BLD-2023-1990_CF1RRegistrationNumber:223-A026581626A-000-000-0000000-0000 RegistrationDate/Time: HERSProvider:CalCERTS
CA Building EnergyEfficiencyStandards -2022 Residential Compliance Report Version:2022.0.000
Schema Version:rev 20220101
Report Generated:2023-08-31 14:28:42
ALTERATIONSTO SPACE CONDITIONINGSYSTEMS
(FORMERLY CF-1R-ALT-HVAC)
CF1R-ALT-02-E
(Page1 of3)
CERTIFICATE OF COMPLIANCE
ProjectName: 21163 Gardena Drive EnforcementAgency: Cityof Cupertino
Dwelling Address: 21163 Gardena Drive PermitNumber: TBD
City and ZipCode Cupertino, 95014 PermitApplication Date:
A.General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained withina single dwelling unit.
01 ProjectName 21163 Gardena Drive 02 DatePrepared 2023-08-31
03 ProjectLocation 21163 Gardena Drive 04 Building Type Single family
05 CA City Cupertino 06 Dwelling UnitName 21163 Gardena Drive
07 ZipCode 95014 08 Dwelling UnitConditioned Floor
Area (ft2)1100
09 ClimateZone 4 10
Number ofSpaceConditioning
(SC)Systems in this Dwelling
Unit:
1
B.SpaceConditioning (SC)System Information
01 02 03 04 05 06 07 08 09 10
SC System ID or
Name
SC System
Location or Area
Served
CFA served by this
SC System (ft2)
Is theSC system a
ducted system?
Installing a
refrigerant
containing
component?
Installing new SC
system
components?
Installing more
than 25 feetof
ducts?
Installing entirely
new ductsystem?
Installing entirely
new SC system?Alteration Type
Wallace Chan Location1 1100 Yes Yes Yes No No No
Altered space
conditioning
system
2023-08-31 14:28:42
Arnold Hom
09/11/23
ALTERATIONSTO SPACE CONDITIONINGSYSTEMS
(FORMERLY CF-1R-ALT-HVAC)CF1R-ALT-02-E
(Page2 of3)
RegistrationNumber:223-A026581626A-000-000-0000000-0000 RegistrationDate/Time: HERSProvider:CalCERTS
CA Building EnergyEfficiencyStandards -2022 Residential Compliance Report Version:2022.0.000
Schema Version:rev 20220101
Report Generated:2023-08-31 14:28:42
C.Extension ofExisting DuctSystem,Greater Than 25 Feet(Section150.2(b)1Diib)
This sectiondoes not applyto this project.
D.Altered SpaceConditioning System (Sections 150.2(b)1E and F)
01 02 03 04 05 06 07 08 09 010 11 12 13 14
System ID/
Name
SC System
Description
ofArea
Served
Heating
System
Type
Altered
Heating
Component
s
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System
Type
Altered
Cooling
Component
s
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
SEER/SEER2
Cooling
Minimum
Efficiency
Value
EER/EER2/C
EER
Required
Thermostat
Type
New or
Replaced
DuctLength
New Duct
R-Value
Wallace
Chan Location1 Central gas
furnace
All new
heating
components
AFUE 80 Central split
AC
All new
cooling
components
EERSEER 14 11.7 Setback n/a n/a
Required Documentation:
CF2R-MCH-01-E -Space Conditioning Systems
-Duct insulationrequirement for the new portions of supply-air and return-air ducts or plenums:R6 (CZ3, 5-7)and R8 (CZ1, 2, 4, 8-16)
CF2R and CF3R-MCH-20-H -Duct Leakage Test required whenheating or cooling components are installed inducted systems, or whenmore than25 ft of duct length is replaced
-Leakage rate compliance:less thanor equal to 10%or less thanor equal to 7%leakage to outside, or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verificationrequired whenrefrigerant containing components are installed or altered (applicable inCZ2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate greater thanor equal to 300 CFM per tonrequired whenMCH-25 is required.
Exceptions:
-Duct systems registered with HERSprovider as previouslysealed are exempt from MCH-20 Duct Leakage Testing requirements.
-Heating-onlysystems and Air Handler Furnace changes do not require verificationof Air Flow MCH-23, or Refrigerant Charge MCH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements.
E.Entirely New or CompleteReplacementDuctSystem,with or withoutEquipmentChangeout(Sections 150.2(b)1Diia and 150.2(b)1E,F)
This sectiondoes not applyto this project.
F.Entirely New or CompleteReplacementSpaceConditioning System (Section 150.2(b)1C)
This sectiondoes not applyto this project.
2023-08-31 14:28:42
ALTERATIONSTO SPACE CONDITIONINGSYSTEMS
(FORMERLY CF-1R-ALT-HVAC)CF1R-ALT-02-E
(Page3 of3)
RegistrationNumber:223-A026581626A-000-000-0000000-0000 RegistrationDate/Time: HERSProvider:CalCERTS
CA Building EnergyEfficiencyStandards -2022 Residential Compliance Report Version:2022.0.000
Schema Version:rev 20220101
Report Generated:2023-08-31 14:28:42
DOCUMENTATION AUTHOR'SDECLARATION STATEMENT
1.I certifythat this Certificate of Compliance documentationis accurate and complete.
DocumentationAuthor Name:
CindyFaulkner
DocumentationAuthor Signature:
Company:
ATKINSON CLIMATROLLERSINC dba VALLEY HEATING,COOLING &ELECTRICAL
Signature Date:
Address:
1171 NORTH 4TH STREET
CEA/HERSCertificationIdentification(if applicable):
City/State/Zip:
SAN JOSE CA 95112
Phone:
408-294-6290
RESPONSIBLE PERSON'SDECLARATION STATEMENT
I certifythe following under penaltyof perjury, under the laws of the State of California:
1. The informationprovided onthis Certificate of Compliance is true and correct.
2. I am eligible under Division3 of the Business and Professions Code to accept responsibilityfor the building designor system designidentified onthis Certificate of
Compliance (responsible designer).
3. The energyfeatures and performance specifications, materials, components, and manufactured devices for the building designor system designidentified onthis
Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building designfeatures or system designfeatures identified onthis Certificate of Compliance are consistent with the informationprovided onother applicable
compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agencyfor approval with this building permit application.
5. I understand that a registered copyof this Certificate of Compliance shall be made available with the building permit(s)issued for the building, and made available to
the enforcement agencyfor all applicable inspections, and I will take the necessarysteps to accomplish this requirement.
6. I understand that a registered copyof this Certificate of Compliance is required to be included with the documentationthe builder provides to the building owner at
occupancy, and I will take the necessarysteps to accomplish these requirements.
Responsible Designer Name:
CindyFaulkner
Responsible Designer Signature:
Company:
ATKINSON CLIMATROLLERSINC dba VALLEY HEATING,COOLING &ELECTRICAL
Date Signed:
Address:
1171 NORTH 4TH STREET
License:
258540
City/State/Zip:
SAN JOSE CA 95112
Phone:
408-294-6290 Easy to Verify
at CalCERTS.com
2023-08-31 14:28:42
2023-08-31 14:28:42
Digitally signed by CalCERTS. 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.
2023-08-31 14:28:42