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Home My WebLink AboutB14-1818BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 3 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line (IVR) : (530) 538-4365 (Cut off time for inspections is 2pm) Due to recent reductions in staffing our department cannot guarantee inspections on the date requested Office: (530) 538-7601 Fax: (530) 53 Permit No: B14-1818 Issued: 8/22/2014 Address: 6276 HARTNELL CT, MAGALIA APN: 064-590-017 Owner: DUVAL-CRITSER, AIMEE Permit Type: HVAC C/O RESIDENTIAL Description: HVAC INSTALLATION 8-7785 Website: www.buttecounty.net/dds Flood Zone: None SRA Area: Yes SETBACKS for Zoning. AG. SRA. PW Front: Centerline of Road: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set ac s 131 Foundations / Footings 111 Pier/Column Footings 122 Eufer Ground 216 Masonry Grout 120 131 Pool Plumbing Test Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test Underground/floor 404 Gas Piping Underground/floor 403 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 612 Tiedown/Soft Set System 611 Permanent Foundation System Do Not Install Floor Sheathing or Slab Until Above Signed Shearwall/B.W.P.-Interior 134 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Manometer Test 605 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 153 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 4 -Way Rough Framing 128 Gas Piping House 403 Gas Test House 404 Length x Width: Do Not Insulate Until Above Signed Permit Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Fire Sprinkler Test or Final 702 Swimming Pools Setbacks Inspection Type IVR INSP DATE T -Bar Ceiling 145 Stucco Lath 142 Swimming Pools Setbacks 131 Pool Plumbing Test 504 Gas Test 404 Pre-Gunite 506 Pre -Deck 505 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 131 Blocking/Underpining 612 Tiedown/Soft Set System 611 Permanent Foundation System 613 Underground Electric 218 Sewer 407 Underground Water 417 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Finals Public Works Fina 538-7681 Fire Deparhnent/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL -rrujecc r ium is a ♦ crtmcace ui uccupancy cur knesmenna► vmy/ PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR)#: (530) 538-4365 OFFICE #: (530) 538-7601 FAX#: (530) 538-2140 or (530)538-7785 WEB SITE: www.buttecounty.net/dds PROJECT INFORMATION Site Address: 6276 HARTNELL CT Owner: Permit NO: B14-1818 APN: 064-590-017 DUVAL-CRITSER, AIMEE Issued Date: 8/22/2014 By: CLG Permit type: MECH ELECTRIC PLUMB 6276 HARTNELL CT Subtype: HVAC C/O RESIDENTIAL MAGALIA, CA 95954 Expiration Date: 8/22/2015 Description: HVAC INSTALLATION (530) 873-1485 Occupancy: Zoning: R-1 Contractor Applicant: Square Footage: FEATHER RIVER AIRE FEATHER RIVER AIRE Building Garage Remdl/Addn 5215 HONEY ROCK CT 5215 HONEY ROCK CT OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)567-7021 (530)567-7021 FEE INFORMATION DB CA SB1473 100% $1.00 DBA PERMIT ISSUANCE RES 09 $30.00 DBA TRAVEL & DOCUMENTATION RE $30.00 DBM HEATER $63.00 Total Charged: $124.00 Fees Paid: $124.00 Balance Due: $0.00 Job Value: $3,500.00 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for FEATHER RIVER AIRE 906742 / / 11/30/2015 the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the is in full force and effect. Business and Professions Code) or that he or she is exempt from licensure and the basis for the X 8/22/2014 alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): Contractor's Signature Date I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder I have and will maintain a certificate of consent to self -insure for workers' ❑ will have the burden of proving that it was not built or compensation, issued by the Director of Industrial Relations as provided for by Section improved for the purpose of sale.). 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. I, as owner of the property, am exclusively contracting with licensed Contractors to ❑11 I have and will maintain workers' compensation insurance, as required by Section 3700 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). Carrie, MARKEL Policy Number: MWC001475103 Exp. Date: 1014/2014 I am exempt from licensure under the Contractors' State License Law for the following ❑I certify that, in the performance of the work for which this permit is issued, I shall not reason: X 8/22/2014 employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Owner's Signature Date PERMIT APPLICANT DECLARATION X 8/22/2014 Signature Date By my signature below, I certify to each of the following: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS I am U a California licensed contractor or U the property owner* or U authorized to UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES act on the property owner's behalf**. I have read this construction permit application and the information I have provided is AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN correct. ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property CONSTRUCTION LENDING AGENCY DECLARATION for inspection purposes. California Licensed Contractor, Property Owner* or Authorized Agent**: *requires separate verification form —requires separate authorization form I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name and Address X 8/22/2014 Name of Permittee [SIGN] Print Date INSPECTOR COPY Lender's Name & Address City State Zip m iY m S m LL ca m L o_ m LL B. Space Conditioni 01 sC System identification or Name system 1 MR -MCH -01-E CERTIFICATE OF INSTALLATION 07 08 (page 1 of 7 ) Systems. Ducts, and Fans 02 03 04 !z Space Conditioning Russ & Ann Crister Enforcement Agency: County of Butte Permit Number: B14-1818 proiect Name 6276 Hartnell Ct. City: Magalia Zip Code: 95954 Dwelling Address: 0 N A. General Information Ni 02 Climate Zone 11 o Russ &Ann Crister Co 01 Dwelling Unit Name Number of space conditioning (SC) system's ch Ln04 Unit Conditioned Floor Area 1300 systems being altered in this dwelling 1 Dwelling unit. 03 {ftz} Prescriptive alterations (CFiR-ALT) 06 Method used to calculate HVAC loads Not applicable -equipment changeout, like -for -like 05 Certificate of Compliance Type and ducts dwelling unit Sensible This field or section is not applicable 08 Calculated Dwelling Unit Heating Load (Btuh) This field or section is notapplicable Calculated 07 Cooling Load (Stuh) Installing entirely new or replaced? Alterations -Space Conditioning Systems Ducts and Fans by this SC system a ducted MCN -01b Prescriptive system than 40 feet of new duct m iY m S m LL ca m L o_ m LL B. Space Conditioni 01 sC System identification or Name system 1 -A0096261A-M0100002A-0000 iration Number: 214 juilding Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2014-10-01 11:24:01 Report Version: 2014-05-13 Schema Version: 0.551SDD HERS Providr,:.CaICERTS b ti t a ;t Report Generated: 2010J'21j`li7T3`9'29 FEB 10 2015 DEVELOPMENT SERVICES 05 06 07 08 09 10 02 03 04 Are iU of the system's components and ducts CFA served is the SC Installing a refrigerant Installing new SC installing more Installing entirely new or replaced? C System S C Sy to by this SC system a ducted containing system than 40 feet of new duct (entirely new qac Area System system? component? components? duds? system? system) Alteration Type Served (ste) Altered space Yes Yes Yes No No No conditioning Whole home 1300 system -A0096261A-M0100002A-0000 iration Number: 214 juilding Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2014-10-01 11:24:01 Report Version: 2014-05-13 Schema Version: 0.551SDD HERS Providr,:.CaICERTS b ti t a ;t Report Generated: 2010J'21j`li7T3`9'29 FEB 10 2015 DEVELOPMENT SERVICES N Q 0 co N N 00 w 0 n m Q m `m is m LL CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 2 of 7 ) C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 05 06 07 08 09 10 11 12 System Identification or Name Heating Efficiency Type Heating Efficiency Value Heating Unit Manufacturer Heating Heating Unit serial number Rated Heating Capacity, Output (BTUH) System 1 Cooling 7.7 New or New System 35 Altered Heating Minimum Altered Cooling Minimum Required Replaced Duct Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Dud 11- orName System Type Component Type Value System Type Component Type Value Type Length Value This All new Central All new N/A - no field or section System 1 Central packaged HP heating HSPF 7-7 packaged I3 AC cooling SEER 13 Setback ducts replaced 1s not components components applica ble 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 HSPF 7.7 Payne PH3GNAA36000 2114007995 35 Notes: Registration Number: 214-A0096261A-M0100002A-0000 CA Building Energy Efficiency Standards- 2013 Residential Compliance Registration Date/Time: 2014-10-01 11:24:01 Report Version: 2014-05-13 Schema Version: 0.551SDD I1ERS Provider: CaICERTS Report Generated: 2014-09-22 17:34:29 0 0 N N 0) 0 Lr) 0 M Lr) CD `-D W CD LL. CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 3 of 7 ) E. installed Cooling Equipment information: 01 02 03 04 05 06 07 08 Condenser or Package Unit 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) System 1 SEER 13 Payne AA3600 PH3GN0 2114CO7995 35 3 Notes: F. Extension of Existing Duct System, Greater Than 40 Feet This section does not apply to this project. G. Installed Duct System Information This section does not apply to this project. H. Installed Air Filter Device Information This section does not apply to this project. I. Air Filter Device Requirements This section does not apply to this project. Reglstration Number: 214-A0096261A-Mo100002A-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2014-10-01 11:24:01 Report Version: 2014-05-13 Schema Version: 0.5515DD HERS Provider: CACERTS Report Generated: 2014-09-22 17:34:29 v Q CD co N N 00 0 M m Q m o' `m t i Lq CL 0 N N 00 LO LO 0 c� CD Q m ry `m Z cc m LL CERTIFICATE OF INSTALLATION CFZR-MCH-M-E Space Conditioning Systems, Ducts, and Fans (Page 5 of 7 ) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may he applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Heating Equipment Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency 01 Regulations. Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant 02 to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(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(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 130.2(d). Cooling Equipment Equipment Efficiency: All coaling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency 06 Regulations. Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R -value and protection requirements of Section 07 150.0(1)2 and 31 and Section 150.0(m)9. 08 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A. Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent underslzing or oversizing. See Section 09 150-0(h)1 and 2. Air Distribution System Ducts, Plenums and Fans Insulation: in all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct Insulation value is R-6. Note that higher values may be 10 required by the prescriptive or performance requirements. See Section 150,0(m)1. Registration Number: 214-A0096261A-M0100002A-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Tlnte: 2014-10-01 11;24:01 Report Version: 2014-05-13 Schema Version: 0.5515DD HERS Provider: CaICERTS Report Generated: 2014-09-22 17:34:29 W 0 0 N N rn eo 0 M L0 m M 0 OD LL CERTIFICATE OF INSTALLATION CF211-MCH-014 Space Conditioning Systems, Ducts, and Fans (Page 6 of 7 ) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here maybe applicable to some systems. These requirements maybe applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. 11 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/5MACNA-006-2006: Supply-alr 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 I Second stage back up heating shall be set to come on only when the indoor set temperature Cannot be met_ The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 214-A0096261A•M0100002A-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2014-10-01 1124:01 Report Version: 2014-05-13 Schema Version: 0.551Sbb HERS Provider: CaICERTS Report Generated: 2014-09-22 17:34:29 r` CL O N N rn 00 O L0 a� Q a) ti t N m Co M r to O_ m LL CERTIFICATE OF INSTALLATION CF2R-MCH-02-E Space Conditioning Systems, Ducts, and Fans (Page 7 of 7 ) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Henman, Denise Documentation Author Signature: Coma Company: Signature Date: Capitol Rating Service Address: 0MIEC f) ti tification (if applicable): 1709 Adonis Way City/State/zip: Phone: Sacramento CA 95864 916-515-6391 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 classificatloh 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 1 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, Nyberg, Jason Company Name: (Installing Subcontractor or General Contractor or Builder Owner) Position With Company (Title): FEATHER RIVER AIRE MANAGER C Address: CSLR License: 5215 HONEY ROCK COURT 906742 city/state/zip; Phone:DateSlgned: OROVI LLE CA 95966 (530) 567-7021 2014-10-01 11:24:01 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 214-AC096261A•M0100002A-0000 Registration Date/Time: 2014-10-01 11:24:01 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Schema Version: 0.551SDD Report Generated: 2014-09-22 17:34:29 Feb 101511:18a Feather River Aire 5305892260 p.17 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3 j Project Name: Russ & Ann Crister Enforcement Agency: County of Permit Number: B14-1818 Building Type from CF -111 Butte 04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CFSR? Dwelling Address: 6276 Hartnell Ct. City: Magalla Zip Code: 95954 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Whole home 03 Building Type from CF -111 Single family 04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CFSR? No, credit is not taken 05 Verified Low Leakage Air Handling Unit Credit from CFiR? No, credit is not taken 06 Duct System Compliance Category Alteration I MCH -20d - Complete Replacement or Altered Dud System B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 3 02 Heating Capacity (kBtu/h) 35 03 Conditioned Floor Area served by this HVAC system (ft2) 1300 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.15 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Cooling system method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage Rate (cfm) 180 10 Actual duct leakage rate from leakage test measurement (cfm) 109 11 Compliance Statement: System passes leakage test 12 1 Notes: ncr'uuabuu Number: UA-AGO9626lA-M200000L4-M20A Registration Date/Time: 2014.09-2218:11:53 HERS Provider. CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-D8 Report Generated: 2014-09-22 17:43:23 2013 Residential Compliance Schema Version: 0.51SDD BUTTE COUNTY FEB I 0 2015 DEVLLOPMENT SERVICES Feb 10 1511:18a Feather River Aire 5305892260 p.18 CERTIFICATE OF VERIFICATION Duct Leakage Diagnostic Test C. Additional Requirements for Compliance 01 1 System was tested in its normal operation condition. No temporary taping allowed. CF3R-MCH-20-H (Page 2 of 3 ) 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. 103 J All supply and return register boots were sealed to the drywall. 1 04 I Building cavities were not used as plenums or platform returns in lieu of ducts. 05 1 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: Pass - all applicable requirements are met 09 Correction Notes for this table: 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. 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 ' Complies: All specified verification protocol requirements on this document are met. Registration Number: 214-AQD96261A-M2000002A-M20A Registration Datelrime: 2014-09-22 18:11:53 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2014-09-22 17:43:23 2013 Residential Compliance Schema Version: 0.51SDD Feb 101511:18a Feather River Aire 5305892260 p.19 CERTIFICATE OF VERIFICATION Duct Leakage Diagnostic Test Documentation Author's Declaration Statement CF3R-MCH-20-H (Page 3 of 3 ) P. I certify that this Certificate of Verification documentation is accurate and complete. I Documentation Author Name: Documentation Author Signature: Denise Henman Company. Date Signed: Capitol Rating Service 2014-09-22 17:46:15 d CEA/ HERS Certification identification (if applicable): 1709 Adonis Way 23402 City/State/Zip: Phone: Sacramento CA 95864 916-515-6391 Responsible Person's Declaration statement I certify the following under penalty of perjury, unde r the laws of the State of Carifornia: 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 an 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 of the Certificate(s) of Installation (CF2R) signed and submitted by the persons) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. 1 will ensure that a registered copy ofthis Certificate of verification 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 Verification is required to he Included with the documentation the builder provides to the building owner at occupancy. I Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or guilder/Owner): FEATHER RIVER HIRE Responsible Builder or Installer Name: CSLB License: FEATHER RIVER AIRE 906742 HERS Provider Data Registry Information Sample Group Number (if applicable): CwellingTest Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Comparry, Name: Capitol Rating Service Responsible Rater Name: Responsible Rater Signature: Gustavo Cruz cqusfavo Crus Responsible Rater Certification Numberw/this HERS Provider: DateSlgned: CC2006255 2014-09-22 18:11:53 Digitally signed by CaICEH iS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility, for the accuracy of the information. Registration Number: 214-A0096261A-M20D0002A-M20A Registration Date/Time: 2014-09-2218:11:53 HERS provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2014-09-22 17:43:23 2013 Residential Compliance Schema Version: 0.51SDD Feb 101511:19a Feather River Aire 5305892260 p.20 CERTIFICATE OF VERIFICATION CF3R-MCH-23-1H Space Conditioning System Airflow Rate (Page 1 of 4 ) Project Name: Russ & Ann Crister Enforcement Agency: County of Butte Permit Number: B14-1818 Dwelling Address: 6276 Hartnell Ct. City: Magalia Zip Code: 95954 A. Ducted Cooling System Information 01 System Identification or Name System 1 02 System Location or Area Served Whole home 03 System Installation Type Alteration 04 Nominal Cooling Capacity (tons) of Condenser 3 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 2014-08-25 10 Airflow Rate Protocol utilized RAU 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. Ol Method used to demonstrate compliance with the HSPP installed and labeled consistent with Figure RA3.3-1 HSPP/PSPP requirement C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA33.1.1, 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 Airnow Measurement Apparatus ACCUBALANCE 03 Model number of Airflow Measurement Apparatus 8371 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www.energy.ca.gov/(tbd) Registration Number: 214-A0096261A-N42300002A-M23A Registration Date/Time: 2014-09-22 18:11:53 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2014-09-22 17:45:10 2013 Residential Compliance Schema Version: 0.51SDD !Bvrf E ,'(MINTY Feb 101511:19a Feather River Aire 5305892260 p.21 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: Denise Henman Company: Capitol Rating Service Address: 1709 Adonis Way City/State/Zip: Sacramento CA 95864 Responsible Person's Declaration statement Documentation Author Signature: rn�"7j a(Ji°/%21,Qe �E/r%/hQ/12 Date Signed: 2014-09-22 17:46:15 CEA/ HERS Certification Identification {'d applicable): Phone: 916-515-6391 I certify the following under penalty of perjury, underthe 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 bythe enforcement agency - 4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the mnstructlon or installation c3nforms to the requirements specified on the Certificate(s) of Compliance (CF111) approved by the enforcement agency. S. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permits) issued for the building, and made available to the enforcement agencyfor 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 at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): FEATHER RIVER AIRE Responsible Bui bier or Installer Name: FEATHER RIVER AIRE HERS Provider Data Registry Information CSLB License: 906742 Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Capitol Rating Service Responsible Rater Name: Responsible Rater Signature: Gustavo Cruz uQsEavo Cruz Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2006255 2014-09-22 18:11:53 Digitally signed by "CERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 214-A0096261A-M230D002A-M23A Registration Date/Time: 2014-09-22 18:11:53 HERS Provider: CaICERTS CA Building Energy Efficiency Standards . Report Version: 2014-05.08 Report Generated: 2014-09-22 17:45:10 2013 Residential Compliance Schema Version. 0.51SDD Feb 101511:14a Feather River Aire 5305892260 p.8 I CERTIFICATE OF INSTALLATION CFZR-MCH-ZD-H Dud Leakage Diagnostic Test (Page 1 of 3 ) Project Name: Russ & Ann Crister Enforcement Agency: Butte County of Permit Number: 814-1818 Dwelling Address: 6276 Hartnell Ct. City: Magalia Zip Code: 95954 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Whole home 03 Building Type from CF -1R Single family 04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CFZR? No, credit is not taken 05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit from CF1R? No, credit is not taken 06 Duct System Compliance Category Alteration MCH -20d - Complete Replacement or Altered Dud System B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 3 02 Heating Capacity (k8tu/h) 35 03 Conditioned Floor Area served by this HVAC system (ft2) 1300 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 0.15 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Cooling system method 08 Measured AHLIAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage (cfm) 180 10 Actual duct leakage rate from leakage test measurement (cfm) 109 11 Compliance Statement: System passes leakage test Registration Number: 214-A0096261A-M2000002A-0000 Registration Date/Time: 2014-10-01 11:24:01 HERS Provider: CaiCERT5 CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2014-09-22 17:36:05 2013 Residential Compliance Schema Version:0.51SDD BUTTE C')l) N I Y FEB 10 2015 DEVELOPMENT SERVICES Feb 101511:15a Feather River Aire 5305892260 p.9 CERTIFICATE OF INSTALLATION CFZR-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 (CR) 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. The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 214-A0096261A-M2000002A-0000 Registration Date/Time: 2014-10-01 9124:01 HERS Provider: 0310ERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2014-09-22 17:36:05 2013 Residential Compliance Schema Version: 0.51SDD Feb 101511:15a Feather River Aire 5305892260 p.10 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3 ) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Denise Henman Documentation Author Signature: Capitol Rating Service °"' 2014-09-2217:42:05 1709 Adonis Way Sacramento CA 95864 Responsible Person's Declaration statement rnone: 916-515-6391 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 devrces for the scope of work identified on this Certificate of lnstalration and attest to the declarations in this statement (responsible builder/instalrer), otherwise I am an authorized representative of the responsible builder/installer 3. The constructed cr installed features, materials, components or manufactured devices (the installation) identified an 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 a-iforcement agency. 4. 1 understand that a HERS rater will check the installation to verify compliance, and that if such checking identifies defects: I am required to take corrective action at my expense. ! understand that Energy Commission and HERS Provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked bya HERS rater, and If those installations fall to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HEps samplegroup will be performed at mvexpense_ S. 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. 6. 1 wiFl 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. l understand thata registered copy of this Certificate of installation Is required to be included with the documentation the builder provides to the building owner at occupancy. Jason Nyberg Company Name. (installing Subcontractor orGeneralContractoror Position With CompanyiTitle): Builder/Owner) MANAGER FEATHER RIVER AIRE Address: CSLB License: 5215 HONEY ROCK COURT 906742 Gty/State/Zip: Phone: Date Signed: OROVJLLE CA 95966 (530) 567-7021 2014-10-01 11:24.01 Digitally signed by COCERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration Provider responsibility for the accuracy of the information, Registration Number: 214-AC096261A-M2000002A-0000 Registration Datefrime: 2014-10-01 11.24:01 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-D5-08 Report Generated: 2014-09-22 17:36:05 2013 Residential Compliance Schema Version: 0.51SDD Feb 10 1511:15a Feather River Aire 5305892260 PA 1 CERTIFICATE OF INSTALLATION CF2R-MCN-23-H Space Conditioning System Alrflow Rate (Page 1 of 3 ) Project Name: Russ & Ann Crister Enforcement Agency: Butte County of Permit Number. B14-1818 Dwelling Address: 6276 Hartnell Ct. City: Magalia Zip Code: 95954 A. Ducted Cooling System Information 01 System Identlfication or Name System 1 02 System Location or Area Served Whole home 03 System Installation Type Alteration 04 Nominal Cooling Capacity (tons) of Condenser 3 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 2014-08-25 10 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement B. Hole for the placement of a Static Pressure Probe JHSPP), 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 the HSPP installed and labeled consistent with Figure RA3.3-1 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 ACCUSALANCE 03 Model number of Airflow Measurement Apparatus 8371 Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www.energy.ca.gov/(tbd) Registration Number: 214-A0096261A-M2300002A-0000 Registration Date/Time: 2014-10-01 11:24:01 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2014-09-22 17:38:16 2013 Residential Compliance Schema Version: 0.SISDD Wiff u E FEB 10 2015 DEVELOPMENT SERVICES Feb 10 1511:15a Feather River Aire 5305892260 p.12 CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow, state (Page 2 of 3 i 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) 300 02 Required Minimum System Airflow Target (cfm) 900 03 Actual System Airflow Rate Measurement (cfm) 1123 L04 Compliance Statement: System airflow rate complies E. Additional Requirements 01 Air fitters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were property installed in the system during system airflow rate measurement identified on this Certificate of Installation. The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of 02 Installation was calibrated fn accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. A visual inspection shalt confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning system return duct airflow are not used on new or replacement zonally controlled systems unless the Performance 03 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 an this compliance document affirms that all applicable requirements In this table have been met. Registration Number: 214-A0096261A-M2300002A-0000 Registration Date/Time: 2014-10601 11:24:01 HERS Provider; CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2014-09-22 17:38:16 2013 Residential Compliance Schema Version: 0.515DD Feb 101511:16a Feather River Aire 5305892260 p.13 CERTIFICATE OF INSTALLATION CF2R-MCH-23-H Space Conditioning System Airflow Rate (Page 3 of 3 ) Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author—Signature: G Denise Henmanl Company: Signature Cate: Capitof Rating Service 2014-09-22 17:42:05 1709 Adonis Way Sacra mento CA 95864 1916-515-6391 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 alt applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved bq the enforcement agency. 4. 1 understand that a HERS rater will check the installation to verify compliance, and that if such checking identifies defects, l am required to take corrective action at my expense. I understand that Energy Commission and HERS Provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by HERS rater, and if those installations fall to meet the requirements of such quality assurance checking, the required corrective action and additional cheddng/testing of other installations in that HERS sample group will be performed at my expense. S. I 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 Certif]cate of installation, and I have ensured that the requirements that apply to the construction or installation have been met. 6. 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permits) issued for the bullding, 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. Jason Nyberg -r XM44&*— Company Name: (Installing Subcontractor or General Contractor or Positron With Company (Title): Builder/Owner) FEATHER RIVER AIRE MANAGER Address: 5215 HONEY ROCK COURT CSL8 License: City/State/Zip: 906742Phone:OROVILLF CA 95966 Date signed: (530) 567-70212014-10-01 11:24:U1 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if annlirahlnt• &9984 signed by CafCifRTS. This digital signature is provided m order to secure the content of this registered document and in noway implies Registration Provider msponsibiGty for the accuracy of the information. Registration Number: 214-A0096261A-M2300002A-9000 Registration Date/Time: 2014-10-01 11:24:01 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2014-09-22 17:38:16 2013 Residential Compliance Schema Version: 0.51SDD Feb 101511:17a Feather River Aire 5305892260 p.14 CERTIFICATE OF INSTALLATION CF21R-MCH-24-E Refrigerant Charge Verification (Page 1 of 3 ) Project Name: Russ & Ann Crister Enforcement Agency: County of Butte Permit Number: B14-1818 Dwelling Address: 6276 Hartnell Ct. City: Magalia Zip Code: 95954 A. System Information 01 System Identification or Name System 1 02 System Location or Area Served Whole home 03 Condenser (or package unit) make or brand Payne 04 Condenser (or package unit) model number PH3GNAA36000 05 Nominal Cooling Capacity (tons) of Condenser 3 06 Condenser (or package unit) serial number 2114CO7995 07 Refrigerant Type R -410A 08 Other Refrigerant Type (if applicable) 09 System Installation Type Alteration 10 Charge Indicator Display (CID) Status (Note: Even systems with a CID must have refrigerant charge verified by installer) This system does not have a CID device installed 11 Is the system of a type that the minimum airflow can be verified using an approved measurement procedure (RA3.3 or RA3.2.2.7)? Yes, this is a ducted system and one of the system airflow rate measurement procedures in RAM or RA3.2.2.7 can be used to verify system airflow rate 12 Is the system of a type that approved refrigerant charge verification procedures can be used to verify compliance with the refrigerant charge verification requirements when temperatures are greater than or equal to SSF (RA3.2.2, or RAI)? Yes, one of the Refrigerant charge verification procedures from RA3.2.2 or RAI is applicable to this system and can be used to verify compliance 13 Date of Refrigerant Charge Verification for this system 2014-08-25 14 Refrigerant charge verification method used. New package unit factory charge 15 Person who performed the Refrigerant Charge Verification reported on this Certificate of Installation HVAC system installer 16 HERS Verification Compliance Requirement Status HERS verification of refrigerant charge is not required MR -MCH -25f` New Package Unit With Factory Charge Registration Number: 214-AC096261A-M2506W2A-0000 Registration Date/Time: 2014-10-01 11:24:01 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2014-09-22 17:40:24 2013 Residential Compliance Schema Version: 0.551500 BUTTE FEB 10 2015 DEVELOPMENT SERVICES Feb 101511:17a Feather River Aire 5305892260 p.15 CERTIFICATE OF INSTALLATION CF2R-MCH-25-E Refrigerant Charge Verification (Page 2 of 3 ) B. Measurement Access Hole JMAH j Verification Procedures for installing MAH are specified in Reference Residential Appendix RA3.2.2.3 01 Method used to demonstrate compliance with the MAH installed and labeled consistent with figure 3.2-1 Measurement Access Hole (MAH) requirement C. Minimum System Airflow Rate Verification Procedures for verifying minimum system airflow are specified in Reference Residential Appendix RA3.2.2.7. 01 Minimum Required System Airflow Rate (cfm) 900 02 System Airflow Rate Verification status System complies with minimum airflow rate requirements D. Verification of New Package Unit Factory Charge Note: There is no HERS verification requirement forthe MCH -25f . The Enforcement Agency has responsibility for verification of the MCH -25f. 01 Provide the AHRI certificate number for the installed new 3393472 package unit with factory charge. The responsible persons signature on this document affirms that this new package unit has correct refrigerant charge as 02 provided by the manufacturer prior to shipment from the factory, and no modifications have been made to this packaged unit that would result in a change to the amount of refrigerant in the unit. Registration Number: 214-A0096261A-M2500002A-0000 Registration Date/Time: 2014-10-01 11:24:01 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2014-05.08 Report Generated: 2014-09-22 17:40:24 2013 Residential Compliance Schema version:0.5515DD Feb 101511:17a Feather River Aire 5305892260 p.16 CERTIFICATE OF INSTALLATION MR -MCH -25-E Refrigerant Charge Verification (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: Denise Herman Documentation Author Signature: �p Oemae, 9(m7wws Company: Signature Date: Capitol Rating Service Address: e C e iricatim (if applicable): 1709 Adonis Way City/State/Zip:Phone: Sacramento CA 95864 916-515-6391 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 cf construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the zonstruction or Installation have been met S. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the bullding permit(s) issued for the building, and made available to the enforcement agency far 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: Jason Nyberg Company Name: (Installing Subcontractor or General Contractor or Builder/Gwner) Position With Company (Title): �� i / MANAGER CSV FEATHER RIVER AIRE (( Address: CSLB License: 5215 HONEY ROCK COURT 906742 City/State/Zip; Phone: Date Signed: OROVILLE CA 95966 (530) 567-7021 2014-10-01 11:24:01 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 responsibifity for the accuracy of the information. Registration Number: 214-A0096261A-M2500002A-0000 Registration Date/Time: 2014-10-01 11:24:01 HERS Provider: CalCERTS CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2014-09-22 17:40:24 2013 Residential Compliance Schema Version: 0.5515DD