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B-2017-0546CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0546 19681 MERRITT DR CUPERTINO, CA 95014-2437 (316 35 005) T F F HEATING AND AIR CONDITIONING MILPITAS, CA 95035 OWNER'S NAME: WANG EDDY AND JULIA DATE ISSUED: 04/05/2017 OWNER'S PHONE: 408-393-3384 PHONE NO: (408) 500-9245 LICENSED CONTRACTOR'S DECLARATION ARATION BUILDING PERMIT INFO: License Class WARM-AIR HEATING VENTILATINGANDAIR- ONDITIONING X BLDG X ELECT Lic. #917350 Contractor T F F HEATING AND AIR CONDITIONING Date 06/30/2018 _PLUMB X MECH X RESIDENTIAL _ COMMERCIAL 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 JOB DESCRIPTION: license is in full force and effect. RELOCATE FURNACE TO ATTIC; (l) SUBPANEL (70 AMPS); (1) A/C I hereby affirm under penalty of perjury one of the following two declarations: r. 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 / peformance of the work for which this permit is issued. 2r ` have and will maintain Worker's Compensation Insurance, as provided for by ction 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $14100.00 APPLICANT CERTIFICATION APN Number: Occupancy Type: 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 316 35 005 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 PERMIT EXPIRES IF WORK IS NOT STARTED City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non-point 180 DAYS FROM LAST CALLED INSPECTION. source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 4/5/2017 Issued by: Abby Ayende Date: 04/05/2017 OWNER-BUILDER DF RATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for 1. I, as owner of the property, or my employees with wages as their sole inspection. compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature ofApplicant: 2. I, as owner of the property, am exclusively contracting with licensed Date: 4/5/2017 contractors to construct the project (See.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 2. I have and will maintain Worker's Compensation Insurance, as provided for by California Health & Safety Code, Sections 25505, 25533, and 25534. I will Section 3700 of the Labor Code, for the performance of the work for which this maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous S. I certify that in the performance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. 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 Owner be deemed revoked. or authorized agent: Date: 4/5/2017 APPLICANT CERTIFICATION CNSMILCT16X"LENDINGAGENC certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands ARCHITECT'S DECLARATION and will comply with all non-point source regulations per the Cupertino Municipal I understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 4/5/2017 Professional CUPERTINO COMMUNITY DEVELOPMENT. DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org �PLUIvIBING MECHANICAL ELECTRICAL ❑M Co _flbi(y�„65Q`�- ISCELLANEOUS FPROJECTADDRESS s PHONE E-MAIL�t CITY, STATE, ZIP ` A FAX CONTACT NAME i t PHONE / i}��, •J E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑. ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME �� N� n A `-J --t -`�-- f �J LICENSE 13p l �� /t LIC�E�TYP ) BUS. LIC a f/ 6 jam. COMPANY NAME E-MAIL STREET ADDRESS CITY, STATE, ZIP , (� 07 HONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BLJS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE _ USE OF - V SFD or DUPLEX ❑ MULTI -FAMILY BUP DING: ❑ COMMERCIAL ” PROJECT IN WILDLAND ❑ •YES URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YES FLOOD ZONE ❑ NO IS THE BLDG AN ❑ 1ZS EICHLER HOME? ❑ NO DESCRIPTION OF WORK J�® A,,A iJP_x %*mac_ -- TOTAL VALUATION ( RECEIVED BY: :. By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Desc I n of'Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building.eo s�huc�on. I author resent es of Cupertino to enter the above-identifid prop for inspection purposes. Signature of Applicant/Agent: _ Date: SUP 'MEN L INFORMATION REQUIRED ¢ `.OFFICE USE ONLY. ❑ OVER-THE-COUNTER '- f- :E] EXPRESS STANDARD Z a _ D .LARGE AIAJOR MEPMiscApp_201I.doc revised 06121111 U-1 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test e Project Name: Eddy Wang E forcemeat Agency: City of Permit Number: 2017-00347 Building Type from CF -111 Cu ertino 04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CF1R? Dwelling Address: 19681 Merritt Dr ty: Cupertino Zip Code: 95014 A. System Information 01 Space Conditioning System entification or Name System 1 02 Space Conditioning System Location or Area Served Location 1 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 L06 I Duct System -Compliance Category Replacement MCH -20d - Complete. Replacement or AlteredDuct System B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 3.5 02 Heating Capacity (kBtu/h) 57 03 Conditioned Floor Area served by this HVAC system (ft) 1511 04 Duct Leakage Test Conditions Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.05 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Cooling system method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage Rate (cfm) 70 10 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 41.3 11 Compliance Statement: System passes leakage test 12 Notes: Registration Number: 217-A020099657A-000-001-M20001A-M20A CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2017-04-06 18:24:21 HERS Provider: CalCERTS Report Version: 2016.1.005 Report Generated: 2017-04-06 18:14:20 Schema Version: rev 03/16 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. 02 Outside air (OA) duct connections to the central forced air duct system shalt not be sealed/taped off during duct leakage testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems; that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 If a complete replacement, 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. 07 If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements 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: = Pass ali`applicable requirements are met" 09 Correction Notes: The responsible person's signature or►'this compliance, document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the':Corrections Notes in.this tattle. 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. 01 1 Complies: All specified verification protocol requirements on.this document are met. Registration Number: Registration Date/Time: 2017-04-0618:24:21 HERS Provider: CaICERTS 217-A020099657A-000-001-M20001A-M20A CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:14:20 2016 Residential Compliance Schema Version: rev 03/16 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: Justin Myers Documentation Author Signature: d Company: Date Signed: Innovative Energy Solutions 2017-04-06 18:24:21 Address: CEA/ HERS Certification Identification (if applicable): 24 Timber Cove Dr CC2006657 City/State/Zip: Phone: Campbell CA 95008 408-856-5250 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 idenfifed on this.Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance forthe building approved by the enforcement agency. 4. The information reported on applicable sectiont,,4-the Certificate(s),of installation;(irf2R) signetland'submit&icLby the person(s) responsible for the construction or installation conforms to the requirements specified on the Certifcate(s)-of Compliance (CF1R)approved by the erkf rcemenfagency. S. I will ensure that a registered copy__of this Certificate of VeGificat�onshall be posted; or nradeavailabie with the°building permits)"issued for the building, and made availabl&to theenforcement agency for all applicable. inspections. I'understand that a -registered -copy ofthis Certrficate of Verification is required to be included m with the docuehbfion the builder provides to the building owner`at occupancy. Builder Or Installer Information As Shown On Th"ertificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): T F F HEATING AND AIR CONDITIONING Responsible Builder or Installer Name: CSLB License: Tony Ferreira 917350 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: Innovative Energy Solutions Responsible Rater Name: Justin Myers Responsible RaterSignature: L"W ~ Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2006657 2017-04-06 18:24:21 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: Registration Date/Time: 2017-04-06 18:24:21 HERS Provider: CaICERTS 217-A020099657A-000-001-M20001A-M20A CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:14:20 2016 Residential Compliance Schema Version: rev 03/16 CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 4) Project Name: Eddy Wang . Enforcement Agency: Cupertino City of Permit Number: 2017-00347 Dwelling Address: 19681 Merritt Dr City: Cupertino Zip Code: 95014 A. Ducted Cooling System Information 01 System Identification or Name System 1 02 System Location or Area Served Location 1 03 System Installation Type Replacement 04 Nominal Cooling Capacity (tons) of Condenser 3.5 05 Condenser Speed Type ' Single Speed 06 Cooling System Zonal .Control Type Not Zonal 07 Central Fan integrated (CFI) Ventilation System Status Not a CFI system 08 System Bypass Duct StatusNa Bypass Duct = 09 j Date of System'Airflow Rate Measurement _ 2017-04-06 10 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate_measurement B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum. Procedures for installing HSPP or PSPP are specified in RA3.3.1.1. 01 Method Used to Demonstrate Compliance with theI HSPP/PSPP are not applicable to this system I HSPP/PSPP Requirement C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in verification. RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus TESTO 03 Model number of Airflow Measurement Apparatus TEST0420 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www.energy.ca.gov/title24/equipment_cert/ama_fas /index.html Registration Number: 217-A020099657A 000-001-M23001A-M23A CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2017-04-06 18:24:21 HERS Provider: CaICERTS Report Version: 2016.1.005 Report Generated: 2017-04-06 18:22:23 Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 2 of 4) MCH -23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton) 350 02 Required Minimum System Airflow Target (cfm) 1225 03 Actual System Airflow Rate Measurement (cfm) 1321 04 Compliance Statement: System airflow rate complies E. Additional Requirements . 01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system during system air flow rate measurement identified on this Certificate of Verification. The airflow rate measurement, apparatus used to perform .the airflow rate .me,asurementidentified on this -Certificate of 02 Verification was calibrated. in accordance with the`apparatus manufacturer's specifications and conforms=to the =. instrumentation specificatfons given in AA3 3.1. = - A visual inspection shall confirm`that bypass-ductsthat deliver conditioned supplyirdirectiy to-thespace conditioning 03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan 08 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 09 Verification Status: Pass - all applicable requirements are met 10 Correction Notes: The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table Registration Number: 217-A020099657A-000-001-M23001A M23A CA Building Energy Efficiency Standards 2016 Residential Compliance Registration Date/Time: 2017-04-06 18:24:21 HERS Provider: CalCERTS Report Version: 2016.1.005 Report Generated: 2017-04-06 18:22:23 Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 3 of 4) F. 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 I Complies: All specified verification protocol requirements on this document are met. . I Registration Number: Registration Date/Time: 2017-04-06 18:24:21 HERS Provider: CalCERTS 217-A020099657A-000-001-M 23001A- M 23A CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:22:23 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 4 of 4). Documentation Author's Declaration Statement 1.1 certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Justin Myers Documentation Author Signature: �lfa,zlri pJtQ� Company: Date Signed: Innovative Energy Solutions 2017-04-06 18:24:21 Address: CEA/ HERS Certification Identification (if applicable): 24 Timber Cove Dr CC2006657 City/State/Zip: Phone: Campbell CA 95008 408-856-5250 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 onthisCertificate 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 information reported on applicable sections- he Certificate(s) of-instailation.(itF2R)-s gned:and.:s6bmittei�.-by the persvn(s) responsible for the construction or installation conforms to the requirementsspeafiedon the Certificates) of Compliance (CF]R),approved by the,"enfQrcement:agency. 5. 1 will ensure that a registered cop�_of this Certificate of Vetificat4on-shall be posted,° or made4vailable with the building permit(s)-issvedfor the building, and made available to tbq'enfcrcement agency fort all applicable inspections. 1 -understand that a, registered copy of this,Certlficate of Verification is required to be incidded with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown OWTh6tertificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): T F F HEATING AND AIR CONDITIONING Responsible Builder or Installer Name: CSLB License: Tony Ferreira 917350 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: Innovative Energy Solutions Responsible Rater Name: Responsible Rater Signature: OF Justin Myers Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2006657 2017-04-06 18:24:21 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: Registration Date/Time: 2017-04-0618:24:21 HERS Provider: Ca10ERTS 217-A020099657A-000-001-M23001A-M23A CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:22:23 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF VERIFICATION CF3R-MCH-22-H Space Conditioning System Fan Efficacy (Page 1 of 3) Project Name: Eddy Wang Enforcement Agency: Cupertino City of Permit Number: 2017-00347 Dwelling Address: 19681 Merritt Dr City: Cupertino Zip Code: 95014 A. Ducted Cooling System Information 01 System Identification or Name System 1 02 System Location or Area Served Location 1 03 System Installation Type Replacement 04 Nominal Cooling Capacity (tons) of Condenser 3.5 05 Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 08 System Bypass Duct Status. -No Bypass Duct 09 Date of System Airfiow Rate Measurement _ 2017704-06 10 Airflow Rate Protocol utilized RA3.3 procedures fojr airflow tate measurement B. Fan Watt Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2. 01 Fan Watt Verification Device Used. Digital Utility Revenue Meter MCH -22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor C. Forced Air System Fan Efficacy Measurement The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3. 01 Actual Tested Watts 520 02 Actual Tested Airflow from MCH -23 (cfm) 1321 03 Required Fan Efficacy (watts/cfm) 0.58 04 Actual Fan Efficacy (watts/cfm) 0.39 05 Compliance Statement: System fan efficacy complies Registration Number: Registration Date/Time: 2017-04-06 18:24:21 HERS Provider: Ca10ERTS 217-A020099657A-000-001-M 22001A -M 22A CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:22:43 2016 Residential Compliance Schema Version: rev 2013-09-11 CERTIFICATE OF VERIFICATION CF3R-MCH-22-H Space Conditioning System Fan Efficacy (Page 2 of 3) D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handier fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Verification Status Pass - all applicable requirements are met 08 Correction Notes The responsible persons signature on this compliance docurrientaffirms-that all applicable;reyuirements in this table have been met unless otherwise noted -in the Verification Status and the CorractlonS_Notes in this table. E. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocfll 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. Registration Number: Registration Date/Time: 2017-04-0618:24:21 HERS Provider: CaICERTS 217-A020099657A-000-001-M22001A-M22A CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:22:43 2016 Residential Compliance Schema Version: rev 2013-09-11 CERTIFICATE OF VERIFICATION CF3R-MCH-22-H Space Conditioning System Fan Efficacy (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: Justin Myers Documentation Author Signature: f01zzW 6 ~ Company: Date Signed: Innovative Energy Solutions 2017-04-06 18:24:21 Address: CEA/ HERS Certification Identification (if applicable): 24 Timber Cove Dr CC2006657 City/State/Zip: Phone: Campbell CA 95008 408-856-5250 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 information reported on applicable sections-ofihe Certificate(s) otfnsfaflafi6n.tGF2R)"s gned.and suilmitii0y the person(s) responsible for the construction or installation conforms to the requirements speafiedcon the Certificate(s) of Compliance (CF1R) approved bythe,enforcementagency. 5. 1 will ensure that a registered copy of this Certificate of Verification;shall be posted or rnadeayailab)e with the i wilding permit(s).issued for the building, and made ayailab[e to the enforcement -agency for all appficable.inspections. I understand that a -registered copy ofthis;Certir€icAe_of, -- _ Verification is required to be included with the documentation the build&p'rovides fo the building owner at occupancy. Builder Or Installer Information As'Shown On -The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): T F F HEATING AND AIR CONDITIONING Responsible Builder or Installer Name: CSLB License: Tony Ferreira 917350 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: Innovative Energy Solutions Responsible Rater Name: Responsible Rater Signature: Justin Myers Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2006657 2017-04-06 18:24:21 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: Registration Date/Time: 2017-04-0618:24:21 HERS Provider: CaICERTS 217-A020099657A-000-001-M22001A-M22A CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:22:43 2016 Residential Compliance Schema Version: rev 2013-09-11 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of 8) Project Name: Eddy Wang Enforcement Agency: City of Cupertino Permit Number: 2017-00347 Dwelling Address: 19681 Merritt Dr City: Cupertino Zip Code: 95014 A. General Information 01 Dwelling Unit Name Eddy Wang 02 Climate Zone 4 03 Dwelling Unit Total Conditioned Floor 1511 04 Number of Space Conditioning 1 CFA served Area (ft) Installing a Systems in this Dwelling Unit. Installing 05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT) 06 Method Used to Calculate HVAC Loads NotApplicableEquipmentChangeout 07 Calculated Dwelling Unit Sensible This field or section is not applicable 08 Calculated Dwelling Unit Heating Load This field or section is not applicable Identification or Cooling Load (Btu/h) System ducted (Btu/h) system 09 Dwelling Unit Number of Bedrooms 3 ` Name Served MCH -01b - Space Conditioning Systems Ducts and Fans = Prescriptrve Alterations; ; 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 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? SC system? Alteration Type Entirely new or complete replacement System 1 Location 1 1511 Yes Yes Yes Yes Yes Yes space conditioning system Registration Number: 217-A020099657A-000-001-M01001A-0000 Registration Date/Time: 2017-04-06 21:42A3 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-06 18:04:43 Schema Version: rev 10/16 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 Heating -Unit , Model Number deaf ing Unit Serial Number Rated Heating Capacity, Output (Btu/h) System 1 AFUE 95 ;; ' - CARRIER; 59TP6A060E1412 = = e;5%1 f 13260 57000 Notes: Condenser Rated Nominal Capacity (ton) Central Fan SEER 15 CARRIER 24AAA636A00 417E12228 42000 3.5 Integrated Heating Cooling New or (CFI) SC 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 All new All new System 1 Central gas heating AFUE 95 Central cooling SEER 15 Setback GT40Ft R6 Not a CFI furnace componen split AC components system is D. Installed Heating Equipment Information 01 02 03 _ „04...._. ,...._...:,.05. -. 06 07 SC Identification or Name Heating Efficiency, Type'. Heating Efficiency. - Value- - .:. ' HeatingUnit, Manufacturer' -, Heating -Unit , Model Number deaf ing Unit Serial Number Rated Heating Capacity, Output (Btu/h) System 1 AFUE 95 ;; ' - CARRIER; 59TP6A060E1412 = = e;5%1 f 13260 57000 Notes: Condenser Rated Nominal Capacity (ton) System 1 SEER 15 CARRIER E. Installed Cooling Equipment Information 01 02 03 04 05 06 07 08 Condenser or Package Unit SC 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 (Btu/h) Condenser Rated Nominal Capacity (ton) System 1 SEER 15 CARRIER 24AAA636A00 417E12228 42000 3.5 Registration Number: 217-A020099657A-000-001-M01001A-0000 Registration Date/Time: 2017-04-0621:42:43 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-06 18:04:43 Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION 01 02 CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans OS 06 '. (Page 3 of 8) 08 09 E. Installed Cooling Equipment Information 01 02 03 04 05 06 07 08 Condenser or Package Unit SC 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 (Btu/h) Condenser Rated Nominal Capacity (ton) Notes: "duct and filters ,r= 'Number of Air F. Extension of Existing Duct System, Greater Than 40 Feet This section does not apply to this project. G. Installed Duct System Information 01 02 03 04- OS 06 '. 07:; °'- 08 09 Method:of`., i -Can RA3.3 compliance with _ Airflow SC System SC System, "duct and filters ,r= 'Number of Air Protocols be Identification or Location or Area Supply Duct Supply Duct Return Duct Return Duct grille sizing Req 's Filter Devices on used to test Name Served Location R -Value Location R -Value in 150.0(m)13 System this System? HERS verified fan System 1 Location 1 Unconditioned R-6 Unconditione R-6 efficacy (W/cfm) 1 Yes attic d attic and airflow rate (cfm/ton) Notes: Registration Number: 217-A020099657A-000-001-M01001A-0000 Registration Datefime: 2017-04-0621:42:43 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-06 18:04:43 Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION 01 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..- CF2R-MCN-01-E Space Conditioning Systems, Ducts, and Fans allowable clean -filter pressure drop at the design airflow rate applicable to`"each airfi(ter device shall be determined and;'ail system'air filter device locations shall be 02 labeled to disclose the applicable design.airflow rate andthe maxim um-altowabledean-filter pressure drop :The -labels shall be petmanently affixed to the air filter (Page 4 of 8) device, readily legible, and visible to a person'replacing the air filtet media, and the air filter devices shall be'provided with air filter` media that conforms to these determined or labeled maximum allowable cleart`filter pressure drop values as rated using AHRt 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. H. Installed Air Filter Device Information 04 52.2, or a particle size efficiency rating equal to or greater than 50% in the 3.0 to10 m range when tested in accordance with AHRI Standard 680. 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 05 01 02 03 04 05 06 07 SC System Identification or Name SC System Location or Area Served Air Filter Device identification or Name Air Filter Device Type Air Filter Device Location Determined Design Airflow Rate for Air Filter Device (cfm) Determined Design Allowable Pressure Drop for Air Filter Device (inch W.C.) System 1 Location 1 Filter 1 Filter Grille HALLWAY 1600 0.05 Notes: I. Air Filter Device Requirements 01 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- ilterpressure drop imposed by the systerriairfilterdevice(s) The design airflow rate and maximum allowable clean -filter pressure drop at the design airflow rate applicable to`"each airfi(ter device shall be determined and;'ail system'air filter device locations shall be 02 labeled to disclose the applicable design.airflow rate andthe maxim um-altowabledean-filter pressure drop :The -labels shall be petmanently affixed to the air filter device, readily legible, and visible to a person'replacing the air filtet media, and the air filter devices shall be'provided with air filter` media that conforms to these determined or labeled maximum allowable cleart`filter pressure drop values as rated using AHRt 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. 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 04 52.2, or a particle size efficiency rating equal to or greater than 50% in the 3.0 to10 m range when tested in accordance with AHRI Standard 680. 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 05 required efficiency and pressure drop requirements for the air filter device. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 217-A020099657A-000-001-M01001A-0000 Registration Date/Tme: 2017-04-0621A2:43 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-06 18:04:43 Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 5 of 8) J. HERS Verification Requirements 01 02 03 04 05 06 07 08 09 10 Exemption MCH-20 from MCH-23 Minimum MCH-22 MCH-25 Exemption R-Value for MCH-21 AHU MCH-28 SC System SC System From Duct Duct Ducts In AHU Fan Airflow Identification or Location or Area Leakage Leakage Conditioned Duct Location Efficacy Rate Refrigerant Return Duct Design Name Served Requirements Test Space Verification (W/cfm) (dm/ton) Charge Table 150.0-8 or C System 1 Location 1 r No exemptions Yes appl'oable No Yes Yes No No Notes: Registration Number: 217-A020099657A-000-001-M01001A-0000 Registration Date/Time: 2017-04-06 21:42:43 HERS Provider: CaICERTS CA Building Energy Efficiency Standards- 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-06 18:04:43 Schema Version: rev 10/16 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 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. 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). 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 specification: See -Section 150.0(4)4._.: . 05 Standby Losses and Pilot Lights: Tari -type centra[ furnaces`inay-not have,a continuously bum)ng pilot,,tight:iSection 110,5_and Section 110.2(d). Cooling Equipment eet theminiefficiency requirements of Section 110 1:and, Section 1102(a)and the Appliance Efficiency Equipment Efficiency: All cooling equipment must mmum 06 Regulations. 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 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. 09 Liquid Line Fliter Drier: If applicable, a liquid line filter drier shall be installed according to the manufacturer's specifications. Section 150.0(h)3B 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 10 150.0(h)1 and 2. Air Distribution System Ducts, Plenums and Fans Registration Number. 217-A020099657A-000-001-M01001A-0000 Registration Date/fime: 2017-04-06 21:42:43 HERS Provider CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-06 18:04:43 Schema Version: rev 10/16 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 maybe applicable to some systems. These requirements maybe applicable to only newly installed equipment or portions of the system that are altered. Existing equipment maybe exempt from these requirements. 11 Insulation: In all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct insulation value is R-6. Note that highervalues may be required by the prescriptive or performance requirements. See Section 150.0(m)1. 12 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 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 13 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c). 14 The thermostat shall be installed in accordance with the manufacturers published installation specifications 15 First stage of heating shall be assigned to heat'pump heating: 16 Second stage backup heating shall- be"setto colTe on oniy_hen th_ e5ndo,or. set temperature'cannot 6e met ' - The responsible person's signature on"this complian''ce� cumentaffirms`ihafall applicable reguird6iOntsirilhis:table have been met. Registration Number: 217-A020099657A-000-001-M01001A-0000 Registration Datel-rime: 2017-0406 21:42:43 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-06 18:04:43 Schema Version: rev 10/16 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: Justin Myers Company: Signature Date: Innovative Energy Solutions 2017-04-06 18:13:17 Address: CEA/ HERS Certification Identification (if applicable): 24 Timber Cove Dr CC2006657 City/State/Zip: - Phone: Campbell CA 95008 408-856-5250 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 either: a) a responsible personeligible under Division 3 ofthe Businessand 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, or b)1 am an authorized representative of the responsible personand attest to the declaretiogsinthis statement on the respon'sibleperson`s-6ahelf; - .i `r-- ? - 3. The constructed or installed features,materials, components or manufacture ddevices(theinstallation)identified'onthisCertificateofInstallationconformstoalFapplicablecodes and regulations and the installation conformstothe requirementsgiven.onthe.Certificate`oECompllance,pians"aria,specificatiansapprovadbythe enforoemantagency -', 4. I will ensure that a registered copy of this Certificateof Installation shalt be posted or made available with the:bwidmg permit(s) issuedforthe buiidirtg, and madeavailable to the enforcement agency for all applicable inspections. I understand that registered copy of this Certificate of Installation is required to be included with the doiumentation the builder provides to the�building owner at occupancy. Responsible Builder/installer Name: Responsible Builder/Installer Signature: Tony Ferreira Company Name: (Installing Subcontractor or General Contractor or Builder/owner) Position With Company (Title): IV T F F HEATING AND AIR CONDITIONING Owner Address: ' CSLB License: 299 CORNING AVENUE 917350 City/State/Zip: Phone: Date Signed: MILPITAS CA 95035 408-786-8120 2017-04-06 21:42.43 Digitallysignedby Ca10ERT5. This digital signature is provided in orderto secure the content of this registered document and in no wayimplies Registration Provider responsibiW for the accuracy of the information. Registration Number 217-A020099657A-000-001-M01001A-0000 Registration Date/Time: 2017-04-06 21:42.43 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-06 18:04:43 Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: Eddy Wang Enforcement Agency: Cupertino City of Permit Number: 2017-00347 Dwelling Address: 19681 Merritt Dr City: Cupertino Zip Code: 95014 A. System Information 01 Space Conditioning System Identification or Name System I 02 Space Conditioning System Location or Area Served Location 1 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 z from CF1R? No, credit is not taken 06 Duct System Compliance Category Replacement MCH -20d - Complete Replacemebt or Altered Duct system 4 B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 3.5 02 Heating Capacity (kBtu/h) 57 03 Conditioned Floor Area served by this HVAC system (ft) 1511 04 Duct Leakage Test Conditions Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.05 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Cooling system method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage (cfm) 70 10 Actual Duct Leakage Rate from Leakage Test Measurement (cfm) 41.3 11 1 Compliance Statement: System passes leakage test Registration Number: Registration Date/Time: 2017-04-06 21:42:44 HERS Provider: CaICERTS 217-A020099657A-000-001-M20001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:06:46 2016 Residential Compliance Schema Version: rev 03/16 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) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage 02 testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 If a complete replacement, 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 handier 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._ The responsible person's signature on this compliance.docurinefit affirms that all applicable requirements in this._table have been met. Registration Number: Registration Date/Time: 2017-04-06 21:42:44 HERS Provider: CaICERTS 217-A020099657A-000-001-M20001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:06:46 2016 Residential Compliance Schema Version: rev 03/16 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 31 Documentation Author's Declaration Statement 1.1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: /),� . Justin Myers per/ Company: signature Date: 2017-04-06 18:13:17 Innovative Energy Solutions Address: CEA/ HERS Certification Identification (if applicable): 24 Timber Cove Dr CC2006657 City/State/Zip: Phone: Campbell CA 95008 408-856-5250 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 either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the systerd 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, or b)1 am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf. 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 Certificate of Compliance, plans, and specifications approved by the enforcement agency.-, 4. I understand that a HERS rater will check the.ihstallation to_venf compliance and i# such checking determine"s the installation failsto comply, I am required to offer any necessary corrective action at no'charge tothe budding owner 5. 1 will ensure that a registeriedcopy of this Certificateof iristallatlon shall -beeposted, lir made available with the building pertriit(sJ issued for €he building, and nude available tothe enforcement agencyfor all applicable.inspections::I understand that a registered,copy-of this Certificate of Installation is required to be included with the documentation t6ebuii4er-provides to the building owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Tony Ferreira Company Name: (installing Subcontractor or General Contractor or Position With Company (Title): OF Builder/Owner) Owner T F F HEATING AND AIR CONDITIONING Address: CSLB License: 299 CORNING AVENUE 917350 City/State/Zip: Phone: Date Signed: MILPITAS CA 95035 408-786-8120 2017-04-06 21:42:44 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): 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: Registration Date/Time: 2017-04-06 21:42:44 HERS Provider: CaICERTS 217-A020099657A-000-001-M20001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:06:46 2016 Residential Compliance Schema Version: rev 03/16 CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 3) Project Name: Eddy Wang Enforcement Agency: Cupertino City of Permit Number: 2017-00347 Dwelling Address: 19681 Merritt Dr City: Cupertino Zip Code: 95014 A. Ducted Cooling System Information 01 System Identification or Name System 1 02 System Location or Area Served Location 1 03 System Installation Type Replacement 04 Nominal Cooling Capacity (tons) of Condenser 3.5 05 Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan. Integrated (CFI) Ventilation System Status Not a CFI system 08 System Bypass Duct Status- No Bypass Duct 09 Date of System Airflow Rate Measurement _ 207 04-06 _ 10 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate` measurement B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum. Procedures for installing HSPP or PSPP are specified in RA3.3.1.1. 01IMethod Used to Demonstrate Compliance with the I HSPP/PSPP are not applicable to this system I HSPP/PSPP Requirement C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in 01 verification. RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus TESTO 03 Model number of Airflow Measurement Apparatus TESTO420 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www.energy.ca.gov/title24/equipment—cert/ama—fas /index.html Registration Number: Registration Date/Time: 2017-04-0621:42:44 HERS Provider: CaICERTS 217-A020099657A-000-001-M23001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:12:38 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION CFZR-MCH-23-H Space Conditioning System Airflow Rate (Page 2 of 3) MCH -23a Forced Air System Airflow Rate Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor D. Forced Air System Airflow Rate Measurement The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3. 01 Required Minimum System Airflow Rate (cfm/ton) 350 02 Required Minimum System Airflow Target (cfm) 1225 03 Actual System Airflow Rate Measurement (cfm) 1321 04 Compliance Statement: System airflow rate complies E. Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in the system during system air flow rate:ineasurement identified on this Certificate of Installation. The airflow rate measurementapparatus used to perform the airflow rate measurement `_identified on this Certificate of 02 Installation was calibrated. in accordance with theapparatas manufacturer's specifications and conforms to the instrumentation specificationsgiven in RA3.3.1. - - A visual inspection shall confirm that bypass ducts that'deliver'conditioned supply air -directly to the space conditioning 03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. 05 System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan 08 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: Registration Date/Time: 2017-04-06 21:42:44 HERS Provider: CaICERTS 217-A020099657A-000-001-M23001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:12:38 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION Space Conditioning System Airflow Rate CF2R-MCH-23-H (Page 3 of 3) Documentation Author's Declaration Statement 1. t certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature�y 92;v ~ Justin Myers Company: Signature Date: 2017-04-06 18:13:17 Innovative Energy Solutions Address: CEA/ HERS Certification Identification (if applicable): 24 Timber Cove Dr CC2006657 City/State/Zip: Phone: Campbell CA 95008 408-856-5250 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 either: a) a responsible person 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, or b) I am an authorized representative of the responsible person and_attestto the declarations in -this. statement on the responsible person's behalf. 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 Certificate.of Compliance, plans, and specifications approved by the enforcement agericy: 4. 1 understand that a HERS rater willcheck the -installation O veri..compliance and if such checking determinesthe installation fa sl t'bsom}ily, I am required to offer any necessary corrective action at no charge to the building owner 5. 1 will ensure that a registered,.copy,of this Cerfificate of lristaliation s6f_be.posted or made available witYti Etre building permits)issued focthe_ building, and made available to -the enforcement agency for all applicable inspections -1 understand that,a registered. copy_otthis Certificate of Installationisrequired to be included "with the documentation the-builde'rprovides Lathe bdilding owner at occupancy. Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Tony Ferreira Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) Owner T F F HEATING AND AIR CONDITIONING Address: CSLB License: 299 CORNING AVENUE 917350 City/State/Zip: Phone: Date Signed: MILPITAS CA 95035 408-786-8120 2017-04-06 21:42:44 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): 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: Registration Date/Time: 2017-04-06 21:42:44 HERS Provider: CaICERTS 217-A020099657A-000-001-M23001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:12:38 2016 Residential Compliance Schema Version: rev 10/16 CERTIFICATE OF INSTALLATION CF2R-MCH-22-H Space Conditioning System Fan Efficacy (Page 1 of 3) Project Name: Eddy Wang Enforcement Agency: City of Cupertino Permit Number: 2017-00347 Dwelling Address: 19681 Merritt Dr City: Cupertino Zip Code: 95014 A. Ducted Cooling System Information 01 System Identification or Name System 1 02 System Location or Area Served Location 1 03 System Installation Type Replacement 04 Nominal Cooling Capacity (tons) of Condenser 3.5 05 Condenser Speed Type - Single Speed 06 Cooling System Zonal -Control Type Not Zonal 07 Central Fan Integrated (CFI) Ventilation System: Status Not a CFI system 4 08 System Bypass Duct Status „. - No Bypass Duct 09 Date of System Airflow Rate Measurement 2017-04-(36 10 Airflow Rate Protocol utilized `RA3.3 procedures for aErflow rate measutement = B. Fan Watt Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2. 01 1 Fan Watt Verification Device Used. Digital Utility Revenue Meter MCH -22a Forced Air System Fan Efficacy Measurement - Newly Installed Non -Zoned Systems or Zoned Multi -Speed Compressor C. Forced Air System Fan Efficacy Measurement The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3 01 Actual Tested Watts 520 02 Actual Tested Airflow from MCH -23 (cfm) 1321 03 Required Fan Efficacy (watts/cfm) 0.58 04 Actual Fan Efficacy (watts/cfm) 0.39 05 Compliance Statement: System fan efficacy complies Registration Number: Registration Date/Time: 2017-04-06 21:42:44 HERS Provider: CalCERTS 217-A020099657A-000-001-M22001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:13:27 2016 Residential Compliance Schema Version: rev 2013-09-11 CERTIFICATE OF INSTALLATION CF2R-MCH-22-H Space Conditioning System Fan Efficacy (Page 2 of 3) D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. 05 Multi -speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (c€m/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: Registration Date/Time: 2017-04-06 21:42:44 HERS Provider: CaICERTS 217-A020099657A-000-001-M22001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:13:27 2016 Residential Compliance Schema Version: rev 2013-09-11 CERTIFICATE OF INSTALLATION CF2R-MCH-22-H Space Conditioning System Fan Efficacy (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: Justin Myers Documentation Author Signature �lf.QGlli PJt� Company: signature Date: 2017-04-06 18:13:17 Innovative Energy Solutions Address: CEA/ HERS Certification Identification (if applicable): 24 Timber Cove Dr CC2006657 City/State/Zip: Phone: Campbell CA 95008 408-856-5250 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provi&4 on this Certificate of Installation is true and correct. 2. 1 am either: a) a responsible person 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, or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf. 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_ therequirements"given on.the,Certificate o_ f Compliance, plans, and specifications approved by the enforcement,agericy ' 4. 1 understand that a HERS rater will check the installation to=verify compliance ant �f such checking determnesthe installation faiis'to comply I am required to offer any necessary corrective action at no charge toShe building owner. 5. 1 will ensure that a registered_cbpy of this Certificate oft stallation sha}i be posted, or made available wittrthe.building pernit(s).issued forthe building, and made available tothe enforcement agency fo..rall applicable inspections..! understand that a registered;copy of -this Certificate -of -the bu�tding ©wrier at aceupan€y. Installation is required to be included+nrith the documentation the #wilder provides to Responsible Builder/Installer Name: Responsible Builder/Installer Signature: Tony Ferreira Company Name: (installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) Owner T F F HEATING AND AIR CONDITIONING Address: CSLB License: 299 CORNING AVENUE 917350 City/State/Zip: Phone: Date Signed: MILPITAS CA 95035 408-786-8120 2017-04-06 21:42:44 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: Registration Date/Time: 2017-04-06 21:42:44 HERS Provider: CaICERTS 217-AO20099657A-000-001-M22001A-0000 CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-04-06 18:13:27 2016 Residential Compliance Schema Version: rev 2013-09-11