HomeMy WebLinkAboutB17-2849 042-610-042BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line (IVR) : 530.538:4365 (Cut off time for inspections is 3pm)
Development Services cannot guarantee inspections on the date requested
Office: 530.538.7601 Fax:530.538.7785 www.ButteCounty.net/dds
Permit No: B 17-2849 Issued: 12/5/2017
APN: 042-610-042
Address: 1732 FLAMINGO RD, CHICO
Owner: HENRY DANIEL D & CONNIE J
Permit Type: HVAC FRNC HT PMP HVAC CHNG OUT
Description: split system replacement
:
a.
AREA
5
Flood Zone: X (Unsh SRA Area: LRA
SETBACKS for Znninfy- AG_ SRA. PW
Front: Centerline of Road:
Rear: SRA:
Street: AG:
Interior -
Total Setback from Centerline of Road:
ALL PLAN REVISIONS MUST BE APPROVED BY THE'COUNTY BEFORE PROCEEDIN(
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
Blocking/Underpining
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
F
Inspection Type
IVR INSP DATE
T -Bar Ceiling
145
Stucco Lath
142
Plumbing Final
813
Fire Sprinkler Test or Final
702
Swimming
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
Blocking/Underpining
612
Tiedown/Soft Set System
611
Permanent Foundation System
613 -
Underground Electric
218
Sewer
407
Under round Water
417
Manometer Test
605
Continuity Test
602
Ski rtin Ste s/Landin s
610
Coach Info
Manufactures Name:
Date of Manufacture:'
Model Name/Number: '
Serial Numbers:
Length x Width:
Insi nia:
so
i` r '� J 1ti: "iw. ~Xt t0.b. A +'4s, ;•-i a't .., :e y. ,
h ,_`.� Y. R'.q�„ c+ y �. - '•� '' z.�-k�ii%.j fir_ �'-7•p•,<
Permit Final
.802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Fire Sprinkler Test or Final
702
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 esidennal Only)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
CERTIFICATE OF VERIFICATION
CF3R-MCH-25-H.
Refrigerant Charge Verification
(Page,l of 4)
Project Name: Connie Henry
'Enforcement Agency:.
.:Chico
. City of
Permit Number: B17-2849
Dwelling Address: 1732 Flamingo Rd
City:.
Chico..
Zip Code: 95926
A. System Information
HERS Rater to field -verify all. system information; discrepancies to be noted. by overwriting entry.
01
System Identification or Name
System 1
.02
System Location or Area Served
Location 1
03
Condenser (or package unit) make or brand
Carrier .
04
Condenser (or package: nit) model number
•24AAA648A300
05
r t
Nominal Cooling Capacity,�(tons) of Condenser
4
06•
Condenser. (or. package unit) serial number,
4317EO3154
07
Refrigerant Type r
�R-410A
08
r
Other'Refri erant T elicable
g YP'-if a PP )
1t
?i
Liquid Line Filter:Drier:lnstalled According to Manufacturers
}Yes. itl
09
Specifications (if applicable) H E <)
R : I. `
10
System Installation Type
Alteration
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 orRA3.3.3 can be
or RA3.3.3)?
used to verifysystem.airflow rate requirements..
It 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 verificationrequirements when
used to verify compliance
temperatures are >= 55"F (RA3.2.2, or RA1)?
14
Date of Refrigerant Charge Verification for this.system.
2017-12-11
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
HVACGsystem installer '
reported on this. Certificate of Installation -
17
: HERS Verification Compliance Requirement Status
System qualifies for group sampling.
18 '
Refrigerant charge verification method used by HERS Rater.
ucoomS b I'g'
Registration Number:
217-A026564539A-000-001- M 25001A -M 25A
CA Building Energy Efficiency Standards
2016 Residential Compliance
..
Registration.Date/Tme: 2017-12-12 15:00:32 HERS Provider: CaICERTS
Report Version: 2016.1.006. , Report Generated: 2017712-12 14:59:37
Schema Version: rev 10/16
CERTIFICATE OF VERIFICATION CF3R-MCH-25-H.'
Refrigerant Charge Verification (Page 2 of 4),
MCH -25b - Refrigerant Charge Verification - Subcooling'Method
B.. Metering Device Verification
HERS Rater.is required to visually field verify all information from MR. 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
HERS Raters are required to calibrate their diagnostic tools. Procedures for instrument calibration are given in
Reference Residential AppendixRA3.2.2 and RA3.2.2.2
.1200
01
Date of Digital Refrigerant`Gauge .Calibration
2017-12-01.
During.the Refrigerant Charge Verification Procedure ('F)
02
02
Date of Digital -Thermocouple Calibration. —
2017=12-01
(Tcondenser,db)
03
e .• .—
Digital RefrigerantfGauge�Cal Calibration Status,
Ca ibrati ,r iscurre
04 .
r r' 44 1
'Digital Thermocouple,Calibration Status *
Calibration; is current
Ire 1` tii, f "` . ilk. 'k,.,.+i' , V 0 ilk .
D. Measurement Access Hole (MAH) Verification
HERS Raters are required to visually field verify. MAH. Procedures for installing. MAH are specified in Reference
Residential Appendix RA3.2.2.3
.: 01 Method Used to'Demonstrate Compliance with the MAH installed and labeled consistent'with Figure 3.2-1
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)
.1200
02
System Airflow Rate Verification Status
System complies with minimum airflow rate requirements
F. -Data Collectiomand. Calculations
- HERS Rater must independently collect all data in this section: Procedures for determining Refrigerant Charge using
-the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3.2.2 and RA3.2.2.2
Ol
Lowest Return Air Dry Bulb Temperature that Occurred
71
During.the Refrigerant Charge Verification Procedure ('F)
02
Measured Condenser Air Entering Dry -Bulb Temperature t
58
(Tcondenser,db)
Registration Number:
217-A026S64539A-000-001-M 2 SO01A-M 2 5A
CA Building Energy Efficiency Standards
2016 Residential Compliance'
,
Registration. Date/Ti me: 2017-12-12 15:00:32 HERS Provider: CaICERTS
Report Version: 2016.1.006. Report Generated: 2017-12-12 14:59:37
Schema Version: rev 10/16
TIFICATE OF VERIFICATION CF3R-MCH-2!
rigerant Charge Verification (Page 3 o -
F. Data Collection and Calculations
HERS Rater must independently collect all data in this section. Procedures"for determining,RefrigerantCharge. using
the Standard Charge Verification Procedure are given in Reference Residential Appendix RA3:2.2'and RA3.2Z.2
03
Outdoor Temperature Qualification Status
Outdoor temperature is within range for.using Subcooling
102 .
Measured Suction.Line Pressure (Psuction) (psig) ".
refrigerant charge verification method
04
Measured Liquid Line Temperature (Tiiquid) (°F)
.51.7
05
Measured Liquid Line Pressure (Puquid) (psig)
170.4
06
" Condenser Saturation Temperature (Tcondenser, sat) from
59'.9
04
Digital Gauge or P -T Table using "Line F05 ('F)
11.8
07 .
Measured Subcooling (Line F06 - Lilne F04 ("F)
It
8.2
08
Target.Subcooling from Manufacturer ('F)
8
06,
�1 L
Not known
09'
Compliance"Statement: \'
System complies with Subcooling Method - Must also pass
07
'Compliance Statement:
metering device verification, next section
G. Metering Device Verification ; I .
l
HERS Rater must independently collect a(I data inrttiis section Procedure176q theverification of proper metering
device operation are specified,in,RA3.2.2.6.2
01
Measured Suction Line Temperature (Tsuc n)(°F)'
X46.2 t
102 .
Measured Suction.Line Pressure (Psuction) (psig) ".
106.1
03 .
Evaporator Saturation Temperature (Tevaporator, sat) from
34.4
Digital Gauge or P -T Table using Line G02 (°F)
04
Measured Superheat (Line G017 Line G03) (°F)
11.8
OS
Measured Superheat (Line G04) is;between.3°F and 26°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
H. Determination of "HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be incompliance.
01 Complies: All specified verification protocol requirements on this document are met.
Registration Number: Registration.Date/Time: .2017-12-12,15:00:32 HERS Provider: CaICERTS
217-A026564539A-000-001- M 2 5001A -M 25A
CA Building Energy Efficiency Standards Report Versiow. 2016.1.006 Report Generated: 2017-12-12 14:59:37
2016 Residential Compliance Schema Version: rev 10/16
:RTIFICATE OF VERIFICATION CF3.R-MCH-25-1
?frigerant Charge Verification .(Page 4 of 4
Documentation Author's Declaration Statement
1. I certify, that this'Certificate of Verification documentation is accurate and complete:
Documentation Author Name:
'Thomas Whitsett
Documentation Author Signature:
.Company:
Date Signed:
North State HERS Raters
2017=12-12 15:00:32
Address:.
CEA/. HERS Certification Identification (if applicable):
540 Papst Avenue
City/State/Zip:
Phone:
Orland CA 95963
530-864-5042
Responsible Person'sw Declaration statement
I certify the following underpenalty 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 Verificatio cn omply with:the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the.Certificate of Compliance forthe building approved by the enforcement agency.
4. The information reported on applicablesections:oMhe Certificates) of Installation,(CF2R) s i'nedand submiffed by the per,'son(s) responsible for the
Af z Y St '!
J I! t N s yr
construction or installation conforms to the;requirementsspecified(on the Certificate(s) of Compliance (CF1R) approved by, the'enforcemeWagency.
S. I will ensure that a registered copy%of this Certificate of Verification shall be posted, or made available with the,building permd(s),issued for the
1,understand� at a,regisi red -copy of;thiW.Certiifi8te .
building and maile'availabh�e tot o enforceme�nt.ag�enty for all applicable.inns
stosp�ections•
Verification is required to be included with the documentation the builile� providethe building owner at occupancy.
,4 0— k°ti, .r 0-%, #-%, ..,rw., w ,a % *--., ;#_ ate.;
Builder.Or Installer Information As Shown On�The ert cate Of Instal ti n' f""
Company Name (Installing Subcontractor, General. Contractor, or Builder/Owner):
JESSEE HEATING & AIR CONDITIONING
Responsible Builder or.lnstaller Name:'
CSLB License:
Mike Gray
405424
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:
'North State HERS Raters
Responsible Rater Name:
Responsible Rater Signature:
Thomas Whitsett
Responsible Rater Certification Numberw/ this HERS Provider:
Date Signed:
CC2006271
2017-12-12 15:00:32
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: 2017-12-12 15:00:32 HERS Provider: CaICERTS
217-A026564539A-000-001-M 25001A -M 25A
CA Building Energy Efficiency Standards Report Version: 2016.1.006. Report Generated: 2017-12-12 14:59:37
2016 Residential Compliance Schema Version: rev 10/16
CERTIFICATE OF VERIFICATION
CF3R-MCH-23-H.
Space Conditioning System Airflow Rate
.(Page I of 4).
Project Name: Connie Henry
'Enforcement Agency:
-:Chico
City of
'Permit Number: B17-2849
Dwelling Address: 1732 Flamingo Rd
City:
Chico .
Zip Code: 95926
A. Ducted Cooling System Information
, Instrument Specifications are given in RA3.11.1. and system airflow rate measurement apparatus information is given
in RA3.3.2.
01
01
System Identification or Name
verification.
System 1
02
.02
'System Location or Area Served
03
Model number of Airflow Measurement Apparatus
Location 1.
03
System Instal lation,Type
04
Accuracynf
Alteration,
04
Nominal Cooling Capacity (tons) of Condenser
4
05
Condenser Speed Type
Single Speed
06
f J
Cooling System Zonal Control Type
Not Zonal
07
Central Fan Integrated (CFI) Ventilition System Status"
.Nota CFI system
08
.System Bypass. Duct Status
'N" o pypass,91ct`,
09
9
Date of System Airflow Rate Measurement
2017-12-11,
17
0
10
Airflow Rate Protocol Utilize
(1;,RA3.3
p'roted'ures forairflawlte:me'asureff rent
v & *,.0 W a 46100* AN" R'
B. Hole for the placement.of a Static Pressure Probe ("SPP); andPermanently Installed Static Pressure.Probe (FSPP)
in the Supply Plenum.
Procedures for installing HSPP.or,P.SPP-are-specified-in-kA3.3.1.1.
01 Method Used to Demonstrate Compliance with -the HSPP installed and labeled consistent. with Figure RA3.3-1'
HSPP/PSPP Requirement
C. Airflow Rate Measurement. Apparatus and Procedure Informatibn
, Instrument Specifications are given in RA3.11.1. 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 Ciipture.Hood according to procedure in
verification.
RA3.3.3.1.4
02
Manufacturer of Airflow Measurement'Apparatus
TSI
03
Model number of Airflow Measurement Apparatus
8371
'Certification Status of the Airflow Measurement Apparatus
Certified by Manufacturer and listed on CEC Website at
04
Accuracynf
c rt/ama fas -
http://w*w.energy.ca.gov/title24/equipme _e
/index.htirnl
Registration Number:
217-A026564539A-000-001-M23001A-M23A
CA Building Energy Efficiency Standards
2016 Residential Compliance
Registration. Date/Time: 2017-12-12 15:00:31 HERS Provider: CaICERTS
Report Version' 2016.1.006 Report Generated: 2011-12-12 14:57:52
Schema Version: rev 10/16'
F
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 SystemAirflow 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)
300
02
Required Minimum System.Airflow Target (cfm)
.1200
03
Actual System Airflow Rate Measurement (cfm)
1315
�04
'Compliance Statement: 71
System airflow rate complies
rm
E. Additional Requirements �..
fr
Air filters'that meet the applicable requirements of Standards Section .150.0(m)12.or.150.0(m)13'were properlyinstalled. in
01
the system during system air flow:rate,measu� ent identified on`this Certificate of Verification.
The airflow rate measurement apparatus.used to-perform„the airflow rate measurement.identified on.this'Certificate-of
- '# .--.•.� 'k. a �' .J �
02
r .r 1 K +"-, f i R 1 r,,,R.ti. 4 N i i' � 4
Verification was calibrated in�accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3 3 1.
A visual inspection, confirm that bypass ducts tha d liver�conditi ed s ply air- ire tly to the sp ce co ditio ng
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 fanwatt draw shall be simultaneous measurements when used to calculateahe 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. bate/Ti me: 2017-12-12 15:00:31 HERS Provider: CaICERTS
217-A026564539A-000-001-M 23001A -M 23A
CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2017-12-12' 14:57:52
2016 Residential Compliance Schema Version: rev 10/16
ITIFICATE OF VERIFICATION CF3R-MCH-29
ice Conditioning System Airflow Rate (Page 3 i
.F. Determination of HERS Verification- Compliance
'All applicable sections of this document shah 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/Time:, 2017-12-12 15:00:31 HERS Provider: CalCERTS
217-A026564539A-000-001-M 23001A -M 23A
CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2017712-12' 14:57:52
2016 Residential'Compliance Schema Version: rev 10/16
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H,
Space Conditioning System -Airflow Rate .(Page 4of 4)
Documentation Author's Declaration Statement
1.1 certify, that this Certificate of Verification documentation is. accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Thomas Whitsett
.Company: _
Date Signed:
North State HERS Raters
2017-12-12 15:00:31
Address:
CEA/. HERS Certification Identification (if applicable):
540 Papst Avenue
City/State/Zip:
Phone:
Orland CA 95963
530-864-5042,
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California: .
1. The information provided on this Certificate of Verification is true and correct. .
2. 1 am the certified HERS liater�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 ori the.Certificate of Compliance fo[ahe building approved by the enforcement agency,
4. The information reported on applicable sections.ofahe Certifica (s) of'Installation(CF2R) signed indsutimitted;by the persons) responsible for the
construction or installationconforms tothe requirements specifiedjon the Certificate(s) of Compliance (CEiR) approved by the enforcement'agency.
S. I will ensure that a registered copy of this Certificate of Verificationshall be posted, or made available with the%building permits) issued for the
building, and made available` to 4he- enforce ment,agency�for all applicable,inspections. I; understand that a registered copy of this',Certificate.of
Verification is required to be included with the documentation4he buflder;provides to the building owner at occup
^ancy.
I '�� 1 * a �+�e«. ..� �r+w, r+y+ ,r+++._ •w . ,r
Builder Or Installer Information As Shown OnThe Cern tate Of Installation '
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
JESSEE HEATING & AIR CONDITIONING
Responsible Builder or Installer Name:
CSLB License:
Mike Gray
405424 • .
HERS Provider Data Registry Information -
Sample Group Number (if applicable):.
D17weleling Test Status In'Sample Group (if applicable)
Testd
HERS Rater Information
HERS Rater Company Name:
North State HERS Raters
Responsible Rater Name:.
Responsible, Rater Signature:
�c6l14'I67�%
Thomas Whitsett
Responsible Rater Certification Number w/.this HERS Provider:
Date Signed:
CC2006271
2017-12-12 15:00:31
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document and in noway. implies
Registration Provider responsibility for the accuracy.of the information.
Registration Number: Registration.Date%rme: .2017-12-12 15:00:31 HERS Provider: CaICERTS
217-A026564539A-000-001-M 23001A -M 23A
CA Building Energy Efficiency Standards Report Version:• 2016.1.006. • Report Generated: 2017-12-12 14:57:52
2016 Residential Compliance Schema Version: rev 10/16
0
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H.
Duct Leakage Diagnostic Test
(Page 1 of 3) .
Project Name: Connie Henry
Enforcement Agency:.
Chico
City of
Permit Number: 81772849
Dwelling Address: 1732 Flamingo Rd
City:
Chico .
Zip Codec 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 -111
Single family
04
Verified Low Leakage Ducts in Conditioned Space (VLLDCS)
No, credit is not:taken
04
Credit from CF1R?
Total leakage
05
Verified Low Leakage Air Handling.Unit Credit from CF1R?
No,Xredit is not taken
07
rl t
Cooling system* method
06.
Duct. System. Compliance �Category
Alteration
09
i�
240
_Y71 fl.
MCHr20d Complete Replacement or Altered System
r t r
If --ii i i- 9 i
%t204—%1 tt ►c hr lr hr At. 0$ It it I
.B. Duct Leakage Diagnostic Test L
01
. V :Y Aiww. V M
Condenser Nominal Cooling Capacity (ton)
--!.W • ii
4
02
•Heating Capacity.(kBtu/h)
78
03
Conditioned Floor. Area served by this HVAC system (ft)
1811
04
Duct Leakage Test Conditions
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.15
07
Air Handling Unit 'Airflow.(AHUAirflow).Determination
Method
Cooling system* method
08
Measured AHUAirflow.
This field or section is not applicable.
09
Calculated Target Allowable Duct.Leakage Rate (cfr*h)
240
10
Actual Duct Leakage Rate•from Leakage Test
Measurement (cfm)
93
11
Compliance Statement:
System passes leakage test
12
1 Notes:
Registration Number:
217-A02 6564539A -000-001-M 20001A -M 20A
CA Building Energy Efficiency Standards
2016 Residential Compliance
Registration.Date/Time: 2017-12-12 15:00:30 HERS Provider: CaICERTS
Report Version: 2016.1.006. Report Generated: 2017-12-12 14:57:24
Schema Version: rev 03/16
CERTIFICATE OF VERIFICATION CF3R-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 duringduct 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'automaticallyclose.when OA is not required, .
may configure the OA damper to the closed position during duct leakage testing.
03
If a. complete replacement, all supply and return register.boots were sealed'to the drywall.
5
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.
# i
If the system complies.using the Smoke Test method, the smoke:test was conducted in accordance with the requirements .
07 '
of Reference Residential"Appendix RA3.1:4.3.6. Systems that comply using smoke test shall not be included in sample
groups.for HERS verification compliance..
08
Verification Stat s;
'Pass =all;applicablefrequirements are mett-
09
Correction Notes:f/1�.
I C
. ,.
The responsible person's signature,on'this compliance;document affirms that.all'applicable requirements in this
:.Corrects Ns =this table: -table -have
been met unless otherwise noted in,the Verification Status and theionotein
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 asa whole to be.determined to be. in compliance.
01 Complies: All specified verification •protocol requirements on this document are met..
Registration Number: Registration. Date/Ti me: 2017-12-12 15:00:30 HERS Provider: CaICERTS
217-A026564539A-000-001-M 20001A- M 20A
CA Building Energy Efficiency Standards Report Version; 2016.1.006. Report Generated; 2017-12-12 14:57:24
2016 Residential Compliance 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 certifythat this Certificate of Verification documentation is accurate and complete.
DocumentationAuthor Name:
'.Thomas
Documentation Author Signature: /7/(/IGG(�GGV
Whitsett
Company:,
Date Signed:
North,State HERS Raters
2017-12-12 15:00:30
Address:
CEA/ HERS Certification Identification (if applicable):.
540 Papst Avenue
City/State/Zip:.
Phone:
Orland CA 95963
.530-864-5042
Responsible Person's Declaration statement
•l
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information,provided this Certificate of: Verification Is true and correct.
Lon
2. I am the certified HERS Itater performed the verification Identified and reported on this Certificate of Verification (responsible rater):.
twho
3. The Installed features,,materials, components;,manufactured devices, or system performance diagnostic.results that require HERS verification
Identified on this Certificatexof Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance foi
CERTIFICATE OF INSTALLATION
CF2R-MCH-25-H:
Refrigerant Charge Verification
(Page 1 of 4) .
Project Name: Connie Henry
Enforcement Agency:
Chico
City of
-Permit Number: B17-2849
Dwelling Address: 1732 Flamingo Rd
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
Carrier
04
Condenser (or. packageunit) Model Number
24AAA648A300
05
Nominal Cooling Capacity,(tons) of Condenser
14
06
. Condenser. (or.package unit) Serial,Number
4317E03154
07
. Refrigerant Type,,,,;R-410A
08
Other Refrigerant Type'(f a plicable)
N/A� L
.� e `.
Liquid Line Filter.Drier Installed According to Manuf�acturersYes-
V u `* V
d/
09
Specifications•(if applicable) �'` H -E • !l,'
' E
10
System Installation -Type
Alteration
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 Refrigerantcharge verification procedures
13
verification procedures can be -used to verify compliance
from RA3:2.2 or RAi is applicableto.this system and can be .
with the refrigerant charge verification requirements when
used to verify compliance
temperatures are >= 55'F.(RA3.2.2, or RAi)?
14
. Date of Refrigerant Charge Verification for this system
2017-12-11
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-A026564539A-000-001-M 25001A-0000
CA Building Energy Efficiency Standards
2016 Residential Compliance
Registration Date/Time: 2017-12-12 14:51:47 HERS Provider: CaICERTS .
Report Version: 2016.1.006. Report Generated: 2017-12-12 14:50:18 .
Schema Version: rev 4/7/2017
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 havea 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
2017-12-01
System Airflow Rate Verification Status
System complies with minimum airflow rate requirements
During the Refrigerant Charge Verification Procedure ('F)
02.
Date of Digital Thermocouple Calibration
2017-12-01
02
..W.
(Tcondenser,db)
03
DigitafRef`rigerant.Gauge Calibration Status,1z,,, ,
Calibration is current
Outdoor temperature is .within range for,using Subcooling
04
Digital:Thero ouple Calibration Status
/}/p+'Cali¢braiio}n{is,cuA�Fenty=='
.� '.A 1 t F 4. X 1 7 F - $ r___ - .I r-%.\ 3 F A@ 10 it 14
D. Measurement Acc se s'Hoe (MAH) Veriflcation� . -
Procedures for installing MAH are, p�ecified in Refereni:6 Residential AppendixRA3'2 2.3 C
0. ' . .
01 Method. Used to Demonstrate Compliance with the :MAH:installedand.labeled consistent with Figure 3.2'
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)
1200
02
System Airflow Rate Verification Status
System complies with minimum airflow rate requirements
F. Data Collection and Calculations
Procedures for determining Refrigerant.Charge using the Standard Charge Verification Procedure are given in
Reference Residential Appendix RA3.2.2.
01
Lowest Return Air Dry Bulb Temperature that Occurred
71
During the Refrigerant Charge Verification Procedure ('F)
Measured Condenser AirEntering Dry -Bulli Temperature
02
..W.
(Tcondenser,db)
w
03
Outdoor Temperature Qualification Status
Outdoor temperature is .within range for,using Subcooling
refrigerant charge verification method
Registration Number: Registration.Date/Tme:. 2017-12-12 14:51:47 HERS Provider: CalCERTS
217-A026564539A-000-001-M25001A-0000
CA Building Energy Efficiency Standards Report Version' 2016.1.006 Report Generated: 2017-12-17 14:50:1.8
2016 Residential Compliance Schema Version: rev 4/7/2017
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 (Tuquid) ('F)
'51.7
05 .
, Measured Liquid'Line Pressure (Pnquid) (psig)
170.4.
06
Condenser Saturation Temperature (Tcondensec sat) from .
.59.9 • •
r 'A i w ..-
Digital Gauge or P -T Table using Line•F05'(°F)
07
Measured Subcooling.(Line F06 - Lilne.F04 (°F)
8.2
08
Target Subcooling from Manufacturer (°F)
8
09
Compliance Statement:
System complies with Subcooling Method - Must also pass
Measured Superheat.(Line G04) is between 4°F and 25°F:
Passes CECrequirement
metering device verification, next section
WAMI
G. Metering DeviicivLi ification'^'=' •-
.Procedures for the verification of proper,metermg device operation -are specified in RA3.2.2.6.2
01
Measured Suction Line T mp ature (Ts ctioo).(°F):S
.462=, +.
02
Measured'SuctionLine Pressure (Psuctnon) (psig)
,106:1
r 'A i w ..-
'd ir-`I . K1__ LEN
Evaporator Saturation 'Temperature.(Tevaporator,sat) rom
34:4 r— to ' V rA
03
Digital Gauge or P -T Table using Line G02 (°F) .
04
Measured Superheat (Line G01- Line G03) (°F)
11.8
OS
Measured Superheat.(Line G04) is between 4°F and 25°F:
Passes CECrequirement
(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 Ind icatorDisplay (FID)
H. Fault Indicator Display
This section does.not apply to this.project.
Registration Number: Registration.Date/Time: 2017-12-12 14:51:47 HERS Provider: CalCERTS .
217-A026564539A-000-001-M 25001A-0000
CA Building Energy Efficiency Standards . Report Version: 2016.1.006 Report Generated: 2017-12712 14:50:18
2016 Residential Compliance Schema Version: rev 4/7/2017
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.
Mike Gray
Company:
Signature. Date: 2017-12-12 14:51:47
JESSEE HEATING & AIR CONDITIONING
Address:
CEA/ HERS'Certification..Identification (if applicable):
3025 SOUTHGATE LANE
City/State/Zip:
Phone:
CHICO CA 95928
530-891-4926 -
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 Installationis 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,'corril orients or manufactured devices (the installation) identified on this Certificate of.Installation
conforms to all applicable codes and regulatiof sand the installation conforms to therequirements given,on,the Certificate.of Compliance, plans, and
specifications approved by the'enforcement�agenoy. ,t" "";
4. .I understand that a HERS rater will check the installation taverify compliance and if such checking.determines the installation fails to.comply, I am
.
e' et b• �€
r + no-c'harge'
required to offer anynecessary corrective action at no charge to the building owner. .
5. 1 will ensure that a registered copy of this Certificate.of>Installation shall.be.posted„or made available with-the:bui*# g permit(s);issued for the -
building and'made available [o the enforcement agency for -all applicable,inspections:_I understand that a registered copy.of-this Certificate,of
1 +t �e '1t -
.—A t c. b
e S !Y
t ui ”: o
Installation is required to be includedwiththe doc`umenta�tion the`builde�rprovides to°the budding owner at occupanty.
Responsible Builder/Installer Name:
Responsible.Builder/Installer Signature:. .
Mike Gray
Company Name: (Installing Subcontractor or General Contractor or
Position With Company (Title): 491 IV
Builder/Owner)
Owner
JESSEE HEATING & AIR CONDITIONING
Address:
CSLB License:
3025 SOUTHGATE LANE
405424
City/State/Zip:
Phone:,
Date Signed:
CHICO CA 95928.
530-891-4926
2017-12-12 14:51:47
Third Party Quality ControlProgram (TPQCP) Status:
Name of 7PQCP'(if applicable):
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in noway. implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration.Date/Time: 2017-12-12 14:51:47 HERS Provider: CaICERTS
217-A026564539A-000-001-M25001A-0000
CA Building Energy Efficiency Standards . Report Version: 2016.1.006. Report Generated: 2017-12-12 14:50:18
2016 Residential Compliance Schema Version: rev -4/7/2017-
C
ERTIFICATE OF INSTALLATION CF2R-MCH-23-H.'
Space Conditioning System Airflow Rate (Page 1'of 3)
Project Name: Connie Henry 'Enforcement Agency' City of Permit Number: B17-2849
Chico
Dwelling Address: 1732 Flamingo Rd 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 Alteration
0.4 Nominal Cooling Capacity (tons) of Condenser 'A.
05 Condenser Speed Type \ Single Speed
06 Cooling System Zonal Control Type Not Zonal
07 Central Fa Integrated (CH),Venblattion System;Status- ..Nota CH system
08 System Bypass Duct Statusoo -1`� No B p ss Ducta,
09. Dateof System Airflow Rate asuremenI A2017-12 ii
F10 Airflow Rate Protocol Utilize H +RA3.3 p cede s fo a�irflow'rate�lmea reme 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.
01 Method Used to Demonstrate Compliance with the HSPP installed and labeled*consistentwith 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.
Ol
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
TSI
A. Ducted Cooling System Information
01 System Identification or,Name System -1.
02 System Location or Area Served Location 1
03 System Installation. Type Alteration
0.4 Nominal Cooling Capacity (tons) of Condenser 'A.
05 Condenser Speed Type \ Single Speed
06 Cooling System Zonal Control Type Not Zonal
07 Central Fa Integrated (CH),Venblattion System;Status- ..Nota CH system
08 System Bypass Duct Statusoo -1`� No B p ss Ducta,
09. Dateof System Airflow Rate asuremenI A2017-12 ii
F10 Airflow Rate Protocol Utilize H +RA3.3 p cede s fo a�irflow'rate�lmea reme 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.
01 Method Used to Demonstrate Compliance with the HSPP installed and labeled*consistentwith 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.
Ol
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
TSI
03
Model number of Airflow Measurement Apparatus
8371
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
B.. Hole for the placement.of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP)
in the Supply Plenum.
Procedures for installing HSPP.or.PSPP are specified in RA3.3:1.1.
01 Method Used to Demonstrate Compliance with the HSPP installed and labeled*consistentwith 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.
Ol
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
TSI
03
Model number of Airflow Measurement Apparatus
8371
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: .2017-12-12 14:51:47 HERS Provider: CaICERTS
217-A026564539A-000-001-M23001A-0000
CA Building Energy Efficiency Standards Report Version: 2016.1.006. Report Generated: 2017-12-12 14:43:20
2016 Residential Compliance Schema Version: rev 10/16
rIFICATE OF INSTALLATION CF2R-MCH
:e Conditioning Systern-Airflow Rate (Page 2
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)
300
02
Required. Minimum System Airflow Target.(cfm)
1200.
03
Actual System Airflow Rate Measurement (cfm)
1315
04
- Compliance Statement:
11 A
System airflow rate complies
E. Additional Requirements
Air filteis that_meet the applicable "requirements of Standards Section 150.0(m)12•or 150.0(m)13 were properly installed in
Al
the system during system air flow. rate'measurement identified on this Certificate of Installation.
'� .•�` s ..� •* #'� ..:.-��_ w-�+w � .rte dw
r /o` ..y. ifs 41 if it At �E t ..
The airflow rate measurement apparatus used to -perform the airflowarate measurement,identified'on this Certificate -of
iii '!1 }{
02
1 d J , f ?t ,�f =( 1, y ^++4 Al of ��
Installation was calibrated in accordance with the'apparatus manufacturer' s.specifications and conforms to.the .
rr ci t io i �. A 1` ll U � 0 0 i.)
in RA33.1.
instrumentation specificatio�ns,gien
A visual inspection shall confirm that bypass, ductv.that d liver -conditioned supply air -,directly to the space co ditio ng
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
Af fresh air ductis: 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/efm) 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 alUapplicable requirements in this table, have,
been met.
Registration Number: Registration.Date/Time: 2017-12-12 14:51:47 HERS Provider: CaICERTS
217-A026564539A-000-001-M23001A-0000
CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2017-12-12' 14:43:20
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 j
P!
Mike. Gray
Company:
Signature Date: 2017-12-12 14:51:47
JESSEE HEATING & AIR CONDITIONING
Address:
CEA/ HERS Certification identification (if applicable):
3025 SOUTHGATE LANE
City/State/Zip:
Phone:
CHICO CA 95928
530-891-4926
Responsible Person's Declaration statement
(certify the following.under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation Is true and.correct.
2. I am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept
responsibility for the system design; construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of installation and attest'to the declarations In this statement, or b) I am an authorized representative of the responsible
person and -attest to the declarations in 'this statement on the responsible person's behalf.
3. The constructeorins
d talled features, materials,•.comp-one�� s or manufactured devices (the installation) identified on this Certificate of Installation
te requirements given on,the Certificate,of Compliance, plans, and
conforms to all applicable codes and regulations and the installation conforms torif"'sul
specifications approved by the'e`nforcement agenry �'"'
4. 1 understand that a HERS rater w II check the installation to•verify�comphance anchec}lkmg determmes the mstallatlotEn fa s o comyypl m .
required to offer,any necessary corrective action at no cha"rge to the building owner A
t 's y i c` of e u fd. �V_�R I� > ^r ��
..'
5. I will ensure that a registered copy of this Certificate•of•InstaIlation shall,be.posted,_or made available with-the,building permits) issued forAhe
building, and made available to the enforcement age ncy ffor. all applicablle.inspections.-.1und�erstand�that a.registeredppy-o,• Lthis Certificate,of
Installation is required to be included with the documentation tfie7builde�r°prmides to the building owner at occupancy.
Responsible.Builder/Installer Name:.
Responsible Builder/Installer Signature:.
Mike Gray
Company Name: (Installing Subcontractor or General Contractor or
Position With.Company (Title):
Builder/Owner)
Owner
JESSEE HEATING & AIR CONDITIONING
Address:
CSLB License:
3025 SOUTHGATE LANE
405424.
City/State/Zip:
Phone:
Date Signed:
CHICO CA 95928
530-891-4926
2017-12-12 14:51:47
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):.
Digitally signed by CalCERTS. 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: 2017-12-12 14:51:47 HERS Provider: CaICERTS .
217-A026564539A-000.001-M23001A-0000
CA Building Energy Efficiency Standards Report Version: 2016.1.006. Report Generated: 201742-12 14:43:20
2016 Residential Compliance Schema Version: rev 10/16
CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H;
.Duct Leakage Diagnostic Test
(Page 1 of 3) ,
'Project Name: Connie Henry
'Enforcement.Agency:.
Chico
City of
-Permit Number: B17-2849
Dwelling Address: 1732 Flamingo Rd
City:Chico
.:Zip
Code: 1 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?
11 _�
1 Q %.;=A
Verified Low LeakageAir Handling Unit (VLLAHU) Credit
No,.credit is not taken
OS
from CF1R?
Cooling system method .
06
Duct System Compliance Category '""
Alteration
09 '
Calculated Target Allowable_Duct Leakage.(cfm)
240
B..Duct Leakage, Diagnostic Test
01
Condenser Nominal Cooling Capacity. (ton)
4
MCH -20d - Complete, Replacement or AlteI'llred Duct-SIr-Wystem
Heating Capacity (kBtu/h)
78
03
Conditioned Floor Area served by.this HVAC system (ft)
1811
04
Duct Leakage Test Conditions
Test final
05
1%_ 7t k
11 _�
1 Q %.;=A
"„-- 4 fid!
,0.15
” U U __,:::.�;
B..Duct Leakage, Diagnostic Test
01
Condenser Nominal Cooling Capacity. (ton)
4
02
Heating Capacity (kBtu/h)
78
03
Conditioned Floor Area served by.this HVAC system (ft)
1811
04
Duct Leakage Test Conditions
Test final
05
Duct Leakage Test Method
Total.leakage
06
Leakage Factor
,0.15
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Cooling system method .
08
. Measured AHUAirflow
This field or section is not applicable
09 '
Calculated Target Allowable_Duct Leakage.(cfm)
240
10
Actual Duct Leakage Rate from Leakage Test Measurement
(cfm)
11
Compliance Statement:
-System passes leakage test..
Registration Number:
217-A026564539A-000-001-M20001A-0000
CA Building Energy Efficiency Standards
2016 Residential Compliance
Registration.Date/Tme: 2017-12-12 14:51:47 HERS Provider: CaICERTS .
Report Version: 2016.1.006 Report Generated: 2017-12-12 14:42:23
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
U2
testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or CentralTan :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
If a complete replacement, 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
r� .
All connection. points between the air handler and the supplyand return plenums are. completely sealed.
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements
07
of Reference Residential?Appendix RA3.1.4.3.6. Systems that comply usingsmoke test shall not be included in sample
groups for HERS verification complies e._ -----_-v--
The responsible person's signature on this compliance.document affirms thatiall applicable req���u...i,,,rementsm this.table have
been met.
Registration Number:
217-A026564539A-000-001-M20001A-0000
CA Building Energy Efficiency Standards
2016 Residential Compliance
Registration .Date/Ti me: 2017-12-12 14:51:47 HERS Provider: Ca'ICERTS
Report Version: 2016.1.006 Report Generated: 2017-12-12 14:42:23
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 Installationdocumentation is accurate and,complete.
Documentation Author Name:
Documentation Author Signature:
Mike Gray
Company:
Signature Date: 2017-12-12 14:51:47
JESSEE HEATING & AIR CONDITIONING
Address:
CEA/ HERS Certification Identification (if applicable):
3025 SOUTHGATE LANE
City/State/Zip:
Phone:
CHICO CA 95928
530-891-4926
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 sysi: rri 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 deelaratio_ns 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 Lodes and reg'ulations,and tkeinstallation conforms to the requirements.given on,,thhe)Certificate_of Compliance, plans, and
specifications approved by the enforcement agenty "__
f
4. I understand that a HERSrater wilycheck the nstallationyerify�compliance and if such checking determines the installation fails to comply, I'am
required to offer any necessarycorrective action at no,chargeto' the building owner: -
+ , f ' , � % ti � _ ! + # `ems , ,„.. �_ . �•r
,
5. 1 will ensure that a registered�copy of this Certificateoflnstallation shall,be,posted,-or made available with.tfie,bw�ding permd(s)-issued for tfie%
building and'made available to the enforcement agency for,,all applicable,inspectw Ws : understand hatJa regist�eretllcopy,of_this Certificate.of
�
Installation i's required to be included with the documentation the builder provides to'the building owner at occupancy., '
Responsible Builder/Installer. Name:
Responsible Builder/Installer Signature:
Mike Gray
Company Name: (Installing Subcontractor or General Contractor or
Position With Company (Title): 49, 4V
.Builder/Owner)
Owner
JESSEE HEATING & AIR CONDITIONING
Address:
CSLB License:
3025 SOUTHGATE LANE
405424
City/State/Zip:
Phone:
Date Signed:
CHICO CA 95928
530-891-4926
2017-12-12 14:51:47:
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):.
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: Registration Date/Time: 2017-12-12 14:51:47 HERS Provider: CaICERTS
217-A026564539A-000-001- M 20001A-0000
CA Building Energy Efficiency Standards Report Version' 2016.1.006 Report Generated: 2017-12-12 14:42:23
2016 Residential Compliance Schema Version: rev 03/16
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans . -
(Page 1 of 7)
Project Name: Connie Henry
Enforcement Agency: City of Chico
Permit Number:
B11-2849
Dwelling Address: -1732 Flamingo Rd
City: Chico
Zip Code:
95926
A. General Information
01
Dwelling Unit Name
Connie Henry
02
Climate Zone
11
03
Dwelling Unit Total Conditioned Floor
1811
04
Number of Space Conditioning
1
CFA served
Area (ft2)
Installing a
Systems in this Dwelling Unit.
.Installing
05
Certificate of Compliance Type J
Prescriptive alteration's (CFiR-ALT)
06
Method Used to Calculate HVAC Loads
ACCA_ManuaU .
07
Calculated Dwelling Unit Sensible
/
k48000
09
Calculated Dwelling Unit Heating Load
80000
Identification or
Cooling Load (Btu/h)
System
ducted
(Btu/h)
system
09
Dwelling Unit Number of Bedrooms
3
Name
Served
(ft2)
system?
component?
components?
ducts?
system?
Mif
CH -01b - Space Conditioning Systems,Ducts and Fans - Prescript ve Alterations r7 J I 1 11
it J
%)
B. Space Conditioning (SP Systeminformation �' %
Ol'..
02 ,"
03
04
OS
06
07
08
09
10
CFA served
Is the SC
Installing a
.Installing
System
SCS stem
SCS stem
y
by this SC
systema
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
Altered space
System 1
Location 1
1811
Yes
Yes
Yes
No
No
No
conditioning
system
Registration Number: 217-AO26564539A-000-001-MO1001A-0000 Registration Date/Time: 2017-12-12 14:51:47
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006
Schema Version: rev 4/7/2017.
HERS Provider: CalCERTS
Report Generated: 201742-12 14:41:02
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 2 of 7)
C. Space Conditioning (SC) System Alterations Compliance Information
01
02
03
04_
.05
06
07
OS
09
10
11
12
.13
egtiK&UnitSeriall
Number
� � �. •� I "�� ;rv,
Rated Heating Capacity,
Output (Btu/h)
.. .
System 1
AFUE
«
}� 81 E R
Carrie �
Sfi
59SPM080E21C=
t �� 20 r
-
, -
3617A51555
78000
Notes:
Central Fan
Integrated
Heating
Cooling
New or
(CFQ
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 At
cooling
SEER
14
Setback
LTE40Ft
R8
system
is
components
D. Installed Heating Equipment Information ��--�....•
01.
02
' ��-"" - .�03 �,
. 04
OS
06
07
SC Identification or Name.
Heating Efficiency Type
�
Heating Efficiency
Value
��[ 1
•
Heating -Unit
Manufacture"r'''�
'.�..� 1 s;.,..o, � � ?
Heating ,Unit
Model Number
� tri• :t�.,.>'/ tt
egtiK&UnitSeriall
Number
� � �. •� I "�� ;rv,
Rated Heating Capacity,
Output (Btu/h)
.. .
System 1
AFUE
«
}� 81 E R
Carrie �
Sfi
59SPM080E21C=
t �� 20 r
-
, -
3617A51555
78000
Notes:
Registration Number: 217-A026564539A=000-001-M01001A-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-12-12 14:51:47
Report Version: 2016.1.006
Schema Version: rev 4/7/2017
HERS Provider: CaICERTS
Report Generated: 2017-12-12 14:41:02
CERTIFICATE OF INSTALLATION CFMIVICH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 7)
E. Installed Cooling Equipment Information
f'J':
. �.
i
01
02
03
04
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)
24AAA648A30
System 1
SEER
14
Carrier
0
4317EO3154
48000
4
Notes:
F. Extension of Existing Duct System, Greater Than 40 Feet
—This section does not apply to this project.' "
G. Installed Duct System Information �,�4�)
f'J':
. �.
i
This se tion does not apply to this�p jest.
r. ►
...
E
H. Installed Air Filter Device Information
This section does not apply to this project.
Registration Number:217-AO26564539A-000-001-MO1001A-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-12-12 14:51:47 HERS Provider: CaICERTS
Report Version: 2016.1.006 Report Generated: 2017-12-12 14:41:02
Schema Version: rev 4/7/2017
CERTIFICATE OF INSTALLATION CF2R-MCH]of7)
Space Conditioning Systems, Ducts, and Fans (Page
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/dm)
(dm/ton)
Charge
- Table 150.0-13 or C
System 1
Location 1
NO
Yes
Not
No
No
Yes
Yes
No
.
exemptions
applicable
Notes:I
�nco
(La. CERTb,,
HERS PROVIDEM
Registration Number: 217-AO26564539A-000-001-MO3001A-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-12-12 14:51:47
Report Version: 2016.1.006
Schema Version: rev 4/7/2017
HERS Provider: CalCERTS
Report Generated: 2017-12-12 14:41:02
CERTIFICATE OF INSTALLATION CF211-MCH-01-E
Space Conditioning Systems, Ducts; and Fans (Page 5 of 7)
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 130.2(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 ai�theating 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 Fa type central.furn es`may of have a continuously burning_pllotht�Secti
Iigon 110.16nd Section 110.2(d).
r y i !f r�','"��.771-till . t F. i%.--
Cooling Equipment � k M
) 17 �
1
.� l �
06
Equipment Efficiency: All cooling equipment must meet theiminimum efficiency'requirements of}Section 110:1f nd Section 1102(a)"and the Appliance Efficiency
+ `9#`
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-AO26564539A-000-001-MO1001A-0000
Registration Date/Time: 2017-12-12 14:51:47
HERS Provider: C6ICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 201742=12 14:41:02
Schema Version: rev 4/7/2017
CERTIFICATE OF INSTALLATION CFMIVICH-014
Space Conditioning Systems, Ducts, and Fans (Page 6 of 7)
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.
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
it
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;
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
12
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 pump heain
rnr,
s r t
16
Second stage back up heating shall.. be set to come on only,when'th 7indoor set temperature cannot be met.
"ie..`* �
k 4 *ms s 1 ., f•, l f 4=n ft.. 'i.f . U1 3?
The responsible person's signature on this compliance,dd6cument.affirms that�all applicable require'ments�in thhkable havi1ben met.
�.. L � : tri �, ..�►: �'
Registration Number: 217-AO26564539A-000-001-MO1001A-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-12=12 14:51:47
Report Version: 2016.1.006
Schema Version: rev 4/7/2017
HERS Provider: CaICERTS
Report Generated: 2017-12-12 14:41:02
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 7 of 7).
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Installation documentation is accurate and. complete.
Documentation Author Name:
Documentation Author'Signature: �
Mike Gray .
Company:Signature
Date:
JESSEE HEATING & AIR.CONDITIONING
2017-12-12 .14:51:47 .
Address:
CEA/ HERS Certification Identification (if applicable):
3025 SOUTHGATE LANE
City/State/Zip:
Phone:
CHICO CA 95928
1530-891-4926
Responsible Person's Declaration statement
t 1.
1 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 thBusiness and -Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of
features, materials; components; o� manufactured devices for the scope of work identified, on this Certificate of Installation, and attest to the declarations in this statement, or b)1 am an authorized
" y-irvthis �r .care,. :J -car,.:;, rs-on,zbehal
representative of the responsible person and attest to the declaretions in this statement on�the"responsible persons behalf.
3. The constructed or installed features, material, -components or manufactured devices (theinstallation).identifiied 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,uplans, and specifications approvedbythe'enforcement agency:
* t Wt a� d r of-. • Pf
.4. 1 will ensure that a registered copy of this Certific t "offI stallation shall be posted or made available with"the buildin4g permits) iso_ sudd,fo"r`ythe building and made available to the enforcement agency for all
applicable inspections. I understand that a registered:copy' this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
1Y� E I E
Responsible Builder/Installer Name:
Responsible Builder/Installer Signature:
Mike Gray
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Position With Company (Title►:
JESSEE HEATING & AIR CONDITIONING
Owner
Address:
CSLB License:
3025 SOUTHGATE LANE •
405424
City/State/Zip:
Phone:
Date Signed: -
CHICO CA 95928
530-891-4926
2017-12-12 14:51:47
Digitally signed by Ca10ERTS. This digital signature is provided in order tosecure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 217-AO26564539A-000-001-MO1001A-0000 Registration Date/Time: 2017-12-12 14:51:47 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential.Compl ance Report Version: 2016.1.006 Report Generated: 2017-12-12 14:41:02
Schema Version: rev 4/7/2017