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Home My WebLink About2031 ESCENICO TERRACE; ; CB163384; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-01 -2016 Permit No: CB163384 Building Inspection Request Line (760) 602-2725 Job Address:2031 ESCENICO TERRACE CBAD Permit Type:PME Status:ISSUED Parcel No:2164821000 Lot #:0 Applied:09/01/2016 Entered By:JMA Reference #:Plan Approved:09/01/2016 PC #:Issued:09/01/2016 Inspect Area: Project Title:FULLER: INSTALL NC Applicant:Owner: ASI HASTINGS FULLER LARRY N&KENDZIOR-FULLER ALEXANDRA E STE 200 4870 VIEWRIDGE AV 2031 ESCENICO TER SAN DIEGO CA 92123 CARLSBAD CA 92009 619-590-9300 Plumbing Fees $0.00 Electrical Fees $0.00 Mechanical Fees $163.00 Other PME Fees $0.00 TOTAL PERMIT FEES $163.00 Total Fees:$163.00 Total Payments To Date:$163.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:7 Clearance: NOTICE Reese take NOTI that approval of your project includes the "Imposdion" of fees, decications, reservations, or other exactions hereafter olleclively referred to as lees/exact'."You have 93 days from the date this permit was issued to protest irrpusition of these fees/exactions.If you protest them you must follow the protest procedures set forth in Government Cnri. Section 66020(a), and file the pretest 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 procedue will bar mysubsequent legal action to attack, review, set aside, void, or annul theirit-position. You are hereby FORT ER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewercosection fees and cepadty changes, nor planning, zoning,gazing or other sirrilar application processing a service fees in connection with this project.NCR DOES IT APPLY to any feeslexadions of which vou have previously been riven a NOTICE similar-to this.a-as to which the statute of limitations has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:El PLANNING El ENGINEERING El BUILDING lElFIRE El HEALTH 1::HAZMATIAPCD A Building Permit Application Plan Check No.CD i6 335Lt <1.4,'::•1635 Faraday Ave., Carlsbad, CA 92008 Est. Value-ve CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck.D positCARLSBADemail: building@carlsbadca.gov www.carlsbadca.gov Date I hAP SWPPP.„.. JOB ADDRESS SUITEVSPACEVUNIT.P 2031 ESCENICO TERR, CARLSBAD 92009 CT/PROJECT #LOT #PHASE ##OF UNITS ' #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) INSTALL AC EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESEI#NCiEl YES DNO El YES 0 NOD APPLICANT NAME PROPERTY OWNER NAMEJERMAINE MAEWEATHER ALEX FULLERPrInary Contact _ ADDRESS ADDRESS 3645 RUFFIN ROAD # 330.335 2031 ESCENICO TERR, CARLSBAD 92009 CITY STATE ZIP CITY STATE ZIPsan dieqo ca 92123 CARLSBAD CA PHONE FAX PHONE FAX 619-590-9337 (760) 634-0534 EMAIL EMAIL JERMAINERWEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinqs ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIPsan dieqo ca 92131 PHONE FAX PHONE FAX 619-590-9337 EMAIL EMAIL STATE LIC. #STATE LIC.#CI ASS CITY BUS. LIC.# 513115 c20 1200804 (Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law{_Chapter 9,commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). !.1 'Ma*S',COMPENSATION..'..-.. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:D I have and will maintain acertificate of consent to self4nsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.0 Ihave and will maintain workers' compensation, as required by 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 INSU'•NCE COMPANY Policy No.ASWC605204 Expiration Date 9/112016 This section need not be completed if the permit is for one hundred 'fliers ($100) or less.0 Certificate of Exemption:I certify that in the performance of,e .. rk 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' compens .o co :i -'s 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 •i Section 37 .6of the Labor code, interest and attorney's fees. CT,reCONTRACTOR SIGNATURE t ['AGENT DATE q.5.0 '.'''.•,••... .Ailt..111ER -OUILIDER •DECLARATION I hereby affirm thatlam exempt from Contractor's License Law for the following reason:0 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 improvementis sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).0 I,as owner of the property, am exclusively contract ng 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 contr for such projects with contractor(s) licensed pursuant to the Contractor's License Law).0 I am exempt under Section Busine and Professions Code for this reason: 1.I personally plan to provide the major labor materials for construction of the proposed property improvement.ElYes ONo 2.I (have I have not) signed an application fo building permit for the p -(1 work. 3.I have contracted with the following person firm) to prov'posed construction (include name address / phone I contractors' license number): 4.I plan to provide portions of the work, but h ye h'the following person to coordinate, supervise and provide the major work (include name / address I phone / contractors' license number): 5.I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):- AKPROPERTYOWNER SIGNATURE DAGENT DATE „. °'L Y ••••• ...•, s 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?0Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 No 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address WW1 .„ . I certify thatI have read the application and ststethatthe above information is correct and that the information on the plans is accurate.Iagree to comply withal( City ordinances and State laws relating to building consbuction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permitis required for excavati.rs over 50' deep and demolition or construction of structures over 3 storiesin height EXPIRATION: Every permit issued byThe Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if ildi . or work authorized by such permit is suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). ,.'APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CB163384) Permit Type:BLDG-Commercial Application Date:09/01/2016 Owner:COOWNER LARRY FULLER AND ALEXANDRA KENDZIOR-FULLER Work Class:P/M/E Issue Date:09/01/2016 Subdivision: Status:Closed -Finaled Expiration Date:02/28/2017 Address:2031 Escenico Terrace Carlsbad, CA 92009 IVR Number:716846 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 01/06/2017 01/06/2017 BLDG-43 Air 008582-2017 Passed Jonathan West Complete Cond./Fumace Set BLDG-Final 008583-2017 Passed Jonathan West Complete Inspection Checklist item COMMENTS Passed BLDG-Mechanical Final Yes BLDG-Electrical Final Yes • Paae 1 of 1 CERTIFICATE OF INSTALLATION CF2R-IV1CH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of 7 ) Project Name:2031 Escenico Terrace Enforcement Agency:Carlsbad Building Permit Number:Pending Department Dwelling Address:2031 Escenico Terrace City:Carlsbad Zip Code:92009 A. General Information 01 Dwelling Unit Name 2031 Escenico Terrace 02 Climate Zone 7 Dwelling Unit Total Conditioned Floor Number of Space Conditioning03200004 1Area (ft2)Systems in this Dwelling Unit. 05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT )06 Method used to Calculate HVAC Loads NotApplicableEquipmentChangeout Calculated Dwelling Unit Sensible Calculated Dwelling Unit Heating Load07008 0Cooling Load (Btuh)(Btuh) 09 Dwelling Unit Number of Bedrooms 4 MCH-Olb Prescriptive Alterations -Space Conditioning Systems Ducts and Fans B. Space Conditioning (SC) System information .01 02 03 04 05 06 07 08 09 10 SC System SC System CFA served VlarEtinnt wIR nattetwouseoc ilationore Installing InstallingmiIdentification or Location or Area by this SC system than 40 feet of entirely new entirely new SC Alteration TypeductedcontainingNameServedSystem (ft2)components?ducts?duct system?system?system?component?i Altered space System 1 Main 2000 Yes Yes Yes No No No conditioning system Registration Number: 316-A1032829A-M0124500A-0000 Registration Date/Time: 2016-09-14 11:25:46 HERS Provider:USERA CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-09-14 11:26:01 Schema Version: 2013.1.007 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 Central Fan Integrated Heating Cooling New or (CFI) System Altered Heating Minimum Altered Cooling Minimum Required Replaced New Ventilation Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Duct Duct System or Name System Type Component Type Value System Type Components Type Value Type Length R-Value Status This field or This fieldNo heating All newCentral gas section is or section Central Not a CFISystem1notisnotsplitACcomponencoolingSEER14.000 Setback LTE4OFt R6furnace systemt altered componentsapplicablapplicable e D.Installed Heating Equipment Information .' This section does not apply to this project.I E.Installed Codling Equipment information ' i 01 1 02 03 .04 1 05 06 07 (08 Condenser or Package Unit US. En6rdivosfitiatelevdkesstcialittnrper or System Rated Cooling Condenser Rated System Identification Cooling Efficiency Cooling Efficiency P-addge Unit Package Unit Package Unit Capacity at Design Nominal Capacity or Name Type Value Manufacturer Model Number Serial Number Conditions (BTUH)(ton) System 1 SEER 17.000 York YCG36B21SA W1E6565910 36 3.0 Notes: Registration Number: 316-A1032829A-M0124500A-0000 Registration Date/Time: 2016-09-14 11:25:46 HERS Provider:USERA CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-09-14 11:26:01 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 3 of 7 ) F.Extension of Existing Duct System, Greater Than 40 Feet This section does not apply to this project. G.Installed Duct System information This section does not apply to this project. H.Installed Air Filter Device Information This section does not apply to this project. I.Air Filter Device Requirements This section does not apply to this project. U.S. Energy Raters Association Registration Number: 316-A1032829A-M0124500A-0000 Registration Date/Time: 2016-0944 11:25:46 HERS Provider:USERA CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-09-14 11:26:01 Schema Version: 2013.1.007 .. CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 4 of 7 ) J.HERS Verification Requirements 01 02 03 04 05 06 07 08 09 10 MCH2O MCH21 MCH22 MCH23 MCH25 MCH28 Exemption from Minimum Exemption R-Value for AHU System SC System From Duct Duct Ducts In Ducts Located AHU Fan Airflow Identification or Location or Area Leakage Leakage Conditioned In Cond Space Efficacy Rate Refrigerant Return Duct Design Name Served Requirements Test Space Verification (W/cfm)(cfm/ton)Charge Table 150.0-C or D No NoSystem1MainYes No No No No NoexemptionsExemption Notes: i U.S. Energy Raters Association { i ! 1 1 Registration Number: 316-A1032829A-M0124500A-0000 Registration Date/Time: 2016-09-14 11:25:46 HERS Provider:USERA CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-09-14 11:26:01 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 5 of 7 ) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Heating Equipment 01 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 02 Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(i), 110.2(b). 03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing.See sections 150.0(h)1 and 2). 04 Furnace Temperature Rise: Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum inlet-to-outlet temperature rise specification.See Section 150.0(h)4. 05 Standby Losses and Pilot Lights:Fan-type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(d). Cooling Equipment 06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 07 Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section 150.0(j)2 and 3, and Section 150.0(m)9 08 Condensing Unit Location: Condensing units shall ntheVaEMpigfyeRatecifSdk515004titttepnection 150.0(h)3A. 09 Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing.See Section 150.0(h)1 and 2.• • Air Distribution System Ducts, Plenums and Fans 10 Insulation:In all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct insulation value is R-6. Note that higher values may be required by the prescriptive or performance requirements.See Section 150.0(m)1. Registration Number: 316-A1032829A-M0124500A-0000 Registration Date/Time: 2016-09-14 11:25:46 HERS Provider:USERA CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-09-14 11:26:01 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 6 of 7 ) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Connections and Closures: All installed air-distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CMC Sections 601.0, 11 602.0, 603.0, 604.0, 605.0 and ANS1/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-A1032829A-M0124500A-0000 Registration Date/Time: 2016-09-14 11:25:46 HERS Provider:USERA CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-09-14 11:26:01 Schema Version: 2013.1.007 • 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 /Company:Signature Date: ASI 2016-09-14 Address:CEA/HERS Certification Identification (if applicable): 4870 Viewridge Av.#200 513115 City/State/Zip:Phone: San Diego CA 92123 619-590-9300 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1.The information provided on this Certificate of Installation is true and correct. 2.I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3.The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. 4.I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or installation have been met. 5.I will ensure that a registered copy of this Certificat6 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: Maria Baldwin Company Name: (Installing Subcontractor or Geheral Contractor or Builder/Owner)Position With Company (Title):/(4.4/-4. ASI Maria Elaittmo (SA) 14, 2016) Address:U.S. Energy RaierscAssocfation 4870 Viewridge Av.#200 513115 City/State/Zip:Phone:Date Signed: San Diego CA 92123 619-590-9300 2016-09-14 Y y -ar—% 'This digital signature is provided in order to secure •the content of this registered document. and in no 106100 • way implies Registration Provider responsibility for the accuracy of the information.' 3.E.Ft.11.213 Registration Number: 316-A1032829A-M0124500A-0000 Registration Date/Time: 2016-09-14 11:25:46 HERS Provider:USERA CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-09-14 11:26:01 Schema Version: 2013.1.007 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3 ) Project Name:2031 Escenico Terrace Enforcement Agency:Carlsbad Permit Number:Pending Building Department Dwelling Address:2031 Escenico Terrace City:Carlsbad Zip Code:92009 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? 05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit No,credit is not taken from CF1R? 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)US. Energy Raters Association 02 Heating Capacity (kBtu/h)2 03 Conditioned Floor Area served by this HVAC system (ft2)2000 04 Duct Leakage Test Condition Test final 05 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)180 10 Actual duct leakage rate from leakage test measurement 238 (cfm) Registration Number: 316-A1032829A-M20003109A-M20A Registration Date/Time: 2016-09-14 11:29:19 HERS Provider:USERA CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-09-14 11:29:34 2013 Residential Compliance Schema Version: 2013.1.007 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3 ) B.Duct Leakage Diagnostic Test Compliance Statement: System passes using smoke test of an altered HVAC system in an existing building. No visible smoke exits the accessible portions of the duct system. Smoke is only emanating from air-handling unit (AHU) cabinet and non 11 accessible portions of the duct system. Note -Accessible is defined as having access thereto, but which first may require 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. Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage 02 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 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 hanc4r and the supply and return plenums are completely sealed. If the system complies using the Smoke Test methoUtigsmentergircRaiterSas4580e/itatfiCenuirements07ofReference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample groups for HERS verification compliance. 08 Verification Status:Pass -all applicable requirements are met 09 Correction Notes for this table: The responsible persons signature on this compliance document affirms that 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: 316-A1032829A-M20003109A-M20A Registration Date/Time: 2016-09-14 11:29:19 HERS Provider:USERA CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-09-14 11:29:34 '2013 Residential Compliance Schema Version: 2013.1.007 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: Jacob Canfield •,Company:Date Signed: We Green Inc.2016-09-14 Address:CEA/ HERS Certification Identification (if applicable): 5259 rimpark 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 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 infotmatiOn reported"on aPplicahle 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 (CF1R)approved by the enforcement agency. 5.I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made availahle to the enforcement agency for all applicable inspections.I understand that a registered copy of this Certificate of Verification is required to be included ith 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 Buildertg.08):Energy Raters AssociationASI Responsible Builder or Installer Name:CSLB License: Maria Baldwin 513115 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: We Green Inc. Responsible Rater Name:Responsible Rater Signature:74.6::"ridJacob Canfield CantiokTS;4,2016) Responsible Rater Certification Number w/this HERS Provider:Date Signed: 101281684 2016-09-14 -TM "This digital signature is provided in order to secure 4ijo the content of this registered document and in no way implies Registration Provider responsibility for the accuracy of the information."U.S. kc r .iiiie%. Registration Number: 316-A1032829A-M20003109A-M20A Registration Date/Time: 2016-09-14 11:29:19 HERS Provider:USERA CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016-09-14 11:29:34 2013 Residential Compliance Schema Version: 2013.1.007