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CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 2 of 4)
B. Duct Leakage Diagnostic Test
Compliance Statement:
System passes using smoke test of an altered HVAC system in an existing building.
• No visible smoke exits the accessible portions of the duct system.
• Smoke is only emanating from air -handling unit (AHU) cabinet and non -accessible portions
12
of the duct system.
Note: Accessible is defined as having access thereto, but which first may require removal or opening
of access panels, doors, or moving similar obstructions. If access to the ducts requires an object to
be demolished or deconstructed then sealing of those ducts is not required
13
Notes:
C. Ducts Located in Garage Spaces
01
Duct Leakage Test Method
02
Leakage Factor
03
Air Handling Unit Airflow (AHU Airflow) Determination Method
04
Measured AHU Airflow (cfm)
05
Calculated Target Allowable Duct Leakage (cfm)
06
Actual Duct Leakage Rate from Leakage Test Measurement (cfm) s
07
Compliance Statement:
D. 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 shall 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
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.
Registration Number: Registration Date/Time: 2022-12-07 13:19:16 HERS Provider: CHEERS
422-AO20192415A-000-001-M20002A-M20A
CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-07 13:29:43
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by Con Sol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using Information uploaded by third parties not affiliated
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CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 4)
D. Additional Requirements for Compliance .
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 - all applicable requirements are met.
09
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.
E. 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.
101 I Complies: All specified verification protocol requirements on this document are met.
Registration Number:
422-AO20192415A-000-001-M20002A-M20A
Registration Date/Time: 2022-12-07 13:19:16 HERS Provider: CHEERS
CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-07 13:29:43
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by Con Sol Home Energy Efficlency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
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CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (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:
Documentation Author Signature:
Tate Justus
'T'a�l
Company:
Date Signed:
The Energuy
2022-12-07
Address:
CEA/ HERS Certification Identification (if applicable):
1215 K Street
RCN14133
City/State/Zip:
Phone:
Sacramento CA 95814
877-600-0123
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 of the Certificate(s):of Installation (CF2R) signed and submitted by the person(s) 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 of this 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 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):
NexGen Air Conditioning and Heating
Responsible Builder or Installer Name:
CSL8 License:
Sean Norman (authorized Alanna Stoklosa)
1011173
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
N/A
HERS Rater Information
HERS Rater Company Name:
The Energuy
Responsible Rater Name:
Responsible Rater Signature:
Tate Justus
Taha/
Responsible Rater Certification Number w/ this HERS Provider:
Date Signed:
RCN14133
2022-12-07
Diglbally signed by Corset Home Energy Efficiency Rating System Services, Inc. (CHEERS)7. This digital signature Is provided in order to secure the
content of this registered document, and in no way implies Registration Provider respons/Willy for the accuracy of the Information.
Registration Number: Registration Date/Time: 2022-12-07 13:19:16 HERS Provider: CHEERS
422-A020192415A-000-001-M20002A-M20A
CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-07 13:29:43
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third partles not affiliated
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CERTIFICATE OF INSTALLATION
CF2R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 4)
Project Name: David Paine
Enforcement Agency: Costa
Mesa, City of
Permit Number:
H2O22-0633
Dwelling Address: 637 Saint James Road
City: Newport Beach
Zip Code:
92663
A. System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location or Area Served
Location 1
03
Indoor Unit Name or Description of Area Served
Location 1
04
Building Type fromCF-SR
Single family
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from CF1R?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from CF1R?
No, credit is not taken
07
Duct System Compliance Category
Alteration using smoke test
08
Portions of Duct Located in Garage?
No
09
Is the system type Small Duct High Velocity (SDHV) ?
No
MCH-20e -Sealing All Accessible Leaks using Smoke Test (
Registration Number: Registration Date/Time: 2022-12-07 13:19:04 HERS Provider: CHEERS
422-A020192415A-000-001-M20002A-0000
CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-07 13:29:31
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by Con Sol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not armated
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CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 4)
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
3
03
Indoor Unit Nominal Cooling Capacity
n/a
04
Heating Capacity(kBtu/h)
n/a
05
Conditioned Floor Area Served by this HVAC System (ft2)
1500
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.15
10
Calculated Target Allowable Duct Leakage (cfm)
180
11
Actual Duct Leakage Rate from Leakage Test Measurement (cfm)
243
12
Compliance Statement:
System passes using smoke test of an altered HVAC system in an
existing building.
• No visible smoke exits the accessible portions of the duct
system.
• Smoke is only emanating from air -handling unit (AHU)
cabinet and non -accessible portions of the duct system.
Note: Accessible is defined as having access thereto, but which first
may require removal or opening of access panels, doors, or moving
similar obstructions. If access to the ducts requires an object to be
demolished or deconstructed then sealing of those ducts is not
required
C. Ducts Located in Garage Spaces
This section does not apply to this project.
D. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air CA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. CA 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 CA is required and automatically close when CIA is not required, may configure the CA damper 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.
Registration Number: Registration Date/Time: 2022-12-07 13:19:04 HERS Provider: CHEERS
422-A020192415A-000-001-M20002A-0000
CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-07 13:29:31
2019 Residential Compliance Schema Version: rev 20210501
NOTICE: This document has been generated by Con Sol Home Energy Efficiency Rating System Services, Inc. (CHEERS) using Information uploaded by third parties not affiliated
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CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 4)
D. Additional Requirements for Compliance
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.
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: 2022-12-07 13:19:04 HERS Provider: CHEERS
422-A020192415A-000-001-M20002A-0000
CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-07 13:29:31
2019 Residential Compliance Schema Version: rev 20210501
NOTICE This document has been generated by ConSol Home Energy Efficiency Rating System Services, Inc (CHEER$) using infomradon uploaded by third parties not affiliated
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CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 4 of 4)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Alanna Stoklosa
Company:
Signature Date:
The Energuy
2022-12-07
Address:
CEA/ HERS Certification Identification (if applicable):
1215 K Street
City/State/Zip:
Phone:
Sacramento CA 95814
877-600-0123
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 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. 1 understand that a HERS rater will check the installation to verify compliance and if such checking determines the Installation fails to comply, I am
required to offer any necessary corrective action at no charge to thebullding owner.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued forthe
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:
Sean Norman (authorized Alanna Stoklosa)
Company Name: (Installing Subcontractor or General Contractor or
Position With Company (Title):
Builder/owner)
Contractor/Installer
NexGen Air Conditioning and Heating
Address:
CSLB License:
700 N. Valley Street, Suite K
1011173
City/State/Zip:
Phone:
Date Signed:
Anaheim CA 92801
657-208-1987
2022-12-07
Third Party Quality Control Program (TPQCP) Status: I
Name of TPQCP (if applicable):
Digitally signed by Canso] Home Energy EtflclencyRating System Services, Inc. (CHEERS). This digital signature is provided in order to secure the
content of this registered document, and in no way implies Registration Provider respons/bllity for the accuracy of the Information.
Registration Number: Registration Date/Time: 2022-12-07 13:19:04 HERS Provider: CHEERS
422-AO20192415A-000-001-M20002A-0000
CA Building Energy Efficiency Standards Report Version: 2019.1.006 Report Generated: 2022-12-07 13:29:31
2019 Residential Compliance Schema Version: rev 20210501
NOTICE This document has been generated � ConSol Home Energy Effrciency Rating System Services, Inc. (CHEERS) using information uploaded by third parties not affiliated
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