HomeMy WebLinkAbout1053 BEACON BAY DR; ; CB151165; Permit04-16-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI51165
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1053 BEACON BAY DR CBAD
PME
2145302600
REDDY: ADD NEW AC
Lot#:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/16/2015
JMA
04/16/2015
04/16/2015
Applicant:
REDDY SAMBAVARAM S
Ow/ner:
REDDY SAMBAVARAM S
1053 BEACON BAY DR
CARLSBADCA 92011
1053 BEACON BAY DR
CARLSBADCA 92011
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$0.00
$160.00
$0.00
TOTAL PERMIT FEES $160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00
Inspector: ^-^o-^g-^^^.
FINAL APPROVAL
Date: ^/^//^ Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen'ed to as "fees/exactions," You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required infomnation with the City Manager for
processing in accordance with Carisbad Municipal Code Section 3,32,030, Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their Imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project, NOR DOES IT APPLY to any
fees/exactions of which vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othen/vise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: OPLANNING [JENGINEERING nBUILDING iZlFIRE OHEALTH OHAZMAT/APCD
Ccityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. CE?\^-
Est. Value
Plan Ck. Deposit
Date L^. SWPPP
IOB ADDRESS loss ^RfSCc>N T^'/ cAfiL-ssiAD
SUITE*/SPACE*/UNIT*
CT/PROJECT# LOT* PHASE # IK OF UNITS |# BEDI^OOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
1 1 1 lb 51-S'"
DESCRIPTION OF WORK: Indude Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|» NOj I
AIR CONDITIQNING
YES 13^01 I
FIRE SPRINKLERS
YES I [NO| I
MOPERTYOWNER ~ 7m . _ .
ADDRESS ADDRESS
CITY STATE
C-A-
CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME . , . . ,
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL
CITY BUS, LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, priorto its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, ccmmendingwith Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempttherefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
E R $' campmnsAt HON
Workers' Compensation Declaration: / hereby affimi under penalty of peijury one of the following declarations:
HI have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is Issued.
I have and will maintain workers' compensation, as reguired bv Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance earner and policy
number are: Insurance Co, Policy No. Expiration Date
Thjs section need not be completed if the permit is for one hundred dollars ($100) or less,
I I Ceitificate of Exemption; I certify that in the perfomiance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Lavre of
Califomia, WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees.
ygT CONTRACTOR SIGNATURE
^WwW:tR-:«::iilll.OiR r*' I
• AGENT DATE
/ herehy affirm fhaf / am exempf from Contractor's Ucense Law for the following reason:
I I I, as owner of the property or my employees with wages as Iheir sole compensation, will do the work and the stnjcture is not intended or offered for sale (Sec, 7044, Business and Professions Code: The Contractor's
sale,
[iTItas
•
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
', however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale),
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law),
I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construclion of the proposed property improvement I lYes I iNo
2,1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4,1 plan to provide portions of the vrori(, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number):
5,1 will provide some of the work, but I have contracted (hired) the following persons to provide the wori( indicated (include name / address / phone / type of work):
^efpROPERTY OWNER SIGNATURE •AGENT DATE
COMPtSTC THIS SECTiON FOR N O N • R E $ I 0 E M T i A t. BUILOING PSRMITf ON
Is the applicant or future building occupant required to submit a business plan, xutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acr? Yes No
Is the applicant or future buikjing occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
CTION LENDING AGENCY
1 hereby affimi that there is a construction lending agency for the performance of the work this pennit is issued (Sec. 3097 (1) Civil Code).
Lender's Name Lender's Address
AI»l»i,ICANT CERTIFICATION •1 IHI
I certif that I have read the applteatnn and state that the above infoimatlon is conect and that the infomiation on the plans is accuiate. I agiee to complywlth all Ci^ oidlnances and State laws relating to building constniction.
I hereby authorize representative ofthe City of Carisbad to enter upon the above mentbned property for inspectbn purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit is required for excavafons over 5'0' deep and demolitbn or constiuctbn of structures over 3 stories in height,
EXPIFWTION; Every permit issued by the Building Oflicial under the piiDvisbns ofthis Code shall expire by limitation and become null and void if the building or \«)ri< authorized by such pennit Is not commenced within
180 days tomjie date of such opnmit orjfJhe buikling or WDri< authorized by such pennit is suspended or abandoned at any time after the vrork is commenced for a period of 180 days (Section 106.4,4 Uniform Building Code).
NT'S SIGNATURE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email buildina(S)carlsbadca.gov or Mall the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
IVIAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB151165 Type: PME REDDY: ADD NEW AC
Date Inspection Item inspector Act Comments
04/17/2015 43 AirCond/Furnace Set - Rl AM PLEASE
04/17/2015 43 AirCond/Furnace Set MC AP
04/17/2015 49 FinalMechanical - Rl AM PLEASE
04/17/2015 49 FinalMechanical MC Fl
Friday, April 17,2015 Page 1 of 1
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page lof 7)
Project Name: SAMBAVARAM RESIDENCE Enforcement Agency: City of Carlsbad Permit Number: On site
Dwelling Address: 1053 BEACON BAY DR. City: Carlsbad Zip Code: 92011
A. General Information
01 Dwelling Unit Name SAMBAVARAM RESIDENCE 02 Climate Zone 7
03 Dwelling Unit Conditioned Floor Area
(ft2) 2025 04
Numiier of space conditioning (SC)
systems being altered in this dwelling
unit.
1
05 Certificate of Compliance Type Prescriptive alterations (CFIR-ALT) 06 Method used to calculate HVAC loads NotApplicableEquipmentChangeout
07 Caicuiated dwelling unit Sensible
Cooling Load (Btuh) This field or section is not applicable 08 Calculated Dwelling Unit Heating Load
(Btuh) This field or section is not applicable
MCH-Olb Prescriptive Alterations - Space Conditioning ^sterns Ducts ind Fans
B. Space Conditioning (SC) System Information X
01 02 03 04 05 06 07 08 09 10
SC System
Identification or
Name
SC System
Location or Area
Served
CFA served
by this SC
System
(ft2)
Is these
system a
ducted
system?
Installing a
refrigerant
containing
component?
Installing new SC
system
components?
Installing more
than 40 feet of
ducts?
Installing
entirely
new duct
system?
Installing
entirely new
SC system? Alteration Type
System 1 Location 1 2025 Yes Yes Yes No No No
Altered space
conditioning
system
Registration Number: 215-A0069563A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-04-03 16:33:42
Report Version: 2014-05-13
HERS Provider: CalCERTS
Report Generated: 2015-04-03 14:16:31
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 2 of 7)
C. Space Conditioning (SC) System Alterations Compliance Information
01 02 03 04 05 06 07 08 09 10 11 12 13
System
Identification
or Name
Heating
System Type
Altered
Heating
Component
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System Type
Altered
Cooling
Component
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
Required
Thermostat
Type
New or
Replaced
Duct
Length
New
Duct
R-Value
Central Fan
Integrated
(CFI)
Ventilation
System
Status
System 1 Central gas
furnace
No heating
componen
t altered
This field
or
section is
not
applicabi
e
This field
or section
is not
applicable
Central
split AC
All new
cooling
components
SEER 13 Setback LTE40Ft R6 Not a CFI
system
D. installed Heating Equipment information
This section does not apNv to this project
E. Installed Cooling Equipment information:
01 02 03 04 05 06 07 08
Condenser or Package Unit
System Identification
or Name
Cooling Efficiency
Type
Cooling Efficiency
Value
Condenser or
Paclcage Unit
Manufacturer
Condenser or
Package Unit
Model Number
Condenser or
Package Unit
Serial Number
System Rated Cooling
Capacity at Design
Conditions (BTUH)
Condenser Rated
Nominal Capacity
(ton)
System 1 SEER 14 lennox 14acx-042-230-
al5 1915325987 42000 3.5
Notes:
Registration Number: 215-A0069563A-IVIO1O0OO2A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-04-03 16:33:42
Report Version: 2014-05-13
HERS Provider: CalCERTS
Report Generated: 2015-04-03 14:16:31
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 7)
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.
1. Air Filter Device Requirements
This section does not apply to thts project.
Registration Number: 215-A0069563A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-04-03 16:33:42
Report Version: 2014-05-13
HERS Provider: CalCERTS
Report Generated: 2015-04-03 14:16:31
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 5 of 7)
K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures
Note: Additional mandatory requirements from Section ISO.O 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.
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), 110.2(b).
03 Sizing: Heating load calculations must be done on portions ofthe building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections
150.0(h)l and 2).
04 Furnace Temperature Rise: Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum
inlet-to-outlet temperature rise specification. See Section 150.0(h)4.
05 Standby Losses and Pilot Lights: Fan-type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(d).
Cooling Equipment
06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency
Regulations.
07 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
150.0(1)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)l 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)l.
Registration Number: 215-A0069563A-M0100002A-0000 Registration Date/Time: 2015-04-03 16:33:42 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-04-03 14:16:31
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 6 of 7)
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.
11
Connections and Closures: All installed air-distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CMC Sections 601.0,
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 meets 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.
15 Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met.
The responsible person signature on this compliance document affirms that alt applicable requirements in this table have been niiiit.
Registration Number: 215-A0069563A-M0100002A-0000 Registration Date/Time: 2015-04-03 16:33:42 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-04-03 14:16:31
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 7 of 7)
l^cumentation Author's Declaration Statement
1.1 certify that this Certificate of Installation documentation Is accurate and compiete.
I}ocumentation Author Name:
Young,Les
Documentation Author Signature: ^ _ .
Company:
OAK ISUND HEATING AND AIR CONDITIONING INC
Signature Date: " "
2015-04-03 16:33:42
Address:
1250 PACIFIC OAKS PL # 103
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
ESCONDIDO CA 92029
Phone:
(760) 839-8383
Responsible Person's Declaration statement
1 certify the fbllowing 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 manufectured 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 devices (the Installation) identified on this Certificate of Installaticm corifoMs to a)t applicable codes and regulations, and the
installation conforms to the requirements given on the plans and specifications approved by the enforcement agency.
4. 1 reviewed a copy of the Certificate of Compliance approved by the Kiforcement agency that identifies the specific requirements for the soipe of conrtruction or installation Identified on this Certificate of
installation, and 1 have ensured that the requirements that apply to the construction or installation have been met.
5. i will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit{s) issued forthe built^lng, and made available to the enforcement agency for all
appHcable inspections. 1 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:
Young,Les
Responsible Builder/installer Signature: ^ _ .
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner]
OAK ISLAND HEATING AND AIR CONDITIONING INC
Position With Company (Title):
MGR
Address:
1250 PACIFIC OAKS PL # 103
CSLB License:
745400
City/State/Zlp:
ESCONDIDO CA 92029
Phone: Date Signed:
(760) 839-8383 2015-04-03 16:33:42
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0069563A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-04-03 16:33:42
Report Version: 2014-05-13
HERS Provider: CalCERTS
Report Generated: 2015-04-03 14:16:31
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 4 of 7)
J. HERS Verification Requirements
01 02 03 04 05 06 07 08 09 10
MCH20 MCH21 MCH22 MCH23 MCH25 MCH28
SC System
Identification or
Name
SC System
Location or Area
Served
Exemption
From Duct
Leakage
Requirements
Duct
Leakage
Test
Exemption
from
Minimum
R-Value for
Ducts In
Conditioned
Space
Ducts Located
In Cond Space
Verification
AHU Fan
Efficacy
(Wper
cfm)
AHU
Airflow
Rate (cfm
per ton)
Refrigerant
Chaise
Retum Duct Design
Table 150.0-C or D
System 1 Location 1 No
exemptions Yes Not
applicable No No No No No
Registration Number: 215-A0069563A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-04-03 16:33:42
Report Version: 2014-05-13
HERS Provider: CalCERTS
Report Generated: 2015-04-03 14:16:31
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 1 of 3)
Project Name: SAMBAVARAM RESIDENCE Date Prepared: 2015-03-16
A. General Information
CFlR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CFlR-ALT-02 document for each dwelling unit.
01 Project Name SAMBAVARAM RESIDENCE 02 Date Prepared 2015-03-16
03 Project Location 1053 BEACON BAY DR. 04 Building Type Single family
05 CAaty Carlsbad 06 Dwelling Unit Name SAMBAVARAM RESIDENCE
07 Zip Code 92011 08 Dwelling Unit Conditioned
Floor Area (ft2) 2025
09 Climate Zone 7 10
Number of space conditioning
(SC) systems in this dwelling
unit.
1
B. Space Conditioning (SC) System Information
01 02 03 04 06 07 09 10
SC System
Identification or
Name
SC System
Location or Area
Served
CFA served
by this SC
System (ft2)
Is these
system a
ducted
system?
Installing a
refrigersMit
containing
component?
Installing new SC
system
components?
Installing
more than 40
feet of ducts?
Installihg
entirely new
duct system?
installing
entirely new
SC system? Alteration Type
System 1 Location 1 2025 Yes Yes No No No No Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Sectionl50.2(b)lDiib)
This section does not apply to this project.
Registration Number: 215-A0069563A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-04-03 14:14:29
Report Version: 2014-03-31
HERS Provider: CalCERTS
Report Generated: 2015-03-16 09:17:22
CERTIFICATE OF COMPLIANCE CF1R-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)lE 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
System 1 Central gas
furnace
No heating
component
altered
This field or
section is not
applicable
This field or
section is not
applicable
Central split
AC
Outdoor
condensing
unit
SEER 13 Setback
Less than or
equal to 40
feet
R-6
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-IVICH-20-H & CF3R-MCH-2(MH - 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: s 1S%, or s 10% lealcage to outside, or seal all accessible leaks.
CF2R-MCH-2S-H gt CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2,8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH-25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing ffquiremetnts.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Ftdw MCl4'23, or Refrigeras^
-Existing duct systems constructed. Insulated or sealed with asbestosare exem|:Wfrom M(^-20 Duct Leilfcage Testily re^
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b}l;Diia and l50.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2{b)lC)
This section does not apply to this project.
Registration Number: 215-A0069563A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-04-03 14:14:29
Report Version: 2014-03-31
HERS Provider: CalCERTS
Report Generated: 2015-03-16 09:17:22
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and oimplete.
Documentation Author Name:
Young, Les
Documentation Author Signature: ''^^t^f^
Company:
OAK ISLAND HEATING AND AIR CONDITIONING INC
Signature Date:
2015-04-03 14:14:29
Address:
1250 PACIFIC OAKS PL # 103
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
ESCONDIDO CA 92029
Phone:
(760) 839-8383
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 Compliance is true and correct.
2. lam eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
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 corrform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of tegiilattons.
4. The building design features or system design features identified on this Certificate of Compliance are consistent wtMs the Information provided on oth#ap{iiUcable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shait be made available with the building permlt(s) issued for the bulldMg, and rnade available to M^e enforcement agency for all applicable
inspections. 1 understand that a registered copy of this Certfficate of Compliance is required to be Included with th^ documentation the tiuilder provides to the building owner at occupancy.
Responsible Designer Name:
Young, Les
Responsible Designer Slg««ature: M /oy
Company:
OAK ISLAND HEATING AND AIR CONDITIONING INC
Date Signed:
2015-04-03 14:14:29
Address:
1250 PACIFIC OAKS PL # 103
License:
745400
City/State/Zip:
ESCONDIDO CA 92029
Phone:
(760) 839-8383
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0069563A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-04-03 14:14:29
Report Version: 2014-03-31
HERS Provider: CalCERTS
Report Generated: 2015-03-16 09:17:22
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: SAMBAVARAM RESIDENCE Enforcement Agency:
Carlsbad
City of Permit Number: On site
Dwelling Address: 1053 BEACON BAY DR. City: Carlsbad Zip Code: 92011
A. System Information
01 Space Conditioning System Identification or Name System 1
02 Space Conditioning System Location or Area Served Location 1
03 Building Type from CF-IR Single family
04 Verified Low Leakage Ducts in Conditioned Space
(VLLDCS) Credit from CFIR?
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 Duct System
B. Duct Leakage Diagnostic Tiest
01 Condenser Nominal Cooling Capacity (ton) 3.5
02 Heating Capacity (kBtu/h) 0
03 Conditioned Floor Area served by this HVAC system {ft2) 2025
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
Cooling system method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage (cfm) 210
10 Actual duct leakage rate from leakage test measurement
(cfm)
140
11 Compliance Statement: System passes leakage test
Registration Number: 215-A0069563A-M2000002A-0000 Registration Date/Time: 2015-04-03 16:33:42 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-04-03 14:17:27
2013 Residential Compliance Schema Version: 0.51SDD
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.
02
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage
testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet
ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct
leakage testing.
03 All supply and return register boots were sealed to the drywall.
04 Building cavities were not used as plenums or platform returns In lieu of ducts.
05 If cloth backed tape was used it was covered with Mastic and draw bands.
06 Ail connection points between the air handler and the supply and return plenums are completely sealed.
07
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements
of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance.
The responsible persons signature on this compliance document affirms that ail applicable reouirements in this Xab\e have
been met.
Registration Number: 215-A0069S63A-M2000002A-0000 Registration Date/Time: 2015-04-0316:33:42 HERS Provider; CalCERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-04-03 14:17:27
2013 Residential Compliance Schema Version: 0.51SDD
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:
Les Young
Documentation Author Signature:
Company:
OAK ISLAND HEATING AND AIR CONDITIONING INC
Signature Date: 2015-04-03 16:33:42
Address:
1250 PACIFIC OAKS PL # 103
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
ESCONDIDO CA 92029
Phone:
(760) 839-8383
Responsible Person's Declaration statement
1 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. 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
Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative ofthe
responsible builder/installer.
3. The constructed or Installed features, materials, components or manufactured devices (the installation) identified on this Certificate of installation
conforms to all applicable codes and regulations, and the Installation confirms to the requirements given on the plans and specifications approved by
the enforcement agency.
4. i understand that a HERS rater will check the installation to verify compliance, and that if such checking Identifies defects; i |m require^ to take
corrective action at my expense. I understand that Energy Cpmmlssibn and HE^ Provider representatives will also perform^^ua^ky asiiUrance checking
of Installations, including those approved as part of a sampl^ group but not checked by a HERS rater, and if those installati<Ms fall to n^eet 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 my expense.
5. I 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. I 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 buliding owner at occupancy.
Responsible Builder/Installer Name:
Les Young
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
OAK ISUkND HEATING AND AIR CONDITIONING INC
Responsible Builder/Installer Signature:
Position With Company (Title):
MGR
Address:
1250 PACIFIC OAKS PL # 103
CSLB License:
745400
City/State/Zip:
ESCONDIDO CA 92029
Phone:
(760) 839-8383
Date Signed:
2015-04-03 16:33:42
Third Party Quality Control Pribram (TPQCP) Status: Name of TPQCP (If applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content ofthis registered document, and in no way implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 215-A0069563A-M2000002A-0000
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2015-04-03 16:33.42 HERS Provider: CalCERTS
Report Version: 2014-05-08 Report Generated: 2015-04-03 14:17:27
Schema Version: 0.51SDD
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page lof 3)
Project Name: SAMBAVARAM RESIDENCE Enforcement Agency:
Carisbad
City of Permit Number: On site
Dwelling Address: 1053 BEACON BAY DR. City: Carlsbad Zip Code: 92011
A. System Information
01 Space Conditioning System Identification or Name System 1
02 Space Conditioning System Location or Area Served Location 1
03 Building Type from CF-IR Single family
04 Verified Low Leakage Ducts in Conditioned Space
(VLLDCS) Credit from CFIR?
No, credit is not taken
05 Verified Low Leakage Air Handling Unit Credit from
CFIR?
No, credit is not taken
06 Duct System Compliance Category Alteration
MCH-20d - Complete Replacemeiit or Altered Duct System
B. Duct Leakage Diagnostic Tiest
01 Condenser Nominal Cooling Capacity (ton) 3.5
02 Heating Capacity (kBtu/h) 0
03 Conditioned Floor Area served by this HVAC system (ft2) 2025
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
Cooling system method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate (cfm) 210
10 Actual duct leakage rate from leakage test measurement
(cfm)
140
11 Compliance Statement: System passes leakage test
12 Notes:
Registration Number: 215-A0069563A-M2000002A-M20A Registration Date/Time: 2015-04-03 15:14:46 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-04-03 15:14:30
2013 Residential Compliance Schema Version: 0.51SDD
CERTIFICATE OF VERIFICATION CF3R-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.
02
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage
testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet
/\SHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct
leakage testing.
03 All supply and return register boots were sealed to the drywall.
04 Building cavities were not used as plenums or platform returns in lieu of ducts.
05 If cloth backed tape was used it was covered with Mastic and draw bands.
06 All connection points between the air handler and the supply and return plenums are completely sealed.
07
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements
of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance.
08 Verification Status: Pass-all applicable requirements are met:
09 Correction Notes for this table:
The responsible persons signature on this compliance document affirms that ali 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 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-A0069563A-M2000O02A-M20A Registration DateAime: 2015-04-03 15:14:46 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-04-03 15:14:30
2013 Residential Compliance Schema Version: 0.51SDD
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (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:
Jason Solarez
Documentation Author Signature: ^
Company:
Air-Tite Duct Testing
Date Signed:
2015-04-03 15:14:46
Address:
2386 Warmlands Ave
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Vista CA 92084
Phone:
760-231-9444
Responsible Person's Declaration statement
1 certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification Is true and correct.
2. 1 am the certified HERS Rater who performed the verification Identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
Identified on this Certificate of Verification comply with the applicable requirements In Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificatt(s) of (nstallaUori (CF2R) signed and submitted by the persOn(s) responsible for the
construction or installation conforms to the requirements specified on the C^rtfflcate(s):if Compliance (CFIR) approved by the enforcement agency.
5. i will ensure that a registered copy of this Certificate of Verification shall be poised, or mad^ available with the building permit(s] issued # the
building, and made available to the enforcement agency for all appllciible Inspections. 1 understand that a registered copy of this Certificate of
Verification is required to be Mudfd with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
OAK ISLAND HEATING AND AIR CONDITIONING INC
Responsible Builder or Installer Name:
Les Young
CSLB License:
745400
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:
Air-Tite Duct Testing
Responsible Rater Name:
Jason Solarez
Responsible Rater Signature: ^
Responsible Rater Certification Number w/ this HERS Provider:
CC2006013
Date Signed:
2015-04-03 15:14:46
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 215-A0069563A-M2000002A-M20A Registration Date/Time:
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2014-05-08
Schema Version: 0.51SDD
2015-04-03 15:14:46 HERS Provider: CalCERTS
Report Generated: 2015-04-03 15:14:30