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HomeMy WebLinkAboutB17-0993 039-270-105• I L µ BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD°MUST. BE ON'JOB SITE 5 24 Hour Inspection Line (IVR) :530.538.4365 (Cut off time for inspections is 3pm) ; Development Services cannot guarantee inspections on the date requested ' •s . - ` nFVROPV IFNT. SFRVIi FS - t0ffice:530.538.7601 Fax: 53( "Permit No: B17-0993 Issued: 5/22/2017 . APN:039-270-105 ,1 Address: ,' 3985 FRONT ST, DAYTON -r Owner: FORD WALTERL M F. Permit Type. ,HVAC C/O RESIDENTIAL Description:, Replacing thea -ton heat pump split system wit a .3J2S.//iS:) bvww.buttet.ounty.net/aaS'• Flood Zone: None . SRA'Area:, , No, - SET -RACKS for Zoriong. .Front:`. Centerline'ofRoad:' Rear: SRA: "S{reet: �' -r AG: F Interior Total`Setback froln Centerline of Road: ; 'ALL TLAN REVISIONS: MUST,BE•APPROVED BY THE,COUNTY BEFORE "PROCEEDING Ins ection Type, IVR,: ' INSP DATE `Setbacks '803, Foundations /Footings `- I I t, Pier/Column Footings, , ,122 Eufer Ground 216' Masonry Grout 120 ' 131 Pool Plumbing.Test Do Not Pour Concrete Until Above are Sign _d Pre -Slab 124 Gas Test Underground/floor. ' 404 Gas Piping Underground/floor 403 Underfloor. Framing 149 s Underfloor Ducts 3.19 - y Shear Transfer; "136 Under Floor Plumbing - s• 412.. ` Under Slab Plumbing 411. 612. Tiedown/Soft Set System. . • 611 Permanent Foundation System 'Do Not Install Floor Sheathing or Slab Until Above Signed, Shearwall/B.W.P.-Interior. •134 '` E ' ShearwallB.W.P.-Exterior 135 . Roof Nail/Drag Trusses 129 605 Continuity Test'- • Do Not Install Siding/Stucco on Roofing Until'Above Signed Rough Framing 153. ' Rough Plumbing'_ .•406 ° Rough Mechanical. 31-6 Rough Electrical 208 ' 4 -Way Rough Framing ,128 Gas Piping House Seri al'Numbers: Gas Test House.- 404 , Shower Pan/Tub Test- 408 • a. F Do Not lnsulate Until Above Signed s ...: Permit Final - .-,802.:' Electrical.Final. '803, Mechanical Final " •809 Plumbing Final 813 - Fire Sprinkler Test or Final 702 _ Swimmin2 Pools Setbacks .Inspection Type IVR INSP DATE T -Bar Ceiling 145' Stucco Lath 142 ' Swimmin2 Pools Setbacks 131 Pool Plumbing.Test 504 Gas Test 404 Pre -Gun ite . 506 Pre -Deck 505: Pool`Fencing/AlarmsBarriers 503 _ Pre -Plaster 507 Manufactured Homes> Setbacks 131, Blockin Under 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 SkirtitiSte s/Landin s 610 Coach Info Manufactures Name: ' Date of Manufacture: ., Model Name/Number: Seri al'Numbers: -Length x Width: Insi nia: Public Works Final - 538.7681 Fire De artment/CDF 538.6226 'EnJ. Health Final 538.7281 Sewer. District Final "PROJECT FINAL 'z + ' : *Project Final is a Certificate of Occupancy for (Residential PERMITS BECOME NULL AND VOID I.YEAR FRONLTHE-DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY•PAY FOR A I YEAR .I . RENEWAL 30 DAPS PRIOR TO EXPIRATION CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of 8) Project Name: 3985 Front Street Enforcement Agency: County of Butte Permit Number: B17-00993 Dwelling Address: 3985 Front Street City: Chico Zip Code: 95926 A. General Information 01 Dwelling Unit.Name 3985 Front Street 02 Climate Zone 11 ^ Dwelling Unit Total Conditioned Floor 09 10 Number of Space Conditioning 03 Area (ft) 129704 Systems in this Dwelling Unit. 1 05 Certificate of Compliance Type 4Prescriptive alterations (CFiR-ALT) 06 Method Used to Calculate HVAC Loads ACCA_ManuaU 07 Calculated Dwelling Unit Sensible r 036000 ', 08 Calculated Dwelling Unit Heating Load 36000 Identification or Cooling Load (Btu/h) + ducted (Btu/h) system than 40 feet of 1 entirely new Name Served 09 Dwelling Unit Number of Bedr'ooms 3 components? ducts? system? SC system? Alteration Type MCH -01b - Space Conditioning Systems Ducts and Fans Alteration s� � 1 � ��'F -Prescriptive r� ^ B. Space Conditioning (SC) System I formation H D r,, FN 01 02 03 04 05 06 07 08 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 (ft) system? component? components? ducts? system? SC system? Alteration Type Entirely new or complete System 1 Location 1 1297 Yes Yes Yes Yes Yes Yes replacement space conditioning system Registration Number: 217-A020178197A-000-001-M01001A-0000 Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-29 05:40:44 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 05 06 07 08 09 10 11 12 13 05 06 07 Condenser or Package Unit Heating Efficiency Heating.Unit� Heating,Umt Heating Unit:Serial Rated Heating Capacity, SC Identification or Name Heating Efficiency Type; Central Fan Manufacturer Model Number Number Output (Btu/h) Cooling Efficiency 1 { L:�E� Package Unit i Nominal Capacity Name System 1 Integrated 8 Bryant 1 F 4CNFFQ03'� 1617A848337 Heating System 1 SEER 14 Cooling 214DNA03600 New or 36000 (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 All new System 1 Central gas heating HSPF 8 Central cooling SEER 14 Setback GT40Ft R8 Not a CFI furnace componen split AC - components system is D. Installed Heating Equipment Information, O1 02 1 03 01 ti _ `' 02 03 ,t ._.. 404 05 06 07 Condenser or Package Unit Heating Efficiency Heating.Unit� Heating,Umt Heating Unit:Serial Rated Heating Capacity, SC Identification or Name Heating Efficiency Type; �"Vja lue j Manufacturer Model Number Number Output (Btu/h) Cooling Efficiency 1 { L:�E� Package Unit i Nominal Capacity Name System 1 11-HSPF 8 Bryant 1 F 4CNFFQ03'� 1617A848337 36000 System 1 SEER 14 Bryant 214DNA03600 0417E05985 36000 Notes:''' E. Installed Cooling Equipment Information O1 02 1 03 04 1 05 06 07 08 Condenser or Package Unit _ Condenser or Condenser or Condenser or System Rated Cooling Condenser Rated SC Identification or Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit Capacity at Design Nominal Capacity Name Type Value Manufacturer Model Number Serial Number Conditions (Btu/h) (ton) System 1 SEER 14 Bryant 214DNA03600 0417E05985 36000 3 OCCAC Registration Number: 217-A020178197A-000-001-M01001A-0000 Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CalCERTS v CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-29 05:40.44 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 3 of 8) E. Installed Cooling Equipment Information 01 02 03 04 05 06 07 08 r'' 03' Condenser or Package Unit J( 05 JL_ 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. - - G. Installed Duct System Information 01 02 / r'' 03' 04= J( 05 JL_ , J) _.)96 ) � q 07) 1 i°'.-�`° /,=4 08 09 ,1 I1 j i Meth d#of t _ ,V If i t t. � Can RA3.3 compliance with Airflow SC System JJ SC Systeme' ductfan f Iter 9: Number 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 Unconditioned R-8 Unconditione R-8 efficacy (W/cfm) 1 Yes attic d attic and airflow rate (cfm/ton) Notes: Registration Number: 217-A020178197A-000-001-MO1001A-0000 Registration Date/Time 2017-05-29 05:46:20 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-29 05:40:44 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 (cfm) Determined Design Allowable Pressure Drop for Air Filter Device (inch W.C.) System 1 Location 1 Filter 1 Duct Mounted Return 1050 0.3 Notes: iR 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.- f - �-�, rs �-- .-..., •------,-. �. The system shall be designed to accommodatethe clean filter pressure drop -imposed by the system air filter device(s).lThre design airflow rate and maximum allowable clean -filter pressure drop at,the design airflow rate applicable ` to'each aiyr filter device shall be determined, and.all'systei ' it filter device locations shall be ' K 02 - tl't iF labeled to disclose the applicable design�airf�w rate an'd;the maximum"allow ble clean -filter press;e dfro� he,labelsfshall be permanently affixed to the air filter device, readily legible, and visible to a person replacing the'air filter media, and the air filter devices'shall'be prow#jided with air filter media that conforms to these 1 - �. ♦ A r�-rr +►� r+ !Rn - .n f n determined or labeled maximum allowable clean -filter pressure drop values as -rated using AHRI Standard 680. R liar i t 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-A020178197A-000-001-M01001A-0000 Registration Date/Time 2017-05-29 05:46:20 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-29 05:40,.44 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 Exemption MCH -20 from MCH -23 Minimum MCH -22 MCH -25 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/cfm) (cfm/ton) Charge - Table 150.0-13 or C System 1 Location 1 No Yes Nt No Yes Yes Yes No exemptions applicable Notes: Registration Number: 217-A020178197A-000-001-M01001A-0000 Registration Date/Time 2017-05-29 05:46:20 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-29 05:40:44 c�tio,,, ve.� r• .o., in/ir- CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, 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). �� + Furnace Temperature Rise: Central forced air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum 04 inlet -to -outlet temperature rise specification. See Section 150.0(h)4. - 05 Standby Losses and Pilot Lights: Fan -type central furnaces,ma not have continuously bur ni g pilot light -IS ce tion 110;5;and Section 110.2(d). Cooling Equipment k�,ro I I I 06 Equipment Efficiency: All cooling equipment mus meet thetminimum efficiency-requirernents'of,Secti"on,110.1 Ll Section 110:2(a)'and the Appliance Efficiency ll #-- r%`> W10, `' V # (L� X. Vim' Regulations. 07 Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R -value and protection requirements of Section 150.0(j)2 and 3, and Section 150.0(m)9. 08 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A. 09 Liquid Line Filter Drier: 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-A020178197A-000-001-M01001A-0000 Registration Date/Time 2017-05-29 05:46:20 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-29 05:40;44 c,t,— %/—;., - —, In/lc 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 A 13 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c). f 14 The thermostat shall be installed in accordancewith the manufacturers published installation specifications 15 First stage of heating shall be assigned to heat pump he n �f F n 16 J ' f / #k tf. �f tl tt tC" ff\ tl Second stage back up heating shall be set to:come on only�whe`n the;indoor set temperature, cannot be met. > The responsible person's signature on this compliance,documenf;affirms thatll applicable requirements?imthiskta6le have"`been met. Ot it ► ,..i _ r_ t"t # # Registration Number: 217-A020178197A-000-001-M01001A-0000 Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-29 05:40:44 r,k.—o —, 1n/1G 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: Mervyn Martin Company: Signature Date: Mery Martin 2017-05-29 05:46:20 Address: CEA/ HERS Certification Identification (if applicable): 6356 Oak Way City/State/Zip: Phone: 1530-966-2985 Paradise CA 95969 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, or b) I am an authorized representative of the responsible person and attest to the declarations ,in this statem t onthe-responsible person's:behalf. 3. The constructed or installed features, materials, components or manufactured -devices (the installation) identified onthis Certificate. of InstallaticQconf rrms.to, :applicable codes and regulations and the installation conforms to the requirements given on the Certificate;of Compliance plans, and specifications approved by the�enforcement agency. { `it r ti 'k . }f a 4. I will ensure that a registered copy of this Certificate o�l�nstallation shall be posted or mmade.ava;• ilablelwith.the building permit(s) issued 'fofrthe building, and made` a Jailawble to the enforcement agency for all applicable inspections. I understand that a registered co this Certificate of Installation is 'require' to be included with the docuumentation the the providesto the building owner at occupancy. / E PROVIDER Responsible Builder/Installer Name: Chuck A Pugh, Jr. Z' Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): Air -Art Heating & A/C Owner Address: CSLB License: 1407 Almond St 335302 City/State/Zip: Phone: Date Signed: Chico CA 95928 1530-895-1420 2017-05-29 05:46:20 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: 217-A020178197A-000-001-M01001A-0000 Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-29 05:40:44 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: 3985 Front Street Enforcement Agency: Butte County of Permit Number: B17-00993 Dwelling Address: 3985 Front Street City: Chico Zip Code: 95926 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 -1R Single family 04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) No, credit is not taken 05 Credit from CF1R? Total leakage 05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit No, credit is not taken 07 from CF1R? Cooling system method 06 Duct System Compliance Category:: --''_~ New . MCH -20a -Completely New D cu t;SystemI - t( - I New �1 F" 01 Condenser Nominal Cooling Capacity (ton) i rn) Er B. Duct Leakage Diagnostic Test H E RS Ft A E 01 Condenser Nominal Cooling Capacity (ton) 3 02 Heating Capacity (kBtu/h) 36 03 Conditioned Floor Area Served by this HVAC System (ft2) 1297 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 Cooling system method 08 Measured AHUAirflow (cfm) This field or section is not applicable 09 Calculated Target Allowable Duct Leakage (cfm) 60 10 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 58 11 Compliance Statement System passes leakage test Registration Number: Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CaICERTS 217-A020178197A-000-001-M20001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-05-29 05:41:44 2016 Residential Compliance Schema Version: rev 03/16 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3) 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. 04 Building cavities were not used as plenums or platform returns in lieu of ducts. 05 If cloth backed tape was used it was covered with Mastic and draw bands. 06 All connection points between the air handler and the supply and return plenums are completely sealed. 1 ; Visual Inspection at Final Construction Stage (applicable if system was tested at rough -in). After installing the interiorfinishing wall and verifying that the above rough -in tests was completed, the following procedure must be performed 07 For all supply and return rre'gisters, verify,the,the spacets th.e,register•bootj'and the.interior fijnishing wall are jbetween properly sealed.x 11k. If 11 1F ��. ±. ilj � 'I j} :., it [F. II lK. If the house rough -induct I'ea_kage test was.conducted.without anlair.handler'installed, inspect;the connection,.points' O 08 between the air handler and the�supply and -return plenums to,verify that the<connection.point"s are --sealed, `�, -properly .i ''� � R�'tl !7� i�r i'tr �wk K 11 R� it >� k tr► �" 09 Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CalCERTS 217-A020178197A-000-001-M20001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-05-29 05:41:44 2016 Residential Compliance Schema Version: rev 03/16 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Mervyn Martin Company: Signature Date: 2017-05-29 05:46:20 Mery Martin Address: CEA/ HERS Certification Identification (if applicable): 6356 Oak Way City/State/Zip: Phone: 1530-966-2985 Paradise CA 95969 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, or b) I am an authorized representative of the responsible person and attest tc'the dec' la6tions in this;statement on the responsible person's behalf. 3. The constructed or -installed features, materials; componentM or manufactured devices (the installation) identified on this Certificate of Installation tion conforms to the requirements ,given,on,the Certificate -of Compliance, plans, and specifications approved by the Jnnforcement�ag ncy ""'"' """ conforms to - all "applicable codes and regulations�and the install!Y! 1 , 4. I understand that a HERSrater will check the installation to,vencompliance and if such checking determinesthe installation fails'to.comply, I am t 1 t-'"'�- t required to offer any necessary corrective action at no'charge to the building owner. k 5. 1 will ensure that a registered copy of this Certificate.of,lnstallation shall be:posted,-or made available witk .,W building permit(s)assued for,fhe� building, and'made available t -the enforcement agency for all applicable -inspections ,l understand that a registered copy,off,this Ce icate�of Ic...: t :,. J s tik w rr r Installation is required to be included with the documentation the build the building owner at provides to occupancy. Responsible Builder/Installer Name: • • • (/���� Z Chuck A Pugh, Jr. - Cllr Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) OWner Air -Art Heating & A/C Address: CSLB License: 1407 Almond St 335302 City/State/Zip: Phone: Date Signed: Chico CA 95928 530-895-1420 2017-05-29 05:46:20 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): 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/Time: 2017-05-29 05:46:20 HERS Provider: CalCERTS 217-A020178197A-000-001-M20001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-05-29 05:41:44 2016 Residential Compliance Schema Version: rev 03/16 CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 3) Project Name: 3985 Front Street Enforcement Agency: Butte County of Permit Number: B17-00993 Dwelling Address: 3985 Front Street City: Chico Zip Code: 95926 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' �� Single Speed 06 Cooling System Zonal Control Type , s Not Zonal 07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 08 System Bypass Duct Status' / No Bypass Duct 09 Date of System Airflow Rate Measurement i 2017-05-26� U4n 10 Airflow Rate Protocol Utilized' RA3.3 procedr es fo.rflo`wwrate�meassuureme t 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. Method Used to Demonstrate Compliance with the HSPP installed and labeled consistent with Figure RA3.3-1 01 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 Fan Flowmeter according to procedure in RA3.3.3.1.1 verification. 02 Manufacturer of Airflow Measurement Apparatus Retrotec 03 Model number of Airflow Measurement Apparatus RU341 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: 217-A020178197A-000-001-M 23001A-0000 CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CaICERTS Report Version: 2016.1.005 Report Generated: 2017-05-29 05:43:02 Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 2 of 3) 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) 1127 04 Compliance Statement:A System airflow rate complies 11\ 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`measuremerit identified on this Certificate of Installation. M ----* a 41 The airflow rate measurement apparatus used to perform the airflow,rate measurement identified on this Certificate -of 02 Installation was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3= tl�! , u `� - N 0.01, I t �`• VIr is 9 10 9— .ice; A visual inspection shall confirm that bypass ducts-that'deliver-conditioned supply air:directly to the space conditioning 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. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CaICERTS 217-A020178197A-000-001-M23001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-05-29 05:43:02 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 3 of 3) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: �n �N- Mervyn Martin Company: Signature Date: 2017-05-29 05:46:20 Mery Martin - Address: CEA/ HERS Certification Identification (if applicable): 6356 Oak Way City/State/Zip: 1530-966-2985 Phone: Paradise CA 95969 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, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf. 3. The constructed or installed features, materials; components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to.the requirements given on,the Certificate of Compliance, plans, and specifications approved by the enforcementIagency.� �t J __jr i r—j 1 "__1%, F!„� 4. 1 understand that a HERS rater will,check the instaliation'to,verify compliance and if such checking d{eterminesthe installation fails'to comply; l am required to offer any necessary ry co rkrective ac4on at no-char�ge to the building owner. 1 } 5. 1 will ensure that a registered copy of this Certificate.of llhstallation shalt be posteclrbr made available withthe,building permit(s)-issued for -the? 0 building, and made available Lothe enforcement ageencyy or.all applicable inspections._II understand that registered,,copy.o, f,this Certificate-of Installation is required to be includedy ith the documentation the-build�provides to -the building owe -r at occupancy. Responsible Builder/Installer Name: Chuck A Pugh, Jr. - cQZ' Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) Owner Air -Art Heating & A/C Address: CSLB License: 1407 Almond St 1335302 City/State/Zip: Phone: Date Signed: Chico CA 95928 1530-895-1420 2017-05-29 05:46:20 Third Party Quality Control Program (TPQCP) Status: I 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 no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 217-A020178197A-000-001-M23001A-0000 CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CalCERTS Report Version: 2016.1.005 Report Generated: 2017-05-29 05:43:02 Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION CF2R-MCH-22-H Space Conditioning System Fan Efficacy (Page 1 of 3) Project Name: 3985 Front Street Enforcement Agency: Butte County of Permit Number: B17-00993 Dwelling Address: 3985 Front Street City: Chico Zip Code: 95926 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 �� Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central'Fan Integrated (CFI) Ventilation System Status- N, Not a CFI system 08 System Bypass Duct Status'—! 1 / ' No Bypass Duct, I �..,... 1 L, 1/ T �1(7 fl, 09 Date of SystemAirflow Rate Measurement, 2017-05-26 10 Airflow Rate Protocol utilize < qW RA3.3 p oced� s four a�irfloVrate�me s reme t 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 1 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 537 02 Actual Tested Airflow from MCH -23 (cfm) 1127 03 Required Fan Efficacy (watts/cfm) 0.58 04 Actual Fan Efficacy (watts/cfm) 0.48 05 Compliance Statement: System fan efficacy complies Registration Number: 217-A020178197A-000-001-M22001A-0000 CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CalCERTS Report Version: 2016.1.005 Report Generated: 2017-05-29 05:43:48 Schema Version: rev 2013-09-11 CERTIFICATE OF INSTALLATION CF2R-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 (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. 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. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. / I 1\ CERTS E RS P O I DER Registration Number: Registration Date/Time: 2017-05-29 05:46:20 'HERS Provider: CaICERTS 217-A020178197A-000-001-M 22001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-05-29 05:43:48 2016 Residential Compliance Schema Version: rev 2013-09-11 CERTIFICATE OF INSTALLATION CF2R-MCH-22-H Space Conditioning System Fan Efficacy (Page 3 of 3) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature; /%u.r Mervyn Martin Company: Signature Date: 2017-05-29 05:46:20 Mery Martin Address: CEA/ HERS Certification Identification (if applicable): 6356 Oak Way City/State/Zip: Phone: Paradise CA 95969 530-966-2985 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, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf. 3. The constructed or installed features, materials,•components�or manufactured devices (the installation) identified on this Certificate of Installation conforms to ahl codes and regulatioii's�,a�the installation conforms to the, requirements given on,the Certificate of Compliance, plans, and applicable specifications approved by the e—nforcementagency. ""''t4. +�'""'a I understand that a HERS raterwil�check the installatiori`to veriVcKliance and if suchEchelcking determines the installation fails`to,comply, I'am required to offer any necessary %corrective action at no'charge to the building owner. I 5. 1 will ensure that arregistered copy oe this Certificate -of ristallation shall -be -posted, -or made available witr;the.blliding permits) issued for they building, and made available to the enforcement agency ffor,all app cablKe.inspections.-I and rstand`that,a registered copy,of,this Certificate of Installation is required to be included with the docu�mentat�on tFiebuildeprovides tothe building ower at occupancy. N Responsible Builder/Installer Name: • Chuck A Pugh, Jr.- • .Company Name: (Installing Subcontractor or General Contractor or h Company (Title):Builder/Owner) rne Air -Art Heating & A/C Address: CSLB License: 1407 Almond St 335302 City/State/Zip: Phone: Date Signed: Chico CA 95928 530-8954420 2017-05-29 05:46:20 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 no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CaICERTS 217-A020178197A-000-001-M22001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-05-29 05:43:48 2016 Residential Compliance Schema Version: rev 2013-09-11 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 1 of 4) Project Name: 3985 Front Street Enforcement Agency: Butte County of Permit Number: B17-00993 Dwelling Address: 3985 Front Street City: Chico Zip Code: 95926 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 214DNA036000CCAC 05 Nominal Cooling Capacity (tons) of Condenser 3 06 Condenser (or package unit) Serial Number 0417E05985 07 Refrigerant Type, _ -� �R-41 I,`s�/ n 08 Other Refrigerarit Type'(if applicable) (r Liquid Line Filter Drier Installed According to Manufacturers Yes ,!1 09 Specifications (if applicable) � p� i V I If" � 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 2017-05-26 15 Refrigerant charge verification method used. Subcooling (outdoor temperature must be equal to or greater than 55 degF) 16 Person who performed the Refrigerant Charge Verification HVAC system installer reported on this Certificate of Installation 17 HERS Verification Compliance Requirement Status System qualifies for group sampling Registration Number: 217-A020178197A-000-001-M25001A-0000 CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CalCERTS Report Version: 2016.1.005 Report Generated: 2017-05-29 05:46:04 Schema Version: rev 10/16 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 2017-05-01 MAH installed and labeled consistent with Figure 3.2-1 r � Measurement Access Hole (MAH) Requirement 02 Date of Digital Thermocouple Calibration 2017-05-01 80 (Tcondenser, db) 03 Digital' Refrigerant:Gauge�Calibration Status a Calibration is current Outdoor temperature is within range for using Subcooling 04 Digital Ther ocouple Calibration Status :Calibrationris•cu�rent D. Measurement Acce Ho11 e (MAH) Verif ci ati n � � {� Procedures for installing MAH are specified in Referenci�'Resid.bntial Append ik RAK-2, 2.3 Minimum Required System Airflow Rate (cfm) 01 Method Used to Demonstrate Compliance with the MAH installed and labeled consistent with Figure 3.2-1 System complies with minimum airflow rate requirements Measurement Access Hole (MAH) Requirement E. Minimum System Airflow Rate Verification Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.3.3. 01 Minimum Required System Airflow Rate (cfm) 1050 E 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 75 During the Refrigerant Charge Verification Procedure (°F) 02 Measured Condenser Air Entering Dry -Bulb Temperature 80 (Tcondenser, db) 03 Outdoor Temperature Qualification Status Outdoor temperature is within range for using Subcooling refrigerant charge verification method Registration Number: Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CalCERTS 217-A020178197A-000-001-M25001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-05-29 05:46:04 2016 Residential Compliance Schema Version: rev 10/16 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) (°F) 72 05 Measured Liquid Line Pressure (Pliquid) (psig) 207 06 Condenser Saturation Temperature (Tcondenser, sat) from 81 Digital Gauge or P -T Table using Line F05 (°F) 9 1 1 07 Measured Subcooling (Line F06 - Lilne F04 (°F) 9 08 Target Subcooling from Manufacturer (°F) 10 09 Compliance Statement': ' System complies with Subcooling Method - Must also pass 03 t metering device verification, next section 04 1 10 l G. Metering Device Verification Procedures for the verification of proper metering device operation are specified in RA3.2.2.6.2 01 Measured Suction Line Temperature (Tstion) (°F 47' ') 9 1 1 02 Measured Suction.Line Pressure (Psuctlon)(psig) 139 4 t� . s +► . op-- �� y♦ L�+C+y+ 'wl i i e. Evaporator Saturation Temperature (Tevaporator, sat) from1 �++ y y�r t.0-- ' R R % *.A �T I[ 67ww ', i 37 03 Digital Gauge or P -T Table using Line G02 (°F) 04 Measured Superheat (Line G01- Line G03) (°F) 10 05 Measured Superheat (Line G04) is between 4°F and 25°F Passes CEC requirement (inclusive) 06 Measured Superheat (Line G04) is within Manufacturer's Not known Specifications ( if known) 07 Compliance Statement Metering device verification passes MCH -25d - Refrigeration Charge Verification - Fault Indicator Display (FID) H. Fault Indicator Display This section does not apply to this project. I. Fault Indicator Display Additional Requirements This section does not apply to this project. Registration Number: Registration Date/Time: 2017-05-29 05:46:20 HERS Provider: CalCERTS 217-A020178197A-000-001-M 25001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-05-29 05:46:04 2016 Residential Compliance 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 In'stallation'documentation is accurate and complete.. Documentation Author Name: Documentation Author Signature-.- ignature-.Mervyn MervynMartin Company: - - - Signature Date: • : 2017-05-29 05:46:20 Mery Martin Address: CEA/ HERS Certification Identification (if applicable): , 6356 Oak Way - - City/State/Zip: 7• Phone: Paradise CA 95969 530-966-2985 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: Y ' V 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 sysiem design, construction, or installation of features, materials, components, or manufactured devices for the scope of work" ` identified on this Certificate of Installation and attest to the declarations in this statement, or b) I am an authorized representative of the responsible,,, person and attest to the declarations in this statement on the responsible person's behalf.' 3. The constructed or installed features, materials; components or manufactured devices (the installation) identified on this'Certificate of Installation conforms to �11 applicable codes and igulatior�and installation conforms,to the `requirements given on,.the Certificate. of Compliance,`plans, and �the """4. specifications approved by the"e foreemen S gency. rd1jiuchi 1 understand that a HERS raterwill check the installation towenfy compliance anc"h`e�cking determines'the installation fails�to o`mpl�y I am .. ♦ t r rt a "� required to offer any necessary corrective action at no charge to the building owner. It - 0 E- ! i ..' x tea' r..•. 5. 1 will ensure that a registered copy of this Certificate of,lnstallation shall.be.posted,,or• made availablewitlti e.building permit(s)-issued for they building, and made available tote enforcemenFt ag�ency0r„all appliicable inspections.,I,undeerstand,t(hata registeredepy,of•this Certificate -of _ Installation is required to be included with the d,ocumentat on thebuilder Lo the building at occupancy. ' provides owner Responsible Builder/Installer Name: • . - . Chuck A Pugh, Jr. e ud c 2 Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) z Owner ' .• ` Air -Art Heating & A/C Address: CSLB License:' 1407 Almond St` - 335302 City/State/Zip: Phone: Date Signed: Chico CA 95928 530-895-1420 2017-05-29 05:46:20 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 no way implies ~ Registration P.ovider responsibility for the accuracy of the information. • Registration Number: Registration Date/Time: 2017-05-29 05:46:20HERS Provider: CaICERTS 217-'A020178197A-000-001-M 25001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-05-29 05:46:04 2016 Residential Compliance Schema Version: rev 10/16