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PMT14-01056
City of Menifee Permit No.: PMT14-01056 29714 HAUN RD. 0%01UEL.A�. MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 0 510 8/2 01 4 PERMIT Site Address: 27432 EMBASSY ST, MENIFEE, CA Parcel Number: 335-323-021 92586 Construction Cost: $11,542.00 Existing Use: Proposed Use: Description of REPLACE 3.5 TON (13 SEER) PACKAGE UNIT HVAC UNIT INCLUDING DUCT WORK, SAME Work: LOCATION Owner Contractor MURIELALEXANDER VENVEST BALLARD INC 27432 EMBASSY ST 3030 MYERS STREET MENIFEE, CA 92586 RIVERSIDE, CA 92503 Applicant Phone: 9512769744 LAURA YENULONIS License Number: 878533 VENVEST BALLARD INC 3030 MYERS STREET RIVERSIDE, CA 92503 Fee Description Qt! Amount I$) Air Handling/Condensing Units SFR 1 133.00 GREEN FEE 1 1.00 $310.00 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 builiding 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 Co and my license is in ful rce�d effect. Code:The Contractor's License Law does not apply to an owner of a property License Class Lice e No. , rJ who builds or improves thereon, and who contracts for the projects with a Expi31-1�1 Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION D LA TION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ I 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 by this permit, I cannot legally sell a structure that I have permit is issued. built as an owner-building if it has not been constructed in its entirety by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the t' 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:Hie'//Mwm.leoinfo.ca.govLcalaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier � OT !ng ce,�\� _(� y1_ C Wts . Property Owner or Authorized Agent Date Expires VA� Policy T#enC�y��Daa��e0� ❑Agent Sf'l� /� ,04�' O.f)C'S By my Signature below, certify to each of the following: I am the property Name ofA g owner or authorized to act on the property owner's behalf. I have read this t be completed if the permit is for application and the information I have provided is correct. i agree to comply (This section need no one-hundred dollars be 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 so as to become subject to the ,�• ,,, ,lt. workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor rop N ner or Authorized Agent Date Code, I shall forthwith comply with those provisions. City ass L ense# '3�Q0! Date r ` Applican �A WARNING: FAILURE TO E URE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNL FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND - CIVIL-FINES-UP-TO-ONE-HUNDRED-THOUSAND-DOLLARS- ---- WILL T-HE AP-P-LIQAN-T OR-FUTURE-&UILDI.NG ($100,000), IN ADDITION TO THE COST OF COMPENSATION, ❑YES 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 ❑NO 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 ❑NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS 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 OYES 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, ❑NO 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 I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or ❑YES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensors 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($500).) CODE SECTION 25505, 25533,AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING. compensation, will do ( )all of or ( )porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY O 1`Yl ENIFIuE PUCK No: ermi - 14- OI (o 29714 Haun Road Date: Date' Menifee, CA 92586 _ —1 L Phone: (951)672-6777 Amount' unt`.,(Dw Fax:(951)679-3843 Ck#: Ck#:v' S� Building Combination Permit 1 To Be Completed By Applicant Legal Description:TQ—_ ! 1 Planning Case: F: L: Rt: R: Property dress: Assessor's Parcel Number. Projectf Want Name: Unit#: Floor P Name: Hong N Fax No.e y 1 Property Address: Unit J ber Zip Code qasEta Owner Email Address: 1 hone No. s AA F x No. Applicant Address: _ �7 nit Number Zp Email dtlress: Name: P ne No. F x v ContractorAddress: S ZIP de tS ontr rotor s t s censo o. Contracto i to of alifamla License No. Classificat' Number of Squares: Square Footage \1)9 0_} Description of Work: \ _ V'Z 6 1 Cost of Work:$ 3t Ap icant's Signature 'l� ( uC l< le: To Be Co eted ey uny Staff Only indicate As R-Received or MA-Not Applicable 5 Completes sets of fully dimension.0 can to sale plans which include: 1 set of documents which include ❑ l 0e Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8'/.x 11) ❑ Structural calculations ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Shatral Frarning Plan 8 Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration" Addition' MeansMlethods Work Type H Repair' Retrofit" Revision to Using Perini Required? YES NO Proposed Building Use(s): Existing Building Use(s): Buildings: #Units: #Stories Wi l the Building Have a Basement? Y of N Bldg,Code Occupancy Group Indicate Indicate it YES or NO Indicate all Geodech.Hw.Zone At Project Construction Spnnxlered that apply: Coastal Zone Completion: Type(s): C m o yES or NO Noise Zone Required? Listed on Historic Resources Irvenlory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comin Zoning Administrator Fee Exempt: City Project mic Elec.Vehicle Charger Landmark Seis Retrofit 't"u'a'� as Expedite Project(s): Child Care City Project Green Building Landmark I Affordable Housing For Stall Use only Buiiding!Safety Permit Specialist City Planning I CrvA E.ngineenng I EL'WM-Atlmin Tansponaw..Mgmt. I Renl Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Simplified Prescriptive Certificate of Compliance:2008 Residential HVACAlterations CF-IR-ALT-HVAC Climate Zones 10 to 15 Site Address: Enforcement A ncy: Date, — ati�q:' Conditioned Floor M Equipment Type' List Minimum Efficiencyz Duct insulation requirement Area Thermostat Packaged Unit Over 40 R of ducts added or ®Furnace WEER FUE COP Setback ®Indoor Coil � HSPF replaced in unconditioned space Set rvedOby system (Ijnor already Condensing Unit ER Resistance ®R 6 (CZ 10-13) 1 sf present,must be Other R 8 (CZ 14-15) installed) 1.Equipment Type:Choose the equipment being installed,-if more than one system,use another CF-I R-A L T-H VA Cfor each system. 2.Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor 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 Required Forms: • All HVAC Equipment replaced C17-61t forms: MECH-04,MECH-21-IIERS and(for split systems)MECH-25-HERS CF-4R forms: MECH-21 and(fors lit systems) MECH-25 • Condenser Coil and/or • Indoor Coil and/or CF-6R forms: MECH-2I-HERS and(for split systems)MECH-25-HERS • Furnace CF-4R forms: MECH-21 and(for split systems) MECH-25 For Split Systems:Duct leakage<15 percent; RC,CCA>300 CFM/ton(Minimum Air Flow Requirement),TMAH For Packaged Units: Duct leakage< 15 percent Exempted from duct leakage testing if: 1.Duct system was documented to have been previously sealed and confirmed through HERS verification,or 2.Duct systems with less than 40 linear feet in unconditioned space,or 3. Existing ducts stems are constructed,insulated or sealed with asbestos 2.New HVAC System Required Forms: t}J • Cut in or Changeout with new CF-6R forms: MECH-04,MECH-20-HERS,and(for split systems)MECH-22-HERS,and MECH-25-HERS ducts:(all new ducting and all CF-4R forms: MECH 2O-,and(for split systems)MECH-22,and MECH 25 new equipment) For Split Systems:Duct leakage<6 percent;RC,CCA>350 CFM/ton,FWD,TMAH,STMS,and either HSPP or PSPP. For Packaged Units:Duct leakage<6 percent 3.New Ducts with/or without Replacement Required Forms: • Includes replacing or installing all new ducting CF-6R forms: MECH-04,MECH-20-HERS,and(for split systems)MECH-25-HERS and/or outdoor condensing unit and/or indoor coil CF-4R forms:MECH-20 and(for split systems)MECH-25 and/or furnace. No or some 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-21-HERS CF-4R forms: MECH-21 linear feet of duct in unconditioned space. For splits stem or packaged units: Duct leakage< 15 percent _! EXCEPTION:Existin 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. • 1 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 I 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 s22cifications submitted to the enforcement agency fora royal with the rnit a licanon. Nametaura Yenulonis - Agent signs u e: i _ "'I' y'Venvest Ballard Inc., dba: RighTime Air Conditioning & Heatin te: Address: Li Myers Street Llcense:878533 City/state/ZifiRiverside, Ca 92503 Pnone:951-276-9744 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test—Completely New or Replacement Duct S stem (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 27432 Embasst St Sun City CA 92586 Menifee,City of PMT14-01056 Enter the Duct System Name or Identification/Tag:Home Enter the Duct System Location or Area Served:Home Note: Submit one Installation Certificatefor each duct system that mast demonstrate compliance in the dwelling. This certificate is requiredfor compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. 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. Duct Leakage Diagnostic Test—completely new or replacement ducts stem Enter a value for the Allowed Leakage(CFM)for the duct system leakage verification. The value entered must be the Verified Low Leakage Ducts in Conditioned Space criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space(VLLDCS)Compliance Credit. If compliance credit Allowed for verified low leakage ducts in conditioned space is shown in the special features section of the CF-1R,the Leakage leakage to outside test method must be used to verify duct leakage(refer to RA3.1.4.3.4),and 25 CFM must be (CFM) entered for Allowed Leakage. Allowed lc fa ens cu ation {select one dhlculatton method** ' _ rise 6%(leakage�fActor= 0.06)for cal ations. When utilizing Low Leakage Air Handler L c e.,1he allowed duct leakage may be specified by the CF-1 R to be less than 6%, in which case the user4s re � �Ithe calculations below. For example,if the user-specified leakage(speci °eras a pe c nt ge ofn a )Ts reported on the CF-I R as 3%,then use a leakage factor of 0.03 in the c ow. Q�+ ) Cooling system method: J V Nominal capacity of condenser in T 4.01) x 400 x leakage factor ❑ Heating system method 21.7 x Ou�p`ut spa In Thousands of Btu/hr x leakaglactor= ( f M) ❑ Measured airflow method(RA3.3): Enter measured fan flow in CFM here x leakage factor = (CFM) Enter value for Actual leakage(CFM)in the right column,from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 68.00 Pass if Actual Leakage is less than Allowed Leakage ©Pass❑Fail For complete replacement of duct systems only,if the 6 percent leakage rate criteria cannot be met,a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet),and not from other accessible portions of the duct system. A HERS rater must verify the installation(No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks(except for existing air handler)are sealed using smoke ❑Pass❑Fail Registration Number 314-A0020745A-M2023624A-M20A Registration Date/Time: 05115/201411:24:14 HERS Provider. caPCA 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF4R MECH-20 Duct Leakage Test—Completely New or Replacement Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 27432 Embasst St Sun City CA 92586 Menifee,City of PMT14-01056 El Outside (?A)ducts for Cen 1 F to I v atil s sh not a Mseal d/�tyaped off during duct leakage test g. CFI OA.ducts tHa� Ji lr l d 16ff16ft104 itilation is required to meet ASHRAE Standard 62.2,and OA v tilati 3 is of re aired, a be confi fd to Oct position during duct leakage testing ©CYI a dic ' A S O C Ios All supply and return register boots usfg„sealed to the drywall frubbcFa:dhesivc El New duct installations cannot utilize building cavities as plenums reurns in lieu of ducts. l Mastic and draw bands must be used in combination with Cloth b duet tape to seat leaks at duct connections. DECLARATION STATEMENTI certify under penalty ofperjury, he 's of the State of Californiis, on this form is true and coned. • 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-1 R)approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s)(CF-6R),signed and submitted by the persons) responsible for the installation conforms to the requirements specified on the Certificate(s)of Compliance(CF-1 R)approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate.(CF-6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Venvest Ballard/Righttime HVAC Responsible Perseus Name: CSLB License: Ruth Debrick 878533 HERS Provider Data Registry Information Sample Group#(if applicable): 0 tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information HERS Rater Company Name: Athens Air Inc. Responsible Rater's Name Responsible Rater's Signature Andrew Pulos Andrew Pulos Responsible Rater's Certification Number w/this HERS Provider: Date Signed: 1095886 5/15/2014 Registration Number: 014-Ao020745A-M2023624A-M20A Registration Date/Time: 05/15/2014 11:24:14 HERS Provider: cevcA 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test—Completely New or Replacement Duct System (Page I of 2) Site Address: Enforcement Agency: Permit Number: 27432 Embasst St Sun City CA 92586 Menifee,City of PMT14-01056 Enter the Duct System Name or Identification/Tag: Home Enter the Duct System Location or Area Served: Home Note: Submit one Installation Certiffcatefor each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliancefor completely new duct systems installed in new dwelling construction,and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existingparts ofthe original duct system(e.g.,register boots,air handler, coil, plenums, etc)if those parts are accessible and they can be sealed. Duct Leakage Diagnostic Test—completely new or replacement ducts stem Enter a value for the Allowed Leakage(CFM)for the duct system leakage verification. The value entered must be the Verified Low Leakage Ducts in Conditioned Space criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space(VLLDCS)Compliance Credit. If compliance credit Allowed for verified low leakage ducts in conditioned space is shown in the special features section of the CF-1 R,the Leakage leakage to outside test method must be used to verify duct leakage(refer to RA3.1.4.3.4),and 25 CFM must be (CFM) entered for Allowed Leaka e. Allowed le s age caidulah'bn 0eleet one ealwlation triethod ito !S'section). Use 6%(IeahageyT ctor= 0.06)for calculations if tested at"final"or 4%(leakage factor=0.04)if tested at"rough." When util4ing Low Leakage Air Handler(LLAH)credit,the allowed duct leakage`maybe specified by the CF-IR OF" than 6%,in which case the user-specified leakage rate must be used in the calculations below. For example,if the user-specified leakage(specified as a percentage of fan airflow)is reported m F-IR as 3%,then use a leakage factor of 0.03 in the calculations below. El Cooling system.method: Nominal capacity of condenser in Tons 4 x 400 x lea!all fact 96 O Heating system method: 21.7 x Output Capacity in Thousands of Btu/hr x leakage factor= (CtM) 4316:.:6.,,:: Measured airflow method(RA3.3): A Enter measured fan flow in CFM here x leakage factor = (CFM) 6 Enter value for Actual leakage(CFM)in the right column,from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.l(CFM @ 25 Pa). CFM) List Actual Leakage from duct leakage test(CFM) 68 Pass if Actual Leakage is less than Allowed Leakage • Pass Fail For complete replacement of duct systems only,if the 6 percent leakage rate criteria cannot be met,a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet),and not from other accessible portions of the duct system. A HERS rater must verify the installation o sampling allowed). List Actual Leakage from smoke test CFM Pass if all accessible leaks(except for existing air handler)are sealed using smoke Pass Fail Registration Number.* 314-AM20746A-ee2023624A-o000 Registration Date/Time: 05/15/2014 11:23:21 HERS Provider: cePCA 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test—Completely New or Replacement Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 27432 Embassl St Sun City CA 92586 Menifee,City of PMT14-01056 Compliance Method This dwelling was:(select one of the following two choices): El Tested at Final ❑ Tested at Rough-in(requires installer to complete the visual inspection at final constntetion stage described below) Visual Inspection at Final Construction Stage if applicable) After installing the interior finishing wall and verifying that the above rough-in tests was completed,the following procedure must be erformed: D For all supply and return registers,verify that the spaces between the register boot and the interior finishing wall are property sealed. O If the house rough-in duct leakage test was conducted without an air handler installed,inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. G Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. El Outside air(OA)ducts for Central Fan Integrated(CFI)ventilation systems,shall not be sealed/taped off during duct leakage test g. CFI'OA ducts that utilize controlledabbtorized ddtllpers,that open only when OA.vetntilation is required to meet ASH Standard 62.2,and close when OA ventilation.is not required, may be configured tmhe closed position during duct leakage testing. -j#gggrs Association O All supply and return register boots must be seal lm•YLq ►`1 L 1 16 0 New duct installations cannot utilize building cavities as plenums o s in lieu of ducts. O Mastic and draw bands must be used in combination with Cloth ba ive duct tape to seal leaks at duct connections. DECLARATION STATEMENT • I certify under penalty of perjury,under the laws of the State of California,the informationptovided 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). - -1 1 • 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-I R)torn approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-IR 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) Venvest Ballard/Righttime HVAC Responsible Person's Name: Responsible Person's Signature: Ruth Debrick Ruth Debrick CSLB License: Date Signed: Position With Company(Title): 878533 6/15/2014 owner Is this installation monitored by a Third Party Quality Control Name of TPQCP(if applicable): Program(TPQCP)? ❑Yes EINo Registration Number: 3t4-Ao020745A-rn2023624A0000 Registration DateMme: 05/15/201411:23:21 HERS Provider: CsaCA 2008 Residential Compliance Fonns August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems,Ducts and Fans (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 27432 Embasst St Sun City CA 92586 Menifee,City of PMT14-01056 Space Conditioning Systems Heating Equipment Duct Efficiency Location Equip (AFUE, (attic, Type ARI #of etc.)1,3 crawl- Heating Heating (package- CEC Certified Mfr.Name Reference Identical (>_CF-1R space, Duct Load Capacity heat um ) and Model Number Number S stems value)` etc.) R-value Btu/hr) Btu/hr) HeatPump Goodman GPH1348M41 1 7.8 Home 6 48000 48000 A. Cooling Eq Efficiency 'Duct Equip (SEER Location Type _ and EER) (attic, (package #of 1.3 crawl- Cooling Cooling heat CEC Certified Mfr. efer. cc Identical (aCF-1R space, Duct Load Capacity pump) and Model Num er'- Systems .. uql 4 -etc.) R-value (Btulhr) (Btu/hr) Aireonditioner Goodman GPHlMM41 1 13 Ham. 6 32060 48m0 1.Ifproject is new construction, see Footnotes to Standards Table 151-B and Table 151-Cfor duct ceiling alternative compliance. 2.ARI Reference Number can be found by entering the equipment model number athttp://www.aridirectory.org/ari/ac.php# 3.Listed efficiency on this page must be greater than or equal(>)to the value shown on the CF-1Rfarm. 4. When CF-1 R is reference it is also applicable to the CF-I R, CF-I R-AA or CF-IR-ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM ❑� §110-§113:HVAC equipment is certified by the California Energy Commission. ❑� §150(h):Heating and/or cooling loads calculated in accordance with ASHRAE,SMACNA,or ACCA. ❑ §I50(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of§I12(c). �✓ §1500)2:Pipe insulation for cooling system refrigerant suction,chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-IVIECH-04 Space Conditioning Systems,Ducts and Fans (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 27432 Embasst St Sun City CA 92586 Menifee,City of PMT14-01056 Ducts and Fans §150(m):Duct and Fans ❑ 1.All air-distribution system ducts and plenums installed,sealed and insulated to meet the requirements of CIVIC Sections 601,602,603,604,605 and Standard 6-5;supply-air and return-air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic,tape or other duct-closure system that meets the applicable requirements of UL 181,UL 181A,or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch,the combination of mastic and either mesh or tape shall be used;and 0 1.Building cavities,support platforms for air handlers,and plenums defined or constructed with materials other than sealed sheet metal,duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. R3 2D.Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is.used in combination with mastic and draw bands. R1 7.Exhaust fan systems have back draft or automatic dampers. ❑✓ 8.Gravity ventilating systems serving.conditioned space have either automatic or readily accessible,manually operated AK2,'I f [1 �i� i i �'4.i � V i ,� I Q�� ❑ 9.Protecioa� f sulah a shalll bb prn'd om amag mclu ing that tote to symlight,moisture, equipment maintenance and wind- a �esot � +�t�eating that is water retardant and provides shiet "_g rom solar radiation that can cause degradation o the matena. ❑✓ 10.Flexible ducts cannot have porous inner cores. 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 enforcement agency. • 1 reviewed a copy of the Certificate of Compliance(CF-IR)form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-1 R 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. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Venvest Ballard/Righttime HVAC Responsible Person's Name: Responsible Person's Signature: Ruth Debrick Ruth Debrick CSLB License: Date Signed: Position With Company(Title): 878533 5/15/2014 owner 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 2 of 5 Project Name: Climate Zone# #of Stories Muriel Alexander 10 i Mass and Furring Strips Construction ootnotes 1.Indicate the type ofassenubly to include;Hollow Unit Masonry Walls,Solid Unit Masonry,Solid Concrete Walls,Etc. Additional assemblies can be found Reference Joint Appendix JA4. . This is the U-Factor based on the thickness of the assembly in inches. . The R-value of the insulation to be added on the interior or exterior of the assembly. 4. The Calculated R-Value is the R-value of the furred out section of the assembly. .-6.The Final Assembly is calculated rising Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column D added to Column L Column K is the inverse from column J 7. Insert the calculated U-actor value on to the Opaque Surface Details in Column J FENESTRATION PROPOSED AREAS ❑Replacing window alone—Replacement windows shall meet the U-Factor and SHGC Value requirements of Component Package D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. ❑Adding 50ft2 or less of window area—Newly installed windows shall meet the U-Factor and SHGC Value requirements of Component Package D in Table 151-C. ❑Adding more than 50ft'of window area— Newly installed windows shall meet the U-Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-C.Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF-I R-ALT //''�� t i yy,r Fenestrat{rla Type and 1*�y1F{iia f T�s{Au� yryr m NFRC or Default (Window,Glass Door or Skyli ht) uth,We ) -factorz'' StIGC':° Value' - Y£ 1.Fenestration area is the area of total gla d product(i.e,glass plus frame). Ex14O s less than 50%glass, the fenestration area may be the glass area plus a "2 inc frame"ground the glass. _ 2. Enter value from Component Package D Requiremen)s in Table 151-C. 3.Acnml fenestration products installed and as indicated in CF-6R-ENV Form shall be equivalent to or have a lower U factdr and/or a lower SHGC value than that specified on the CF-I R ALT Form. 4.Submit a completed WS-3R Form if a reduced SHGC is calculated with exterior shading. 5.lfopplicable at this stage enter "NFRC" or NFRC Certified windows or are CEC"Default"values found in Table II6-A or B. ALTERED FENESTRATION ALLOWED AREAS(Complete if more than 50ftu offenestration is added) A B C D E F G Allowed Existing Fenestration Total Area CFA of Entire %of Fenestration Area Fenestration Allowed Proposed Area' Dwelling CIA Area Removed Area Added (A x B) (E-D)+C Total Fenestration Area (it') 20 > West Fenestration Area (Required In .05 > CZ's 2,4&7-15) 1. West Fenestration Area includes west-sloping skylights and any skylights with a pitch less than 1:12. 2. West facing glazing area removed cannot be "counted"twice." In order to distribute the west glazing area removed to the other orientations, input the west glazing area removed in the Total Fenestration Area row,column D. 3.Include the Proposed Area of the West facingfenesiration in both Area columns below. 4. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area for BOTH the Total and West Fenestration Areas. Registration Number: 314-A0020745A-000000000-0000 Registration Date/Time: 05/15/2014 10:25:42 HERSProvider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 3 of 5) Project Name: Climate Zone# #of Stories Muriel Alexander 10 1 ROOFING PRODUCTS(COOL ROOFS)§1570912 When the area of exterior roofsurface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 f,whichever is less,the new roofing area must meet the roofing product"Cool Roof'requirements of§752(b)111i,151(b)1Hii,or 152(b)111M. Check applicable alternative or exception below if the roofalteration is exempt from the roofingproduct"Cool Roof'requirements.Note:lfany one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(i)are not applicable.Do not fill table below. ❑Cool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch. OCool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit.weight less than 51b/fi'. Alternatives to§152(b)l Hi and§352(b)Hii,Steep-slope roof(pitch>2:12) ❑ Insulation with a thermal resistance of at least 0.85 hrft`-°FBtu or at least a 3/4 inch air-space is added to the roof deck over an attic;or ❑ Existing ducts in the attic are insulated and sealed according to§151(010;or ❑ In climate zones 10,12 and 13,with 1 ft of free ventilation area of attic ventilation for every 150 ftt ofattic floor area,and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or ❑ Building has at least R-30 ceiling insulation;or ❑ Building has m nt b the yattic meecgttiing f krrequirq inpf§151(02;1( �y ! p ry❑ Building has nud-V l' nia t5UI '�'i iPerformanc❑ In climate cones 10 1 'wand 14,R-3 r deck ianon al7orie ve/n�ted�*aytt�ic. /+ * /�Exception to§152(b)1Hny Low-slope roof(p'., ionract1Jrs Association ❑ Building has no ducts in the attic. Other Exceptions ❑Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. ❑Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/11'is exempt from the below.Cool Roof criteria. Note:If no CRRC-1 label is available,this compliance method cannot be used,use the Perfonnauce Approach to show compliance,otherwise, Check the applicable box below if Exem t from the Roofing Products"Cool Roof'Requirement Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number' E-4 2:12 ->2:12 < 5lb/ft2 > 5lb/ft' Type'- Reflectance" Emittance SRIS ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 1.The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.org1products/search.nhn 2.Indicate the type ofproduct is being usedfor the rooftop,i.e.single-ply roof;asphalt roof,metal roof,etc. . Ifthe Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then rise the Initial Reflectance value from the same directory and use the equation(0.1+0.7(pr i,1—0.2)to obtain a calculated aged value. Where pis the Initial Solar Reflectance. 4.Check box if the Aged Reflectance is a calculated value using the equation above. .Calculate the SRI value by rising the SRI-Worksheet at hire://uww.enereuca.rov/title24/and enter the resulting value in the SRI Colman above and attach acopy of the SRI-Worksheet to the CF-IR. o apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry and thickness or coverage ecommended by the coatings manufacturer and meet minimum performance requirements listed in§I18(i)4. Select the applicable coating: ❑ Aluminum-Pigmented Asphalt Roof Coating ❑ Cement-Based Roof Coating ❑ Other Registration Number. 314-A0020745A-000000000-0000 Registration Date/Time: 05/1 512014 1 0:25:42 HERSPravider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 4 of 5) Project Name: Climate Zone# #of Stories Muriel Alexander 10 1 HVAC SYSTEMS-HEATING Minimum Duct or Piping Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central,Split, Type and Capacity',2,3 AFUE or HSPF) Type and Location' R-Value Type Space,Package or Hydronic) HeatPump,48000 7.8 HSPF Ducted, 6 SetBack Split I.Indicate Heating Type(Central Furnace, Wall Furnace,Heat pump,Boiler,Electric Resistance,etc.) 2.Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental(i.e.,if total capacity <2 KW or 7,000 Btulhr electric heating is controlled by a time-limiting device not exceeding 30 minutes). See§151(b)3 exception. 3.Refer to the HERS Verification section on Page 4 of the CF-I R-ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location(Ducts,Hydronic in Floor, Radiators,etc.) HVAC SYSTEMS-COOLING Minimum Efficiency Duct or Piping Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central,Split, Type and Capacity',' COP) Type and Location' R-Value Type Space,Package or Hydronic) AirConditioner, 00 13 SEEJ2 p ct , 6 SetBack Split wromame 1.Re cote Cooling 1 e(A/ation ection on Page 4 Cooling tc �ac � A A� 2.Refer to the HERS IrenJication section on Page 4 o t ] T t 1 llc axes. 3.Indicate Type or Location(Ducts,Hvdronie in Floor,Radiators,etc.) WATER HEATING List water heaters and boilersfor both domestic hot water(DHW)heaters and htaronic space heating. Individual dwelling DHW heaters must be gas or propane fired,and may not exceed 50 gallons. Hot water pipe insulation from the DHW to the kitchens)and anal!underground hot water i es is required in all cam anent packages in all climate zones. External Tank Water Heater Type/Fuel Dislribuion Type Number In '41Energy Factor or Insulation Type' (Standard,Recirculating) System Capacity(gal) Thermal Efficiency! R-Value' 1.Indicate Type(Storage Gas,Heat Pump,Instantaneous,etc.) 2.Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of§150(n). The Prescriptive requirements da not allow the installation ofa recirculating water heating system jar single dwelling units. 3. The external water heating tank and pipes shall be insulated to meet the requirements o §150 ). SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written just'ication and documentation and special verification. NEW ROOF ASSEMBLY-Radiant Barrier The radiant barrier requirement of§151 f)2 does not apply to roof alterations. Slab Edge(Perimeter)Insulation 0 YES M NO YES:In Climate Zone 16 in Component Packages D,R-7 insulation is required. Heated Slab Insulation 0 YES ONO YES:Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. .Raised Slab Insulation 0 YES ONO YES:In Climate Zones 1,2, 11,13, 14&16,R-8 insulation is required;in Climate Zones 12& 15,R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass,use the Performance Approach. Registration Number: 314-A0020745A-000000000-0000 Registration Date/Time: 05/15/201410:25:42 HER.SProvider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations �Pajge 5 of 5) Project Name: Climate Zone# #of Stories Muriel Alexander 10 1 HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF-4R Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing&Testing HERS verification is required for this measure. ❑YES ❑NO YES:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement ducts are installed in unconditioned space,the ducts are to be sealed per§152(b)1Dii and the newly installed ducts are to be insulated per§151(f)10. ❑ EXCEPTION:Existing duct systems that are extended,which are constructed,insulated or sealed with asbestos. El YES Cl NO YES:In Climate Zones 2 and 9-16,if the existing space-conditioning system(HVAC equipment and dueling)is replaced,the ducts are to be sealed per§152(b)lDi. ❑YES ❑NO YES:In Climate Zones 2 and 9.16,if the existing HVAC equipment is replaced(including the replacement of the air handler, outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be sealed per§152(b)1E. ❑ EXCEPTION:Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION:Duct systems with less than 40 linear feet in unconditioned space. (3 EXCEPTION:Existing ducts stems constructed,insulated or sealed with asbestos. Refrigerant Charge-Split System HERS verification is required for this measure. 0 YES 17 N ES ba Climate Zones2 and 845,when the,"isting HV e ui t is re laced including the replacement of the air ' handlef"'lti leensing unit of a split systenl l �l,or the furnace heat exchanger)a re1jrigeraut chvge measurement shall be verified per§ 2(bff Central Fan Integrated (CFI)Ventilatlo o ijvrgumt Biro Association The ventilation requirements of§150(o)do not apply to existing residential homes. Ducted Split Systems-Air Conditioners and Beat Pumps:Airflow HFA11111111111w' required for this measure. 0 YES ❑NO YES:In Climate Zones 10 through 15,when the existing spa _ (I-IVAC equipment and ducting)is replaced,the airflow and fan watt draw shall be verified ei' l'52(b)l meet therequirements of§I51(07B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and cmnpQjjNWFfflr Name:Ruth Debrick Signature: Ruth Debrick Company:Venvest Ballard/Righttime HVAC Date: 5/15/2014 Address:3030 Myers St,Street If Applicable❑CEA or 13CEPE (Certification#): City/State/Zip:Riverside California 92503 Phone: 951-217-2753 Responsible Building Designer's Declaration Statement • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building 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 building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: Company: Date: 5/15/2014 Address: License: 879533 City/State/Zip: Phone: For assistance or questions regarding the Energy Standards,contact the Energy Hotline at. 1-800-772-3300. Registration Number: 314-A0020745A-000000000-0000 Registration Date/Time.: 05/15/201410:25:42 HERSProvid, CBPCA 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test—Completely New or Replacement Duct S stem (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 27432 Embasst St Sun City CA 92586 Menifee,City of PMT14-01056 Enter the Duct System Name or Identification/Tag:Home Enter the Duct System Location or Area Served:Home Note: Submit one Installation Certificatefor each duct system that mast demonstrate compliance in the dwelling. This certificate is requiredfor compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. 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. Duct Leakage Diagnostic Test—completely new or replacement ducts stem Enter a value for the Allowed Leakage(CFM)for the duct system leakage verification. The value entered must be the Verified Low Leakage Ducts in Conditioned Space criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space(VLLDCS)Compliance Credit. If compliance credit Allowed for verified low leakage ducts in conditioned space is shown in the special features section of the CF-1R,the Leakage leakage to outside test method must be used to verify duct leakage(refer to RA3.1.4.3.4),and 25 CFM must be (CFM) entered for Allowed Leakage. Allowed lc fa ens cu ation {select one dhlculatton method** ' _ rise 6%(leakage�fActor= 0.06)for cal ations. When utilizing Low Leakage Air Handler L c e.,1he allowed duct leakage may be specified by the CF-1 R to be less than 6%, in which case the user4s re � �Ithe calculations below. For example,if the user-specified leakage(speci °eras a pe c nt ge ofn a )Ts reported on the CF-I R as 3%,then use a leakage factor of 0.03 in the c ow. Q�+ ) Cooling system method: J V Nominal capacity of condenser in T 4.01) x 400 x leakage factor ❑ Heating system method 21.7 x Ou�p`ut spa In Thousands of Btu/hr x leakaglactor= ( f M) ❑ Measured airflow method(RA3.3): Enter measured fan flow in CFM here x leakage factor = (CFM) Enter value for Actual leakage(CFM)in the right column,from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 68.00 Pass if Actual Leakage is less than Allowed Leakage ©Pass❑Fail For complete replacement of duct systems only,if the 6 percent leakage rate criteria cannot be met,a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet),and not from other accessible portions of the duct system. A HERS rater must verify the installation(No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks(except for existing air handler)are sealed using smoke ❑Pass❑Fail Registration Number 314-A0020745A-M2023624A-M20A Registration Date/Time: 05115/201411:24:14 HERS Provider. caPCA 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF4R MECH-20 Duct Leakage Test—Completely New or Replacement Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 27432 Embasst St Sun City CA 92586 Menifee,City of PMT14-01056 El Outside (?A)ducts for Cen 1 F to I v atil s sh not a Mseal d/�tyaped off during duct leakage test g. CFI OA.ducts tHa� Ji lr l d 16ff16ft104 itilation is required to meet ASHRAE Standard 62.2,and OA v tilati 3 is of re aired, a be confi fd to Oct position during duct leakage testing ©CYI a dic ' A S O C Ios All supply and return register boots usfg„sealed to the drywall frubbcFa:dhesivc El New duct installations cannot utilize building cavities as plenums reurns in lieu of ducts. l Mastic and draw bands must be used in combination with Cloth b duet tape to seat leaks at duct connections. DECLARATION STATEMENTI certify under penalty ofperjury, he 's of the State of Californiis, on this form is true and coned. • 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-1 R)approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s)(CF-6R),signed and submitted by the persons) responsible for the installation conforms to the requirements specified on the Certificate(s)of Compliance(CF-1 R)approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate.(CF-6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Venvest Ballard/Righttime HVAC Responsible Perseus Name: CSLB License: Ruth Debrick 878533 HERS Provider Data Registry Information Sample Group#(if applicable): 0 tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information HERS Rater Company Name: Athens Air Inc. Responsible Rater's Name Responsible Rater's Signature Andrew Pulos Andrew Pulos Responsible Rater's Certification Number w/this HERS Provider: Date Signed: 1095886 5/15/2014 Registration Number: 014-Ao020745A-M2023624A-M20A Registration Date/Time: 05/15/2014 11:24:14 HERS Provider: cevcA 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test—Completely New or Replacement Duct System (Page I of 2) Site Address: Enforcement Agency: Permit Number: 27432 Embasst St Sun City CA 92586 Menifee,City of PMT14-01056 Enter the Duct System Name or Identification/Tag: Home Enter the Duct System Location or Area Served: Home Note: Submit one Installation Certiffcatefor each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliancefor completely new duct systems installed in new dwelling construction,and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existingparts ofthe original duct system(e.g.,register boots,air handler, coil, plenums, etc)if those parts are accessible and they can be sealed. Duct Leakage Diagnostic Test—completely new or replacement ducts stem Enter a value for the Allowed Leakage(CFM)for the duct system leakage verification. The value entered must be the Verified Low Leakage Ducts in Conditioned Space criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space(VLLDCS)Compliance Credit. If compliance credit Allowed for verified low leakage ducts in conditioned space is shown in the special features section of the CF-1 R,the Leakage leakage to outside test method must be used to verify duct leakage(refer to RA3.1.4.3.4),and 25 CFM must be (CFM) entered for Allowed Leaka e. Allowed le s age caidulah'bn 0eleet one ealwlation triethod ito !S'section). Use 6%(IeahageyT ctor= 0.06)for calculations if tested at"final"or 4%(leakage factor=0.04)if tested at"rough." When util4ing Low Leakage Air Handler(LLAH)credit,the allowed duct leakage`maybe specified by the CF-IR OF" than 6%,in which case the user-specified leakage rate must be used in the calculations below. For example,if the user-specified leakage(specified as a percentage of fan airflow)is reported m F-IR as 3%,then use a leakage factor of 0.03 in the calculations below. El Cooling system.method: Nominal capacity of condenser in Tons 4 x 400 x lea!all fact 96 O Heating system method: 21.7 x Output Capacity in Thousands of Btu/hr x leakage factor= (CtM) 4316:.:6.,,:: Measured airflow method(RA3.3): A Enter measured fan flow in CFM here x leakage factor = (CFM) 6 Enter value for Actual leakage(CFM)in the right column,from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.l(CFM @ 25 Pa). CFM) List Actual Leakage from duct leakage test(CFM) 68 Pass if Actual Leakage is less than Allowed Leakage • Pass Fail For complete replacement of duct systems only,if the 6 percent leakage rate criteria cannot be met,a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet),and not from other accessible portions of the duct system. A HERS rater must verify the installation o sampling allowed). List Actual Leakage from smoke test CFM Pass if all accessible leaks(except for existing air handler)are sealed using smoke Pass Fail Registration Number.* 314-AM20746A-ee2023624A-o000 Registration Date/Time: 05/15/2014 11:23:21 HERS Provider: cePCA 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS Duct Leakage Test—Completely New or Replacement Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 27432 Embassl St Sun City CA 92586 Menifee,City of PMT14-01056 Compliance Method This dwelling was:(select one of the following two choices): El Tested at Final ❑ Tested at Rough-in(requires installer to complete the visual inspection at final constntetion stage described below) Visual Inspection at Final Construction Stage if applicable) After installing the interior finishing wall and verifying that the above rough-in tests was completed,the following procedure must be erformed: D For all supply and return registers,verify that the spaces between the register boot and the interior finishing wall are property sealed. O If the house rough-in duct leakage test was conducted without an air handler installed,inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. G Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. El Outside air(OA)ducts for Central Fan Integrated(CFI)ventilation systems,shall not be sealed/taped off during duct leakage test g. CFI'OA ducts that utilize controlledabbtorized ddtllpers,that open only when OA.vetntilation is required to meet ASH Standard 62.2,and close when OA ventilation.is not required, may be configured tmhe closed position during duct leakage testing. -j#gggrs Association O All supply and return register boots must be seal lm•YLq ►`1 L 1 16 0 New duct installations cannot utilize building cavities as plenums o s in lieu of ducts. O Mastic and draw bands must be used in combination with Cloth ba ive duct tape to seal leaks at duct connections. DECLARATION STATEMENT • I certify under penalty of perjury,under the laws of the State of California,the informationptovided 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). - -1 1 • 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-I R)torn approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-IR 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) Venvest Ballard/Righttime HVAC Responsible Person's Name: Responsible Person's Signature: Ruth Debrick Ruth Debrick CSLB License: Date Signed: Position With Company(Title): 878533 6/15/2014 owner Is this installation monitored by a Third Party Quality Control Name of TPQCP(if applicable): Program(TPQCP)? ❑Yes EINo Registration Number: 3t4-Ao020745A-rn2023624A0000 Registration DateMme: 05/15/201411:23:21 HERS Provider: CsaCA 2008 Residential Compliance Fonns August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems,Ducts and Fans (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 27432 Embasst St Sun City CA 92586 Menifee,City of PMT14-01056 Space Conditioning Systems Heating Equipment Duct Efficiency Location Equip (AFUE, (attic, Type ARI #of etc.)1,3 crawl- Heating Heating (package- CEC Certified Mfr.Name Reference Identical (>_CF-1R space, Duct Load Capacity heat um ) and Model Number Number S stems value)` etc.) R-value Btu/hr) Btu/hr) HeatPump Goodman GPH1348M41 1 7.8 Home 6 48000 48000 A. Cooling Eq Efficiency 'Duct Equip (SEER Location Type _ and EER) (attic, (package #of 1.3 crawl- Cooling Cooling heat CEC Certified Mfr. efer. cc Identical (aCF-1R space, Duct Load Capacity pump) and Model Num er'- Systems .. uql 4 -etc.) R-value (Btulhr) (Btu/hr) Aireonditioner Goodman GPHlMM41 1 13 Ham. 6 32060 48m0 1.Ifproject is new construction, see Footnotes to Standards Table 151-B and Table 151-Cfor duct ceiling alternative compliance. 2.ARI Reference Number can be found by entering the equipment model number athttp://www.aridirectory.org/ari/ac.php# 3.Listed efficiency on this page must be greater than or equal(>)to the value shown on the CF-1Rfarm. 4. When CF-1 R is reference it is also applicable to the CF-I R, CF-I R-AA or CF-IR-ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM ❑� §110-§113:HVAC equipment is certified by the California Energy Commission. ❑� §150(h):Heating and/or cooling loads calculated in accordance with ASHRAE,SMACNA,or ACCA. ❑ §I50(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of§I12(c). �✓ §1500)2:Pipe insulation for cooling system refrigerant suction,chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-IVIECH-04 Space Conditioning Systems,Ducts and Fans (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 27432 Embasst St Sun City CA 92586 Menifee,City of PMT14-01056 Ducts and Fans §150(m):Duct and Fans ❑ 1.All air-distribution system ducts and plenums installed,sealed and insulated to meet the requirements of CIVIC Sections 601,602,603,604,605 and Standard 6-5;supply-air and return-air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic,tape or other duct-closure system that meets the applicable requirements of UL 181,UL 181A,or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch,the combination of mastic and either mesh or tape shall be used;and 0 1.Building cavities,support platforms for air handlers,and plenums defined or constructed with materials other than sealed sheet metal,duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. R3 2D.Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is.used in combination with mastic and draw bands. R1 7.Exhaust fan systems have back draft or automatic dampers. ❑✓ 8.Gravity ventilating systems serving.conditioned space have either automatic or readily accessible,manually operated AK2,'I f [1 �i� i i �'4.i � V i ,� I Q�� ❑ 9.Protecioa� f sulah a shalll bb prn'd om amag mclu ing that tote to symlight,moisture, equipment maintenance and wind- a �esot � +�t�eating that is water retardant and provides shiet "_g rom solar radiation that can cause degradation o the matena. ❑✓ 10.Flexible ducts cannot have porous inner cores. 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 enforcement agency. • 1 reviewed a copy of the Certificate of Compliance(CF-IR)form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-1 R 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. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Venvest Ballard/Righttime HVAC Responsible Person's Name: Responsible Person's Signature: Ruth Debrick Ruth Debrick CSLB License: Date Signed: Position With Company(Title): 878533 5/15/2014 owner 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 2 of 5 Project Name: Climate Zone# #of Stories Muriel Alexander 10 i Mass and Furring Strips Construction ootnotes 1.Indicate the type ofassenubly to include;Hollow Unit Masonry Walls,Solid Unit Masonry,Solid Concrete Walls,Etc. Additional assemblies can be found Reference Joint Appendix JA4. . This is the U-Factor based on the thickness of the assembly in inches. . The R-value of the insulation to be added on the interior or exterior of the assembly. 4. The Calculated R-Value is the R-value of the furred out section of the assembly. .-6.The Final Assembly is calculated rising Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column D added to Column L Column K is the inverse from column J 7. Insert the calculated U-actor value on to the Opaque Surface Details in Column J FENESTRATION PROPOSED AREAS ❑Replacing window alone—Replacement windows shall meet the U-Factor and SHGC Value requirements of Component Package D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. ❑Adding 50ft2 or less of window area—Newly installed windows shall meet the U-Factor and SHGC Value requirements of Component Package D in Table 151-C. ❑Adding more than 50ft'of window area— Newly installed windows shall meet the U-Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-C.Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF-I R-ALT //''�� t i yy,r Fenestrat{rla Type and 1*�y1F{iia f T�s{Au� yryr m NFRC or Default (Window,Glass Door or Skyli ht) uth,We ) -factorz'' StIGC':° Value' - Y£ 1.Fenestration area is the area of total gla d product(i.e,glass plus frame). Ex14O s less than 50%glass, the fenestration area may be the glass area plus a "2 inc frame"ground the glass. _ 2. Enter value from Component Package D Requiremen)s in Table 151-C. 3.Acnml fenestration products installed and as indicated in CF-6R-ENV Form shall be equivalent to or have a lower U factdr and/or a lower SHGC value than that specified on the CF-I R ALT Form. 4.Submit a completed WS-3R Form if a reduced SHGC is calculated with exterior shading. 5.lfopplicable at this stage enter "NFRC" or NFRC Certified windows or are CEC"Default"values found in Table II6-A or B. ALTERED FENESTRATION ALLOWED AREAS(Complete if more than 50ftu offenestration is added) A B C D E F G Allowed Existing Fenestration Total Area CFA of Entire %of Fenestration Area Fenestration Allowed Proposed Area' Dwelling CIA Area Removed Area Added (A x B) (E-D)+C Total Fenestration Area (it') 20 > West Fenestration Area (Required In .05 > CZ's 2,4&7-15) 1. West Fenestration Area includes west-sloping skylights and any skylights with a pitch less than 1:12. 2. West facing glazing area removed cannot be "counted"twice." In order to distribute the west glazing area removed to the other orientations, input the west glazing area removed in the Total Fenestration Area row,column D. 3.Include the Proposed Area of the West facingfenesiration in both Area columns below. 4. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area for BOTH the Total and West Fenestration Areas. Registration Number: 314-A0020745A-000000000-0000 Registration Date/Time: 05/15/2014 10:25:42 HERSProvider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 3 of 5) Project Name: Climate Zone# #of Stories Muriel Alexander 10 1 ROOFING PRODUCTS(COOL ROOFS)§1570912 When the area of exterior roofsurface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 f,whichever is less,the new roofing area must meet the roofing product"Cool Roof'requirements of§752(b)111i,151(b)1Hii,or 152(b)111M. Check applicable alternative or exception below if the roofalteration is exempt from the roofingproduct"Cool Roof'requirements.Note:lfany one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(i)are not applicable.Do not fill table below. ❑Cool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch. OCool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit.weight less than 51b/fi'. Alternatives to§152(b)l Hi and§352(b)Hii,Steep-slope roof(pitch>2:12) ❑ Insulation with a thermal resistance of at least 0.85 hrft`-°FBtu or at least a 3/4 inch air-space is added to the roof deck over an attic;or ❑ Existing ducts in the attic are insulated and sealed according to§151(010;or ❑ In climate zones 10,12 and 13,with 1 ft of free ventilation area of attic ventilation for every 150 ftt ofattic floor area,and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or ❑ Building has at least R-30 ceiling insulation;or ❑ Building has m nt b the yattic meecgttiing f krrequirq inpf§151(02;1( �y ! p ry❑ Building has nud-V l' nia t5UI '�'i iPerformanc❑ In climate cones 10 1 'wand 14,R-3 r deck ianon al7orie ve/n�ted�*aytt�ic. /+ * /�Exception to§152(b)1Hny Low-slope roof(p'., ionract1Jrs Association ❑ Building has no ducts in the attic. Other Exceptions ❑Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. ❑Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/11'is exempt from the below.Cool Roof criteria. Note:If no CRRC-1 label is available,this compliance method cannot be used,use the Perfonnauce Approach to show compliance,otherwise, Check the applicable box below if Exem t from the Roofing Products"Cool Roof'Requirement Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number' E-4 2:12 ->2:12 < 5lb/ft2 > 5lb/ft' Type'- Reflectance" Emittance SRIS ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 1.The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.org1products/search.nhn 2.Indicate the type ofproduct is being usedfor the rooftop,i.e.single-ply roof;asphalt roof,metal roof,etc. . Ifthe Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then rise the Initial Reflectance value from the same directory and use the equation(0.1+0.7(pr i,1—0.2)to obtain a calculated aged value. Where pis the Initial Solar Reflectance. 4.Check box if the Aged Reflectance is a calculated value using the equation above. .Calculate the SRI value by rising the SRI-Worksheet at hire://uww.enereuca.rov/title24/and enter the resulting value in the SRI Colman above and attach acopy of the SRI-Worksheet to the CF-IR. o apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry and thickness or coverage ecommended by the coatings manufacturer and meet minimum performance requirements listed in§I18(i)4. Select the applicable coating: ❑ Aluminum-Pigmented Asphalt Roof Coating ❑ Cement-Based Roof Coating ❑ Other Registration Number. 314-A0020745A-000000000-0000 Registration Date/Time: 05/1 512014 1 0:25:42 HERSPravider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 4 of 5) Project Name: Climate Zone# #of Stories Muriel Alexander 10 1 HVAC SYSTEMS-HEATING Minimum Duct or Piping Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central,Split, Type and Capacity',2,3 AFUE or HSPF) Type and Location' R-Value Type Space,Package or Hydronic) HeatPump,48000 7.8 HSPF Ducted, 6 SetBack Split I.Indicate Heating Type(Central Furnace, Wall Furnace,Heat pump,Boiler,Electric Resistance,etc.) 2.Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental(i.e.,if total capacity <2 KW or 7,000 Btulhr electric heating is controlled by a time-limiting device not exceeding 30 minutes). See§151(b)3 exception. 3.Refer to the HERS Verification section on Page 4 of the CF-I R-ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location(Ducts,Hydronic in Floor, Radiators,etc.) HVAC SYSTEMS-COOLING Minimum Efficiency Duct or Piping Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central,Split, Type and Capacity',' COP) Type and Location' R-Value Type Space,Package or Hydronic) AirConditioner, 00 13 SEEJ2 p ct , 6 SetBack Split wromame 1.Re cote Cooling 1 e(A/ation ection on Page 4 Cooling tc �ac � A A� 2.Refer to the HERS IrenJication section on Page 4 o t ] T t 1 llc axes. 3.Indicate Type or Location(Ducts,Hvdronie in Floor,Radiators,etc.) WATER HEATING List water heaters and boilersfor both domestic hot water(DHW)heaters and htaronic space heating. Individual dwelling DHW heaters must be gas or propane fired,and may not exceed 50 gallons. Hot water pipe insulation from the DHW to the kitchens)and anal!underground hot water i es is required in all cam anent packages in all climate zones. External Tank Water Heater Type/Fuel Dislribuion Type Number In '41Energy Factor or Insulation Type' (Standard,Recirculating) System Capacity(gal) Thermal Efficiency! R-Value' 1.Indicate Type(Storage Gas,Heat Pump,Instantaneous,etc.) 2.Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of§150(n). The Prescriptive requirements da not allow the installation ofa recirculating water heating system jar single dwelling units. 3. The external water heating tank and pipes shall be insulated to meet the requirements o §150 ). SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written just'ication and documentation and special verification. NEW ROOF ASSEMBLY-Radiant Barrier The radiant barrier requirement of§151 f)2 does not apply to roof alterations. Slab Edge(Perimeter)Insulation 0 YES M NO YES:In Climate Zone 16 in Component Packages D,R-7 insulation is required. Heated Slab Insulation 0 YES ONO YES:Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. .Raised Slab Insulation 0 YES ONO YES:In Climate Zones 1,2, 11,13, 14&16,R-8 insulation is required;in Climate Zones 12& 15,R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass,use the Performance Approach. Registration Number: 314-A0020745A-000000000-0000 Registration Date/Time: 05/15/201410:25:42 HER.SProvider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations �Pajge 5 of 5) Project Name: Climate Zone# #of Stories Muriel Alexander 10 1 HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF-4R Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing&Testing HERS verification is required for this measure. ❑YES ❑NO YES:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement ducts are installed in unconditioned space,the ducts are to be sealed per§152(b)1Dii and the newly installed ducts are to be insulated per§151(f)10. ❑ EXCEPTION:Existing duct systems that are extended,which are constructed,insulated or sealed with asbestos. El YES Cl NO YES:In Climate Zones 2 and 9-16,if the existing space-conditioning system(HVAC equipment and dueling)is replaced,the ducts are to be sealed per§152(b)lDi. ❑YES ❑NO YES:In Climate Zones 2 and 9.16,if the existing HVAC equipment is replaced(including the replacement of the air handler, outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be sealed per§152(b)1E. ❑ EXCEPTION:Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION:Duct systems with less than 40 linear feet in unconditioned space. (3 EXCEPTION:Existing ducts stems constructed,insulated or sealed with asbestos. Refrigerant Charge-Split System HERS verification is required for this measure. 0 YES 17 N ES ba Climate Zones2 and 845,when the,"isting HV e ui t is re laced including the replacement of the air ' handlef"'lti leensing unit of a split systenl l �l,or the furnace heat exchanger)a re1jrigeraut chvge measurement shall be verified per§ 2(bff Central Fan Integrated (CFI)Ventilatlo o ijvrgumt Biro Association The ventilation requirements of§150(o)do not apply to existing residential homes. Ducted Split Systems-Air Conditioners and Beat Pumps:Airflow HFA11111111111w' required for this measure. 0 YES ❑NO YES:In Climate Zones 10 through 15,when the existing spa _ (I-IVAC equipment and ducting)is replaced,the airflow and fan watt draw shall be verified ei' l'52(b)l meet therequirements of§I51(07B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and cmnpQjjNWFfflr Name:Ruth Debrick Signature: Ruth Debrick Company:Venvest Ballard/Righttime HVAC Date: 5/15/2014 Address:3030 Myers St,Street If Applicable❑CEA or 13CEPE (Certification#): City/State/Zip:Riverside California 92503 Phone: 951-217-2753 Responsible Building Designer's Declaration Statement • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building 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 building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: Company: Date: 5/15/2014 Address: License: 879533 City/State/Zip: Phone: For assistance or questions regarding the Energy Standards,contact the Energy Hotline at. 1-800-772-3300. Registration Number: 314-A0020745A-000000000-0000 Registration Date/Time.: 05/15/201410:25:42 HERSProvid, CBPCA 2008 Residential Compliance Forms August 2009