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HomeMy WebLinkAboutDANIEL AND COURTNEY WEBBINSULATIO WCERTIFICATE Number and Street County Subdivision Desct-. ption of .Installation 1: ROOF Material Thickness (inches) City Lot Number Brand Name Thermal Resistance (R -Value) 2. CEILING Batt or Blanket Type/(9 %� 4-�'�" Brand Name Thickness (inches)` '�. Thermal Resistance (R -Value) - Loose Fill Type„., Brand moi, "% Manufacturers installed. weight per square foot `Ib%W Minimum thickness inche Contractors, min ihstallea heijThttft2r to achieve Thermal Resistance (R -Value) 3 Y 3. EXTERIOR WALL Frame Type hlAOS A. Cavity Insulation �S Material: F b A.- Thickness (inches) B. Exterior Foam. Sheathing Material Thickness. (inches) RAISED FLOOR Material Thickness (Inches) Brand Name 3 0110 Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) 5. SLAB FLOOR/PERIMETER Material Brand Name Thickness (inches) Thermal Resistance,(R-Value) Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches) Declaration Brand Name Thermal Resistance (R -Value) IC -1 I hereby certify that the above Insulation was Installed In the building at the above location In conformance with the current Energy ETciency Standards for residential b ' gs n- 24, Part 6, California Code of Regulations) as indicated on the Certificate -of Compliance, where a IIIc Item #s Signature Date Installing Subcontractor (Co. Name) OR General Contractor. (Co. Name) or Owner Item #s Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) or Owner Item #s Signature, Date Installing Subcontractor (Co. Name). OR General Contractor (Co. Name) or Owner 09/16/2011 TIFICATE OF VERIFICATION CF3R-MCH-20-H 7E Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: Daniel & Courtney Webb Enforcement Agency: Butte County of Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location 03 Building Type from CF -111 Single family 04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CF1R? No, credit is not taken 05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit from CF1R? No, credit is not taken 06 Duct System Compliance Category New B. Duct Leakage Diagnostic Testtl J Jr 'Ji 9 14P, -41t i1i134' 1143. y3..+;.iHyIT 5 02 - ,r ill+ MCH -20a -Completf '� m j•4 � ' 4€•g ?�I f i �� '� , h. Rim. � �s € i n Oil,y.T 411 ik 1 ' fill i Duct Leakage Test Method i;i ill iIII 110, "tIM ..:li>' }Y3,lJij l W p�lI1 -V,4411,111419 3?.�3{13111MI A: pi -191 4� ,ii) y nilp=1131 V. l �k Y d,'. N a" All B. Duct Leakage Diagnostic Testtl 01 Condenser Nominal Cooling Capacity (ton) 5 02 Heating Capacity (kBtu/h) 55 03 Conditioned Floor Area served by this HVAC system (ft2) 2885 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 This field or section is not applicable 09 Calculated Target Allowable Dud Leakage (cfm) 100 10 Actual Dud Leakage Rate from Leakage Test Measurement (dm) 92 PTCompliance Statement System passes leakage test Registration Number: Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CalCERTS 217-P010201350B-000-001-M 20002A-M20A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:04:31 2016 Residential Compliance Schema Version: rev 03/16 CERTIFICATE OF VERIFICATION CF311-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3) B. Duct Leakage Diagnostic Test 12 Notes: C. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation 02 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 �r{if Visual Inspection at Final Construction StageN applicableiif system was tested att tro1ugh in{) i, i}u„ S; S`xL Iil. 1j3 )i li•i#iLS.ti t,:itn )11 i'� N�1 # After installing the interior fimshingiwall and ivenfying}that the above ro ugh in testsiwas completed,�the followinig procedure must be performed sEiili 1=11noth INN ` 11113wilop ''6.,iuisr 1i i=n��i jll ;i, p ilk For all supply and return registers; verify that the.spaces between the register boot,and the, interior finishing -wall are 07 07 properly sealed. If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points 08 between the air handler and the supply and return plenums to verify that the connection points are properly sealed. 09 Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. 10 Verification Status: Pass 11 Correction Notes: The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. D. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 1 01 1 Complies: All specified verification protocol requirements on this document are met. Registration Number: Registration Date/fime: 2018-02-07 11:12:42 HERS Provider: CalCERTS 217-P0102013 SOB -000-001-M 20002A-M20A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:04:31 2016 Residential Compliance Schema Version: rev 03/16 ~CERTIFICATE OF VERIFICATION CF311-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Samuel Given Documentation Author Signature: SaMue((qiven Company: Date Signed: Western Air Systems Certification 2018-02-07 11:12:41 Address: CEA/ HERS Certification Identification (if applicable): 3425 Cimmeron Court 3300 SUNSET Blvd. - Suite 210 City/State/Zip: Phone: Rocklin CA 95677 877-500-0212 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification Identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections.6fthe Certificate(s)iof:installation!(CF2R)'s'igned'and "submit[ed:!by the person(s) responsible for the ky construction or installation conforms to the requirements specified,on the Certificate(s)16f Compliance (CFSR) approved byAhe enforcement;agency. �i3 rrrl.�,a{g<. S. I will ensure that a registered copyf this Certificate of,Ver�catilon shall be posted or made available with therbruilding permits) issued for the building, and made availabl6,to theienforcement agencyfor all applicable inspe�ttions. I understand that arregistered!copy 6f thWCertlficate,of ,. s6! r;,, lal i�ti:a,�iaP' xii a W, -4 Verification is required to be included with the documentation the builder provides to the building owner at occupancy. A"; a. n ext �gl,y,h 1r r4 ' 11"�t(j i'i4, �,' ;4=1+ Y Nia:.tri�k .tiw Y—,li M Builder Or Installer Information As Shown OriThe'Certficate"Of Instillation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Bill Webb Construction, Inc. Responsible Builder or Installer Name: CSLB license: Bill Webb HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status In Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Western Air Systems Certification Responsible Rater Name: Responsible Rater Signature: /- Samuel Given Samuel(given Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005550 2018-02-07 11:12:42 Digitally signed by C910ERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 217-P010201350B-000-001-M 20002A-M20A CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CaICERTS Report Version: 2016.1.006 Report Generated: 2018-02-07 11:04:31 Schema Version: rev 03/16 CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 4) Project Name: Daniel & Courtney Webb Enforcement Agency: County of Butte Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 A. Ducted Cooling System Information Instrument Specifications are given in RA3.3.1.1, and system airflow, rate measurement apparatus information is given in RA3.3.2. Airflow Rate Measurement Type used for this airflow rate 01 System Identification or Name verification. RA3.3.3.1.4 System 1 Manufacturer of Airflow Measurement Apparatus ALNOR 02 System Location or Area Served EBT731 Location Certified by Manufacturer and listed on CEC Website at 04 03 System Installation Type New 04 Nominal Cooling Capacity (tons) of Condenser 5 05 Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan.lntegrated (CFI) Ventilation System Status ary}CFI system 08 ill ni.i.p�g System Bypass Duet Status illi f in, q k i�jUY j f!I yNot i 13 �±W V1 , ii� 'I�� ft ti�i No Bypass Duct q#({' I f3flHii 2�iU II'' 11 ( ,� .�. I ?. i it1 13 z#Ph, ,tl i 09 Date of System Airflow Rate Measurement y at>i�ialf i` �. I; =3t ' Qi1SW'flti y } � _ �s RI) '� P 2018-02 Ol 3? S: rf3121c.tiirlti. .l.b, uE' . Ei tt�M 1 • .'ilN .iiNt , �yE I 1 l;, i .l i t tits?�!f•x- I 10 Airflow Rate Protocol Utilizedtb 1 RA3 3 procedurbs forRyr aro, irflow;y44ra�teN me4a*xsureme„tynu.t s i' ^ 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. 101I Method Used to Demonstrate Compliance with the I HSPP installed and labeled consistent with Figure RA3.3-1 I 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. Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in 01 verification. RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus ALNOR 03 Model number of Airflow Measurement Apparatus EBT731 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www.energy.ca.gov/title24/equipment—cert/ama—fas /index.html Registration Number: Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CaICERTS 217-P0102013 SO B -000-001-M 23002A -M 23A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:05:24 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CBR -MCH -23-1-1 Space Conditioning System Airflow Rate (Page 2 of 4) MCH -23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton) 350 02 Required Minimum System Airflow Target (cfm) 1750 03 Actual System Airflow Rate Measurement (cfm) 1750 04 Compliance Statement: System airflow rate complies E. Additional Requirements Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in 01 the system during system air flow rate measurement identified on this Certificate of Verification. eh�E� z' M #�:1` The airflow rate measuremen(tlapparatus used to,perfor0the airflow, rate;Sympeasurement!identified onithfs',Certlfieate'of 02 413' 411= utaf!tf. f w.... f E3ll�}F {z. iliF `{ +r} �$ Verification was calibrated in accordance with the apparatus manuf3acturers specifications afid conforms to t9i Oil0 rEi iftt: Vlii>. !'!) 018!1591 instrumentation specificationsl;given in ; ,E?Ex'flfi. � .:'3. � ,..`� N A visual inspection shall confirm'that bypass'ducis that dblivevc' onditioned supply air'directiy to the space conditioning system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate 03 of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan 08 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 09 Verification Status: Pass - all applicable requirements are met 10 Correction Notes: The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and tate Corrections Notes in this table Registration Number: Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CalCERTS 217 -P0102013508 -000-001-M 23002A-M23A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:05:24 2016 Residential Compliance Schema Version: rev 10/16 e �j x-, 'CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 3.of 4) F. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 101 I Complies: All specified verification protocol requirements on this document are met. I + P ` "U t{r'' a 3ifsll:SlC iT ,p`,llt }telt; i t 's ii [.ii'v:iP�3",;i A '-W� tit!151a •.� tC ON t Oil -i1' i�iyaat 'PIlZ sl;."iil3 Registration Number: Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CaICERTS 217-P010201350B-000-001-M 23002A-M23A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:05:24 2016 Residential Compliance Schema Version: rev 10/16 'CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 4 of 4) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Samuel Given Samue(Siven Company: Date Signed: Western Air Systems Certification 2018-02-07 11:12:42 Address: CEA/ HERS Certification Identification (if applicable): 3425 Cimmeron Court 3300 SUNSET Blvd. - Suite 210 City/State/Zip: Phone: Rocklin CA 95677 877-500-0212 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. 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 ViAl'ii anon comply with the applicable requirements In Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of`the Certificai;(s) of,Installation (CQR)'signed3in' submitted by the persons► responsible for the 'tit: gid` a x€• construction or installation conforms to the;requirements speclfiedaon the Certifl ate(s)Itof Compliance (CFSR) approved by the enforcement agency. S. I will ensure that a registered copy,. of this Certificate ofyerificatign shall be posi id or made available with th&building pe fmct(s)`issued for the building, and made availabletto{tletlenforcement agency for all appltable mspection�s I�understand that aEreg nteredtcopy of this Certificate of f Verification is required to be Included with the docu'mentition the builder provides to the building owner at occupancy. ` i`tdMI rl- MI i. A. ,.,a ;, -, Builder Or Installer Information As Shown On'The`Certificat6'Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Bill Webb Construction, Inc. Responsible Builder or Installer Name: CSLB license: Bill Webb HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Western Air Systems Certification Responsible Rater Name: Responsible Rater Signature: Samuel Given Samue(ociven Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005550 2018-02-07 11:12:42 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CaICERTS 217-P010201350B-000-001-M 23002A-M23A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:05:24 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CF3R-MCH-22-H Space Conditioning System Fan Efficacy (Page 1 of 3) Project Name: Daniel & Courtney Webb Enforcement Agency: Butte County of Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 A. Ducted Cooling System Information 01 Actual Tested Watts 920 02 Actual Tested Airflow from MCH -23 (cfm) 01 System Identification or Name Required Fan Efficacy (watts/dm) 0.58 System 1 Actual Fan Efficacy (watts/cfm) 0.53 05 02 System Location or Area Served Location 03 System Installation Type New 04 Nominal Cooling Capacity (tons) of Condenser 5 05 Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 08 3P a u"jHd System Bypass Duct Status H k i = 1% i"` No=B ass,Duct �,f YP (_ Lit i l �:, , I ;. it r i. 09 iy a,t Date of System Airflow Rate Measurement° y 26"8-02-0i pit, �..=iz:.1141t � ) : 1, I is pit l► .1� ��a ir'„” iET 10 Airflow Rate Protocol utilized airflowu�rate,mA3.3 �oedures frk ?asluremewnt C B. Fan Watt Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2. 01 Fan Watt Verification Device Used. Portable watt meter 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 920 02 Actual Tested Airflow from MCH -23 (cfm) 1750 03 Required Fan Efficacy (watts/dm) 0.58 04 Actual Fan Efficacy (watts/cfm) 0.53 05 Compliance Statement: System fan efficacy complies Registration Number: Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CaICERTS 217-P0102013508-000-001-M22002A-M22A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:05:58 2016 Residential Compliance Schema Version: rev 2013-09-11 4 f CERTIFICATE OF VERIFICATION CF3R-MCH-22-H Space Conditioning System Fan Efficacy (Page 2 of 3) D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (dm/ton) and fan 05 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy 06 (Watt/cfm) criteria in every zonal control mode. 07 Verification Status Pass - all applicable requirements are met 08 Correction Notes The responsible persons signature on this compliance document affirmsthat al[applicable,requirements in this table have sl.I: '121 1 is yr# if is ifr IlM, been met unless otherwise noted in the Verification Status.and the Corrections Notes intfiis table. ( 31 rr;'il: t_1r :Il .lii Al. �." ll,E: E. Determination of;HERS Verification Compliance » ) ,..:» All applicable sections of this documentishall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 1 01 1 Complies: All specified verification protocol requirements on this document are met. Registration Number: Registration Datefrime: 2018-02-07 11:12:42 HERS Provider: CalCERTS 217 -P0102013508 -000-001-M 22002A-M22A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:05:58 2016 Residential Compliance Schema Version: rev 2013-09-11 CERTIFICATE OF VERIFICATION CF3R-MCH-22-H Space Conditioning System Fan Efficacy (Page 3 of 3) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Samuel Given SamuelSiven Company: Date Signed: Western Air Systems Certification 2018-02-07 11:12:42 Address: CEA/ HERS Certification Identification (if applicable): 3425 Cimmeron Court 3300 SUNSET Blvd. - Suite 210 Cny/State/Zip: Phone: Rocklin CA 95677 877-500-0212 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. 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 IdentIfiic1(on'this Certificate of Verification comply with the applicable requirements In Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for, the building approved by the enforcement agency. 4. The information reported on applicable sect€onilofithe Certificates) of Installation (CF2R)Isigned and;submitted:by the per' bn(s) responsible for the construction or installation conforms to the requlrementrspecified on the Certificate(s)lof Compliance (CF1R) approved by``the enforcementagency. 121: N� V iFt> # }} ti`:Yyg�t�y}�}i iIi �! ;{s.w }iv I;N,- f Si} iii': of this Certificate of Verification shall be posted or ade available with the building perm}t(s) issued for the 5. 1 will ensure that a registered copy m ii 411K RIE i- t €2 4 rx. fit, building, and rnade available to tRe enforcement2agency fors all applicable€� nspect�pns I khat a,registered copy of th a Certificafe olio {undeatand Verification is required to be included with the documentation the builder'provides to the building owner at occupancy. .�1H,.. . �{}rl. '.} ,u.;l. Il{ ..sr. {f .N•• 1r isti �13M..ii'l• '11.1' l T...i'aN... ,}i;. Builder Or Installer Information As Shown On'The`Certificate `Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Bill Webb Construction, Inc. Responsible Builder or Installer Name: CSLB License: Bill Webb HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Western Air Systems Certification Responsible Rater Name: Responsible Rater Signature: /- Samuel Given Samue((!;iven Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005550 2018-02-07 11:12:42 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CaICERTS 217 -P0102013508 -000-001-M 22002A-M22A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:05:58 2016 Residential Compliance Schema Version: rev 2013-09-11 c.4 CERTIFICATE OF VERIFICATION CF311-MCH-25-H Refrigerant Charge Verification (Page 1 of 4) Project Name: Daniel & Courtney Webb Enforcement Agency: Butte County of Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 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 03 Condenser (or package unit) make or brand BRYANT 04 Condenser (or package unit) model number 280ANVO60-A 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser (or package unit) serial number 2617E12769 07 Refrigerant Type g YP ft TFJII. kv t ' I` � ,�:.. ± ,�!Nftj 08 Other Refrigerant Type (!f aPRl.icable) lIL N/A �' 'F_.il ` U..J fl iJWLx a% r f3i. 4 6 ! 1?�> Liquid Line Filter Drier Instal le_ d According to Manufacturers ! _ _ l!lii Mil V % t W: ti ill.}fl ii i ._ "iii `��3 .%�l � j 'iii Yes +t 09 Specifications (if applicable) "!%s`I ��' ' -," �, ,�t' �f 10 System Installation Type New Fault Indicator Display (FID) Status (Note: Even systems with This system does not have a FID device installed 11 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 verification procedures can be used to verify compliance from RA3.2.2 or RA1 is applicable to this system and can be 13 with the refrigerant charge verification requirements when used to verify compliance temperatures are >= 557 (RA3.2.2, or RA1)? 14 Date of Refrigerant Charge Verification for this system 2018-02-01 15 Refrigerant charge verification method used. Weigh-in with HERS Rater Obsesrvation Person who performed the Refrigerant Charge Verification HVAC system installer 16 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. Weigh -In Observation Registration Number: Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CaICERTS 217 -P0102013508 -000-001-M 25002A-M25A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:06:37 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CF3R-MCH-2S-H Refrigerant Charge Verification (Page 2 of 4) MCH -25c - Refrigerant Charge Verification - Weigh In Observation Procedure B. 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 I Ol I Method Used to Demonstrate Compliance with theI MAH installed and labeled consistent with Figure 3.2-1 Measurement Access Hole (MAH) Requirement C. 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) 1750 02 System Airflow Rate Verification Status System complies with minimum airflow rate requirements D. Weigh In Charge Procedurer ps3t i Hj8 Rtl !at); 1 tf# dY± -? i y .. "•t {j1 H�lii;ti ri .mi jr;e�;, ; i HERS Rater must observe and confirm all data collected Procedures for Refrigerant Charge using the Weigh {m Charging Procedure F i3 }y are given in Reference Residential Appendix RA3.2.2.2�and RA3 2`3 9r�.; t' t,,, _� ijtiall.:h� j($t i' ,a; { vii i;li3Oi14. 6 i, t; uLli viii ti h11himulitA aj11t,) �I, . A a'ii:jLl Measured Condenser Air Entering Dry-bulb Temperature ,iti 'iiyiiwtt to .;: I iilii;4P 11ir 11'. I ri. �° # 53 ki. 01 (Tcondenser,db) ((' F) 02 Specify the Method of Weigh-in TotalCharge 03 Manufacturer Standard Charge for Condenser (lbs, oz.) 13,5 04 Manufacturer Standard liquid Line Length (ft) 15 05 Manufacturer's Standard Liquid Line Diameter (in) 0.38 06 Manufacturer's Standard Indoor Coil Size (tons) 5 07 Installed Liquid Line Length (ft) 35 08 Installed Liquid Line Diameter (in) 0.38 09 Installed Indoor Coil Size (tons) 5 Charge Adjustment to Standard Charge from Manufacturer's 45 10 Specifications (ounces, positive = add, negative = remove) Refrigerant Required to be Weighed in by the Installer (lbs, 16,2 11 oz) 12 Refrigerant Weighed in by Installer (lbs, oz) 16,2 Registration Number: Registration Date/Time: 2018.02-07 11:12:42 HERS Provider: CaICERTS 217-P010201350B-000-001-M 25002A-M25A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:06:37 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CBR -MCH -25-1-1 Refrigerant Charge Verification (Page 3 of 4) D. Weigh In Charge Procedure HERS Rater must observe and confirm all data collected. Procedures for Refrigerant Charge using the Weigh-in Charging Procedure are given in Reference Residential Appendix RA3.2.2.2 and RA3.2.3 Verification Status: System complies with the Weigh-in charge requirement microns after 5 minutes. (Note: If Verification Status for this table indicates "Fail", the .�r?fi}'ilf:�kp til. .,.1w..N r •s:'}!d:,g ti- - "i �`�"N�t_ iS -1 "1};kY 2L ��Itn.,}ri }!}7. 13 reason shall be described in the correction notes for this 1i1}l� Ib{ Pass -,all applicable cequ}rements are met=;� i, k�i �> s table.) , 1 y } 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 Correction Notes in this table. E. Weigh In Charge Procedure - Additional Requirements 01 The indoor coil correction to refrigerant weight is used if it is supplied by the manufacturer. Prior to introducing refrigerant, system is evacuated to 500 microns or less and, when isolated, has risen no more than 300 02 microns after 5 minutes. .�r?fi}'ilf:�kp til. .,.1w..N r •s:'}!d:,g ti- - "i �`�"N�t_ iS -1 "1};kY 2L ��Itn.,}ri }!}7. $k i `t! !{Ir }� Verification Status: iil , ) 1i1}l� Ib{ Pass -,all applicable cequ}rements are met=;� i, k�i �> s i ii rnl( (Note: If Verification Status forithis table indicates "Fail'', the , 1 y } 03 r sib r[�.} ..r r ire + ;1. sl "s},1 ,• reason shall be described msrthe;correct}on'notes`forth}s y , ,�:=..�n,.}}} .lik' c� } �A , i �iliiivr s l� table.) "s` .. 4. 71� 3.a.r. 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 Correction Notes in this table. F. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 101 I Complies: All specified verification protocol requirements on this document are met. I Registration Number: Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CaICERTS 217-P010201350B-000-001-M 25002A-M25A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:06:37 2016 Residential Compliance Schema Version: rev 10/16 4u i CERTIFICATE OF VERIFICATION MR -MCH -25-H Refrigerant Charge Verification (Page 4 of 4) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Samuel Given Samue((jCiven Company: Date Signed: Western Air Systems Certification 2018-02-07 11:12:42 Address: CEA/ HERS Certification Identification (if applicable): 3425 Cimmeron Court 3300 SUNSET Blvd. - Suite 210 City/State/Zip: Phone: Rocklin CA 95677 877-500-0212 Responsible Person's Declaration statement 1 certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification Identified on this Certificate of Verification comply with the applicable requirements In Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sectionslof,"fhe Certificates)of:anstallafion (CF2(R)`signed and submittiMiby the pei bn(s) responsible for the construction or installation conforms to the requirements tpecified o#ri the Cerilficate(s) of Compliance (CF111) approved by)the enforcement agency. is+ i3#tf 1 r Oil B h itjt' S. I will ensure that a registered copy of this Certificate of,Ver�cation shall be posted or made available with the building permit(s) issued for the €» 'IEtI ,"€# i €its u ( Jl' tt. building, and made availableito the enforcement for all appli6blelinspections. I understand athat a�registered�copy of th slCertificatelof—zilliq1C ,#ll €agency Verification is required to be in with the documentation the builder provides to the building owner at occupancy. gt'— w-": ,'...y fIS'.i.. r.,:,.•i...:. ql tj;:.:1•: N tiG.M,::i, t'Sir !t Iti.�.ni� {,'r L•N On Builder Or Installer Information As Shown The'"CertNNificate'Ctf Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Bill Webb Construction, Inc. Responsible Builder or Installer Name: 7 CSLB license: Bill Webb HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Western Air Systems Certification Responsible Rater Name: Responsible Rater Signature: Samuel Given cSamue(oCiven Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005550 2018-02-07 11:12:42 Digitally signed by COURTS. 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: 2018-02-07 11:12:42 HERS Provider: CaICERTS 217-P010201350B-000-001-M 25002A-M25A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:06:37 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CF3R-MCH-26-H Rated Space Conditioning System Equipment Verification (Page 1 of 3) Project Name: Daniel & Courtney Webb Enforcement Agency: Butte County of Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 A. System Information Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system requiring verification must use a separate form. 01 System Name or Identification/Tag System 1 02 System Location or Area Served Location 03 Status: SEER and EER performance compliance credit check Both SEER and EER HERS Verification is required 04 Directory used to certify product performance AHRI AHRI certification number for the installed space 9893760 05 conditioning system from http://www.ahridirectory.org 03 06 Does the directory used to certify product performance p 3 tl allo m „= Installed Model Number require a specific air handler/furnace make and model? Inside Coil - Installed Manufacturer 05 ki h'fit ti J�� 1% ! lr A Does the directory used tiio}certify producpM'h66i,; ;1 lo t tN"A i= 07 .1 require a time delay relay (+TDR);? ' . - r 08 Does the directory used to certify product performance No Inside Coil - Installed Model Number require a TXV (+TXV)? FE4ANB006 B. Rated Space Conditioning System Equipment Verification The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to certify product performance in order to demonstrate compliance. Data from Nameplate of Installed System Data from the Directory Used to Certify the Component Rated System Component Outdoor Condenser or Package Unit - 01 BRYANT 02 BRYANT Installed Manufacturer Name Outdoor Condenser or Package Unit - 03 BRYANT 04 280ANVO60-A Installed Model Number Inside Coil - Installed Manufacturer 05 BRYANT 06 BRYANT Name Inside Coil - Installed Model Number 07 FE4ANB006 08 FE4AN13006 Air Handler/Furnace - Installed 09 10 1 This field or section is not applicable Manufacturer Name Registration Number: Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CaICERTS 217-P0102013 SOB -000-001-M 26002A-M26A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:11:43 2016 Residential Compliance Schema Version: rev 4/7/2017 t CERTIFICATE OF VERIFICATION CF3R-MCH-26-H Rated Space Conditioning System Equipment Verification (Page 2 of 3) B. Rated Space Conditioning System Equipment Verification The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to certify product performance in order to demonstrate compliance. Air Handler/Furnace - Installed Model 111 Number 12 1 This field or section is not applicable C. Verified Cooling System SEER 01 Required minimum SEER 18 02 Installed SEER 18 03 Compliance Statement: System passes SEER verification Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed on the CFZR. D. Verified Cooling System EER Fk?ii'ria• `!;k :,,;r:.tii: .#^i„rt,tu :;aa#tn#:�Jt., ss#1+ltxutn#i�ih ;;m<tSJ� x�* Ol Required minimum EER All 6'' #j m 1 € 11 125,.�tit )� , a i +.i 4r ;eft 02 Installed EER 1I§if s' #li� E 3 ^ ^` t2' It ii fillii d atki> #Ii t;= NiI[S at 'i uEkR '{E 3 03 • �= J I Compliance Statement: ` i,�a - ;f— w �' �: - s System passes EER Verification Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed Signature on the CF211. E. Verified Cooling System Air Handler/Furnace This section does not apply to this project. F. Verified Cooling System Time Delay Relay This section does not apply to this project. G. Verified Cooling System TXV This section does not apply to this project. H. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 1 01 1 Complies: All specified verification protocol requirements on this document are met. Registration Number: Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CaICERTS 217-P0102013SOB-000-001-M 26002A-M26A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:11:43 2016 Residential Compliance Schema Version: rev 4/7/2017 OCERTIFICATE OF VERIFICATION CF3R-MCH-26-H Rated Space Conditioning System Equipment Verification (Page 3 of 3) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Samuel Given &mue(Siven Company: Date Signed: Western Air Systems Certification 2018-02-07 11:12:42 Address: CEA/ HERS Certification Identification (if applicable): 3425 Cimmeron Court 3300 SUNSET Blvd. - Suite 210 Rocklin / CA / 95677 City/State/Zip: Phone: Rocklin CA 95677 877-500-0212 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification Identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specked on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sectionslofthe Certificates of Installation CF2R 'si ne8 and submitia b the rsbn s responsible for the P PP I) ( ) g Y Pe I) P AV construction or Installation conforms to the requirements specified on the Certificate(s)%f Compliance (CFiR) approved by the enforcement agency. iia 2 a F xl :. +r r ✓ ris ill, I ni, tl;J e� I 5. 1 that a registered copy of this Certificate of Ver66tion shall be or made available with the building issued for the will ensure posted permnt(s) ) r Jr i..1 ki) ;; building, and made availabie,to the„enforcementagency tdr all appheableeixnspections. I understand that a registere&copy 6f th3s;Certificate4ofa& aI P. �r Verification is required to be included with the d•' 6mentation the builder provides to the building owner at occupancy. t': 1# n i,: s• .. r+ »w,. r we, ,t r >,.,. 6W4 Kw, Builder Or Installer Information As{Shown On'The” Certif cate`OOf Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Bill Webb Construction, Inc. Responsible Builder or Installer Name: CSLB License: Bill Webb HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Western Air Systems Certification Responsible Rater Name: Responsible Rater Signature: Samuel Given Samue(Siven Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005550 2018-02-07 11:12:42 Digitally signed by C910ERTS. 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: 2018-02-07 11:12:42 HERS Provider: CaICERTS 217-PO102013SOB-000-001-M 26002A-M26A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:11:43 2016 Residential Compliance Schema Version: rev 4/7/2017 ,r CERTIFICATE OF VERIFICATION CF3R-MCH-27-H Indoor Air Quality and Mechanical Ventilation (Page 1 of 3) Project Name: Daniel & Courtney Webb Enforcement Agency: Butte County of Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 Title 24, Part 6, Section 150.0(o) Ventilation for Indoor Air Quality. All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2. Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Equation and table numbering on this form corresponds to the numbering for that information in the published ANSI/SHRAE Standard 62.2-2010. A. Dwelling Mechanical Ventilation - General Information 01 Dwelling unit name Daniel & Courtney Webb 02 Building Type Single family 03 Project scope Newly constructed building Total Conditioned Floor Area of Dwelling. Unit 2885 04 (For addition projects the conditioned floor area equals existing area plus addition area. ,+ t(Ii tU?I'si�! all trttil`'f w py. vii 3:ili PIMW :fi1Y33!il "I it+ Number of bedrooms in dwelling unit�ii „ + ( J i�3:-Sli lSlk til ii hn 1 4 f 5 , 3,itxdl+ + �r 05 (For addition projects the number of bedrooms equals the++l;'lip }�_+��� iii. ,s ,!I'I ?: �Hi, , 4!, existing bedrooms plus additionbedrooms) ,ilk �;yilit� ..:e ua 06 Ventilation Operation Schedule Continuous 07 Whole -Building Ventilation Rate Calculation Method Fan Ventilation Rate Method (4.1.1) 08 Whole Building Ventilation System Type Standalone - Balanced MCH -27a - Continuous Ventilation Airflow - Fan Ventlation Rate Method B. Whole -Building Continuous Ventilation - Fan Ventilation Rate Method A mechanical supply system, exhaust system, or combination thereof shall provide whole -building ventilation with outdoor air each hour at no less than the rate in equation 4.1a. 1 01 1 Required Continuous Whole -Building Ventilation Rate (Qran) 1 59 1 02 1 Installed Continuous Whole -Building Ventilation Rate 1 59 1 C. Compliance Statement 01 Building passes continuous whole -building ventilation rate test Registration Number: Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CalCERTS 217-P010201350B-000-001-M 27001A-M27A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:12:27 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CF3R-MCH-27-H Indoor Air Quality and Mechanical Ventilation (Page 2 of 3) D. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 I Complies: All specified verification protocol requirements on this document are met. ,r±N ek ,l 11 �lrii!' hi sz p1l's11+y ! >M4; Ei+IMS "44 �l11 r�` } jR} o }Its �i ;ii :3};:.! w 1. �'•iti * �llt?silr %iEli?I} �Ifi d t�;l: ;i'!n it .i>} ifY �. �' 1�i1 14 •:il Registration Number: Registration Date/Time: 2018-02-07 11:12:42 HERS Provider: CalCERTS 217-P0102013 SOB -000 -0O1 -M 27003A-M27A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:12:27 2016 Residential Compliance Schema Version: rev 10/16 -CERTIFICATE OF VERIFICATION CF3R-MCH-27-H Indoor Air Quality and Mechanical Ventilation (Page 3 of 3) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: /- Samuel Given Samue(Siven Company: Date Signed: Western Air Systems Certification 2018-02-07 11:12:42 Address: CEA/ HERS Certification Identification (if applicable): 3425 Cimmeron Court 3300 SUNSET Blvd. - Suite 210 Rocklin / CA / 95677 City/State/Zip: Phone: Rocklin CA 95677 877-500-0212 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification Identified on this Certificate of Verification comply with the applicable requirements In Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable section§':of the Certificate(s) of,':Installation(CF2R)''signed,and4t+!'submitfed':by the persons) responsible for the i? i 1i1Ix t# ;i, 3 411 F (� construction or installation conforms to the requirements'specifled.on the Certificates) of Compliance (CF1R) approved by the enforcementfagency. i;14' 5. I will ensure that a registered copy of this Certificate ofVerificationshall be posted or made available with the ,building permits) issuid for the u tl II}3 }k� i t t 1 - i M ficate building, and made availablelto the. enforcementag"ency for all applicableiinspflh ections. I understand Lyhat aJcegistered copy of th}slCertof 1, Verification is required to be included with the documentation the builder''providee to the building owner at occupancy. Builder Or Installer Information As Shown On The`Certif catiYOf installation;' Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): Bill Webb Construction, Inc. Responsible Builder or Installer Name: CSLB License: Bill Webb HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Western Air Systems Certification Responsible Rater Name: Responsible Rater Signature: Samuel Given Samue((given Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2005550 2018-02-07 11:12:42 Digitally signed by C910ERTS. 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/Tme: 2018-02-07 11:12:42 HERS Provider: CaICERTS 217-P010201350B-000-001-M 27001A-M27A CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:12:27 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION CF211-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of 10) Project Name: Daniel & Courtney Webb Enforcement Agency: County of Butte Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico tip Code: 95973 A. General Information 01 Dwelling Unit Name Unit 1 02 Climate Zone 11 Number of Space Dwelling Unit Total 03 28 85 04 Conditioning Systems in this 1 - 2 Conditioned Floor Area (ft) dwelling unit. 05Performance Certificate of Compliance '`= (CF1R-PRF) 06 Method Used to Calculate ACCA Manual J Type HVAC Loads Calculated Dwelling Unit Calculated Dwelling Unit 07 Sensible Cooling Load 45360:::°' " 08 Heating Load (Btu/h) 50505 (Btu/h) -- is `<ca:`—%� ....-:. -�' � . �:. ^;;r,,•e--:�,.,: .:::..a.""- ki Dwelling Unit Number of-= w �� r.5 09 Bedrooms 3-- w :-_ _ _- z - - r _. M. MCH -01a - Space Conditioning Systems Duds and Fans - For use with Performance Certificate of Compliance Registration Number: 217-PO1020135OB-000-001-MO1001A-0000 Registration Date/Time: 2018-02-07 11:12:48 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 -Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-07 10:32:42 Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 2 of 10) B. Design Space Conditioning (SC) System Component Specifications from CF111 This table reports the space conditioning system features that were specified on the registered CF1R-PRF compliance document for this project. O1 02 03 04 05 06 07 08 09 10 11 12 SC System Heating Minimum Heat Pump Heat Pump Minimum Minimum Minimum Cooling System Low Minimum Dud identification or Efficiency Type Heating SC System SC System Heating Cooling Airflow Rate Distribution Required Leakage Air -Handling Bypass Duct Cooling Cooling System ' Zone Name identification Type System System Type SC Fan Type System Type Thermostat Unit Status Zoning Type Compressor or Name Type System 1 Seasonal 12 Type (LLAHU) 18 12.5 Speed 0.58 R-6 Performance Status This field or section is System 1 Heat pump heating `'°Central = Central split PSC Permanent Unconditione Setback No, credit is Has Bypass. Not Zonal Single Speed not cooling split HP x , HP Split Capacitor d attic not taken Duct applicable ..... ,. Y Notes: Registration Number: 217-P010201350B-000-001-M01001A-0000 Registration Date/Time: 2018-02-07 11:12:48 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-07 10:32:42 Schema Version: rev 4/7/2017 C. Design Space Conditioning (SC) System Compliance Requirements frpff CF1R This table reports the space conditioning system features that wore specified on the rQgtstered CF1R PRF compliance `document for this; protect .., 01 02 03 - 04 05 c `06 07 " 08 09 10 SC System Heating Minimum Heat Pump Heat Pump Minimum Minimum Minimum Cooling System Maximum Fan Minimum Dud identification or Efficiency Type Heating Heating Heating Cooling Cooling Airflow Rate Efficacy R -Value Name Efficiency Value Capacity at 47°F Capacity at 17°F Efficiency SEER Efficiency EER (CFM/ton) (W/CFM) Heating System 1 Seasonal 12 60000 42000 18 12.5 350 0.58 R-6 Performance Factor(HSPF) Notes: Registration Number: 217-P010201350B-000-001-M01001A-0000 Registration Date/Time: 2018-02-07 11:12:48 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-07 10:32:42 Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 3 of 30) D. Installed Space Conditioning (SC) System Component Information 01 02 03 04 0S 06 07 08 09 10 11 Location BRYANT FE4ANB006 2117A89758 Notes: Central Fan, SC System SC System Conditioned FloorArea Heating Cooling Distribution SC System Cooling Zoning Cooling System Integrated Identification Location or Served by the System Type System Type SC Fan Type System Type Thermostat Type Compressor (CFI) Ventilation or Name Area Served System (ft2) Type Speed Type System Status System 1 Location 2885 Central split Central split PSC Permanent Unconditioned Setback Not Zonal Single Speed Not a CFI HP HP Split Capacitor attic system Notes: G. Installed Split System Indoor Coil or Fan Coil Unit Equipment Information (applicable to DX or hydronic heating/cooling coils or fan coil units) Systems with more than one indoor coil or fan coil unit (e.g. multi -split systems) shall provide information for each of the system indoor coils or fan coil units. 01 02 03 04 0S SC System Identification or Name SC System Location or Area Served Indoor Coil or Fan Coil Unit Manufacturer Indoor Coil or Fan Coil Unit Model Number Indoor Coil or Fan Coil Unit Serial Number System 1 Location BRYANT FE4ANB006 2117A89758 Notes: Registration Number: 217-P010201350B-000-001-MO1001A-0000 Registration Date/Time: 2018-02-07 11:12:48 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-07 10:32:42 Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 4 of 10) H. Installed Heat Pump System - Split System Condensing Unit or Package Unit Equipment Information 01 02 03 04 .05 SC System Identification or Name SC System Location or Area Served Condenser or Package Unit Manufacturer Condenser or Package Unit Model Number Condenser or Package Unit Serial Number System 1 Location BRYANT 280ANVO60-A 2617E12769 Notes: I. Installed Heat Pump System -Efficiency and Performance Compliance Information 01 02 03 04 05 06 07 08 09 30 System Rated SC System Identification or Name SC System Location or Area Served Heating Efficiency Type. A Heating;' i Efficiency Value System Rated Heating_ CapaCityat 47"F City } 4 31 System Rated j{] HFeating -Capacity`at 171 _ $ System Rated y Cooling }' Efficiency SEER System'RateA- �, CoolOng' i 5 EfficiencyEER� Cooling Capacity at r Design Conditions ,�.� (Btu/h) Condenser Rated Nominal Capacity (ton) System 1 Location HSPF 12 -600 0 42000 18 125 56000 5 . Notes: Registration Number: 217-PO1020135OB-000-001-MO1001A-0000 Registration Date/Time: 2018-02-07 11:12:48 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-07 10:32:42 Schema Version: rev 4/7/2017 Jmaa ri. CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page S of 30) J. Installed Duct System Information 01 •02 03 04 05 06 07 08 09 10 11 12 Determined Design Method of Determined Design Allowable Pressure SC System SC System Location or Air Filter Device Air Filter Device Airflow Rate for Air Drop for Air Filter Identification or Name Exemption compliance Air Filter Device Type Location Filter Device (dm) Device (inch W.C.) System 1 Location FLANDERS 1 Filter Grille CEILING 1000 from Min with duct Exemption FLANDERS 2 Filter Grille Can RA3.3 1000 0.03 System 1 Location . FLANDERS 3 Filter Grille R -Value for and filter From Duct Number of Airflow SC System SC System Ducts In grille sizing Leakage Air Filter Protocols be Identification Location or Supply Duct Supply Duct Return Duct Return Duct Conditioned Req's in Requirement Bypass Dud Devices on used to test or Name Area Served Location R -Value. Location R -Value Space 150.0(m)13 s Status System this System? HERS verified fan System 1 Location Unconditio R-6 Unconditio R-6 No efficacy (W/cfm) No Has Bypass 3 Yes ned attic ned attic Exemption and airflow exemptions Duct rate 3t :-(cfm/ton).µ« Notes: K. Installed Air Filter Device Information Y �� R'5E Mandatory requirements for air filter devices are specified Section 150.0(m)12. 01 02 03 04 05 06 07 Determined Design Determined Design Allowable Pressure SC System SC System Location or Air Filter Device Air Filter Device Airflow Rate for Air Drop for Air Filter Identification or Name Area Served Identification or Name Air Filter Device Type Location Filter Device (dm) Device (inch W.C.) System 1 Location FLANDERS 1 Filter Grille CEILING 1000 0.03 System 1 Location FLANDERS 2 Filter Grille SIDEWALL 1000 0.03 System 1 Location . FLANDERS 3 Filter Grille CEILING 1000 0.03 Registration Number: 217-P010201350B-000-001-M01001A-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2018-02-07 11:12:48 Report Version: 2016.1.006 Schema Version: rev 4/7/2017 HERS Provider: CalCERTS Report Generated: 2018-02-07 10:32:42 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 6 of 30) K. Installed Air Filter Device Information 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 Mandatory requirements for air filter devices are specified Section 150.0(m)12. thermal conditioning components. 01 02 03 04 05 06 07 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. 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 Determined Design 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. 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 0S required efficiency and pressure drop requirements for the air filter device. Determined Design Allowable Pressure SC System SC System Location or Air Filter Device Air Filter Device Airflow Rate for Air Drop for Air Filter identification or Name Area Served Identification or Name I Alr Filter Device Type Location Filter Device (dm) Device (inch W.C.) Notes: L. 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 Ol thermal conditioning components. The system shall be designed to accommodate the clean -filter ppressure-drop �imposed�:bythe,systtem,air filter device(s).iThe design airflow rate and maximum . allowable clean -filter pressure drop at the design airflow rate applicable to;each air filter d'e'vice-4'b-e:determined, and,all-system-air, filter device locations shall be 02 labeled to disclose the applicable design airflow rate and the maximum allowable clean=filter..pressure drop.,The labelsishall be permanently affixed to the air filter. device, readily legible, and visible to a person replacing the air filter media, and,the air filter dev,ices,shal,l-be-provided with:air,f lte`e media that conforms to these determined or labeled maximum allowable' cleari-filter pressure drop values as:rated using AHRI, Standard.680.Vtt 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. The system shall be provided with air filter media having a designated efficiency equal to or greater than MERV 6 when tested in accordance with ASHRAE Standard 04 52.2, or a particle size efficiency rating equal to or greater than 50% in the 3.0 to10 m range when tested in accordance with AHRI Standard 680. 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 0S 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-P010201350B-000-001-MO1001A-0000 Registration Date/Time: 2018-02-07 11:12:48 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-07 10:32:42 Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 7 of 10) M. HERS Verification Requirements 01 02 03 04 05 06 07 08 09 10 it 12 SC System SC System MCH -20 MCH -21 MCH -22 MCH -23 MCH -2S MCH -26 MCH -27 MCH -28 MCH -29 MCH30 Identificati Location or Rated SC Return Supply on or Area Dud Duct AHU fan AHU Refrigerant System IAQ Duct Duct Ventilation Name Served Leakage Location Efficacy Airflow Charge Equipment Mechanical Design Surface Cooling Verification (W/dm) Rate Verification Ventilation Table Area Credit Test (cfm/ton) 150.0-B or R -Value C Buried Duds System 1 Location Yes No Yes Yes Yes Yes Yes No No No Notes: Registration Number: 217-PO1020135OB-000-001-MO1001A-0000 Registration Date/Time: 2018-02-07 11:12:48 HERSProvider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016. 1.006 Report Generated: 2018-02-07 10:32:42 Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 8 of 10) N. Space Conditioning Systems, Ducts and Fans -Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Heating Equipment Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency 01 Regulations. Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant 02 to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(1), 110.2(b). Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections 03 150.0(h)1 and 2). 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 may not have a conti6uo63ly'burning pilot'liiht Section 110.51and Section 110.2(d). Cooling Equipment Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 -and Section 1102(a) and the Appliance Efficiency 06 Regulations. Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R -value and protection requirements of Section 07 150.0(j)2 and 3, and Section 150.0(m)9. 08 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A. 09 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 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 10 150.0(h)1 and 2. [Air Distribution System Ducts, Plenums and Fans Registration Number: 217-P010201350B-000-001-M03001A-0000 Registration Date/Time: 2018-02-07 11:12:48 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-07 10:32:42 Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION - CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 9 of 10) N. Space Conditioning Systems, Ducts and Fans -Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. 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 heating: 16 Second stage back up heating shall be set to come on only when,the indoor set temperature cannot be met. rl The responsible person's signature on this compli nce document affr"tirms that allrli;k appli%Ivcable requirements,in;this°ta% havwbeen mIrl.et. Irble Registration Number: 217-P0102013508-000-001-MO1003A-0000 Registration Date/Time: 2018-02-07 11:12:48 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-07 10:32:42 Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 10 of 10) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: R /_ �,[ Documentation Author Signature: 040 Bill Webb K/CAS' Company: Signature Date: Bill Webb Construction, Inc. 2018-02-07 11:12:48 Address: CEA/ HERS Certification Identification (if applicable): 121 Yellowstone Drive City/State/Zip: Phone: Chico CA 95973 530-891-3351 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 declaration's In this statement on the responsible pes&r s 6iihalf:;4Y r`� f r x f ,. � � . . 3. The constructed or installed features, materials, components or manufactured -devices (the mstallation).identifled prtthis Certifica�.of Installation;confoims i to all applicable codes and regulations and the Installation conforms to the requirements given on the.Certiflcate of Compllance plak and specifications approved:by the`.enforceme it agency.! . 4. 1 will ensure that a registered copy of this Ceriific to oflnstallation shalbbe postedlor macleavailable with the building permit(s);issuedfoe the building; and made available to the enforcement agency for all ..pro:,-- `...' ': T' -m.. '-a c. r i -_ i..v.•...: f._. applicable inspections. I understand that a registered.copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy. I E R Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Bill Webb Company Name: (Installing Subcontractor or General Contractor or Builder/owner) Position With Company (Title): Bill Webb Construction, Inc. OWNER Address: CSLB License: 121 Yellowstone Drive City/State/Zip: Phone: Date Signed: 12018-02-07 Chico CA 95973 1530-891-3351 11:12:48 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-P0102013508-000-001-M03001A-0000 Registration Date/Time: 2018-02-07 11:12:48 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-07 10:32:42 Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: Daniel & Courtney Webb Enforcement Agency: Butte County of Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location 03 Building Type from CF -111 Single family 04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CF1R? No, credit is not taken 05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit from CF1R? No, credit is not taken 06 Duct System Compliance Category New MCH -20a -Completely New Duct System; IJ ! ; B. Duct Leakage Diagnostic Test', Vt sti 01 Condenser Nominal Cooling Capacity (ton) 5 02 Heating Capacity (kBtu/h) 55 03 Conditioned Floor Area Served by this HVAC System (ft2) 2885 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) 100 10 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 92 11 Compliance Statement System passes leakage test Registration Number: Registration Date/Time: 2018-02-07 11:12:48 HERS Provider: CaICERTS 217-P010201350B-000-001-M20002A4000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:35:19 2016 Residential Compliance Schema Version: rev 03/16 i. 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 testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation 02 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. Visual Inspection at Final Construction Stage (applicable if system was tested at rough -in). After installing the interior finishing wall and verifying that the above rough -in tests was completed; the following procedure must be performed For all supply and return registers, verify thatthe spaces between the register boot and the interior finishing wall are 07 properly sealed. If the house rough -in duct leakage test was .conducted without.an:air.handler installed, inspect the connection `pointsI 08 between the air handler and ttie supply and return -plenums two verify that the connection points -are properly sealed., 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: 2018-02-07 11:12:48 HERS Provider: Ca10ERTS 217-P010201350B-000-001-M20002A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:35:19 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: , A,� Documentation Author Signature: 0 GG(/ Bill Webb Company: Signature Date: ' 2018-02-07 11:12:48 Bill Webb Construction, Inc. Address: CEA/ HERS Certification Identification (if applicable): 121 Yellowstone Drive City/State/Zip: Phone: Chico CA 95973 1530-891-3351 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 enforcement agency11 4. 1 understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails'to comply,' I am required to offer any necessary corrective action at no charge to the building'owner. 5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available,with-the. building permit(') issued for -the. -' building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copyrof.this Certificate of Installation is required to be induded'with the documentation the builder provides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Bill Webb Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) OWNER Bill Webb Construction, Inc. Address: CSLB License: . 121 Yellowstone Drive 0 City/State/Zip: Phone: Date Signed: Chico CA 95973 530-891-3351 2018-02-07 11:12:48 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by COURTS. 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: 2018-02-07 11:12:48 HERS Provider: CaICERTS 217-P010201350B-000-001-M20002A-0000 CA Building Energy Efficiency Standards Report Version:. 2016.1.006 Report Generated: 2018-02-07 10:35:19 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: Daniel & Courtney Webb Enforcement Agency: County of Butte Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 A. Ducted Cooling System Information O1 System Identification or Name System 1 02 System Location or Area Served Location 03 System Installation Type New 04 Nominal Cooling Capacity (tons) of Condenser 5 05 Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 08 System Bypass Duct Status r , , - No Bypass:Duct 09 Date of System Airflow Rate Measurement •� _ I ! "' NIA 3 02-U1 2018 I a 10 Airflow Rate Protocol Utilized' { ..; 'RA3.3 procedures foF airflow fate*measu'rement 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. 01IMethod Used to Demonstrate Compliance with the I HSPP installed and labeled consistent with Figure RA3.3-1 HSPP/PSPP Requirement C. Airflow Rate Measurement Apparatus and Procedure information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA33.2. Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in 01 verification. RA3.33.1.4 02 Manufacturer of Airflow Measurement Apparatus ALNOR 03 Model number of Airflow Measurement Apparatus EBT731 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www.energy.ca.gov/title24/equipment_cert/ama_fas /index.html Registration Number: Registration Datefrime: 2018-02-07 11:12:49 HERS Provider: Ca10ERTS 217-P0102013508-000-001-M23002A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:36:55 2016 Residential Compliance Schema Version: rev 10/16 .• • I Compressor- D. Forced Air System`Airflow. Rate Measurement t The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. •61 Required Minimum System Airflow Rate (dm/ton) + 350 •02 Required Minimum System Airflow Target (dm) 1750 03 Actual System Airflow Rate Measurement (cfm) •1750 y ` t' 04' Compliance Statement: ; System airflow rate complies ' E. Additional Requirements - - Air filters that meet the applicable requirements of Standards Section 15O.O(m)12 or 150.0(m)13 were properly installed in 01 the system during system air flow rate measurement identified on this Certificate of Iristallation. The airflow rate measurement apparatus used toperform the airflow rate measurement.identified on this Certificate of' 02 r• e s r. i. r 4: "K.4 M C. f Installation was calibrated accordance with tFie apparatus manufacfurer;s specifications and conforms to the- _in ._ �. ,,. I :. , w IL instrumentation specifications given in RA3:3:1': ' �� 'ti _ �. ) - . ' , tom: s # ,� •.�» A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate 03 of Compliance indicates an allowance for use of dbypass 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 FaA Efficacy tested value. ri 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. l Registration Number: , • ` V Registration Date/Time: 2018-02-07 11:12:49 HERS Provider: CaICERTS• 5 217-P0102013508-000-001-M23002A-0000 ' CA Building Energy Efficiency Standards •' Report Version: 2016.1.006 Report Generated: 2018-02-07 10:36:55 2016 Residential Compliance Schema Version: rev 10/16 Y Documentation Author's Declaration Statement 1.1 certify that this Certificate of Installation documentation is accurate and complete. - Documentation Author Name: Documentation Author Signature: Bill Webb Company: • Signature Date: 2018-02-0711:12:49 Bill Webb Construction, Inc. . - - Address: CEA/ HERS Certification Identification (if applicable): + = 121. Yellowstone Drive s City/State/Zip: r- ' Phone: Chico CA 95973' �+ } "' 1530-891-3351 . Responsible Person's Declaration statement ' certify the following under penalty of perjuy; under the laws of the State of California: • :L+ y, ` 1. The information provided on this Certificate of Installation is true and correct. K i 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 enforcement agency �'"a am 4.. I understand that a HERS rater will check the installation to verify compliance andrf such checking determines the installation fails to compIi, required to offer -any necessary corrective action at no charoe to the buildin owner. say li yT3{f t'r I ,. �r ' 5. 1 will ensure that a registered copy of this Certificate of Installation shall posted, or made available with the building permits) issued for.thet(> ' building, ind made available tothe enforcement agericy,forall applicable inspection;.1 understand thatregistered copy of this Certificate of ,a Installation is required to be induded with the documentation the builder provides to the bwlding owner at occupancy. - - i Responsible Builder/installer Name: Responsible Builder/Installer Signature: , Bill Webb } F Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner), . - �'.,.. ,, OWNER; 'e -I., , Bill Webb Construction, Inc. Address: CSLB License: 121 Yellowstone Drive ` 0 - City/State/Zip: Phone: Date Signed: - 95973. 530891-3351,. -02-07 11:12:49ChicoCA Third Parry 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 Provides responsibility for the accuracy of the information. Registratiori Number: Registration Date/Time: ,2018-02-07 11:12:49 ' HERS Provider: CaICERTS 217-P010201350B-000-001-M23002A-0000 CA Building Energy Efficiency Standards Report Versiori: 2016.1.006 Report Generated: 2018-02-07' 10:36:55 ,2016 Residential Compliance Schema Version: rev 10/16 - - [ • '_ � � - `Y c•s - • .. ,+✓. Y N..��x. � •,�'.. S - '< a *cj r , CERTIFICATE OF INSTALLATION CF2R-MCH-22-H Space Conditioning System Fan Efficacy (Page 1 of 3) Project Name: Daniel & Courtney Webb Enforcement Agency: Butte County of Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 A. Ducted Cooling System Information O1 System Identification or Name System 1 02 System Location or Area Served Location 03 System Installation Type New 04 Nominal Cooling Capacity (tons) of Condenser 5 05 Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal -07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 08 System Bypass Duct Status r' }; No.Bypass Duct r 09 Date of System Airflow Rate Measurement '' 2018-02-01 ;.., rs i 10 Airflow Rate Protocol utilized s , = RA3.3 procedG —res for airfi,5w"rate`meassuurement 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. O1 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 920 02 Actual Tested Airflow from MCH -23 (cfm) 1750 03 Required Fan Efficacy (watts/cfm) 0.58 04 Actual Fan Efficacy (watts/cfm) 0.53 5 Fo _ Compliance Statement: System fan efficacy complies Registration Number: Registration Date/Time: 2018-02-07 11:12:49 HERS Provider: CaICERTS 217-P0102013SOB-000-001-M22002A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:38:21 2016 Residential Compliance 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. Registration Number: Registration Date/Time: 2018-02-07 11:12:49 HERS Provider: Ca10ERTS 217-P0102013SOB-000-001-M22002A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:38:21 2016 Residential Compliance Schema Version: rev 2013-09-11 _ Registration Number: Registration Date/Time: 2018-02-07 11:12:49 HERS Provider: Ca10ERTS 217-P0102013SOB-000-001-M22002A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:38:21 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:�yA /I��_ `L 4 f/ f ing Bill Webb Company: Signature Date: 2018-02-07 11:12:49 Bill Webb Construction, Inc. Address: CEA/ HERS Certification Identification (if applicable): 121 Yellowstone Drive City/State/Zip: Phone: Chico CA 95973 1530-891-3351 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. 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)1 am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement,ageniy. 4. 1 understand that a HERS rater will check the installation to verifycompliance and if such checking determines the installation fails to comply, I am required to offer any necessary corrective action at no charge to the building owner , 5. 1 will ensure that a registered copy of this Certificate of Installation shall be posted; o� made available -with the'building permit(s) issued for the - building, and made available to the enforcement agency for all applicable inspections.1 understandthata registered copy of this Certificate of Installation is required to be includedwith the documentation the tiuildu provides t046 b ilding owner at occupancy. L , Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Bill Webb 0-6& kleW Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) OWNER Bill Webb Construction, Inc. Address: CSLB License: 121 Yellowstone Drive 0 . City/State/Zip: Phone: Date Signed: Chico CA 95973 530-891-3351 12018-02-07 11:12:49 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by C910ERTS. 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: 2018-02-07 11:12:49 'HERS Provider: CalCERTS 217-P010201350 B -000-001-M 22002A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:38:21 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: Daniel & Courtney Webb Enforcement Agency: Butte County of Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 A. System Information Each system requiring refrigerant charge verification will be documented on a separate certificate. 01 System Identification or Name System 1 02 System location or Area Served Location 03 Condenser (or package unit) Make or Brand BRYANT 04 Condenser (or package unit) Model Number 280ANVO60-A 05 Nominal Cooling Capacity (tons) of Condenser 5 06 Condenser (or package unit) Serial Number 2617E12769 07 Refrigerant Type --- wR-22 08 Other Refrigerant Type (if applicable) .�_- ) , , N/A /A— 1 , ." 09 Liquid Line Filter Drier Instalccording to Manufacturers Liquid A Yes Specifications (if applicable) `• _ ri` 'ter -- :L 10 System Installation Type New Fault Indicator Display (FID) Status (Note: -Even systems with This system does not have a FID device installed 11 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 RA3.33 can be or RA3.33)? 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 RAI 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 RAI)? 14 Date of Refrigerant Charge Verification for this system 2018-02-01 15 Refrigerant charge verification method used. Weigh-in with HERS Rater Obsesrvation Person who performed the Refrigerant Charge Verification HVAC system installer 16 reported on this Certificate of Installation 17. HERS Verification Compliance Requirement Status System does not qualify for group sampling Registration Number: Registration Date/rime: 2018-02-07 11:12:50 HERS Provider: CaICERTS 217-P010201350B-000-001-M25002A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:01:41 2016 Residential Compliance Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 2 of 4) MCH -25c - Refrigerant Charge Verification - Weigh In Observation Procedure B. Instrument Calibration Procedures for instrument calibration are given in Reference Residential Appendix RA3.2.2 and RA3.2.3.1.4 01 Date of expiration of Digital Refrigerant Scale Calibration 2018-02-01 02 Date of Digital Thermometer and Temperature Sensor Calibration 2018-02-01 03 Digital Refrigerant Scale Calibration Status Calibration is current 04 Digital Thermocouple Calibration Status Calibration is current C. Measurement Access Hole (MAH) Verification I 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 }r-`; i D. Minimum System Airflow Rate Verification - Procedures for verifying minimum system airflow are specified -in Refer nce'Residential'Ap'peridix 3.3:3: ' Measured Condenser Air Entering Dry-bulb Temperature (Tcondenser,db) ((' F)' 01 Minimum Required System Airflow Rate (cfm) 1750 02 F System Airflow Rate Verification Status System complies with minimum airflow rate requirements E. Weigh In Charge Procedure Procedures for Refrigerant Charge using the Weigh-in Charging Procedure are given in Reference Residential Appendix RA3.2.2.2 and RA3.2.3 01 Measured Condenser Air Entering Dry-bulb Temperature (Tcondenser,db) ((' F)' 53 02 Specify the Method of Weigh-in TotalCharge 03 Manufacturer Standard Charge for Condenser (lbs, oz.) 13,5 04 Manufacturer Standard Liquid Line Length (ft) 15 05 Manufacturer's Standard Liquid Line Diameter (in) 0.38 06 Manufacturer's Standard Indoor Coil Size (tons) 5 07 Installed Liquid Line Length (ft) 35 08 Installed Liquid Line Diameter (in) 0.38 Registration Number: Registration Date/Time: 2018-02-07 11:12:50 HERS Provider: CaICERTS 217-P0102013SOB-000-001-M25002A4000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:01:41 2016 Residential Compliance Schema Version: rev 4/7/2017 A, CERTIFICATE OF INSTALLATION CF2R-MCH-25-H Refrigerant Charge Verification (Page 3 of 4) E. Weigh In Charge Procedure Procedures for Refrigerant Charge using the Weigh-in Charging Procedure are given in Reference Residential Appendix RA3.2.2.2 and RA3.2.3 09 Installed Indoor Coil Size (tons) 5 10 Charge Adjustment to Standard Charge from Manufacturer's 45 03 Specifications (ounces, positive = add, negative = remove) Refrigerant Required to be Weighed in by the Installer (lbs, 16,2 11 oz) 12 Refrigerant Weighed in by Installer (lbs, oz) 16,2 13 Compliance Statement: System complies with the Weigh-in charge requirement F. Weigh In Charge Procedure - Additional Requirements 01 All brazing of refrigerant lines done with dry nitrogen in lines and evaporator coil 02 The indoor coil correction to refrigerant.wei ht is used if it is"su lied b the manufacture:= g PP Y Prior to introducing refrigerant, system is evacuated to 500.microns or less'and, when isolated, has risen no more than 300 03 microns after 5 minutesil:_lA � `!r f: `. IU U `a' jf L! When applicable and if necessary;to avoid delay of approval of dwelling units completed when outside temperatur sure below 55"F, the enforcement agency may approve compliance with the refrigerant charge verification requirements based on registration of this CF2R-MCH-25, documenting use of the RA3.2.3.1 HVAC Installer Weigh -In Charging Procedure when 04 the optional Section RA3.2.3.2 HERS Rater Observation of Weigh -In Charging Procedure is not used. As condition for such enforcement agency approval, the responsible person's signature on this compliance document affirms the installer agrees to return to correct refrigerant charge if a HERS Rater determines at a later time, when the outside temperature is 557 or greater, that refrigerant charge correction is necessary. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. G. Fault Indicator Display Procedures for the Fault Indicator Display Verification are detailed in RA3.4.2 This section does not apply to this project. H. Fault Indicator Display - Additional Requirements This section does not apply to this project. Registration Number: Registration Date/rime: 2018-02-07 11:12:50 HERS Provider: CaICERTS 217-P010201350B-000-001-M25002A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:01:41 2016 Residential Compliance Schema Version: rev 4/7/2017 A 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: �y,� L` Documentation Author Signature: 0 , *1 GGf/ fT/�O Bill Webb Company: Signature Date: 2018-02-07 11:12:50 Bill Webb Construction, Inc. Address: CEA/ HERS Certification Identification (if applicable): 121 Yellowstone Drive City/State/Zip: Phone: Chico CA 95973 1530-891-3351 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 enforcement agency:" 4 , 4i 4. 1 understand that a HERS rater will check the ,installatio 6 %ienfylcor;pliance and if such checking determines the installation fails t comply, I am required to offer any necessary corrective action at no charge to the building owner. + i S. I will ensure that a registered copy of this Certi46ie`of Installation shall,be posted;.or. made available -with the building permit(s) issued for.the'� - building, and made available to the enforcement agency, for all applicable inspections.a.understand that.a registered; copy of this Certificate of Installation is required to be included with the documentation the builderrprovides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/installer Signature: Bill Webb Alng Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) OWNER Bill Webb Construction, Inc. Address: CSLB License: 121 Yellowstone Drive 0 City/StateRp: Phone: Date Signed: Chico CA 95973 530-891-3351 2018-02-07 11:12:50 Third Parry Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CafCERTS. 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: 2018-02-07 11:12:50 HERS Provider: CaICERTS 217-P0102013SOB-000-001-M 25002A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 11:01:41 2016 Residential Compliance Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-26-H Rated Space Conditioning System Equipment Verification (Page 1 of 3) Project Name: Daniel & Courtney Webb Enforcement Agency: Butte County of Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 A. System Information Procedures for verification of High SEER and EER Equipment are described in Reference Appendix RA3.4. Each HVAC system requiring verification must use a separate form. 01 System Name or Identification/Tag System 1 02 System Location or Area Served Location 03 Status: SEER and EER performance compliance credit check Both SEER and EER HERS Verification is required 04 Directory used to certify product performance AHRI 02 AHRI certification number for the installed space 9893760 05 conditioning system from http://www.ahridirectory.org 06 Does the directory used to certify product performance No. _ +` BRYANT require a specific air handler/furnace make and model?, J�_ 280ANVO60-A Installed Model Number Does the directory used to certify product '.,:.No Inside Coil - Installed Manufacturer 07 ,performance 06 BRYANT require a time delay relay (+TDR)? r Does the directory used to certify product performance -No 08 require a TXV (+TXV)? FE4ANB006 B. Rated Space Conditioning System Equipment Verification The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to certify product performance in order to demonstrate compliance. Data from Nameplate of Installed system Data from the Directory used to certify component product performance for the rated system component Outdoor Condenser or Package Unit - 01 BRYANT > l 02 BRYANT Installed Manufacturer Name Outdoor Condenser or Package Unit - 03 BRYANT 04 280ANVO60-A Installed Model Number Inside Coil - Installed Manufacturer 05 BRYANT 06 BRYANT Name Inside Coil - Installed Model Number 07 FE4ANB006 08 FE4ANB006 Air Handler/Furnace - Installed 09 N/A 10 This field or section is not applicable Manufacturer Name Registration Number: Registration Date/Time: 2018-02-07 11:12:50 HERS Provider: Ca10ERTS 217-P0102013S0 B -000-001-M 26002A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:40:34 2016 Residential Compliance Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-26-1H Rated Space Conditioning System Equipment Verification (Page 2 of 3) B. Rated Space Conditioning System Equipment Verification The data on nameplate of the installed component shall conform to the data for the component as shown in the Directory used to certify product performance in order to demonstrate compliance. Air Handier/Furnace - Installed Model 11 1 N/A 12 1 This field or section is not applicable Number C. Verified Cooling System SEER O1 Required minimum SEER 18 02 Installed SEER 18 03 Compliance Statement: System passes SEER verification Signature by responsible party below certifies that the installed cooling equipment meets or exceeds the required value listed on the CFiR. D. Verified Cooling System EER 01 Required minimum EER 12.5 '� ? � t. is tia •!`'�'�: � 02 Installed EER ` ` , ... it ,. 03 Compliance Statement: " System ss s EER verification . i`" Signature by responsible party below certifies that the installed cooling equipment matches the equipment on the AHRI Certificate. E. Verified Cooling System Air Handier/Furnace This section does not apply to this project. F. Verified Cooling System Time Delay Relay This section does not apply to this project. G. Verified Cooling System TXV This section does not apply to this project. Registration Number: Registration Date/Time: 2018-02-07 11:12:50 HERS Provider: CaICERTS 217-P0102013SOB-000-001-M26002A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:40:34 2016 Residential Compliance Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-26-H Rated Space Conditioning System Equipment Verification (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:,A,� /I��_ L` Bill Webb cW f'(leM Company: signature Date: 2018-02-07 11:12:50 Bill Webb Construction, Inc. Address: CEA/ HERS Certification Identification (if applicable): 121 Yellowstone Drive City/State/Zip: Phone: Chico CA 95973 1530-891-3351 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. 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 toall 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: ` f"'�wf 4. 1 understand that a HERS rater will check the installation to venfy.compliance and 'rf such checking determines_ the installation fails to comply, l am ,required to offer any necessary corrective action at no charge to th'e building owner. s S. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made availablewit the building permit(s) issued for.the, C) building, and made available t'o the enforcement agency,foc.all applicable inspections. I understand that a registered cc py of this Certificate of Installation is required to be induded with the documentation tie iuilderlprovides to the building owner at occupancy. - }. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Bill Webb Company Name: (installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) OWNER Bill Webb Construction, Inc. Address: CSLB License: 121 Yellowstone Drive 0 City/State/Zip: Phone: Date Signed: Chico CA 95973 530-891-3351 2018-02-07 11:12:50 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 217-P010201350B-000-001-M 26002A-0000 CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2018-02-07.11:12:50 HERS Provider: CaICERTS Report Version: 2016.1.006 Report Generated: 2018-02-07 10:40:34 Schema Version: rev 4/7/2017 CERTIFICATE OF INSTALLATION CF2R-MCH-27-H Indoor Air Quality and Mechanical Ventilation (Page 1 of 5) Project Name: Daniel & Courtney Webb Enforcement Agency:' Butte County of Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 Title 24, Part 6, Section 150.0(o) Ventilation for Indoor Air Quality. All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2. Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Equation and table numbering on this form corresponds to the numbering for that information in the published ANSI/SHRAE Standard 62.2-2010. A. Dwelling Mechanical Ventilation - General Information 01 Dwelling unit name Daniel & Courtney Webb 02 Building Type Single family 03 Project scope Newly constructed building Total Conditioned Floor Area of Dwelling Unit 2885 04 (For addition projects the conditioned floor area equals existing area plus addition area.L:7-7:1 Number of bedrooms in dwelling unit 3 05 (For addition projects the`number of bedrooms equals the _?�� existing bedrooms plus addition bedrooms) 06 Ventilation Operation Schedule ' Continuous 07 Whole -Building Ventilation Rate Calculation Method Fan Ventilation Rate Method (4.1.1) 08 Whole Building Ventilation System Type Standalone - Balanced MCH -27a - Continuous Ventilation Airflow - Fan Ventilation Rate Method B. Whole -Building Continuous Ventilation - Fan Ventilation Rate Method A mechanical supply system, exhaust system, or combination thereof shall provide whole -building ventilation with outdoor air each hour at no less than the rate in equation 4.1a. 01 Required Continuous Whole -Building Ventilation Rate (Qfan) 59 02 Installed Continuous Whole -Building Ventilation Rate 59 C. Compliance Statement 01 Building passes continuous whole -building ventilation rate test Registration Number: Registration Date/Time: 201&02-07 11:12:51 HERS Provider: CaICERTS 217-P010201350B-000-001-M 27001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:42:11 2016 Residential Compliance Schema Version: rev 10/16 r CERTIFICATE OF INSTALLATION CF2R-MCH-27-H Indoor Air Quality and Mechanical Ventilation (Page 2 of 5) D. Local Mechanical Exhaust System - Fan selection and dud design criteria for compliance Local mechanical exhaust fans shall be installed in each kitchen and bathroom. Delivered local ventilation rates: • All local ventilation rates have been measured using a flow hood, flow grid, or other airflow measuring device and meet the requirements of 62.2 Tables 5.1 or 5.2. OR • The airflow rating at a pressure of 0.25 in. w.c. of a certified fan is assumed because the local ventilation system duct sizing meets the prescriptive requirements of 62.2 Table 5.3, or manufacturer's design criteria. Table 5.1 Intermittent Local Ventilation Exhaust Airflow Rates Application Airflow Notes Vented range hood (including Kitchen 100 cfm appliance -range hood combinations) required if exhaust fan flow is less than 5 ACH. Bathroom 50 cfm Table 5.2 Continuous Local Ventilation Exhaust Airflow Rates Application Airflow Notes Kitchen 7r't �5 ACHE. ; r Based on Kitchen volume. Bathroom a, i' 20 cfm ,f.. Table 5.3 Prescriptive Duct Sizing Requirements'4t ,_ t -- e -,,, Duct Type Flex Ducts ' ".'W s ` Smooth_ Duct's Fan Rating cfm @ 0.25 50 80 100 125 50 80 100 125 in. w.g. Maximum Allowable Duct Length (ft) Diameter, Flex Duct Smooth Duct (in) 3 X X X X 5 X X X. 4 70 3 X X 105 35 ' 5 X 5 NL 70 35 20 NL 135 85 55 6 NL NL 125 95 NL NL NL 145 7 and above NL NL NL NL • NL NL NL NL This table assumes no elbows. Deduct 15 ft of allowable duct length for each turn, elbow, or fitting. Interpolation and extrapolation in 62.2 Table 5.3 is not allowed. For airflow values not listed, use the next higher value. This table is not applicable for airflow > 125 cfm. NL = no limit on duct length of this size. X = not allowed, any length of duct of this size with assumed turns, elbows, fittings will exceed the rated pressure drop. Registration Number: Registration Datefrime: 2018-02-07 11:12:51 HERS Provider: CalCERTS 217-P010201350B-000-001-M27001A4)000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:42:11 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION CF2R-MCH-27-H Indoor Air Quality and Mechanical Ventilation (Page 3 of 5) E. Other Requirements The items listed below (6.1 through 6.8) correspond to the information given in ASHRAE 62.2 Section 6 "Other Requirements". Refer also to Chapter 4.6 of the Residential Compliance Manual (Section 4.6.5) for information describing these "Other Requirements". The signature of the Responsible Person in the declaration statement below certifies that the building complies with these requirements specified in ASHRAE 62.2 Section 6.1 through 6.9 if applicable. 6.1 Transfer Air. Measures shall be taken to minimize air movement across envelope components to occupiable spaces from 01 garages, unconditioned crawl spaces, and unconditioned attics. Supply and balanced ventilation systems shall be designed and constructed to provide ventilation air directly from the outdoors. 6.2 Instructions and Labeling. Information on the ventilation design and/or ventilation systems installed, instructions on their proper operation to meet the requirements of this standard, and instructions detailing any required maintenance 02 (similar to that provided for HVAC systems) shall be provided to the owner and the occupant of the dwelling unit. Controls shall be labeled as to their function (unless that function is obvious, such as toilet exhaust fan switches). See Chapter 13 of Guideline 24 2 for information on instructions and labeling. 03 6.3 Clothes Dryers. Clothes dryers shall be exhausted directly to the outdoors 6.4 Combustion and Solid -Fuel Burning Appliances. Combustion and solid -fuel burning appliances must be provided with adequate combustion and ventilation air and vented in accordance with manufacturer installation instructions, NFPA 54 ANSI Z223.1, National Fuel Gas Code, NFPA 31, Standard.for the Installation of Oil -Burning Equipment, or NFPA 211, Standard for Chimneys, Fireplaces, Vents, and Solid -Fuel Burning_Appliances, or othe'rlequivalent code acceptable to the building official. Where a6ospherically vented combustion appliances or solid -fuel burning appliances are located 04 inside the pressure boundary, the total net exhaust flow of the iwo ia�gest exhaust fans (not: including a summer cooling fan intended to be operated. only when windows or other" air inlets are open) shall not -exceed 15 cfm/100 ft2 (75 Lps/100 m2) of occupiable space when in operation at full•capacity. If the designed total net flow exceeds this limit, the net exhaust flow must be reduced by reducing the exhaust flow or providing compensating outdoor airflow. Atmospherically vented combustion appliances do not include direct -vent appliances. 6.5 Garages. When an occupiable space adjoins a garage, the design must prevent migration of contaminants to the adjoining occupiable space. Air seal the walls, ceilings, and floors that separate garages from occupiable space. To be 05 considered air sealed, all joints, seams, penetrations, openings between door assemblies and their respective jambs and framing, and other sources of air leakage through wall and ceiling assemblies separating the garage from the residence and its attic area shall be caulked, gasketed, weather stripped, wrapped, or otherwise sealed to limit air movement. Doors between garages and occupiable spaces shall be gasketed or made substantially airtight with weather stripping. 06 6.6 Ventilation Opening Area. Spaces shall have ventilation openings as listed below. Such openings shall meet the requirements of Section 6.8 6.7 Minimum Filtration. Mechanical systems that supply air to an occupiable space through ductwork exceeding 10 ft (3 m) in length and through a thermal conditioning component, except evaporative coolers, shall be provided with a filter having a designated minimum efficiency of MERV 6, or better, when tested in accordance with ANSI ASHRAE Standard 07 52.2, Method of Testing General Ventilation Air -Cleaning Devices for Removal Efficiency by Particle Size, or a minimum Particle Size Efficiency of 50 percent in the 3.0-10 m range in accordance with AHRI Standard 680, Performance Rating of Residential Air Filter Equipment. The system shall be designed such that all recirculated and mechanically supplied outdoor air is filtered before passing through the thermal conditioning components. The filter shall be located and installed in such a manner as to facilitate access and regular service by the owner. Registration Number: . Registration Date/Time: 2018-02-07 11:12:51 HERS Provider: CaICERTS 217-P0102013SOB-000-001-M 27001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:42:11 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION CF211-MCH-27M Indoor Air Quality and Mechanical Ventilation (Page 4 of 5) E. Other Requirements The items listed below (7.1 through 7.3) correspond to the information given in ASHRAE 62.2 Section 7 Air -Moving Equipment. 6.8 Air Inlets. Air inlets that are part of the ventilation design shall be located a minimum of 30 ft (3 m) from known sources more detail. The signature of the Responsible Person in the declaration statement below certifies that the building complies with of contamination such as a stack, vent, exhaust hood, or vehicle exhaust. The intake shall be placed so that entering air 08 is not obstructed by snow, plantings, or other material. Forced air inlets shall be provided with rodent insect screens 7.1 Selection and Installation.. Ventilation devices and equipment shall be'tested and; listed,in-accordance with specific (mesh not larger than 1/2 inch). standards. Installations of systems or,equipment.shall be carried out inaccordan e withanu facturers' design 6.9 Carbon Monoxide Detectors. A carbon monoxide alarm shall be installed in each dwelling unit in accordance with NFPA 09 720, Standard for the Installation of Carbon Monoxide (CO) Detection and Warning Equipment 14, and shall be Ventilation fans shall berated for sound at no less than the minimum airflow rate required by this standard, as noted below. consistent with requirements of applicable laws, codes, and standards.. The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met. F. Air Moving Equipment The items listed below (7.1 through 7.3) correspond to the information given in ASHRAE 62.2 Section 7 Air -Moving Equipment. Refer also to Chapter 4.6 of the Residential Compliance Manual (Section 4.6.6) for information describing these requirements in more detail. The signature of the Responsible Person in the declaration statement below certifies that the building complies with these requirements specified in ASHRAE 62.2 Section 7.1 through 7.3 if applicable. 7.1 Selection and Installation.. Ventilation devices and equipment shall be'tested and; listed,in-accordance with specific 01 standards. Installations of systems or,equipment.shall be carried out inaccordan e withanu facturers' design requirements and installation instructions. z t Ventilation fans shall berated for sound at no less than the minimum airflow rate required by this standard, as noted below. These sound ratings shall be at a minimum of 0.1 in. w.c. (25 Pa) static pressure. 02 7.2:1 Whole Building or Continuous Ventilation Fans. These fans shall be rated for sound at a maximum of 1.0 sone. 7.2.2 Intermittent Local Exhaust Fans. Fans used to comply with Section 5.2 shall berated for sound at a maximum of 3 sone, unless their maximum rated airflow exceeds 400 cfm (200 L/s). (Some exceptions may apply.) 7.3 Multibranch Exhaust Ducting. If more than one of the exhaust fans in a dwelling unit shares a common exhaust duct, 03 each fan shall be equipped with a back draft damper to prevent the recirculation of exhaust air from one room to another through the exhaust ducting system. The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met. G. Multifamily Buildings -Other Requirements This section does not apply to this project. Registration Number: Registration Date/Time: 2018-02-07 11:12:51 HERS Provider: CaICERTS 217-P010201350B-000-001-M27001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:42:11 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION• MR-11IICH-27-1­1 Indoor Air Quality and Mechanical Ventilation - y i' (Page 5 of 5) Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accuirate and complete. { Documentation Author Name' " Documentation Author Signature: GGGG((// fs%i//CCOOIIOO'' Bill Webb Company:' Signature Date: 2018-02-07 11:12:51 Bill Webb Construction, Inc. . Address: CEA/ HERS Certification Identification (if applicable): 121 Yellowstone Drive' City/State/Zip: Phone: Chico CA 95973 - 1530-891-3351 - w Responsible Per'son's Declaration statement • - n. t. certify the following under penalty of perjury, under the laws of the State of California: ^ ~ e 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 installationof 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 enforcementagency.r?^'��"�t „y 4. 1 understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails'to comply',`I am required to offer"any necessary corrective a"n at no charge to the building 6L,wner. ' � • '� lit it . ' S. I will ensure that a registered copy of this Certificate -of Installation shall be posted, or made available with the.building permits) issued for 6i, building, and made available to the enforcement agency.for.all applicable inspections. I understand that a regist`ered�copy.of.this Certificate.of Installation is required to be induded'with the documenLafion the builclWprovides to the building owner at occupancy. 1117 X Responsible Builder/Installer Name: Responsible Builder/Installer Signature: - Bill Webb " _ - Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) OWNER r Bill Webb Construction, Inc. Address: CSLB License: 121 Yellowstone Drive - 0 _ City/StateRp• • Phone: Date Signed: Chico CA 95973 530-'891-3351 2018-02-07'11:12:51 Third Party Quality Control Program (TPQCP) Status: -,'- Name of TPQCP (if applicable): ' •• ^• r - '1..• ! _ •.. � ♦.fit• `• • - • Digitally signed by CaMER TS. 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: i Registration Date/Time: ' 2018-02-07 11:12:51 HERS Provider: CaICERTS 4 ti 217-P010201350B-000-001-M27001A-0000 CA Building Energy Efficiency Standards 1 Report Version: 2016.1.006. ReportGenerated: 2018-02-07 10:42:11.-- 2016 0:42:11- 2016 Residential Compliance ,,. Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION CFZR-LTG-01-E Lighting Single Family Dwellings (Page 1 of 4) Project Name: Daniel & Courtney Webb Enforcement Agency: County of Butte Permit Number: B174215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 A. Installed Lighting and Controls Select Yes or No according to whether your work on the project includes each of the following types of lighting and controls., See sections B through H for applicable requirements. 01 High Efficacy luminaires installed in any interior rooms. (See Yes 150.0(k)2A: Forward phase cut dimmers used shall comply with NEMA SSL 7A. Section B.) JA8 compliant luminaires and controls installed in any Yes 02 interior rooms. (See Section B.) 03 Recessed downlight luminaires in ceilings in any interior Yes . room (See Section C). Screw -based luminaires installed in any interior rooms (See Yes 04 Section D.) 05 Lighting and controls in bathrooms (SeeSection.) Yes s 06 lighting and controls in laundry rooms (S`ee Section E.) ' ' _Yeses -'::.+ 07 Lighting and controls in utility ooms (See$ ction E.) t` ' '`Yes 4 08 Lighting and controls in garage (See Section E.) Yes 09 Outdoor lighting and controls (See Section H.) Yes Blank electrical boxes installed more than 5 feet from Yes 10 finished floor. (See Section F.) F- Internally1 illuminated address signs. (See Section G.) No B. High Efficacy Luminaires and Controls 01 All luminaires are installed with:' Light sources of one of the light source technologies under the "High Efficacy" column of Table 150.0-A; or' JA8 compliant light sources and the light sources are marked with a label reading "JA8-2016" or "JA8-2016-E". 02 150.0(k)2K: Dimmers or vacancy sensors control all luminaires required to have JA8 compliant light sources. 03 150.0(k)2A: Forward phase cut dimmers used shall comply with NEMA SSL 7A. 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: 2018-02-07 11:12:51 HERS Provider: CaICERTS 217-P010201350B-000-001-L01001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:43:29 2016 Residential Compliance Schema Version: rev 09/15 CERTIFICATE OF INSTALLATION CF2R-LTG-01-E Lighting Single Family Dwellings (Page 2 of 4) C. Recessed Downlight Luminaires in Ceilings 01 150.0(k)1Cvi: Contain JAB compliant light sources that are marked with a label reading'JA8-2016-E'. 02 150.0(k)1Ci: Listed for zero clearance insulation contact (IC) 03 150.0(k)1Cii: Has label certifying air tight 04 150.0(k)1Ciii: Sealed with a gasket or caulk between the luminaire housing and ceiling, and all air leakage paths between conditioned and unconditioned spaces are sealed with a gasket or caulk. 05 150.0(k)SCiv: Allows ballast maintenance and replacement to be readily accessible to building occupants from below the ceiling without requiring the cutting of holes in the ceiling. 06 150.0(k)1Cv: Do not contain screw based sockets. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. D. Additional Luminaire Requirements 01 150.0(k)2J: In bathrooms, garages, laundry rooms, and utility rooms, at least one luminaire in each of these spaces are 150.0(k)1G: Screw based luminaires are installed with all of the following requirements ,.*-The luminaire is not recessed 01 downlight luminaire in ceilings The luminaire,coritains a 1A8 compliant lamps.{ 1y + ! 9 150.0(k)2A: Forward phase cut dimmers used shall comply with NEMA SSL 7A. yyand' , %, 150.0(k)2B: Exhaust fans are switched separately from lighting systems, or can be switched OFF in accordance with 150.0(k)1H: No light sources marked 'not for use in enclosed fixture' or'not for.use-in recessed fixture' -are installed in 02 ": -1 enclosed luminaires: t� V -- 03 150.0(k)1D: Ballasts for fluorescent lamps rated 13 Watts or greater are electronic. 04 150.0(k)lE: Night lights are rated to consume no more than 5 Watts of power 05 150.0(k)1F: Lighting integral to exhaust fans meets all applicable requirements of Section 150.0(k) The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. E. Additional Lighting Controls 01 150.0(k)2J: In bathrooms, garages, laundry rooms, and utility rooms, at least one luminaire in each of these spaces are controlled by a vacancy sensor. 02 150.0(k)2A: Forward phase cut dimmers used shall comply with NEMA SSL 7A. 150.0(k)2B: Exhaust fans are switched separately from lighting systems, or can be switched OFF in accordance with 03 EXCEPTION 150.0(k)2C: Luminaires are switched with readily accessible controls that permit luminaires to be manually switched ON and 04 OFF 05 150.0(k)2D: Lighting controls and equipment are installed in accordance with manufacturer's instructions Registration Number: Registration Date/Time: 2018-02-07 11:12:51 HERS Provider: CaICERTS 217-P0102013SOB-000-001-LO1001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:43:29 2016 Residential Compliance Schema Version: rev 09/15 CERTIFICATE OF INSTALLATION CF2R-LTG-01-E Lighting Single Family Dwellings (page 3 of 4) E. Additional Lighting Controls 01 150.0(k)2E: No controls are installed that bypass a dimmer or vacancy sensor function where that dimmer or vacancy 06 sensor has been installed to comply with Section 150.0(k) 150.0(k)2F: Lighting control devices have been Certified to the Energy Commission as applicable; lighting control systems 07 comply with the applicable requirements in Section 110.9. 150.0(k)2G: Energy Management Control Systems used to comply with dimmer requirements provide the functionality of a 08 dimmer in accordance with Section 110.9, meet the installation certificate requirements in Section 130.4, the EMCS The responsible person's signature on this compliance document affirms that all applicable requirements in this table have requirements in Section 130.5, and comply.with all other applicable requirements in Section 150.0(k)2. 150.0(k)2H: Energy Management Control Systems used to comply with vacancy sensor requirements in Section 150.0(k) provide the functionality of a vacancy sensor in accordance with Section 110.9, meet the installation certificate 09 requirements in Section 130.4, the EMCS requirements in Section 130.5, and comply with all other applicable requirements in Section 150.0(k)2. 150.0(k)21: A multi -scene programmable controller used to comply with dimmer requirements provides the functionality of 10 a dimmer in accordance with Section 110.9, and complies with all other applicable requirements in Section 150.0(k)2. 11 150.0(k)2L: Undercabinet lighting is switched separately from other lighting system. The responsible person's signature on this compliance document affirms that all applicable requirements in this table,K ve been met.;' F. Blank Electrical Boxes O1Lth 50.0(k)2: The number of blank electrical boxes installed more than five feet above the finished floor, are not greater than ee number of bedrooms. The blank boxes are served by dimmer, vacancy sensor, or fan speed control. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. G. Address Signs This section does not apply to this project. H. Single Family Outdoor Lighting 01 150.0(k)lA: High efficacy outdoor lighting is installed 150.0(k)3A: Outdoor lighting is controlled by a manual ON and OFF switch and one of the following automatic control types: * Photocontrol and motion sensor; * Photocontrol and automatic time switch control; * Astronomical time clock that 02 automatically turns the lighting OFF during daytime hours; * Energy management control system (EMCS) that provides the functionality of an astronomical clock, does not have an override that allows the luminaire to be always ON, and is programmed to automatically turn outdoor lighting off during daytime hours. 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: 2018-02-07 11:12:51 HERS Provider: CalCERTS 217-P010201350B-000-001-LO 1001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:43:29 2016 Residential Compliance Schema Version: rev 09/15 A CERTIFICATE OF INSTALLATION CF2R-LTG-01-E Lighting Single Family Dwellings (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: 01W Bill Webb Company: Signature Date: Bill Webb Construction, Inc. 2018-02-07 11:12:51 Address: CEA/ HERS Certification Identification (if applicable): 121 Yellowstone Drive City/State/Zip: 1530-891-3351 Phone: Chico CA 95973 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. 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 6)1 am an authorized representative of the responsible person,and attest to the declarations in this statement on the responsible person's behalf. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations and.the installation conforms to.the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency. _ t lF F- " 4. 1 will ensure that a registered copy of this Certificate of Installation shall be posted.or made available with the building permit(s) issued foe the building, and made available to the enforcement agency for all applicable inspections I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder- rovides to the building' owner atocry an v, f i " Responsible Builder/Installer Name: , e s Responsible Builder/Installer Signature: J. } x t � Bill Webb ^t t. -A _' 1 k 'r Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) OWNER Bill Webb Construction, Inc. Address: CSLB License: 121 Yellowstone Drive 0 City/State/Zip: Phone: 1530-891-3351 Date Signed: Chico CA 95973 2018-02-07 11:12:51 Digitally signed by C910ERTS. 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: 2018-02-07 11:12:51 HERS Provider: Ca10ERTS 217-P010201350B-000-001-L01001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.006 Report Generated: 2018-02-07 10:43:29 2016 Residential Compliance Schema Version: rev 09/15 CERTIFICATE OF INSTALLATION CF2R-PLB-02-E Single Dwelling Unit Hot Water System Distribution (Page 1 of 4) Project Name: Daniel & Courtney Webb Enforcement Agency: County of Butte Permit Number: B17-1215 Dwelling Address: 2593 W. SACRAMENTO AVE City: Chico Zip Code: 95973 A. General Information 01 Dwelling Unit Name 2593 W. SACRAMENTO AVE B. Design Dwelling Unit Water Heating Systems Information 01 02 03 04 05 06 07 08 09 10 11 '12 13 14 Water Central Dwelling Water Heating Water Water- # of Water Heater Rated Input Rated Input Heating Heating Standby Exterior DHW Unit DHW Heating Type Heaters In Storage Fuel Type Type Value Efficiency Efficiency Loss (%) Insul. System System System ID System Type Heater System Volume a Type Value R -Value Distribution Distribution or Name (gal) TYPe Type F w r } This field or This field or This field or Standard DHW Sys 1 DHW Small storage 1 _40 �— Natural Gas r! s -Btu/Hr 40000 � Energy Factor, 'r' '�. 0.62 sectionis not section is not section is not distribution ;, 't ;. ) y (EF )* F f 4 appliablet' applicable applicable system r C. Installed Dwelling Unit Water Heating Systems Information �' ': "� .`-� y .'kr ` •" 01 02 03 04 05 . 06 07 08 09 10 11 12 13 14 Water Central Dwelling Water Heating Water Water- p of Water Heater Rated Input Rated Input Heating Heating Standby Exterior DHW Unit DHW Heating Heaters In Storage Fuel Type Type Value Efficlency Efficiency Loss (%) Insul. System System System ID System Type Heater Type System Volume Type Value R -Value Distribution Distribution or Name (gal) Type Type This field or This field or This field or Standard DHW Sys 1 DHW Small storage 1 40 Natural Gas Btu/Hr 40000 Energy Factor (EF) 0.63 section isnot section is not section is not distribution applicable applicable applicable system Registration Number: 217-P010201350B-000-001-802004A-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2018-02-07 11:12:52 Report Version: 2016.1.006 Schema Version: rev 4/7/2017 HERS Provider: CaICERTS Report Generated: 2018-02-07 10:48:30 (ft CERTIFICATE OF INSTALLATION CF2R-PLB-02-E -Single Dwelling Unit Hot Water System Distribution (Page 2 of 4) D. Installed Water Heater Manufacturer Information 01 02 03 Water Heating System ID or Name Manufacturer Model Number DHW Sys 1 BRADFORD -WHITE RG2S0T6X E. Mandatory Measures For All Domestic Hot Water Distribution Systems 01 Equipment shall meet the applicable requirements of the Appliance Efficiency Regulations (Section 110.3(b)1). 02 Unfired Storage Tanks are Insulated with an external R-12 or combination of R-16 internal and external Insulation. (Section 110.3(c)4). The following pipes are insulated, to the thicknesses required by Table 120.3A, except for those sections of pipe that are subject to one of the exceptions below: (RA4.4.1) • The first 5 feet (I.5 meters) of hot and mid water pipes from the storage tank. • All piping with a nominal diameter of 3/4 inch (19 millimeter) or larger. • All piping associated with a domestic hot water recirculation system regardless of the pipe diameter, except when cold water return is used in a demand system. 03 • Piping from the heating source to storage tank or between tanks. • Piping buried below grade.` • All hot water pipes from the heating source to the kitchen fixtures , k `-t R c�r The following sections of pipe do not have to be rnsu(ated�(RA4 4.1) s Piping installed in interior or exterior walls thatis surroundned-oall.sides by atle'ast'i.inchof.•insulation. i f d • • Piping installed in attics with a minimum of 4nches"(10 an) of,attic insulation on top ene s metal framing shall use grommets,PiPing that penetrates framing members sh allinotbere uired to—have i e insulation foror;the distanco f thf aming. penetration. Meta. piping s tha,P plugs, wrapping or other insulating material to assure that no contact is made with the metal framing. Insulation shall butt securely against all framing members. 04 Piping buried below grade must be installed in a water proof and non -crushable casing or sleeve that allows for installation, removal, and replacement of the enclosed pipe and Insulation. (Section 150.0())) 05 All elbows and tees shall be fully insulated. (RA4.4.1) 06 Where insulation is required, no piping shall be visible due to insulation voids, and all insulation shall fit tightly to the pipe. (RA4.4.1) For Gas or Propane Water Heaters: Ensure the following are installed (Section 1S0.0(n)) 1. A 120V electrical receptacle is within 3 feet from the water heater and accessible with no obstructions 07 2. A Category 111 or IV vent, or a Type B vent with straight pipe between outside and water heater 3. A condensate drain no more than 2 inches higher than the base on water heater for natural draining 4. A gas supply line with capacity of at least 200,000 Btu/Hr The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 217-P010201350B-000-001-B02004A-0000 Registration Date/Time: 2018-02-0711:12:52 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-07 10:48:30 Schema Version: rev 4/7/2017 -CERTIFICATE OF INSTALLATION CF2R-PLB-02-E Y Single Dwelling Unit Hot Water System Distribution (Page 3 of 4) F. Standard Distribution System Requirements (trunk and branch systems only) Systems that utilize this distribution type shall comply with these requirements 01 Verification of measures E01 through E07 shows compliance for standard distribution system ., The responsible person's signature on this compliance document affirms that all applicable requirements In this table have been met. G. Pipe Insulation Credit Requirements (for trunk and branch Hot Water system) This section does not apply to this project. H. Parallel Piping Requirements This section does not apply to this project. I. Point of Use Requirements This section does not apply to this project, t K. Demand Recirculation Manual Control Requirements r This section does not apply to this project. Registration Number: 217-PO102013SOB-000-001-BO2004A-0000 y4 Registration Date/Time: 2018-02-07 11:12:52 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Schema Version: rev 4/7/2017 HERS Provider: CaICERTS Report Generated: 2018-02-07 10:48:30 CERTIFICATE OF INSTALLATION ;, . CF2R-PLB-02-E Single Dwelling Unit Hot Water System Distribution (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: /mo / k Bill Webb elK Company: Signature Date :2018-02-07 11:12:51 Bill Webb Construction, Inc. Address: CEA/ HERS Certification Identification (if applicable): 121 Yellowstone Drive ' City/State/Zip: Phone: Chico CA 95973 530-891-3351 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 .w •. representative of the responsible person and attest to the declarations In this statement on the responsible person's behalf. = B r i t 3. The constructed or installed features, materials, components or manufactured devices (the install ation)_identifled on.this Certificate.of Installation.conforms to all applicable codes and regulations and the installation conforms to the requirements given on the Certificate of Compllance:plans, and specification's approved by the`enforcementagency' 4. 1 will ensure that a registered copy of this Certificate'of Imtallationshall be posted or madea'vailable with the building permit(s) issued for the building, and 'made available to the enforcement agency for all applicable inspections. I understand that a registered copy of.this Certificate of Installation is required to be included with thedocumentation the builder provides to the building owner at occupancy. �..� '.( '.sr �y �'- ':...+: -. 'Q �..,..� a (' � *{}. • . - Y • ' Responsible Builder/Installer Name: _ Responsible Builder/Installer Signature: Bill Webb Company Name: (installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Tide)_: Bill Webb Construction, Inc. OWNER Address: CSLB License: 121 Yellowstone Drive 0 City/State/Zip:Phone: Date Signed: 2018-02-07 11:12:52 Chico CA 95973 530-891-3351 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-P010201350B-000-001-B02004A-0000 Registration Date/Time: 2018-02-07 11:12:52 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-07 10:48:30 Schema Version: rev 4/7/2017