HomeMy WebLinkAboutB15-2476 041-110-135t.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line (IVR) : 530.538.4365 (Cut off time for inspections is 2pm)
Development Services cannot guarantee inspections on the date requested
Office: 530.538.7601 Fax:530.538.7785 www.ButteCounty.net/dds
Permit No: B15-2476 Issued: 12/30/2015
Address: 4189 CLEAR CREEK CEMETERY RD,
BUTTE VALLEY
APN: 041-110-135
Owner: TURNER TERRY GENE & DENISE EIL
Permit Type: SFD-CUSTOM/MODEL
Description: SECOND DWELLING (800)
AREA
3
Flood Zone: None SRA Area: Yes
Front: 20' Centerline of Road:
Rear: 25 SRA:
Side: AG: 300 ft buffer required
Other: 25
Total Setback from Centerline of Road:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
t
Inspection Type IVR INSP DATE
t
Inspection Type IVR INSP DATE
T -Bar Ceiling
Permit Final
802 7
Electrical Final
Setbacks
131
809
Foundations / Footings
111
Fire Sprinkler Test or Final
Pier/Column Footings
122
Pools
Eufer Ground
216
Pool Plumbing Test
Masonry Grout
120
404
Pre-Gunite
506
Pre -Deck
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
C
Gas Test Underground/floor
404
Gas Piping Underground/floor
403
131
Underfloor Framin
149
Tiedown/Soft Set System
Underfloor Ducts
319
613
Shear Transfer
136
Sewer
Under Floor Plumbing
412
417
Under Slab Plumbing411
605
Continuity Test
602
Skirting/Steps/Landings 1
610
Coach Info
Do Not Install Floor Sheathingor
Slab Until Above Signed
ShearwallB.W.P.-Interior
134
Model Name/Number:
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Insignia:
Do Not Install Siding/Stucco or Roofing
ove Signed
Rough Framing
153
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
4-WayRough Framing
128
vur
Gas Piping House
403
Gas Test House
404
WS410
Shower Pan/Tub Test
40812
-SA &
Do Not Insulate Until Above
ned
Permit Final
802 7
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Fire Sprinkler Test or Final
702
Swimming
Pools
i
Public Works Final 538.7681
Fire De artment/CDF 538.6226
Env. Health Final 538.7281
Sewer District Final
**PROJECT FINAL 2
*Project Final is a Certificate of Occupancy for (Reside tial On[ )
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
1
145
Stucco Lath
142
Swimming
Pools
Setbacks
131
Pool Plumbing Test
504
Gas Test
404
Pre-Gunite
506
Pre -Deck
505
Pool Fencing/Alarms/Barriers 1
503
Pre -Plaster 1
507
Manufactured Homes
Setbacks
131
BlockingfUnderpining
612
Tiedown/Soft Set System
611
Permanent Foundation System
613
Underground Electric
218
Sewer
407
Underground Water
417
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings 1
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Public Works Final 538.7681
Fire De artment/CDF 538.6226
Env. Health Final 538.7281
Sewer District Final
**PROJECT FINAL 2
*Project Final is a Certificate of Occupancy for (Reside tial On[ )
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
1
t N
BUTTE COUNTY f
"c DEPARTMENT OF DEVELOPMENT .
SERVICES
BUILDING PERMIT
I'
24 HOUR INSPECTION (IVR)#:530.538.4365
• C A LIFO R NIA • OFFICE #: 530.538.7601 FAX#: 530.538.2140 or 530.538.7785 -
,_. -PROJECT-INFORMATION,
Site Address: 4189 CLEAR CREEK CEMETERY Owner: Permit No: B15-2476
APN 041-110-135 TURNER TERRY GENE & DENI
' 4189.CLEAR CREEK CEMETER Issued Date: 12/30/2015 By J1VID
!g Permit type: RESIDENTIAL • BUTTE VALLEY CA 95965
Subtype: SFD-CUSTOM/MODEL Expiration Date: 12/29/2016
Description: SECOND DWELLING (800) 7 5308929506 Occupancy: R-3 Zoning: AG_
I- . Contractor -Applicant:
?
' CASTILLO CAMERON CONSTRUCTION CASTILLO CAMERON
Square Footage:
Bu99ng Gaflige
40
RemdWAddn
t
41 CANYON HIGHLANDS DRIVE
41 CANYON HIGHLANDS
L
OROVILLE, CA 95966
OROVILLE, CA 95966 - Other Porch/Patio Total
R,
5306932255
5306932255 .0. .0 800
_,LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION T "'
t
(1
Contractor (Name) State Contractors License No. / Class / Expires -
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for
CASTILLO CAMERON 856812 / B / 4/30/2017
the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section
�=
7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter,
improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
"a
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
-
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors'
�-
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i
'' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
t•
in full force and effect. - i
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption.
Ff. ;
X
Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
S
not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their sole compensation, will
❑ do U all of or U portions of the work, and the structure is not intended or offered for sale
7044, Business'and Professions Code: The Contractors' State License Law does not
- apply to an owner of property who, through employees' or personal effort, builds or improves the
intended for It, however, the
Contractors Signature Date
a
{ WORKERS' COMPENSATION DECLARATION(Section
-
�4•' _
)'
I HEREBY AFFIRM UNDER PENALTY OF PERJURI. IY one of the following declarations:
property, provided that the improvements are not or offered sale.
building or improvement is sold within one year of completion, the Owner -Builder will have the
❑ I have and will maintain a certificate of consent to self -insure for workers'
burden of proving that it was not built or
improved for the
.
compensation, issued by the Director of Industrial Relations as provided for by Section
purpose of sale.).
;r -
3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy
i(
- No.
1, as owner of theproperty, am exclusively contracting with licensed Contractors to
construct the project (Section 7044, Business and Professions Code: The Contractors' State
I have and will maintain workers' compensation insurance, as required by Section 3700 of
License Law does not apply to an owner of property who builds or improves thereon, and who
the Labor Code, for the performance of the work for which this permit is issued. My workers'
contracts for the projecls'with a licensed Contractor pursuant to the Contractors' State License
.
compensation insurance carrier and policy number are:
Law.).
r Cartier. EXEMPT Policy Number: Exp. Date:
❑I certity that, in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, 01 should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
I am exempt from licensure under the Contractors' State License Law for the following
reason:
X
provisions. t+ Owners Signature Date
�0 t 'X t. PERMIT APPLICANT DECLARATION
'. Signature " Date By my signature below, I certify to each of the following:
r.' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS I am (_) a California licensed contractor or Uthe property owner' or Uauthorized to
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES act on the property owners behalf".
i AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN I have read this construction permit application and the information I have provided is
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN correct. ,
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. t agree to comply with all applicable city and county ordinances and state laws relating
f t , to building construction. '
I authorize representatives of this city or county to enter the above -identified property
CONSTRUCTION LENDING AGENCY DEC.LARATION__., for inspection purposes. California Licensed Contractor, Property Owner* or
Authorized Agent": 'requires separate verification form "requires separate
1 hereby affirm under penalty of perjury that there is a construction lending agency for the ^ authorization form
performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Name and Address X
r , 1 ame of Permittee [SIGN) Print _ Date
Lenders Name & Address City State Zip
t�t FEE INFORMATION
t f Total Fees:- $3,581.60' Fees Paid:
. $3,581.60
Balance Due: (None) Job Value: $77,464.0.0
12
a1 ,
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CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems; Ducts, and Fans
(Page 1 of 10 )
Project Name: Turner Residence
Enforcement Agency: County of Butte
Permit Number:
B15-2476
Dwelling Address: 4189 Clearcreek Cemetary Rd
City: Butte Valley
Zip Code:
95965
A. General Information
01
Dwelling Unit Name
Unit 1
02
Climate Zone
11
Dwelling Unit Total
Number of Space
03
z
Conditioned Floor Area (ft)
800
04
Conditioning Systems in this
1
..
Dwelling Unit.
05
Certificate of Compliance
Performance (CF11R-PRF)
06ACCA
Method used to Calculate
HVAC Loads
Manual J
Type
�tf��
Calculated Dwelling Unit-
"�
awM ""�
•
Calculated Dwelling Unit
14635
07
Sensible Cooling Load (Btuh)
,11865 -
.t ,. ^ >
08
Heating.Load (etuh),
y
09
Dwelling Unit Number of
Bedrooms
�..
nfi`
!-x#
.3( i?
CF2R-MCH-01a -Space Conditioning Systems Ductgand Fans;; For,use..with Performance Certificate of Complian e
Registration Number: 215-N6339113B-MO100001A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-09-30 14:54:45 HERS Provider: CaICERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:47:37
Schema Version: 2013.1.008
r
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 2 of 30 )
B. Design Space Conditioning (SC) System Component Specifications from CFiR
01
02
03
04
05
06
07
08
09
10
11
12
§
Low
Space
Space
,
t U
U� }i
jj
Minimum
Leakage
Conditioning/H(ating
Heating
Cooling
*Heat Pum
sa
Conditioning
Space
Heating
Cooling
Space
Distribution
Required
Air -Handling
Bypass Duct
Cooling
System
Zone Name
System
Conditioning
System
System Type
Conditioning
System Type
Thermostat
Unit
Status
Zoning Type
Compressor
Identification
System Type
Type
Fan Type
This field or
Type
(LLAHU)
Speed Type
or Name
AFUE
90
section is not
section is not
14
12
Status
0.58
R-8
This field or
section is
System 1
Heating and
cooling system
A
Central gas
Central split
AC
PSC
Permanent
Unconditione
d
Setback
No, credit is
not taken
No Bypass'
Duct
Not Zonal
Single Speed
not
other
.furnace
Split Capacitor
attic
applicable
'
���
I*—
C. Design Space Conditioning (SC)`System Compliance Requirements from CF1R
*. S1, .'" .- �.' "� n
01
02
03
04
05 ;
X06
�4
11
.
. X081
09
10
§
Space
�`
,
t U
U� }i
jj
Minimum
Conditioning/H(ating
Heating
f
*Heat Pum
sa
FHeat Pum
!I'+r� p�
Heating
Minimum
� � p
Cooling
Minimum
� �
Cooling
1 g
Coohng5ystem
Maximum Fan
Efficacy
Minimum Dud
System
identification or
Efficiency Type
Minimum
Efficiency Value
Heating
Capacity at 47F
Capacity at 17F
Efficiency SEER
Efficiency EER
Airflow Rate
(CFM/ton)
(Watts/CFM)
R -Value
Name
This field or
This field or
System 1
AFUE
90
section is not
section is not
14
12
350
0.58
R-8
applicable
applicable
Registration Number: 215-N6339113B-MO100001A-0000 Registration Date/Time: 2016-09-30 14:54:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:47:37
Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 10 )
D. Installed Space Conditioning (SC) System Component Information
01
02
03
04
05
06
07
08
09
10
11
Conditioned
SC System
SC System
Heating.
i i
Cooling
Central Fan
SC System
SC System
Floor Area
Heating
Cooling
Space
Distribution
SC System
Cooling Zoning
System
Integrated
Identification
Location or
Served by the
System Type
System Type
Conditioning
System Type
Thermostat
Type
Compressor
(CFI)
or Name
Area Served
System (ft2)
3015A43722
40000
Fan Type
Type
e
Speed Type
Ventilation
System Status
System 1
Location
800
Central gas
Central split
PSC
Permanent
Unconditioned
Setback
Not Zonal
Single Speed
Not a CFI
furnace
AC
Split Capacitor
attic
system
J'
,% 1
E. Installed Heating Equipment Information�(not heat pumps)
01
02
03
04 s '
'^ 05
06
07
08
`
SC System
SC System
Heating.
i i
Heating
`,..
` "
Rated Heating
Capacity,
Identification
Location or
y
Efficiency
ff�eiency
..
Output
or Name
Area ServedIType
Value
�ating;Uni Manufacturer
)Heatirtng llniL4Modef Numbers
Heating Unit serial number
-F
(BTUH)
System 1
Location
AFUE
96
Bryant
925530040E14A
3015A43722
40000
Notes:
Registration Number: 215-N6339113B-MO100001A-0000
Registration Date/Time: 2016-09-30 14:54:45
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:47:37
Schema Version: 2013.1.008
LE
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 4 of 10 )
F. Installed Cooling System Outdoor Condensing Unit or Package Unit Equipment Information (not heat pumps)
01
02
03
04
05
06
07
08
09'
tfir
f i
404 [i-1
i�J
SC System
Identification or
SC System Location
„
System
Name
or Area Served
Indoor Coil or Fan Cc4Ly,nit Wnuf cture
- Nu ber' ` 1. nIndo
Coil or Fan Coil Unit serial number
Rated
Condenser
System 1
Location
Bryant
CNPHP3017ALAAAA
0716X26126
Notes:
Cooling
Rated
Capacity at
Nominal
SC System
SC System
Cooling
Cooling
Design
Cooling
Identificatio
Location or
Efficiency
Efficiency
Condenser or Package Unit
Condenser or Package Unit
Condenser or Package Unit
Conditions
Capacity
n or Name
Area Served
SEER
EER
Manufacturer
Model Number
Serial Number
(BTUH)
(ton)
System 1
Location
14.5
112.2
Bryant
106AN024-A
0716X26126
24000
2
Notes:
_W,
G. Installed Split System Indoor. Coil or Fan Cod -Unit Equipment information (applicable to DX or hydronic heating/cooling coils or fan coil units).
01
02 r
f
I i
05
tfir
f i
404 [i-1
i�J
SC System
Identification or
SC System Location
„
1r .
Indoor Coillor Fan Coil UnitModel
Name
or Area Served
Indoor Coil or Fan Cc4Ly,nit Wnuf cture
- Nu ber' ` 1. nIndo
Coil or Fan Coil Unit serial number
System 1
Location
Bryant
CNPHP3017ALAAAA
0716X26126
Notes:
H. Installed Heat Pump System - Split System Condensing Unit or Package Unit Equipment Information
This section does not apply to this project.
I. Installed Heat Pump System - Efficiency and Performance Compliance Information
This section does not apply to this project.
Registration Number: 215-N6339113B-M0100001A-0000 Registration Date/Time: 2016-09-30 14:54:45 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:47:37
Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 5 of 10 )
J. Installed Duct System information
01
02
03
04
05
06
07
08
09
10
11
12
Determined Design
Method of
Determined Design
Allowable Pressure
SC System
SC System Location or
Air Filter Identification
Air Filter Device.
Airflow Rate for Air
Drop for Air Filter
Identification or Name
Exemption
compliance
Air Filter Device Type
Location
Filter Device (dm)
Device (inch W.C.)
System 1
Location
Filter 1
Duct Mounted
Ceiling
800
from Mini
with duct
Exemption
Can RA3.3
R -Value for
and filter
From Duct
Number of
Airflow
SC System
SC System
Ducts In
grille sizing
Leakage
Air Filter
Protocols be
Identification
Location or
Supply Duct
Supply Duct
Return Duct
Return Duct
Conditioned
Req's in
Requirement
Bypass Duct
Devices on
used to test
or Name
Area Served
Location
R -Value
Location
R -Value
Space
150.0(m)13
s
Status
System
this system?
HERS verified
fan efficacy
System 1
Location
Uncondition
R 8
Uncondition
R 8
No
(W/cfm) and
No
No Bypass
1
Yes
ed attic
ed attic
Exemption
airflow rate
exemptions
Duct.
(cfm/ton)
Notes:
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,� � �. ; r •..
ffi.JM � ■ w1�[!. !7-�!!E'I �IR'f�L-`^!���-1 1:x/
K. Installed Air Filter Device Information
't1 1(
Mandatory requirements for air filter -devices ares ecified Section 150.0.(m)12.,
01
02
03
04
�w 05
06
07
Determined Design
Determined Design
Allowable Pressure
SC System
SC System Location or
Air Filter Identification
Air Filter Device.
Airflow Rate for Air
Drop for Air Filter
Identification or Name
Area Served
or Name
Air Filter Device Type
Location
Filter Device (dm)
Device (inch W.C.)
System 1
Location
Filter 1
Duct Mounted
Ceiling
800
0.05
Notes:
Registration Number: 215-N6339113B-M0100001A-0000 Registration Date/Time: 2016-09-30 14:54:45 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:47:37
Schema Version: 2013.1.008
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CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 6 of 10 )
L. Air Filter Device Requirements
M. HERS Verification Requirements H ; VAI
The system shall be designed to ensure that all recirculated air and all outdoor air supplied to the occupiable space is filtered before passing through the system's
01
thermal conditioning components.
03
The system shall be designed to accommodate the clean -filter pressure drop imposed by the system air filter device(s). The design airflow rate and maximum
OS
allowable clean -filter pressure drop at the design airflow rate applicable to each air filter device shall be determined, and all system air filter device locations shall be
02
labeled to disclose the applicable design airflow rate and the maximum allowable clean -filter pressure drop. The labels shall be permanently affixed to the air filter
09
device, readily legible, and visible to a person replacing the air filter media, and the air filter devices shall be provided with air filter media that conforms to these
11
determined or labeled maximum allowable clean -filter pressure drop values as rated using AHRI Standard 680.
03
All system air filter devices shall be located and installed in such a manner as to allow access and regular service by the system owner.
MCH -20
The system shall be provided with air filter media having a designated efficiency equal to or greater than MERV 6 when tested in accordance with ASHRAE Standard
04
52.2, or a particle size efficiency rating equal to or greater than 50 percent in the 3.0 to10 micron range when tested in accordance with AHRI Standard 680.
MCH -25
MCH -26
MCH -27
The system shall be provided.with;airrfilte�, me that -has been labeled by the manufacturer to disclose the efficiency and pressure drop ratings that conform to the
05
required efficiency and pressure drop requirements for.the aiF filter device.
SC System
SC System
The responsible person's signature on this compliance document affirmsrthat all applicable requirements in this,table have, beemmet.
Duds
tf!•J���f' ��i�R!���il.�r��li�'+1�!R:L'�l�Iwltii�s'�tl,�'7�I�JYJ����i:�l�ia�i�.�e'-
Registration Number: 215-N6339113B-M0100001A-0000
Registration Date/Time: 2016-09-30 14:54:45
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:47:37
Schema Version: 2013.1.008
M. HERS Verification Requirements H ; VAI
01
02
03
04
OS
06
07
08
09
30
11
12
MCH -20
MCH -21
MCH -22
MCH -23
MCH -25
MCH -26
MCH -27
MCH -28
MCH -29
MCH -30
SC System
SC System
Duct
Duds
AHU Fan
AHU
Refrigerant
Rated SC
IAQ
Return
Supply
Ventilation
Identificati
Location or
Leakage
Location
Efficacy
Airflow
Charge
System
Mechanical
Dud
Dud
Cooling
on or
Area
Test
Verification
(W/dm)
Rate
Equipment
Ventilation
Design
Surface
Credit
Name
Served
(dm/ton)
Verification
Table
Area
150.0-C or
R -Value
D
Buried
Duds
System 1
Location
Yes
No
Yes
Yes
Yes
Yes
Yes
No
No
No
Registration Number: 215-N6339113B-M0100001A-0000
Registration Date/Time: 2016-09-30 14:54:45
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:47:37
Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 7 of 10 )
M. HERS Verification Requirements
01
02
03
04
05
06
07
08
09
-10
11
12
MCH -20
MCH -21
MCH -22
MCH -23
MCH -25
MCH -26
MCH -27
MCH -28
MCH -29
MCH -30
SC System
SC System
Duct
Ducts
AHU Fan
AHU
Refrigerant
Rated SC
IAQ
Return
Supply
Ventilation
Identificati
Location or
Leakage
Location
Efficacy
Airflow
Charge
System
Mechanical
Dud
Duct
Cooling
on or
Area
Test
Verification
(W/cfm)
Rate
Equipment
Ventilation
Design :
Surface
Credit
Name
Served
(dm/ton)
Verification
Table
Area
" 150.0-C or
R -Value
D
Buried
-
Duds
Notes: �„�„� �.,.�.�,_ •
Registration Number: 215-N6339113B-MO100001A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: • 2016-09-30 14:54:45
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
HERS Provider: CalCERTS
Report Generated: 2016-09-30 14:47:37
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 8 of 10 )
N. Space Conditioning Systems, Ducts and Fans -Mandatory Requirements and Additional Measures
Note: 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
Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency
01
Regulations.
Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant
02
to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(1), 110.2(b).
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
03
150.0(h)1 and 2).'a
Furnace Temperature Rise: Central forced -air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum
i
04
.1----- -- —� a -..........e _.,
inlet -to -outlet temperatureee specificatiori. See Se 150.0(h)4.
05
Standby Losses and Pilot Lights: Fan=type central:fumaces may not:have a continuously buening pilot, lightfS ction 110:5 and Section 110.2(d).
41. kL.
Cooling Equipment Ca:� _.
Equipment Efficiency: All cooling equipment must meet therminimum efficient rrequirements�of�Section,110..1'fand Section 11Q:2(a)7and the Appliance Efficiency
06
Regulations."` y "' iE * V it
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
07
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
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
Insulation: In all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct insulation value is R-6. Note that higher values may be
10
required by the prescriptive or performance requirements. See Section 150.0(m)1.
Registration Number: 215-N6339113B-MO100001A-0000
Registration Date/Time: 2016-09-30 14:54:45
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:47:37
Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 9 of 10 )
N. Space Conditioning Systems, Ducts and Fans -Mandatory Requirements and Additional Measures
Note: 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.
Connections and Closures: All installed air -distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CMC Sections 601.0,
602.0, 603.0, 604.0, 605.0 and ANSI/SMACNA-006-2006: Supply -air and return -air ducts and plenums must be insulated to a minimum installed level of R-6.0 or
11
enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference
Residential Appendix RA3.1.4.3.8.
Heat Pump Thermostat
12
A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c).
13
The thermostat shall be installed in accordance with the manufacturers published installation specifications
14
First stage of heating shall be assigned to heat pump heating.
15
Second stage back up heating, hall be set to come on'only when the indoor set temperature cannot be met.
The responsible person signature on this compliance -document affirms1hat all applicable requirements imthis=table have been metj,
'tV "�i
vt •• e '11 t tI1c `t( Ir -NN I� 10 tt i ,
Registration Number: 215-N6339113B-MO100001A-0000
Registration Date/Time: 2016-09-30 14:54:45
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:47:37
Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 10 of 10 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Martin Alvis
Company:
Signature Date:
M & T Energy Analyst
2016-09-30 14:53:23
Address:
CEA/ HERS Certification Identification (if applicable):
P.O. Box 534
City/State/Zip:
Phone:
Chico CA 95927
1530-990-0030
Responsible Person's Declaration statement
t'►
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. 1 am eligible under Division 3 of .the Business and Professions Cod n 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 (responsible builder/installer), otherwise I am an
authorized representative of the responsible builder/installer" .�. `
3. The constructed or installed features, materials, components ormanufactured-device (the nstallatwn).identllfied ori, is Certiflcate.of Installation,conforms to;alhapplicablecodes and regulations, and the
installation conforms to the requirements given: ori thetplans and specifications,approved ,by the enforcement agency. ^+w1
]9
4. I reviewed a copy of the Certificate of Compliance approved by the enfo cement agency that iddentifies he specific requirements fo the scope ofyconstructio�n or installation identified on this Certificate of
Installation, and I have ensured that the requirements that apply to the construction or installation have been met.
S. I will ensure that a registered copyof Lhis Certificate of Installation shall;b'e posted o(made available with the building permit(s) Issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a registered copy of this Certificate of'Install tion is r q ired to be included with the docu entation the builder provides t the building owner at occupancy.
Responsible Builder/Installer Name:
Responsible Builder/Installer Signature:
Tom Noyer
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Position With Company (Title):
C & N HEATING AND AIR CONDITIONING INC
owner
Address:
CSLB License:
2210 BIRD STREET
700568
City/State/Zip:
1530-534-9419
Phone:
Date Signed:
Chico CA 95927
12016-09-30 14:54:45
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N6339113B-MO100001A-0000 Registration Date/Time: 2016-09-30 14:54:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:47:37
Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3 )
Project Name: Turner Residence
Enforcement Agency: County of
Butte
Permit Number:
B15-2476
Dwelling Address: 4189 Clearcreek Cemetary
Rd
City: Butte Valley
Zip Code:
95965
A. System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location or Area Served
Location
03
Building Type from CF -111
Single family
04
Verified Low Leakage Ducts in Conditioned Space
No, credit is not taken
04
(VLLDCS) Credit from.CF1R?
Total leakage
06
/ t
0.06
05
Verified Low Leakage Air,Handling Unit (VLLAHU) Credit
No, credit is not taken
08
from CFiV:: . � � " ` + •
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage (cfm)
48
F06
Duct System pliance Categry k
e1 F
11
r y�
y k I €: !. t '1 4 f- -- i r-^ ..
II
—NN
i k' J t I i_; (F.
MCH -20a - Completely,New�Duct Systeme -
Heating Capacity (kBtu/h)
40
03
Conditioned Floor Area served by this HVAC system (112)
800
04
Duct Leakage Test Condition
Test final
05
Duct Leakage Test Method
Total leakage
B. Duct Leakage Diagnostic Test
01
Condenser Nominal Cooling Capacity (ton)
2
02
Heating Capacity (kBtu/h)
40
03
Conditioned Floor Area served by this HVAC system (112)
800
04
Duct Leakage Test Condition
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.06
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Cooling system method
08
Measured AHUAirflow
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage (cfm)
48
10
Actual duct leakage rate from leakage test measurement
(cfm)
46
11
1 Compliance Statement
System passes leakage test
Registration Number: 215-N6339113B-M2000002A-M20A Registration Date/Time: 2016-09-30 14:40:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:29:16
2013 Residential Compliance Schema Version: 2013.1.007
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CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3 )
B. Duct Leakage Diagnostic Test
12 Notes
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
02
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.
Ii
04
Building cavities were not used as plenums or platform returns in lieu of ducts.
i n �
05
If cloth backed tape was;used it was covered with Mastic and draw bands.
06
All con ection.points between the air handler"a�supply and return plenums are completely sealed.
Visual Inspection at Final Construction Stage (applicable if system was tested M trough -in)
After installing the interiorfinishing.wall and verifying that the above rough -in tests was comp d, following procedure must
be performed.,)
For all supply d return registers verify thatt that pacesbetw en the egister boot and the-inte or finishing walFare
07
properly sealed.
08
If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
09
Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
10
Verification Status
Pass
11
Correction Notes for this table
The responsible persons 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.
D. 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.
1 01 1 Complies: All specified verification protocol requirements on this document are met. I
Registration Number: 215-N6339113B-M2000002A-M20A Registration Date/Time: 2016-09-30 14:40:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:29:16
2013 Residential Compliance Schema Version: 2013.1.007
r
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Dud Leakage Diagnostic Test (Page 3 of 3 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Martin Alvis
Documentation Author Signature:
Company:
Date Signed:
M & T Energy Analyst
2016-09-30 14:40:13
Address:
CEA/ HERS Certification Identification (if applicable):
P.O. Box 534
City/State/Zip:
Phone:
Chico CA 95927
530-990-0030
Responsible Person's Declaration statement
T "
n
I certify the following under penalty of I perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. 1 am the certified HERS Raterr 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-Verificatio omply,with.th0pplicable 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 section;:of the Certificate(s) of Installation (CF2R)-signed=and submitted;by the per`son(s) responsible for the
construction or installation conforms to the•requirementsi'specified,on the Certificate(s) of Compliance (CF1R) approved by the'enforcement1igency.
} '�";� f. {' 'e'�
�-t �-�,"�,9✓ i � $ !`` '• f
5. 1 will ensure that a registered copy,of this Certificate of Verificationshall be posted, or made available with the.building permit(s);issued for the
building, and made`available to the,enforcement.agencyfng all applicable inspections. Itund stand*that a,regis[ered-copy o�ft th,is;Certificate.of
r r 'f%, '^ A--% —, Zd � s,� TM. � 3 .4 >;& z ,. �.J! :k. �i U +.i'. -�...
..r , ,.-..t , sem' ?yd'
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
^ `•r
f t %.- , % A * P --" i!•K 01.0 0 -ft. sW-F. % A^—
All,
Builder Or Installer Information As Shown'On The f Of Installation
ert ate
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
C & N HEATING AND AIR CONDITIONING INC
Responsible Builder or Installer Name:
CSLB License:
Tom Noyer
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
M & T Energy Analyst
Responsible Rater Name:
Martin Alvis
Responsible Rater Signature:
Responsible Rater Certification Number w/ this HERS Provider:
Date Signed:
CC2006137
2016-09-30 14:40:13
Digitally signed by Ca/CERTS. 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: 215-N6339113B-M2000002A-M20A Registration Date/Time: 2016-09-30 14:40:13 HERS Provider: Ca10ERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:29:16
2013 Residential Compliance Schema Version: 2013.1.007
CERTIFICATE OF VERIFICATION
CF3R-MCH-22-H
Space Conditioning System Fan Efficacy
(Page 1 of 3 )
Project Name: Turner Residence
Enforcement Agency:
Butte
County of
Permit Number: B15-2476
Dwelling Address: 4189 Clearcreek Cemetary
Rd
City:
Butte Valley
Zip Code: 95965
'A. Ducted Cooling System Information
01
Actual Tested Watts
390
01
System Identification or Name
System 1
03
Required Fan Efficacy (watts/cfm)
02
System location or Area Served
location
0.49
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
2
Lt.
05
Condenser Speed Type,,
Single Speed
06
Cooling System Zonal Control Types
Not Zonal
07
Central Fan Integrated (CFI) Ventilation' ysa Status
Not,a,CFI system
08
System Bypass Duct Status''
No BypaA'Duct
09
Date of System Airflow Rate,lllleasurement
2016-09-29
"R F IF
0"%k #-"
10
Airflow Rate Protocol utilized
RA3.3 p ocedu es forflow rate meaur emt`
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3..1, and system fan watt measurement apparatus information is given in
RA3.3.2.2.
1 01 ( Fan Watt Verification Device Used. ( Portable watt meter (
MCH -22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3.
01
Actual Tested Watts
390
02
Actual Tested Airflow from MCH -23 (cfm)
804
03
Required Fan Efficacy (watts/cfm)
0.58
04
Actual Fan Efficacy (watts/cfm)
0.49
Registration Number: 215-N6339113B-M2200002A-M22A Registration Date/Time: 2016-09-30 14:40:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:30:02
2013 Residential Compliance Schema Version: 0.51SDD
.i
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3 )
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3.
05 Compliance Statement: System fan efficacy complies
D. Additional Requirements
01
All registers were fully open during the diagnostic test.
02
System fan was set at maximum speed during the diagnostic test.
03
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
04
Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
A
05
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.
.e JY�
06
Zoned cooling -air distribution systems_whh single ped compressors shall meet both the airflow (cfm/ton) and fan efficacy
i, .�� s✓ .+.any'
(Watt/cfm) criteia,in every.,zonal contmode n*
07
Verification Statue g
Pals a I applicable equir ments are met
08
Correction NotesH �
� P K4, 1 1'-,j 9E`°
The responsible persons 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.
O1 I Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N6339113B-M2200002A-M22A Registration Date/Time: 2016-09-30 14:40:13 HERS Provider: Ca10ERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:30:02
2013 Residential Compliance Schema Version: O.51SDD
t•
!.
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 3 of 3 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Martin Alvis
Documentation Author Signature:
Aek rflNi)r041-
Company:
Date Signed:
M & T Energy Analyst
2016-09-30 14:40:13
Address:
CEA/ HERS Certification Identification (if applicable):
P.O. Box 534
City/State/Zip:
Phone:
Chico CA 95927
530-990-0030
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. lam 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 wmply 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 informationeported on applicable s41 -`ectiior"s.of.the Certificate(s) of ITH' )laiiiiri (CF2R)-signed=and stibm{tted;by the per�son(s) responsible for the
construction or installation conforms to the requirements specifie&on the Certificate(s) of Compliance (CF1R) approved by the;enfotcement`agency.
1 r ----I , � �I 'F, f
.art I t " � i f ? 4 * � 4: N y � f � d �,.
5. 1 will ensure that a registered copycf this Certificate of Verii ica tions gall be posted, or made available with the.b {ilding permit(s)Assued.;ot the
building and made available to the,enforcement.agency for all applicable inspections. 1°understan&that a,registered-copy ofygthis.Cert'ificate.of
rr "•R. `� $ �. s a ` b s Via. i U >�
! ,d+ ,. Q^,� ..,� a4' ; -i P *A
Verification isrrequired to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown n The f Of Installation
ert ate
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
C & N HEATING AND AIR CONDITIONING INC
Responsible Builder or Installer Name:
CSLB License:
Tom Noyer
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
M & T Energy Analyst
Responsible Rater Name:
Martin Alvis
Responsible Rater Signature:
Responsible Rater Certification Number w/ this HERS Provider:
Date Signed:
CC2006137
2016-09-30 14:40:13
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 215-N6339113B-M2200002A-M22A Registration Date/Time: 2016-09-30 14:40:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:30:02
2013 Residential Compliance Schema Version: 0.51SDD
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
Space Conditioning System Airflow Rate
(Page 1 of 4 )
Project Name: Turner Residence
Enforcement Agency: County of
Butte
Permit Number:
B15-2476
Dwelling Address: 4189 Clearcreek Cemetary
Rd
City: Butte Valley
Zip Code:
95965
A. Ducted Cooling System Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given
in RA3.3.2.
01
O1
System Identification or Name
System 1
RA3.3.3.1.4
02
02
System Location or Area Served
03
Location
420
03
System Installation Type
04
New
http://www.energy.ca.gov/title24/equipment—cert/ama—fas
04
Nominal Cooling Capacity (tons) of Condenser
2
05
Condenser Speed Typer$�
a
Single Speed
06
Cooling System Zonal Control Type_
Not Zonal
07
Central Fan Integrated (CFI) Ventilation Status
Not.a_CFI system-
08
+ r r /
System Bypass Duct Status
I .N- rC
No Bypass Duct
'e
I rn) rr"4
�.��
1 l 4 f= �
09
Date of System Airflow Rate Measurement
2016=09-29 �'
IV
i 6 ! # . I r1W
01% A -
9l"IVk 01%
x
11KWk ;k" r,%
10
Airflow Rate Protocol Utilized
y Vit,
RA3.3 procedu es for airflow rate
mea'"s cement ""
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 installed and labeled consistent with Figure RA3.3-1
HSPP/PSPP Requirement
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
Traditional Flow Capture Hood according to procedure in
verification.
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement Apparatus
Testo
03
Model number of Airflow Measurement Apparatus
420
Certification Status of the Airflow Measurement Apparatus
Certified by Manufacturer and listed on CEC Website at
04
Accuracy
http://www.energy.ca.gov/title24/equipment—cert/ama—fas
/index.html
Registration Number: 215-N6339113B-M2300002A-M23A Registration Date/Time: 2016-09-30 14:40:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:29:43
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 4 )
MCH -23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01
Required Minimum System Airflow Rate (cfm/ton)
350
02
Required Minimum System Airflow Target (cfm)
700
03
Actual System Airflow Rate Measurement (cfm)
804
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
01
Air filteTs�tFiat meet the applicable-requirremmen�ts-oof,,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.
,;�... .�.,,... ,Q.�.
The airflow rate,measurement-apparatus used Operform the airflow -rate measurement�identified on this Certificate of
02
Verification was calibrated imaccordance with the -apparatus manufacturers specifications and conformsho the
d l J / f. 1 t. �.. .�
instrumentation specifications given in RA3 3s1fe�► U '- L_= -/ U U U 0
OWY A visual inspection shall confirm bypass duct that deliveonditioned supply airire ly to the space coediting
03
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.
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
08
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
09
Verification Status:
Pass - all applicable requirements are met
10
Correction Notes:
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met unless otherwise noted in the Verification Status and the Corrections Notes in this table.
Registration Number: 215-N6339113B-M2300002A-M23A Registration Date/Time: 2016-M30 14:40:13 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:29:43
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 4 )
F. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01 1 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N6339113B-M2300D02A-M23A Registration Date/Time: 2016-09-30 14:40:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:29:43
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 4 of 4 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Martin Alvis
Documentation Author Signature:
Company:
Date Signed:
M & T Energy Analyst
2016-09-30 14:40:13
Address:
CEA/ HERS Certification Identification (if applicable):
P.O. Box 534
City/State/Zip:
Phone:
Chico CA 95927
530-990-0030
Responsible Person's Declaration statement
k
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. 1 am the certified HERS Ratenwho performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features,,matenals, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this,Certificate�of-Verifiication comply,with the.applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compncee'for the bwlding approved by the enforcement agency.
4. The information reported on applicable sections ofthe Certificates) of Installation (CF2R)signed--and su6'miEed;by the persons) responsible for the
construction or installation conforms to the�requirements s�p�ecifiled;on the Certificate(s) of Compliance (CF}1R) approved byth eke f rrcement agency.
S. I will ensure that a registered copyef this Certificate of VeH itat�ions fiall be posted, or made available with the.b u ilding peemit(s). issued for the
building, and made'available to the�enforcement,agency,for all applicable -inspections. I understand'that a -registered copy of}this,Certifpteof ¢�
Verification is required to be"included with the documentation the builder provides to the buiiding owner at occupancy.
IN * i A*,* 0011. .,glw rw,%! sh V,.— 0 •A/54!1•... :� 9P!�!#
Builder Or Installer Information As Shown On Th Cert f ate -Of Installations`
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
C & N HEATING AND AIR CONDITIONING INC
Responsible Builder or Installer Name:
CSLB License:
Tom Noyer
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
M & T Energy Analyst
Responsible Rater Name:
Martin Alvis
Responsible Rater Signature:
Aeozz
U/Q"V
Responsible Rater Certification Number w/ this HERS Provider:
Date Signed:
CC2006137
2016-09-30 14:40:13
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 215-N6339113B-M2300002A-M23A Registration Date/Time: 2016-09-30 14:40:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:29:43
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4 )
Project Name: Turner Residence
Enforcement Agency: County of
Butte
Permit Number:
B15-2476
Dwelling Address: 4189 Clearcreek Cemetary
Rd
City: Butte Valley
Zip Code:
95965
A. System Information
Each system requiring refrigerant charge verification will be documented on a separate certificate.
01
System Identification or Name
System 1
02
System Location or Area Served
Location
03
Condenser (or package unit) Make or Brand
Bryant
04
Condenser (or package unit) Model Number
106AN024-A
05
Nominal Cooling Capacity (tons) of Condenser
2
06
Conde serq(or package unit) Serial Number
0716X26126
07
Refrigerant Type �7
I F
11
R �0 ��rr
08
Other RefrigerantTyp (if applicable)
U
�U /7 U.0
r
09
System Installation Type H r.�
New: 4 V M
10
Charge Indicator Display (CID) Status (Note: Even systems
This system does not have a CID device installed
with a CID must have refrigerant charge verified by installer).
Is the system of a type that the minimum airflow can be
Yes, this is a ducted system and one of the system airflow
11
verified using an approved measurement procedure (RA3.3
rate measurement procedures in RAU or RA3.2.2.7 can be
or RA3.2.2.7)?
used to verify system airflow rate requirements.
Is the system of a type that approved refrigerant charge
Yes, one of the Refrigerant charge verification procedures
verification procedures can be used to verify compliance
from RA3.2.2 or RA1 is applicable to this system and can be
12
with the refrigerant charge verification requirements when
used to verify compliance
temperatures are greater than or equal to 55F (RA3.2.2, or
RA1)?
13
Date of Refrigerant Charge Verification for this system
2016-09-29
14
Refrigerant charge verification method used.
Subcooling (outdoor temperature must be equal to or
greater than 55 degF)
15
Person who performed the Refrigerant Charge Verification
HERS rater
reported on this Certificate of Installation
16
HERS Verification Compliance Requirement Status
System does not qualify for group sampling
Registration Number: 215-N6339113B-M2500002A-0000 Registration Date/Time: 2016-09-30 14:54:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:25:20
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 2 of 4 )
MCH -25b - Refrigerant Charge Verification - Subcooling Method
B. Metering Device Verification
Subcooling Method can only be used on systems that have a variable metering device.
01
Refrigerant metering device
Thermostatic Expansion Valve (TXV)
02
Subcooling Method applicability status
Subcooling Method is applicable to this system.
C. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
01
Date of Digital Refrigerant Gauge Calibration
2016-09-06
System Airflow Rate Verification Status
System complies with minimum airflow rate requirements
the refrigerant charge verification procedure (degreeF)
02
Date of Digital Thermocouple Calibration
2016-09-06
80
condenser, db)
03
Digital -Refrigerant Gauge Calibration -.Status
Calibration is current
Outdoor temperature is within range for using Subcooling
04
Digital Thermocouple Calibration Stat{,�[�
Cal'itiration is current,
i 2 a t k_ t 4 r i R 3 5"— I mo\ d� -� Y F.§ a 4: �'� [ A 4
D. Measurement Access Hole,(MAH) Verification t!== - U U IjC
Procedures for installing MAH are specified" -lin Reference Residential Appendiz$RA3`2:2.3 r
Ol IMethod used to demonstrate compliance with theI MAH installed and labeled consistent with Figure 3.2-1 I
Measurement Access Hole (MAH) requirement
E. Minimum System Airflow Rate Verification
Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.2.2.7.
01
Minimum Required System Airflow Rate (cfm)
700
02
System Airflow Rate Verification Status
System complies with minimum airflow rate requirements
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in
Reference Residential Appendix RA3.2.2.
01
Lowest return air dry bulb temperature that occurred during
74
the refrigerant charge verification procedure (degreeF)
02
Measured Condenser air entering dry-bulb temperature (T
80
condenser, db)
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for using Subcooling
refrigerant charge verification method
Registration Number: 215-N6339113B-M2500002A-0000 Registration Date/Time: 2016-09-30 14:54:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:25:20
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 4 )
F. Data Collection and Calculations
Procedures for determining Refrigerant Charge using the Standard Charge Verification Procedure are given in
Reference Residential Appendix RA3.2.2.
04
Measured Liquid Line Temperature (Tiiquid) (degreeF)
80
05
Measured Liquid Line Pressure (Piiquid) (ping)
262
06
Condenser saturation temperature (Tcondensor, sat) from digital
89
gauge or P -T Table using Line F05 (degree F)
Measured Suction line pressure (Psuction) (psig)
07
Measured Subcooling
9
08
Target Subcooling
10
09
Compliance Statement' XSystem complies with Subcooling Method - Must also pass metering device verification, next
digital gauge or P -T Table using line G02 (degreeF)
section jA
If 11
G. Metering Device Verificat oh::
Procedures for the verification of propermetering device operation are specified in RA3.2.2.6.2
IN �-� — f i s f
01
Measured Suction line tem erature T§uction de reeF
p ()(� )
55
Il.fin-r
J=
02
Measured Suction line pressure (Psuction) (psig)
TY8
s� t er•e
'k AT x
Evaporators turation temperature (Tevapotor, sat) -from
"40
03
digital gauge or P -T Table using line G02 (degreeF)
04
Measured Superheat
15
05
Measured Superheat is between 4 and 25 deg F (inclusive)
Passes CEC requirement
06
Measured Superheat is within manufacturer's specifications,
Not known
if known
07
Compliance Statement: Metering device verification passes
Verification of Charge Indicator Display - CF2R-MCH-25d - CID
H. Charge Indicator Display
Procedures for the Charge Indicator Display Verification are detailed in RA3.4.2
This section does not apply to this project.
1. Charge Indicator Display - Additional Requirements
This section does not apply to this project.
Registration Number: 215-N6339113B-M2500002A-0000 Registration Date/Time: 2016-09-30 14:54:45 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:25:20
2013 Residential Compliance Schema Version: 2013.1.008
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1
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 4 of 4 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: A,��G�/Ga'
/�(
Martin Alvis
Company:
Signature Date: 2016-09-30 14:53:23
M & T Energy Analyst
Address:
CEA/ HERS Certification Identification (if applicable):
P.O. Box 534
City/State/Zip:
Phone:
Chico CA 95927 1530-990-0030
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. 1 am 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 attesiito the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the
responsible builder/installer.`.
_
3. The constructed or installed features, materials; components or manufactured devices (the installation) identified on this Certificate of Installation
conforms Lo all applicable codes and regulatUons,.and the installation conforms;to the requirementsgiven on -the, plans andspecifications approved by
the enforcemen>agency.�^
4. 1 understand that a HERS raterwill.check the installationtovenfytomepliance 'and that'if°such checking identifies defects; lam regwred toake
corrective action atrny expense l understand�that Energy CCommissioneand HER Provide¢ represen'ta'tives will also quality assurance checking
I - � 'T f * "a- k 1- A E N„ �p*erform
of installations, including Lhose,appr�oved as partof a sample,group but m checked.by=a.HERs,rater,„and if those ins{fallations fail to meetthe
requirements of. such quality assurance checking, the required corrective.action and.additional checking/testing.46ther installations.in that.HERS
sample group will be performed at my expense.
5. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of
construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or
installation have been met.
6. 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Responsible Builder/Installer Signature:
Tom Noyer
ply
Company Name: (Installing Subcontractor or General Contractor or
Position With Company (Title):
Builder/Owner)
Owner
C & N HEATING AND AIR CONDITIONING INC
Address:
CSLB License:
2210 BIRD STREET
700568
City/State/Zip:
Phone:
Date Signed:
OROVILLE CA 95965
530-534-9419
2016-09-30 14:54:45
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 215-N6339113B-M2500002A-0000 Registration Date/Time: 2016-M30 14:54:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:25:20
2013 Residential Compliance Schema Version: 2013.1.008
4 -
CERTIFICATE OF VERIFICATION
CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification
(Page 1 of 4 )
Project Name: Turner Residence
Enforcement Agency: County of
Butte
Permit Number:
B15-2476
Dwelling Address: 4189 Clearcreek Cemetary
Rd
City: Butte Valley
Zip Code:
95965
A. System Information
Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC
system requiring verification must use a separate form.
01
System Name or Identification/Tag
System 1
02
System Location or Area Served
Location
03
Status: SEER and EER performance compliance credit check
EER HERS Verification is required
Outdoor Condenser or Package Unit -
01
Bryant
04
Directory used to certify,product performance
AHRI
05
AHRI certification. number f�orthe installed space
7688254
106AN024-A
c� gconditioning_ystem from htp://www aheidiretoo
106AN024-A
Installed Model Number
06
Does the directory used,to certify product performance%
ndler%furnace make `
Yes.
05
require a specific;air,h and model?r;
f �" �, i 'i`�.._
06
Bryant
I' f K -- i( 1 k 1 I
— ._..__
07
Does the directory used t certify product-, performance
delay
rNo �J
Inside Coil - Installed Model Number
require a time relay (+TDR)?,
to
08
Does the directory used to certify product performance
Yes
require a TXV (+TXV)?
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance..
Data from Nameplate of Installed system
Data from Directory used to certify product
component
performance for the rated system
component
Outdoor Condenser or Package Unit -
01
Bryant
02
Bryant
Installed Manufacturer Name
Outdoor Condenser or Package. Unit -
03
106AN024-A
04
106AN024-A
Installed Model Number
Inside Coil - Installed Manufacturer
05
Bryant
06
Bryant
Name
Inside Coil - Installed Model Number
'07
CNPHP3017ALAAAA
08
CNPHP3017ALAAAA
Registration Number: 215-N6339113B-M2600002A-M26A Registration Date/Time: 2016-09-30 14:40:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:31:57
2013 Residential Compliance Schema Version: 2013.1.007
CERTIFICATE OF VERIFICATION CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 2 of 4 )
B. Rated Space Conditioning System Equipment Verification
The data on nameplate of the installed component shall conform to the data for the component as shown in the
Directory used to certify product performance in order to demonstrate compliance.
Air Handler/Furnace - Installed
09
Bryant
10
Bryant
Manufacturer Name
12
02
Installed EER,.-•"".per`'-� �}
Air Handler/Furnace - Installed Model
11
925530040E14A
12
92SS3004OE14A
Number
03
Compliance Statement
C. Verified Cooling System SEER
This section does not apply to this project.
P:
D. Verified Cooling System EER
01
If a specific air handler or furnace is required by the AHRI certificate, the responsible party certifies by signing below that
the installed air handler/furnace matches the equipment on the AHRI Certificate.
J(tt.
Verification Status
Pass - all applicable requirements are met
O1
If k
Required_minimum,EER
12
02
Installed EER,.-•"".per`'-� �}
12.2
03
Compliance Statement
Sys tem'passes,EER;Verification
-NN 'it.
rn). r'
r -a
5.l IV I i
t� ti� t 4 'a °- . d I t f t i 4 f°- ry t 4: t 41.0
t, ,. ,� 'certifies
Signature by responsible party below certifies that A)r stalled cooling equipment matches thevcluipmenron the AHRI
Certificate. iJ�,` H E R
S r
E
E. Verified Cooling System Air Handler/Furnace
01
If a specific air handler or furnace is required by the AHRI certificate, the responsible party certifies by signing below that
the installed air handler/furnace matches the equipment on the AHRI Certificate.
Verification Status
Pass - all applicable requirements are met
E03
Correction Notes for this table
F. Verified Cooling System Time Delay Relay
This section does not apply to this project.
G. Verified Cooling System TXV
01
If a TXV is required by the AHRI certificate, the responsible party certifies by signing below that the TXV is properly installed
and has been visually verified, including proper placement of sensing bulb
Verification Status
Pass - all applicable requirements are met
E03
Correction Notes for this table
Registration Number: 215-N6339113B-M2600002A-M26A Registration Date/Time: 2016-09-30 14:40:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:31:57
2013 Residential Compliance Schema Version: 2013.1.007
-.Ir
71
CERTIFICATE OF VERIFICATION CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 3 of 4 )
H. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01 1 Complies: All specified verification protocol requirements on this document are met.
:1
ILE. R S P R
Registration Number: 215-N6339113B-M2600002A-M26A Registration Date/Time: 2016-09-30 14:40:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008. Report Generated: 2016-09-30 14:31:57
2013 Residential Compliance Schema Version: 2013.1.007
9,
CERTIFICATE OF VERIFICATION CF3R-MCH-26-H
Rated Space Conditioning System Equipment Verification (Page 4 of 4 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Martin Alvis
Documentation Author Signature:
Company:
Date Signed:
M & T Energy Analyst
2016-09-30 14:40:13
Address:
CEA/ HERS Certification Identification (if applicable):
P.O. Box 534
Chico / CA / 95927
City/State/Zip:
Phone:
Chico CA 95927
530-990-0030
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. 1 am the certified HERS'ItaWr 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
ideritified on this Certificateof-Verificatio omply-with,theapplicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliancefor the building approved by the enforcement agency.
4. The information reported on appli,�ble sections:ofafie Certificate(s) of installa"tion (CF2Rj=ssigned:and; su6'mitted;by the persons) responsible for the
d'.
construction or installation conforms to the 'requirements; "specifiednd('' the Certificate(s) of Compliance (Uill) approved by the enfprcemenCagency.
5. 1 will ensure that a registered copyef this Certificate o� �eeifi a aionahall be posted or made�available with the -building permits) issued for the
building and made available to the enforcement agency f& all applicable inspections. I understand:}}�th,�at a,registered-copy ofpth:isGCertificate -ofa�
"'9n e` R t i U.
l Rn dd M` .i ........ f' ,(pj
A.I. - �- --/, A f
Verification is required to be°includedy with the documentation the builder provides to the building owner at -occupancy.
I ,' � t A! 34 0"" Awo,. oew WWI* PM"a, .00%, x Ar— W 3 "VA, hr+■a 01!g
Builder Or Installs Information As Shown'On The erticats Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
C & N HEATING AND AIR CONDITIONING INC
Responsible Builder or Installer Name:
CSLB License:
Tom Noyer
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
M & T Energy Analyst
Responsible Rater Name:
Martin Alvis
Responsible Rater Signature:
Responsible Rater Certification Number w/ this HERS Provider:
Date Signed:
CC2006137
2016-09-30 14:40:13
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 215-N6339113B-M2600002A-M26A Registration Date/Time: 2016-09-30 14:40:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:31:57
2013 Residential Compliance Schema Version: 2013.1.007
CERTIFICATE OF INSTALLATION
CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation
(Page 1 of 5 )
Project Name: Turner Residence
Enforcement Agency: County of
Butte
Permit Number:
B15-2476
Dwelling Address: 4189 Clearcreek Cemetary
Rd
City: Butte Valley
Zip Code:
95965
Title 24, Part 6, Section 150.0(0) Ventilation for Indoor Air Quality. All dwelling units shall meet the requirements of ANSI/ASHRAE
Standard 62.2. Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Equation and table numbering on
this form corresponds to the numbering for that information in the published ANSI/SHRAE Standard 62.2-2010.
A. Dwelling Mechanical Ventilation - General Information
O1
Dwelling unit name
Turner Residence
02
Building Type `
Single family
03
Project scope
Newly constructed building
Total Conditioned Floor A ea-ofD^ welling Unit------""
800
04
(For addition -projects the conditio en d fl o area equals -
existing area addition area: )-
c f
plus ._Fc))�
.
Number of bedrooms-in;dwelling unit
3 0
05
(For addition projects the number of bedrooms equals the
existing bedrooms plus addit n -bedrooms)
PROVI"E R
06
Ventilation Operation Schedule
Continuous
07
Whole -Building Ventilation Rate Calculation Method
Fan Ventilation Rate Method (4.1.1)
08
Whole Building Ventilation System Type
Standalone - Balanced
MCH -27a - Continuous Ventilation Airflow - Fan Ventilation Rate Method
B. Whole -Building Continuous Ventilation - Fan Ventilation Rate Method
A mechanical supply system, exhaust system, or combination thereof shall provide whole -building ventilation with
outdoor air each hour at no less than the rate in equation 4.1a.
01 1 Required Continuous Whole -Building Ventilation Rate 138
02 1 Installed Continuous Whole -Building Ventilation Rate 197
C. Compliance Statement
01 Building passes continuous whole -building ventilation rate test
Registration Number: 215-N6339113B-M2700001A-0000 Registration Date/Time: 2016-09-30 14:54:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:28:01
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 2 of 5 )
D. Local Mechanical Exhaust System - Fan selection and duct design criteria for compliance
Local mechanical exhaust fans shall be installed in each kitchen and bathroom. Delivered local ventilation rates:
• All local ventilation rates have been measured using a flow hood, flow grid, or other airflow measuring device and meet the
requirements of 62.2 Tables 5.1 or 5.2. OR
• The airflow rating at a pressure of 0.25 in. w.c. of a certified fan is assumed because the local ventilation system duct sizing
meets the prescriptive requirements of 62.2 Table 5.3, or manufacturer's design criteria.
Table 5.1
Intermittent Local Ventilation Exhaust Airflow Rates
Application
Airflow
Notes
Vented range hood (including
Kitchen
100 cfm
appliance -range hood combinations)
required if exhaust fan flow is less than 5
ACH.
Bathroom
50 cfm
Table 5.2
Continuous Local Ventilation Exhaust Airflow Rates
Application
,r..:.��'r•' Airflow
Notes
Kitchen
5 ACHE ;
6` a edon Kitchen volume.
Bathrgom.�" 'A i
�.—�' �2.04cfm
Table 5.3 'V� " \!e' U .� .L U U � U Q U 0
Prescriptive Duct Sizing Requirements 1_1 JC" M gay , V AF, j r-+
Duct Type
Flex Duct'f " ' `" `
` Smooth Duct -
Fan Rating
cfm @ 0.25
50
80
100
125
50
80
100
125
in. w.g.
Maximum Allowable Duct Length (ft)
Diameter,
(in)
Flex Duct
Smooth Duct
3
X
X
X
X
5
X
X
X
4
70
3
X
X
105
35
5
X
5
NL
70
35
20
NL
135
85
55
6
NL
NL
125
95
NL
NL
NL
145
7and above
NL
NL
NL
NL
NL
NL
NL
NL
This table assumes no elbows. Deduct 15 ft of allowable duct length for each turn, elbow, or fitting. Interpolation and extrapolation
in 62.2 Table 5.3 is not allowed. For airflow values not,listed, use the next higher value. This table is not applicable for airflow > 125
cfm.
NL = no limit on duct length of this size.
X = not allowed, any length of duct of this size with assumed turns, elbows, fittings will exceed the rated pressure drop.
Registration Number: 215-N6339113B-M2700001A-0000 Registration Date/Time: 2016-09-30 14:54:45 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:28:01
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 3 of 5 )
E. Other Requirements
The items listed below (6.1 through 6.8) correspond to the information given in ASHRAE 62.2 Section 6 Other Requirements. Refer
also to Chapter 4.6 of the Residential Compliance Manual (Section 4.6.5) for information describing these Other Requirements. The
signature of the Responsible Person in the declaration statement below certifies that the building complies with these
requirements specified in ASHRAE 62.2 Section 6.1 through 6.9 if applicable.
6.1 Transfer Air Measures shall be taken to minimize air movement across envelope components to occupiable spaces from
01
garages, unconditioned crawl spaces, and unconditioned attics. Supply and balanced ventilation systems shall be
designed and constructed to provide ventilation air directly from the outdoors.
6.2 Instructions and Labeling Information on the ventilation design and/or ventilation systems installed, instructions on
their proper operation to meet the requirements of this standard, and instructions detailing any required maintenance
02
(similar to that provided for HVAC systems) shall be provided to the owner and the occupant of the dwelling unit.
Controls shall be labeled as to their function (unless that function is obvious, such as toilet exhaust fan switches). See
Chapter 13 of Guideline 242 for information on instructions and labeling.
r �
03
6.3 Clothes Dryers Clothes dryers shall be exhausted directly to the outdoors
I r I )
6.4 Combustion and solid-fu`el burning appliances Combustion and solid -fuel burning appliances must be provided with
adequate` combustion and ventilation air a d ented in accordance with manufacturer installation instructions, NFPA 54
ANSI Z223.1, National Fuel Gas Code„NEPA 31, Standard the; Installation -Oil -Burning Equipment, NFPA 211,
-for of or
Standard for. Chimneys,'Fireplaces,Vents, and ,Solid -Fuel Burning Appliances, or other equivalent code acceptableto the
� � ► xt ` � I➢�4 �r y ire♦�.\
04
building official: Where atm ospheriallyveotecJ comb ion apple+ antes or- olidjfuel brm�ng,appliances are located
inside the pressure boundary, the total net exh"aust°flow of the°two'largest exhaust fans(not including a summer cooling
fan intended to be operated onlywhegxwindows orother air inlets are open) shall�not exceed; l5'cfin peT100 k (75 Lps
per 100 m2) of occupiable space when in operation t full capacity If the iiesig edtota netflow a eeds this limit, the
net exhaust flow must be reduced by reducing the exhaust flow or providing compensating outdoor airflow.
Atmospherically vented combustion appliances do not include direct -vent appliances
6.5 Garages When an occupiable space adjoins a garage, the design must prevent migration of contaminants to the
adjoining occupiable space. Air seal the walls, ceilings, and floors that separate garages from occupiable space. To be
05
considered air sealed, all joints, seams, penetrations, openings between door assemblies and their respective jambs and
framing, and other sources of air leakage through wall and ceiling assemblies separating the garage from the residence
and its attic area shall be caulked, gasketed, weather stripped, wrapped, or otherwise sealed to limit air movement.
Doors between garages and occupiable spaces shall be gasketed or made substantially airtight with weather stripping.
06
6.6 Ventilation Opening Area Spaces shall have ventilation openings as listed below. Such openings shall meet the
requirements of Section 6.8
6.7 Minimum filtration Mechanical systems that supply air to an occupiable space through ductwork exceeding 10 ft (3 m)
in length and through a thermal conditioning component, except evaporative coolers, shall be provided with a filter
having a designated minimum efficiency of MERV 6, or better, when tested in accordance with ANSI ASHRAE Standard
07
52.2, Method of Testing General Ventilation Air -Cleaning Devices for Removal Efficiency by Particle Size, or a minimum
Particle Size Efficiency of 50 percent in the. 3.0-10 micrometer range in accordance with AHRI Standard 680,
Performance Rating of Residential Air Filter Equipment. The system shall be designed such that all recirculated and
mechanically supplied outdoor air is filtered before passing through the thermal conditioning components. The filter
shall be located and installed in such a manner as to facilitate access and regular service by the owner.
Registration Number: 215-N6339113B-M2700001A-0000 Registration Date/Time: 2016-09-30 14:54:45 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:28:01
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 4 of 5)
E. Other Requirements
I-%
The items listed below (7.1 through 7.3) correspond to the information given in ASHRAE 62.2 Section 7 Air -Moving Equipment.
6.8 Air Inlets Air inlets that are part of the ventilation design shall be located a minimum of 10 ft (3 m) from known sources
08
of contamination such as a stack, vent, exhaust hood, or vehicle exhaust. The intake shall be placed so that entering air
I1 >r f-' WIt
is not obstructed by snow, plantings, or other material. Forced air inlets shall be provided with rodent insect screens
'I I Z f, it 4 It, it $ f * E It."""}:
7.1 Selection and Installation,Ventilation devices`and equipment shalFbe tested and listed -in accordance'with specific
i r F 1 }t+ q.: w 't t i 1 'fir
(mesh not larger than half an inch).
pG. OF �\
standards.�ns�allatio�ns of. terns o e- -'N 'shall bye c�arrie t in4accorda a with anufacture de gn�y LL
requirements and installation instructions ii
6.9 Carbon Monoxide Detectors A carbon monoxide alarm shall be installed in each dwelling unit in accordance with NFPA
09
720, Standard for the Installation of Carbon Monoxide (CO) Detection and Warning Equipment 14, and shall be
consistent with requirements of applicable laws, codes, and standards.
The responsible persons signature on this compliance document affirms that all applicable requirements in this table have
been met.
F. Air Moving Equipment
I-%
The items listed below (7.1 through 7.3) correspond to the information given in ASHRAE 62.2 Section 7 Air -Moving Equipment.
Refer also to Chapter 4.6 of the Residential Compliance Manual (Section 4.6.6) for information describing these requirements in
more detail `The signat e.of the Responsible'Person in the declaration statement below certifies that the building complies with
these requirements`specified in ASHRAE62.2..Sectionn7 through 7.3 if applicable.
I1 >r f-' WIt
'I I Z f, it 4 It, it $ f * E It."""}:
7.1 Selection and Installation,Ventilation devices`and equipment shalFbe tested and listed -in accordance'with specific
i r F 1 }t+ q.: w 't t i 1 'fir
01
pG. OF �\
standards.�ns�allatio�ns of. terns o e- -'N 'shall bye c�arrie t in4accorda a with anufacture de gn�y LL
requirements and installation instructions ii
7.2 Sound Ratings for Fans Ventilation fans shall -tie rated �for ound at o less ha h minimum�aie rate equiired by
this standard, as noted below. These sound ratings shall be at a minimum of 0.1 in. w.c. (25 Pa) static pressure. 7.2.1
02
Whole Building or Continuous Ventilation Fans. These fans shall be rated for sound at a maximum of 1.0 sone. 7.2.2
Intermittent Local Exhaust Fans. Fans used to comply with Section 5.2 shall be rated for sound at a maximum of 3 sone,
unless their maximum rated airflow exceeds 400 cfm (200 L/s). (Some exceptions may apply.)
7.3 Multibranch Exhaust Ducting If more than one of the exhaust fans in a dwelling unit shares a common exhaust duct,
03
each fan shall be equipped with a back draft damper to prevent the recirculation of exhaust air from one room to
another through the exhaust ducting system.
The responsible persons signature on this compliance document affirms that all applicable requirements in this table have
been met.
G. Multifamily Buildings -Other Requirements
This section does not apply to this project.
Registration Number: 215-N6339113B-M2700001A-0000 Registration Date/Time: 2016-09-30 14:54:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:28:01
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 5 of 5
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature��••
�QG!/GQ-
Martin Alvis
Company:
Signature Date: 2016-09-30 14:53:23
M & T Energy Analyst
Address:
CEA/ HERS Certification Identification (if applicable):
P.O. Box 534
City/State/Zip:
Phone:
Chico CA 95927
1530-990-0030
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. 1 am 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 (responsible builder/installer), otherwise I am an authorized representative of the
responsible builder/installer:,,, r w_
3. The constructed or installed features, materials,,compone� nt. 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 plans and specifications approved by
the enforcement agency.,1 I
4. I understand that a HERS rater willcheckthe mstallatiorwenkylcomphance and thaLif'such checking identifies defects I am regwred toe
-.e ,r, -11r -1 as �v �a.4f
corrective action at rn expensed understand�that Energy Commission and HERS Provider representatives will also perform quality assurance checking
ii � � -- i li
"° - p t ' t 4 e a " ¢ 4 r ' ` r.. ' 3 "
g s ppr�oved as part;of a.sample,grcup but not,checked by,a,HERS.rater,,.and if those installations fail to meetthe, .o
of installations, includin th so e•a
requirements of such quality assurance checking, the required corrective action and.additional checking/testing,ofother installations.in that -HERS
sample group will be performed vrny�expense.
S. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of
construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or
installation have been met.
6. 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Responsible Builder/Installer Signature:
Tom Noyer
P�
Company Name: (Installing Subcontractor or General Contractor or
Position With Company (Title):
Builder/Owner)
Owner
C & N HEATING AND AIR CONDITIONING INC
Address:
CSLB License:
2210 BIRD STREET
700568
City/State/Zip:
Phone:
Date signed:
OROVILLE CA 95965
530-534-9419
2016-09-30 14:54:45
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 215-N6339113B-M2700001A-0000 Registration Date/Time: 2016-09-30 14:54:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 14:28:01
2013 Residential Compliance Schema Version: 2013.1.008