15050005-Cert of verificationCERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3 )
Project Name: Al Wilser
Enforcement Agency: Cupertino
Building Department
Permit Number.
15050005
Dwelling Address: 10136 Carol Lee Dr
,'ty:
Zip Code:
95014
A. System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location or Area Served
WholeHouse
03
Building Type from CF -1R
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
1 Duct System Compliance Category
Replacement
MCH -20d - Complete Replatement or, Altered -Duct System ° ti
i
B. Duct Leakage Diagnosticlest
01
Condenser Nominal Cooling Capacity (ton)
U.S.��7
ssociation
ner Association
02
Heating Capacity (kBtu/h)
93
03
Conditioned Floor Area served by this HVAC system (ft2)
2492
04
Duct Leakage Test Condition
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
.06
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Heating system method
08
Measured AHUAirflow
0
09
Calculated Target Allowable Duct Leakage Rate (cfm)
121
10
Actual duct leakage rate from leakage test measurement
(cfm)
97
11
Compliance Statement: System passes leakage test
12
Notes:
Registration Number: 315-A1006883A-M20002231A-M20A Registration Date/Time: 2015-05-08 14:40:30 HERS Provider: USERA
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-05-08 14:40:50
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
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.
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
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 verification compliance.
08
Verification Status: I - - -
Pass -all applicable -requirements are°met 'r
09
I
CorrectionNotes for this table: �• _ _
_
I
The responsible persons signature on'this compliance document affirmvthat all: applicable' requirements -in this table have
been met unless otherwise noted in the,Verification Status and -the Corrections Notes in this table. - -
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol
requirements in order for this Certificate of Verification as a whole to be determined to be in compliance.
1 01 1 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 315-A1006883A-M20002231A-M20A Registration Date/Time: 2015-05-08 14:40:30 HERS Provider: USERA
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-05-08 14:40:50
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:
Documentation Author Signature:
Joe Novelo
— -
Date Signed:
Company:
California Air Duct Testers
2015-05-08
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 Verification is true and correct.
2. 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The infc-rinatidn reported oh applicable sections'of the Certificate(s) if-lnsfallation (CF2R)`signed`arid submitted by the.person(s) responsible for the
construction or installatiori conforms to the -requirements specified on'the-Certificate(s) of Compliance (CFIiR) approved by the enforcement agency.
5. 1 will ensure that a registered copy of this Certificate bf Verification shall be posted, or made available with the building permits) issued for the
building, land 'made available to the enforcement agency for,all applicable inspections. I understand that a registered copy of this Certificate of
Verification is:required to be included with -the documentation the'builder' provides to the building owner atoccupancy: —
1 I I
Builder Or Installer Information As Shovvri On The Certificafie Qf Installation '
Company Name (Installing Subcontractor, General Contractor, orBuildert'�� vG.: Energy' Raters Association
Energy
California Air Duct Testers
Responsible Builder or Installer Name:
CSLB License:
Joe Novelo
410231432
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status In Sample Group (if applicable)
315-3680
Tested
HERS Rater Information
HERS Rater Company Name:
California Air Duct Testers
Responsible Rater Name:
Responsible Rater Signature:oe V11_1Z1
Joe Novelo
'—Joe Novelo (May 8 2015
Responsible Rater Certification Number w/ this HERS Provider:
Date Signed:
410231432
2015-05-08
ff TIM
"This digital signature is provided in order to secure
UR r _ the content of this registered document, and in no
}� ,, s t4 �rlN way implies Registration Provider responsibility for
_ _ t_��.
U.S. Energy Raters Assoclatlon the accuracy of the information.'
Registration Number: 315-A1006883A-M20002231A-M20A Registration Date/Time: 2015-05-08 14:40:30 HERS Provider: USERA
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-05-08 14:40:50
2013 Residential Compliance Schema Version: 0.515DD