14110083-cert compl/installFeyv-., �- -e eL� I0 o339
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 4 )
Project Name: 20644 Nancy Ct./Kinoshita I Date Prepared: 2014-11-13 I
A. General Information
CF1R-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CF1R-ALT 02 document for each dwelling unit.
01
Project Name
20644 Nancy Ct./Kinoshita
02
Date Prepared
2014-11-13
03
Project Location
20644 Nancy Ct.
04
Building Type
Single family
05
CA City
Cupertino
06
Dwelling Unit Name
20644 Nancy Ct./Kinoshita
07
Zip Code
95014
08
Dwelling Unit Conditioned
1900
Installing
Installing
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
containing
system
Number of space conditioning
entirely new
09
Climate Zone
4
10
(SC) systems in this dwelling
1
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
Ol
02
03; .=;,
04'.
05
06
; 07 - _'
:`08, `''
09
10
is the SC
installingra
SC System
SC System
CFA served
systema
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system"),
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
whole house
1900
Yes
No
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 214-A0138637A-000000000-0000
Registration Date/Time: 2014-11-13 07:00:24
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-11-13 07:01:26
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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
Central gas
Gas furnace
No cooling
This field or
This field or
This field or
This field or
System 1
furnace
AHU
AFUE
0.78
No cooling
component
section is not
section is not
Setback
section is not
section is not
altered
applicable
applicable
applicable
applicable
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-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:!g 15%, or 510%_leakage to outside, or seal 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-23 Air Flow z 300 CFM/ton required when MCH=25 is required : r -
Exceptions:
Dud systems registered with HERS provider as previously sealed are.exempt frpm MCH -20 Dutt L'eakege,Testing requirements = '
Heating -only systems and Air Handler/Furnace'channfi
ges do not require`vecatiori of. Air Flow MCH -23; o`r Refrigerant Charge MECH-25..
Existing dud systems constructed, insulated or, ed with,asbestos are exempt from MCH -20 Duct Leakage Testing requliements;
E. Entirely New or Complete Replacement Duct System; with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)1E, F)
This section does not apply to this project.
Registration Number: 214-A0138637A-000000000-0000 Registration Date/Time: 2014-11-13 07:00:24 HERS Provider: CaICERTS
1 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-11-13 07:01:26
Schema Version: 0.551SDD
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)1C)
This section does not apply to this project.
Registration Number: 214-A0138637A-000000000-0000
F
Registration Date/Time: 2014-11-13 07:00:24
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CaICERTS
Report Generated: 2014-11-13 07:01:26
Registration Date/Time: 2014-11-13 07:00:24
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CaICERTS
Report Generated: 2014-11-13 07:01:26
CERTIFICATE OF COMPLIANCE CF111-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:
Documentation Author Signature:
Phelps, Dale
Company:
Signature Date:
A & H HEATING & AIR CONDITIONING SERVICE INC
2014-11-13 07:00:24
Address:
CEA/ HERS Certification Identification (if applicable):
770 CHESTNUT STREET
City/State/Zip:
Phone:
SAN JOSE CA 95110
(408) 279-0722
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 Codeto 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, 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.
S. I will ensure that a registered copy of this Certificate of Compliance shall be;made available with the buildingpermit(s) issued forthe building and?mad'e available to the enforcement agency for all applicable
Inspections. 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.
Responsible Designer Name:
Responsible Designer Signature:
Phelps, Dale
Company:
Date Signed:
A & H HEATING & AIR CONDITIONING SERVICE INC
2014-11-13 07:00:24
Address:
License:
770 CHESTNUT STREET
304472
City/State/Zip:
Phone:
SAN JOSE CA 95110
(408) 279-0722
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-A0138637A-000000000-0000 Registration Date/Time: 2014-11-13 07:00:24 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-11-13 07:01:26
Schema Version: 0.551SDD
��rxm 4 � -11 � '-A I k 00 3�
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 1 of 7 )
Project Name: 20644 Nancy Ct./Kinoshita
Enforcement Agency: City of Cupertino
Permit Number: 14110083
Dwelling Address: 20644 Nancy Ct.
City: Cupertino
Zip Code: 95014
A. General Information
01
Dwelling Unit Name
20644 Nancy Ct./Kinoshita
02
Climate Zone
4
Dwelling Unit Conditioned Floor Area
Number of space conditioning (SC)
03
(ft2)
1900
04
systems being altered in this dwelling
1
01
unit.
05
Certificate of Compliance Type
Prescriptivealterations (CF1R-ALT)
06
Method used to calculate HVAC loads
NotApplicableEquipmentChangeout
07
Calculated dwelling unit Sensible °`
08
Calculated Dwelling Unit Heating Load
Cooling Load (Btuh)
Are RH of the
(Stub)
IVICH-01b Prescriptive Alterations Space Coriditloning Systems Ducts and Fans:F
B. Space Conditioning (SC) System Information
01
02
05
06
07
08
09
10
Are RH of the
system's
components
and ducts
CFA served
Is the SC
installing a
Installing
new or
SC System
SC System
by this SC
system a
refrigerant
Installing new SC
Installing more
entirely
replaced?
Identification or
Location or Area
System
ducted
containing
system
than 40 feet of
new duct
(entirely new
Name
Served
(ft2)
system?
component?
components?
ducts?
system?
system)
Alteration Type
Altered space
System 1
whole house
1900
Yes
No
Yes
No
No
No
conditioning
system
Registration Number: 214-A0138637A-M0100002A-0000
Registration Date/Time:
2014-11-17 06:40:47I L
Sepo
HERS Provider: CaICERTS
i1 Z1�I�
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Report Version: 2014-05-13
Generated: 2014-11-17 06:40:29
Schema Version: 0.551SDD
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 2 of 7 )
C. Space Conditioning (SC) System Alterations Compliance Information
01
02
03
04
05
06
07
08
09
10
it
12
Heating
Cooling
New or
New
System
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
Replaced
Duct
Identification
Heating
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Duct
R -
or Name
System Type
Component
Type
Value
System Type
Component
Type
Value
Type
Length
Value
This field
This
No cooling
or section
This field
N/A - no
field or
System 1
Central gas
Gas furnace
AFUE ..
0.8
No cooling
component
is not
or section
Setback
ducts
section
furnace
AHU
altered
applicabl
is not
replaced
is not
applicable
applica
e
ble
D. Installed Heating Equipment ihformatiion t; f
01 , 02 03 ,ti, ; 04y, ` 05 06 07
System Identification or Heatlhg EfRc�ericy Heating Unrt Heating Univ Heating Unit serial Rated Heating Capacity,
Name Heating EfPiaency Type xF Value`; ;Manufacturer Modeh;Number = number Output (BTUH)
System 1 AFUE ' , 0.8 Bryant 311JAV048090 2914A15913 72000
Notes:
E. installed Cooling Equipment information:
This section does not apply to this project.
F. Extension of Existing Duct System, Greater Than 40 Feet
This section does not apply to this project.
Registration Number: 214-A0138637A-M0100002A-0000 Registration Date/Time: 2014-11-17 06:40:47 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2014-11-17 06:40:29
Schema Version: 0.551SDD
CERTIFICATE OF INSTALLATION CF2R-MC1H-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 7 )
G. Installed Duct System information
This section does not apply to this project.
H. Installed Air Filter Device Information
This section does not apply to this project.
Registration Number: 214-A0138637A-M0100002A-0000 Registration Date/Time: 2014-11-17 06:40:47 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2014-11-17 06:40:29
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
O1 02 03 04 05 06 07 08 09 10
MCH2O MCH21 MCH22 MCH23 MCH25 MCH28
Registration Number: 214-A0138637A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Exemption
Exemption
SC System
SC System
From Duct
Identification or
Location or Area
Leakage
Name
Served
Requirement;
Existing duct
Minimum
system is:
System 1
whole houseinsulated
or'
R -Value for
sealed with
Registration Number: 214-A0138637A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Not
Registration Date/Time: 2014-11-17 06:40:47
Report Version: 2014-05-13
Schema Version: 0.551SDD
No
I►LI �►17
HERS Provider: CaICERTS
Report Generated: 2014-11-17 06:40:29
Exemption
from
Minimum
R -Value for
AHU Fan
AHU
Duct
Ducts In
Ducts Located
Efficacy
Airflow
Leakage
Conditioned
In Cond Space
(W per
Rate (cfm
Refrigerant
Return Duct Design
Test
Space
Verification
c€m)
per ton)
Charge
Table 150.0-C or D
Not
Registration Date/Time: 2014-11-17 06:40:47
Report Version: 2014-05-13
Schema Version: 0.551SDD
No
I►LI �►17
HERS Provider: CaICERTS
Report Generated: 2014-11-17 06:40:29
CERTIFICATE OF INSTALLATION CF2R-MCH-03-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.
15
Second stage back up heating shall beset to come on only,when th.e indoor settemperature canno# be rriet
The responsible person signature orlthis compliance document affirms that all`apphcable requirements m this table have been met .: '
Registration Number: 214-A0138637A-M0100002A-0000
Registration Date/Time:
2014-11-17 06:40:47
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2014-11-17 06:40:29
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:
Phelps, Dale
Company:
Signature Date:
A & H HEATING & AIR CONDITIONING SERVICE INC
Address:
E C 1fi to tification (if applicable):
770 CHESTNUT STREET
City/State/Zip:
Phone:
SAN JOSE CA 95110
1(408) 279-0722
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 Business and. Professions Code in he applicable classification to accept responsibility for the system,design, construction, or installation of features, materials,
components, or manufactured devices forthe scope;of work identified on this;Certificate'.of Instaliatwn and`+;attest to the declarations inthisstatement (responsible builder/installer), otherwise I am an
authorized representative of the responsible buiider%installer
t
3. The constructed or installed features, materials, components or manufactured dewces (the installation) identified on tfiis Certficate of ristallatron conforms to all applicable codes and regulations, and the
installation conforms to the requirements given on the plaits and specifications approved by the enforcement agency `
4. I reviewed a copy of the Certificate of Compliance ';approvei, by the enforcement agencyahat identfies.the specific requirements for the scope of construction or installation identified on this Certificate of
Installation, and I have ensured that the requirements that applyto'the construction:or installation'have been met.
S. I will ensure that a registered copy„of this 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{egistered 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:
Phelps, Dale
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Position With Company (Title):
A & H HEATING & AIR CONDITIONING SERVICE INC
RMO
Address:
CSLB License:
770 CHESTNUT STREET
304472
City/State/Zip:
Phone:
Date Signed:
SAN JOSE CA 95110
(408) 279-0722
2014-11-17 06:40:47
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: 214-A0138637A-M0100002A-0000 Registration Date/Time: 2014-11-17 06:40:47 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2014-11-17 06:40:29
Schema Version: 0.551SDD