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B-2016-1404CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1404 20585 SUNRISE DR CUPERTINO, CA 95014-2960 (359 10 018) (T F F HEATING AND AIR CONDITIONING) MILPITAS, CA 95035 OWNER'S NAME: CHIUN TIEN-SEK AND CHANG SITU-HWATRUSTEE DATE ISSUED: 02/22/2016 OWNER'S PHONE: 408-966-8606 PHONE NO: 408-786-8120 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class CLQ Lic. # 17 5Q Contractor (T F F HEATING AND AIR CONDITIONING ) Date 02/22/2016 X BLDG _ELECT _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 license is in full force and effect. JOB DESCRIPTION: REPLACE 2 EXISTING (E) FURNACES, SAME LOCATIONS. I hereby affirm under penalty of perjury one of the following two declarations: i. 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 performance of the work for which this permit is issued. ave and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which' this permit is issued. Sq. Ft Floor Area: Valuation: $3800.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county 359 10 018 ordinances 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 City of Cupertino against liabilities, judgments, costs, and PERMIT EXPIRES IF WORK IS NOT STARTED expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PE UANCE OR granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal 180 DAYS FROM LA INSPECTION. -Code, Section 9.18.. Issued by: MELISSA NAMES Signature Date 02/22/2018 Date: 02/22/2016 OWNER-B Dingy ER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of the installed without first obtaining an inspection, I agree to remove all new materials for following two reasons: 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 of Applicant: 2. - 1, as owner of the property, am exclusively contracting with licensed Date: 02/22/2016 contractors to construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: 1. 1 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health & Safety Code, Sections 25505, 25533, and 25534. I will 2. I have and will maintain Worker's Compensation Insurance, as provided for maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the by Section 3700 of the Labor Code, for the performance of the work for which Health & Safety Code, Section 25532(x) should I store or handle hazardous this permit is issued material. Additionally, should I use equipment or devices which emit hazardous a. I certify that in the performance of the work for which this permit is issued, I air contaminants as defined by the Bay Area Air Quality Management District I shall not employ any person in any manner so as to become subject to the will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, atter making this certificate of the Health & Safety Code, ections 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 or authorized ,agent: be deemed revoked. Date: 02/2212M CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION f hereby affirm that there is a construction lending agency for the performance I certify that I have read this application and state that the above information is of work's for which this permit is issued (Sec. 3097, Civ C.) correct. I agree to comply with all city and county ordinances and state laws to building construction, and hereby authorize representatives of this city Lender's Name relating to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Address to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in ARCHITECT'S DECLARRATION consequence of the granting of this permit. Additionally, the applicant I understand my plans shall be used as public records. understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. Licensed Professional Signature Date 02/22/2016 GENERAL PERMIT APPLICATION MEP = COMMUNITY DEVELOPMENT DEPARTMENT a BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.oW misc PROJECT ADDRESSSj A r, k s� C) %/-- APN # f OWNERNAME f C" OL� SAPHO DS ✓GJ /3 E ku kuj`4"' c STREET ADDRESS 90575— (' rt 6e" 9 r- C K%9E 0—Q �� � FAX ' CONTACT NAME 6! =�1�� rI%t� I PHONE STREET ADDRESS. V C=, STATE, ZIPL(e1X� L FAX OWNER D OWNER—BUR-DER ❑:OWNERAGENT ❑ CONTRACTOR CONTRACTORAGENT 11 ARCHITECT ❑ENGINEER. ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME t T k_ F r LICENSE NUMBER t�`�r b LICENSE TYPE W BUS LIC # 1 ��y.C� 1 t a '(� j�� � ^ COMPANY NAME TFT 1' VAC EMAIL /�Gr/�� � e 1 � f�, �,�,f' ��T s v v -°-' 1 FAX STREET ADDRESS , �` ®may s CITY,STATE, zE' P %� ARCHITECTIBNGINEER NAME LICENSE NUMBER BUS. LIC if COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OFor DUPLEX ElMULTI-FAMII Y BURDING: 0COMMERCIAL [DESCRITPTION PROJECT IN WJIDLAND URBAN INTERFACE AREA ❑ YES. 0NO PROJECT IN YES FLOOD ZONE. ❑ NO IS THE BLDG AN ❑ YES EICHLERHOME? [:] NO OF WORK .. .. i %�-....� .. _ 1 d xv1°'"1.n l .. a \.� + mL �. fia s A.9J 4' [ 40I 1 SJ 1 nZ�_C.Q�_ o (4- _'�o6- BTS 4- TOTALVALUATION: By my Signature below, I certify to each of the following: I am the property owner- or authorized ag o act on the property o s be ave read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree ply with alt applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for ep inspection purposes. Signature of Applicant/Agent: - Date: k — MEPMiscApp_2011.doc revised 06121111 fe \ le CF111-ALT-02-E CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -111 -ALT -HVAC) (Page 1 of 3 Project Name: Shu -Hwa Chang Date Prepared: 2016-02-22 A. General Information stems contained within a single dwelling unit. When multiple dwelling units must be documented, MR -ALT -02 is applicable to multiple space conditioning sy use one CFIR-ALT-02 document for each dwelling unit, 01 Project Name Shu -Hwa Chang 02 1 Date Prepared 2016-02-22 03 Project Location 20585 Sunrise Dr 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name Shu -Hwa Chang 95014 08 Dwelling Unit Conditioned Floor Area (ft2) 2609 - 07 Zip Code Climate Zone 4 10 Number of space conditioning (SC) systems in this dwelling unit. 2 09 B Space Conditioning (SC) Syste m'Information System 2 1 Location 2 1 1109 1 Yes 09- 'histallifiga P7, e6frigqtap t 02 'R stillir"li, 01 SC System Location or Area Served CIA served by this SC System (ft2) Is the SC system a ducted system? SC System identification or Name Location 1 1500 Yes System I System 2 1 Location 2 1 1109 1 Yes 09- 'histallifiga P7, e6frigqtap t ,Jnstamopnew,, new,SC 'R stillir"li, Installing containing system more than 40�1 entirely entirely new component? components? feet of, ducts? duct system? SC system? No Yes No No No No 1, Yes I No I No I No C. Extension of Existing Duct Sy5tem, Greater Than 40 Feet (Section 150.2(b) 101ib) This section does not apply to this project. Registration Number: 216-A0068733A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2016-02-22 10:38:37 Report Version; 2013 Rev 1.007 Schema Version: 0,555SDD 10 Alteration Type Altered space conditioning system Altered space conditioning system HERS Provider: CaICERTS Report Generated: 2016-02-22 10:39:03 i CERTIFICATE OF COMPLIANCE CF1li-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 2 of 3 D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 08 09 10 11 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or Identification ' System Heating 'Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R -Value All new No cooling This field or This field or This field or This field or System 1 Central gas heating AFUE 0.78 Central split p component section is not section is not. Setback section is not section isnot furnace components AC altered applicable applicable applicable applicable All new No cooling This field or This field or This field or This field or System 2 Central gas heating AFUE 0.78 Centrals lit p component p section is not section is not Setback section is not section is not furnace components AC altered applicable applicable applicable applicable Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans', -Duct insulation requirement for new plenums: R6r- : .. MR -MR -MCH -20-11 & CF3R-MCH-20-H — Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced. -Leakage rate compliance::9 15946, or 5 30% leakage to outside, or seal_ali accessible Teaks, CF2R-MCH-25-H & CF3R-MCH=25-H Refrigerant Charge, Verification required when` refrigerant containing components are installedd or altered (applicable in CZi2, 8 15j CF2RCF3R-MCH-23 & CF3R MCH 23 Air Flow Z 300,CFM/ton required,when MG I=25 is req' uireci Exceptions: -Duct systems registered with HERS provider as previously sealed are,.4empt from MCW� Duet Leakage Testing requ}cemint -Heating-only systems and Air Handier/Furnace changes do not require Verification of Air Flow MCH 23 or Refrigerant Charge MECH 25 �. Existing duct systems constructed, insulated orsealed with asbestosre exempt from MCH 20 Dupe LeakageTesting requirements r E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Dia and 150.2(b)1E, F) This section does not apply to this project, F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project, Registration Number: 216-A0068733A-000000000-0000 Registration Date/Time: 2016-02-22.1>0:38:37 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 'Report Generated: 2016-02-22 10:39:03 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 3 of 3 ) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: /� T"Wlei6� !' Ferreira, `rony Company: T F F HEATING AND AIR CONDITIONING Signature Date: 2016-02-22 10:38:37 Address: CEA/ HERS Certification Identification (if applicable): 299 CORNING AVENUE City/State/Zip: _ Phone: 408-786-8120 MILPITAS CA 95035 Responsible Person's Declaration °statement , I certify the following under penalty of perjury, under the law's ofthe State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 eligible under Division 3 of the,Business and Professions Code to accept respons bility for the building design or system design identified on this Certificate of Compliance (responsible designer). am 3. That the energy features and performance specifications, materials, components and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part'6 of the California Code ofRegulations Com`pliance with the in formatidn.prowded on,bth6riipOlicabiel,cofnpliance documents, worksheets, 4. The building design features or system design features identified or .this Certificate pf are consistent calculations, plans and specifications submitted; to the enforcement agency for approval witi%this building permit apphcatiorti. co of!this Certificate of Compliance shall by rnode ayailaole with; tie buiidit?g,per`.mit(s); lssueti for the,bUilding, and, spade av liable to tifae;ohfprcementagency forallapplicable that a registered S. I will ensure g py Inspections. I understand that a registered copy of this E*prtif Cate of Compliance issrequ�red to ber,included with the t pcum�ntation the buUder prgvides to;tbe building owner at occupancy. — Responsible Designer Name; a77-7 - ,. Responsible Designer Signature. = f T Ferreira, Tony v Company: Date Signed: T F F HEATING AND AIR CONDITIONING 2016-02-22 10:38:37 Address: License: 299 CORNING AVENUE 917350 City/State/Zip; Phone: MILPITAS CA 95035 408-786-8120 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: 216-A0068733A-000000000-0000 Registration Date/Time: 2016-02-2210:38:37 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-22 10:39:03 Schema Version: 0.555SDD IDWAKEWCEIMFICA TE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT t- BUILDING DIVISION RLE CUPERTINO 10300 TORREAVENUE,, CUPERTINO,, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - buiIdinqCcDcuj)err1no.orq -lq 1Z 'A 9-05gS �JA,6S-e- Dy - (4 PFRMIT CANNOT BE V1N,2UX!,fD AND OOMPLETED UNULTHIs cipipjfFfCATrj M HAS DIVEN, AT PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL L IN FORMA, TION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms, When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00,- CRC Section 8314 and CBC Sections 907.2.11.5 mad 420.6 require that Smoke Alarms and/or Carbon Monoxide e Alarms be installed in the following locations: I AREA [ SWK E, ALARM Outside of . each separate sleeping area in the immediate vicinity of the X On every level of a dwelling unit including basements Within each sleeping room X X CGAIARM X Carbon Mwonoxide alarms are not required in dwellings which do not contain, fuel -burning appliances and that ' d,un-o,t.ha,veanattached garage . Carbon monoxide alarms, combined with smoke alarms shall comply wit,,,,,, CBC Section 42D.6 and shall', be approved by the Office of the State Eire Marshal. Power Sup In dwelling units with no commercial power supply, alarm(s), may be solely battery tery operalted. alarms are per m—ifted to be solely battery operated w1aere repairs or alterations do, a not result mz the removal of waR, and ceiling. firdslieslor, there is no access by mmeain-sof attic, basemmentor, crawl s-,pa.ee'.. Refer ta, CRC Section 8314 and CBC Sections, 90V.211.4 alnud 429.6.2 An electrical perrmit is requ-iced for - aTarl,n,g, which m- u be eoianected to, the 'a-ali-Iding, wifing. As owner ©fi t1ie above referenced propezfy, l kereby cexti�fy thafi: tltie alarm() referenced I s, t a,1T e A i m. accordance , w, -1t hi the m , a, n- u f a. c t ut, r e r's i n 9, t m, 1 c # i @ nG, and di I n corm pia e with Cali , akw eTraiaBn and Caffiifi e m -k a, Ae skdi e n,,6 al C u di e &. T 14, e a, 11 a, r m s, h av e 1, e e 1% t e st e -dla)d! acre operational;: as of t 'he date s i g ne di Shzok-P-aiid1C0!f ,Drnjad&c revised 03118114= Owner 'WATER-�CONSERVING PLUMBINGFIXTURES OWNER CERTIFICATE OF'CON PUANCE COMMUNITY DEVELOMENT,"DEPART MENT - BULDING DIVIS,10N 10300 TORRE AVENUE - CUPS RTIN.O. CA 95014-3255 Address 777-3228 FAX 0408) 777-3333 - bui1diq,_q(dcupertjn0.0tg 2,0 /& - No L Is your real Property a registered historical site! El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the restof the form and sign bottom of form. 1:1 No Go to Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the Property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. 0 The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. 0 No Go to Question 3. 3. Is water service, permanently disconnected for, your building? E3 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. -Skip the rest of the form and sign bottom of form. El No Go to Question 4. 4. Is your real property built and available for use or occupancy on orbefbre January 1,1994?❑ No My real property is built, and available for use or occupancy after January 1, 19F94. Civil Code Sections IIGLI'through 1101.8 do not apply. Skip the rest of the form, and sign bottom of form. 0 Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil, Code Sections 1101.1 through, 1101.8 apply. Check one of the three following statements and sign bottom of form., 5. Please check ONE of the following--. El Miyptoper�-is, aslng*-family residential real property. See Civil Code Section 1101.4. On and after January 1, 20,14, building alterations or improvements shall require alk non compliant plumbing fixtures to be replaced! with, water-oonserving, plumbing, fixtures throughout the buildnig, On or b efase January 1, 2017, all non- compliant plumbing fixtures shall be ireplac(zd, with water -conserving plumbing, fixtures (regardless of whether property underigocs alterations or improvements)-. 0 My property is, a -, multifamily residential I real property. See Civil Code Section 110115., On and after. January 1, 20-14, specified building,alterations or improvements shag requiTe non- compliant plumbing; fixtures to be replaced with watet- cons ming, plumbing fixtures. On or before January, 1, 201,9„ all. non-com, pliant(plumbing fixtures, shall be replace'di with, water - conserving plwrn bing fixtures, throughout the building (regardless, of whether property alterations or improvements). D My property is a-, commercial real, property. Seer Civil, Cade 8 ection I I 0,1.5 - On, and after January 1., 2014, specified building alterations or improvements shall rieguiT.-e non- compliant plumbing fixtures: to: be replaced with, water-eGnserving, plumbing fixtures. 11 On or before .January 11, 2019, all non-compliant plumbing fixtures shall be replaced, with water- conserving building (regardless ofwhether property undergoes alterations: or impio`vements),. 1, as, the owner or owner's; agent, of this, property, certify/ under penalty of perjury that non eGM'P"1izr1t Pl ing. fixtures, will. be replaced prior to date: speelfied above, with, 1 water -conserving plumbing fixtures in accordance With Civil Code, Sectio ns, 1101.1 through, 1101.8•, the cw-xent California,,, Plumbing, Co& and California Green Building, Standards. Code, and manufacturer's installation. requirements, and that,. the. wat, er-co a rving plumbing fixtures comply with the reqpirements, as indicated in the ollowinL­ lyag.e. table on, the f < kI I Owner or 0,wRerA1gpnV& Upon eomplebhg, and sigping this= -7-- return: it, to. the Budding Division ha. order to; final your b uilddi_ng P rM rt 3B407.2011d. doe revised 081761115 Fi RAW197; CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test Project Name: Shu -Hwa Chang Enforcement Agency: City of Cupertino Permit Number: 2016-1404 Dwelling,Address: 20585 Sunrise 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 COW No, credit is not taken 05 Verified Low Leakage Air Handling Unit Credit from CF1R? No, credit is not taken 06 Duct System, Compliance Category- Alteration MCH -20d - Complete Reblacervi t or Altered Duet System. B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 0 02 Heating Capacity (kBtu/h) 35 03 Conditioned Floor Area served by this HVAC system (ft2) 1500 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 Heating system method 08 Measured AHUAirflow This field or section is not, applicable 09 Calculated Target Allowable Duct Leakage Rate (cfm) 114 10 Actual duct leakage rate from leakage test measurement (cfm) 43 11 Compliance Statement: System passes leakage test Registration Number: 216-A0068733A-M2000002A-M20A Registration Date/Time: 2016-02-2417:2'1:48 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:20:37 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3 ) B. Duct Leakage Diagnostic Test 12 Notes: 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 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 If acomplete 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, thesrrmoke test was conducted,in accordance with the requirements �� _ ; of Reference Residential Appendix RA31.4.3 6 Systems that comply using smoke test shall"not be included m sample groups for HERS verification compliance. 08 Verification Status ;. •Pass - all applicable requirements are met-- _- 09 Correction Notes for this table The responsible persons 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 1 Complies: All specified Verification protocol requirements on this document are met. I Registration Number: 216-A0068733A-M2000002A-M20A Registration Date/Time: 2016-02-24 17:21:48 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:20:37 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3 )' Documentation Author's Declaration Statement 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Vitaliy Palnikov Documentation Author Signature: �l>�fLcK Company: Date Signed: Aurora Duct Testing 2016-02-24 1.7:21:48 Address: CEA/ HERS Certification Identification (if applicable): 179 Prairie Circle City/State/Zip: Phone Sacramento CA 95828 916-544-4684 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 onapplicable sectionsafthe Certificates) ofinstallation.(£F2f}signed angsubmtttesibythe per'son(s) responsible for the construction or installation conforms to the requirementsspecified on the Certificates) 6f cdtTiia[rce (CF1R) approved by the enforcemen ;agency. 5. I will ensure that a registered copy;of this Certificate of VeflUapon skull be posted or matte: ailabie with the:building permit(s)'issued%:the -for building, and madeavailabl to the enforcement agency applicable inspections. ) understand that a, registered copy ofthls Cer(ifjcate�tf -;__ Verification is required to be rnctuded with the documentation the builderprovides tothe building owner at occupancy. Builder Or Installer Information As Shown 'Or The C ertificate Of Instillation� � �� _ Company Name (installing Subcontractor, General Contractor, or Builder/owner): T F F HEATING AND AIR CONDITIONING Responsible Builder or Installer Name: -T 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: Aurora Duct Testing Responsible Rater Name: Responsible Rater Signature: Vitaliy Palnikov `ZE7l.(.B!/ Responsible Rater Certification Number w/ this HERS Provider: Date Signed:. CC2006298 2016-02-24 17:21:48 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: 216-A0068733A-M2000002A-M20A Registration Date/Time: 2016-02-2417:21:48 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:20:37 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCW01-E Space Conditioning Systems, Ducts, and. Fans (Page 1 of 8 Project Name: _ Shu -Hwa Chang , Enforcement Agency: City of Cupertino Permit Number: 2016-1404 Dwelling Address: 20585 Sunrise Dr City: Cupertino Zip Code: 95014 A. General Information 01 Dwelling Unit Name Shu -Hwa Chang 02 Climate Zone 4 03 Dwelling Unit Total Conditioned Floor 2609 04 Number of Space Conditioning 2 CFA served. Area (ft2) alli installing nsang t tfri refrigerant Installing new SC 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 sectionisnot applicable Name Cooling Load (Btuh) System (ft2) system, (Stuh) components? 09 Dwelling Unit Number of Bedrooms 3 .n MCH -01b Prescriptive Alterations S ace'Cond�tionm Systems A�acts wind Fans p_p g, a Tp r r$. Space Conditioning (SC) SysterInformation 01 02 03 04 05 06 07 00 09 10 SC System SC System CFA served. Is SC a systemsystem alli installing nsang t tfri refrigerant Installing new SC Installing more Installing Installing Identification or Location or Area. by this SC ducted containing than 40 feet of entirely .new entirely new SC Alteration Type Name Served System (ft2) system, component? components? ducts? duct system? system? Altered space System 1 Location 1 1500 Yes No YesNo No No conditioning system Registration Number: 216-A0068733A-M0100002A-0000 Registration Date/Time: 2016-02-24 18:33:37 HERS Provider: CaICERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:12:59 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 2 of 8 B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 SC System SC System CFA served Is the SC systema Installing a refrigerant Installing new SC Installing more Installing Installing Identification or Location or Area by this S2 ducted Containing) system than 40 feet of entirely new entirely new SC Alteration' Type Name Served System (ft system, component. components? ducts? duct system? system? Hiating .Cooling Altered space System 2 Location 2 1109 Yes No Yes No No No conditioning Mmmumr Required, Replaced New Ventilation Identification Heating Heating. Efficiency system C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 05 06 07 08 09 10 11 12 13 Central Fan Integrated Hiating .Cooling New or (CFI} System Altered Heating Minimum , Altered Cooling Mmmumr Required, Replaced New Ventilation Identification Heating Heating. Efficiency Efficidn - Copimg ° - .., .Ccioling ` Effici'ency 'Ackency`r F`Jherrr ostat- ' .Duct Duct System or Name System Type Component Type„ `, ` Value, Sj►stern Type ""°Components ;, , Typal Value Tje Length R -Value Status K This This field field All new No cooling or N/A - no or System 1 Central gas heating AFUE 80 Central component SEER section is Setback ducts sectio Not a CFI furnace componen split AC altered not replaced n is system is applicabl not e applic able Registration Number: 216-A0068733A-M0100002A-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Tme: 2016-02-24 18:33:37 Report Version; 2013 Rev 1.007 Schema. Version: 2013.1.007 HERS Provider: CaICERTS Report Generated: 2016-02-24 17:12:59 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 3 of 8 C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 05 06 07 08 09 10 11 12 13 �',,l+eating,,Uriit's'eriaI number Rated Heating Capacity, Output (STUH) System I AFUE 80 Carrier 58STX045 501SA17865 35000 System 2 AFUE 80 Central Fan 58STX070-12 41115AI9549 54000 Integrated Heating Cooling New or (CFI) System 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 Components Type Value Type Length R -Value Status This This field field All new No cooling or N/A - no or System 2 Central gas heating AFUE 80 Central component SEER section is Setback ducts sectio Not a CH furnace componen, split AC altered not replaced n is system is applicabl not e applic able LNotes; E. Installed Cooling Equipment information This section does not apply to this project. Registration Number: 216-A0068733A-M0100002A-0000 Registration Date/Time: 2016-02-24 18:33:37 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:12:59 Schema Version: 2013.1.007 D. Installed, Heating Equipment Informatio 01 ,02 ..... . . . . . . 3 41-J, 06 07 System identification, or Name Heating Efficiency Type Heating Efficiency Value -,HeatlngaUnit Manufacturer 'He in itU Model Number �',,l+eating,,Uriit's'eriaI number Rated Heating Capacity, Output (STUH) System I AFUE 80 Carrier 58STX045 501SA17865 35000 System 2 AFUE 80 Carrier 58STX070-12 41115AI9549 54000 LNotes; E. Installed Cooling Equipment information This section does not apply to this project. Registration Number: 216-A0068733A-M0100002A-0000 Registration Date/Time: 2016-02-24 18:33:37 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:12:59 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and fans (Page 4 of 8 j 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. t. Air Filter Device Requirements This section,does not apply to this prosect ., i Registration Number: 216-A0068733A-M 0100002A-0000 Registration Date/Time: 2016-02-24 18:33:37 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version; 2013 Rev 1.007 Report Generated: 2016-02-24 17:12:59 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01dE Space Conditioning Systems, Ducts, and Fans (Page 5 of 8 J. HERS I Verification Requirements 01 02 03 04 05 06 07 08 09 10 MCH20 MCH21 MCH22 MCH23 MCH25 MCH28 Registration Number: 216-A0068733A-M0100002A-0000 Registration Date/Time: 2016-02-24 18:33:37 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:12:59 Schema Version: 2013,1.007 Exemption from Minimum Exemption R -Value for AHU System SC System From Duct Duct Ducts In Ducts Located AHU Fan Airflow Identification or Location or Area Leakage Leakage Conditioned In Cond Space Efficacy Rate Refrigerant Return Duct Design Name Served Requirements Test Space Verification (W/cfm) (cfm/ton) Charge Table 150.0-C or D System 1 Location 1 No Yes No No No No No No exemptions Exemption System 2 Loca'iib.n�2., No — exemptions',," Yes NO Exemption No No No No No Notes: Registration Number: 216-A0068733A-M0100002A-0000 Registration Date/Time: 2016-02-24 18:33:37 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:12:59 Schema Version: 2013,1.007 CERTIFICATE OF INSTALLATION CF211-11VICH-014 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 listedhere may be applicable to some systems. These requirements may applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements, Heating Equipment 01 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency 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), 1102(b), 03 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 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: Fah -,type centra(f ' rnaces may not have a contirSuously urnin Allot light Secfion 110 and Sect+on 110.2(d). a k r + t Cooling Equipment j f y i 1 06 Equipment Efficiency: All cooling equipment must rneet the mltlimurn efficiency iequirerYients{afi Sectionid" 11p 1 and Section 110"2(a) and the Appliance Efficiency Regulations.:� �.r 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 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 150.0(h)1 and 2. Air Distribution System Ducts, Plenums and Fans 10 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 required by the prescriptive or performance requirements. See Section 150.0(m)1. Registration Number: 216-A0068733A-M0100002A-0000 Registration Date/Time: 2016-02-24 18:33:37 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:12:59 Schema Version: 2013.1.007 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 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. Connections and Closures: All installed air -distribution system ducts and plenums must be, sealed, and insulated to meet the requirements of CIVIC Sections 601.0, 11 602.0, 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 12 A thermostat shall be installed that meet's 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. is Second stage back up heating shall be set to come on661V when the indoor set temperature cannot be met., The responsible person signature on this omplia' te,.documd affirm5 that all b ts I en n at ,applica qu M66 lnllthis, have rn'dt Registration Number: 216-A0068733A-M0100002A-0000 Registration Date/Time: 2016-02-24 18:33:37 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:12:59 Schema Version: 2013.1.007 4 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: Palnikov, Vitally Company; Signature Date:, Aurora Duct Testing 2016-02-24 17:21:57 Address: CEA/ HERS Certification Identification (if applicable): 179 Prairie Circle City/State/Zip: Phone: Sacramento CA 95828 1916-544-4684 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 devices4he (nstallation) Identified on this certificate of instaliatiori copform to a)1 applicable codes and regulations, and the installation conforms to the requirements given on the plans and spgcifications approved by the enforcerrient agency ; t 4. 1 reviewed a copy of the Certificate of Compliance appr0V,gd by the enforceridat agbrf< than identifies the;speeific requirejents for the scope of constructtt�n dr installation identified on this Certificate of Installation, and I have ensured thatthe, req uirementsutfraf',apply to the construction or installation have been met a „, 5, 1 will ensure that a registered copy, of this Certificate of Ansi&&.tion shall be posted or made available with the' bui1di tg perms# s) issued forkthe building and made available to the enforcementagency for all applicable inspections. I understand that a registered copy oithis Certificate of1ris.'talla`tlon 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: T Ferreira, Tony Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): 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 12016-02-24 18:33:37 Digitally signed byCa10ERTS 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: 216-A0068733A-M0100002A-0000 Registration Date/Time: 2016-02-24 18:33:37 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:12:59 Schema Version: 2013.1,007 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3 Project Name: Shu -Hwa Chang Enforcement Agency: Cupertino City of Permit Number: 2016-1404 Dwelling, Address: 20585 Sunrise Dr City: Cupertino Zip Code: 95014 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location I 03 Building Type from CF -111 Single family 04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CP10 No, credit is not taken 05 Verified Low Leakage" Air Handling Unit (VLLAHU) Credit from CFIR? No, credit is not taken 06 Duct System'Compliance Category Alteration MCH -20d - Complete Replacement or Altered duet System B. Duct Leakage Diagnostic Test 77 77 7,77 ------ 01 Condenser Nominal Cooling Capacity (ton) 0 02 Heating Capacity (kBtu/h) 35 03 Conditioned Floor Area served by this HVAC system (ft2) 1500 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 Heating system method 08 Wasured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage (cfm) 114 10 Actual duct leakage rate from leakage test measurement (cfm) 43 11 Compliance Statement System passes leakage test Registration Number: 216-A0068733A-M2000002A-0000 Registration Date/Time: 2016-02-2418:33:37 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:19:48 2013 Residential Compliance Schema Version: 2013.1.007 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 CIA 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 f6r,HRSverification 'compli'drice. The responsible persons signature on this co.mpliance document affirms that all lic*e' a requirements Wthis t e have been met. Registration Number: 216-A0068733A-M2000002A-0000 Registration Date/Time: 2016-02-24 18:33:37 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:19:48 2013 Residential Compliance Schema Version: 2013.1.007 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: Vitaliy Palnikov Documentation Author Signature: /�� : J��Bt� Company: Aurora Duct Testing Signature Date: 2016-02-24 17.21:57 Address: CEA/ HERS Certification Identification (if applicable): 179 Prairie Circle City/State/Zip: _ Phone: Sacramento CA 95828 T916-544-4-684 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 forthe 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 manufactureddevices (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 n - the enforcement agency. - 4. 1 understand that a HERS rater will check the,lnstallation tovenfy compliance art±;f that �f such checlCmg �deniifles defects lam required to take corrective action at nay expense I understandthat Energy Commiss1bn and HERS Provider representatives wil16 so perform quaiity assurance checking of installations, including thase_app`roved as part fa sampl ,#0p bu�tlot_eh4kod_bya'HERS�rater„and fifth installations fafTto meet the w requirements of. such quality assurance checking, the required cprrective;action .and additional checking/testing of other installations in that HERS sample group will be performed at expense7, 5. 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 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: 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 2016-02-24 18:33:37 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 forthe accuracy of the information. Registration Number: 216-A0068733A-M2000002A-0000 Registration Date/Time: 2016-02-2418:33:37 HERS Provider: CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-02-24 17:19:48 2013 Residential Compliance Schema Version: 2013.1.007