PMT14-01094 City of Menefee Permit No.: PMT14-01094
29714 HAUN RD. Type: Residential Mechanical
LLf MENIFEE, CA 92586
MENIFEE Date Issued: 05/13/2014
PERMIT
Site Address: 27748 MOONRIDGE DR, MENIFEE, CA Parcel Number: 333-251-001
92585 Construction Cost: $6,900.00
Existing Use: Proposed Use:
Description of REPLACEMENT OF EXISTING HVAC WITH NEW 2-TON 16 SEER HVAC SYSTEM
Work:
Owner Contractor
DEBORAH GARCIA CASTILLO HEATING&AIR CONDITIONING INC
27748 MOONRIDGE DRIVE 32105 HEATHER LANE
MENIFEE, CA 92585 MENIFEE, CA 92584
Applicant Phone: 9513014452
CASTILLO HEATING &AIR CONDITIONING INC
32105 HEATHER LANE License Number: 548323
MENIFEE, CA 92584
Fee Description 0Ity Amount ISI
� r A, r Gravity Type Fur�rta��or B rner„�����,�KC—
Air Handling/Condensing Units SFR 1 133.00
BUI(Ci01g P8( iIG&SUa i C@ t.. ..,,x �w �P t ,r° r 'i x W' `T`�`'` *t rz>x
s�.nw....s..,,a'•�. .o-:., h.,3, ..r-..�cv.ti., ^ 'lt
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.mt 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 G'O90 Lic nse No. 3 who builds or improves thereon, and who contracts for the projects with a
Expires. 15 Signat r licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION ECLARATION
❑ I am exempt from Iicensure 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 b this permit, cannot legally sell a structure that have
permit is issued. P Y P 9 Y
Pal' # 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
I have and will maintain workers' compensation insurance, as required by Business and Professions Code,Is available upon request when this application is
Fection 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto://www leginfo ca aov/calaw html.
permit is Issued.My workers'compensation Insurance carrier and policy number are:
Carrier Sci-F Property Owner or ut orized Agent Date
Expires 10 Policy# 9 aoa��s6
Name of Age 'ZLYYIA$ 5 Phone# �5 �65- y�� ❑ BY my Signature below, I certify to each of the following: I am the property
owner or authorized to act on the property owner's behalf. I have read this
(This section need not be ompleted 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 repre ta've of this city or county to enter the above-
. ❑ I certify that in the,performance of the work for which this permit is issued, I identifie property f e in act o u se .
shall not employ any persons in any manner so as to become subject to the
workers' compensation laws of California, and agree that if to become
subject to the workers'compensation provisions of S 'on 3 00 o Labor ropert Ow �r or Authorized Ag t Date
Code,I shall forthwith comply with tho r isions.
11`` City Business License#
Date; 05-i b-i`t Applic t'
WARNING: FAILURE TO CU RKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS U AWFUL, AN 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, AYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
__L.ABOR_CODE,.INTEREST,.AND.ATTORNEYS_FEES_.... _ ... . El 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 OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
❑NO 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 AYES 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 AYES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she Is exempt from licensers 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($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING
El I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING.
compensation, will do ( )all of or ( ) porting of the work, and the structure is PROPERTY OWNER ORAUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF M E IFEE City of Menifee PLCK No: Permit No:
29714 Haun Road Building 8 Safety De
ate: Date:
Menifee, CA 92586 MAY 13 2014 Amount: 1
Phone: (951)672-6777 Amount:
Fax:(951)679-3843 ck#:
Received ck#:
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Address: 27748 Moonridge Dr. Romoland, Ca. 92585 Assessor's Parcel Nu b r.
3- -oo
Project/Tenant Name: Unit#: Floor#:
Garcia, Deborah
Name: Garcia, Deborah P ° NO- Fax No.
Property Address: Unit Number Zi
Owner 27748 Moonridge Dr. Romoland Ca. Zip Code 92585
Email Address:
Name:Margarita Castillo Phone No. 951-301-4452 Fax No.
g 951-679-8632
Applicant Address: Unit Number Zip Code
32105 Heather Lane Menifee, CA 92584
Email Address:info@castillohvac.net
Name: Castillo Heating and Air Conditioning, Inc. Phone No. Fax No.
951-301-4452 951-679-8632
Contractor Address: 32105 Heather Lane C"yMenifee state CA zip code 92584
Contractor's CItyOB87 inOess icense o. Contractor's 4ty State of California License No- Classification: C20
Number of Squares: UU
Square Footage 865 sq ft
Description of Work: Cost of Work:$
ReDlacement of a ist' hvac with new 2 ton 16 SEER hvac system. I
Date: 6,900.00
Sin ur
To Be Be Completed By City Staff only
t � Indicate As R-Received or N/A-Not Applicable
5 Comppletes sets of fully dimensioned,thawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Goo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
❑ foundation Plan ❑ ❑ Structural Calculations
Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Delads ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate Ll New Construction Alteration' Addition' Means/MethodsI
Work Type: Repair' Retrofit' Revision to Ensfing Pemor Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate if YES or NO Indicate all Geo-tech.Haz.Zone
At Project Construction Spdnxlared that apply: Coastal Zone
Completion: Type(s): C Of O Noise Zone
Required? YES or NO
Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.lZoning Administrator
Fee Exempt: City Project I Per-Vehicle Charger Landmark Seismic Retrofit Special Case:Bldg.
Officlal Approyall
Expedite Project(s): Child Care City Project Green Building I Landmark Affordable Housing
For Staff Use Only
Building/Safety I Permit Specialist I City Planning I Civa Engineering I EPWM-Armin Transpodation Mgm1. Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC
Climate Zones 10- 15
Site Address: Enforcement Agency: Date: Permit#:
27748 Moonridge Dr Romoland, CA 92585 City of Menifee I May 12, 2014 l(qL'
Dud insulation Conditioned Floor
Equipment Typel List Minimum Effciency2 requirement Area Thermostat
❑Package Unit
®Furnace ®AFUE 78% ❑COP ❑R 6(CZ 10-13) Served by system ®Setback
®Indoor Coil ®SEER 13.0 [3HSPF If not already present must be
®Condensing Unit ❑EER_ ❑Resistance ❑R 8(CZ 14-15) 865 sf installed)
❑Other
1. Equipment Type.Choose the equipment being installed;if 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 fad the work completed by the installer.The inspector also verifies that each appropriate CF-611 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-iR
and CF-6R shall also be on site for final inspection.
10 1. HVAC Changeout Required Forms:
•All HVAC Equipment CF-6R 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
• Indoor Coil and/or CF-4R forms: MECH-21 and (for split systems) MECH-25
• Furnace
For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement),TMAH
15
Exempted from dud 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 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 Charge)
❑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&nnQ 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,TMAH, 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: Art Castillo Signature: Art Castillo
Company: CASTILLO HEATING &AIR CONDITIONING INC Date: May 12, 2014
Address: 32105 HEATHER LANE License: 548323
City/State/Zip: MENIFEE/CA/92584 Phone: (951) 301-4452
Reg: 214-A0033385A-000000000-0000 Registration Date/Time: 2014/05/12 16:16:40 HERS Provider: Cal CERTS, Inc.
2008 Residential Compliance FormS July 2010
INSTALLATION CERTIFICATE CF-611-MECH-25-HERS
Refrigerant Charge Verification-Standard Measurement Procedure (Page 1 of 6)
Site Address: I Enforcement Agency: Permit Number:
27748 Moonridge Dr, Romoland CA 92585 City of Menifee pmtl4-01094
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 coil in the IR Yes ❑Yes ❑Yes ❑Yes
return plenum and labeled according ❑No ❑ No ❑No ❑ No
to Figure in Section RA3.2.2.2.2.
Return side of the duct system is
la located entirely within conditioned ❑Yes ❑Yes ❑Yes ❑Yes
space and return airflow temperature ❑No ❑No ❑ No ❑ No
to be measured at the return grille.
5/16 inch (8 mm) access hole
2 downstream of evaporative coil in the ®Yes ❑Yes ❑Yes ❑Yes
supply plenum and labeled according ❑No ❑ No ❑ No ❑ No
to Figure in Section RA3.2.2.2.2.
The TMAH Compliance Option should 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 http�//www.energy.ca.ciov/title24/2008standards/special case aoolian e/
TMAH Compliance Option ❑ ❑ ❑ ❑
Yes to 1 and 2, or Yes to la and 2,or
checking the TMAH Compliance Option, is 19 Pass ❑ Pass ❑Pass ❑Pass
a pass. ❑Fail ❑Fail ❑Fail ❑ Fail
Enter Pass or Fail
l I
Reg: 214-A003338SA-M2500001A-0000 Registration Date/Time: 2014/06/12 16:33:41 HERS Provider: CaICERTS, Inc.
2008 Residential Compliance Forma March 2013
INSTALLATION CERTIFICATE CF-611-MECH-25-HERS
Refrigerant Charge Verification -Standard Measurement Procedure (Page 2 of 6)
Site Address: Enforcement Agency: Permit Number:
27748 Moonridge Dr, Romoland CA 92585 City of Menifee pmt14-01094
STMS-Sensor on the Evaporator Coil
System Name or System 1
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 0 No ❑Yes 0 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 0 No ❑Yes 0 No ❑Yes ❑No ❑Yes ❑No
5 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F
❑Yes 0 No ❑Yes 0 No ❑Yes ❑No 0 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 or System 1
Identification/rag
The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed
6 by methods/specifications approved by the Executive Director.
❑Yes 0 No 1 ❑Yes ❑ No []Yes 0 No ❑Yes []No
TThe:,,:
he ':
ensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer.
ensor mini plug is accessible to the installing technician and the HERS rater without changing the
w through the condenser coil
❑Yes ❑No ❑Yes 0 No ❑Yes ❑ No ❑Yes ❑ No
8 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F
❑Yes ❑No ❑Yes 0 No []Yes 0 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-A0033385A-M2500001A-0000 Registration Date/Time: 2014/06/12 16:33:41 HERS Provider: calCERTS, Inc.
2008 Residential Compliance Forms March 2013
i,
INSTALLATION.CERTIFICATE - CF-SR-MECH-25-HERS. -
Refrigerant Charge Verification-Standard Measurement Procedure (Page 3 of 6)
Site Address: Enforcement Agency: Permit Number:
27748 Moonridge Dr, Romoland CA 92585 - City of Menifee - pmt14-01094 - -
Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 5S°F 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 verlt7catlon compliance.)
Space Conditioning Systems - -
System Name or Identification/Tag System 1
System Location or Area Served Whole House
Outdoor Unit serial # 13512kt775f
Outdoor Unit Make trane
Outdoor Unit Model attb6024a1000aa
Nominal Cooling Capacity 2 Tons
Date of'Veritication 5/15j-2014
Calibration of Diagnostic Instruments
Date of Refrigerant,Gauge Cal bratwn 5/il/201a'- �'
(mush be^re-calibrated'
o monthly)
Date of Thermocouple Calibration S/1/2014 (must be re-calibrated
monthly)
Measured Temperatures (OF)
System Name or Identification/Tag - System 1
Supply (evaporator leaving) air dry-bulb 59.1
temperature (Tsupply, db)
Return (evaporator entering) air 81.6
dry-bulb temperature (Treturn db)
Return (evaporator entering) air 59.8
wet-bulb temperature (Treturn wb)
Evaporator saturation temperature 49.7
(Teva orator sat)
Condensor saturation temperature 107.3
(Tcondensor, sat)
Suction line temperature (Tsuction) 72.3
Liquid Line Temperature (Tliquid) 96.2
Condenser (entering) air dry-bulb 86.5
temperature (Tconder db)
Reg: 214-A0033385A-M2500001A-0000 Registration Date/Time: 2014/06/12 16:33:41 HERS Provider: CalCERTS, Inc..
2008 Residential Compliance Forme March 2013
INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS
Refrigerant Charge Verification-Standard Measurement Procedure (Page 4 of 6)
Site Address: Enforcement Agency: Permit Number:
27748 Moonridge Dr, Romoland CA 92585 City of Menifee pmt14-01094
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 = 22.50
Treturn db -Tsupply, db
Target Temperature Split from Table RA3.27 21.8
using Treturn wb and Treturn db
Calculate difference: Actual Temperature 0.7
Split -Target Temperature Split =
Passes if difference is between -30F and
+3°F or, upon remeasurement, if between PASS
-30F 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 coil airflow is measured, the value must be equal to or greater than the Calculated Minimum Airflow
Requirement in the table below.
Calculated Minimum Airflow Requirement(CFM) = Nominal Cooling Capacity (ton) X 300
(cfm/ton)
System Name or Identification/Tag System 1
Calculated Minimum Airflow Requirement
(CFM)
Measured Airflow 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
Reg: 214-A0033385A-M2500001A-0000 Registration Date/Time: 2014/06/12 16:33:41 HERS Provider: CalCERTS, Inc.
2008 Residential compliance Forms March 2013
INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS
Refrigerant Charge Verification-Standard Measurement Procedure (Page 5 of 6)
Site Address: Enforcement Agency: Permit Number:
27748 Moonridge Dr, Romoland CA 92585 City of Menifee pmt14-01094
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
-50F and +50F
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 = 11.1
Tcondenser, sat-Tli uid
Target Subcooling specified by SO
manufacturer
Calculate difference: 1.1
Actual Subcooling -Target Subcooling =
System passes if difference is between
-3°F and +3°F PASS
Enter Pass or Fail
Metering Device 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 Identifcation/Tag System 1
Calculate: Actual Superheat = 22.6
Tsuction -Teva orator sat
Enter allowable superheat range from
manufacturer's specifications (or use range
between 4°F and 25OF if manufacturer's 25
specification is not available)
System passes if actual superheat is within
the allowable superheat range PASS
Enter Pass or Fail
Reg: 214-A0033385A-M2500001A-0000 Registration Date/Time: 2014/06/12 16:33:41 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: Enforcement Agency: Permit Number:
27748 Moonridge Dr, Romoland CA 92585 City of Menifee pmt14-01094
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 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 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.
.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-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 permits) 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)
CASTILLO HEATING &AIR CONDITIONING INC
Responsible Person's Name: Responsible Person's Signature:
Adriana Castillo Adriana Castillo
CSLB License: Date Signed:
548323 5/t1214 position With Company (Title):
0
Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable):
Control Program (TPQCP)? ❑Yes ❑No
Reg: 214-A0033385A-M2500001A-0000 Registration Date/Time: 2014/06/12 16:33:41 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms March 2013
INSTALLATION CERTIFICATE CF-611-MECH-2I-HERS
Duct Leakage Test-Existing Duct System (Page 2 of 2)
Site Address: - Enforcement Agency: Permit Number:
27748 Moonridge Or, Romoland CA 92585 (System 1) City
of Menifee pmtl4-01094 -
®Outside air(OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off
during duct leakage testing. CFI=OA ducts that utilize controlled motorized dampers, that open only when CA
ventilation is required to meet ASHRAE Standard 62.2, and close when CA ventilation is not required, may
be configured to the closed position during duct leakage testing.
N All supply and return register boots must be sealed:ta the drywall if smoke test,is utilized for compliance
- applies to'duct leakage compliance gption 3 (leakage reduction by 60%) arid=optlod4(fix all accessible
leaks) desc(ibedabove. -
M New duct installations cannot utdlze'ouildIng cavlkles as plenurrls of platform'returns in lieu of ducts.
®Mastic ard,draW bands Musk be used in cnmbinatioh with doti'backe i.rul bar adhesive duct Pape to yeah,
leaks at all new duct connettlons,
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
-
enforcementagency. -
•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-IR)form approved by the enforcement agency that identifies the specific
requirements for the installation.I certify that the requirements detailed on the'CF•IRthat 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)
CASTILLO HEATING III AIR CONDITIONING INC
Responsible Person's Name: Responsible Person's Signature:
Adriana Castillo Adrian Castillo
CSLB License: Date Signed: Position With Company(Title):
548323 5/15/2014
Is this installation monitored by a Third Party Quality Name of TPQCP(If applicable):
Control Program(TPQCP)7 ❑Yes ❑No
Reg: 214-A0033385A-M2100003A-0000 Registration Date/Time: 2014/06/12 16:32:20 HERS Provider: CalCERTS, Inc.
2006 Residential Compliance Forme March 2010
INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS
Duct Leakage Test— Existing Duct System (Page 1 of 2)
Site Address: Enforcement Agency: Permit Number:
27748 Moonridge Dr, Romoland CA 92585 (System 1) City of Menifee pmt14-01094
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
Note: (One of Options 1, 2 or 3 must be attempted before utilizing Option 4.)
Determine nominal Fan Flow using one of the following three calculation methods.
✓®Cooling system method: Size of condenser in Tons 2 x 400 = 800 CFM
✓❑Heating system method: 21.7 x_Output Capacity in Thousands of Btu/hr=_CFM
✓❑Measured system airflow using RA3.3 airflow test procedures: _CFM
Option 1 used then:
1 Allowed leakage = Fan Airflow 800 x 0.15 = 120 CFM
Actual Leakage= 50 CFM
Pass if Actual Leakage is less than Allowed leakage Pass Fail
Option 2 used then:
2 Allowed leakage = Fan Airflow_x 0.10 =_CFM
Actual Leakage to outside =_CFM
Pass if Actual leakage to outside is less than Allowed leakage Ej 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% _ ° Reduction
Pass if%Reduction >= 60% Pass 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 Pass El Fail
Reg: 214-A0033385A-M2100001A-0000 Registration Date/Time: 2014/06/12 16:32:20 HERS Provider: ca10ERTS, Inc.
2008 Residential Compliance Forms March 2010