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HomeMy WebLinkAbout1681 ROBIN PL; ; CB163207; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-18-2016 Permit No: CB 163207 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1681 ROBIN PL CBAD PME 2157400810 CALDERON: REPLACE A/C WEST COAST APPLIANCE SERVICES INC DBA WEST COAST SOLAR 1282 FAYETIE ST EL CAJON CA 92020 619-55 7-0446 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Owner: CALDERON 1681 ROBIN PL CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 08/18/2016 JMA 08/18/2016 08/18/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: FINAL APPROVAL Inspector: Date: //-<f -I 6 Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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 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. , '· Building Permit Application Plan Check No. CB70·32D? 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717/2718/2719 Plan Ck. Deposit Fax 760-602-8558 It£\ f2,..~·. """1 .p L www.carlsbadca.gov Date g( ( fd> f1h I "'"'"··-._._ __ '"'"''"" JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 215 ~~ -740 -081 -0 CT/PROJECT # I LOT# I PHASE# I# O?NITS I# BED~MS #BATHROOMS I TENANT BUSINE~S NAME t7lvv}~r?;;bp "2.5 CoESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ---~·----~----- REPLACEMENT OF 3.5 TON A/C EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE II AIR CONDITIONING II FIRE SPRINKLERS YESO N<Q YESIZ]NoD YESONoD CONTACT NAME (If Different Fom Applicant) SVNDIE PICH APPLICANT NAME ~ ADDRESS ADDRESS ---------1256 FA VETTE ST CITY STATE ZIP CITY ~ ZIP EL CAJON CA 92020 PHONE I FAX PHONE I FAX ~ 619-557-0446 619-448-3708 EMAIL EMAIL ' westcoastheatcool~gmail.com PROPERTY OWNER NAME TARA CALDERON CONTRACTOR BUS. NAME WEST COAST APPLIANCE SERVICE IN~~ f-cc ADDRESS ~~~sl ~J>I .... ~ 1256 FA VETTE ST . ,_ CITY STATE ZIP CITY STATE ZIP CARLSBAD CA 92011 ELCAJON CA 92020 PHONE PHONE 408-507-1389 I FAX 619-557-0446 I FAX 619·448-3708 EMAIL EMAIL westcoastheatcool~gmail.com ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# rc1o. C20riTYBUS.LIC.1211147 810930 (Sec. 7031.5 Busmess and Professions Code: Any City or County which reqwres a permit to construct, alter, 1m prove, demolish or repair any structure, pnor to 1ts Issuance, also reqwres the applicant for such permit to file a si~ned 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 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 Declaration: I hereby affirm under penalty of peljury one of the following declarahons: 0 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. [{] 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 GRANITE STATE Policy No. WC-OOi-09-osss Expiration Date 0'·17 This section need not be completed if the permit is for one hundred dollars ($100) 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 and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&1 00,000), in addition to the cost of compensation, damages as provided for in Section 3706 of code, interest and attorney's fees. Ji5 CONTRACTOR SIGNATURE I hereby affirm 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 himse~ 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). 1 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. 1 (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 construction (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 to coordinate, supervise and provide the major work (include name I address I 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 I address I phone I type of work): Ji5 PROPERTY OWNER SIGNATURE 0AGENT DATE '· 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 complyv.ith all City ordinances and State laws relating to building consbuction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, COSTS AND EXPENSES MilCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is ' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every i i become null and void ~the building or work authorized by such permit is not commenced within 180 days from the date of anytime alter the work is commenced for a period 180 days (Section 106.4.4 Un~orm Building Code). DATE f> ~ PERMIT INSPECTION HISTORY REPORT (CB163207) BLDG-Commercial 08/18/2016Application Date:Permit Type:Owner: Subdivision:P/M/E 08/18/2016Work Class:Issue Date: 1681 Robin Pl Carlsbad, CA 92009 Address:Issued - Active 05/03/2017Expiration Date:Status: IVR Number: 716542 Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 11/04/2016 11/04/2016 BLDG-43 Air Cond./Furnace Set 002348-2016 Passed Jonathan West Complete BLDG-Final Inspection 002349-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Mechanical Final Yes December 19, 2016 Page 1 of 1 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of 3) Project Name: 1681 Robin PI I Date Prepared: 2016-08-1S 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 1681 Robin PI 02 Date Prepared 2016-08-15 03 Project Location 1681 Robin PI 04 Building Type Single family OS CA City Carlsbad 06 Dwelling Unit Name Main 07 Zip Code 92011 08 Dwelling Unit Conditioned 1740 Floor 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 I 02 I 03 I 04 OS I 06 I 07 I 08 I 09 I 10 Is these lnstaftinga SC System l i SC Syst~Q I ~~A served, J system a refrigerant Installing new SC Installing Installing Installing Identification or'~': :f.ocation jrea : .,~ ducted containing system more than 40 entirely new entirely new ;., ~ . :tt I ~L·'ffaf system? component? components? feet of ducts? duct system? SC system? Alteration Type Name *' 0.t Serv :K Sv nt· .. ; System 1 f!11.1l:M~111111'r· *'r*'t!!&IBlX%'ttWO 1 Yes Yes Yes .No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) Registration Number: 316-A1031476A-OOOOOOOOO-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance This section does not apply to this project. Registration Date/Time: 2016-08-15 12:49:25 Report Version: 2013 Rev 1.007 Schema Version: 0.55SSDD HERS Provider: USERA Report Generated: 2016-08-15 12:49:32 I ! I CERTIFICATE OF COMPLIANCE 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 OS 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 Central gas No heating Central split All new Less than or System 1 component AFUE .80 cooling SEER 14 Setback equal to 40 R-6 furnace AC altered components feet Reguired Documentation: CF2R-MCH-Ol-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 inducted systems, or when more than 40ft of duct length is replaced. -Leakage rate compliance: s 15%, or s 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 Flow 2: 300 CFM/ton required when MCH-25 is required. Excegtions: -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. Completefleplattemem OuctSystem, with or without Equipmertt Changeout (Sections 150.2(b}1Diia and 150.2(b}1E, F) F. Entirely New Registration Number: 316-A1031476A-OOOOOOOOO-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance This section does not app1y to this project. Registration Date/Time: 2016-08-15 12:49:25 Report Version: 2013 Rev 1.007 Schema Version: 0.555SDD HERS Provider: USERA Report Generated: 2016-08-15 12:49:32 CERTIFICATE OF COMPLIANCE CFlR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-lR-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: Frances Barilla Company: Documentation Author Signature: Signature Date: 2016-08-15 ~ ----t West Coast Appliance Address: 1278 Fayette Street City/State/Zip: El Cajon CA 92020 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. CEA/ HERS Certification Identification (if applicable): 810930 Phone: (619) 448-0281 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 Certificate of 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 ensl\lrethat a registerelt<:QPY 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.! understand that;~ registered topyofthis Certificate ofComplianceJs required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Frances Barilla Company: West Coast Address: 1278 Fayette Street City/State/Zip: El Cajon CA 92020 Energy R Date Signed: 2016-08-15 Association u.s. Energy Raters Assse~at!cn "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 !nfomJation - Registration Number: 316-A1031476A-OOOOOOOOO-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-08-15 12:49:25 Report Version: 2013 Rev 1.007 Schema Version: 0.555SDD HERS Provider: USERA Report Generated: 2016-08-15 12:49:32 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E I Space Conditioning Systems, Ducts, and Fans (Page 1 of7) Project Name: 1681 Robin pl. Enforcement Agency: City of Carlsbad Permit Number: pending Dwelling Address: 1681 Robin pl. City: Carlsbad Zip Code: A. General Information 01 Dwelling Unit Name 1681 Robin pl. 02 Climate Zone 03 Dwelling Unit Total Conditioned Floor 1740 04 Number of Space Conditioning Area (ft2) 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 This field or section is not applicable 08 Calculated Dwelling Unit Heating Load Cooling Load (Btuh) (Btu h) 09 Dwelling Unit Number of Bedrooms 3 > >>>>>>>>> ' MCH-Olb Space Conditioning Systems Ducts and Fans -Prescriptive Alterations B. Space Conditioning (SC) System Information 01 02 03 04 SCSystem SCSystem CFA served Is the SC Identification or Location or Area by this SC system a Name Served System (ft2) ducted system? SYSTEM 1 MAIN 1740 Yes Registration Number: 216-A0403414A-M0100002A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance ;> ' OS 06 07 Installing a Installing new SC Installing more refrigerant system than 40 feet of containing components? ducts? component? Yes Yes No Registration Date/Time: 2016-10-28 09:41:15 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 08 Installing entirely new duct system? No 92011 7 1 NotApplicableEquipmentChangeout This field or section is not applicable 09 10 Installing entirely new SC Alteration Type system? Altered space No conditioning system HERS Provider: CaiCERTS Report Generated: 2016-10-28 09:2S:31 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 This field No heating or This field All new Central gas section is or section Central SYSTEM 1 furnace componen is not split AC cooling SEER 14 t altered not components applicabl applicable e D. Installed Heating Equipment Information This sectionldoes not apply to this'~roject. E. Installed Cooling Equipment information 01 02 03 System Identification Cooling Efficiency Cooling Efficiency or Name Type Value SYSTEM 1 SEER 14 Notes: -- Registration Number: 216-A0403414A-M0100002A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance 04 OS 06 Condenser or Package Unit Condenser or Condenser or Condenser or Package Unit Package Unit Package Unit Manufacturer Model Number Serial Number TRANE 4TIR4043R100 16354NFN3F OAA -- Registration Date/Time: 2016-10-28 09:41:15 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 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 Setback LTE40Ft RG Not a CFI system 07 08 System Rated Cooling Condenser Rated Capacity at Design Nominal Capacity Conditions (BTUH) (ton) 43 3.5 ' HERS Provider: CaiCERTS Report Generated: 2016-10-28 09:2S:31 CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans F. Extension of Existing Duct System, Greater Than 40 Feet G. Installed Duct System information H. Installed Air Filter Device Information I. Air Filter Device Requirements Registration Number: 216-A0403414A-M0100002A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance This section does not apply to this project. This section does not apply to this project. This section does not apply to this project. This section does not apply to this project. Registration Date/Time: 2016-10-28 09:41:15 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-Ol-E (Page 3 of7) HERS Provider: CaiCERTS Report Generated: 2016-10-28 09:25:31 CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans J. HERS Verification Requirements 01 02 03 04 MCH20 Exemption System SC System From Duct Duct Identification or Location or Area Leakage Leakage Name Served Requirements Test SYSTEM 1 MAIN No Yes exemptions Notes: Registration Number: 216-A0403414A-M0100002A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance OS 06 07 MCH21 MCH22 Exemption from Minimum R-Value for Ducts In Ducts Located AHU Fan Conditioned In Cond Space Efficacy Space Verification (W/dm) No No No Exemption Registration Date/Time: 2016-10-28 09:41:15 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-01-E (Page 4 of 7) 08 09 10 MCH23 MCH25 MCH28 AHU Airflow Rate Refrigerant Return Duct Design {dm/ton) Charge Table 150.0-C or 0 No No No HERS Provider: CaiCERTS Report Generated: 2016-10-28 09:25:31 CERTIFICATE OF INSTALLATION CFZR-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 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 1SO.O(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). 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. OS Standby Losses and Pilot lights: Fan-type central furnaces may'tlOt have a continuously bur.tlihg pilot light. Section 110.~ and Section 110.2(d). .. . ~ " . . . :i ; <l Cooling Equipment v ..• . :.:o. · ..... ..>•·· ·•···· 06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements ofSecyion 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 1SO.O(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. 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 lSO.O(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 lSO.O(m)l. ·--- Registration Number: 216-A0403414A-M0100002A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-10-28 09:41:15 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CaiCERTS Report Generated: 2016-10-28 09:25:31 I I i I CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 6 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. 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,;documef'tt affirms that all applicable.,qquiiements in this table have b.,encmet~ ';L '"/.. . ::,~ Registration Number: 216-A0403414A-M0100002A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-10-28 09:41:15 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CaiCERTS Report Generated: 2016-10-28 09:25:31 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 7 of7 I Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Alex Pod -/(----- Company: Signature Date: WEST COAST APPLIANCE SERVICES INC 2016-10-28 09:41:15 Address: CEA/ HERS Certification Identification (if applicable): 1282 FAYETIE ST City/State/Zip: Phone: EL CAJON CA 92020 619-557-0446 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. y 3. The constructed or installed features, materials, compo!lents or manufactured devices {the installation) i9entified. op this ~rtificate of lnstallatiori 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. 1 reviewed a ropy of the Certificate of Complianc.::'·approved by the enfor,141ment agency that identifies the speCific requireihents 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. 1 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: Alex Pod Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): WEST COAST APPLIANCE SERVICES INC ADMIN Address: CSlB license: 1282 FAYETIE ST 810930 City/State/Zip: Phone: EL CAJON CA 92020 619-557-0446 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 accuracy of the information. Registration Number: 216-A0403414A-M0100002A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-10-28 09:41:15 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 --jf------ I Date Signed: 2016-10-28 09:41:15 - HERS Provider: CaiCERTS Report Generated: 2016-10-28 09:25:31