Loading...
HomeMy WebLinkAbout_HVRC23-0569_74042 Aster Dr - All DocumentsRegistration Number: 423-A020155248A-000-000-0000000-0000 Registration Date/Time: 2023-08-25   13:11:07 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 ALTERATIONS TO SPACE CONDITIONING SYSTEMS (FORMERLY CF-1R-ALT-HVAC) CF1R-ALT-02-E (Page 1 of 3) CERTIFICATE OF COMPLIANCE Project Name: ROBERT CARIAN, #E- 11321396 Enforcement Agency: Palm Desert, City of Dwelling Address: 74042 Aster Dr Permit Number: HVRC23-0569 City and Zip Code Palm Desert, 92260 Permit Application Date: 2023-08-25 A. General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. 01 Project Name ROBERT CARIAN, #E- 11321396 02 Date Prepared 2023-08-25 03 Project Location 74042 Aster Dr 04 Building Type Single family 05 CA City Palm Desert 06 Dwelling Unit Name ROBERT CARIAN - SCE/ESA - 11321396 - 2023-08-02 07 Zip Code 92260 08 Dwelling Unit Conditioned Floor Area (ft2)1794 09 Climate Zone 15 10 Number of Space Conditioning (SC) Systems in this Dwelling Unit: 1 B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 SC System ID or Name SC System Location or Area Served CFA served by this SC System (ft2) Is the SC system a ducted system? Installing a refrigerant containing component? Installing new SC system components? Installing more than 25 feet of ducts? Installing entirely new duct system? Installing entirely new SC system?Alteration Type System 1 Location 1 1794 Yes Yes Yes No No No Altered space conditioning system NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. ALTERATIONS TO SPACE CONDITIONING SYSTEMS (FORMERLY CF-1R-ALT-HVAC)CF1R-ALT-02-E (Page 2 of 3) Registration Number: 423-A020155248A-000-000-0000000-0000 Registration Date/Time: 2023-08-25   13:11:07 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 C. Extension of Existing Duct System, Greater Than 25 Feet (Section150.2(b)1Diib) This section does not apply to this project. D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 08 09 010 11 12 13 14 System ID/ Name SC System Description of Area Served Heating System Type Altered Heating Component s Heating Efficiency Type Heating Minimum Efficiency Value Cooling System Type Altered Cooling Component s Cooling Efficiency Type Cooling Minimum Efficiency Value SEER/SEER2 Cooling Minimum Efficiency Value EER/EER2/C EER Required Thermostat Type New or Replaced Duct Length New Duct R-Value System 1 Location 1 Central gas furnace No Heating Component Altered n/a n/a Central split AC Indoor coil Outdoor condensing unit TXV or EXV EERSEER 14 11.7 Setback N/A - no ducts replaced. n/a Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply-air and return-air ducts or plenums: R6 (CZ 3, 5-7) and R8 (CZ 1, 2, 4, 8-16) CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 25 ft of duct length is replaced -Leakage rate compliance: less than or equal to 10% or less than or equal to 7% leakage to outside, or seal all accessible leaks. CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2R and CF3R-MCH-23 Airflow Rate greater than or equal to 300 CFM per ton required when MCH-25 is required. Exceptions: - Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements. - Heating-only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. ALTERATIONS TO SPACE CONDITIONING SYSTEMS (FORMERLY CF-1R-ALT-HVAC)CF1R-ALT-02-E (Page 3 of 3) Registration Number: 423-A020155248A-000-000-0000000-0000 Registration Date/Time: 2023-08-25   13:11:07 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Brianna Velazquez Documentation Author Signature: Company: John Harrison Contracting, Inc. Signature Date: 2023-08-25 Address: 1143 West Lincoln Street CEA/ HERS Certification Identification (if applicable): City/State/Zip: Banning CA 92220 Phone: 760-322-2653 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Compliance is true and correct. 2.I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3.The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4.The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5.I understand that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to accomplish this requirement. 6.I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to accomplish these requirements. Responsible Designer Name: Brianna Velazquez Responsible Designer Signature: Company : John Harrison Contracting, Inc. Date Signed: 2023-08-25 Address: 1143 West Lincoln Street License: 697530 City/State/Zip: Banning CA 92220 Phone: 760-322-2653 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 423-A020155248A-000-001-M01001A-0000 Registration Date/Time: 2023-09-06   07:05:10 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 1 of 7) CERTIFICATE OF INSTALLATION Project Name: ROBERT CARIAN, #E- 11321396 Enforcement Agency: Palm Desert, City of Dwelling Address: 74042 Aster Dr Permit Number: HVRC23-0569 City and Zip Code Palm Desert, 92260 Permit Application Date: 2023-08-25 A. General Information 01 Dwelling Unit Name ROBERT CARIAN - SCE/ESA - 11321396 - 2023-08-02 02 Climate Zone 15 03 Dwelling Unit Total Conditioned Floor Area (ft2)1794 04 Number of Space Conditioning Systems in this Dwelling Unit.1 05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT )06 Method Used to Calculate HVAC Loads (See Section 150.0(h))Not applicable - equipment changeout, like-for-like 07 Calculated Dwelling Unit Sensible Cooling Load (Btu/h)n/a 08 Calculated Dwelling Unit Heating Load (Btu/h)n/a 09 Dwelling Unit Number of Bedrooms 3 MCH-01b - Space Conditioning Systems Ducts and Fans - Prescriptive Alterations NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 2 of 7) Registration Number: 423-A020155248A-000-001-M01001A-0000 Registration Date/Time: 2023-09-06   07:05:10 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 SC System ID/ Name from parent CC SC System Description of Area Served CFA served by this SC System (ft2) Is the SC system a ducted system? Does work include installing a refrigerant containing component? Does work include installing new SC system components? Does work include installing more than 25 feet of ducts? Does work include installing an "entirely new duct system"? Does work include installing an "entirely new SC system"? Alteration Type System 1 Location 1 1794 Yes Yes Yes No No No Altered space conditioning system Notes: C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 SC System ID/ Name from parent CC SC System Description of Area Served Heating System Type Altered Heating Componen t Heating Efficiency Type Heating Minimum Efficiency Value Cooling System Type Altered Cooling Componen t Cooling Efficiency Type Cooling Minimum Efficiency Value SEER/SEER 2 Cooling Minimum Efficiency Value EER/EER2/ CEER Required Thermostat Type Number of Indoor Units for this System Number of Ducted Indoor Units for this System Central Fan Integrated (CFI) Ventilation System Status System 1 Location 1 Central gas furnace No Heating Componen t Altered n/a n/a Central split AC Indoor coilOutdoo r condensing unitTXV or EXV EER/SEER 14 11.7 Setback 1 1 Not a CFI system Notes: D. Installed Heating Equipment Information for Gas Furnace Indoor Unit, or Heat Pump Indoor Unit, or Packaged Unit (Gas Furnace or Heat Pump) This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 3 of 7) Registration Number: 423-A020155248A-000-001-M01001A-0000 Registration Date/Time: 2023-09-06   07:05:10 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 E. Installed Cooling Equipment Information for Outdoor Condenser or Packaged Unit (Air Conditioner or Heat Pump) 01 02 03 04 05 06 07 08 09 10 SC System ID/ Name from parent CC SC System Description of Area Served Cooling Efficiency Type Cooling Efficiency Value SEER/SEER2 Cooling Efficiency Value EER/EER2/CEER Condenser or Package Unit Manufacturer Condenser or Package Unit Model Number Condenser or Package Unit Serial Number System Cooling Capacity at Design Conditions (Btu/h) Condenser Nominal Capacity (tons) System 1 Location 1 EER/SEER 14 11.7 ALLIED 4AC17L48P-52A 1923B14147 48000 4 Notes: F. Altered Space Conditioning System Duct Information ( < 75% of duct system is altered; or duct system is not altered) 01 02 03 04 05 06 07 08 09 10 11 12 SC System ID/ Name from parent CC SC System Description of Area Served Indoor Unit Name or Description of Area Served Was Any New Ducting Installed? Required New Duct R-Value Installed New Supply Duct Location Installed New Supply Duct R-value Installed New Return Duct Location Installed New Return Duct R-Value Exception from Min R-Value Can Approved Airflow Protocols be used to test this System? Indoor Unit Nominal Cooling capacity (tons) System 1 Location 1 Location 1 No n/a n/a n/a n/a n/a n/a Yes n/a G. Installed New or Complete Replacement Duct System Information This section does not apply to this project. H. Installed Air Filter Device Information This section does not apply to this project. I. Air Filter Device Requirements This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 4 of 7) Registration Number: 423-A020155248A-000-001-M01001A-0000 Registration Date/Time: 2023-09-06   07:05:10 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 J. HERS Verification Requirements for Duct Systems 01 02 03 04 05 06 07 08 09 SC System Identification or Name SC System Description of Area Served Indoor Unit Name or Description of Area Served Exemption From Duct Leakage Requirements MCH-20 . . . Duct Leakage Test MCH-21 . Duct Location Verification MCH-22 . . AHU Fan Efficacy (W/cfm) MCH-23 . AHU Airflow Rate (cfm/ton) MCH-28 . Return Duct Design - Table 160.3-A or B System 1 Location 1 Location 1 None Yes No No Yes No Notes: K. HERS Verification Requirements For Space Conditioning Equipment 01 02 03 SC System ID/ Name from parent CC SC System Description of Area Served MCH-25 . . Refrigerant Charge System 1 Location 1 Yes Notes: NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 5 of 7) Registration Number: 423-A020155248A-000-001-M01001A-0000 Registration Date/Time: 2023-09-06   07:05:10 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 L. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Heating Equipment 01 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 02 Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(i), 110.2(b). 03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections 150.0(h)1 and 2). 04 Furnace Temperature Rise: Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum inlet-to-outlet temperature rise specification. See Section 150.0(h)4. 05 Standby Losses and Pilot Lights: Fan-type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(d). Cooling Equipment 06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 07 Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section 150.0(j)2 and 3, and Section 150.0(m)9. 08 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A. 09 Liquid Line Filter Drier: A liquid line filter drier shall be installed according to the manufacturer's specifications 150.0(h)3B 10 Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing. See Section 150.0(h)1 and 2. Air Distribution System Ducts, Plenums and Fans 11 Insulation: The minimum duct insulation value is R-6 or ducts can be uninsulated if the duct system is located entirely in conditioned space. Note that higher values may be required by the prescriptive or performance requirements. See Section 150.0(m)1B for exceptions. 12 Connections and Closures: All installed air-distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CMC Sections 601.0, 602.0, 603.0, 604.0, 605.0 and ANSI/SMACNA-006-2006. Heat Pump Thermostat NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 6 of 7) Registration Number: 423-A020155248A-000-001-M01001A-0000 Registration Date/Time: 2023-09-06   07:05:10 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 L. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. 13 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c). 14 The thermostat shall be installed in accordance with the manufacturers published installation specifications 15 First stage of heating shall be assigned to heat pump heating. 16 Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEMS, DUCTS, AND FANS CF2R-MCH-01-E (Page 7 of 7) Registration Number: 423-A020155248A-000-001-M01001A-0000 Registration Date/Time: 2023-09-06   07:05:10 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Brianna Velazquez Documentation Author Signature: Company: John Harrison Contracting, Inc. Signature Date: 2023-09-06 Address: 1143 West Lincoln Street CEA/ HERS Certification Identification (if applicable): City/State/Zip: Banning CA 92220 Phone: 760-322-2653 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.II am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 5.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Brianna Velazquez Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) John Harrison Contracting, Inc. Position With Company (Title): Address: 1143 West Lincoln Street CSLB License: 697530 City/State/Zip: Banning CA 92220 Phone: 760-322-2653 Date Signed: 2023-09-06 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 423-A020155248A-000-001-M20002A-0000 Registration Date/Time: 2023-09-06   07:07:00 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 1 of 4) CERTIFICATE OF INSTALLATION Project Name: ROBERT CARIAN, #E- 11321396 Enforcement Agency: Palm Desert, City of Dwelling Address: 74042 Aster Dr Permit Number: HVRC23-0569 City and Zip Code Palm Desert, 92260 Permit Application Date: 2023-08-25 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location 1 03 Indoor Unit Name or Description of Area Served Location 1 04 Building Type from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC?No, credit is not taken 07 Duct System Compliance Category Alteration using smoke test 08 Portions of Duct Located in Garage?Yes 09 Is the system type Small Duct High Velocity (SDHV) ?No MCH-20e - Sealing All Accessible Leaks using Smoke Test NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 2 of 4) Registration Number: 423-A020155248A-000-001-M20002A-0000 Registration Date/Time: 2023-09-06   07:07:00 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 B. Duct Leakage Diagnostic Test 01 Air Handling Unit Airflow (AHU Airflow) Determination Method Cooling system method 02 Condenser Nominal Cooling Capacity (ton)4 03 Indoor Unit Nominal Cooling Capacity 4 04 Heating Capacity (kBtu/h)n/a 05 Conditioned Floor Area Served by this HVAC System (ft2)1794 06 Measured AHU Airflow (cfm)n/a 07 Duct Leakage Test Conditions Test final 08 Duct Leakage Test Method Total leakage 09 Leakage Factor 0.1 10 Calculated Target Allowable Duct Leakage (cfm)160 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)255 12 Compliance Statement: System passes using smoke test of an altered HVAC system in an existing building. •No visible smoke exits the accessible portions of the duct system. •Smoke is only emanating from air-handling unit (AHU) cabinet and non-accessible portions of the duct system. Note: Accessible is defined as having access thereto, but which first may require removal or opening of access panels, doors, or moving similar obstructions. If access to the ducts requires an object to be demolished or deconstructed then sealing of those ducts is not required C. Ducts Located in Garage Spaces 01 Duct Leakage Test Method Total leakage 02 Leakage Factor 0.06 03 Air Handling Unit Airflow (AHU Airflow) Determination Method Cooling system method 04 Measured AHU Airflow (cfm)n/a 05 Calculated Target Allowable Duct Leakage (cfm)96 06 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)255 07 Compliance Statement: Ducts in garage passes using smoke test of an altered HVAC system in an existing building •No visible smoke exits the accessible portions of the ducts in the garage. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 3 of 4) Registration Number: 423-A020155248A-000-001-M20002A-0000 Registration Date/Time: 2023-09-06   07:07:00 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 D. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. 02 Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 All supply and return register boots were sealed to the drywall. 04 Building cavities were not used as plenums or platform returns in lieu of ducts. 05 If cloth backed tape was used it was covered with Mastic and draw bands. 06 All connection points between the air handler and the supply and return plenums are completely sealed. 07 If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample groups for HERS verification compliance. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF2R-MCH-20-H (Page 4 of 4) Registration Number: 423-A020155248A-000-001-M20002A-0000 Registration Date/Time: 2023-09-06   07:07:00 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Brianna Velazquez Documentation Author Signature: Company: John Harrison Contracting, Inc. Signature Date: 2023-09-06 Address: 1143 West Lincoln Street CEA/ HERS Certification Identification (if applicable): City/State/Zip: Banning CA 92220 Phone: 760-322-2653 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Brianna Velazquez Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) John Harrison Contracting, Inc. Position With Company (Title): Address: 1143 West Lincoln Street CSLB License: 697530 City/State/Zip: Banning CA 92220 Phone: 760-322-2653 Date Signed: 2023-09-06 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable): NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 423-A020155248A-000-001-M23003A-0000 Registration Date/Time: 2023-09-06   07:07:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 1 of 4) CERTIFICATE OF INSTALLATION Project Name: ROBERT CARIAN, #E- 11321396 Enforcement Agency: Palm Desert, City of Dwelling Address: 74042 Aster Dr Permit Number: HVRC23-0569 City and Zip Code Palm Desert, 92260 Permit Application Date: 2023-08-25 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Description of Area Served Location 1 03 Indoor Unit Name Location 1 04 System Installation Type Alteration 05 Nominal Cooling Capacity (tons)4 06 Condenser Speed Type n/a 07 Cooling System Zonal Control Type n/a 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status n/a 10 Date of System Airflow Rate Measurement 2023-09-05 11 Airflow Rate Protocol Utilized RA3.3.3.1.5 Alternative to Compliance with Minimum System Airflow Requirements 12 Central Fan Ventilation Cooling System Status Not a CFVCS B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum. Procedures for installing HSPP or PSPP are specified in RA3.3.1.1. 01 Method Used to Demonstrate Compliance with the HSPP/PSPP Requirement HSPP installed and labeled consistent with Figure RA3.3-1 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 2 of 4) Registration Number: 423-A020155248A-000-001-M23003A-0000 Registration Date/Time: 2023-09-06   07:07:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate verification. Fan Flowmeter according to procedure in RA3.3.3.1.1 02 Manufacturer of Airflow Measurement Apparatus TEC 03 Model number of Airflow Measurement Apparatus DG1000 04 Certification Status of the Airflow Measurement Apparatus Accuracy Certified by Manufacturer and listed on CEC Website at http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH23c Forced Air System Airflow Rate Measurement - Alternative to Compliance with Minimum System Airflow Requirements for Altered Systems D. Alternative to Compliance with Minimum System Airflow Requirements for Altered Systems The installer shall attempt to correct non-compliant system airflow rates by performing the following remedial actions as specified in RA3.3.3.1.5 01 Determine that the air filter media is clean. If the air filter media is dirty, then replace it with clean filter media Completed 02 Open all registers and dampers and remove any obstructions.Completed 03 Replace/Repair all accessible crushed, blocked, restricted, remove excess length, and sharp bends in ducts. Supported every 4 ft max. with a max. 2 in sag. Completed 04 Clean the evaporator coil according to the manufacturer and ensure the coil is not obstructed. Completed 05 Air handler fan speed set to high and blower wheel and motor are operating properly. Completed 06 If determined to be too small, replace the return duct with a larger one and/or add a second return duct. Completed 07 If determined to be too small, replace the return grille with a larger area grille. Completed 08 If any of the above were not completed list the Action Required and a description of why the action could not be completed: The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 3 of 4) Registration Number: 423-A020155248A-000-001-M23003A-0000 Registration Date/Time: 2023-09-06   07:07:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 E. Forced Air System Airflow Rate Measurement - Best Airflow Rate Attainable The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton)300 02 Required Minimum System Airflow Target (cfm)1200 03 Actual System Airflow Rate Measurement (cfm)1263 04 Compliance Statement:System airflow rate complies 05 HERS Sample Group Eligibility Eligible for HERS sample group F. Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system during system air flow rate measurement identified on this Certificate of Installation. 02 The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Installation was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. 03 A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 08 Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 09 For altered systems that do not comply with the minimum 300 cfm per ton airflow rate requirement but opt to comply using the remedial actions on this MCH-23 compliance document according to Section RA3.3.3.1.5, the system's thermostat shall conform to the specifications in Reference Joint Appendix JA5 and shall be capable of receiving and responding to Demand Response Signals prior to final approval of the building permit by the enforcing agency (Section 150.2(b)1Fia). The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF2R-MCH-23-H (Page 4 of 4) Registration Number: 423-A020155248A-000-001-M23003A-0000 Registration Date/Time: 2023-09-06   07:07:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Brianna Velazquez Documentation Author Signature: Company: John Harrison Contracting, Inc. Signature Date: 2023-09-06 Address: 1143 West Lincoln Street CEA/ HERS Certification Identification (if applicable): City/State/Zip: Banning CA 92220 Phone: 760-322-2653 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Brianna Velazquez Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) John Harrison Contracting, Inc. Position With Company (Title): Address: 1143 West Lincoln Street CSLB License: 697530 City/State/Zip: Banning CA 92220 Phone: 760-322-2653 Date Signed: 2023-09-06 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 423-A020155248A-000-001-M25004A-0000 Registration Date/Time: 2023-09-06   07:09:09 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-H (Page 1 of 4) CERTIFICATE OF INSTALLATION Project Name: ROBERT CARIAN, #E- 11321396 Enforcement Agency: Palm Desert, City of Dwelling Address: 74042 Aster Dr Permit Number: HVRC23-0569 City and Zip Code Palm Desert, 92260 Permit Application Date: 2023-08-25 A. System Information Each system requiring refrigerant charge verification will be documented on a separate certificate. 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location 1 03 Condenser (or package unit) Make or Brand ALLIED 04 Condenser (or package unit) Model Number 4AC17L48P-52A 05 Nominal Cooling Capacity (tons) of Condenser 4 06 Condenser (or package unit) Serial Number 1923B14147 07 Refrigerant Type R-410A 08 Other Refrigerant Type (if applicable)n/a 09 Liquid Line Filter Drier Installed According to Manufacturer's Specifications (if applicable) Yes 10 System Installation Type Alteration 11 Fault Indicator Display (FID) Status (Note: Even systems with a FID must have refrigerant charge verified by installer). This system does not have a FID device installed 12 Is the system of a type that the minimum airflow can be verified for all indoor units using an approved measurement procedure (RA3.3 or RA3.3.3)? Yes 13 Is the system of a type that approved refrigerant charge verification procedures can be used to verify compliance with the refrigerant charge verification requirements when temperatures are >= 55 °F (RA3.2.2, or RA1)? Yes, one of the Refrigerant charge verification procedures from RA3.2.2 or RA1 is applicable to this system and can be used to verify compliance 14 Date of Refrigerant Charge Verification for this System 2023-09-05 15 Refrigerant Charge Verification Method Used.Superheat (outdoor temperature must be equal to or greater than 55 degF) 16 Person Who Performed the Refrigerant Charge Verification Reported on this Certificate of Installation HVAC system installer NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-H (Page 2 of 4) Registration Number: 423-A020155248A-000-001-M25004A-0000 Registration Date/Time: 2023-09-06   07:09:09 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 A. System Information Each system requiring refrigerant charge verification will be documented on a separate certificate. 17 HERS Verification Compliance Requirement Status System qualifies for group sampling MCH-25a - Refrigerant Charge Verification - Superheat Method B. Metering Device Verification Superheat Method can only be used on systems that do not have a variable metering device. 01 Refrigerant metering device Fixed orifice 02 Superheat Method applicability status Superheat Method is applicable to this system C. Instrument Calibration Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2 01 Date of Digital Refrigerant Gauge Calibration 2023-09-01 02 Date of Digital Thermocouple Calibration 2023-09-01 03 Digital Refrigerant Gauge Calibration Status Calibration is current 04 Digital Thermocouple Calibration Status Calibration is current D. Measurement Access Hole (MAH) Verification Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3 01 Method Used to Demonstrate Compliance with the Measurement Access Hole (MAH) Requirement MAH installed and labeled consistent with Figure 3.2-1 E. Minimum System Airflow Rate Verification Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3. 01 02 03 Indoor Unit Name or Description of Area Served Minimum Required System Airflow Rate (cfm)System Airflow Rate Verification Status Location 1 1200 System complies using the alternative remedial actions specified in RA3.3.3.1.5. This System does not qualify for group sampling 04 SC System complies with Minimum System Airflow Rate Verification Notes: NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-H (Page 3 of 4) Registration Number: 423-A020155248A-000-001-M25004A-0000 Registration Date/Time: 2023-09-06   07:09:09 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 F. Data Collection Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2 01 Lowest Return Air Dry-bulb Temperature that Occurred During the Refrigerant Charge Verification Procedure ( ° F) 95 02 Measured Condenser Air Entering Dry-bulb Temperature (Tcondenser, db) (( ° F) 102.0 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Superheat refrigerant charge verification method. 04 Measured Return (evaporator entering) Air Dry-bulb Temperature (Treturn, db) ( ° F) 95 05 Measured Return (evaporator entering) Air Wet-bulb Temperature (Treturn, wb) ( ° F) 70 06 Measured Suction Line Temperature (Tsuction) ( ° F)57.4 07 Measured Suction Line Pressure (Psuction - psig)129.6 08 Evaporator Saturation Temperature (Tevaporator, sat) from Digital Gauge or P-T Table using Line F07 ( ° F) 44.6 09 Measured Superheat (Line F06 - Line F08) ( ° F)12.8 10 Target Superheat (from Table RA3.2-2, using F02 and F05) ( ° F)13 11 Compliance Statement System complies with refrigerant charge verification requirement by use of the Superheat Method MCH-25d - Refrigeration Charge Verification - Fault Indicator Display (FID) G. Fault Indicator Display This section does not apply to this project. H. Fault Indicator Display - Additional Requirements This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF2R-MCH-25-H (Page 4 of 4) Registration Number: 423-A020155248A-000-001-M25004A-0000 Registration Date/Time: 2023-09-06   07:09:09 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-01   18:21:36 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Brianna Velazquez Documentation Author Signature: Company: John Harrison Contracting, Inc. Signature Date: 2023-09-06 Address: 1143 West Lincoln Street CEA/ HERS Certification Identification (if applicable): City/State/Zip: Banning CA 92220 Phone: 760-322-2653 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this certificate of installation is true and correct. 2.I am either: a) a responsible person eligible under division 3 of the business and professions code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this certificate of installation, and attest to the declarations in this statement, or b) i am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person’s behalf. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this certificate of installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the certificate of compliance, plans, and specifications approved by the enforcement agency. 4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner. 5.I understand that a registered copy of this certificate of installation shall be posted or made available with the building permit(s) issued for the building and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this certificate of installation is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. Responsible Builder/Installer Name: Brianna Velazquez Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) John Harrison Contracting, Inc. Position With Company (Title): Address: 1143 West Lincoln Street CSLB License: 697530 City/State/Zip: Banning CA 92220 Phone: 760-322-2653 Date Signed: 2023-09-06 Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 423-A020155248A-000-001-M20002A-M20A Registration Date/Time: 2023-11-05   22:55:55 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-05   22:55:56 DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 1 of 4) CERTIFICATE OF VERIFICATION Project Name: ROBERT CARIAN, #E- 11321396 Enforcement Agency: Palm Desert, City of Dwelling Address: 74042 Aster Dr Permit Number: HVRC23-0569 City and Zip Code Palm Desert, 92260 Permit Application Date: 2023-08-25 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location 1 03 Indoor Unit Name or Description of Area Served Location 1 04 Building Type from parent CC Single family 05 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from parent CC? No, credit is not taken 06 Verified Low Leakage Air Handling Unit Credit from parent CC?No, credit is not taken 07 Duct System Compliance Category Alteration using smoke test 08 Portions of Duct Located in Garage?Yes 09 Is the system type Small Duct High Velocity (SDHV) ?No MCH-20e - Sealing All Accessible Leaks using Smoke Test B. Duct Leakage Diagnostic Test 01 Air Handling Unit Airflow (AHU Airflow) Determination Method Cooling system method 02 Condenser Nominal Cooling Capacity (ton)4 03 Indoor Unit Nominal Cooling Capacity 4 04 Heating Capacity (kBtu/h)n/a 05 Conditioned Floor Area Served by this HVAC System (ft2)1794 06 Measured AHU Airflow (cfm)n/a 07 Duct Leakage Test Conditions Test final 08 Duct Leakage Test Method Total leakage 09 Leakage Factor 0.1 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 2 of 4) Registration Number: 423-A020155248A-000-001-M20002A-M20A Registration Date/Time: 2023-11-05   22:55:55 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-05   22:55:56 B. Duct Leakage Diagnostic Test 10 Calculated Target Allowable Duct Leakage (cfm)160 11 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 294 12 Compliance Statement:System passes using smoke test of an altered HVAC system in an existing building. •No visible smoke exits the accessible portions of the duct system. •Smoke is only emanating from air-handling unit (AHU) cabinet and non-accessible portions of the duct system. Note: Accessible is defined as having access thereto, but which first may require removal or opening of access panels, doors, or moving similar obstructions. If access to the ducts requires an object to be demolished or deconstructed then sealing of those ducts is not required 13 Notes:  C. Ducts Located in Garage Spaces 01 Duct Leakage Test Method Total leakage 02 Leakage Factor 0.06 03 Air Handling Unit Airflow (AHU Airflow) Determination Method Cooling system method 04 Measured AHU Airflow (cfm)n/a 05 Calculated Target Allowable Duct Leakage (cfm)96 06 Actual Duct Leakage Rate from Leakage Test Measurement (cfm)294 07 Compliance Statement: Ducts in garage passes using smoke test of an altered HVAC system in an existing building •No visible smoke exits the accessible portions of the ducts in the garage. D. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. 02 Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 All supply and return register boots were sealed to the drywall. 04 Building cavities were not used as plenums or platform returns in lieu of ducts. 05 If cloth backed tape was used it was covered with Mastic and draw bands. 06 All connection points between the air handler and the supply and return plenums are completely sealed. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 3 of 4) Registration Number: 423-A020155248A-000-001-M20002A-M20A Registration Date/Time: 2023-11-05   22:55:55 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-05   22:55:56 D. Additional Requirements for Compliance 07 If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample groups for HERS verification compliance. 08 Verification Status:Pass - all applicable requirements are met. 09 Correction Notes: The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. E. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies: All specified verification protocol requirements on this document are met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H (Page 4 of 4) Registration Number: 423-A020155248A-000-001-M20002A-M20A Registration Date/Time: 2023-11-05   22:55:55 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-05   22:55:56 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Rafael Corella Documentation Author Signature: Company: Energy Save Inspections, Inc. Date Signed: 2023-11-05 Address: 7255 Greenleaf Ave, Suite B CEA/ HERS Certification Identification (if applicable): RCN14094 City/State/Zip: Whittier CA 90602 Phone: 562-863-5910 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Verification is true and correct. 2.I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3.The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4.The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5.I understand that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): John Harrison Contracting, Inc. Responsible Builder or Installer Name: Brianna Velazquez CSLB License: 697530 HERS PROVIDER DATA REGISTRY INFORMATION Sample Group Number (if applicable):Dwelling Test Status in Sample Group (if applicable) N/A HERS RATER INFORMATION HERS Rater Company Name: Energy Save Inspections, Inc. Responsible Rater Name: Rafael Corella Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN14094 Date Signed: 2023-11-05 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 423-A020155248A-000-001-M23003A-M23A Registration Date/Time: 2023-11-07   09:44:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-07   09:44:43 SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 1 of 5) CERTIFICATE OF VERIFICATION Project Name: ROBERT CARIAN, #E- 11321396 Enforcement Agency: Palm Desert, City of Dwelling Address: 74042 Aster Dr Permit Number: HVRC23-0569 City and Zip Code Palm Desert, 92260 Permit Application Date: 2023-08-25 A. Ducted Cooling System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Description of Area Served Location 1 03 Indoor Unit Name Location 1 04 System Installation Type Alteration 05 Nominal Cooling Capacity (tons)4 06 Condenser Speed Type n/a 07 Cooling System Zonal Control Type n/a 08 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 09 System Bypass Duct Status n/a 10 Date of System Airflow Rate Measurement 2023-11-02 11 Airflow Rate Protocol Utilized RA3.3.3.1.5 Alternative to Compliance with Minimum System Airflow Requirements 12 Central Fan Ventilation Cooling System Status Not a CFVCS B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum. Procedures for installing HSPP or PSPP are specified in RA3.3.1.1. 01 Method Used to Demonstrate Compliance with the HSPP/PSPP Requirement HSPP installed and labeled consistent with Figure RA3.3-1 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 2 of 5) Registration Number: 423-A020155248A-000-001-M23003A-M23A Registration Date/Time: 2023-11-07   09:44:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-07   09:44:43 C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate verification. Fan Flowmeter according to procedure in RA3.3.3.1.1 02 Manufacturer of Airflow Measurement Apparatus TESTO 03 Model number of Airflow Measurement Apparatus 420 04 Certification Status of the Airflow Measurement Apparatus Accuracy Certified by Manufacturer and listed on CEC Website at http://www.energy.ca.gov/title24/equipment_cert/ama_fas/index. html MCH23c Forced Air System Airflow Rate Measurement - Alternative to Compliance with Minimum System Airflow Requirements for Altered Systems D. Alternative to Compliance with Minimum System Airflow Requirements for Altered Systems The HERS Rater shall review the information submitted on the installation certificate and perform follow-up communications with the HVAC installer or the homeowner. The system complies if the HERS Rater determines the remedial actions have been performed, and the information reported on the installation certificate is valid as specified in RA3.3.3.1.5 01 Determine that the air filter media is clean. If the air filter media is dirty, then replace it with clean filter media Completed 02 Open all registers and dampers and remove any obstructions.Completed 03 Replace/Repair all accessible crushed, blocked, restricted, remove excess length, and sharp bends in ducts. Supported every 4 ft max. with a max. 2 in sag. Completed 04 Clean the evaporator coil according to the manufacturer and ensure the coil is not obstructed. Completed 05 Air handler fan speed set to high and blower wheel and motor are operating properly. Completed 06 If determined to be too small, replace the return duct with a larger one and/or add a second return duct. Completed 07 If determined to be too small, replace the return grille with a larger area grille. Completed 08 If any of the above were not completed list the Action Required and a description of why the action could not be completed: 09 Verification Status:System complies 10 Correction Notes: 11 Optional Notes: NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 3 of 5) Registration Number: 423-A020155248A-000-001-M23003A-M23A Registration Date/Time: 2023-11-07   09:44:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-07   09:44:43 E. Forced Air System Airflow Rate Measurement - Best Airflow Rate Attainable The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton)300 02 Required Minimum System Airflow Target (cfm)1200 03 Actual System Airflow Rate Measurement (cfm)1208 04 Compliance Statement:System airflow rate complies 05 HERS Sample Group Eligibility Eligible for HERS sample group F. Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system during system air flow rate measurement identified on this Certificate of Verification. 02 The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. 03 A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 08 Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 09 For altered systems that do not comply with the minimum 300 cfm per ton airflow rate requirement but opt to comply using the remedial actions on this MCH-23 compliance document according to Section RA3.3.3.1.5 the system's thermostat shall conform to the specifications in Reference Joint Appendix JA5 and shall be capable of receiving and responding to Demand Response Signals prior to final approval of the building permit by the enforcing agency (Section 150.2(b)1Fia). 10 Verification Status:Pass - all applicable requirements are met. 11 Correction Notes: The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 4 of 5) Registration Number: 423-A020155248A-000-001-M23003A-M23A Registration Date/Time: 2023-11-07   09:44:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-07   09:44:43 G. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies: All specified verification protocol requirements on this document are met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. SPACE CONDITIONING SYSTEM AIRFLOW RATE CF3R-MCH-23-H (Page 5 of 5) Registration Number: 423-A020155248A-000-001-M23003A-M23A Registration Date/Time: 2023-11-07   09:44:37 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-07   09:44:43 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Rafael Corella Documentation Author Signature: Company: Energy Save Inspections, Inc. Date Signed: 2023-11-07 Address: 7255 Greenleaf Ave, Suite B CEA/ HERS Certification Identification (if applicable): RCN14094 City/State/Zip: Whittier CA 90602 Phone: 562-863-5910 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Verification is true and correct. 2.I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3.The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4.The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5.I understand that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): John Harrison Contracting, Inc. Responsible Builder or Installer Name: Brianna Velazquez CSLB License: 697530 HERS PROVIDER DATA REGISTRY INFORMATION Sample Group Number (if applicable):Dwelling Test Status in Sample Group (if applicable) N/A HERS RATER INFORMATION HERS Rater Company Name: Energy Save Inspections, Inc. Responsible Rater Name: Rafael Corella Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN14094 Date Signed: 2023-11-07   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 423-A020155248A-000-001-M25004A-M25A Registration Date/Time: 2023-11-07   09:45:19 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-07   09:46:52 REFRIGERANT CHARGE VERIFICATION CF3R-MCH-25-H (Page 1 of 4) CERTIFICATE OF VERIFICATION Project Name: ROBERT CARIAN, #E- 11321396 Enforcement Agency: Palm Desert, City of Dwelling Address: 74042 Aster Dr Permit Number: HVRC23-0569 City and Zip Code Palm Desert, 92260 Permit Application Date: 2023-08-25 A. System Information HERS Rater to field-verify all system information, discrepancies to be noted by overwriting entry. 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location 1 03 Condenser (or package unit) Make or Brand ALLIED 04 Condenser (or package unit) Model Number 4AC17L48P-52A 05 Nominal Cooling Capacity (tons) of Condenser 4 06 Condenser (or package unit) Serial Number 1923B14147 07 Refrigerant Type R-410A 08 Other Refrigerant Type (if applicable)n/a 09 Liquid Line Filter Drier Installed According to Manufacturer's Specifications (if applicable) Yes 10 System Installation Type Alteration 11 Fault Indicator Display (FID) Status (Note: Even systems with a FID must have refrigerant charge verified by installer) This system does not have a FID device installed 12 Is the system of a type that the minimum airflow can be verified for all indoor units using an approved measurement procedure (RA3.3 or RA3.3.3)? Yes 13 Is the system of a type that approved refrigerant charge verification procedures can be used to verify compliance with the refrigerant charge verification requirements when temperatures are >= 55 °F (RA3.2.2, or RA1)? Yes, one of the Refrigerant charge verification procedures from RA3.2.2 or RA1 is applicable to this system and can be used to verify compliance 14 Date of HERS Rater Refrigerant Charge Verification for this system 2023-11-02 15 Refrigerant Charge Verification Method Used by Installer Superheat (outdoor temperature must be equal to or greater than 55 degF) 16 Person Who Performed the Refrigerant Charge Verification Reported on the Certificate of Installation HVAC system installer NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF3R-MCH-25-H (Page 2 of 4) Registration Number: 423-A020155248A-000-001-M25004A-M25A Registration Date/Time: 2023-11-07   09:45:19 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-07   09:46:52 A. System Information HERS Rater to field-verify all system information, discrepancies to be noted by overwriting entry. 17 HERS Verification Compliance Requirement Status System qualifies for group sampling 18 Refrigerant Charge Verification Method Used by HERS Rater.Superheat MCH-25a - Refrigerant Charge Verification - Superheat Method B. Metering Device Verification HERS Rater is required to visually field verify all information from CF2R-MCH25. Superheat Method can only be used on systems that do not have a variable metering device. 01 Refrigerant metering device Fixed orifice 02 Superheat Method applicability status Superheat Method is applicable to this system C. Instrument Calibration HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2 01 Date of Digital Refrigerant Gauge Calibration 2023-10-17 02 Date of Digital Thermocouple Calibration 2023-10-17 03 Digital Refrigerant Gauge Calibration Status Calibration is current 04 Digital Thermocouple Calibration Status Calibration is current D. Measurement Access Hole (MAH) Verification HERS Raters are required to visually field verify MAH. Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3 01 Method Used to Demonstrate Compliance with the Measurement Access Hole (MAH) Requirement MAH installed and labeled consistent with Figure 3.2-1 E. Minimum System Airflow Rate Verification Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3. 01 02 03 Indoor Unit Name or Description of Area Served Minimum Required System Airflow Rate (cfm)System Airflow Rate Verification Status Location 1 1200 System complies using the alternative remedial actions specified in RA3.3.3.1.5. This System does not qualify for group sampling 04 SC System complies with Minimum System Airflow Rate Verification Notes: NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF3R-MCH-25-H (Page 3 of 4) Registration Number: 423-A020155248A-000-001-M25004A-M25A Registration Date/Time: 2023-11-07   09:45:19 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-07   09:46:52 F. Data Collection HERS Rater must independently collect all data in this section. Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2 01 Lowest Return Air Dry-bulb Temperature that Occurred During the Refrigerant Charge Verification Procedure ( ° F) 74.9 02 Measured Condenser Air Entering Dry-bulb Temperature (Tcondenser, db) (( ° F) 73 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Superheat refrigerant charge verification method. 04 Measured Return (evaporator entering) Air Dry-bulb Temperature (Treturn, db) ( ° F) 74.9 05 Measured Return (evaporator entering) Air Wet-bulb Temperature (Treturn, wb) ( ° F) 55.3 06 Measured Suction Line Temperature (Tsuction) ( ° F)35.1 07 Measured Suction Line Pressure (Psuction - psig)108.6 08 Evaporator Saturation Temperature (Tevaporator, sat) from Digital Gauge or P-T Table using Line F07 ( ° F) 35.6 09 Measured Superheat (Line F06 - Line F08) ( ° F)-0.5 10 Target Superheat (from Table RA3.2-2, using F02 and F05) ( ° F)5.6 11 Compliance Statement System complies with refrigerant charge verification requirement by use of the Superheat Method G. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies: All specified verification protocol requirements on this document are met. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. REFRIGERANT CHARGE VERIFICATION CF3R-MCH-25-H (Page 4 of 4) Registration Number: 423-A020155248A-000-001-M25004A-M25A Registration Date/Time: 2023-11-07   09:45:19 HERS Provider: CHEERS CA Building Energy Efficiency Standards 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-07   09:46:52 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Rafael Corella Documentation Author Signature: Company: Energy Save Inspections, Inc. Date Signed: 2023-11-07 Address: 7255 Greenleaf Ave, Suite B CEA/ HERS Certification Identification (if applicable): RCN14094 City/State/Zip: Whittier CA 90602 Phone: 562-863-5910 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Verification is true and correct. 2.I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3.The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4.The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5.I understand that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to ensure this requirement is accomplished. 6.I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to ensure this requirement is accomplished. BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): John Harrison Contracting, Inc. Responsible Builder or Installer Name: Brianna Velazquez CSLB License: 697530 HERS PROVIDER DATA REGISTRY INFORMATION Sample Group Number (if applicable):Dwelling Test Status in Sample Group (if applicable) N/A HERS RATER INFORMATION HERS Rater Company Name: Energy Save Inspections, Inc. Responsible Rater Name: Rafael Corella Responsible Rater Signature: Responsible Rater Certification Number w/ this HERS Provider: RCN14094 Date Signed: 2023-11-07   NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.