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14070142I CITY OF CUPERTINO BUILDING PERMIT I 1 BUILDING ADDRESS: 1159 SCOTLAND DR I CONTRA CAL : C LIFORNIA DELTA I PERMIT NO: 14070142 OWNER'S NAME: JINGHUI WANG OWNER'S PHONE: 4083078820 ❑ LICENSED CONTRACTOR'S D /ECLlAR /ATION License Class C - 2 i% Lie. # Contractor,4 � /�2C�Cr�c•t('[i /Date %' l %r� I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self - insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additions , the applicant understands and will comply with all non -point source r ions per the Cupertino Municipal Code, Section 9 18. Signature 7> r/y C I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self - insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9 18. Date 6056 E BASELINE RD STE 155 1 DATE ISSUED: 07/31/2014 MESA, AZ 85206 1 PHONE NO: (866) 692 -5273 JOB DESCRIPTION: RESIDENTIAL [-] COMMERCIAL E] REMOVE AND REPLACE FURNACE /AC AND RELOCATE THE CONDENSER UNIT. Sq. Ft Floor Area: I Valuation: $6853 APN Number: 36229020 00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: �Cf%/� % /4I Gf% Date: %' 3/ - /`� RE- ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertin unicipal Code, Chapter 9.12 and the Health & Safety Code, Sections 2 533, and 25534 Owner or authorized a Date: 1>__; CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed eUI?;`�� CRCt3 GENERAL PERMIT APPLICATION COMMUNITY DEVELOPhliENT DEPAR T IJENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014 -3255 (408) 777-32: S • FAX (403) 777 -3333 - bulldinana cuDeTtino.ora 17 PT T W nTir� �A! tCtLAI \�C_4L f7 ELECTRICAL ❑ h9, SCET T_A]� OUS PROMCT ADDRESS / STRB- TAJDRF$ J C '? FAX CONTACT NAIICP PHONE STR?I . CITY, STA i ZIP --p- I = A-Y 13 OR,m '❑ o-w-p- ma 2i-aT_-n.n -m El OJ AGENT ❑ C01MMUCTIOR ❑COh-17-1=0?,AC=TT ❑ A =-,CL ❑ ?. ❑ r)-\ e ❑Tai? CGISiPACTOR!RI✓ Li '^ DER /C c+ LICSET iE BUS.LICI co IJDf �\'Y 2\ G e) F k.X Zip �I t �Ci T/�'G11 ` P 1h A 1J� I LICrTTSE IdLT�ER I BUS. LIC r COIJDF?\rY TTAI� I F IJLA II. I FAX STR -Zz7 ADDRESS I CITY, STAi F, ZIP I PHO? USE or ❑ .sm or DTJPLEX man -FAmLy I PROMEa W. W3LDLANM ❑ YFS BUMDNG: ❑ cONv✓F_P cLAL 'UMBAN JTT?tFACE AREA NO I PROJECT N L7 YES FLOOD zol-M ❑ NO I IS Tri BLDG kV ❑ 1 S EIC-=- 801. -'? ❑ NO DESCRIP -MIN Of' IWORK TOTAL VATU1uI0W: By ny signatt-re below, I ce alj? to each of t1he Iollo "' .1g: I LM u,e Property owner or authorized an-lit to act on the grope, o,,�mef s behalf. I have read this a.Dpllcnion and the infonration I have provided i . ect I have read thie Description of Work- and verify it is aeczate. I zpree to comply v,�ith all MO liccble local Ordinances and mie lad's relatL'1g to buildl o mic om I authorize- represental ves Of Cupe;,Ino to enter i0e above- Idtntlfied orD7e }, for inspBction p oses. S ia� re of Applicant : _gear; Date: 7- -� SU R� OP-MLkTION REQU- t D cOx�33tC s �_ `°' FI�_ BONN =s ?�,�—EPn sa pp 2011.doc revised 06 121111 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION APPLIANCE / EQUIP TYPE ADDRESS: 1159 Scotland Dr DATE: 07/31/2014 REVIEWED BY: Sean UNITS APN: BP #: *VALUATION: 1$6,853 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: SFD or Duplex # PENTAMATION PERMIT TYPE: FURN /A WORK Remove and replace Furnace /A/C and relocate the condenser unit. SCOPE Sttpp/' 17:'sp 1`t'c' APPLIANCE / EQUIP TYPE FEE ID Phunh. Plan Cl`jeck QTY UNITS BP FEES Ile( f'erin;r Furnace, Forced -Air 1MFR = <100 0/11?e 1 # $143 1'eaa� tit 1' "�; Sttpp/' 17:'sp 1`t'c' PME Unit Fee: $143.00 PME Permit Fee: $48.00 : CCi7?,Ttrnction Tax: Administrative Fee: 1ADMIN $45.00 Work Without Permit? ® Yes 0 No $0.00 TOTALS: Travel Documentation Fee: ITRAVDOC $143.00 Strong Motion Fee: IBSEISMICR NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc-). These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11 -053 E . 711113) Mech. Plan Check T 77hrs $0.00 Phunh. Plan Cl`jeck E:Iec. Pwn C heci, Mech. Permit Fee: IMPERMIT Plumb. Ile( f'erin;r Other Mech. Insp. L.0 hrs $48.00 C1tho- Plumb /ns'a 0/11?e Wc"'i1 /) z.i �. 1, CC T'lunlb. huz2 Fee., l;iec'. Jt js, NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc-). These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11 -053 E . 711113) FEE QTY/FEE MISC ITEMS Plan C hcc:k Ftit': PME Plan Check: $0.00 1'eaa� tit 1' "�; Sttpp/' 17:'sp 1`t'c' PME Unit Fee: $143.00 PME Permit Fee: $48.00 : CCi7?,Ttrnction Tax: Administrative Fee: 1ADMIN $45.00 Work Without Permit? ® Yes 0 No $0.00 .�iLIL'CdtZC't,'Lt I "iitYlFP71 ?kr t`C',{?S:: Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICR $0.89 Select an Administrative Item 131da Stds Commission Fee: IBCBSC $1.00 _ $285.89 $0.00 ,' TOTAL FEE: $285.89 Revised: 07/10/2014 85I21/2814 11:59 408517402 Ctwg� -�Wt� c � , PF40 DESK 6635 cov CeO FVT- co PAGE 06/86 ,STATE OF CALIFORNIA ALTERATIONS - HVAC CEC -CF1R- ALT -03 -E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R- ALT -03 -E Alterations - HVAC CZ 1, 3 to 7 and 16 (formerly CF -1R- ALT -HVAC) (Page 1 of 1) Site Address: Enforcement Agency: Date Prepared: Permit #: ! /s9 scoff � � • 3l- Equipment Type Equipment Efficiency New: Ducting, Plenums, Lineset Conditioned Thermostat Required R -value Floor Area (sq ft) *Packaged System ❑ Evaporator Coil AFUE COP g] R -6 (CZ 1,3 -7) Ducts Served by system Setback El Split System ❑Condensing Unit SEER 13 R -8' (CZ 16) Ducts //DO sq ft (if not already HSPF ❑ R -6 (all CZ's) Plenums ` present, must ❑ Furnace ❑ Lineset EER ❑ R -5 or R7.5 Lineset' be installed) HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. HVAC Changeout /Repair Required Compliance Documents to be left on site for Final: a include new ducting All Equipment, CF1R- ALT -02 -E Condenser Unit, Evaporator Coil, CF2R: MECH -01, MECH -20 -HERS Air Handler /Furnace CF3R: MECH -20 -HERS Installer Requirement: Duct leakage I<15% or, < 10% to outside, or seal all accessible leaks) Exempted from duct leakage testing if: ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building 112. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF1R- ALT -02 -E CF2R- MECH -01, MECH -20 -HERS, MECH -22 -HERS, MECH -(23 or 24) -HERS CF3R- MECH -20 -HERS, MECH -22 -HERS, MECH -(23 or 24) -HERS' Installer Requirement: Duct leakage < 6 %, Fan Efficacy (.58W /CFM), Air Flow_ 350 CFM /ton (or Standards Table 150.0 -C / D alternative) ❑ 3. All New Ducts with Replacement Required Compliance Documents to be left on site for Final: Includes replacing or installing All New CF1R- ALT -02 -E Ducts' and one or more of the following: CF2R- MECH -01, MECH -20 -HERS, MECH -(23 or 24) -HERS Condenser Unit, Evaporator Coil, Furnace CF3R- MECH -20 -HERS, MECH -(23 or 24) -HERS Installer Requirement: Duct leakage < 6 %, Air Flow >_ 350 CFM /ton (or Standards Table 150.0 -C / D alternative) ❑ Exempted from duct leakage testing I existing duct systems are constructed, insulated or sealed with asbestos. ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: Adding or replacing ducts in unconditioned CF1R- ALT -02 -E space but less than All New Ducts' CF2R: MECH -20 -HERS CF3R: MECH -20 -HERS Installer Required to: Duct leakage (:<_15% or, < 10% to outside, or seal all accessible leaks) ❑ Exempted from duct leakage testing I existing duct systems are constructed, insulated or sealed with asbestos. ' All new ducting R -8 required when more than 40 ft installed and R -6 when less than 40 ft installed. This includes in walls, between floors etc. ' A New Duct system is when the duct system is constructed of at least 75 percent new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, plenums, duct material. 3 R -5 (1" thick insulation) for linesets 1" and less. R -7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5- 2T -2% ", 2.5- 3T -2% ", 3.5 to 4T -2%e ", 5T -4%" Contractor (Documentation Author's /Responsible Designer'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. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR). 4. That 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 CCR. 5. 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. Responsible Designer Name: Responsible Designer Signature: Date Signed: License: Company: Address: City /State/Zip: Phone: 44-/47 ��i+ a liKl o 5c a For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1- 800 - 772 -3300 CERTIFICATE OF COMPLIANCE CF111-ALT 02 -E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 4 ) Project Name: 1159 Scotland Dr (2) Date Prepared: 2014 -07 -25 A. General Information CFIR -ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CFIR -ALT 02 document for each dwelling unit.: 01 Project Name: 1159 Scotland Dr (2) 02 Date Prepared: 201407 -25 03 Project Location: 1159 Scotland Dr 04 Building Type: Single family 05 CA City: Cupertino 06 Dwelling Unit Name: 1159 Scotland Dr (2) 07 Zip Code: 95014 08 Dwelling unit Conditioned 1100 components? duct system Floor Area (ft2): Number of space conditioning 09 Climate Zone: 3 10 (SC) systems being altered in 1 condensing unit, installing this dwelling unit.: system's B.5 Space Conditionin g ( SC ) S stem l` forma #ian s<. 01 0Z 03 0 7 " <: :, ,0B . 09 10 `Instaliin` new;.,;, r.:.:,:: '?` : `Is'the entire components? duct system (packaged unit, or accessible Are all of the condensing unit, installing for sealing, system's Is the altered Altering or or more than 40 and is more components or installed installing a cooling /heating linear feet of than 75% of and ducts new SC System SC System CFA served system a refrigerant coil, or new or the duct or replaced? Identification or Location or Area by this SC ducted containing air - handling unit, replacement system new (entirely new Name Served System (ft2) system? component? etc) ducts? or replaced? system) Alteration Type A/C Condenser, Coil and Furnace Whole home 1100 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Dl1b) This section does not apply to this project. Registration Number: 214- A0062788A- 000000000 -0000 Registration Date/Time: 2014 -07- 2516:09:23 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014 -03 -31 Report Generated: 2014 -07 -25 16:10:16 CERTIFICATE OF COMPLIANCE CFIR -ALT 02 -E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 2 of 4) D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 0S 06 07 08 09 10 11 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or Identification system Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency 'Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value 'type Duct Length R -Value A/C Condenser, Coil and Central s furnace All new .heating AFUE 0.78 Central split All new cooling SEER 13 Setback This field or section is not R -6 Furnace components p components applicable Require 11mumentation; CF2R- MCH -01 -E -Space Conditioning Systems Ducts and Fans -Duct Insulation requirement for new plenums:.R6. CF2R- MCH -20-H & COR- MCH -20 -11 — Duct leakage testing required when heating or cooling components are Installed in ducted systems, or when more than 40 It of duct length Is replaced. - Leakage rate compliance: 515%, or 510.6 leakage to outside, or seal all accessible leaks. MR- MCH -25 -H & CF3R- MCH -25 -H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2RCF3R- MCH -23 & CF3R- MCH -23 Air Flow Z 300 CFM /ton.requlred when MCH -25 Is required. Exceptions: -Duct systems registered with HERS rovid iousf sealed are.exem from iVlCli -20 Duct Leak`' a Teskin .te" uire erits. -Heating-only systems and Air Handler /Furnace , angel do not requte'verifica ( on`of Air Fiow MGH =2 "or Refri erant:GFia" a MECH`,5. - Existing duct systems constructed, insulated ors';, sled with astiestas:are eremptlfrom MCH.. -20 Duct Leakage Testing regulremen ;S.1...-'1'..X..:.. ' E. Entirely New or Complete Replacement Duct System; with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F) This section does not apply to this project. Registration Number: 214- A0062788A- 000000000 -0000 Registration Date/Time: 2014 -07- 2516:09:23 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014 -03 -31 Report Generated: 2014 -07 -25 16:10:16 CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 3 of 4 F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)IC) This section does not apply to this project. I Registration Number, 214-A0062788A-000000000-00()0 Registration Date/Time: 2014-07-2516:09:23 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-25 16:10:16 2, I Registration Number, 214-A0062788A-000000000-00()0 Registration Date/Time: 2014-07-2516:09:23 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-25 16:10:16 CERTIFICATE OF COMPLIANCE CF1R -ALT 02 -E Alterations to Space Conditioning Systems (formerly CF -IR- ALT -HVAC) (Page 4 of 4 ) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Frederick, Documentation Author Signature: Alanna eEG�%i/na,2E (x�'/t1.C'Jy� Company: Signature Date: CALIFORNIA DELTA MECHANICAL INC 2014 -07 -25 16:09:23 Address: CEA/ HERS Certification Identification (if applicable): 1235 GRAND AVE City /State/Zlp: Phone: SPRING VALLEY CA 91977 (480) 898 -0007 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. 1 am eligible under Division 3 of the Business. and Professions Code to accept responsibility,for the building, design or,sys T..deslgn Identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, com=ponents; and manufactured devicesfor the building desigh'or system design Identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and , rt 6 of the California: Code of Regulations. t.,.. 4 The building design features or to " e i e g g ys .. „d s gn f atures Ictertiflel o'irthis Certificate oE:`Gbm'liance are��drisisterit with.ttie informat bri. "rovided o �;, p i p..., n other applicable compliance documents, worksheets, .:.:.... .. .. . <n,....,.,,,,_. ,., : calculations, plans and speciflcatlon's submitted to:the enforcement agency far apprijva( wRh this build[ng:permitepplication. t'i :::... :... ....... �hi z:.,. . ae S. I will ensure that a re inter d co a '” om =lance sFa 1. " •'' e s Certificate''of C "` "' " g PY ,.. .. i? be rniide ariail.'able,with;tfie liuitdirig permit(s); issued for the.but(ding! and m�Idetdvaitable to the enforcement agency far all applicable ,..... „. •....,,.,1 Inspections. l understand that a registered copy of this Certificate of Compliance is required to be included with the dacumentatioi the builder provides to the building owner at occupancy. Responsible Designer Name: Frederick, Alanna Responsible Designer Signature: nG� �( Company: Date Signed: CALIFORNIA DELTA MECHANICAL INC 2014 -07- 2516:09 :23 Address: License: 1235 GRAND AVE 811114 City /State /Zip: Phone: SPRING VALLEY CA 91977 (480) 898 -0007 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 214- A0062788A- 000000000 -0000 Registration Date/Time: 2014 -07- 2516:09:23 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014 -03 -31 Report Generated: 2014 -07 -25 16:10:16 CERTIFICATE OF COMPLIANCE CF111-ALT 02 -E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page I of 4 ) Project Name: 1159 Scotland Dr (2) Date Prepared: 2014 -07 -25 A. General Information CFIR -ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one C12111-ALT-02 document for each dwelling unit.: 01 Project Name: 1159 Scotland Dr (2) 02 Date Prepared: 2014.07 -25 03 Project Location: 1159 Scotland Dr 04 Building Type: Single family 05 CA City: Cupertino 06 Dwelling Unit Name: 1159 Scotland Dr (2) 07 Zip Code: 95014 08 Dwelling Unit Conditioned 1100 vrtw: �nst Ii a g e `i s file eitir e Floor Area (ft2) : Number of space conditioning 09 Climate Zone: 3 10 (SC) systems being altered in 1 (packaged unit, or this dwelling unit.: Are all of the B. Space Conditioning SC S stem.lnormatidn _«< 01 .- 02 r` 09 10 iF• .�: •.. {::: ::fie vrtw: �nst Ii a g e `i s file eitir e components? duct system (packaged unit, or accessible Are all of the condensing unit, Installing for sealing, system's Is the altered Altering or or more than 40 and is more components or installed installing a cooling /heating linear feet of than 75% of and ducts new SC System SC System CFA served system a refrigerant coil, or new or the duct or replaced? Identification or Location or Area by this SC ducted containing air - handling unit, replacement system new (entirely new Name Served System (ft2) system? component? etc) ducts? or replaced? system) Alteration Type A/C Condenser, Coil and Furnace Whole Home 1100 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Diib) This section does not apply to this project. Registration Number: 214- A0062788A- 000000000 -0000 Registration Date/Time: 2014 -07- 2516:08:23 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014 -03 -31 Report Generated: 2014 -07 -25 16:10:16 CERTIFICATE OF COMPLIANCE CFIR -ALT 02 -E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 2 of 4 ) D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 08 09 10 11 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R -Value A/C Condenser, Coll and Central as g f furnace All new heating AFUE 0,78 Central split All new cooling SEER 13 Setback This field or section is not R -6 Furnace components AC components applicable Repuired Documen$gtion: CF211- MCH -01 -E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CFZR- MCH -20-H & CF3R- MCH -20 -H -- Dud Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced. - Leakage rate compliance: 115%, or 510% leakage to outside, or seat all accessible leaks. CF2R- MCH -25 -H & CF3R- MCH -25 -H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8 -15). CF2RCF3R- MCH -23 & CF3R- MCH -Z3 Air Flow _> 300 CF.M /ton required when MCH -25 issequired. • .:;,: - . ,, Exceptions: •.: ,:,'.•. "; '`-�K, :. -Duct systems registered with HERS provider as 15 �vtpusl sealed are exem 0r6th MCH -2q Duct Leai�a' e.Testin irk' iiiref:iR„ Y Q, B . g,....q, Yh nts. - Heating -only systems and Air Handler /Furnace - ianges do not requlreverificati6n of Air Flow MC H4 or Refrige ant:Ghai MECH =zS. Existing duct systems constructed, insulated ors,:e.�aled with, asbestos are exempt:from MCH. -20 Dtfi t Leaka a Tdstin "re uiremenfs B g ,. 9 ,. 5. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1D11a and 150.2(b)1E, F) This section does not apply to this project. Registration Number: 214- A0062788A- 000000000 -0000 Registration Date/Time: 2014 -07 -25 16:09:23 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014 -03 -31 Report Generated: 2014 -07 -25 16:10:16 CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 3 of 4 F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)IC) This section does not apply to this project. Registration Number, 214-A0062788A-000000000-0000 0 Registration Date/Time: 2014 -07- 2516:09:23 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-25 16:10:16 CERTIFICATE OF COMPLIANCE CFIR -ALT 02 -E Alterations to Space Conditioning Systems (formerly CF- IR- ALTHVAC) (Page 4 of 4 ) Documentation Author's Declaration Statement 3. i certify that this Certificate of Compliance documentation is accurate and complete, Documentation Author Name: Frederick, Alanna Documentation Author Signature: /��,� e�l'�'a�li/iaeL V' 2 E�C�� %U[ /1i Company: Signature Date: CALIFORNIA DELTA MECHANICAL INC 2014 -07- 2516:09:23 Address: CEA/ HERS Certification Identification (if applicable): 1235 GRAND AVE City /State /Zip: Phone: SPRING VALLEY CA 91977 (480) 898 -0007 Responsible Person's Declaration statement 1 certify the following under penalty of perjury, under the laws of the State of California: I. The Information provided on this Certificate of compliance is true and correct. 2. 1 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. That the energy features and performance specifications, mater(als, coi iponents' and manufactured &Ices fcir the buildhig design or system design Identified on this Certificate of Com ilance conform to the requirements of Title 24, Part 1 and,Part6 of the Califomia.,Codeof Regulations. • `'-` ,�<:�� ? • s�; "<' 4. The building design features or system design features =identified'on Ellis Certificate of'6' �iiance are cdnslsterit withAb'd informatics -.0 d`b h it,ptovide not other applicable compliance documents, worksheets, rt calculations, plans and specificationvsubmitted . to;the enfr?rcenment ?agency for approVafwith this buildind"eirmit application...:; S. I will ensure that a registered copy ofthis Certifirate:rof:Compiiance shali:be.made available;Witfi ttie`building`jiermit(s) ?issued for;the,bulitlltigrcand'in�l`d e`avallable to the enforcement agency for all applicable g Y pp inspections. I understand that a registered copy of tills certificefeo' -f Compliance is'required to be included with the documentation the Wilder provides to the buillddiin'g� owner at occupancy. Responsible Designer Name: Frederick, Alanna Responsible Designer Signature: rj�( Company: Date Signed: CALIFORNIA DELTA MECHANICAL INC 2014 -07 -25 16:09:23 Address: License: 1235 GRAND AVE 811114 City /State /Zip: Phone: SPRING VALLEY CA 91977 (480) 898 -0007 Digitally signed by C210ERTS. 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: 214- A0062788A- 000000000 -0000 Registration Date rime: 2014 -07- 2516:09:23 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014 -03 -31 Report Generated: 2014 -07 -25 16:10:16 CERTIFICATE OF VERIFICATION CF3R- MCH -20 -H Duct leakage Diagnostic Test (Page 1 of 3 ) Project Name: 1159 Scotland Dr (2) Enforcement Agency: Cupertino City of Permit Number: 14070142 Dwelling Address: 1159 Scotland Dr City: Cupertino Zip Code: 95014 A. System Information 01 Space Conditioning System Identification or Name A/C Condenser, Coil and Furnace 02 Space Conditioning System Location or Area Served Whole Home 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 Credit from CF1R? No, credit is not taken 06 Duct System Comp lilan%category ,s Alteration, 1 MCH -20d - Complete Replacp Duct Systetri; f B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 3 02 Heating Capacity (kBtu /h) 70 03 Conditioned Floor Area served by this HVAC system (ft2) 1100 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.15 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Heating system method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage Rate (cfm) 228 10 Actual duct leakage rate from leakage test measurement (cfm) 180 11 Compliance Statement: System passes leakage test 12 Notes: Registration Number: 214- A0062788A- M2000001A -M20A Registration Date/Time: 2014 -11 -18 22:05:44 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014 -05 -08 Report Generated: 2014 -11 -18 22:05:21 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF VERIFICATION CF3R- MCH -20 -H Duct Leakage Diagnostic Test (Page 2 of 3 ) C. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed /taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet 02 ASH RAE Standard 62.2, and close when OA ventilation is not required, may be configured 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 "airr`handler and the supply and return plenums are completely sealed. If the system compliesusing the Smoke Test method, the smoke test was conducted in accordance with the requirements 07 of Reference Residential Appendix R/- 3.1.4.3.6. Systems that comply using smoke test shall not be included in sample groups for HERS ,y n compl, We ;. . 08 Verification Status. Pass icabis%equiremeits are met 04 Correction Notes; The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the V fication .Status and the Corrections Notes in this table. D. Determination of HERS 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 1 Complies: All specified verification protocol requirements on this document are met. I Registration Number: 214- A0062788A- M2000001A -M20A Registration Date/Time: 2014 -11 -18 22:05:44 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014 -05 -08 Report Generated: 2014 -11 -18 22:05:21 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF VERIFICATION CF3R- 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: Matthew Documentation Author Signature: �� iZz�i:�%r%l� Fincher Company: Date Signed: Mike Sumner 2014 -11 -18 22:05:44 Address: CEA/ HERS Certification Identification (if applicable): 15360 Chateau Montelena 16499 City /State/Zip: Phone: Bakersfield CA 93314 661- 978 -8089 Responsible Person's Declaration statement I certify the following under penalty of perjury , underthe laws of the State of California: 1. The information provided on this Certfi6atd.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 RA21 RA3, and the requirements specified on the ' C� Complian rttleaI eenfdrcemafttagency 4. The information reported R'appli ble ofthe Ceft)40 of installAl rtr(G R)- signed and submitted by the person(s) responsible for the construction' or installation co 3' a Irements spegdonthe Cett7fipte(s) of Compliance (CF1Rjapproved by the enforcement agency. S. I will ensure that a register �" ' bate of Venfi�ob shalt be hosted, or made available wit the'building#3ermit(s) issued for the building, and Made as m gen�ifQr'; aliclettior►S� t understaand thata registered caiy of this Certificate of Verification is relh�i, ti3 G bmeat�ori ebuilderprtliiides tb�tfie'buildirig ownerafoccupancy: "., Builder Or Installer InfdAffiiaton As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Cpntr2ctor, or Builder /Owner): CALIFORNIA DELTA MECHANICAL INC Responsible Builder or Installer Name: _7 CSLB License: Alanna Frederick 811114 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: Mike Sumner Responsible Rater Name: Matthew Fincher Responsible Rater Signature: �� i�1�iC�L%1�P�1/ Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2006285 2014 -11 -18 22:05:44 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: 214- A0062788A- M2000001A -M20A Registration Date/Time: 2014 -11 -18 22:05:44 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014 -05 -08 Report Generated: 2014 -11 -18 22:05:21 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF INSTALLATION CF2R- MCH -20 -H Duct Leakage Diagnostic Test (Page 1 of 3 ) Project Name: 1159 Scotland Dr (2) Enforcement Agency: Cupertino City of Permit Number: 14070142 Dwelling Address: 1159 Scotland Dr City: Cupertino Zip Code: 95014 A. System Information 01 Space Conditioning System Identification or Name A/C Condenser, Coil and Furnace 02 Space Conditioning System Location or Area Served Whole Home 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 Comjjan�Category €; Alteration MCH -20d - Complete Replac it Duct } B. Duct Leakage Dia noc Te g g st 01 Condenser Nominal Cooling Capaaty .(ton) 3 02 Heating Capacity (kBtu /h) 70 03 Conditioned Floor Area served by this HVAC system (ft2) 1100 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.15 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Heating system method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage (cfm) 228 10 Actual duct leakage rate from leakage test measurement (cfm) 180 11 Compliance Statement: System passes leakage test Registration Number: 214- AO062788A- M2000001A -0000 Registration Date/Time: 2014 -11 -19 08:37:51 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014 -OS -08 Report Generated: 2014 -11 -18 22:04:38 2013 Residential Compliance Schema Version: 0.51SDD 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) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed /taped off during duct leakage 02 testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured 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. OS If cloth backed tape was used it was covered with Mastic and draw bands. 06 All connection points between the alr,!handler and the supply and return plenums are completely sealed. If the system complies.using the Smoke.Test method, the smoke test was conducted in accordance with the requirements 07 of Reference Residential Appendix RA3:;1.4.3.6. Systems that comply using smoke test shall not be included in sample groups for HERS ,v oD compy e - t The responsible persdns signatuir � fiance dock affirm #hat all applicable requirements in this table have been met. , 10, i '. � � Registration Number: 214- AO062788A- M2000001A -0000 Registration Date/Time: 2014 -11 -19 08:37:51 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014 -OS -08 Report Generated: 2014 -11 -18 22:04:38 2013 Residential Compliance Schema Version: 0.51SDD CERTIFICATE OF INSTALLATION CF2R- MCH -20-H Duct Leakage Diagnostic Test (Page 3 of 3 ) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Matthew Fincher Company: signature Date: 2014 -11 -18 22:04:33 Mike Sumner Address: CEA/ HERS Certification Identification (if applicable): 15360 Chateau Montelena City /State /Zip: Phone: Bakersfield CA 93314 1661-978-8089 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 Certifid e. of Installation is true and correct. 2. 1 am eligible under Division 3 of the Busilif s 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 attestto the declarations in this statement (responsible builder /installer), otherwise i am an authorized representative of the responsible builder /installer. 3. The constructed .9 n features, ma gals 9PTm efts o nufasturedil"ices (the4ristallation) identified on this Certificate of Installation conforms to all a plrcable es and reg +or and the .Malli� ton cohformsto tMe requiremeitts:given an the plans and specifications approved by the enforcement agency. 4. I understand that a HERS rat :11v,ilation to v�tomRlianc�, end tltat if such checking identifies defects; I am required to take corrective actfdn at my c s' at:Ener y C�rssic and l R5 Prov)der{epr +sentatwes will alsa.per srm quality assurance checking of installations, Ih� (RI� f nottsFleskedt f E:iSxdter; and if thQSe instal(ations Nil to meet the requirements of sub} gtrdlit i ssurahce n fe Gil caYreetive actioh`and additional checking /testing of other installations in that HERS sample group will be performed at my expense. S. I reviewed a copy of�th Certificate of CApliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified orr, this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 6. 1 will ensure that a registered copy of thfs'Certificate 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. 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. Responsible Builder /Installer Name: Responsible Builder /Installer Signature: Alanna Frederick Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder /Owner) Office staff CALIFORNIA DELTA MECHANICAL INC Address: CSLB License: 1235 GRAND AVE 811114 City /State /Zip: Phone: Date Signed: SPRING VALLEY CA 91977 (480) 898 -0007 2014 -11 -19 08:37:51 Third Party Quality Control Program ( TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 214- A0062788A- M2000001A -0000 Registration Date/Time: 2014 -11 -19 08:37:51 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014 -05 -08 Report Generated: 2014 -11 -18 22:04:38 2013 Residential Compliance Schema Version: 0.51SDD CF2R- MCH -01 -E CERTIFICATE OF INSTALLATION (Page 1 of 7 ) Space Conditioning Systems, Ducts, and Fans Project Name: 1159 Scotland Dr (2) Enforcement Agency: City of Cupertino Permit Number: 14070142 Dwelling Address: 1159 Scotland Dr City: Cupertino Zip Code: 95014 A. General Information 01 Dwelling Unit Name 1159 Scotland Dr (2) 02 Climate Zone 3 Number of space conditioning (SC) Dwelling Unit Conditioned Floor Area 1100 04 systems being altered in this dwelling 1 03 (ft2) unit. 05 Certificate of Compliance Type Prescriptive alterations (CF1R -ALT) 06 Method used to calculate HVAC loads NotApplicableEquipmentChangeout Calculated dwelling unit Sensible 08 Calculated Dwelling Unit Heating Load 07 Cooling load (Btuh) (Btuh) w'i.. v_ H avv h 3 V M S 4 MCH-01b Prescriptive Alterations trace Conc��ti>I S► "Stems Duch t(fans B. Space Conditioning (SC) System 01 02 05 1 06 08 10 Registration Number: 214- A0062788A- M0100001A -0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date /Time: 2014 -11 -19 08:37:51 Report Version:: 2014 -05 -13 Schema Version: 0.551SDD HERS Provider: CaICERTS,, , Report Generated: 2014 -11 -18 22:03:45 K4. Are al of the system's components and ducts SC System SC System CFA served by this SC Is the SC system a Installing a refrigerant Installing new SC Installing more Installing entirely new or replaced? Identification or Location or Area System ducted containing system than 40 feet of ducts? new duct system? (entirely new system) Alteration Type Name Served (112) system? component? components? Altered space A/C Condenser, Whole Home 1100 Yes Yes 'Yes No No No conditioning systerrr Coil and Furnace Registration Number: 214- A0062788A- M0100001A -0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date /Time: 2014 -11 -19 08:37:51 Report Version:: 2014 -05 -13 Schema Version: 0.551SDD HERS Provider: CaICERTS,, , Report Generated: 2014 -11 -18 22:03:45 CF2R- MCH -01 -E CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans (Page 2 of 7 ) C. Space Conditioning (SC) System Alterations Compliance information O1 02 03 04 05 06 07 08 09 10 11 12 e , ilmier -fuinber Output (BTUH) Name Heating Cooling New or New Rheem RGPS07Namer System 70000 Altered Heating Minimum Altered Cooling Minimum Required Replaced Duct R- Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Duct Length Value or Name System Type Component Type Value System Type Component Type Value Type This field or A/C Condenser, Central gas All new 0.78 Central split All new cooling SEER 13 Setback N/A - no ducts section is not Coil and heating components AFUE AC components P laced replaced applica Furnace ble D. Installed Heating Equipment inforation 03 ' ' 0 06 07 03 System Identification or 02 1 �` � �'� �< Hing Effk�e itHe ng� tg Unit serial ' Rated Heating Capacity, y 10* �cincjr'£"� iaue� faciciMo 4r; e , ilmier -fuinber Output (BTUH) Name Heating A/C Condenser, Coil and AFU' 0 78 Rheem RGPS07Namer F511301882 70000 Furnace Notes: Registration Number: 214- A0062788A- M0100001A -0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2014 -11 -19 08:37:51 Report Version: 2014 -05 -13 Schema Version: 0.551SDD HERS Provider: CaIGERT Report Generated: 2014 -11 -18 22 :03AS CERTIFICATE OF INSTALLATION CF2R- MCH -01 -E Space Conditioning Systems, Ducts, and Fans (Page 3 of 7 ) E. Installed Cooling Equipment information: 01 02 03 04 05 06 07 08 Condenser or Package Unit Condenser or Condenser or Condenser or System Rated Cooling Condenser Rated System Identification Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit Capacity at Design Nominal Capacity or Name Type Value Manufacturer Model Number Serial Number Conditions (BTUH) (ton) A/C Condenser, Coil SEER 13 Rheem 13ajn36a01 W231428826 36000 3 and Furnace Notes: F. Extension of Existing Duct System, Greater Than 40 Feet G. Installed Duct System IThis section does not apply to this project. I H. Installed Air Filter Device Information This section does not apply to this project. 1. Air Filter Device Requirements This section does not apply to this project. Registration Number: 214- A0062788A- M0100001A -0000 Registration Date/Time: 2014 -11 -19 08:37:51 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014 -05 -13 Report Generated: 2014 -11 -18 22:03:45 Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF2R- MCH -01 -E Space Conditioning Systems, Ducts, and Fans (Page 4 of 7 ) J. HERS Verification Requirements 01 02 03 04 05 06 07 08 09 10 MCH20 MCH21 MCH22 MCH23 MCH25 MCH28 Exemption from Minimum Exemption R -Value for AHU Fan AHU SC System SC System From Duct Duct Ducts In Ducts Located Efficacy Airflow Identification or Location or Area Leakage Leakage Conditioned In Cond Space (W per Rate (cfm Refrigerant Return Duct Design Name Served Requirements Test Space Verification dm) per ton) Charge Table 150.0 -C or D A/C Condenser, Coil Whole Home No Yes Not No No No No No and Furnace exemptions applicable Registration Number: 214- A0062788A- M0100001A -0000 Registration Date /Time: 2014 -11 -19 08:37:51 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014 -05 -13 Report Generated: 2014 -11 -18 22:03:45 Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF211- 11VICH -014 Space Conditioning Systems, Ducts, and Fans (Page 5 of 7 ) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures (dote: 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 s(F�ecicabbri. See Section 15ff.0 9 = 05 Standby Losses and Pilot Lights1 an -type cer tr ur�Ce tray not haves � o itmup 5l�urnmg pjt t light on 11# 5 and Section 110.2(d). Cooling Equipment Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency 06 Regulations. Refrigerant Line Insulation: All refrigerant line insulatidn 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. 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 09 150.0(h)1 and 2. Air Distribution System Ducts, Plenums and Fans 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 10 required by the prescriptive or performance requirements. See Section 150.0(m)1. Registration Number: 214- A0062788A- M0100001A -0000 Registration Date/Time: 2014 -11 -19 08:37:51 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014 -05 -13 Report Generated: 2014 -11 -18 22:03:45 Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF211- 11VICH -01 -E Space Conditioning Systems, Ducts, and Fans (Page 6 of 7 ) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. 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 11 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 12 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c). 13 The thermostat shall be installed in accordance with the manufacturers published installation specifications 14 First stage of heating shall be assigned to heat pump heating. 1s Second stage back up heating shal)be set J4 come on, W. the mctpor set:teniperat cannat be rye# ; -x v .. is R x } The responsible person signature on �Vlt compliant a ffirms tha# i) applica rcir uireme s in this ta� met, yhaue�been Registration Number: 214- A0062788A- M0100001A -0000 Registration Date/Time 2014 -11 -19 08:37:51 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014 -05 -13 Report Generated: 2014 -11 -18 22:03:45 Schema Version: 0.551SDD CERTIFICATE OF INSTALLATION CF2R- MCH -01 -E Space Conditioning Systems, Ducts, and Fans (Page 7 of 7 ) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Fincher, Matthew Company: Signature Date: Mike Sumner Address: E C if I n l tification (if applicable): 15360 Chateau Montelena City /State /Zip: Phone: Bakersfield CA 93314 1661-978-8089 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 eligible under Division 3 of the Busi es; aqd Professions Code inithe aPplicable clerssif cattpn to accept responsibility for , syst�er design, construction, or installation of features, materials, components, or manufactured devicespfithk scgpe of work idatst�fied oti.this Gertiflca of Intalfatio, andttest to tick dec��a)ons in Is statement (responsible builder /installer), otherwise I am an authorized representative of the resltiisible builder/msta(ler 1 x' 3. The constructed or installed featuterials, cons{% 1 tS�lrt�wactured devica,thestalla�ntfied on,' tt3i Lert�ficat lnstallatrion conforms to all applicable codes and regulations, and the installation conforms to the regw ilts given orkth hS d ilications,app wed'by #be es e M. agen ; �i�emer�w{o! 4. 1 reviewed a copy of the Certificatnc�pp et1{p�cerrit3� st x" k or installation identified on this Certificate of P t c�i�m Installation, and I have ensured that #hYequirements that af3p to tse cot►st?uction oY irstallationz beenlnet S. I will ensure that a registered copy of this Certificate of Installa I-ob 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. I understand hat "k registered copy of this'Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Builder /Installer Name: Responsible Builder /Installer Signature: Frederick, Alanna Company Name: (Installing Subcontractor or General Contractor or Build caner) Position With Company (Title): Ci�Y CALIFORNIA DELTA MECHANICAL INC Office staff Address: CSLB License: 1235 GRAND AVE 811114 City /State /Zip: Phone: 1(480) Date Signed: SPRING VALLEY CA 91977 898 -0007 2014 -11 -19 08:37:51 Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 214- A0062788A- M0100001A -0000 Registration Date/Time: 2014 -11 -19 08:37:51 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014 -05 -13 Report Generated: 2014 -11 -18 22:03:45 Schema Version: 0.551SDD