HomeMy WebLinkAbout1769 BLACKBIRD CIR; ; CB152220; Permit07-16-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 152220
Building Inspection Request Line (760) 602-2725
Job Acidress:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title;
1769 BLACKBIRD CR CBAD
PME
2156023600 Lot #:
WILLIAMS RES - REPLACE FAU,
INSTALL NEW A/C, GROUND MOUNTED
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/16/2015
SLE
07/16/2015
07/16/2015
Applicant:
AIR PLUS MECHANICAL
STE 103-507
4203 GENESSEE AV
SAN DIEGO CA 92117
858-220-3322
Owner:
WILLIAMS REVOCABLE LIVING TRUST 01-29-98
1769 BLACKBIRD CIR
CARLSBAD CA 92011
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$0.00
$160.00
$0.00
TOTAL PERMIT FEES $160.00
Total Fees: $160.00 Total Paynnents To Date: $160.00 Balance Due: $0.00
Inspector: /^txXi^l
FINAL APPROVAL
Date: ^'V'^t/^^ Clearance:
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 pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment 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.
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 whieh vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING nENGINEERING nBUILDING OFIRE DHEALTH nHAZMAT/APCD
^0»:
Ccityof
Carlsbad
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building(gcarlsbadca.gov
www.carlsbadca.gov
Plan Check No.(y>) t^Q 2-2.2JD
Est. Value
Plan Ck. Deposit
Date-1-iU-l€ SWPPP
JOB ADDRESS ,.^.^ SUITE*/SPACE«/UNIT# APN
CT/PROJECT # LOT# PHASES # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAM E jCONSTR.TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Alfected Area(s) ,
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS
YESQ# Noj 1 YESI^NOQ YES] | N0| |
APPLICANTNAME j / - . J J. , >t
Primary Contact SM/LlQ {/6
PROPERTYOWNER ^^^^^ ^,^^^^
ADDRESS , ' , .
/2/5 k. sr/if^BT. J'^'fh. (^ui6/2^
ADDRESS
CITY ' STATE ^ ZIP ^ CITY , ^ STATE . ZIP _
PHONE, . -FAX ' PHONE , ,
EMAIL / J /\ EMAIL
DESIGN PifOFESSIONAL CONTRACTOR BUS. NAME^/^ ^^^^ ^^y^^^ COOLW6
ADDRESS ADDRESS ^^^y C//^S^^e/fi^^ IPA . JTZ^.
CITY STATE ZIP CITY ^ ^ , ^ ^ ^ STATE ZIP „
PHONE FAX FAX
EMAIL
STATE LIC. # STATE LIC.# , , , _ CLASS CITY BUS. LIC.# .
applicant for suoh permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law ICnapter 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)).
•MM K.ffR J ' C O «t P g N S A f-I
Workers' Compensation Declaration: / hereby affinn under penalty of perjury one ofthe foiiowing deciarations:
• I hayft«fRl will maintain a certificate of consent to self.insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the perfomiance of the worii for which this pemilt Is issued.
I^nhaveand will maintain workers' compensation, as required bv Section 370Qof the Labor Code, forthe perfomiance of the worii tor whichjiis permit Is Issued. My workers' compensation insurant carrier and policy
number are: Insurance Co.. Policy No. _ Expiration Date _
Thjs section need not be completed if the permit Is for one hundred doiiars ($1 OOf or less!^^ ^^^^OZ(- //J^ .
I I Certificate of Exemption: I certify that in the perfomiance of the worii for which this pemnit Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure workers' compensatioi^cou^ge is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (£100,000), in
aririifinn tn tha i-nrt nf i-nmpencatinn riamaf|»c ac prnuiricri fnrih SiHinn yjtjf the I g[)pr rnric interact anri aHf\mBY'« f»P<; I I
^eS" CONTRACTOR SIGNATURE .^=5^ |2*GENT DATE 7//^ /^-^
NER-aUILDER DECLARATIO
/ hereby affm that t am exempt from Contractor's Ucense Law for the foiiomng reason:
I I I, as owner of the property or my employees with wages as their sole compensation, will do the worii and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not appiy 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 buiiding 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 I I, as owner of the praperty, am exclusively contracting with licensed contractors to constnict the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
praperty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I [ 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. I lYes •NO
2.1 (have / have not) signed an application for a building pemiit for the praposed work.
3.1 have contracted with the following person (fimi) to pravide the praposed constmction (include name address / phone / contractors' license number):
4.1 plan to pravide portions of the worii, but I have hired the following person to coordinate, supervise and pravide the major worii (include name / address / phone / contractors' license number):
5.1 will pravide some of Ihe worti, but I have contracted (hired) the following persons to pravide the worti indicated (include name / address / phone / type of worii):
>€S'PR0PERTY OWNER SIGNATURE QAGENT DATE
COMPLETE THIS S E C Tl O N I«i3ii M IIW*^^^ BUiLDING P E R M i$f OfifiY
Is the applicant or future building occupant required to submit a business plan, acutely hazanjous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner HazanJous Substance Account Act? Yes No
Is the applicant or futuro buiiding occupant required to obtain a pemilt fram the air pollution control district or air quality management district? Yes No
Is the facility to be constnicted within 1,000 feet of the outer boundary of a school site? Yes No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGSNCY
1 hereby aflirm that there is a construction lending agency for the performance of the work this pennit i
Lender's Name Lender's Address
3 Issued (Sec. 3097 (i) Civil Code).
APPLICANT CE»TiF|cATI ON
I certif that I have read the applkatkin and state that the above infbmiation is conect and that the Intbrniation on the plans Is accurate. I agiee to comply witti all Ci^ ordinances and State laws relating to bulldlng constnictkin.
I hereby auihorize representative of the City of Carisbad to enter upon the above mentioned property for inspectbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AU. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA: An OSHA pemiit is required for excavations over 5'0' deep and damollitton or constmctbn of stmctures over 3 stories in heght.
EXPIRATION: Every permit Issued by the BuiUing Official under the prawns of this Code shall expire by limitation and become null and void if the buikling or worti authorized by such pemiit is not commenced within
180 days from the date of such pemiit or if the buikting or vwrii auttigj^l/by sy^^gsj^ fesgspBHded or abandoned at any time after the worti Is commenced for a periody<f 180 days (Sictbn 106.4.4 Unifomi Buikling Code).
APPLICANT'S SIGNATURE DATE
^^.^ 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 buildinQ(5)carlsbadca.Q0V or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008.
C0#: (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 OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
IVIAIL / FAX TO OTHER:
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB152220 Type: PME WILLIAMS RES - REPLACE FAU,
INSTALL NEW A/C, GROUND MOUNTED
Date Inspection Item Inspector Act Comments
09/01/2015 43 AirCond/Furnace Set - Rl
09/01/2015 43 AirCond/Furnace Set MC AP
09/01/2015 49 FinalMechanical - Rl
09/01/2015 49 FinalMechanical MC Fl
Tuesday, September 01, 2015 Page 1 of 1
# # #
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 1 of 3 )
Project Name: Williams Date Prepared: 2015-07-14
A. General Information
CFlR-ALT-02 is applicable to multiple space conditioning systems contained within a single dweiling unit. When multiple dwelling units must be
documented, use one CFlR-ALT-02 document for each dwelling unit.
01 Project Name Williams 02 Date Prepared 2015-07-14
03 Project Location 1769 Blackbird Circle 04 Building Type Single family
05 CA City Carlsbad 06 Dwelling Unit Name Williams
07 Zip Code 92011 08 Dwelling Unit Conditioned
Floor Area (ft2) 2250
09 Climate Zone 7 10
Number of space conditioning
(SC) systems in this dwelling
unit.
1
B. Space Conditioning (SC) System Information
01 02 03 04 05 06 07 08 09 10
SC System
Identification or
Name
SC System
Location or Area
Served
CFA served
by this SC
System (ft2)
Is these
system a
ducted
system?
Installing a
refrigerant
containing
component?
Installing new SC
system
components?
instaHing
more than 40
feet of ducts?
Installing
entirely new
duct system?
Installing
entirely new
SC system? Alteration Type
System 1 Whole House 2250 Yes Yes Yes No No No Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Sectionl50.2(b)lDiib)
This section does not apply to this project.
Registration Number: 215-A0193193A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-14 16:32:03
Report Version; 2014-03-31
Schema Version; 0.555SDD
HERS Provider: CalCERTS
Report Generated; 2015-07-14 16;32;31
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.Z(b)lE and F)
01 02 03 04 05 06 07 08 09 10 11 12
System
Identification
or Name
Heating
System
Type
Altered
Heating
Components
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System Type
Altered
Cooling
Components
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
Required
Thermostat
Type
New or
Replaced
Duct Length
New Duct
R-Value
System 1 Central gas
furnace
All new
heating
components
AFUE 80 Central split
AC
All new
cooling
components
SEER 14 Setback
Less than or
equal to 40
feet
R-6
Reauired Docunnentation:
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 Flow 2 300 CFM/ton required when MCH-25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow IVICH-23, or Refrigerarrt Charge MECH-2S.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MGH-20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number; 215-A0193193A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time; 2015-07-14 16:32:03
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated; 2015-07-14 16;32;31
CERTIFICATE OF COMPLiANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Warner, Kim
Documentation Author Signature: (~IP /^Jt
Company:
AIR PLUS MECHANICAL INC
Signature Date:
2015-07-14 16:32:03
Address:
4203 GENESEE AVE STE 103#507
CEA/ HERS Certification Identification (if applicable):
616223
City/State/Zip:
SAN DIEGO CA 92117
Phone:
(858) 505-8711
Responsible Person's Declaration statement
1 certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance Is true and correct.
2. 1 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 ort other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approvai with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Connpliance shall be made available with the buitding permit(s) issued for the tniilding, and made avaitable to the enforcement agency for all applicable
inspections. 1 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:
Warner, Kim
Responsible Designer Signature: (~-rp ,,
Company :
AIR PLUS MECHANICAL INC
Date Signed:
2015-07-14 16:32:03
Address:
4203 GENESEE AVE STE 103#507
License:
616223
City/State/Zip:
SAN DIEGO CA 92117
Phone:
(858) 505-8711
Digitally signed by CalCEflTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsitiility for the accuracy of the information.
Registration Number; 21S-A0193193A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time; 2015-07-14 16:32:03
Report Version; 2014-03-31
Schema Version; 0.555SDD
HERS Provider: CalCERTS
Report Generated; 2015-07-14 16;32;31
m CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 1 of 7)
Project Name: Williams Enforcement Agency: City of Carlsbad Permit Number: PENDING
Dwelling Address: 1769 Blackbird Cirde City: Cartsbad Zip Code: 92011
A. General Information
01 Dwelling Unit Name Williams 02 Climate Zone 7
03 Dwelling Unit Conditioned Floor Area
(ft2) 2250 04
Number of space conditioning (SC)
systems being altered in this dwelling
unit.
1
05 Certificate of Compliance Type Prescriptive alterations (CFIR-ALT) 06 Method used to calculate HVAC loads NotApplicableEquipmentChangeout
07 Calculated dwelling unit Sensible
Cooling Load (Btuh) This field or section is not applicable 08 Calculated Dwelling Unit Heating Load
(Btuh) This field or section is not applicable
IVICH-Olb Prescriptive Alterations - Space Conditioning Systems Ducts and Fans
B. Space Conditioning (SC) System Information
01 02 03 04 OS 06 07 08 09 10
SC System
Identification or
Name
SC System
Location or Area
Served
CFA served
by this SC
System
(ft2)
Is the SC
system a
ducted
system?
Installing a
refrigerant
containing
component?
installing new SC
system
components?
Installing more
than 40 feet of
ducts?
installing
entirely
new duct
system?
Installing
entirely new
SC system? Alteration Type
System 1 Whole House 2250 Yes Yes Yes No No No
Altered space
conditioning
system
Registration Number; 215-A0193193A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-21 14:25:53
Report Version: 2014-05-13
Schema Version; 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-07-20 15:54:03
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 2 of 7 )
C. Space Conditioning (SC) System Alterations Compliance Information
01 02 03 04 05 06 07 08 09 10 11 12 13
System
Identification
or Name
Heating
System Type
Altered
Heating
Component
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System Type
Altered
Cooling
Component
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
Required
Thermostat
Type
New or
Replaced
Duct
Length
New
Duct
R-Value
Central Fan
Integrated
(CFI)
Ventilation
System
Status
System 1 Central gas
furnace
All new
heating
componen
ts
AFUE 80 Central
splitAC
All new
cooling
components
SEER 14 Setback
N/A - no
ducts
replaced
This
field
or
sectio
n is
not
applic
able
Not a CFI
system
D. Installed IHeating Equipment information
01 02 03 04 05 06 07
System Identification or
Name Heating Efficiency Type
Heating Efficiency
Value
Heating Unit
Manufacturer
Heating Unit
Model Number
Heating Unit serial
number
Rated Heating Capacity,
Output (BTUH)
System 1 AFUE 80 Trane TUD2C100A9V5VB
B 15243W3L1G 80000
Notes:
Registration Number: 215-A0193193A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-21 14:25:53
Report Version; 2014-05-13
Schema Version; 0.555SDD
HERS Provider; CalCERTS
Report Generated; 2015-07-20 15:54:03
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 7 )
E. Installed Cooling Equipment information:
01 02 03 04 05 06 07 08
Condenser or Package Unit
System Identification
or Name
Cooling Efficiency
Type
Cooling Efficiency
Value
Condenser or
Pacl(age Unit
Manufacturer
Condenser or
Package Unit
Model Number
Condenser or
Package Unit
Serial Number
System Rated Cooling
Capacity at Design
Conditions (BTUH)
Condenser Rated
Nominal Capacity
(ton)
System 1 SEER 14 ICP NH4A448AKA1
00 X1S1790107 48000 4
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-A0193193A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Connpliance
Registration Date/Time: 2015-07-21 14:25:53
Report Version; 2014-05-13
Schema Version; 0.555SDD
HERS Provider: CalCERTS
Report Generated; 2015-07-20 15:54:03
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 4 of 7 )
J. HERS Verification Requirements
01 02 03 04 05 06 07 08 09 10
MCH20 MCH21 MCH22 MCH23 MCH25 MCH28
SC System
Identification or
Name
SC System
Location or Area
Served
Exemption
From Duct
Leakage
Requirements
Duct
Leakage
Test
Exemption
from
Minimum
R-Value for
Ducts In
Conditioned
Space
Ducts Located
In Cond Space
Verification
AHU Fan
Efficacy
(W per
cfm)
AHU
Airflow
Rate (cfm
per ton)
Refrigerant
Charge
Return Duct Design
Table 150.0-C or D
System 1 Whole House No
exemptions Yes Not
applicable No No No No No
Registration Number: 215-A0193193A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-21 14:25:53
Report Version; 2014-05-13
Schema Version; 0.555SDD
HERS Provider: CalCERTS
Report Generated; 2015-07-20 15:54:03
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 iisted 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(1), 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)land 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 15G.0(h)4.
05 Standby Losses and Pilot Lights: Fan-type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(d).
Cooling Equipment
06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency
Regulations.
07 Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section
150.0(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 ofthe building served by new cooling systems to prevent inadvertent undersizing or oversizing. See Section
150.0(h)land 2.
Air Distribution System Ducts, Plenums and Fans
10 Insulation: In all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct insulation value is R-6. Note that higher values may be
required by the prescriptive or performance requirements. See Section 150.0(m)l.
Registration Number; 215-A0193193A-M0100002A-0000 Registration Date/Time: 2015-07-21 14.25:53 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version; 2014-05-13 Report Generated; 2015-07-20 15:54:03
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.
11
Connections and Closures: All installed air-distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CMC Sections 601.0,
602.0, 603.0, 604.0, 605.0 and ANSI/SMACNA-006-2006: Supply-air and return-air ducts and plenums must be insulated to a minimum installed level of R-6.0 or
enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference
Residential Appendix RAB.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-A0193193A-M0100002A-0000 Registration Date/Time; 2015-07-21 14:25:53 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version; 2014-05-13 Report Generated: 2015-07-20 15:54:03
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
1.1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Edgar, Bruce
Documentation Author Signature: -
Company:
The Energuy CA LLC
Signature Date:
2015-07-20 15:55:40
Address:
1215 K St., 17th Floor
CEA/ HERS Certification Identification (if applicable):
CC2006305
City/State/Zip:
Sacramento CA 95814
Phone:
1-877-600-0123
Responsible Person's Declaration statement
1 certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. lam 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 worl< identified on this Certificate of Installation, and attest to the declarations in this statement (responsible builder/installer), otherwise 1 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 conforrra to atl applicable codes and regulations, and the
installation conforms to the requirements given on the plans and specifications approved by the enforcement agency.
4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement a|^ney that identifies the specific requirements for tlie scope of construction or installation identified on this Certificate of
Installation, and 1 have ensured that the requirements that apply to the construction or installation have been met.
5. 1 will ensure that a registered copy of this Certificate of Inrtallation shall be posted, or made available with the buiWing permit(s) issued forthe building, and made available to the enforcement agency for all
applicable inspections. 1 understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Warner, Kim
Responsible Builder/Installer Signature: ^ n
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
AIR PLUS MECHANICAL INC
Position With Company (Title):
Manager
Address:
4203 GENESEE AVE STE 103#507
CSLB License:
616223
City/State/Zip:
SAN DIEGO CA 92117
Phone: Date Signed:
(858)505-8711 2015-07-21 14:25:53
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0193193A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-21 14:25:53
Report Version; 2014-05-13
Schema Version; 0.555SDD
HERS Provider; CalCERTS
Report Generated; 2015-07-20 15:54:03
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
^ Project Name: Williams Enforcement Agency:
Carlsbad
City of Permit Number: PENDING
Dwelling Address: 1769 Blackbird Circle 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 Whole House
03 Building Type from CF-IR Single family
04 Verified Low Leakage Ducts in Conditioned Space
(VLLDCS) Credit from CFIR?
No, credit is not taken
05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit
from CFIR?
No, credit is not taken
06 Duct System Compliance Category Alteration using smoke test
MCH-20e - Sealing All Accessibte Leaks using Smolie Test
rB, Duct Leakage Diagnostic Test
01 Condenser Nominal Cooling Capacity (ton) 4
02 Heating Capacity (kBtu/h) 80
03 Conditioned Floor Area served by this HVAC system (ft2) 2250
04 Duct Leakage Test Condition Test final
05 Duct Leakage Test Method Total leakage
06 Leakage Factor 0.15
07 Air Handling Unit Airflow (AHUAirflow) Determination
Method
Heating system method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage (cfm) 260
10 Actual duct leakage rate from leakage test measurement
(cfm)
351
1"
Compliance Statement: System passes using smoke test of an altered HVAC system in an existing building. No visible smoke
exits the accessible portions ofthe duct system. Smoke is only emanating from air-handling unit (AHU) cabinet and non
accessible portions of the duct system. Note - Accessible is defined as having access thereto, but which first may require
Registration Number: 215-A0193193A-M2000002A-0000 Registration Date/Time: 2015-07-21 14:25:53 HERS Provider; CalCERTS
CA Building Energy Efficiency Standards Report Version; 2014-05-08 Report Generated: 2015-07-20 15:54:42
2013 Residential Compliance Schema Version; O.SISDD
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
B. Duct Leakage Diagnostic Test
removal or opening of access panels, doors, or moving similar obstructions. If access to the ducts requires an object to be
demolished or deconstructed then sealing of those ducts is not required
C. Additional Requirements for Compliance
01 System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage
testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet
ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct
leakage testing.
03 All supply and return register boots were sealed to the drywall.
04 Building cavities were not used as plenums or platform returns in lieu of ducts.
05 If cloth backed tape was used it was covered with Mastic and draw bands.
06 All connection points between the air handler and the supply and return plenums are completely sealed.
07
1
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements of
Reference Residential Appendix RAS.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-A0193193A-M2000002A-0000 Registration Date/Time; 2015-07-21 14:25:53 HERS Provider; CalCERTS
CA Building Energy Efficiency Standards Report Version; 2014-05-08 Report Generated: 2015-07-20 15:54:42
2013 Residential Compliance Schema Version: O.SISDD
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Bruce Edgar
Documentation Author Signature:
Company;
The Energuy CA LLC
Signature Date: gOI 5-07-20 15:55:40
Address:
1215 KSt., 17th Floor
CEA/ HERS Certification Identification (if applicable):
CC2006305
City/State/Zip:
Sacramento CA 95814
Phone:
1-877-600-0123
Responsible Person's Declaration statement
I certify the following under penalty of perjury, underthe laws ofthe State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. lam eligible under Division 3 of the Business and Professions Code in the applicabie classification to accept responsibility for the system design,
construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of
Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative ofthe
responsible builder/installer.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation
conforms to all applicable codes and regulations, and the installation conforms tQ 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 such checking identifies defects; I am required to take
corrective action at my expense. I understand that Energy Commission and HEfe Provider representatives will also perform quality assuri^ce checking
of installations, including those a^iroved as part of a sample group but not chetted by a HERS rater, and if those installations fail to noeet the
requirements of such quality asstffance checking, the required corrective action and additional checking/testing of other installations in that HERS
sample group will be performed at my expense.
5. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of
construction or installation identified on this Certificate of Installation, andl have ensured that the requirements that apply to the construction or
installation have been met.
6. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Kim Warner
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
AIR PLUS MECHANICAL INC
Position With Company (Title):
Manager
Address:
4203 GENESEE AVE STE 103#507
CSLB License:
616223
City/State/Zip:
SAN DIEGO CA 92117
Phone: Date Signed:
(858)505-8711 2015-07-21 14:25:53
Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider
responsibility for the accuracy ofthe information.
Registration Number; 215-A0193193A-M2000002A-0000 Registration Date/Time:
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version; 2014-05-08
Schema Version: O.SISDD
2015-07-21 14:25:53 HERS Provider; CalCERTS
Report Generated; 2015-07-20 15:54:42
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3 )
^ Project Name: Williams Enforcement Agency:
Carlsbad
City of Permit Number: PENDING
Dwelling Address: 1769 Blackbird Circle 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 Whole House
03 Building Type from CF-IR Single family
04 Verified Low Leakage Ducts in Conditioned Space
(VLLDCS) Credit from CFIR?
No, credit is not taken
05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit
from CFIR?
No, credit is not taken
06 Duct System Compliance Category Alteration using smoke test
MCH-20e - Sealing All Accessible Leaks using Smoke Test
B. Duct Leakage Diagnostic Test
01 Condenser Nominal Cooling Capacity (ton) 4
02 Heating Capacity (kBtu/h) 80
03 Conditioned Floor Area served by this HVAC system (ft2) 2250
04 Duct Leakage Test Condition Test final
05 Duct Leakage Test Method Total leakage
06 Leakage Factor 0.15
07 Air Handling Unit Airflow (AHUAirflow) Determination
Method
Heating system method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate (cfm) 260
10 Actual duct leakage rate from leakage test measurement
(cfm)
351
1"
Compliance Statement: System passes using smoke test of an altered HVAC system in an existing building. No visible smoke
exits the accessible portions ofthe duct system. Smoke is only emanating from air-handling unit (AHU) cabinet and non
accessible portions ofthe duct system. Note - Accessible is defined as having access thereto, but which first may require
Registration Number: 215-A0193193A-M20OOO02A-M20A Registration Date/Time: 2015-07-20 15:55:31 HERS Provider; CalCERTS
CA Building Energy Efficiency Standards Report Version; 2014-05-08 Report Generated; 2015-07-20 15:55:14
2013 Residential Compliance Schema Version; 0.551SDD
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
B. Duct Leakage Diagnostic Test
removal or opening of access panels, doors, or moving similar obstructions. If access to the ducts requires an object to be
demolished or deconstructed then sealing of those ducts is not required
12 Notes:
C. Additional Requirements for Compliance
01 System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage
testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet
ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct
leakage testing.
03 All supply and return register boots were sealed to the drywall.
04 Building cavities were not used as plenums or platform returns in lieu of ducts.
05 If cloth backed tape was used it was covered with Mastic and draw bands.
06 All connection points between the air handler and the supply and return plenums are completely sealed.
Ifthe system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements
of Reference Residential Appendix RAS.1.4.3.6. Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance.
08 Verification Status: Pass - all applicable requirements are met
09 Correction Notes for this table:
The responsible persons signature on this compliance document affirms that 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 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-A0193193A-M2000002A-M20A Registration Date/Time: 2015-07-20 15:55:31 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated; 2015-07-20 15:55:14
2013 Residential Compliance Schema Version; 0.551SDD
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Bruce Edgar
Documentation Author Signature:
Company:
The Energuy CA LLC
Date Signed:
2015-07-20 15:55:31
Address:
1215 KSt., 17th Floor
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Sacramento CA 95814
Phone:
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 of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections ofthe Certific3te(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certjflc3te(s) of Compliance (CFIR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Veriflcation shall be posted, or nnade available with the building permit(s| issued for the
building, and made availabte to tte enforcement agency for all applicable inspections. 1 understand that a registered copy of thS CertificaSe of
Verification is required to be induded 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):
AIR PLUS MECHANICAL INC
Responsible Builder or Installer Name: CSLB License:
Kim Warner 616223
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 2015-07-20 15:55:31
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider
responsibility for the accuracy ofthe information.
Registration Number; 215-A0193193A-M2000002A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2015-07-20 15:55:31 HERS Provider: CalCERTS
Report Version; 2014-05-08 Report Generated; 2015-07-20 15:55:14
Schema Version; 0.551SDD