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Home My WebLink AboutUntitled ,-//cyc-)P it a ance uys 21228:WintersetDr. Santa-C1arita, CA 91350 . :(661)'312-48 40 To: Building Mechn cal/Health Departments Date: "12/28/2016'.. laic M Seafood®400 Baldwin pc Arcadi. CA 91007 Air Balance Test An air balance test was conducted Dec 28, 2016 on three.UL hoods and two a/c units at the above address.:The exhaust ventilators,make-up air units, and a/c systems were tested and shownto meet state and local mechanical codes and arein balance. For any questions, please call(661)312-4840. Sincerely, .. Certification#15-510-25 Certified41,:+,1 . . Air• �m �CeR#:'15.510-25' � . Expires:2/192017 V�. , . rrB®hnc®t3uys Project; EMC Seafood: :. .:. ' 1� tl ri . : . Exhaust Fan Specifications EF-1 • ... :." EF-2 EF3 Service Right Hood#1 Cookline Left : Hood"#2`"_Cookline Dishwasher' . Location .. :. Roof .. Roof ::• Roof' : Manufacturer: : Captive:Aire 'Captive.Aire Captive Aire . : : i Model:Number:.' : :NCAI6FA DU180HFA. . : DU30HFA:. Serial:Number . 2788873 : 2788873 : . _ • ., 2788873. g Desi n.: Actual %;: Design. Actual - %. Design: - Actual- : '%: - : C : : : 3,002 3,129- '104%,: : 3,710:' 3.,727: ' 100%' 700: 736= 105% : -. F.. S Discharge.(+).:: • .• . . . . . ::P Suction(=) : -• : : .-. : .. . : .. : . Total SP(Inches;w.g.)... : ' . - ' A Manufacturer: WEG". .. • '. . WEG :_ WEG • .. N Horsepower. .. • :. . '.3.0 ' : - : 3.00 : . : 0.25 :: M , RPM : ' 1,725 . : 1725 , : : '. . : .1725.' : : p • Voltage - .' :.208. :208 .• :' 115: : : ,' T:: Phase: .. . .. 3: 3 1 O Am Prae.- g - = : 9:5 • 9.5. . 3.8 - e - R. Service Factor." ' •:: 1 _ :15 .. ' ' 1:15. ; 1.00- : . D:" Motor.Sheave ' 3.5 : 4' .. ' .' 3: :'.R % Closed. • . :: :70%:. ' ...-: : - 80% :: 80%- . I . Fan Sheave: . : 5 : • :5 - . 3:5: :. - V: Fan RPM =:- 1000:: . . .. 1050 :: -.. . . 1150 :: E • Belt Size/Qty..' : '.AX25 : • .: : AX25' : : AX20 : :_ Center to Center . :.• 8' :: : : 8 • 5 • . Adjustment.In/Out . _ mo . s i::, Certified. . Z ANBnlancer g� ' Cert q^15-510-26 ' - Expires:2/19/2017 - � L:Co+timer�al. rBalanc®C3uys Project: EMC Seafood _ - : Hood#1Cooline Left EF-1 Grease Filter.Air Measurements No. " Grease Filter Manufacturer: Filter:$ize:. " Net Area: ' . 1 : • Captive Aire. . :. :: 20"X16" : 1.78 No. :: -Size Filter Measurement Readings ' Total ' : Average CFM : 1 20"x16. :: 201 : . 357:78 : . 2. : 20"x16". • _ .265 • : 471:7 • • • . . 3 . - 201"'x16" • 260. 462:8 - 4: 20"xi6" . . : 269: : 478.82" `. "5 . :.20"x167: '.246: . ':: '• : . 437.88 • • 6 20"x16" .. 180 320:4: :7 :,20"x16". 166. :. . 295.48. ; : .: :.8': . 20"x:16 : 171 ": ": 304.38' . 10. 11. . 12 : . . Total : .3,129 : : Commerci 1.Cooking Hood & Systema Specifications ' : :" 'i : Hood Open Sides: each: . • 0.0:: . : . . 11.:92 0:0 0.0.: _ 11,9: : ' : . Feet(P) :- . :. " Distance:from Hood to Cooking Surface : 45.0 : 3.75. Feet(D)" Hood Width: : ._4.5 X Hood Length: : ::: 11,92 .: 53.64 Square.Feet . ••:Formulas:. #1 Q=300A/200A. #2 Q=1150A1100A.#3 Q=100A/75A #4 Q=75A/50A Formula - Alternate Formulas: #1 Q=100PD.#2 Q=100PD #3 Q=50PD #4 Q=50 PD : Alt."Formula UL and ETT....,Listed Formulas 250 per linear foot. ' 35002 Required CFM . : ". : Non-Canopy Type Hood:' . _- CFM X : linear foot : ' Required CFM :- #1 Duct Size:. 10 : • in:X " : : '28 . in:.-144= 1:9.4.. Square Feet #2 Duct Size in:X - :'in.:= 144 : . ' : :: Square Feet : ::Exhaust.Air Volume Through Filters: -.. 3,129 • duct :: : 1.94.. 1;609. ' Feef Per Minute : •; r?�e S��, C •ertified Air a ane A! B f er + fa Cert iF:15-510-25 rt. �' �. Expires:2/19/2017- . ... - tc .. .- _ . . .. 4 tiliCL {�. AirBalanceGuys • Project: EMC Seafood _ Hood#2;-Cooline Right • ; EF-2 : Grease Filter.Air Measurements No. Grease Filter:Manufacturer:. ' Filter"Size:: . Net Area. 1':: Captive Aire. 20"x16". : . 1.78 • No. Size Filter Measurement Readings: Total : Average: CFM • :.: 1: . - 20"x16. : .257 . . 457.46 2 : :20"x16" 279 496.62.. . : : 3. 207x16 252 448.56 4. . '20";x16 : : 247, 439:66 5 20"x16": :.242: '' 430.76 : 6 ' .20"x16' 247. : . ' 439:66: : . .: . _7. . :20"x16 279. 496.62 8 20"x16 . 291 517.98. 10. - 11 13 :: : : Total .: 3,727:: C.ocCookingSpecifications mmer i'al Hood & SystemSpec ica ns. Hood Open Sides::each 0:0 : 11:50 4.5 . 0.0 16.0: : Feet(P) :. Distance from Hood to Cooking Surface: -45:0 3.75 : Feet(D) Hood Width 4,5 : X Hood Length: 11:5 = .. 51.75' : Square Feet: • Formulas: #1 Q=300A/200A #2 Q=150A1100A #3.Q=100A/75A.#4 Q=75A150A : : • :Formula Alternate Formulas: #1.Q=100PD:#2 Q=..100PD #3 Q=50PD #4 Q=50 PD : Alt:Formula UL:and'ETI,Listed:Formulas 322 per linear foot 3,710.: Required CFM Non-Canopy'Type Hood: CFM X . : • linear foot Required CFM .' #1 Duct Size:.: 10 in:X - • 17 in.:t.144 1:18: . Square Feet •' . #2 Duct Size ; : 10 in X 17 in:.=:144= 1.18 . Square Feet. Exhaust Air Volume Through Filters: : 3,727 •_.duct size ' :2:36: 1,579: Feet Per Minute: .. • roL t,� . (s• AltBafancer. Q 4 Cert# 15-510-25 rt � Expires:yianoli .. \b. Cof1lA10Ls:0` 'Fw: • AlrrBalanceGuys Project EMC Seafood Moke-Up Air. Specification - s . :: :MUA 1:.' MUA 2: . : Service': . . . -. -Right. • :Hood#1': Left: : Hood#2 - :. LocationRoof Roof .. - Manufacturer: : : Captive Aire.: : • Captive Aire : .- : -. , Model Number :.' A2-G12. A2=G 12 • Serial Number. 2788873: 2788873 ' • _ .. Design:: :Actual % Design Actual - % Design. Actual:: % :C: Supply.Air•@ Fan : ' . 2,402 2,868. 119% : 2968 3064 . .103%. . . F Supply Air C@:Outlets• :. • • •.. M -: :• . : .. • - . Outside:Air S Discharge(+)• . . ...11 • •• • • • : • .P, Suction( - Total SP(Inches w. -. . F A - Manufacturer: WEG:. :•WEG. . . N . Horsepower : 1:00 1.00 • :. :• ; : M RPM •.. : • . • •: : 1725.• 1725. :0 Voltage • : • 208 208 T := Phase..: . :. 3:: 3 : • O. Amperage. 43 : 4:3' • • • R • Service Factor _ • 1.:15 :. - 1.15... .•D: : Motor-Sheave: : 4. 4:- : : : :R %.Closed :. 80% : 80%. I• . Fan:Sheave: • :.; : •10-:• 1.0 : . . • V:• Fan RPM . •:- : : 950 • . 950. . • : : • . .-E Belt:SizeQty.. - : : " AX45 : : • : AX45. . Center to Center 22 '. - • - : 22 - : I . Adjustment In/Out. • .. j `Gomfo�r,, p0 [ertified.. 5�� : • ( AlrBalancer 2 v" ��:�e G. Cert#:16-510-25 � � I"I�- ' � - :. .. .. Expires:2/19/2017. . _ .. AirBalanc®Guys Project: EMC.Seafood Hood#1-Cooline Left MUA-1 Make-Up Air.Measurements No. ... Make-Up Air Diffusers Size Net Area. 1 PSP :. . . . : 18"x132" 16:50 2 No. Riser' . Total Average. CFM 1. 12"x28". 1,231 :. 2,868 2 3 2 .. 3- 1 .- 2 .- - 2. Total: 2,868 Total . 3,129 :. C.F.M. Exhaust'Airolume: :V Grease Duct Size:: : 1.94: _: Sq.Ft. Velocity Within Grease Duct: 1,609 F.P.M. Total.Make-Up Air: . : ':: 2,868 C.F.M Certified Signature Approved ED Failed 0 .. , Lp S Certified 12/28/2016 . !,�o ;ro Air ha:15-510-25 Ip Expires:.2/19/2017 _ Yz. \ t1, i.. AirBalanceGuys Project: EMC Seafood Hood#2-.Cooline Right MUA-2 Make-Up Air.Measurements No:: Make-Up Air Diffusers :: Size Net Area 1 :- PSP : . 18"x138'• . . . 1725 2' No:: Riser Total. Average': CFM 1 :. 12"x24" 1;532 : 3,064 1 . 3 Total: 3,064 Total Exhaust Air Volume: 3,727 .. .. . .. : : C: A R MOVING SYSTEM BALANCE AND RATING REPORT ��117i9i1�►b��hliril-]�:� igiffassitiminumm TEST DATE LOCATION Roof MANUFACTURER- Lennox Dec. 28th, 2016 MODEL NUMBER KGA072S4BM4G SERIAL NUMBER 5616G07081 SPACE SERVED Restaurant PROJECT FAN DATA DESIGN . ACTUAL " DESIGN ACTUAL EMC Seafood TOTAL CFM -FAN. 2400. . . 2 450 TOTAL CFM -OUTLET/INLET . 4800 . 4 892 RETURN CFM 1618 . 1 631 ADDRESS OUTSIDE AIR CFM . 782 811 400 S. Baldwin Ave. TOTAL STATIC PRESSURE FAN RPM Santa Anita CA MOTOR DATA DESIGN DESIGN . , 91007 MOTOR MANUFACTURER .. WEG MOTOR HP 1 TEST TIME PHASE 3 8:00 AM VOLTAGE 208 AMPERAGE 43 MOTOR RPM READINGS BY BELT.SIZE. MOTOR.SHEAVE Bryan Bair FAN SHEAVE REGISTERS AND GRILLES Room Name /No. Equipment No. Outlet No. esigne. CFM Kitchen RTU-1 1 300 . 301 Kitchen RTU-1 ' • 2 300 . 322 Kitchen RTU-1 : .. 3. 300 .. . 310 Kitchen RTU-1" 4 300 290 in Kitchen .. ._ RTU-1 5 300 305 110 . L Kitchen RTU-1 6 300 310 80 o Kitchen . RTU-1 7 300: 298 ' iv 041 . .i V c Office RTU-1: 8 300 . 314 c 45N Ch CB N CO N AIR MOVING '.SYSTEMBALANCE ;ANDRATING REPORT XolellIT114sbdilllI it 4;10 MilaiMnalMENISIMIUMEMMILMIIIII TEST DATE LOCATION Roof MANUFACTURER. Lennox Dec. 28th, 2016 MODEL NUMBER_ KGA072S4BM4G SERIAL NUMBER 5616G06187 SPACE SERVED ; Restaurant PROJECT FAN DATA DESIGN. ACTUAL DESIGN ACTUAL EMC Seafood TOTAL CFM - FAN 2400 2 437 TOTAL CFM OUTLET/INLET 4800 4 863 RETURN CFM 1618 1 618 ADDRESS OUTSIDE AIR CFM 782 • 808 400 S. Baldwin Ave. TOTAL STATIC PRESSURE FAN RPM Santa Anita CA MOTOR DATA DESIGN DESIGN . 91007 MOTOR MANUFACTURER . WEG MOTOR HP 1 TEST TIME PHASE. 3 8:00 AM VOLTAGE .. 208 . AMPERAGE 43 MOTOR RPM . READINGS BY BELT.SIZE: MOTOR.SHEAVE Bryan Bair. FAN SHEAVE REGISTERS AND GRILLES Room Name ✓'No. Equipment No. Outlet No. 1esigne•. ` CFM MEE Dining RTU-2 9 300. 291 Dining .. RTU-2 10 300 289 Dining RTU-2 11 300 299 Dining RTU-2 : . 12. 300 325 Dining RTU-2 13 300 310 Dining: RTU-2. ._ 14 . .. 300 .. 303 6 L 0 � 0 Dining . RTU-2 15 300 312 / y U.:,:,or . Men's RTU-2 16 150'. 155 . c - M C � Women's RTU-2. 17 150 153 - ._ c'T NV Cfl CD N (73 Z AIR MOVING 'SYSTEM'BALANCE AND RATING F EPORT_`` , a elaarl ;zl° m milissagatmimmos , .,,,. ;ry TEST DATE LOCATION Roof. MANUFACTURER Lennox Dec. 28th, 2016 MODEL NUMBER KGA072S4BM4G SERIAL NUMBER 5616G06186. SPACE SERVED Restaurant' PROJECT FAN DATA . : DESIGN. ACTUAL DESIGN . ACTUAL EMC.Seafood TOTAL CFM.-FAN 2400. . . 2422 TOTAL CFM=OUTLET/INLET . 4800 4 835 RETURN CFM 1618 1 603 ADDRESS OUTSIDE AIR CFM 782 810 TOTAL STATIC PRESSURE 400 S. Baldwin Ave. FAN RPM .. N Santa Anita CA MOTOR:DATA DESIGN DE$IGN . 91007. MOTOR MANUFACTURER WEG MOTOR HP 1 TEST TIME PHASE. 3 . . 8:00AM. . . . VOLTAGE 208 AMPERAGE 43 .. MOTOR RPM READINGS BY BELT SIZE MOTOR.SHEAVE Bryan Bair FAN SHEAVE REGISTERS AND GRILLES - IN esigne. Room Name /'No. Equipment No. Outlet No. CFM MEM Dining RTU-3 18. . . 300 302 Dining RTU-3 .- .19 300 • 308 Dining. RTU-3 20 300 310 • Dining RTU-3 21 300 .. 297 Dining RTU-3 '.. 22 .. . . 300 304:. : M Dining: RTU-3 23 300 294 8 0''•a; o Bar' RTU-3 24 300 " ' 305 . wU Bar - : : RTU-3 ,. 25: 300 .. . - : : 302 . - c. 4 8 N mr N U CO r'c . N � C. Calibration" Certificate Certificate#: .44046 Date Printed::: 5/23/2016 CALIERATION Customer Information Customer.: AIR BALANCE GUYS Purchase Order;: CC 21228 WINTERSET DRIVE SANTA.CLARITA..CA. 91350 Equipment Information Asset': M10331 Serial Number M10331. Description: MICROMANOMETER. Model Number ADM 860C Manufacturer Shortridge Cal. Interval: .• 24 MONTHS Accuracy: Manufacturer Specifications Event Information Service.Requested'. CALIBRATION Cal Date: 5/23/2016 Condition Received:. IN TOLERANCE Cal Due Date: 5/23/2018 Condition Returned: LEFT AS FOUND Temp./RH: 21 C /38 Cal P rocedure: 33K6-4-1769-1 AIR VELOCITY, TEMP, FLOW METERS Technician: J MCLAURY Calibration Notes: QA Approval Representative QA This document certifies that the unit conformed to applicable specifications upon successful completion of the calibration. Any number offactors may • cause the calibration item to drift out of calibration before the recommended calibration interval has expired. This instrument has been calibrated using test equipment of a knownaccuracy,traceable to the National Institute Of Standards and.Technology(NIST)or other recognized metrology institutes. Trident Calibration Labs'policies and procedures comply with ANSI/NCSL Z540.1-1994 as well as the ISO 9000 ..Series Quality Standards. A test uncertainty ratio(TUR)of 4:1(K=2,approx..95%confidence level)is maintained unless otherwise stated. This certificate shall not be reproduced,exceptin full,.without written consent of Trident Calibration Labs: Standards LD..' Mfg Model# Description Cal.Due Date. " NIST Traceability# 10-0166 " Shortridge ADM-8600 DIGITAL MANOMETER 5/23/2018 14908 Trident Calibration.Labs 9005 Eton Ave.,Suite B,Canoga Park,CA 91304 818-886-3750 Page 1 of'1 . (-v-- ...i..2 / 4; 6-.40711kt 4 ..€10314.41!--. A, 044►1114. ,It'dt�r '4.j --t .4,140.7.:' v...00„,,, , 0 ff.� errail - 44. 1,_ ' lit' IT dr`ia Ilia? lf . , B ,,. , , RYAN BAIR +`i ,,,,,,ce, i, Has successfully completed the required training and passed' ty the written'exam by the 1 ( 1 ..... ....., ' ataelta sinfort cliirstl lift to perform HVAC commercial system balancing up to 25 tons, ;, according:to NCI.practical standards and procedures. + � Certified Since Lpnnfa;;t: F:ebruary. 19, 2015 . . .d� 4;"\ as administered and recognized by 7,47 Certified. i;: 2. 40 AlrBaloncer !, it z Cori*15-510-25: +l` '� , ito Expires:2/19/2017 . IIPI:ijirti4101) Ar e,,i �:/' L'...,,,,, earn revio 4�- Nat nal Comfort:institute,Inc. Rob Falke, President s� 4. ' L y .1,4„,i-7.4.‘.1,;,.-;.,. .. .,• . r '' y Ij�'t�' 't ry!s tc .ftw►F -t.. I,rv.ps ) W V \n/ V W V.. W Title 24 Mechanical Forms STATE OF CALIFORNIA DUCT DUCTLEAKAGE CEC-NRCA-MCH-04-H(Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE : .NRCA7MCH-04-H. DUCT LEAKAGE (Page 1 of 3) Project Name: - - - - Enforcement Agency: - - Pemik Number: - EMC Project Address: .- .. City: - - Zip Code: . 400 S.Baldwin Ave. Santa Anita 91007 - • Note:.Submit one Certificate of Acceptance for each system that Enforcement Agency Use: Checked by/Date. must demonstrate compliance: HERS verification required. . This form used for duct pressure test.and to certify low leakage air handlers. Fill out the System Information in section A then determine if this is a New Duct System(fill out Section B),an Altered Space Conditioning System and/or Altered Duct System(fill out Section C),or if the compliance software requires Low Leakage Air-Handling Unit Verification(fill out Section E) A.System Information 01 HVAC System Identification or Name: RTU-1 02 HVAC System Location or Area Served: Restaurant 03 Was Low Leakage'Air-handlingUnit Credit taken onMECH-1C? DYes/ X No • :04 Duct System.Construction Type: New 05 Condenser Nominal Cooling Capacity(ton) 6 06 Heating Capacity(kBtu/h) B.Duct Leakage Diagnostic Test-New Duct System A New Duct System is when at least 75 percent of the duct system is new duct material,and up to 25 percent may consist of reused parts from thedwelling unit's existingduct system(e.g.,registers,grilles,boots;air handler,coil,plenums,duct material) 01: Air-Handler Airflow Determination Method (Tons or BTU) : - 6 Calculated Target Allowable Duct Leakage Rate(cfm) a) For an air conditioner or heat pump use 400 cfm:Pet rated ton of cooling capacity of:outdoor 02 condenser or package unit; Calculation7 (.06 x 400 x Tons - )= cfm b): For heating-only:System furnaces shall be based on 21.7 cfm per kBtu/hr of rated heating output-. capacity.Calculation.=(.06 x 21.7 x kBtu)/hr . )_ cfm 144 03 Actual duct leakage rate from leakage test measurement(cfm) : 8- : 04 Compliance statement: ' Pass Pass=Pass.if B3:is less than or equal to B2. C.Duct Leakage Diagnostic Test-:Altered Space Conditioning System'and/or Altered Duct System, • Altered Space Conditioning System-is an HVAC changeout or when the air handler,condensing unit of a split system,our cooling coil or any amount of ducting added to an existing system but less than anew duct system. 01 Air-Handler Airflow Determination Method:(Tons or BTU) Calculated Target.Allowable Duct Leakage(cfm) a) For en air conditioner or heat pump use 400 cfm per rated ton of cooling capacity of outdoor: 02 condenser or a package unit.Calculation= (.15 x 400 x Tons ) cfm, b) For heating-only system furnaces shall be based on 21.7 cfm per kBtu/hr of rated heating output : : capacity.Calculation=(.15:x 21.7:xkBtu/hr )= : . cfm . 03 Actual duct leaka a fate•from gtest measurement( fm g leakage (c. ) 04 Compliance statement: • Pass:Pass if C3 isless than or.equal to C2,or Fail but passed with Smoke—If unable to pass the leakage test a:smoke test is allowed to confirm that all accessible leaks have been sealed. Enter actual leakage rate before moving to:smoke. Fill out D Smoke Test below. CA Building Energy Efficiency.Standards:2013 Nonresidential Compliance ` • June 2014 STATE OF CALIFORNIA ` ' DUCT LEAKAGE l� CEC-NRCA-MCH-04-H(Revised 06/141 •• - • - CALIFORNIA ENERGYCOMMISSION CERTIFICATE OF.ACCEPTANCE I NRCA-MCH-04-H. DUCT LEAKAGE (Page:2:of 3) : Project Name: ' Enfoi-cementAgencyi - - PermitNumber: - .-EMC. 400 S.Baldwin Ave. Santa Anita 91007 Inject smoke into a fan pressurizationdevice that is maintaining a duct pressure difference of 25 Pa(0.1 inches water)relative to the duct surroundings,with all grilles and registers in the'duct system sealed. 02. Compliance statement:: : . • . . - .System passes if no smoke emanates from all accessible portions;of the HVAC system including the package Unit,furnace,ducts, • plenums,wyes,tees. Thisincludes the air handler refrigerant line,door panels,and curb Accessible includes having access thereto; but which first may require removal or opening of access panels,doors;'or similar obstructions including moving insulation. Requires 100%testing by HERS:rater.. No sampling allowed. - : 03. Final Duct Leakage(CFM) E Low Leakage Air-Handling Unit(LLAHU) :01 Installed Air-Handling Unit Manufacturer Name:. 02. Installed.Air-Handling.Unit Model:Number The installed Low Leakage Air-handling Unit Model is listed here 03 http://www:energy:ca.gov/title24/2008standards/special case appliance/supplemental. listings/Low L eakage Air-Handling Unit Liisting.2012-10=30.pdf : 04 Compliance:statement::. : Pass if Manufacturer.Name,Model Number of installed:equipment is listed_withthe Energy Commission F:ADDITIONAL REQUIREMENTS FOR COMPLIANCE. : : 01 System was:tested'in its normal operation.condition. (No temporary taping except for the damper used for outside air). 02 Building cavities for new ducting were not used as plenums:or platform returns in lieu of ducts: 03 If clothbacked tape was used it was covered With'Mastic and draw bands.. :: .04 All connection points between the air handler and the supplyand:return plenums are completely sealed including at the curb: - Temporary Taping over registers to perform duct leakage test: . 05 When registersare installed in drywall covers registerand drywall: : For t,bar mounted registers taping of register can occur tothe register or tothe t-bar.:'. - - By signing this document I certify that all the aboveapplicablerequirements have been met; • (CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014 • STATE OF CALIFORNIA DUCT LEAKAGE • CEC-NRCA-MCH-04-H(Revised 06/14) CALIFORNIA ENERGY COMMISSION . - CERTIFICATE OF.ACCEPTANCE NRCA-MCH-04-H.• DUCT LEAKAGE (Page.3of 3) Project Name: - Enforcement Agency: Permit Number: EMC- Project Address: • -City: Zip Code: 400 S.Baldwin Ave. Santa Anita 91007 • DOCUMENTATION AUTHOR'S DECLARATION STATEMENT • 1. I certify that this Certificate of Acceptance documentation is accurate and complete: - DocumentationAuthorNamei .. Documentation Author Signaturel Doug Bair Documentation Author Company Name: , . Date Signed: - - Air Balance Guy's Address:". CEA/HERS/ATT Certification Identification(If applicable): 25379 Wayne Mills PI.#307 City/State/Zip:.- • - • Phone: Valencia;CA 91355 . (661)373-3516 FIELD TECHNICIAN'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 Acceptance is true and correct. 2: I am the person who performed the acceptance verification reported on this Certificate of Acceptance(Field Technician). • 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency,and conforms to the applicable acceptance requirements' and procedures specified in Reference Nonresidential Appendix NA7. • 4- I have confirmed that the Certificate(s)of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building permit(s)issued . for the building. Field Technician Name: FieldTechnicianSignature: - - - - . : Bryan Bair .. 5 —e Field Technician Company Name: • ` Position with Company(Title): • " Air Balance Guys . - - . :Technician. . Address: • ATT Certification Identification(if applicable): • . . ' . • 25379 Wayne Mills PI.#307 •City/State/Zip:. - Phone: - - - Date Signed: : " 91355 16611373-3516 12/28/16. :RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury,under the laws of the State of California: 1: I am the Field Technician,or the Field Technician is acting on my behalf as my employee or my agent and)have reviewed the information provided on"this Certificate of Acceptance. 2. I 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 Acceptance;and attest to the declarations in this statement(responsible acceptance person).. 3. • The information"provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate . • • of Acceptance.complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, • .. and conforms to the applicable acceptance requirements and proceduresspecified in Reference Nonresidential Appendix NAT. 4.• I understand that a HERS rater will check the installation to verify compliance;and that if such checking identifies defects the responsible" •builder/installer shall be required to take corrective action'at his 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 a HERS.rater,and if those installations fail to meet the requirements of such quality assurance checking,the required corrective - . action and additional checking/testing of other installations in that HERS sample'group willbe performed at the responsible - - builder/installer's expense. 5. I have confirmed,that the Certificate(s)of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with:the building permit(s)issued for the building: 6. I willensure that a completed,signed copy of this Certificate of Acceptance 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 signed copy of this Certificate of Acceptance is requiredto be included with the documentation the builder provides to the building owner at occupancy. :. . Responsible Acceptance Person Name: Responsible Acceptance Person Signature: ' Doug.BairP Responsible Acceptance Person Company Name: . - - - Position with Company(Tittle):- - - Air Balance Guys . . . . . -Owner Address: .. . . - CSLB License: - - - - - .. • .- 25379 Wayne Mills PI-.#307. _ 632.895 City/State/Zip: • Phone: Date Signed:- - Valencia,CA 91355 (661)373-3516 12/28/16 CA Building Energy Efficiency Standards:2013 Nonresidential Compliance June 2014 • STATE OF CALIFORNIA DUCT LEAKAGE CEC-NBCA-MCH-04-H(Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE NRCA-MCH-04-H DUCT LEAKAGE • (Page 1 of 3) Project Name: - Enforcement Agency: Pemiit Number:" EMC Project Address: " City: Zip Code: . 400 S.Baldwin Ave. Santa Anita . 91007 Note: Submit one Certificate of Acceptance for each system that Enforcement Agency Use:.Checked by/Date. must demonstrate compliance. HERS verification required. This form used for duct pressure test and to certify low leakage air handlers. Fill out the System Information in section:A then determine if this is a New Duct.System(fill out Section B);an Altered Space Conditioning System and/or Altered Duct System(fill out Section C),or if the compliance software requires Low Leakage Air-Handling Unit.Verification(fill out Section E) A.System Information " 01. HVAC System Identification or Name: RTU-2 02 HVAC System Location or Area Served: Restaurant • 03 Was Low Leakage Air-handling Unit Credit taken on MECH-1C? DYes/ X No 04 Duct System Construction Type: New 05 .Condenser NominalcoolingCapacity(ton) : • 6 ." 06 Heating Capacity(kBtu/h) B Duct Leakage Diagnostic Test-New Duct System A New Duct System is when at least 75 percent of the duct system is new duct material,andup to 25 percent may consist of reused parts from the dwelling unit's existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material) 01 Air-Handler Airflow Determination Method (Tons or BTU) 6 Calculated Target Allowable Duct Leakage Rate(cfm ) a) For an airconditioner or heat pump use 400 cfm per rated ton of cooling capacity Of outdoor 02 condenser or:package unit. Calculation= (.06x 400 x Tons )= cfm b)_ ..For:heating-only system furnaces shall be based on 21.7 cfm per kBtu/hr ofrated heating output . . capacity.Calculation=(.06 x 21.7 x kBtu)/hr )_ cfm. 144 03 Actual duct leakage rate from leakage test measurement(cfm) 11 04 Compliance statement: Pass Pass-Pass if B3_is less than or equal to B2. C.Duct Leakage Diagnostic Test-Altered Space C .. s p onditioning"System and/or Altered Duct System, .Altered Space Conditioning System=is an HVAC changeout or when the air handler,condensing unit of a split system,our cooling coil or any amounttof ducting added to an existing system but less than a new duct system.. 0 1. Air-Handler Airflow Determination Method (Tons or BTU) Calculated Target Allowable Duct Leakage.(cfm) a) For en air conditioner or heat pump use 400 cfm per rated ton of cooling capacity of outdoor 02 condenser or a package unit. Calculation.= (.15 x 400 x Tons ) : cfm, b) For heating-only system furnaces shall be based on 21.7 cfm per kBtu/hr of rated heating output capacity.:Calculation=.(.15:x 21.7 x kBtu/hr " )= . cfm 03 Actual:duct leakaa rate from leakage test measurement(cfm) - 04: Compliance statement: Pass_Pass if C3 is less than or equal to C2,or Fail but passed with Smoke=If unable to pass the leakage test a:smoke test is allowed to confirm that all accessible leaks have been sealed. Enteractual leakage rate before moving to:smoke. Fill out D Smoke Test below. CABuilding Energy Efficiency Standards-2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA.. DUCT LEAKAGE : 0,1 CEC-NRCA-MCH-04-H(Revised 06/141 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF ACCEPTANCE : • : .- . .. . . - -. . NRCAMCH-04 H ' DUCT LEAKAGE . - (Page 2 of 3) Project Name: . .. - .. Enforcement Agency! - .. .. EMC . Permit Num er: Project Address: - . .. .. - City: - - .. _ .. .. Zip Code: . 400 S:.Baldwin Ave. Santa Anita - 91007 '. 01. Inject smoke into a fan pressuriiationdevice that is'maintaining a duct pressure difference of 25 Pa(0.1 inches water)relative to the duct surroundings,-with all grilles and registers in,the.duet system sealed. 02.. Compliance statement:- • System passes if no smoke emanates from all accessible portions:of the HVAC system including the package unit,furnace,ducts, plenums;wyes,:tees. Thisincludes the air handler refrigerantline,door panels,and curb: Accessible includes having access thereto; • but which first may require removalor opening of access panels,doors;o.r similar obstructions including moving insulation. Requires 100%:testing by HERS rater. No•sampling allowed. 03. . Final Duct Leakage(CFM) '_.: E Low Leakage Air=Handling Unit(LLAHU).' :01 Installed Air-Handling Unit Manufacturer Name:: : 02 ; Installed,Air-Handling.Unit Model;Numbei The installed Low Leakage Air-handling Unit Model is listed here 03 ' http://www:energy.ca.gov/title24/2008standards/special case appliance/supplemental.listings/Low L eakage Air-Handling Unit Listing.2012-10=30.pdf 04 Compliance-statement:: ' Pass if Manufacturer.Name,Model Number of installed equipment is listed with the Energy Commission . . F.ADDITIONAL REQUIREMENTS FOR COMPLIANCE ' : : - 01 System was:tested in its normal operation,condition.:(No temporary taping.except for the damper used for outside air) , :02 Building cavities for:new ducting were not used as plenums or platform returns in lieu of ducts: 03 If cloth backed tape was used it was'covered with:Mastic and draw bands. : - .04 All connection points between the air handler end the supply and'return plenums are completely sealed including at the curb: Temporary Taping over_registers to perform duct leakage test : . 05 . When registers.are installed in drywall tapecovers register and drywall: For t-bar mounted:registers taping of register can occur tothe register or to the t-bar.:'.' By signing this.document I.certify that all the above applicable requirements have been met:: • CA Building Energy Efficiency-Standards:2013 Nonresidential Compliance • ;; June 2014 STATE OF CALIFORNIA terry DUCT LEAKAGE . CEC-NRCA-MCH-04-H(Revised 06/14) • CALIFORNIA ENERGY-COMMISSION . CERTIFICATE OF.ACCEPTANCE .NRCA-MCH-04-H. DUCT LEAKAGE. (Page 3;of 3) Project Name: Enforcement Agency: Permit Number: • EMC Project Address: City: • - • Zip Code: -• • - ,400 S.Baldwin Ave. Santa Anita . 91007 • DOCUMENTATION AUTHOR'S DECLARATION STATEMENT • • 1. 'I certify that this Certificate of Acceptance documentation is accurate and complete: • : Documentation Author Name: - - • Documentation Author Signature: Doug Bair -DocumentatioriAuthorCompariyName: - •- • - Date Signed: ' - - - Air-Balance Guys 12/28/16. . Address: - CEA/HERS/ATT Certification ldentificatiori(If applicable):• _ .. 25379 Wayne Mills P1 #307 _City/State/Tp:.• • .. -- . ": .. • . - .- - Phone:- . . .. - " - (661)373-3516 - • FIELD TECHNICIAN'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 Acceptance is true and correct. 2: I.am the person who performed the acceptance verification reported on this Certificate of Acceptance(Field Technician). -3.. The construction or installation identified on this Certificate of Acceptance complies the applicable acceptance requirements indicated in the plans and specifications approved bythe enforcement agency,and conforms to the applicable acceptance requirements • . and procedures specified in Reference Nonresidential Appendix NA7. 4. I have confirmed that the Certificate(s),of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsible builder/installer and has been posted or made available with the building.permit(s)issued for the-building. Field Technician Name: --_ -- . - ' - - -. - - Field Technician Signature: : • ' - - Bryan Bair•- ��; Field Technician Company Name: - Position With Company(Title): • ' . Air Balance Guys . . :Technician. _ . Address:. - ' -- ' - - ` . -- - .. - - - All Certification Identification(if applicable): 25379 Wayne Mills PI.#307 . - city/state/Zip: • " _ . . -. •. - • . Phone: : - - ' . -. -: Date Signed: : .. . . : 91355 '16611373-3516 •12/2R/16. ' :RESPONSIBLE PERSON'S DECLARATION.STATEMENT certify the following under penalty of perjury,under the laws of the State of California:- . • • .1 I am the Field Technician,;or the Field Technician is'acting on my behalf asmy employee ormy agent a nd;I have reviewed the information " provided on this Certificate of Acceptance. 2. I am eligible under DiviSiOna of the Business and Professions Code in the applicable'classification to accept responsibilityfor the system • design;construction,orinstallation of features,materials,components;or.manufactured•devices for the'scope of work identified on this • Certificate of Acceptance;and attest to the declarations in this statement.(responsible acceptance person).; 3.' The.information,provided on this Certificate of Acceptance,substantiates that the construction or installation identified on'this Certificate . of Acceptance.complieswith the acceptance requirements indicated in the plans and specifications'approved by the enforcement agency, and conforms to the applicable acceptance•requirements and procedures specified in Reference Nonresidential Appendix NA7: 4. I understand that a HERS rater will check the installation to verify compliance;and that if such checking identifies defects the responsible• . . builder/installer shall be required to'take corrective action at his 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 a'HERS.rater,and if those installations to meet the requirements of such quality assurance checking,the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at the responsible builder/installer's expense. 5. . I have confirmed.that the Certificate(s)of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and:is posted.or made available with the building.permit(s)issued for the building: • 6.' I will ensure theta completed,signed copy of this Certificate of Acceptance 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 signed copy of: this Certificate of Acceptance is required:to.be included with the documentation-the builder provides to the building owner at occupancy. • :Responsible Acceptance Person Name: - . • . • - Responsible Acceptance Person Signature: . - .Doug Bair ._ ,•Q« - Responsible Acceptance Person Company Name: " - Position with Company(Title):• -. -" _. Air Balance Guys • Owner Address: . . - . . 25379 Wayne Mills PI:#307. 632895: . • City/State/Zip: - - - - - - - Phone:- - • - - -Date Signed: - Valencia,CA 91355 - (661)373-3516 - 12/28/16 • CA Building Energy Efficiency Standards 2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA-. •DUCT LEAKAGE • . - • ' _. (3i GEC-NBCA4MCH-04-H(Revised 06/14) -• CALIFORNIA ENERGY'COMMISSION• ; CERTIFICATE OF ACCEPTANCE .' :: '. • : .NBCA-MCH-04-H DUCT LEAKAGE - : ... ' • : . - . . • : (Page 1:of3) . Project Name: - • . ' - - .• . EnforcementAgency:.' - • - . - - ' - - - • Permit Number: • . • - . .EMC - - - - : ProjectAddress: .- . .. - - . .- . .. . - "City: -• - - - - - - • - . - .. - Zip Code: . . .400Baldwin S. Ave.• . . Santa Anita . • - .. _ . . . • 9.1007 :: . . Note:.Submit one Certificate of Acceptancefor;each system that-. Enforcement Agency Use:.Checked by/Date. .... - must demonstrate com .plianceHERS verification required.- .- .. .. This form:used for duct pressure test and to certify Tow leakage air handlers.•Fill out the System Information in.section:A-then. . determine if this is a New Duct.System(fill out Section BJ,an Altered Space Conditioning System and/or Altered Duct System'(fll out :Section C),or if the•compliance software requires•Low Leakage,Air-Handling Unit Verification(fill out Section EJ: . A.System Information ;. . - • . - • . • - : • - : • , : • : : I. •• • 01:: HVAC System Identification.orName:: . .. . .' • :. RTU..=3;1 '02 •• .HVAC.System Location or Area Served: • .... . .... Restaurant' ..- _ • 03. : Was.Low Leakage Air-handling Unit Credit taken'on:MECH-1C? - : : . . ..._: : • : - .DYes/ X.No - . , :04.. Duct System.Construction,Type: .- .. . • : .. • :New 05 . .Condenser Nominal:Cooling Capacity(ton) : . .- .. . : r• • . - - . 6- •• .• ::: 06:• Heating Capacity(kBtu/h) B..Duct•Leakage-Diagnostic Test-New Duct System . •. .- • . • :. - : A:New Duct System is when-at least 75.percent of.the duct system is new duct material,andup to 25 percent may consist of reused , . .'. • - parts from the.dwelling unit's existing.duct system(e:g.,registers;grilles,boots;air handler,coil,plenums,d.uctmaterial). • . . . - •• .01: :Air-Handler.Airflow Determination Method (Tons or BTU) • ;. • . - ..- 6. - • Calculated.Target Allowable Duct Leakage Rate(cfm) • : -.' •• . ' .: ... a) •Foran air.conditioner .or heat pump use 400 cfm per rated ton of cooling.capacityof outdoor • .02 condenser or package unit: Calculation (.06 x 400 x Tons :-- )= • cfm • : , • :. • • • . - -., . . b):;:For heating-only_system furnaces:shall be based on 21.7 cfm per ketu/hr ofrated heating output., '• • .capacity.Calculation=(•06 x 21:7 x kBtu)/hr : )_ cfm • • . 144: 03 Actual duct leakage rate from.leakage test measurement(cfm) . . .. - : : 9. 04 • Compliance statement • . . . . • : • .. • • : - : :. . _ Pass Pass Pass.if 133.is less thanor-equal to B2. - .• .. - - - - : : C.Duct Leakage Diagnostic Test-;Altered Space Conditioning System-and/or Altered Duct System - • Altered Space Conditioning System_.=is an.HVAC changeout or when the air handler,condensing unit-of a split system,our cooling - . coil orany amount of iducting added to an•existing system but less than anew duct System...: : : .. . . :-: 01._ Air-Handler Airflow Determination Method:(Tons or BTU) ::: : . • :- • . -.. . - _ - - Calculated Target.Allowable Duct Leakage.(cfm) .. a) For an air conditioner;or heat pump,use 400 cfm per rated ton,of cooling capacity of.outdoor: , , . 02 • .: :condenser or a package unit. Calculation= (,15 x 400 x Tons- . ).=: ' . cfm. b) For.heating-only system furnaces shall be based on 21.7 cfm per kBtu/hr of rated heating output • •. . • capacity. :Calculation=.(.15.x21.7_x_kBtu/hr• :. ). _ :' cfm. .' :. -.. .' - . - 03 Actual duct leakage rate:from'leaka getest measurement cfm .. • ... •• ' -.04: .Compliance•statement: • I : - • • .. Pais-,Pass if C3 is.less than or equal•to C2,or •: •Fail but passed with Smoke If unable to pass the leakage:test a:smoke test:is allowed to confirm that•all.accessible.leaks have been . . -.' :: sealed. Enteractual leakage.rate:before moving to:smoke.-Fill out D Smoke Test.below.• :. i .. - - - .' . . ._ , CA Building Energy Efficiency.Standards=2013 Nonresidential Compliance • • . • lune 2014 STATE OF CALIFORNIA DUCT LEAKAGE EcR :.' GEC-NRCA-MCH-047H(Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF.ACCEPTANCE NRCA-MCH-04-I-I DUCT LEAKAGE (Page 2 of 3) . : Project Name: - Enforcement Agency: - PermitNumber:- .-EMC ProjectAddress: City. Zip Code: . 400 S:Baldwin Ave. Santa Anita . 91007 D.Smoke-Test .. 01. Infect smoke into a fan pressurisation device that is maintaining a duct pressure difference of 25 Pa(0.1 inches water)relative to the duct surroundings,with all grilles and registers in the duct system sealed. 02.: Compliance statement: System passesif no smoke emanates from all accessible portions:ofthe HVAC system including the package unit,furnace,ducts, '. plenums;wyes,tees.:'Thisincludes the air handler refrigerantline,door panels;and curb: Accessible includes having access thereto;. but which first may require removal or opening of access panels,doorsi or similar obstructions including moving insulation.. Requires 100M:testing by HERS,rater, No sampling allowed: 03 ` 'Final Duct Leakage(CFM) E. Low Leakage Air-Handling Unit .' . ,01 Installed Air=Handling Unit Manufacturer Name: 02.: Installed Air-Handling Unit Model;Number The installed Low Leakage Air=handling Unit Model is listed here 03 http://www.energy:ca.gov/title24/2008standards/special case appliance/supplemental. listings/Low L . eakage Air-Handling Unit Listing.2012-10-30.pdf . 04 Compliance:statement Pass if Manufacturer.Name,Model Number of installed equipment is listed;with the Energy Commission • F.ADDITIONAL REQUIREMENTS FOR COMPLIANCE i01.• System was tested in its normal operation condition. (No temporary taping except for the damper used for outside air). ' :02 .Building cavities for newducting were not used:as plenums or platform returns in lieu of ducts: 03:: If:cloth backed tape was used it was covered with:Mastic and draw bands.. ' 04 .All connection points between the air handler end the supply and`return plenums are completely sealed including at the curb Temporary Taping over.registers to perform duct leakage test : : :05' : When registers.are installed in drywall tape.covers register and drywall : : . For t-bar mounted registers taping of register can occur to the register or to the t-bar.: .; By signing this document-.I.certify.that all the aboveapplicablerequirements have been met: • • : CABuilding Energy Efficiency.Standards:2013 Nonresidential Compliance' June 2014 STATE OF CALIFORNIA • 4;;;;, t. DUCT LEAKAGE1,3 . •CEC-NRCA-MCH-04-H(Revised 06/14) . - CALIFORNIA ENERGY COMMISSION • CERTIFICATE OF ACCEPTANCE NRCA-MCH-04-H DUCT LEAKAGE (Page 3 of 3) Project Name: • - - - Enforcement Agency: - - Permit Number: ' • EMC Protect Address: "City: Zip Code: - • .400 S.Baldwin Ave. , Santa Anita 91007 • • .DOCUMENTATIONAUTHOR'SDECLARATIONSTATEMENT. -- - 1. 'I certify that this Certificate of Acceptance documentation is accurate and complete: Documentation Author Namei -• - i 'Documentation Author Signature: -�. Doug Bair "f: Documentation Author Company Name: _ Date Signed: • . - Air Balance Guys . . 12/28/16" Address:.. - - CEA/HERS/ATT Certification Identification(If applicable): 25379 Wayne Mills Pl.#307. City/State/Zip::. . . . . Phone:. . . . Valencia,CA 91355 . . . . (661)373-3516 FIELD TECHNICIAN'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 Acceptance is true and correct. 2: I am the person whoperformed the acceptance verification reported on this Certificate of Acceptance(Field Technician). 3. The construction or installation identified on this Certificate of Acceptance complies with the applicable acceptance requirements indicated in the plans and specifications approved by the enforcement agency,and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • 4. I have confirmed that the Certificate(s)of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and signed by the responsiblebuilder/installer and has been posted or made available with the building permit(s)issued • for the building. Field TechnicianNarne: -- Field Technician Signature: ., Bryan Bair. ��,c s Field Technician Company Name: - Position with Company(Title): - .' . • • ' .Air Balance Guys . . • :Technician. • Address: . ' ' • ' ATT Certification Identification(if applicable): ' . - • 25379 Wayne Mills P1.11307 • • City/State/Zip:. . " . . . - g . . Phone: = • Date Signed: :� � � � - 91355. • (6611374=3516 • • 12/28/16. -• RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certifythe following under penaltyof perjury,.under the laws of the State of California: 1: I am the Field Technician,or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this Certificate of Acceptance. 2. I 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 Acceptance,and attest to the declarations in this statement(responsible acceptance person).: • 3. Theinformation provided on this Certificate of Acceptance substantiates that the construction or installation identified on this Certificate of Acceptance complies with the acceptance requirements indicated in the plans and specifications.approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. 4. I understand that a HERS rater will check the installation tb verify compliance;and that if such checking identifies defects the a responsible . builder/installer shall be required to take corrective action at his 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 a HERS rater,and if those installations fail tb meet the requirements of such quality assurance checking,the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at the responsible • builder/installer's expense. 5." 'I have confirmed that the a Certificate(s)of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and is posted or made available with the building permit(s)issued for the building: 6. I will ensure.that a completed,signed copy of this Certificate of Acceptance 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 signed copy of. this Certificate of Acceptance is required to be included with the documentation the builder provides to the building owner at occupancy. ,. Responsible Acceptance Person Name: - 0 - Responsible Acceptance Person Signature: 0 .DougBalroz� Responsible Acceptance Person Company Name: - . .. Position with Company(title):- - - - Pte• ' . Air Balance Guys - - Owner . Address: - CSLB License: ' • 25379 Wayne Mills PI.#307. . . . . 632895. - City/State/Zip: • ' Phone: - • Date Signed:" - • Valencia,CA 91355 (661)373-3516 12/28/16 CA Building Energy Efficiency Standards_2013 Nonresidential Compliance lune 2014