit) make or brand Goodman
04 Condenser (or package unit) model number GSX140601KE
05 Nominal Cooling Capacity (tons) of Condenser 5
06 Condenser (or package unit) serial number 2204255940
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 Alteration
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 2022-06-16
15 Refrigerant charge verification method used.Subcooling (outdoor temperature must be equal to or greater than
55 degF)
16 Person who performed the Refrigerant Charge Verification
reported on this Certificate of Installation
HVAC system installer
17 HERS Verification Compliance Requirement Status System qualifies for group sampling
18 Refrigerant charge verification method used by HERS Rater.Subcooling
MCH-25b - Refrigerant Charge Verification - Subcooling Method
2022-06-20 12:15:15
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerant Charge Verification (Page 2 of 4)
Registration Number:
222-A020087460A-000-001-M25001A-M25A
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: 2022-06-20 12:14:06
B. Metering Device Verification
HERS Rater is required to visually field verify all information from CF2R. Subcooling Method can only be used on systems that have a variable
metering device.
01 Refrigerant metering device Thermostatic Expansion Valve (TXV)
02 Subcooling Method applicability status Subcooling Method is applicable to this system.
C. Instrument Calibration
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix
RA3.2.2 and RA3.2.2.2
01 Date of Digital Refrigerant Gauge Calibration 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
HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
01 Method Used to Demonstrate Compliance with the Measurement
Access Hole (MAH) Requirement
MAH installed and labeled consistent with Figure 3.2-1
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3.
01 02 03
Indoor Unit Name or Description of Area
Served Minimum Required System Airflow Rate (cfm)System Airflow Rate Verification Status
Location 1 1500 System complies with minimum airflow rate
requirements
04 SC System complies with Minimum System Airflow Rate Verification
Notes:
2022-06-20 12:15:15
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 4)
Registration Number:
222-A020087460A-000-001-M25001A-M25A
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: 2022-06-20 12:14:06
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge
Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01 Lowest Return Air Dry Bulb Temperature that Occurred During the
Refrigerant Charge Verification Procedure ( °F)
75
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)99.2
05 Measured Liquid Line Pressure (Pliquid) (psig)362
06 Condenser Saturation Temperature (Tcondenser, sat) from Digital
Gauge or P-T Table using Line F05 ( °F)
109.1
07 Measured Subcooling (Line F06 - Lilne F04 ( °F)9.9
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)55.9
02 Measured Suction Line Pressure (Psuction) (psig)103.6
03 Evaporator Saturation Temperature (Tevaporator, sat) from Digital
Gauge or P-T Table using Line G02 ( °F)
33.2
04 Measured Superheat (Line G01- Line G03) ( °F)22.7
05 Measured Superheat (Line G04) is between 3 °F and 26 °F
(inclusive)
Passes CEC requirement
06 Measured Superheat (Line G04) is within Manufacturer's
Specifications ( if known)
Not 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 Complies: All specified verification protocol requirements on this document are met.
2022-06-20 12:15:15
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H
Refrigerant Charge Verification (Page 4 of 4)
Registration Number:
222-A020087460A-000-001-M25001A-M25A
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: 2022-06-20 12:14:06
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Alexandra Winner
Documentation Author Signature:
Company:
Advancing Home Performance, Inc.
Date Signed:
Address:
74998 Country Club Drive. STE# 220-420
CEA/ HERS Certification Identification (if applicable):
CC2006597
City/State/Zip:
Palm Desert CA 92260
Phone:
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.I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3.The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4.The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5.I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
COMPLETE COMFORT AIR CONDITIONING AND HEATING
Responsible Builder or Installer Name:
Angel Cardozo
CSLB License:
1038958
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:
Alexandra Winner
Responsible Rater Signature:
Responsible Rater Certification Number w/ this HERS Provider:
CC2006597
Date Signed:
2022-06-20 12:15:15
2022-06-20 12:15:15
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.
2022-06-20 12:15:15