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15060006-smoke/carbon/cert installSMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION C O P E RT I N O 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinq(@cupertino.org CU�E�►��O, c� Permit No. Address 9q l 2 D Q-,DGt O # of Alarms Smoke: Carbon Monoxide: PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN 'SI .NFD: AND RET URN ,D TO -,THE BUILDING DIVISION, PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds w $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. I have read and aaree to C097DIV with the terms and conditions of this statement Owner (or Owner Agent's) Name: v1Si �. SQiN nature............4�1Date: �6 ... .................. Contractor Name: 1 �1 Y\S '1J A C ....M�j Si natu -a&.i—...........A.........Lic.# ...../...��..... Date -/_).-a.:0 ......... - Smoke and CO form.doc revised 03/18/14 Lott, CUPERTINO WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCEIL�� COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(d)cuoertino.org n Owner Name S R 1 N ) V A-Eta,nJ 9UNDA f,13t s° jni}►J Permit No. Address 12 10 PQ IC R ill of f c i-ic e C Vppale I 1 N O� C W- PEIUVIIT CIA KNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE,.,,, ,,. Please refer to the attached California Civil Code Sections 1101.1– 1101.8 which are part of this Certification form. 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the fonn. Owner' Signature: Date: L) 6 d 1� No Go to Question 2. 2. l(Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form Owner' Signature: Date: 10 C No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form Owner' Signature: �— Date: b I 0\ 1 %� No Go to Question 4. , 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 11 N.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: _ , Date: o b Io) 12A t c i�Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. 1 My property is a single-family residential real property. See Civil Code Section 1101.4. 1 On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non-compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water-conseiving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. SB407 2015, doc revised 02/04/15 On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving ' plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). I/We, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water -conserving plumbing tur s comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signature: Date: 0.6 0 i %-a' Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB4072015.doc revised 02/04/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB4072015.doc revised 02/04/15 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of 8 ) Project Name: L N S Sundarajan Enforcement Agency: Cupertino Building Department Permit Number: 15060006 Dwelling Address: 7712 Orogrande PI City: Zip Code: 95014 A. General Information 01 Dwelling Unit Name L N S Sundarajan 02 Climate Zone 4 07 Dwelling Unit Conditioned Floor Area 09 10 Number of space conditioning (SC) 03 (ft2) 1834 04 systems being altered in this dwelling 1 SC System SC System unit. system a 05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT) 06 Method used to calculate HVAC loads NotApplicableEquipmentChangeout 07 Calculated dwelling unit Sensible 0 08 Calculated Dwelling Unit Heating Load 0 t 4t et of r u Cooling Load (Btuh) entire) new (Btuh) Served MCH -0116 Prescriptive Alterations - Space Conditioning Systems Ducts and Fans B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 CFA served Is the SC Installing a Installing SC System SC System by this SC system a refrigerant Installing new SC Installing more entirely Installing dentification or Location or Area System W r ��7 rco�m�ni? stte�m.. t 4t et of r u new duct entire) new Name Served (ft2) sy compponen s?� ts. system? SC system? Alteration Type Entirely new or complete replacement duct 1 whole house 1834 Yes Yes Yes Yes Yes No system with or without equipment changeout Registration Number: 315-A1007993A-M01005004B-0000 Registration Date/Time: 2015-06-18 09:11:10 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-06-18 09:11:49 Schema Version: 0.55SSDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 2 of 8 ) C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 05 06 07 08 09 10 11 12 13 Rated Heating Capacity, Output (BTUH) System 1 AFUE .780 Carrier 595P5 1680E17 2015A50504 78000 Notes: Condenser or Condenser or Central Fan 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 Integrated Manufacturer Model Number Serial Number Conditions (BTUH) Heating System 1 SEER 13.000 Cooling 24AAA0548A30 New or 1600 (CFI) System Altered Heating Minimum Altered Cooling Minimum Required Replaced New Ventilation Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Duct Duct System or Name System Type Component Type Value System Type Component Type Value Type Length R -Value Status Central gas Central Not a CFI System 1 furnace AFUE 780 split AC SEER 13.000 Setback GT4CFt R6 system D. Installed Heating Equipment information 01 02 03 04 05 06 07 System Identification or Name Heating Efficiency Type Heating Efficiency Value Heating Unit Manufacturer Heating Unit Model Number Heating Unit serial number Rated Heating Capacity, Output (BTUH) System 1 AFUE .780 Carrier 595P5 1680E17 2015A50504 78000 Notes: E. Installed Cooling Equipment information: 01 02 33. Ell ergT4 AssbugMt1oa 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) System 1 SEER 13.000 CARRIER 24AAA0548A30 2015E28106 1600 4.0 Registration Number: 315-A1007993A-M0100500413-0000 Registration Date/Time: 2015-06-18 09:11:10 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-06-18 09:11:49 Schema Version: 0.555SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 3 of 8 ) E. Installed Cooling Equipment information: O1 02 03 04 05 06 07 108 05 Condenser or Package Unit 07 System Identification or Name Cooling Efficiency Type Cooling Efficiency Value Condenser or Package Unit Manufacturer Condenser or Package Unit Model Number Condenser or Package Unit Serial Number System Rated Cooling Capacity at Design Conditions (BTUH) Condenser Rated Nominal Capacity (ton) Notes: F. Extension of Existing Duct System, Greater Than 40 Feet This section does not apply to this project. G. Installed Duct System information O1 02 03 04 05 06 07 08 Method of compliance with duct and filter grille sizing SC SysteSC m Supply Duct Supply Duct Return Duct Return Duct requirements in Number of Air Filter Identification o e ea Se Location - R -Value Location R -Value 150.0(m)13 Devices on System Unconditioned Unconditioned HERS verified fan System 1 whole house �:(5. E R-6 ergy Rat rs Aria R-6 iation efficacy and airflow 0 rate Notes: H. Installed Air Filter Device Information This section does not apply to this project. Registration Number: 315-A1007993A-M01005004B-0000 Registration Date/Time: 2015-06-18 09:11:10 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-06-18 09:11:49 Schema Version: 0.555SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 4 of 8 ) I. Air Filter Device Requirements O1 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 thermal conditioning components. The system shall be designed to accommodate the clean -filter pressure drop imposed by the system air filter device(s). The design airflow rate and maximum allowable clean -filter pressure drop at the design airflow rate applicable to each air filter device shall be 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 labels shall be permanently affixed to the air filter device, readily legible, and visible to a person replacing the air filter media, and the air filter devices shall be provided with air filter media that conforms to these determined or labeled maximum allowable clean -filter pressure drop values as rated using AHRI Standard 680. 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. 04 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 52.2, or a particle size efficiency rating equal to or greater than 50 percent in the 3.0 to10 micron range when tested in accordance with AHRI Standard 680. 05 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 required efficiency and pressure drop requirements for the air filter device. The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met. U.S. Energy Raters Association Registration Number: 315-A1007993A-M01005004B-0000 Registration Date/Time: 2015-06-18 09:11:10 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-06-18 09:11:49 Schema Version: 0.555SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 5 of 8 ) J. HERS Verification Requirements O1 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 cfm) per ton) Charge Table 150.0-C or D Existing duct system is System 1 whole house insulated or No Not No Yes Yes No No sealed with applicable asbestos Now Registration Number: 315-A1007993A-MO100S004B-0000 U.S. Energy Raters Association Registration Date/Time: 2015-06-18 09:11:10 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-06-18 09:11:49 Schema Version: 0.555SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 6 of 8 ) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Heating Equipment 01 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 02 Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(i), 110.2(b). 03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections 150.0(h)1 and 2). 04 Furnace Temperature Rise: Central forced -air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum 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 continuously burning pilot light. Section 110.5 and Section 110.2(d). Cooling Equipment 06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 07 Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R -value and protection requirements of Section 150.0(j)2 and 3, and Section 150.0(m)9. 08 tion Condensing Unit Location: Condensing units shall not 6e plactel wit I e (5 eet of a dmryear vent out et. See Section 150.0(h)3A. 09 Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing. See Section 150.0(h)1 and 2. Air Distribution System Ducts, Plenums and Fans 10 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 required by the prescriptive or performance requirements. See Section 150.0(m)1. Registration Number: 315-A1007993A-M01005004B-0000 Registration Date/Time: 2015-06-18 09:11:10 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-06-18 09:11:49 Schema Version: 0.555SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 7 of 8 ) 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, 11 602.0, 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 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 be set to come on only when the indoor set temperature cannot be met. The responsible person signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 315-A1007993A-M01005004B-0000 U.S. Energy Raters Association Registration Date/Time: 2015-06-18 09:11:10 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-06-18 09:11:49 Schema Version: 0.555SDD CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 8 of 8 Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: David Diaz Signature Date: Company: Lord and Sons 2015-06-18 Address: CEA/ HERS Certification Identification (if applicable): 13660 LLagas Ave C20 City/State/Zip: Phone: San Martin, Ca. CA 95046 408 483 1491 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 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 (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 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 plans and specifications approved by the enforcement agency. 4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 5. 1 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 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: David Diaz Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): Q✓r0( rQ2 Lord and Sons Address: U.S. Energy RailaC c 13660 LLagas Ave C20 City/State/Zip: Phone: 1408 Date Signed: San Martin, Ca. CA 95046 483 1491 12015-06-18 US Registration Number: 315-A1007993A-M01005004B-0000 TM "This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for U S Energy Raters Association the accuracy of the information.' Registration Date/Time: 2015-06-18 09:11:10 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-06-18 09:11:49 Schema Version: 0.5S5SDD CERTIFICATE OF COMPLIANCE /E— //y„�/J, 42 MR -ALT -02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) Project Name: L N S Sundarajan I Date Prepared: (Page 1 of 3 ) 2015-06-16 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. O1 Project Name L N S Sundarajan 02 Date Prepared 2015-06-16 03 Project Location 7712 Orogrande PI 04 Building Type Single family 05 CA City 06 Dwelling Unit Name Sundarajan Home 07 Zip Code 95014 08 Dwelling Unit Conditioned 1834 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 O1 02 03 04 05 06 07 08 09 10 Is the SC Installing a SC System SC System CFA served system a 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 Entirely new or complete System 1 whole house 1834 �+ . Energy R tersyAssa iat�n Yes No replacement duct system with or without equipment changeout Ll� Ektension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) Registration Number: 315-A1007993B-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance This section does not apply to this project. Registration Date/Time: 2015-06-16 11:48:05 Report Version: 2014-03-31 Schema Version: 0.555SDD HERS Provider: USERA Report Generated: 2015-06-16 11:48:27 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)IE and F) This section does not apply to this project. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F) 01 02 03 04 05 06 07 08 09 10 11 Heating Cooling System Heating Minimum Cooling Minimum Required Identification or Heating Altered Heating Efficiency Efficiency Cooling Altered Cooling Efficiency Efficiency Thermostat New Duct Name System Type Component Type Value System Type Component Type Value Type R -Value System 1 Central gas All new heating AFUE 78 Central split AC All new cooling SEER 13 SetbackTher R 6 furnace components components mostat Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. MR -MCH -20-1-1 & CHR -MCH -20-H Dud Leakage Verification required. -Leakage rate compliance: <_ 6%. CF2R-MCH-22 & CF3R-MCH-22 Fan Efficacy Verification CF2R-MCH-23 & CF311=MCH-23 System Air Flow Rate Verification -Compliance: Fan Efficacy <_ 0.58 W/cfm and System Airflow >_ 350 cfm/ton. - Alternative Compliance-U2R-MCH-28 & CF3R-vICi Return I uct Design Verification is an alternative to MCH -22 and MCH 23 verification. CF2R-25-H & CF3R-M(4-„�5-H Refrigerant Charge,k(ef ftc"Ko equired when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). Exceptions: g Heating -only systems exempt from the 0.58 NY /cfm and 350ftn/ton requirements. Note: An "entirely new or replacement duct system" mean ateas[95 percent of the duct system is new dud 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, coil, plenums, duct material) if the re s d tWs T!KS `AiV 0 jfgW pM&LMaKei nfil r% —•—• —•.�. 2J ..R��. .......,....... .. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 315-A1007993B-000000000-0000 Registration Date/Time: 2015-06-16 11:48:05 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-16 11:48:27 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 3 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Joe Novelo Signature Date: Company: California Air Duct Testers 2015-06-16 Address: CEA/ HERS Certification Identification (if applicable): 1823 Sheri Ann Circle 410231432 City/State/Zip: Phone: San Jose CA 95131 408 824 0740 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 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. 5. 1 will ensure 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. I understand that a regist dcopyof 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: �GL✓ro� �r� David Diaz i-_ r. 90 110 Company: Date Signed: Lord and Sons 2015-06-16 Address: pr 13660 Ll-agas Ave U.S. Energy Tisa License: us Association City/State/Zip: Phone: San Martin, Ca. CA 95046 408 483 1491 US Registration Number: 315-A1007993B-000000000-0000 RA U.S. Energy Raters Association "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 Date/Time: 2015-06-16 11:48:05 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-16 11:48:27 Schema Version: 0.555SDD STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFIR-ALT-03-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-03-E Alterations-HVAC CZ 1,3 to 7 and 16(formerly CF-IR-ALT-HVAC) (Page 1 of 1) Site Address: Enforcemen{+>�Agency: Date rep red: Permit#: �1��.'-1�r�'\°�'�� llr•L.� C`� p.�Tl nc3 � � ! �`/1'V (p � /�r Equipment Type Equipment Efficiency New:Ducting,Plenums,Lineset Conditioned Thermostat Required R-value Floor Area(sq ft) ❑ Packaged System 0 Evaporator Coil 9;5�,_AFUE COP "R-6 (CZ 1,3-7)Ducts Served bXjsystem ;3,-Setback 11R-8' (CZ 16)Ducts O sq ft (If not already El Split System ©Condensing Unit T�SEER HSPF ❑ R-6(all CZ's)Plenums present must 91 Furnace ❑Uneset EER ❑ R-5 or R7.5 Lineset3 be installed) HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options belo KLt',perrn'itAappllcaUR, his ghsaTl•oedtelT�edto.uby Viand', r final inspection all forms are to be registered(no hand filled forms allowed and a cop left on site. - ^'1$F'VACChangeout/Repa Re�F- Required Compliance Documents to be left on site for Final: Can-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 R quirement:Duct leakage(:5_15%or,<10%to outside,or seal all accessible leaks) E e p d from duct leakage testing if: Duct system registered with HERS provider as previously sealed,or❑2.There is less than 40 linear feet of duct in unconditioned space,or ❑B.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building_ ❑2.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(5_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. 2 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%",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: Res le Desigf rSig re: Date Signed: License: Company Adb City/State/Zip:sPhone: Lot�� �°� 3 For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300