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BLD-2023-2653_CF1RRegistration Number: 423-A020212777A-000-000-0000000-0000 Registration Date/Time: 2023-11-27   08:43:02 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-27   08:43:16 ALTERATIONS TO SPACE CONDITIONING SYSTEMS (FORMERLY CF-1R-ALT-HVAC) CF1R-ALT-02-E (Page 1 of 3) CERTIFICATE OF COMPLIANCE Project Name: 2063082 Enforcement Agency: Cupertino, City of Dwelling Address: 10534 Cypress Drive Permit Number: City and Zip Code Cupertino, 95014 Permit Application Date: 2023-11-27 A. General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. 01 Project Name 2063082 02 Date Prepared 2023-11-27 03 Project Location 10534 Cypress Drive 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name JOHN FREY 07 Zip Code 95014 08 Dwelling Unit Conditioned Floor Area (ft2)2458 09 Climate Zone 4 10 Number of Space Conditioning (SC) Systems in this Dwelling Unit: 1 B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 SC System ID or Name SC System Location or Area Served CFA served by this SC System (ft2) Is the SC system a ducted system? Installing a refrigerant containing component? Installing new SC system components? Installing more than 25 feet of ducts? Installing entirely new duct system? Installing entirely new SC system?Alteration Type System 1 Location 1 2458 Yes No Yes No No No Altered space conditioning system NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. ALTERATIONS TO SPACE CONDITIONING SYSTEMS (FORMERLY CF-1R-ALT-HVAC)CF1R-ALT-02-E (Page 2 of 3) Registration Number: 423-A020212777A-000-000-0000000-0000 Registration Date/Time: 2023-11-27   08:43:02 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-27   08:43:16 C. Extension of Existing Duct System, Greater Than 25 Feet (Section150.2(b)1Diib) This section does not apply to this project. D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 08 09 010 11 12 13 14 System ID/ Name SC System Description of Area Served Heating System Type Altered Heating Component s Heating Efficiency Type Heating Minimum Efficiency Value Cooling System Type Altered Cooling Component s Cooling Efficiency Type Cooling Minimum Efficiency Value SEER/SEER2 Cooling Minimum Efficiency Value EER/EER2/C EER Required Thermostat Type New or Replaced Duct Length New Duct R-Value System 1 Location 1 Central gas furnace All new heating components AFUE 0.8 Central split AC No Cooling Component Altered n/a n/a n/a Setback N/A - no ducts replaced. n/a Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply-air and return-air ducts or plenums: R6 (CZ 3, 5-7) and R8 (CZ 1, 2, 4, 8-16) CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 25 ft of duct length is replaced -Leakage rate compliance: less than or equal to 10% or less than or equal to 7% leakage to outside, or seal all accessible leaks. CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2R and CF3R-MCH-23 Airflow Rate greater than or equal to 300 CFM per ton required when MCH-25 is required. Exceptions: - Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements. - Heating-only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. ALTERATIONS TO SPACE CONDITIONING SYSTEMS (FORMERLY CF-1R-ALT-HVAC)CF1R-ALT-02-E (Page 3 of 3) Registration Number: 423-A020212777A-000-000-0000000-0000 Registration Date/Time: 2023-11-27   08:43:02 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000 Schema Version: rev 20220101 Report Generated: 2023-11-27   08:43:16 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Toni Shamsiddeen Documentation Author Signature: Company: iPermit Signature Date: 2023-11-27 Address: 31225 La Baya Drive CEA/ HERS Certification Identification (if applicable): City/State/Zip: Westlake Village CA 91362 Phone: 818-735-7876 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 Compliance is true and correct. 2.I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3.The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4.The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5.I understand that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections, and I will take the necessary steps to accomplish this requirement. 6.I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy, and I will take the necessary steps to accomplish these requirements. Responsible Designer Name: Lyndy Rose Responsible Designer Signature: Company : On-Time Air Conditioning & Heating Inc dba Service Champions Date Signed: 2023-11-27 Address: 7020 Commerce Drive License: 817040 City/State/Zip: Pleasanton CA 94588 Phone: 925-444-4444 NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this document. Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). 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.