HomeMy WebLinkAbout1316 Gull Ct; ; CBR2016-0043; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 01/11/2017 Residential Permit Permit No: CBR2016-0043
www.carlsbadca.gov
Job Address:1316 Gull Ct
Permit Type:BLDG-Residential WorkClass:P/M/E Status:Closed -Finaled
Parcel No:Lot #:Applied:11/09/2016
Valuation:$0.00 Reference #:Issued:11/09/2016
Occupancy Group:Construction Type:Finaled:
# Dwelling Units:Bathrooms:Inspector:
Bedrooms:Orig. Plan Check #:
Plan Check #:
Project Title:
Description:PERCEPO: REPLACE FAU
Co-Applicant:
ECONO AIR
555 Vanguard Way
Brea, CA 92821-3933
714-695-6661
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00
Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit 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 information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
1
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 you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
mirommumm
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING 0.1‘DING 0 FIRE EiHEALTH 0 HAZMATIAPCD
•
CPlan Check No.CE3V420(14.—OCY43ity of Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
760-602-2719 Fax: 760-602-8558Ph:Carlsbad email: buildin Plan Ck. Depositg@carlsbadca.gov
www.carlsbadca.gov Date /I .ir.(j.SV57:11 —3 1
JOB ADDRESS
13 /b (..)11 c t_SUITE411/SPACES/UNITI P APN ---
CT/PROJECT#LOT #PHASE ##OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:Include Square Feet of Affected Area(s)°i t-----‹-.
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)' FIREPLACE 'AIR CONDITIONING FIRE SPRINKLERS
YESID#NOD ,YES DNO 0 YES0 NOD
APPLICANT NAME a:4A PROPERTY OWNER
Primary Contact .---(-C-1 1 /1/1k4e%a kpc.e./b
ADDRESS ADDRESS is /6.S-55 fr‘ipc/i....-c_1.--4 -67-c.It CI--
CITY ,A STATE ZIP CITY STATE ZIP 9ty('.‘ci.‘---c1?-01 C"r LSLk.d c.A-zeW/
PHONE .--pte.......7 zo ...6.97t.
FAX pHONE 76' 0 -7/--FAXFAX
EMAIL EMAIL
DESIGN PROFESSIONA CONTRACTOR BUS. NAME a--
CO
-1 o 4k
ADDRESS ADDRESS c5-5--l/i 4 -rd t...1 )-1.-...CITY STATE ZIP CITY 4 STATE
rce.U"`
EMAIL EMAIL EMAIL
zus 2//9.ze)-t
7/6(—
PHONE 'FAX PHONE FAXal---06/K
STATE LIC. #STATE LIC.#li r--
Z v70
CLASS CITY BUS. LIC.#Cf CZO
(Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)).
WORKERS'COMPENSATION
Workers' Compensation Declaration:I hereby affirm under penalty of perjury one ofthe following declarations:
have and will maintain a certificate of consent to selfiinsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.I
have and will maintain workers' compensation,as required tty Sectip‘3700 of the Labor Code, for the performance of thhworkMr yitWh this permit is issued. My workers' compensation i9suraicep9rrier and policy
number are: Insurance Co.,evcs.30 /mut'M91./rA-ACt CO.Policy No.1"/ C lei& i ieet Ary •Expiration Date 10/0 i / 17
This section need not be completed if the permit is for one hundred dollars ($100) or less.
ElCertificate of Exemption:I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California.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 attorney's fees.
.0:c CONTRACTOR SIGNATURE 7 BiENT DATE (Jo 9/L.
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License Law for the following reason:ElI,as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (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 who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale.If,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).0 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).0 I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement.ElYes OW
2.I (have / have not) signed an application for a building permit for the proposed work.
3.I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.I plan to provide portions of the work, butI have hired the following person to coordinate, supervise and provide the major work (include name ! address / phone I contractors' license number):
5.I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
..ePROPERTY OWNER SIGNATURE DAGENT DATE
go ..9.4c.-r...e..ryt -
"'COMP:EV?-r IfIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act?0 Yes 0 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 No
IFANY 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
Icertify thatIhave read the application and state thatthe above Information is correct and thatthe information on the plans is accurate.Iagree to comply with all City ordinances and State laws relatingto building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 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 permit is required for excavations over 5'0' deep and demolition or constructionofstructures over 3 storiesin height.
EXPIRATION: Every permit issued by the Building Oficial under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within
180 days from the dateofsuch permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a periodof180 days (Section 106.4.4 Uniform Building Code).
iFSAPPLICANT'S SIGNATURE DATE /p
STOP
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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#:(Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS.LIC.No.
DELIVERY OPTIONS0PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg.1)
o ASSOCIATED CB#0 MAIL TO:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg.1.)o NO CHANGE IN USE /NO CONSTRUCTION
0 MAIL/FAX TO OTHER:o CHANGE OF USE/NO CONSTRUCTION
..ECAPPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2016-0043)
Permit Type:BLDG-Residential Application Date:11/09/2016 Owner:
Work Class:P/M/E Issue Date:11/09/2016 Subdivision:
Status:Closed -Finaled Expiration Date:05/08/2017 Address:1316 Gull Ct
Carlsbad, CA 92011-3966
IVR Number:151
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
ow 1/2017 01/11/2017 BLDG-43 Air 009043-2017 Passed Paul Bumette Complete
Cond./Fumace Set
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Final 009045-2017 Passed Paul Burnette Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Pann 1 of 1
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3 )
Project Name:1316 GULL COURT Enforcement Agency:City of Permit Number:PENDING
Carlsbad
Dwelling Address:1316 GULL COURT 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-1R Single family
04 Verified Low Leakage Ducts in Conditioned Space No, credit is not taken
(VLLDCS)Credit from CF1R?
05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit No, credit is not taken
from CF1R?
06 Duct System Compliance Category Alteration
MCH-20d -Complete Replacement or Altered Duct System
B.Duct Leakage Diagnostic Test
01 Condenser Nominal Cooling Capacity (ton)4
02 Heating Capacity (kBtu/h)0
03 Conditioned Floor Area served by this HVAC system (ft2)2087
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 Cooling system method
Method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage (cfm)240
10 Actual duct leakage rate from leakage test measurement 235
(cfm)
11 Compliance Statement: System passes leakage test
Registration Number: 215-A0087379A-M2000002A-0000 Registration Date/Time:2015-04-22 08:28:55 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-04-21 20:20:49
2013 Residential Compliance Schema Version: 0.51SOD
allii•ININMININI
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3 )
C.Additional Requirements for Compliance
01 System was tested in its normal operation condition. No temporary taping allowed.
Outside air (OA) ducts for Central Fan Integrated (CFI)ventilation systems, shall not be sealed/taped off during duct leakage
02 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 All connection points between the air handler and the supply and return plenums are completely sealed.
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements
07 of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance.
The responsible persons signature on this compliance document affirms that all applicable requirements In this table have
been met.
Registration Number: 215-A0087379A-M2000002A-0000 Registration Date/Time:2015-04-22 08:28:55 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-04-21 20:20:49
2013 Residential Compliance Schema Version: 0.S1SDD
erommill
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3 )
Documentation Author's Declaration Statement
1.I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:Documentation Author Signature:424
iCIP"taCe/r4fOrer.Bruce Edgar
Company:Signature Date:2015-04-21 20:21:42The Energuy CA LLC
Address:CEA/ HERS Certification Identification (if applicable):
1215 K St., 17th Floor CC2006305
City/State/Zip:Phone:
Sacramento CA 95814 1-877-600-0123
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1.The information provided on this Certificate of Installation is true and correct.
2.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 of the
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 conforms 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 ifsuch checking identifies defects;I am required to take
corrective action at my 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 ifthose installations fail to meet the
requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in thatHERS
sample group will be performed at my expense.
S.I reviewed a copyof 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 thata registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:Responsible Builder/Installer Signature:
Shayley Wright -51.1116,"gitiCompany Name: (Installing Subcontractor or General Contractor or Position With Company (Title):
Builder/Owner)Manager
MDDR INC dba ECONO AIR
Address:CSLB License:
4915E HUNTER AVENUE 445220
City/State/Zip:Phone:Date Signed:
ANAHEIM CA 92807 (800) 503-2666 2015-04-22 08:28:55
Third Party Quality Control Program (TPQCP) Status:Name ofTPQCP (if applicable):
Digitally signed by CaICERTS.This digital signature is provided in order to secure the content ofthis registered document and in no way implies Registration Provider
responsibility for the accuracyofthe information.
Registration Number: 215-A0087379A-M2000002A-0000 Registration Date/Time:2015-04-22 08:28:55 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-04-21 20:20:49
2013 Residential Compliance Schema Version: 0.51SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC)(Page 1 of 3 )
Project Name:1316 GULL CT Date Prepared:2016-11-09
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CF1R-ALT-02 document for each dwelling unit.
01 Project Name 1316 GULL CT 02 Date Prepared 2016-11-09
03 Project Location 1316 GULL CT 04 Building Type Single family
OS CA City Carlsbad 06 Dwelling Unit Name 1316 GULL CT
Dwelling Unit Conditioned07Zip Code 92011 08 1500Floor Area (ft2)
Number of space conditioning
09 Climate Zone 7 10 (SC)systems in this dwelling 1
unit.
B. Space Conditioning (SC)System Information
01 02 03 .04 05 06 07 08 09 10
Is the SC installing a
SC System SC System CFA served system a refrigerant Installing new SC Installing Installing installing
Identification or Location or Area by this SC ducted containing system more thn 40 entirely new entirely new
Name Served System (ft2)system?component?components?feet of ducts?duct system?SC system?Alteration Type
System 1 Location 1 2400 Yes No 'Yes No No No Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Dilb)
This section does not apply to this project.
Registration Number: 216-A0417479A-000000000-0000 Registration Date/Time:2016-11 -09 09:34:19 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-09 09:34:25
Schema Version: 0.55550D
CERTIFICATE OF COMPUANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC)(Page 2 of 3 )
D.Altered Space Conditioning System (Sections 150.2(b)1E and F)
01 02 03 04 05 06 07 08 09 10 11 12
Heating Cooling
System Heating Altered Heating Minimum Altered Cooling Minimum Required New or
identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct
or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value
No heating This field or This field or No cooling This field or This field or Less than orCentral gas component splitSystem1componentsectionisnotsection is not component section is not section is not Setback equal to 40 R-6furnaceACalteredapplicableapplicablealteredapplicableapplicablefeet
Reauired Documentation;
CF2R-MCH-01-E -Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums:R6.
CF2R-MCH-20-H &CF3R-MCH-20-H —Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance:15%,or 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H &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 Flowz 300 CFM/ton required when MCH-25 is required.
Exceotions;
-Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements.
E.Entirely New or Complete Replacement Duct System, with or without. Equipment Changeout (Sections 150.2(141.Diia and 150.2(b)1E,F)
This section does not apply to this project.
F.Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 216-A0417479A-000000000-0000 Registration Date/Time:2016-11-09 09:34:19 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-09 09:34:25
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC)(Page 3 of 3 )
Documentation Author's Declaration Statement
1.I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:Documentation Author Signature:cikMadore, Charlene
Company:Signature Date:
MDDR INC dba ECONO AIR 2016-11-09 09:34:19
Address:CEA/HERS Certification Identification (if applicable):
4915 E HUNTER AVENUE
City/State/Zip:Phone:
ANAHEIM CA 92807 800-503-2666
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.I am 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 conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4.The building design features or system design features identified on this Certificateof Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5.I will ensure that a registered copy of this Certificate of Compliance shall be 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 Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:Responsible Designer Signature:
Madore, Charlene eAa/tee/ile cAtadOlte
Company :Date Signed:
MDDR INC dba ECONO AIR 2016-11-09 09:34:19
Address:License:
4915 E HUNTER AVENUE 445220
City/State/Zip:Phone:
ANAHEIM CA 92807 800-503-2666
Digitally signed by CaICERTS.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 accuracyofthe information.
Registration Number: 216-A0417479A-000000000-0000 Registration Date/Time:2016-11-09 09:34:19 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-09 09:34:25
Schema Version: 0.555SDD
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3
Project Name:1316 GULL COURT Enforcement Agency:City of Permit Number:PENDING
Carlsbad
Dwelling Address:1316 GULL COURT 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-1R Single family
04 Verified Low Leakage Ducts in Conditioned Space No,credit is not taken
(VLLDCS)Credit from CF1R?
05 Verified Low Leakage Air Handling Unit Credit from No, credit is not taken
CF1R?
06 Duct System Compliance Category Alteration
MCH-20d -Complete Replacement or Altered Duct System
B.Duct Leakage Diagnostic Test
01 Condenser Nominal Cooling Capacity (ton)4
02 Heating Capacity (kBtu/h)0
03 Conditioned Floor Area served by this HVAC system (ft2)2087
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 Cooling system method
Method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate (cfm)240
10 Actual duct leakage rate from leakage test measurement 235
(cfm)
11 Compliance Statement: System passes leakage test
12 Notes:
Registration Number: 215-A0087379A-M2000002A-M20A Registration Date/Time:2015-04-21 20:21:31 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-04-21 20:21:19
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.I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:Documentation Author Signature:
Bruce Edgar eVNerdiSt/L
Company:Date Signed:
The Energuy CA LLC 2015-04-21 20:21:31
Address:CEA/ HERS Certification Identification (if applicable):
1215 K St., 17th Floor
City/State/Zip:Phone:
Sacramento CA 95814 1-877-600-0123
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.I am the certified HERS Rater who performed the verification identified and reported on this Certificate ofVerification (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 ofthe Certificate(s)of Installation(CF2R) signed and submitted by the perton(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s)of Compliance (CF1R) approved by the "basementagency.
5.I will ensure thata registered copy of this Certificate of Verification shall be posted, or made available with the building pernlit(sij issuedItir the
building, and made availableto the enforcement agency for all applicable inspections.I understand that a registered copy of thls,Certificate of
Verification is required to be included 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):
MDDR INC dba ECONO AIR
Responsible Builder or Installer Name:CSLB License:
Shayley Wright 445220
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:
The Energuy CA LLC
Responsible Rater Name:Responsible Rater Signature:
Bruce Edgar
Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2006305 2015-04-21 20:21:31
Digitally signed byCaICERTS.This digital signature is provided in order to secure the content ofthis registered document and in no way implies Registration Provider
responsibility for the accuracyofthe information.
Registration Number: 215-A0087379A-M2000002A-M20A Registration Date/Time:2015-04-21 20:21:31 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-04-21 20:21:19
2013 Residential Compliance Schema Version: 0.51SDD
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
[Space Conditioning Systems, Ducts, and Fans (Page 1 of 7 )
Project Name:1316 GULL COURT Enforcement Agency:City of Carlsbad Permit Number:PENDING
Dwelling Address:1316 GULL COURT City:Carlsbad Zip Code:92011
A. General Information
01 Dwelling Unit Name 1316 GULL COURT 02 Climate Zone 7
Number of space conditioning (SC)Dwelling Unit Conditioned Floor Area03(ft2)2087 04 systems being altered in this dwelling 1
unit.
05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT )06 Method used to calculate HVAC loads NotApplicableEquipmentChangeout
Calculated dwelling unit Sensible Calculated Dwelling Unit Heating Load07This field or section is not applicable 08 This field or section is not applicableCooling Load (Btuh)(Btuh)
I
MCH-01b Prescriptive Alterations -Space Conditioning Systems;Ducts and Fans
B. Space Conditioning (SC)System Information
01 02 03 04 05 06 07 08 09 10_..
CFA served Is the SC Installing a Installing
SC System SC System by this SC system a refrigerant Installing new SC Installing more entirely Installing
Identification or Location or Area System ducted containing system than 40 feet of new duct entirely new
Name Served (ft2)system?component?components?ducts?system?SC system?Alteration Type
..._
Altered space
System 1 Location 1 2087 Yes Yes Yes No No No conditioning
system
Registration Number: 215-A0087379A-M0100002A-0000 Registration Date/Time:2015-04-22 08:28:55 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-04-21 20:20:11
Schema Version: 0.555SDD
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 7 )
E.Installed Cooling Equipment information:
01 J 02 03 04 05 06 07 J 08
Condenser or Package Unit
Condenser or Condenser or Condenser or System Rated Cooling Condenser Rated
System Identification Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit Capacity at Design Nominal Capacity
or Name Type Value Manufacturer Model Number Serial Number Conditions (BTUH)(ton)
Notes:
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.
I.Air Filter Device Requirements
This section does not apply to this project.
Registration Number: 215-A0087379A-M0100002A-0000 Registration Date/Time:2015-04-22 08:28:55 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-04-21 20:20:11
Schema Version: 0.555SDD
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
MCH2O MCH21 MCH22 MCH23 MCH25 MCH28
Exemption
from
Minimum
Exemption R-Value for AHU Fan AHU
SC System SC System From Duct Duct Ducts In Ducts Located Efficacy Airflow
Identification or Location or Area Leakage Leakage Conditioned In Cond Space (W per Rate (cfm Refrigerant Return Duct Design
Name Served Requirements Test Space Verification cfm)per ton)Charge Table 150.0-C or D
System 1 Location 1 No NotYes No No No No Noexemptionsapplicable
Registration Number: 215-A0087379A-M0100002A-0000 Registration Date/Time:2015-04-22 08:28:55 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-04-21 20:20:11
Schema Version: 0.555SDD
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 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.
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 of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections
150.0(h)1 and 2).
Furnace Temperature Rise: Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum04inlet-to-outlet temperature rise specification.See Section 150.0(h)4.
OS 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(j)2 and 3, and Section 150.0(m)9.
08 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet.See Section 150.0(h)3A.
Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing.See Section09150.0(h)1 and 2.
Air Distribution System Ducts, Plenums and Fans
10 Insulation: In all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct insulation value is R-6. Note that higher values may be
required by the prescriptive or performance requirements.See Section 150.0(m)1.
Registration Number: 215-A0087379A-M0100002A-0000 Registration Date/Time:2015-04-22 08:28:55 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-04-21 20:20:11
Schema Version: 0.555SDD
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.
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,
11 602.0, 603.0, 604.0, 605.0 and ANSI/SMACNA-006-2006: Supply-air and return-air ducts and plenums must be insulated to a minimum installed level of R-6.0 or
enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference
Residential Appendix RA3.1.4.3.8.
Heat Pump Thermostat
12 A thermostat shall be installed that 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 all applicable requirements in this table have been met.
Registration Number: 215-A0087379A-M0100002A-0000 Registration Date/Time:2015-04-22 08:28:55 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-04-21 20:20:11
Schema Version: 0.555SDD
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 7 of 7 )
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:Documentation Author Signature:
Edgar, Bruce eleiCe/r4PAWCompany:Signature Date:
The Energuy CA LLC 2015-04-21 20:21:42
Address:CW HERS Certification Identification (if applicable):
1215 K St., 17th Floor CC2006305
City/State/Zip:Phone:
Sacramento CA 95814 1-877-600-0123
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1.The information provided on this Certificate of Installation is true and correct.
2.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), otherwiseI 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 Installation conforms to all applicable codes and regulations, and the
installation conforms to the requirements given on the plans and specifications approved by the enforcement agency.
4.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.
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 for the building, and made available to the enforcement agency for all
applicable inspections.I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:Responsible Builder/Installer Signature:
Wright, Shayley szyieje VaseCompany Name: (Installing Subcontractor or General Contractor or Builder/Owner)Position With Company (Title):
MDDR INC dba ECONO AIR Manager
Address:CSLB License:
4915 E HUNTER AVENUE 445220
City/State/Zip:Phone:Date Signed:
ANAHEIM CA 92807 (800) 503-2666 _2015-04-22 08:28:55
Digitally signed byCalCERTS.This digital signature is provided in order to secure the contentofthis registered document, and in no way implies Registration Provider responsibility for the accuracyofthe information.
Registration Number: 215-A0087379A-M0100002A-0000 Registration Date/Time:2015-04-22 08:28:55 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-04-21 20:20:11
Schema Version: 0.555SDD
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