HomeMy WebLinkAboutB16-1753 042-310-010 (2)BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 5
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: B16-1753 Issued: 10/18/2016
APN: 042-310-010
Address: 2840 RODEO AVE, CHICO
Owner: CASEY GREGORY & KARISSA
Permit Type: REMODEL
Description: REMODEL HOME FROM FIRE DMG (1750)
Flood Zone: None SRA Area: No
Front: Centerline of Road:
Rear: SRA:
Side: AG:
Other:
Total Setback from Centerline of Road:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
131
Foundations / Footings
111
Pier/Column Footings
122
Eufer Ground
216
Masonry Grout
120
Setbacks
131
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test Underground/floor
404
Gas Piping Underground/floor
403
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Blockin nde inin
612
Tiedown/Soft Set System
611
Do Not Install Floor Sheathing or Slab Until Above Signed
ShearwallB.W.P.-Interior
134
ShearwalUB.W.P.-Exterior
135
Roof Nail/Drag Trusse
129
417
Manometer Test
Do Not Install SidinglStucco or Roofing Until Above Sig ed
Rough Framing
153
Rough.Plumbing
406
Rough Mechanical
316
Rough Electrical
208
4 -Way Rough Framing
128 J&A f t (.f .
Gas Piping House 1
403 17
Gas Test House
404 1 12 -/
Shower Pan/Tub Test
408
Do Not Insulate Until Above Signed
Permit Final
802 6� L
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Fire Sprinkler Test or Final .
702
Swimmin2
Pools
Inspection Type
IVR INSP DATE
T -Bar Ceiling
145
Stucco Lath
14IG
Swimmin2
Pools
Setbacks
131
Pool Plumbing Test
504
Gas Test
404
Pre-Gunite
506
Pre -Deck
505
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
131
Blockin nde inin
612
Tiedown/Soft Set System
611
Permanent Foundation System
613
Under round Electric
218
Sewer
407
Underground Water
417
Manometer Test
605
Continuity Test
602
Skirting/Stens/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Finals
Public Works Final 538.7681
Fire De artment/CDF 538.6226
Env. Health Final 538.7281
Sewer District Final
**PROJECT FINAL 1 10111
'Project Final is a Certificate of Occupancy for esidenti Onl) /
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PA FOR A I YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 5
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.ButteCountv.net/dds
Permit No: B16-1753 Issued: 10/18/2016
APN: 042-310-010
Address: 2840 RODEO AVE, CHICO
Owner: CASEY GREGORY & KARISSA
Permit Type: REMODEL
Description: REMODEL HOME FROM FIRE DMG (1750)
Flood Zone: None SRA Area: No
Front: Centerline of Road:
Rear: SRA:
Side: AG:
Other:
Total Setback from Centerline of Road:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
131
Foundations / Footings
111
Pier/Column Footings
122
Eufer Ground
216
Masonry Grout
120
Setbacks
131
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test Underground/floor
404
Gas Piping Underground/floor
403
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Blockin nde inin
612
Tiedown/Soft Set System
611
Do Not Install Floor Sheathing or Slab Until Above Signed
Shearwall/B.W.P.-Interior
134
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
417
Manometer Test
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
153
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
4 -Way Rough Framing
128
Gas Piping House
403
Gas Test House
404
Shower Pan/Tub Test
408
Do Not Insulate Until Above Signed
Permit Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Fire Sprinkler Test or Final
702
Swimming
Pools
Inspection Type
IVR INSP DATE
T -Bar Ceiling
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
Blockin nde inin
612
Tiedown/Soft Set System
611
Permanent Foundation System
613
Under round Electric
218
Sewer
407
Underground Water
417
Manometer Test
605
Continuity Test
602
Skirting/Stens/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
finals
Public Works Final 538.7681
Fire De artment/CDF 538.6226
Env. Health Final 538.7281
Sewer District Final
"PROJECT FINAL
*Project Final is a Certificate of Occupancy for (Residential Only)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
a
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 1 of 8)
Project Name: 2840 RODEO AVE - SHANKS
Enforcement Agency: City of Chico
Permit Number:
B16-1753
Dwelling Address: 2840 RODEO AVE
City: Chico
Zip Code:
95973
A. General Information
01
Dwelling Unit Name
2840 RODEO AVE - SHANKS
02
Climate Zone
11
03
Dwelling Unit Total Conditioned Floor
09
10'
Number of Space Conditioning
CFA served
Area (ftz)
1650
04
Systems in this Dwelling Unit.
1
05
Certificate of Compliance Type
ti Prescriptive alterations (CF111-ALT)
06
Method Used to Calculate HVAC Loads
ACCA_Manual.1
07
Calculated Dwelling Unit Sensible
523520
08
Calculated Dwelling Unit Heating Load
39200
Identification or
Cooling Load (Btu/h)
System
ducted
(Btu/h)
system
09
Dwelling Unit Number of Bedrooms r
3
Name
Served
(ft2)
system?
component?
components?
ducts?
system?
/ 1 //'- - I { f! .. - i {...._- - I f 1. ►. -.; f- -- 1 r " 11.
MCH -01b - Space Conditioning Systems Dutsand Fans Prescriptive Alterations
%, v ► - - -- Ji - - - -.
B. Space Conditioning (SC) System Information N H E R _S P R U V 1 0 E
.01
02
03
04
05
%, v ► - - -- Ji - - - -.
B. Space Conditioning (SC) System Information N H E R _S P R U V 1 0 E
.01
02
03
04
05
06
07
09
09
10'
CFA served
Is the SC
Installing'a
Installing
SC System
SC System
by this SC
system a
refrigerant
Installing new SC
Installing more
entirely
Installing
Identification or
Location or Area
System
ducted
containing
system
than 40 feet of
new duct
entirely new
Name
Served
(ft2)
system?
component?
components?
ducts?
system?
SC system?
Alteration Type
Entirely new or
complete
System 1
Location 1
1650
Yes
Yes
Yes
Yes
Yes
Yes
replacement
space
conditioning
system
Registration Number: 217-A020004353A-000-001-MO1001A-0000
CA Building -Energy Efficiency Standards - 2016 Residential Compliance
1 0
Registration Date/Time: 2017-01-16 10:37:51
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-01-16 10:32:25
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 2 of 8)
C. Space Conditioning (SC) System Alterations Compliance Information
01
02
03
04
0S
06
07
08
09
10
11
12
13
Heating Efficiency,
Value ^-1-
Heating Unit_,.),
Manufacturer
� Heating Unit
, Model Number
Heating Unit'Serial
Number
Rated Heating Capacity,
Output (Btu/h)
System 1
j`, AFUE
s, 92.1
4; BRYANT> ,
`
9122SC48060 A7A
�7
1916A610310-
916A61�0331
56000
Central Fan
System Rated Cooling
Capacity at Design
Conditions (Btu/h)
Condenser Rated
Nominal Capacity
(ton)
System 1
SEER
14
BRYANT
105ANA036-A
2616EO6090
33600
3
Integrated
Heating
Cooling
New or
(CFI)
SC
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
Replaced
New
Ventilation
Identification
Heating
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Duct
Duct
System
or Name
System Type
Component
Type
Value
System Type
Component
Type
Value
Type
Length
R -Value
Status
All new
Central gas
heating
Central
All new
Not a CFI
System 1
furnace
componen .
! AFUE
81
split AC
cooling
SEER
14
Setback
GT40Ft
R8
system
is
components
D. Installed Heating Equipment Information'
01
. 02
`„,a-03 ^
-04— ,
. 05,,
06,
07
SC Identification or Name
Heating Efficiency Types
Heating Efficiency,
Value ^-1-
Heating Unit_,.),
Manufacturer
� Heating Unit
, Model Number
Heating Unit'Serial
Number
Rated Heating Capacity,
Output (Btu/h)
System 1
j`, AFUE
s, 92.1
4; BRYANT> ,
`
9122SC48060 A7A
�7
1916A610310-
916A61�0331
56000
Notes:
System Rated Cooling
Capacity at Design
Conditions (Btu/h)
Condenser Rated
Nominal Capacity
(ton)
System 1
SEER
E. Installed Cooling Equipment Information
01
02
03
04
05
06
07
08
Condenser or Package Unit
SC Identification or
Name
Cooling Efficiency
Type
Cooling Efficiency
Value
Condenser or
Package Unit
Manufacturer
Condenser or
Package Unit
Model Number
Condenser or
Package Unit
Serial Number
System Rated Cooling
Capacity at Design
Conditions (Btu/h)
Condenser Rated
Nominal Capacity
(ton)
System 1
SEER
14
BRYANT
105ANA036-A
2616EO6090
33600
3
Registration Number: 217-A020004353A-000-001-M01001A-0000
Registration Date/Time
2017-01-1610:37:51
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-16 10:32:25
Schema Version: rev 10/16
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 8)
E. Installed Cooling Equipment Information
O1 02 1 03
04 05 06
07 08
-'-03 r
Condenser or Package Unit
( It OS 1(_,
SC Identification or
Name
Cooling Efficiency
Type
Cooling Efficiency
Value
Condenser or
Package Unit
Manufacturer
Condenser or
Package Unit
Model Number
Condenser or
Package Unit
Serial Number
System Rated Cooling
Capacity at Design
Conditions (Btu/h)
Condenser Rated
Nominal Capacity
(ton)
Notes:
F. Extension of Existing Duct System, Greater Than 40 Feet
This section does not apply to this project.
r
G. Installed Duct System Information" -
01
02
-'-03 r
( It OS 1(_,
1 i J96 (I
�. 0711 t�r-"�
1'.-a 08
09
LLMethodfof
I
Can RA3.3
compliance with
Airflow
SC System
SC System-
H E
R S
0
'4duct and filter
umber of Air
Protocols be
Identification or
Location or Area
Supply Duct
Supply Duct
Return Duct
Return Duct
grille sizing Req's
Filter Devices on
used to test
Name
Served
Location
R -Value
Location
R -Value'
in 150.0(m)13
System
this System?
HERS verified fan
System 1
Location 1
uncondIdurned
R-8
U10.A1IJILiurle
R-8
efficacy (W/cfm)
1
Yes
attic
d attic
and airflow rate
(cfm/ton)
Notes:
Registration Number: 217-A020004353A-000-001-M01001A-0000 Registration Date/Time: 2017-01-16 10:37:51 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-16 10:32:25
Schema Version: rev 10/16
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 4 of 8)
H. Installed Air Filter Device Information
01
02
03
04
05
06
07
SC System Identification or
Name
SC System Location or
Area Served
Air Filter Device
Identification or Name
Air Filter Device
Type
Air Filter Device
Location
Determined Design
Airflow Rate for Air
Filter Device (cfrn)
Determined Design
Allowable Pressure
Drop for Air Filter
Device (inch W.C.)
System 1
Location 1
Filter 1
Filter Grille
CEILING
1200
0.02
Notes:
I. Air Filter Device Requirements
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. -
The system shall be designed to ccommodate`the clean filter pressure drop -imposed by the`system airfilter device(s).�The design airflow rate and maximum
allowable clean -filter drop at the design airflow to4each filter device be determined, and#all`system air filter device locations be
02
pressure air shall, shall
rate applicable sk
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
device, readily legible, and visible to a person replacing thie`air filter redia, and the`ai(filter devices`shall'be provided with air filter media that conforms to these
determined or labeled maximum allowable cleanyfilter pressure drop values sa rated us nis g AR—RI Standard 680.
'� '+� IDER
r a ".— .w.r' ii Y iw.i' �b'
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.
04
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
52.2, or a particle size efficiency rating equal to or greater than 50% in the 3.0 to10 m range when tested in accordance with AHRI Standard 680.
05
The system shall be provided with air filter media that has been labeled by the manufacturer to disclose the efficiency and pressure drop ratings that conform to the
required efficiency and pressure drop requirements for the air filter device.
The responsible person's signature on this compliance document affirms that all.applicable requirements in this table have been met.
Registration Number: 217-AO20004353A-000-Ob1-M01001A-0000
Registration Date/Time: 2017-01-16 10:37:51
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-16 10:32:25
Schema Version: rev 10/16
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 5 of 8)
J. HERS Verification Requirements
01
02
03
04
05
06
07
08
09
10
.�*
"� �-..._. ? � ��•a
l
1.-�.-�� �� 1 ` �: ,
Exemption
...i a � I l �_. � L/
_.��.=
.
.`
MCH -20
from
MCH -23
Minimum
MCH -22
MCH -2S
Exemption
R -Value for
MCH -21
AHU
MCH -28
SC System
SC System
From Duct
Duct
Ducts In
AHU Fan
Airflow
Identification or
Location or Area
Leakage
Leakage
Conditioned
Duct Location
Efficacy
Rate
Refrigerant
Return Duct Design
Name
Served
Requirements
Test
Space
Verification
(W/dm)
(dm/ton)
Charge
- Table 150.0-B or C
No
Not
System 1
Location 1
exemptions
Yes
applicable
No
Yes
Yes
Yes
No
Notes:
Registration Number: 217-A020004353A-000-001-M03001A-0000
Registration Date/rime: 2017-01-1610:37:51
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-16 10:32:25
Schema Version: rev 10/16
.�*
"� �-..._. ? � ��•a
l
1.-�.-�� �� 1 ` �: ,
�
� i �
...i a � I l �_. � L/
_.��.=
.
.`
Registration Number: 217-A020004353A-000-001-M03001A-0000
Registration Date/rime: 2017-01-1610:37:51
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-16 10:32:25
Schema Version: rev 10/16
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Duds, and Fans (Page 6 of 8)
K. 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
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 centraLfurnaces may not have %- contlnuously-burning pllot;lightf§ection 110.5'and Section 110.2(d).
i
Cooling Equipment
06
Equipment Efficiency: All cooling equipment must meet the,,minimum efficiency`requirementsf6f-Section,110.1fnd Section 1102(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
150.06)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: If applicable, a liquid line filter drier shall be installed according to the manufacturer's specifications. Section 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
Registration Number: 217-AO20004353A-000-001-MO1001A-0000
Registration Date/Time: 2017-01-16 10:37:51
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-16 10:32:25
Schema Version: rev 10/16
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 7 of 8)
K. 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.
11
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
required by the prescriptive or performance requirements. See Section 150.0(m)1.
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,
12
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
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
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 qump he ft ing rT:::3 rf"-�`S T44fl
16
Second stage back up heating shall be set to come on only when t e ndoo set temp'e ar tune cannot be m''et. D
17
t"t
The responsible person's signature on this compliance document affirms_thaf'all applicable requirements hfthis,table have been met.
i- t ti-_ +f A .:.> ;t" i 1% *.- V d L_.., :tom
Registration Number: 217-A020004353A-000-001-MO1003A-0000
Registration Date/Time:
2017-01-16 10:37:51
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-16 10:32:25
Schema Version: rev 10/16
A
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 8 of 8)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Michael Schweninger
Company:
Signature Date:
MC CLELLAND AIR CONDITIONING INC
2017-01-16 10:37:51
Address:
CEA/ HERS Certification Identification (if applicable):
801 MARAUDER STREET
City/State/Zip:
Phone:
CHICO CA 95973
1530-891-6202
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 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 thescope of work identified on this Certificate of Installation, and attest to the declarations in this statement, or b)1 am an authorized
representative of the responsible person and attest to the declarations -in this statement on•the—responsible persons behalf.=
3. The constructed or installed features, materials, components or manufactured -devices (the;instaIlation).ident�ed onithis Certificate,of Installation'confoim'sto all.applicable codes and regulations and the
Esq i ' 1 � _ � _ _ y � � '�.. A
installation conforms to the requirements given on the Certificate•of Compliance plans, and specifications approved by the enforcement a en
ad�
�-. �d. r p, h� rt, � t�iz. � ,
4. 1 will ensure that a registered copy of this'Certificate•oflnstallation shall be,posted or made.availablewtth-theebuilding permit(s)'issued for'the building; and m available to the enforcement agency for all
applicable inspections. I understand that a registered,.copyof this Certificate of Installation is required to be included with�t""h�e�documentation the builder p_rovideess'tMo the building owner at occupancy.
AFBs PR,..✓VI D'E \
Responsible Builder/Installer Name:
Responsible Builder/Installer Signature:
Michael Schweninger
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Position With Company (Title):
MC CLELLAND AIR CONDITIONING INC
INSTALL MANAGER
Address:
CSLB License:
801 MARAUDER STREET
345121
City/State/Zip:
Phone:
Date Signed:
CHICO CA 95973
530-891-6202
12017-01-16 10:37:51
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: 217-AO20004353A-000-001-MO1003A-0000 Registration Date/Time: 2017-01-16 10:37:51 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-16 10:32:25
Schema Version: rev 10/16
INSULATION CERTIFICATE
IC -1
Number and Strge_t :.
/ / �-
City
County Subdivision Lot Number
Description. of. Installation
1. ROOF
Material
Brand Name
Thickness (inches)
Thermal Resistance (R -Value)
2. CEILING
Batt or Blanket Type
Brand Name
Thickness (inches)
Loose Fill TypeL /v
Thermal Re 'stance (R -Value)
Brand
Contractor's min installed weighUftZ G Ib.
Minimum thickness / 3, 7 inches
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) Y. .
3. EXTERIOR WALL
Frame Type
A.'Cavity Insulation
Material
Brand Name
'Thickness (inches) /-L_
Thermal Resistance (R -Value) I ZZ
B'. Exterior Foam Sheathing
' Material'
Brand Name,
Thickness (inches)
Thermal Resistance (R -Value)
" 4. RAISED FLOOR
Material
Brand Name f '
Thickness (inches)
Thermal Resistance (R -Value)`
5. SLAB FLOOR/PERIMETER
Material.,
Brand Name
Thickness (inches)
Thermal Resistance (R -Value)
Perimeter Insulation Depth (inches)
6. FOUNDATION WALL "
Material
'• Brand Name
.Thickness (inches)
Thermal Resistance (R -Value)-
Declaration
I hereby certify that the above insulation was installed in the
building at the above location in conformance with the current
Energy Efficiency Standards, for residential b ' ngs (Title 24, Part 6; California Code of Regulations) as indicated on the
Certific a of Compliance, where'applicab
Item s Signature " ,
Date Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) or Owner
Item #s Signature
Date Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) or Owner
Item #s Signature
Date Installing Subcontractor (Co. Name) OR
-General Contractor (Co. Name) or Owner
09/16/2011
_ f
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H
Refrigerant Charge Verification
(Page 1 of 4)
Project Name: 2840 RODEO AVE - SHANKS
Enforcement Agency:
Chico
City of
Permit Number: B16-1753
Dwelling Address: 2840 RODEO AVE
City:
Chico
Zip Code: 95973
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 1
03
Condenser (or package unit) Make or Brand
BRYANT
04
Condenser (or package unit) Model Number
r'.
105ANA036-A
05
Nominal Cooling Capacity (tons) of Condenser
3
06
Condenser (or package unit) Serial Number
2616E06090
07
Refrigerant Type . f-
R -410A,
OS
Other Refrigerant Type (if app�lii ab.le)
N/A
f`J*f
iiu
ti 9 U..:
Liquid Line Filter.Drier Installed According to Manufacturers
-A 1 --- - U L1 U *:= r � U i..k� u
Yes lI
09
Specifications (if applicable) '*fit E R
} P R 0 V i D E R
10
System Installation Type
New
11
Fault Indicator Display (FID) Status (Note: Even systems with
This system does not have a FID device installed
a FID 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
12
verified using an approved measurement procedure (RA3.3
rate measurement procedures in RA3.3 or RA3.3.3 can be
or RA3.3.3)?
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
13
verification procedures can be used to verify compliance
from RA3.2.2 or RA1 is applicable to this system and can be
with the refrigerant charge verification requirements when
used to verify compliance
temperatures are >= 55°F (RA3.2.2, or RA1)?
14
Date of Refrigerant Charge Verification for this system
2017-01-12
15
Refrigerant charge verification method used.
Weigh-in with HERS Rater Obsesrvation
16
Person who performed the Refrigerant Charge Verification
HVAC system installer
reported on this Certificate of Installation
L17
HERS Verification Compliance Requirement Status
System does not qualify for group sampling
Registration Number: Registration Date/Time: 2017-01-16 10:37:52 HERS Provider: CaICERTS
217-A020004353A-000-001-M 25001A-0000
CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-01-16 10:38:07
2016 Residential Compliance Schema Version: rev 10/16
CERTIFICATE OF INSTALLATION CF2R-MCH-2S-H
Refrigerant Charge Verification (Page 2 of 4)
MCH -25c - Refrigerant Charge Verification - Weigh In Observation Procedure
B. Instrument Calibration
Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.3.1.4
01
Date of expiration of Digital Refrigerant Scale Calibration
2017-01-12
02
Date of Digital Thermometer and Temperature Sensor
Calibration
2017-01-12
03
Digital Refrigerant Scale Calibration Status
Calibration is current
04
Digital Thermocouple Calibration Status
Calibration is current
C. Measurement Access Hole (MAH) Verification
Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3
O1 Method Used to Demonstrate Compliance with the MAH installed and labeled consistent with Figure 3.2-1
Measurement Access Hole (MAH) Requirre em r`~. { ~ '� �€ -� i� (C „r,
D. Minimum System Airflow Rate Verifications Q7� 1
Procedures for verifying mini mumsystem airflow are specified in Reference;Residential Appendix'RA3.3 3:
`'w`tv'
•
01
Minimum Required System Airflow Rate (dm)
1050
F02
System Airflow Rate Verification Status
System complies with minimum airflow rate requirements
E. Weigh In Charge Procedure
Procedures for Refrigerant Charge using the Weigh-in Charging Procedure are given in Reference Residential Appendix RA3.2.2.2
and RA3.2.3
01
Measured Condenser Air Entering Dry-bulb Temperature
(Tcondenser,db) ((' F)
51
02
Specify the Method of Weigh-in
TotalCharge
03
Manufacturer Standard Charge for Condenser (lbs, oz.)
6,6
04
Manufacturer Standard Liquid Line Length (ft)
15 `
05
Manufacturer's Standard Liquid Line Diameter (in)
0.38
06
Manufacturer's Standard Indoor Coil Size (tons)
3
07
Installed Liquid Line Length (ft)
40
08
Installed Liquid Line Diameter (in)
0.38
Registration Number:
217-A020004353A-000-001-M25001A-0000
CA Building Energy Efficiency Standards
2016 Residential Compliance
Registration Date/Time: 2017-01-16 10:37:52 HERS Provider: CaICERTS
Report Version: 2016.1.005 Report Generated: 2017-01-16 10:38:07
Schema Version: rev 10/16
i -
CERTIFICATE OF INSTALLATION CF2R-MCH-25-H
Refrigerant Charge Verification (Page 3 of 4)
E. Weigh In Charge Procedure
Procedures for Refrigerant Charge using the Weigh-in Charging Procedure are given in Reference Residential Appendix RA3.2.2.2
and RA3.2.3
09
Installed Indoor Coil Size (tons)
3
10
Charge Adjustment to Standard Charge from Manufacturer's
15
03
Specifications (ounces, positive = add, negative = remove)
11
Refrigerant Required to be Weighed in by the Installer (lbs,
7,5
oz)
04
12
Refrigerant Weighed in by Installer (lbs, oz)
7,5
13
j Compliance Statement:
System complies with the Weigh-in charge requirement
greater, that refrigerant charge correction is necessary.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
F. Weigh In Charge Procedure - Additional Requirements
01
All brazing of refrigerant lines done with dry nitrogen in lines and evaporator coil
02
The indoor coil correction to refrigerant.weight is used if it-issdpplied by the_mamifacturee�
Prior to introducing refrigerant,. system is evacuaied to 500.microns or less,and; when isolated, has risen no more than 300
03
microns after 5 minutes". ' (...= U b U C:�nwj if U Ll L� a
When applicable and if necessary,to avoid delay of approval of'dwelling units completed when outside temperatures are
below 55°F, the enforcement agency may approve compliance with the refrigerant charge verification requirements based
on registration of this CF2R-MCH-25, documenting use of the RA3.2.3.1 HVAC Installer Weigh -In Charging Procedure when
04
the optional Section RA3.2.3.2 HERS Rater Observation of Weigh -In Charging Procedure is not used. As condition for such
enforcement agency approval, the responsible person's signature on this compliance document affirms the installer agrees
to return to correct refrigerant charge if a HERS Rater determines at a later time, when the outside temperature is 55°F or
greater, that refrigerant charge correction is necessary.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
G. Fault Indicator Display.
Procedures for the Fault Indicator Display Verification are detailed in RA3.4.2
This section does not apply to this project.
H. Fault Indicator Display - Additional Requirements
This section does not apply to this project.
Registration Number:
217-A020004353A-000-001-M 25001A-0000
CA Building Energy Efficiency Standards
2016 Residential Compliance
Registration Date/Time: 2017-01-16 10:37:52 HERS Provider: CaICERTS
Report Version: 2016.1.005 Report Generated: 2017-01-16 10:38:07
Schema Version: rev 10/16
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*/_
/�(W K���
Michael Schweninger
Company:
Signature Date: 2017-01-16 10:37:52
MC CLELLAND AIR CONDITIONING INC
Address:
CEA/ HERS Certification Identification (if applicable):
801 MARAUDER STREET
City/State/Zip:
Phone:
CHICO CA 95973
1530-891-6202
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 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, orb) 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 enforcementgency r_", I I /r'i �'
4. 1 understand that a HERS rater will check the installation tovenfV compliance and if sucilh[/c'h'eecking dlfettermines the installatijjon fails tot{comply, I am
ai
required to offer any necessary corrective action at no charge to the building owner.
1� i}
�` rail .+� S/\
hall -
S. I will ensure that a registered copy of this Certifcate of Installation shall.be.posted,.or made available'witFiahe.bui[®r permits) issued or, 0
building, and made available tothe enforcement agency,for all applicable inspections.;l,understand that a registered ,copy of -this Certificate -of
1 i i. M 4A, N wli X '.k Y Tcy.
Installation is required to be included; with the documentation the buildi provides to the building owwner at occupancy. y
Responsible Builder/Installer Name:
Responsible Builder/Installer Signature:
Michael Schweninger
Company Name: (Installing Subcontractor or General Contractor or
Position With Company (Title):OF
Builder/Owner)
INSTALL MANAGER
MC CLELLAND AIR CONDITIONING INC
Address:
CSLB License:
801 MARAUDER STREET
345121
City/State/Zip:
Phone:
Date Signed:
CHICO CA 95973
530-891-6202
2017-01-16 10:37:52
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: Registration Date/Time: 2017-01-16 10:37:52 HERS Provider: CaICERTS
217-AO20004353A-000-001-M 25001A-0000
CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-01-16 10:38:07
2016 Residential Compliance Schema Version: rev 10/16
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H
-Space Conditioning System Airflow Rate
(Page 1 of 4)
Project Name: 2840 RODEO AVE - SHANKS
Enforcement Agency:
Chico
City of
Permit Number: B16-1753
Dwelling Address: 2840 RODEO AVE
City:
Chico
Zip Code: 95973
A. Ducted Cooling System Information
01
System Identification or Name
System 1
02
System Location or Area Served
Location 1
03
System Installation Type
New
04
Nominal Cooling Capacity (tons) of Condenser
3
05
Condenser Speed Type
i
Single Speed
06
Cooling System Zonal Control Type
Not Zonal
07
Central Fan Integrated (CFI) Ventilation System Status
Not a CFI system
08
SystemBypass Duct Status,
No B ayp ss Dud,
09
Date of System Airflow Rate asuremen1tQ
U
201 1-1�2 f7 Q
10
Airflow Rate Protocol Utilized.«
�RA3.3 proced ru es for airflow mate mea' u ement
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 I Method Used to Demonstrate Compliance with theI 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
ALNOR
03
Model number of Airflow Measurement Apparatus
EBT731
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: Registration Date/Time: 2017-01-16 10:43:46 HERS Provider: CaICERTS
217-A020004353A-000-001-M 23001A-M23A
CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-01-16 10:42:34
2016 Residential Compliance Schema Version: rev 10/16
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)
1050
03
Actual System Airflow Rate Measurement (cfm)
1156
04
Compliance Statement:
System airflow rate complies
E. Additional Requirements
Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
01
the system during system air flow rate measurement identified on this Certificate of Verification.
►I if ti➢I➢ ,
The airflow rate measurement apparatus to -perform the identified
02
used airflow rate measurement on this,Certific5te-�of
t k a X --� k r� t t � �--- t .--.: r -. w � t ➢ s � f
Verification was calibrated in accordance with the` -apparatus manufacturer's specifications and conformsto the
instrumentation specifi at➢�s given in RA3.3.1 j =� t tj
A visual inspection shall confirmthat bypass ducts d live onditi n d supply air directly to the space conditioning
03
system return dud 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 dud 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 dud 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: Registration Date/Time: 2017-01-1610:43:46 HERS Provider: CaICERTS
217-A020004353A-000-001-M 23001A -M 23A
CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-01-16 10:42:34
2016 Residential Compliance Schema Version: rev 10/16
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 Complies: All specified verification protocol requirements on this document are met.
Registration Number: Registration Date/7ime: 2017-01-16 10:43:46 HERS Provider: CaICERTS
217-A020004353A-000-001-M23001A-M23A
CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-01-16 10:42:34
2016 Residential Compliance Schema Version: rev 10/16
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: _
Samuel Given
Documentation Author Signature,
cSamueiven
Company:
Date Signed: -
Western Air Systems Certification r
2017-01-16 10:43:46 .
Address:'
CEA/ HERS Certification Identification (if applicable):
3425 Cimmeron Court 3300 SUNSET Blvd. - Suite 210
City/State/Zip:
Phone: -
Rocklin CA 95677
877-500-0212
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 Verification is true and correct.
2. 1 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, RAJ, and the requirements _
specified ori the Certificate of Compliance for -.the building approved by the enforcement agency.
4. The information reported on applicable sections:of the Certifica e(s) of Installation (CF2R)signed and i-66mittedby the per`son(s) responsible for the
construction or installation conforms to the.requirementsspecified on the Certificate(sj of Compliance (CFiR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted or made available with the=building permits) issued for the
Wr
- ! ki -- h: - i tea ! }L E-: Y7
building, and made evailabl`e to the°enforcement agency for all applicable inspections. l understand"that"a-registered, copy of this'Certlficate.of
Verification is required to be included with the documentation the builder to the building
provides owner at occupancy.
vi 'i�''. f � ..0 V— Tit
Builder Or Installer Information As Shown On TheCertificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
MC CLELLAND AIR CONDITIONING INC
Responsible Builder or Installer Name:
CSLB License: `
Michael Schweninger
345121
HERS Provider Data Registry Information, • _ ".
Sample Group Number (if applicable):
Dwelling Tesf Status in Sample Group (if applicable)
Tested
HERS Rater Information
'HERS Rater Company Name: `
Western Air Systems Certification
Responsible Rater Name:
Samuel Given
Responsible Rater Signature: �•
"+
cSamuel�iven
Responsible Rater Certification Number w/ this HERS Provider:
Date Signed:
CC2005550 -
2017-01-16 10:43:46 `
Digitally signed by Ca10ERTS. 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: Registration Date/Time: 2017-01-16 10:43:46 HERS Provider: CaICERTS
217-A020004353A-000-001-M23001A-M23A '
CA Building Energy Efficiency Standards' - Report Version: 2016.1.005 Report Generated: 2017-01-16 10:42:34
2016 Residential Compliance - ISchema Version: rev 10/16
ti
CERTIFICATE OF VERIFICATION
r ''
CF
f.
02
System Location or Area Served
Space Conditioning` System Fan Efficacy4.
(Page 1 of 3)
New
04
Nominal Cooling Capacity (tons) of Condenser,
Project Name: 2840 RODEO AVE_ - SHANKS
Enforcement Agency: 'City of
Permit Numb_ er:
B16-1753
0.53
Chico '
Compliance Statement: � �
06
Dwelling Address:' 2840 RODEO AVE
City: J - Chico
Zip Code:
95973
07
Central Fan Integrated (CFI) VentilationSystem Status
Not a CFI system
3R -MCH -22-H
c
A. Ducted Cooling System Information
01
System Identification or Name
System 1
02
System Location or Area Served
Location 1
03,
System Installation Type, -
New
04
Nominal Cooling Capacity (tons) of Condenser,
3
05
Condenser Speed Type -'k_
Single Speed.
0.53
05
Compliance Statement: � �
06
Cooling System Zonal Control Type
Not Zonal
07
Central Fan Integrated (CFI) VentilationSystem Status
Not a CFI system
08
System Bypass Duct Status
No Bypass Duct
09
'Date of System Airflo Rate Measurement
2017-01-12
10,,
.Airflow Rate Protocol utilized }
RA3.3 procedures for airflow;rate,measurement. �`�
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.
01 Fan Watt, Verification Device Used. Portable watt meter i
MCH -22a Forced Air System Fan Efficacy Measuierrient,- Newly Installed Non -Zoned Systems or -Zoned Multi -Speed
Compressor ; s
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan WattVerification are,specified in Reference Residential Appendix RA3.3..'
01
Actual Tested Watts
609
02
Actua[,Tested Airflow'from MCH -23 (cfm) , . F
1156
03
Required Fan Efficacy (watts/dm)
0.58. -
04
Actual Fan Efficacy (watts/cfm) , ' ' ,
0.53
05
Compliance Statement: � �
System fan efficacy complies
Registration Number: Registration Date/Time: 2017-01-16 10:43:46 HERS Provider: CaICERTS
r 217-A020004353A-000-001-M22001A-M22A
CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-01-16 10:42:53
2016 Residential Compliance, Schema Version: rev 2013-09-11
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3)
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.
05
Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (dm/ton) and fan
efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
06
Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy
(Watt/cfm) criteria in every zonal control mode.
r
07
Verification Status
Pass - all applicable requirements are met
08
Correction Notes
The responsible persons signature on thisco, mpllance docuinent.affirms that all applicable requirements in thistabletablehhave
fr� .
been met unless otherwise noted in the Verification Status iaand the Corrections Notes in thWtable.
r - r`� fit ..� i t � P t .....--.z � �'-`� 14 ~•.�
1( l! I1 }1. 1} }} 11 4S al .-r 4 Lk 4f A4
E. Determination of. HERS Verification Compliance_ �F
All applicable sections of this docume t shall indica e compliance with the specified erifca on 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: Registration Date/Time: 2017-01-16 10:43:46 HERS Provider: CaICERTS
217-A020004353A-000-001-M 2 2001A -M 2 2A
CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-01-16 10:42:53
2016 Residential Compliance Schema Version: rev 2013-09-11
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:
Samuel Given
Documentation Author Signature: /�
cSamuel given
Company:
Date Signed:
Western Air Systems Certification
2017-01-16 10:43:46
Address:
CEA/ HERS Certification Identification (if applicable):
3425 Cimmeron Court 3300 SUNSET Blvd. - Suite 210
City/State/Zip:
Phone:
Rocklin CA 95677
877-500-0212
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 comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance foF the building approved by the enforcement agency.
4. The information reported on applicable sections of -the Certificat(s) oflnstallation (CF2R)signed and submiffed:by the person(s) responsible for the
f� + s:' r
construction or installation conforms to the uirementsspe41e* d n the Certificate(s) of Compliance (dill) approved by the enforceme�-agency.
�req
5. 1 will ensure that a registered copy of this Certificate of,Verifcation shall be posted; or made.availabie with the building permits) issued for the
r R� Ir i# ;v wf. A� �a .�
building, and made available to the enforcement agency for all applicable inspections. I`.understand that a, registered,copy of.this Certificate�o
Verification is required to be included with the documentation the builder provides to the building owner at'occupancy.
t _
Builder Or Installer Information As Shown On The Certif ate Of installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
MC CLELLAND AIR CONDITIONING INC
Responsible Builder or Installer Name:
CSLB license:
Michael Schweninger
345121
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:
Western Air Systems Certification
Responsible Rater Name:
Responsible Rater Signature:
Samuel Given
cSamue(oCiven
Responsible Rater Certification Number w/ this HERS Provider:
Date Signed:
CC2005550 -
2017-01-16 10:43:46
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: Registration Date/rime: 2017-01-16 10:43:46 HERS Provider: CalCERTS
217-A020004353A-000-001-M22001A-M 22A
CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-01-16 10:42:53
2016 Residential Compliance Schema Version: rev 2013-09-11
4.
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3)
Project Name: 2840 RODEO AVE - SHANKS
Enforcement Agency:
Chico
City of
Permit Number: B16-1753
Dwelling Address: 2840 RODEO AVE
City:
Chico
Zip Code: 95973
A. System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location or Area Served
Location 1
03
Building Type from CF -111
Single family
04
Verified Low Leakage Ducts in Conditioned Space (VLLDCS)
Credit from CF1R?
No, credit is not taken
05
Verified Low Leakage Air Handling Unit (VLLAHU) Credit
from CF1R?
No, credit is not taken
06
Duct System Compliance Category
New
N . - r_. ---r I 1 1 r -N c_._. ._-__) r-2 1 {
MCH -20a -Completely New Ducit;System
B. Duct Leakage Diagnostic Test
� , FIER P R 0 DEER,
01
Condenser Nominal Cooling Capacity (ton)
3
02
Heating Capacity (kBtu/h)
B. Duct Leakage Diagnostic Test
� , FIER P R 0 DEER,
01
Condenser Nominal Cooling Capacity (ton)
3
02
Heating Capacity (kBtu/h)
56
03
Conditioned Floor Area served by this HVAC system (ft2)
1650
04
Duct Leakage Test Conditions
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.05
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Heating system method "
08
Measured AHUAirflow
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage (cfm)
61
10
Actual Duct Leakage Rate from Leakage Test
Measurement (cfm)
37
11
Compliance Statement
System passes leakage test
Registration Number:
217-A020004353A-000-001- M 20001A -M 20A
CA Building Energy Efficiency Standards
2016 Residential Compliance
Registration Date/Time: 2017-01-1610:43:46 HERS Provider: CaICERTS
Report Version: 2016.1.005 Report Generated: 2017-01-16 10:42:06
Schema Version: rev 03/16
I
CERTIFICATE OF VERIFICATION r 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 dud 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 duds.
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.
C-_
Visual Inspection at Final Construction Stage (applicable'if system was tested at rough -in). �'"-
Ir1 2t _Ji 6d iA ir-w+ 1 _— C la
After installing the interior finishi_ ng,,wall and verifying'that'the above rough -in test's �w`as completed,;the following procedure must
be performed'' �.. Lj.1 C1
For all supply and return registers; verify that the spaces between the register boof and the interior finishing all are
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:
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.
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.
Registration Number:
217-A020004353A-000-001-M 20001A-M20A
CA Building Energy Efficiency Standards
2016 Residential.Compliance
Registration Date/Time: 2017-01-16 10:43:46 HERS Provider: CaICERTS
Report Version: 2016.1.005 Report Generated: 2017-01-16 10:42:06
Schema Version: rev 03/16
-CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test ' . (Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete..
Documentation Author Name:
Samuel Given
Documentation Author Signature:
cSamue(,qiven .
Company:
Date Signed: "
Western Air Systems Certification
2017-01-16 10:43:46
Address:
CEA/ HERS Certification Identification (if applicable):
3425 Cimmeron Court 3300 SUNSET Blvd. - Suite 210
City/State/Zip:
Phone: -
Rocklin CA 95677
877 -500 -0212 -
Responsible Person's Declaration statement
r
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 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 Verifi tion comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified ori the Certificate of Compliance for the building approved by the enforcement agency.
4. . The information reported on applicable sections of -the Certificaie(s) of: lnstallation'(62R) signed and submitted'by the persons) responsible for the
All • t f , >,. �- '
construction or installation conforms to the,requirements specified on the Certificate(sj of Compliance (Cf R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made, available with the.6uilding permits) issued for the
building, and made available to the enforcement agency,for all applicable inspectlons. I-understand,16 a,registered copy of,this Cerkicate`of,�
'�`
f ----"`m 4 r t i� k +-�.-+ at `t -..moi ki sI +w - �,i Q
Verification is required to be included with the documentation the builder provides fo the building owner at occupancy.
Builder Or Installer Information As hown On Th Cts O
erti caf Installation s . �'� f �"" """
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
MC CLELLAND AIR CONDITIONING INC;. }
Responsible Builder or Installer Name:
CSLB License:
Michael Schweninger.
345121' r, "
HERS Provider Data Registry Information • r .
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
.Tested'
40'
HERS Rater Information
HERS Rater Company Name:
Western Air Systems Certification
Responsible Rater Name:
Responsible Rater Signature: �•
Samuel Given
' Samuel(yCiven
Responsible Rater Certification Number w/ this HERS Provider:
Date Signed:
CC2005550
2017-01 '16 10:43:46' T
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: �• Registration Date/Time: 2017-01-16 10:43:46 HERS Provider: CalCERTS
217-A020004353A-000-001- M 20001A -M 20A
CA Building Energy Efficiency Standards $ Report Version: 2016.1.005 Report Generated: 2017-01-16 10:42:06
2016 Residential Compliance, Schema Version: rev 03/16