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DUCT LEAKAGE DIAGNOSTIC TEST
CALIFORNIAIS ENERGY COMMISSION
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
(Page 1 of 3)
Project Name:
3901 Park Green Dr
Enforcement Agency:
Newport Beach, City of
Dwelling Address:
3901 Park Green Dr
Permit Number:
H2O24-0289
City and Zip Code
Corona del Mar, 92625
Permit Application Date:
2024-05-22
A. System Information
01
Space Conditioning System Identification or Name
System 2
02
Space Conditioning System Location or Area Served
Location 2
03
Indoor Unit Name or Description of Area Served
Location 2
04
Building Type from parent CC
Singlefamily
05
Verified Low Leakage Ducks in Conditioned Space (VLLDCS) Credit
from parent CC?
No, credit is nottaken
06
Verified Low Leakage Air Handling Unit Creditfrom parent CC?
No, credit is nottaken
07
Duct System Compliance Category
Alteration
08
Portions of Duct Located in Garage?
No
09
Isthe system type Small Duct High Velocity (SDHV) ?
No
j MCH-20d- Complete Replacement orAHered Duct System
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity(ton)
5
03
Indoor Unit Nominal Cooling Capacity
5
04
Heating Capacity(kBtu/h)
n/a
OS
1 Conditioned Floor Area Served by this HVAC System (ftz)
1900
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Test final
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.1
Registration Number: Registration Date/Time: 2024-05-24 11:27:47 HERS Provider: CHEERS
424-A020092848A-000-001-M 20003 A-M 20A
CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2024-05-24 11:28:59
2022 Residential Compliance Schema Version: rev 20220101
NOTICE: This document has been generated by Califomla Home Energy E/htlency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS Is not responsible for, and Cannot guarantee, the accuracy or Completeness of the information Contained in this document.
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arFoanpEn— cuuns.ON DUCT LEAKAGE DIAGNOSTIC TEST CF3R-MCH-20-H
(Page 3 of 3)
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Richard Clader
21.1.A" 1 owdl C lade er
Company:
Date Signed:
We Green, Inc.
2024-05-24
Address:
CEA/ HERS Certification Identification (if applicable):
3675 Ruffin Road Suite 320
RCN14312
City/State/Zip:
Phone:
San Diego CA 92123
888-991-4377
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 Compliancefor 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 forthe construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R)
approved by the enforcement agency.
5. 1 understand 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 agencyfor all applicable inspections, and I will take the necessary
steps to ensure this requirement is accomplished.
6. 1 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, and I will take the necessary steps to ensure this requirement is accomplished.
BUILDER OR INSTALLER INFORMATION AS SHOWN ON THE CERTIFICATE OF INSTALLATION
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Klondike Air Inc.
Responsible Builder or Installer Name:
CSLB License:
Andrew Beeker
754456
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:
We Green, Inc.
Responsible Rater Name:
Responsible Rater
Richard Clader
�Signature:
� � _��
R ccl'I.tAii' d/ C l fA.tA.fl
Responsible Rater Certification Numberw/this HERS Provider:
Date Signed:
RCN14312
2024-05-24
Digitally signed by California Home Energy Efficiency Rating Services (CHEERS). This digital signature is provided in order to scare the content of
this registered ddcvment, and in no way implies Registration Provider responsibility for the accorary of the information.
Registration Number: Registration Date/Time: 2024-05-24 11:27:47 HERS Provider: CHEERS
424-A020092848A-000-001-M20003A-M20A
CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2024-05-24 11:28:59
2022 Residential Compliance Schema Version: rev 20220101
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third Parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the acamacy or completeness of the information contained in this document.
\T -11.FNIAENEN---s—N DUCT LEAKAGE DIAGNOSTIC TEST CHR-MCH-20-11
(Page 1 of 4)
CERTIFICATE OF VERIFICATION
Project Name:
3901 Park Green Dr
Enforcement Agency:
Newport Beach, City of
Dwelling Address:
3901 Park Green Dr
Permit Number:
H2O24-0289
City and Zip Code
Corona del Mar, 92625
Permit Application Date:
2024-05-22
A. System Information
01
Space Conditioning System Identification or Name
System
02
Space Conditioning System Location or Area Served
Location
03
Indoor Unit Name or Description of Area Served
Location
04
Building Typefrom parent CC
Singlefamily
05
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit
from parent CC?
No, credit is not taken
06
Verified Low Leakage Air Handling Unit Credit from parent CC?
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
B. Duct Leakage Diagnostic Test
01
Air Handling Unit Airflow (AHU Airflow) Determination Method
Cooling system method
02
Condenser Nominal Cooling Capacity (ton)
5
03
Indoor Unit Nominal Cooling Capacity
5
04
Heating Capacity(kBtu/h)
n/a
05
1 Conditioned Floor Area Served by this HVAC System (ft')
1900
06
Measured AHU Airflow (cfm)
n/a
07
Duct Leakage Test Conditions
Testfinal
08
Duct Leakage Test Method
Total leakage
09
Leakage Factor
0.1
Registration Number: Registration Date/Time: 2024-05-24 11:27:50 HERS Provider: CHEERS
424-A020092848A-000-001-M20002A-M20A
CA Building Energy Efficiency Standards Report Vers ion: 2022.0.000 Report Generated: 2024-05-24 11:29:01
2022 Residential Compliance Schema Version: rev 20220101
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using Information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained In this document.
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A FeRNAENERGY OMMSeo� DUCT LEAKAGE DIAGNOSTIC TEST
CF3R-MCH-20-H
(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 samplegroupsfor 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.
1 01 1 Complies: All specified verification protocol requirements on this document are met.
Registration Number: Registration Date/Time: 2024-05-24 11:27:50 HERS Provider: CHEERS
424-A020092848A-000-001-M 20002 A-M 20A
CA Building Energy Efficiency Standards Report Version: 2022.0.000 Report Generated: 2024-05-24 11:29:01
2022 Residential Compliance Schema Version: rev 20220101
NOTICE: This document has been generated by California Home Energy Efficiency Rating Services (CHEERS) using information uploaded by third parties not affiliated with or
related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this domment.
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