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PMT14-01011 City of Menifee Permit No.: PMT14-01011 MENIFEE, EE, C 92 Type: Residential Mechanical '9kGClE „�?" MENIFEE, CA 92586 MENIFEE Date Issued: 0 5/0 612 01 4 PERMIT Site Address: 32550 HALEBLIAN RD, MENIFEE, CA Parcel Number: 372-120-008 92584 Construction Cost: $9,580.00 Existing Use: Proposed Use: Description of REPLACE 4-TON HEAT PUMP AND AIR HANDLER Work: III Owner Contractor MICHELLE FOUNTAIN W C HEATING &AIR CONDITIONING INC 32550 HALEBLIAN ROAD 41357 DATE ST MENIFEE, CA 92584 MURRIETA, CA 92562 Applicant Phone: 9516000700 41357 DATE ST License Number: 779604 MURRIETA, CA 92562 Fee Description Amountar f$1 :m M y., "' dllgSl gUfjryt�sBuding Permance 1 27.00 EGREEN F � ram• ' , _ g xi; $161.00 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing building operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee. Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9 (commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class �z-C.7 License^No.-7 7k60 who builds or improves thereon, and who contracts for the projects with a Expires(„ 6) Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ 1 hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of Section 3700 of the Labor Code, for the performance of work for which this improvements covered b this permit, f cannot legally sell a structure that have permit is issued. P Y P 9 Y Policy# built as an owner-building if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the have and will maintain workers' compensation Insurance, as required by Business and Professions Code,is available upon request when this application is section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http://www.leginfo,ca,gov/calaw,html. permit is issued.My workers'compensation insurance carrier and policy number are: Property Owner or Authorizedgen At Carrier - �h\ic_ l„)v�eew'hEtt-5 Date Expires li7i15 Policy# ✓aTwyb__a, Ljgw Name of Agent Phone# Elmy Signature below, certify to f the following: am the property owner r or authorized to act on the property owner's behalf. I have read this (This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above- El I certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes, shall not employ any persons in any manner soas to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized Agent Date Code,I shall forthwith comply with those provisions. Date; S („ I A licant; City Business License# 03SZUZ_ PP ,�.,w�fG —...__-_.. WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, OYES OCCUPANT HANDLEA HAZARDOUS MATERIAL ORA _DAMAGES_AS-PROVIDED FOR.IN SECTION 3706 OF THE MIXTURE CONTAINING A. HAZARDOUS.MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES '�RNO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address l>'LD DISTRICT (SCAQMD) SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS - GUIDE LINES I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed ❑YES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A ,,/ Any city or county that requires a permit to construct, alter, improve, demolish, 1` &_ SCHOOL? 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 Contractor's State License Law (Chapter 9 (commencing with ,C I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or i_P""� INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING El I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING. compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED L�GENT not intended or offered for sale. (Section 7044,Business and Professions Code; �--- The Contractor's State License Law does not apply to an owner of a property Xwho, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- .. Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIFEjE PLCKNo: Permit No: City of Menifee 29714 Haun Road guilding & Safety Dept• Date: Date: t Menifee, CA 92586 Phone: (951)672-6777 MAY U 6 2014 Amount Amount'. Fax:(951)679-3843 Ck#: Received Ck#: Building Combination Permit To Be Completed By Applicant Legal Description: Planning Case: F: Property Address: 3 Zsso Assessor's Parcel Number. 3-7-Z \zo 00F5 Projecflfenant Name: Unit#: Floor#: Name: Phone No. Fax No. _ Property R` ^ C151—s45-osc-77 Owner '4ddress: Unit Number Zip Code 3zsso Q\�bl; 0.r gzs844 Snail Address: Name: Phone No. JFax Ne. cnrev. S�\.n�er�c 818 .35 78�Lo Applicant Address: L Unit Number Cede 3\22� ti 1Z Email dress: 913(Oz Name: 1` Phone No. Fax No. LJG qS1 -600-07C0 Contractor Address: City M State Zip Code 4135� 1� \ st • ; CA Ciz-s�L Contractor's city usmess cense o. Contractor's Ciey State of California License No. Classification: zoo '773 7foCt4 C-2rJ Number of Squares: Square Footage Description of Work: ` rt - v� ems} ; Cost of Work:$ �, - Applicant's Signature � A \ Y t 5 v o•oo Date: To Be Completed By City Staff Only Indicate As R-Received or N/A-Not Applicable ` --"omplates ets or fully dimensioned,drawn''to-sale plans which include: t set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 Y:x 11) ❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations ❑ Plumbing Plan ❑ Single Line diagram for also.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan I ❑ Sound Report•Residential Class Code: Indicate New Construction Alteration' Addition* Means/Methods Work Type: Repair' Retrofit* Revision to Existing Permit' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: 0 Stories: Will the Building Have a Basement? Y of N Bldg.Code Occupancy Group Indicate Indicate if Indicate allNG.eotech.Haz.Zone Al Projec[ Sprinklered YES or NOCompletion: Construction that apply: Castal Zone Type(s): C Of O YES or NO Noise Zone Required? Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Comrniss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit Special asa,Bmg. OfpaalA oroval Expedite Project(s): Child Care City Project Green Building Landmarkl Affordable Housing For Staff Use Only Budding/Safety Permil Specialist 1 . City Piaoning Civil Engineering I EPWM-AdminI Transportation Mgmt. 1 Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF-SR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit#: 32550 HALEBLIAN Menifee, CA 92584 City of Menifee Apr 30, 2014 _ Q'\ Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑Package Unit 11 Furnace ❑AFUE ❑COP_ ❑R 6 (CZ SO-13) Served by system 11 Setback [3 Indoor Coil ®SEER 13.0 ®HSPF 7_7 If not already present must be ®Condensing Unit ❑EER ❑Resistance ❑R 8(CZ 14-Is) 2700 sf installed) ❑Other 1.Equipment Type:Choose the equipment being installed; ff more than one system,use another CF-IR-ALT-HVAC for each system. 2.Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options.The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final,the inspector verifies that the work listed on this form was in fact the work completed by the installer.The inspector also verifies that each appropriate CF-6R and registered CF-4R forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010,a registered copy of the CF-1R and CF-6R shall also be on site for final inspection. ® 1. HVAC Changeout lRequired Forms: .All HVAC Equipment CF-611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-4R forms: MECH-21 and (for split systems) MECH-25 .Condenser Coil and /or CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Furnace or oil and/or CF-4R forms: MECH-21 and (for split systems) MECH-25 City Of Menifee Bull For Split Systems: Duct leakage < 15 percent; RC, CCA < 300 CFM/ton (Minimum Air Flow Requirement),TMA peFsapt Exempted from duct leakage testing if: MAY 0 6 2014 ❑1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑2. Dud systems with less than 40 linear feet in unconditioned space, or 13 3. Existing duct systems are:constructed, insulated or sealed with asbestos ❑4.The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Cha RPce i V@ ❑ 2, New HVAC System Required Forms: .Cut in or Changeout with CF-6R'forms: MECH-04,MECH-20-HERS, and (for split systems) MECH-22-HERS, and new ducts: (all new MECH-25-HERS ' ducting and all new CF-4R forms: MECH-20, and(for split systems) MECH-22,and MECH-25 equipment) For Split Systems: Duct leakage < 6 percent; RC, CCA.>_ 350 CFM/ton, FWD,TMA.H, STMS;:and either HSPP or PSPP. For Packaged Units:Duct leakage < 6.percent - ❑3. New Ducts with/or without Required Forms: Replacement .Includes:replacing:or installing all new ducting and/or outdoor condensing unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace.No or some CF-4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage'<-.6 percent; RC, CCA > 300 CFM/ton,TMAH For Packaged Units: Duct leakage < 6 percent ❑4. New Ducting over 40 feet Required Forms: .Includes adding or replacing more than 40 CF-6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF-4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) .I certify that this Certificate of Compliance documentation is accurate and complete. .I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. .I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. .The design features Identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Rusty Cochran Signature: Rusty Cochran Company: W C HEATING &AIR CONDITIONING INC Date: Apr 30, 2014 Address: 41357 DATE ST License: 779604 City/State/Zip: MURRIETA/CA/92562 Phone: (951) 600-0700 Reg: 214-A0030023A-000000000-0000 Registration Date/Time: 2014/04/30 16:41:52 HERS Provider: Cal CERTS, Inc. 2008 Residential Compliance Forms July 2010 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 City of Menifee PMT14-01011 Note: If installation of a Charge Indicator Display(CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance, unless the TMAH Compliance Option is chosen. STMS are only required for completely new or replacement space-conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification%Tag System 1 System Location or Area Served`:: Whole House 5(16 inch (8 mm) access hole 1 upstream of evaporative co ill the ®Yes ❑Yes ❑Yes ❑Yes return plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Figure inction RA3.2.2 2 2. Retu�n' toi dQ of t e duct Sysxri tyKOMz � YN 1a locatentirely within conjio�c,! L` 3Tes r s ❑Yes spand return attetip rxx�re � o Y�o ❑ No fl No tota�rneasuredattt e r i[Le. k 5J1 ..Minch it �e � Ole � � � �� 2 dow stf pm c a or�t cp l �I ryes _, in : ❑ ❑Vey :nMZ supply plenum and lalieled`accordlny` ' ❑No " ❑ No ❑ No ❑ No to Figure ip,5ection RA3.21:1.2. The TMAH`Compliance Option sitiuld be checked only if it is physically impossible to drill the TMAH as required by Section RA3.2.2.2.2,':Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3 For more information see litto://www.enerov.cg.gov/title24/2008slatidardslsr)ecial case aooliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to 1a and 2, or checking the TMAH Compliance Option, is ® Pass ❑ Pass ❑ Pass ❑ Pass a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 214-A0030023A-M2500001A-0000 Registration Date/Time: 2014/07/07 18:42:07 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 City of Menifee PMT14_01011 STMS- Sensor on the Evaporator Coil System Name or System 1 Identification/Tag 3 The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed by methods/specifications approved by the Executive Director. ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No 5 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F ❑Yes ❑ No ❑Yes [] No []Yes ❑ No ❑Yes ❑ Nc Yes to 3, 4, and 5 is a pass. ® N/A ❑ N/A ❑ N/A ❑ N/A Enter N/A if STMS are not ❑ Pass ❑ Pass ❑ Pass ❑ Pass applicable. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Otherwise enter Pass or Fail STMS -Sensor on the Condei'ser Coil System Name or System 1 IdentiPicatigpff—a" :-:. �r .,s ue':; . , -; : `..!_.�. . s '�_ 6 The seer is factory installer ] ids staffed ordigto nu re5 s�eciffea ns, n:s installed by metls(specifieatt ar v y the Ex o Directga gmm. p rpNo � ' Yes ❑., ='Ci Y _ o ZzY.es The sot sor wire i= e rna wi stanoard�raenr pfuy s e icon A 'to Td gate o ete 7 The ser 9r mrnl J i9> �4 b1� 6fitladbot4,0" €hf£I nd`€ E ttER crater va airf low'througH'the'cond'ense"c coil - Q Yes El No ❑Yes ❑ No ❑Yes ❑No l7 Yes ❑ No 8 Thy§ths:6ir measures the saturation temperature of the coil within 1.3 degrees F `O Yes ❑ No ❑Yes [] No ❑Yes ❑ No ❑Yes ❑ No Yes to 6, 7, and 8 is a pass. ❑ N/A ❑ N/A ❑ N/A ❑ N/A Enter N/A if STMS are not ❑ Pass ❑ Pass ❑ Pass ❑ Pass applicable. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Otherwise enter Pass or Fail Reg: 214-A0030023A-M2500001A-0000 Registration Date/Time: 2014/07/07 18:42:07 HERS Provider: CalCERTS, Inc. 200E Residential Compliance Forms March 2013 a i INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) - Site Address: I Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 City of Menifee PMT14-01011 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55OF or above) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available In - Reference Residential Appendix RA3.2.As many as 4 systems in the dwelling can be documented for compliance using this form.Attach an additional form(s) for any additional systems in the dwelling as applicable. The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. •The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. •If outdoor air dry-bulb temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement - Procedure (Weigh-In Charging Method). If the Weigh-In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Systems System Name or Identification/Tag System 1 System Location or Area Served Whole House Outdoor Unit Serial # 7114CI2344 Outdoor Unit Make LENNOX Outdoor Unit Model 14HPX-060-230 Nominal Cooling C,�apacity n 5 ae T .. Date of Ff, o{f( ation' - m y, W. >, Cahbrali n of Djag* itr ants t x _ "_ £... ...:_, Date of R rgerant t ug ( tatiort � ,v (n rst be c lib e oFStTityl Date of Thermocouple Calibratioir 6/1/2014 (must be re-calibrated monthly) Measured Temperatures (Of)'. System Name or Identification/Tag System 1 Supply (evaporator leaving) air dry-bulb 44 temperature (Tsu I db) Return (evaporator entering) air 65 dry-bulb temperature (Treturn db) Return (evaporator entering) air 54 wet-bulb temperature (Treturn wb) Evaporator saturation temperature 31 (Teva orator sat) Condensor saturation temperature 75 (Tcondensor, sat) Suction line temperature (Tsuction) 48 Liquid Line Temperature (Tliquid) 73 Condenser(entering) air dry-bulb 71 temperature (Tcondenser, db) Reg: 214-A0030023A-M2500001A-0000 Registration Date/Time: 2014/07/07 18:42:07 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-611-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: I Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 City of Menifee PMT14_01011 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification.The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag System 1 Calculate: Actual Temperature Split = 21.00 Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 19.9 using Treturn wb and Treturn db Calculate difference: Actual Temperature 1.1 Split -Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between PASS -3°F and -100°F Enter Pass or Fail Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement-procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured,;:the value must be equal to or greater than the Calculated Minimum Airflow- Requirement in the table below..; x Calculate, Mfnemt+m Airflow, 1} F�ement��CFT � NOm��#af Cott§',Caepty( XO (cfm/t¢ffi ': -`•• a ff System' me or 1' I1>i i "Pg 'm x cyst - ':. W *�. Calcul ate d'MinimumirfloW Regluemen ' (CFM) Measured Airfl-ow'using RA3.3'procedures (CFM) Measurement Method Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail l I I I Reg: 214-A0030023A-M2500001A-0000 Registration Date/Time: 2014/07/07 18:42:07 HERS Provides: Ca10ERT$, Inc. 200B Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: I Enforcement Agency: Peit Number: 32550 HALEBLIAN, Menifee CA 92584 City of Menifee PMTrm14_01Oil Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag System 1 Calculate: Actual Superheat = Tsuction - Teva orator sat Target Superheat from Table RA3.2-2 using Treturn wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -5°F and +5°F Enter Pass or Fail Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 Calculate: Actual Subcooling = 2.0 Tcondenser, sat- Tli uid Target Subcooling specified by } 2 manufacturer : Calculate difference. Actual Sub Ifig ;target Subca�nlin "' " ° System p_ a -3 Fan __ _.:�.mm_.m _.. as _ a' _ ��_ •� Metering t}14plt�or fgrFgeratdi�9erlfertatFtSfyntsr3)ceduYmequrdd b '' used for tl ermostatie expaf sion valve (7 V) and'eiectronic expansion valve ('EXV) systems. System Name":or:Identification/Tag System 1 Calculate: Actual Superheat = _ 17.0 Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range 17 between 4°F and 25°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Fail Reg: 214-A0030023A-M2500001A-0000 Registration Date/Time: 2014/07/07 18:42:07 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: I Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 City of Men fee PMT14-01011 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re-measured and/or recalculated. System Name or Identification/Tag System 1 System meets all refrigerant charge and airflow requirements. PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55OF and 65OF the return air dry bulb temperature shall be maintained above 70OF during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. DECLARATION STATEMENT .I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized representative of the.person responsible for construction (responsible person). .I certify that the installed features,materials, components, or manufactured devices identified on this certificate(the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the erttlgrcement agency. . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects,I am required to take corrective action at my expense. I understand that Energy Commission and HERS. . provider representatives will also perform quality assurance checking of installations including those approved as part of a samplero'Up'-"butnot checkedygy a HI£R"`rr`rat , aftIt31'okinStetldtio.ns, a�lo-mep,t€he �} 'errrefrts of such quality asfi YanCe checking the redurfod .yortedtiveacti,<�. 8 addjtio>11 chgi`q��.,ing/tes }f etket�InSfaf�itions m that HERS tple group will bg perfnr`riieniy expense =,�. . I rev!E ed`a copy of th :_07.76LMpllance (CE if3 fdtm appr :v J, 7 r the enfepi ment ag L`that Identifies the'i speciflE_requlrements, t vista llat�rl certfy thak.h require t$ Tied on tlfd F 1R,thad lt$1 to Ghe.� 3 .rye installa'i:rpn have beetistTet .a, - rr x t: '#- c. . I w'll er>s4ra kkta rit f3�#y of �I IP?atallet »R er Y at.�(ftE e PAwe r a dsi bl with the' lYddm9 P FmT}j-5 7ssJued Fo}°3t1t¢;�#P Q!nf,,.atn"d madi4vadablW:.to . !irrl rc4iflAw aged yto it applicable inspections. I undersfand'thdt asigned copy of this Installation Certificate is required to be included with thedocumentatipn'the builder provides to the building owner at occupancy.I will ensure that. all InstaUatlo 'Certificates will come from a HERS provider data registry for multiple orientation alternatives,and beginning October 1,2010,for all Clow-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) W C HEATING &AIR CONDITIONING INC Responsible Person's Name:`' Responsible Person's Signature: Rusty Cochran Rusty Cochran CSLB License: Date Signed: 779604 5/6/2014 position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑Yes ❑ No Reg: 214-A0030023A-M2500001A-0000 Registration Date/Time: 2014/07/07 18:42:07 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test- Existing Duct System (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 (System 1) City of Menifee PMT14-01011 Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test- Completely New or Replacement Duct System.' Duct Leakage Diagnostic Test-existing duct system Select one compliance method from the following four choices. 1. Measured leakage less than 15% of fan flow 2. Measured leakage to outside less than 10%of Fan Flow 3, Reduce leakage by 60%and conduct smoke and fix all leaks 4. Fix all accessible.leaks using smoke and HERS rater verify i Note: (One of Option 1, 2, or 3 must be attempted before utilizing Option 4.) Determine nori nal�F, r.„:,Flow using one.of th tpYlewang t fcacdlwatiofl:( ,ethods - - ✓ Cooling''b-ystem rq�thod: Size of�. an ise..riin Tpnz : ;:„dx 40q '� may. - ✓❑Hear%§ystem metFyad '2'1 7 ; (7utput Capac9�.,,ill.,FFJMtn- ousan€' ✓O Mea'^af d system IiFA..:Sisan �R „y`_a,irflow.sest lures Opti ttat "s h 1 Allowe`tT leakage -t'Fan Flow Actual leakage CFM _ Pass if Leakage Actual is less than Allowed Pass fail Option 2 used then: 2 All leakage = Fan Flow,,,.:- x Actual Leakage to outside - CFM Pass iP Leakage Actual is less than Allowed p Pass[3 Fail Option 3 used then: - Initial leakage prior to start of work =_CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage_- Final leakage_= Leakage reduction CFM ((Leakage reduction_/ Initial leakage x 100% _ 0/o Reduction Pass if% Reduction >= 600/a Pass 0 Fail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). Pass if all accessible leaks have been repaired using smoke p Pass p Fail Reg: 214-A0030023A-M2100001A-M21A Registration Date/Time: 2014/07/07 19:47:39 HERS Provider: CalCERT$, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION &DIAGNOSTIC TESTING CF-411-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 (System 1) City of Menifee PMT14-01011 ❑Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CF `IOA ducts that utilize controlled motorized dampers, that open only when OA. ventilation is required to meet A HRAE Standard 62.2, and close when CA ventilation is not required, may be configured to the closed position during duct leakage testing. ❑All supply and-r t4yrn register bents m�rst be es! oettYe dr llaf smoke Ge G ista illzed hg-__ompliance - applies ktaIUfit leakage compinoetlan 3ealt e relucklay ) f( ifiom mix al��ccessible leaks) derlbed above V -� 'gym tin ❑ New � mstal t(as COnatsPtt[�bullding c tages �s ple � platforsturnsm 1itf dTt ;r r mo ❑ Mastic and dWavy cad d �fe u �dtt3 rCfl # n wltfjhad,rbradh fife dt�Gtae aai , leaks at al! ne v duct connection ... DECLARATION STATEMENT • I certify under penalty of perjury,urger the laws of the state of California,the Information provided on this form is true and correct. • I am the certified HERS rater who performed the verification services identifed and reported on this certificate(responsible rater). • The Installed feature,material,component,or manufactured device requiring HERS verification that Is identified on this certificate(the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s)of Compliance(CF-1R)approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s)(CF-6R),signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certifcate(s)of Compliance(CF-SR)approved by the - enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF-611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) W C HEATING &AIR CONDITIONING INC Responsible Person's Name: - CSLB License: Rusty Cochran 779604 HERS Provider Data Registry Information Sample Group # (if applicable): 506952 ❑tested/verified dwelling ®not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798855912 HERS Rater Company Name: Stratz Permit Service Responsible Rater's Name: Responsible Rater's Signature: Garrett Williams Garrett Williams Responsible Rater's Certification Number w/this HERS Provider: Date Signed: 6/24/2014 CC2006208 Reg: 214-A0030023A-M2100001A-M21A Registration Date/Time: 2014/07/07 19:47:39 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION &DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 City of Menifee PMT14-01011 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate)should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID Is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance, unless the TMAH Compliance Option is chosen. STMS are only required for completely new or replacement space-conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag System 1 System Location or Area Served Whole House 5/16 inch (8 mm) access h6le 1 upstream of evaporative coal in the ❑Yes ❑Yes ❑Yes ❑Yes return plenum and labeled according ❑No El No ❑ No ❑ No to Figurejrl S®etion RA3.2.2 2 Z _.®�R 3 r _ < T —A .. Retu 'srzte of ttie duct systrY� , ' 1a loeat anti ely wit on—t)s(sohed, [r',i`/es - 11Y ❑Ye' []Yes spasnd return a snug t rppeure fk� ❑ No €7 No to bneasuredGtYt re�rn �i . _f .. . f T 5/1"-nch-( m3} a &,ale ., 'v' " 2 downafiffiam of"wapof 'tiV�e�"pgsl l� .; .. . .. _ ❑�:'_,.`_ ,�_ L]1"es. ❑'Yes supply plenum and labeled according ❑No ❑ No ❑ No ❑ No to Figure in,Section RA3.2. 2.2. The TMAH Compliance Option should be checked only if the HERS Rater is able to confirm that it was physically impossible for the HVfAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires th6:HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information see htto:/,/"www enerov ca aov/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is ❑ Pass ❑ Pass ❑ Pass ❑ Pass a pass. El ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 214-A0030023A-M2500001A-M25A Registration Date/Time: 2014/07/07 19:50:18 HERS Provides: CalCERT5, Inc. 2008 Residential Compliance Forms February 2013 CERTIFICATE OF FIELD VERIFICATION &DIAGNOSTIC TESTING CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 City of Menifee PMT14-01011 STMS - Sensor on the Evaporator Coil System Name or Identification/Tag The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed 3 by methods/specifications approved by the Executive Director. ❑Yes ❑ No 1 ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes [] No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature 5 of the coil. ❑Yes ❑ No ❑Yes ❑ No ❑Yes [] No ❑Yes ❑ No Yes to 3, 4, and 5 is a pass. ❑ N/A ❑ N/A ❑ N/A ❑ N/A Enter N/A if STMS are not ❑ Pass ❑ Pass ❑ Pass ❑ Pass applicable. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Otherwise enter Pass or Fail STMS -Sensor on the Condenser Coil System Name br A Identificaa jTe9 - =..., . __ 6 The sei spar is factoryJp Ile �,—-ld installed .ding to 4FkNPadarer ecificatr ,or is installed by rrYkbdslspeaflatLor�s Apr by the Ex&,,ytvDirect#yt" .vA. .. =IY :® Now ,.._yLlYes'O g q} No YeC3filo m. see sQT Lre i 7 t8i5 rlfl €edwith } lot) RI#mr_piug u t2177e tR nec l(n to a" ¢rta[- r rr6fibteri7]The The sensor mini plug is access'i�ile tb the installing technician and the HERS rater without`changing the airflow through-the condenser coil Yes ❑ No ❑Yes [] No ❑Yes ❑ No ❑Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature 8 of the coil. D Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No Yes to 6, 7, and 8 is a pass. ❑ N/A ❑ N/A ❑ N/A ❑ N/A Enter N/A if STMS are not ❑ Pass ❑ Pass ❑ Pass ❑ Pass applicable. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Otherwise enter Pass or Fail Reg: 214-A0030023A-M2500001A-M25A Registration Date/Time: 2014/07/07 19:50:18 HERS Provider: CaICERTS, Inc. 2008 Residential Compliance Forms February 20:L3 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 City of Menifee PMT14-01011 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55'F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2.As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s)for any additional systems in the dwelling as applicable. •The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. •The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. •If outdoor air dry-bulb temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh-In Charging Method), If the Weigh-In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Systems System Name or Identification/Tag System 1 System Location or Area Served Whole House Outdoor Unit Serial # Outdoor Unit Make Outdoor Unit Model Nominal Cooling Capacity t Date of U. IAgation :_ — € -�`y= r 'y"` .... _: , - oc- _m .. ..- Calibra{litls of Dita�7#QsiGjt .,YF�, tiFUmL%nts _ Date of Re"frager�iit� uge.0 I)5p tron" ' ' y=- 'i�mUst be-re:calibfa ed'montfily)` Date of Thermocouple Calibratio,.n' (must be re-calibrated monthly) Measured Temperatures(OF),' System Name or Identification/Tag System 1 Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet-bulb temperature (Treturn wb) Evaporator saturation temperature (Teva orator sat) Condensor saturation temperature (Tcondensor, sat) Suction line temperature (Tsuction) Liquid Line Temperature (Tliquid) Condenser (entering) air dry-bulb temperature (Tcondenser, db) Reg: 214-A0030023A-M2500001A-M25A Registration Date/Time: 2014/07/07 19:50:18 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 City of Menifee PMT14-01011 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification.The temperature split method is specified in Reference Residential Appendix RA3,2, System Name or Identification/Tag Calculate: Actual Temperature Split = Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -40F and +4°F or, upon remeasurement, if between -40F and -100OF Enter Pass or Fail Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling cold airflow is measured, the value must be equal to or greater than the Calculated Minimum Airflow Requirement:in the table below. ms_ _._, _,. gm r ME- CalculaMimmuin Aerflow� rement (CFi } Nome Cing City`( lXf0 (cfm/tomb ` ; ' Ake a ig ME r ff INS System AJcIller iGjikWo7xa9 .... Calculated Minimum Airflow Requirement' (CFM) Measured Airflow using RA3..I,'procedures (CFM) Measurement Method Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Reg: 214-A0030023A-M2500001A-M25A Registration Date/Time: 2014/07/07 19:50:18 HEIRS Provider: CalCERTS, Inc. 2008 Residential Compliance Farms February 2013 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 City of Menifee PMT14-01011 Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag Calculate: Actual Superheat = Tsuction -Teva orator sat Target Superheat from Table RA3.2-2 using Treturn wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -6°F and +6°F Enter Pass or Fail Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag Calculate: Actual Subcooling = Tcondenser,sat-Tli uid Target Subcooling specified by manufacturer Calculate d4erenc _. vym Actual Suticorrhng (Target Subcaoh System passes if difference:is la�twn � —= � �� . "L t� Enter Pass or Fail ,. e Metering Device.—Calculations—for Refrigerant Charge Verification. This procedure is required to be used forthermo§tatic expansiorri"valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag Calculate: Actual Superheat Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range Enter Pass or Fail Reg: 214-A0030023A-M2500001A-M25A Registration Date/Time: 2014/07/07 19:50:18 HERS Provides: Ca10ERT$, Inc. 2008 Residential Compliance Forms February 2013 { INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92554 City of Menifee PMT14-01011 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re-measured and/or recalculated. System Name or Identification/Tag System 1 System meets all refrigerant charge and airflow requirements. Enter Pass or Fail ❑ Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 550F and 65OF the return air dry bulb temperature shall be maintained above 70OF during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). . The installed feature, material,component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s)of Compliance(CF-1R) approved by the local enforcement agency. - . The information reported on applicable sections of the Installation Certificate(s) (CF-6R), signed and submitted by the f person(s) rgsponiiibie for the installation G¢C3fer-r s to-G l-egyiCementtspecified, n-th erkfhcate(s}:of Compliance (CF IR)j prgved le;:the enforce" .at,a »«?!gy (, i rm Bwlder staller'informati�n o y*hown on e.Installat Grti?ica P-6R In Compary�Nme (Inst ling S{kcorirtkor or GeVr7 CbnYraoiOlBvil lerJO r) _ W C HENG SAT .- Nt IIIQ NG INC � N,AT_,I Respons Ner.Ferson iNar3l'r L (i se 1 . : Rusty Cochran 979604 HERS Provider,®eta Regdsfiry:I formation Sample Group # If applicable),506952 ® not-tested/verified dwelling C ❑tested/verified dwelling in a HERS sample group HERS Rater Information CafCERTS Certificate # CC3-1798855912 HERS Rater Company Name` -," Stratz Permit Service Responsible Rater's Name: Responsible Rater's Signature: Garrett Williams Garrett Williams Responsible Rater's Certification Number w/this HERS Date Signed: 6/24/2014 Provider: CC2006208 Reg: 214-A0030023A-M2500001A-M25A Registration Date/Time: 2014/07/07 19:50:19 HERS Provider: CalCERT5, Inc. 2008 Residential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test- Existing Duct System (Page 1 of 2) Site Address: I Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 (System 1) City of Menifee PeIT14-01011 Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test- Completely New or Replacement Duct System.' Duct Leakage Diagnostic Test-existing duct system Select one compliance method from the following four choices. ®1. Measured leakage less than 150/o of fan flow 0 2. Measured leakage to outside less than 10%of Fan Flow 3, Reduce leakage by 60%and conduct smoke and fix all leaks 4 Fix all accessible leaks using snioke and HERS rater verify Note: (One of Options 1; 2 or 3 must be attempted before utilizing Option 4.) Determine non�iLnal F1. ,Flow using tsne�of the ollgv ng, r�,11-- ulati� - ? ods ,...,.. ,, �/®cool in$�ystem rc%nod: Size o�.ondeh nn Toffs - X. 2, CAM y fifi .a, Fa RmL ❑Heat tT System me�$th#gff(y:� 1 7 �-a�� 4ltput Capacc ousari -= muE. Me ,.m tom !ed systerr .,girflirllSt�/Ela irftow$est„_ edures - Optiq -1 ua wit F" �3 . r - 'M .. .� 1 Allowe'�'ieaka�e ~: anlflfffdK-- 0tl ;c. ' ' Y!D Ma, �:a - , ."�°,,.; Actual Leakage = " 288 CFM; Pass if Actual Leakage is less than Allowed leakage ®Pass Mail Option 2 used then 2 Allowed leakage =Fan Alrflow�_x 0.10 = _CFM Actual Leakage to outside % :CFM Pass if Actual leakage to outside is less than Allowed leakage p Pass Fail Option 3 used then: Initial leakage prior to start of work = CFM Final leakage after sealing all accessible leaks using smoke test =_CFM 3 Initial leakage_- Final leakage_= Leakage reduction CFM ((Leakage reduction_/ Initial leakage_) x 100% /o Reduction Pass if% Reduction >= 60010 Pass Fail Option 4 used then: t 4 All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling). Pass if all accessible leaks have been repaired using smoke Pass p Fail Reg: 214-A0030023A-M2100001A-0000 Registration Date/'Time: 2014/07/07 1B:35:33 HERS Provider: Cd10ERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 32550 HALEBLIAN, Menifee CA 92584 (System 1) City of Menifee PMT14-01011 ® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing, CFT•OA ducts that utilize controlled motorized dampers, that open only when OA: ventilation is required to meet A$HRAE Standard 62.2, and close when CA ventilation is not required, may be configured to the closed position during duct leakage testing. ®All supply and---r-qWrn register boots m the esni oTto the drywalLtf smolt iutii¢ed f ompliance - applies touCt leitage compfiace Ittr 3 eakse cef)uctlod Ciyµ) dttddttor4�%afl�ccessible leaks) deGmibed above ® Newt Instaliatl s nnwt{�bulldm9 ulte as plenYf)2�platfa rfurns In I t f dcts _ m ® Mastic ddiraW�Id3It (Ie uas} « ttl)kt�Tr�ywn wltlolT4ra�d rue�adhd -�(ta #t� fir. leaks at ali'neW dutt'donnectiof --" DECLAAketldN STAT€MENT •I certify under penalty of penury,under the laws of the State of California,the information provided on this form is true and correct. •I am eligible under Division 3-of the business and Professions Code to accept responsibility for construction,or an authorized representative of the person re5ponsIHIe for construction(responsible person). • I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the. enforcement agency. •I understand that a HERS rater will check the installation to verify compliance,and that that if such checking identifies defects,I am required to take corrective action at my expense.I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of Installations, including those approved as part of a sample group but not checked by a HERS rater,and if those installations fail to meet the requirements of such quality assurance checking,the required corrective action and additional checking/testing of other Installations in that HERS sample group will be performed at my expense. •I reviewed a copy of the Certificate of Compliance(CF-1R)form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-111 that apply to the installation have been met. •I will ensure that a completed,signed copy of this Installation Certificate 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 signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all installation Certificates will come from a HERS provider data registry for multiple orientation alternatives,and beginning October 1,2010,for all low-rise residential buildings. Company.Name: (Installing Subcontractor or General Contractor or Builder/Owner) W C HEATING &AIR CONDITIONING INC Responsible Person's Name: Responsible Person's Signature: Rusty Cochran Rusty Cochran CSLB License: Date Signed: Position With Company (Title): 779604 S/6/2014 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑Yes ❑No Reg: 214-A0030023A-M2100001A-0000 Registration Date/Time: 2014/07/07 18:35:33 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010