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Home My WebLink About1373 NIGHTSHADE RD; ; CB161858; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-12-2016 Permit No: CB161858 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1373 NIGHTSHADE RD CBAD PME Status: Parcel No: 2156412700 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: ASI HASTINGS STE 200 JONES RES-REPLACE A/C UNIT & FAU-NO NEW ELECTRIC 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: PAUL JONES 1373 NIGHTSHADE RD CARLSBAD CA 92011 760 473-9945 ISSUED 05/12/2016 RMA 05/12/2016 05/12/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: /11· ~s FINAL AP~OVAL Date: ll[ 0 lb Clearance: $0.00 NOTICE: Aeaseta<e t\OTJCEthat ~ c:iyw: pqed indudes tre "lrrpcsitiarl' c:ifees, dedcaticrs, reservatiCJlS, or dherexa:ticrs hereafta"wledively referred to as "fees'exa:ticrs." You i"ave 00 day.> fran tre date !lis perrrit 'MIS issued to prdest irrpcsitioo c:i these fees'eJ«diorls. If yw prdest them, yw rrust fdlo.vtre prdest p-ocai.n!s set forth in <?o.!errmrt ~ Sedioo OOJ2Q(a), crd file tre potest crd any dher req..ired inforrratioo wth the aty IVenager for poolSSiiYJ in ~ wth Ca1sbcd Mridpa ~ Sedioo 3.32.030. Pciltre to tirrely fdlo.vthci p1XllCi.re wll t:a any~ legal a::.tioo to attro<, laliew, set aside, vdd, or anJ their irrpcsitioo. You ere herel:7y Fl.Rlr£R t\OTJFlEDthat yar rilft to prctest thespedfied fees'exa:ticrs OCES NOT APPL Ytov.ater crd sell\€ra:mEdiOO fees and~ ~. nor planiYJ, zoirg, gcdiYJ or cther sirrilcr ~icatioo poolSSiiYJ or servia:~ fees in a:mEdioo wth !lis pqed. ['.(R OCES IT NFl Y to any f~exadicrs c:i Widl 'v«< i"ave r:re.'iouslv been ci\lerl a NOTICE sirrilcr to tlis or as to Widl tre statute c:i !irritations has r:re.'iouslv ctherWse extired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING DFIRE DH!ALTH 0 HAZMAT/APCD ; «~ Building Permit Application Plan Check No. (~/bi?S? 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ,..... ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov J{g_ www.carlsbadca.gov Date 5 I fJ. 11 f.. lswPPP JOB ADDRESS SUITEt/SPACEt/UNIT# IAPN 1373 NIGHTSHADE RD CARLSBAD 92011 -- - CT/PROJECT # I LOT# I PHASE# r OF UNITS 1 #BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) INSTALL AC AND FURNACE ~· &I EXISTING USE I PROPOSED USE l GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS YESO N<O YES0No0 YESONoD APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME PAUL JONES Prlnarv Contact ADDRESS ADDRESS 3645 RUFFIN ROAD# 330-335 1373 NIGHTSHADE RD CARLSBAD 92011 CITY STATE ZIP CITY STATE ZIP san dieQo ca 92123 CARLSBAD CA PHONE I FAX PHONE I FAX 619-590-9337 (760) 473-9945 EMAIL EMAIL JERMAINE@WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinQs ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieao ca 92131 PHONE I FAX PHONE JFAX 619-590-9337 EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.1200804 513115 c20 (Sec. 7031.5 Bus1ness and Professions Code: Any C1ty or County which requ1res a perm1t to construct. alter, 1m prove, demoliSh or repa1r any structure, IJriOr to 1ts Issuance, also re~Uires the applicant for such permit to file a s1gned statement that he IS licensed pursuant to the proviSions of the Contractor's L1cense Law !Chapter 9, commendmg w1th Sect1on 7000 of DIVISIOn 3 of the Business 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affinn under penalty of pequry one of the following declarations: D I 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 performance of the work for which this permit is issued. [ZJ I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. CYPRESS INSURANCE COMPANY Policy No. ASWC605204 Expiration Date 91112016 This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate 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 Sectio;;A706 ~e. interest and attorney's fees . .IS CONTRACTOR SIGNATURE I v -[ZIAGENT DATE I hereby affinn that I am exempt from Contractor's License Law for the following reason: D D D I, 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). 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No 2. I (have I 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 const ction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person t rdinate, supervise and provide the major work (include name I address I phone I contractors' license number): persons to provide the work indicated (include name I address I phone I type of work): .IS PROPERTY OWNER SIGNATURE 0AGENT DATE CpMPLETE THIS 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? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control disbict or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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. I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all Cit¥ ordinances and State laws relating to building construction. I hereby authorize represenlative 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 LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perrnil is required for excavations over 5'0' deep and demolttion or oonstruction of structures over 3 slories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limilation and beoome null and void ~the building or mrk authorized by such permit is not oommenced within 180 days from the dale of such permit or if the building ormrk authorized by su permtt is suspended or abandoned at anytime after the mrk is oommenced for a period of 180 days {Section 106.4.4 Uniform Building Code). J#5 APPLICANT'S SIGNATURE DATE ~ 'l ( PERMIT INSPECTION HISTORY REPORT (CB161858) BLDG-Commercial 05/12/2016Application Date:Permit Type:Owner:PAUL JONES Subdivision:P/M/E 05/12/2016Work Class:Issue Date: 1373 Nightshade Rd Carlsbad, CA 92009 Address:Issued - Active 04/03/2017Expiration Date:Status: IVR Number: 714442 Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 11/02/2016 11/02/2016 BLDG-43 Air Cond./Furnace Set 002397-2016 Passed Michael Collins Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes NOTES Created By TEXT Created Date Michael Collins Received T-24.11/21/2016 BLDG-Final Inspection 002398-2016 Passed Michael Collins Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Mechanical Final Yes BLDG-Electrical Final Yes November 22, 2016 Page 1 of 1 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of 7) Project Name: 1373 Nightshade Rd Enforcement Agency: Carlsbad Building Permit Number: CB161858 Department Dwelling Address: 1373 Nightshade Rd City: Carlsbad Zip Code: A. General Information 01 Dwelling Unit Name 1373 Nightshade Rd 02 Climate Zone Dwelling Unit Total Conditioned Floor Number of Space Conditioning 03 Area (ft2) 2470 04 Systems in this Dwelling Unit. OS Certificate of Compliance Type Prescriptive alterations (CF1R-ALT) 06 Method used to Calculate HVAC Loads 07 Calculated Dwelling Unit Sensible 0 08 Calculated Dwelling Unit Heating Load Cooling Load (Btuh) (Btu h) 09 Dwelling Unit Number of Bedrooms 4 S~ditio~S¥stems ~cts and Fans 01 04 SCSystem SC System CFAserved Identification or Location or Area by this sc ducted Name Served System (ft2) system? System 1 I Main I 2470 I Yes I Registration Number: 316-A1025006A-M0119555A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance OS 06 07 a81A880 iatiOJlnore containing system than 40 feet of components? ducts? component? Yes I Yes I Yes Registration Date/Time: 2016-06-15 15:01:07 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 I 08 Installing entirely new duct system? I No 92011 7 1 NotApplicableEquipmentChangeout 0 I 09 I 10 Installing entirely new SCI Alteration Type system? Altered space I No I conditioning system HERS Provider: US ERA Report Generated: 2016-06-15 15:01:33 . I CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 OS 06 07 08 09 Heating Cooling System Altered Heating Minimum Altered Cooling Minimum Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency or Name System Type Component Type Value System Type Components Type Value All new All new System 1 Central gas heating AFUE .780 Central cooling SEER 14.000 furnace componen splitAC components ts D. Installed Heating Equipment Information System Identification or Name Heating Efficiency Type Heating Efficiency Value Heating Unit Manufacturer Heating Unit Model Number Notes: System Identification or Name System 1 Cooling Efficiency Type SEER .800 Cooling Efficiency Value 16.000 Registration Number: 316-A1025006A-M0119555A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance York TM8Y100C20MP1 1A Condenser or Package Unit Condenser or Package Unit Manufacturer York Condenser or Package Unit Model Number CZH06012CA Condenser or Package Unit Serial Number W1C6455714 Registration Date/Time: 2016-06-15 15:01:07 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 CF2R-MCH-01-E (Page 2 of 7) 10 11 12 13 Central Fan Integrated New or (CFI} Required Replaced New Ventilation Thermostat Duct Duct System Type Length R-Value Status i Setback GT40Ft R6 Not a CFI i system Heating Unit serial number Rated Heating Capacity, Output (BTUH) W1D6546241 System Rated Cooling Capacity at Design Conditions (BTUH) 60 80000 Condenser Rated Nominal Capacity (ton) 5.0 HERS Provider: USERA Report Generated: 2016-06-15 15:01:33 CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans E. Installed Cooling Equipment information 01 02 03 04 OS 06 Condenser or Package Unit Condenser or Condenser or Condenser or System Identification Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit or Name Type Value Notes: F. Extension of Existing Duct System, Greater Than 40 Feet G. Installed Duct System information H. Installed Air Registration Number: 316-A1025006A-M0119555A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Manufacturer Model Number Serial Number This section does not apply to this project. This section does not apply to this project. Th~ section does not apply to this project. This section does not apply to this project. Registration Date/Time: 2016-06-15 15:01:07 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 CF2R-MCH-01-E (Page 3 of 7) 07 08 System Rated Cooling Condenser Rated Capacity at Design Nominal Capacity Conditions (BTUH} (ton) HERS Provider: USERA Report Generated: 2016-06-15 15:01:33 CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans J. HERS Verification Requirements 01 02 03 04 OS 06 07 MCH20 MCH21 MCH22 Exemption from Minimum Exemption R-Value for System SCSystem From Duct Duct Ducts In Ducts Located AHU Fan Identification or Location or Area Leakage Leakage Conditioned In Cond Space Efficacy Name Served Requirements Test Space Verification (W/cfm) System 1 Main No Yes No No No exemptions Exemption Notes: ~ - U.S. Energy Raters Association Registration Number: 316-A1025006A-M0119555A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-06-15 15:01:07 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 CF2R-MCH-01-E (Page 4 of 7) 08 09 10 MCH23 MCH25 MCH28 AHU Airflow Rate Refrigerant Return Duct Design (cfm/ton) Charge Table 150.0-C or D No No No HERS Provider: USERA Report Generated: 2016-06-15 15:01:33 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 5 of7) 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 02 03 04 OS 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. 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). 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 1SO.O{h)1 and 2). Furnace Temperature Rise: Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum inlet-to-outlet temperature rise specification. See Section 1SO.O{h)4. 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 07 08 09 meet the minimum ~fficiency requirements of Secti()n 110.1 and Section 110.2{a) and the Appliance Efficiency lation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section ~lalerwliliMIAteAlateJtsdJ\sSOefati;onection 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 Section 1SO.O{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 1SO.O{m)1. Registration Number: 316-A1025006A-M0119555A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-06-15 15:01:07 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 HERS Provider: USERA Report Generated: 2016-06-15 15:01:33 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 lSO.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. 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. -"*··--:- U.S. Energy Raters Association Registration Number: 316-A1025006A-M0119555A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-06-15 15:01:07 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 HERS Provider: USERA Report Generated: 2016-06-15 15:01:33 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: Maria Baldwin 92123 619-590-9300 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the Jaws 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 review~ov of the C&l:tifil;ate of C~aooroved.blt.~ aglil.QC¥ that identifies the specific requli:eme.nts for the scope of construction or installation identified on this Certificate of construi:tion tor installationJuwe been met. 5. I will ensllilllhat a registelillil!loov Cllflills Certificati!'llf Installation shall be posted, ot made available WitH the building permit(s) issued for the building, and made available to the enforcement agency for all of this Certificate of lnstallationlsJ:eQ.Ui.r:ed to be included with the documentation the builder provides to the building owner at occupancy. Phone: 619-590-9300 US~ u.s. Energy Raters Association "This digital signature is provided in order to secure the content of this registered document, and in no way implies Registretion Provider responsibility for the accuracy of the information.· Registration Number: 316-A1025006A-M0119555A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-06-15 15:01:07 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 HERS Provider: USERA Report Generated: 2016-06-1S 15:01:33 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: 1373 Nightshade Rd Enforcement Agency: Carlsbad Permit Number: CB161858 Building Department Dwelling Address: 1373 Nightshade Rd 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 Main 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? OS Verified Low Leakage Air Handling Unit Credit from No, credit is not taken CF1R? 06 Duct System Compliance Category Alteration -~~-, ~«--., ,. -: >>d ,. -,, . . , [ , :, :::,, < :~"'/ , ""[ : MCH-20d-Co te Repla en Duct System ' B. Duct Leakag t . . . 01 Condenser Nominal Cooling Capacity (ton) u.s. Energy Raters Association 02 Heating Capacity (kBtu/h) 80 03 Conditioned Floor Area served by this HVAC system (ft2) 2470 04 Duct Leakage Test Condition Test final OS Duct Leakage Test Method Total leakage 06 Leakage Factor .15 07 Air Handling Unit Airflow (AHUAirflow) Determination Cooling system method Method 08 Measured AHUAirflow 0 09 Calculated Target Allowable Duct Leakage Rate (cfm) 300 10 Actual duct leakage rate from leakage test measurement 195 (cfm) 11 Compliance Statement: System passes leakage test Registration Number: 316-A1025006A-M2011385A-M20A Registration Date/Time: 2016-06-15 15:05:42 HERS Provider: USERA CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 Report Generated: 2016-06-15 15:06:08 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3) B. Duct Leakage Diagnostic Test 12 I Notes: C. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. 02 Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 If a complete replacement, all supply and return register boots were sealed to the drywall. 04 Building cavities were not used as plenums or platform returns in lieu of ducts. OS 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 07 the smoke test w•s conducted Jn accordance with the requirements Systems that comply uslng smoke test shall not be included in sample 08 I Verificatio I Pass-all al!lplicable requirements are met 09 I Correction Notes for this table The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. D. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 I Complies: All specified verification protocol requirements on this document are met. Registration Number: 316-A1025006A-M2011385A-M20A Registration Date/Time: 2016-06-15 15:05:42 HERS Provider: USERA CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 Report Generated: 2016-06-15 15:06:08 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: IJ~ .. , Jacob Canfield <&+~ )14tU)Z:: Company: Date Signed: We Green Inc. 2016-06-15 Address: CEA/ HERS Certification Identification (if applicable): 5259 rim park In 101281684 City/State/Zip: Phone: Long Beach CA 90803 8018846382 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 of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that req Jire 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 info~matidn reportecfon applicable sections of the,Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency. 5. I will ensure that a registered copy of this Certificate bf Verification 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 Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or lnstatler Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder~rSJ; ASI Responsible Builder or Installer Name: Maria Baldwin HERS Provider Data Registry Information Sample Group Number (if applicable): 316-20276 HERS Rater Information HERS Rater Company Name: We Green Inc. Responsible Rater Name: Jacob Canfield Responsible Rater Certification Number w/ this HERS Provider: 101281684 u Energy Raters Association CSLB License: 513115 Dwelling Test Status in Sample Group (if applicable) Tested Responsible Rater Signature: 7 a£.()£ C~eid '-.Jacob CAnf1eld (J~i10' Date Signed: 2016-06-15 "This digital signature IS provided in order to secure the content of this registered document. and m no way implies Registration Provider responsibility for the accuracy of the 1nfommtion. · - Registration Number: 316-A1025006A-M2011385A-M20A CA Building Energy Efficiency Standards Registration Date/Time: 2016-06-15 15:05:42 HERS Provider: USERA 2013 Residential Compliance Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 Report Generated: 2016-06-15 15:06:08