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Home My WebLink About2273 MASTERS RD; ; CBR2016-0367; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 12/16/2016 Permit No: CBR2016-0367Residential Permit www.carlsbadca.gov Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 2273 Masters Rd BLDG-Residential 2121401100 $0.00 Work Class: Lot #: Reference #: P/M/E Status: Applied: Issued: 12/14/2016 12/14/2016Construction Type:Finaled: Closed - Finaled Plan Check #: Project Title: Inspector: Orig. Plan Check #: Bathrooms: Bedrooms: # Dwelling Units: Description:BLADEN: REPLACE EXISTING FURNACE Owner: TRUST BLADEN BARBARA A TRUST 09-12-06 2273 Masters Rd CARLSBAD, CA 92008 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00 Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. ' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING DFIRE 0HEALTH D HAZMAT/APCD {"city of Building Permit Application Plan Check No. (rJt.'ZDI' ~o 1 ~ 7 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov ISWPPP www.carlsbadca.gov Date JOB ADDRESS : c;fc te.c\. ~l~ SUITEt/SPACEt/UNIT# IAPN ~d.. { ~ f'()a s ey~ · - - - CT/PROJECT # I LOT# I PHASE# 1 #OF UNITS r BEDROOMS #BATHROOMS rENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) c._~e__ l-t e 'P be. e.. )'-.Q__'i_~ rr)tZLQ__ EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YES[)t II AIR CONDITIONING I FIRE SPRINKLERS NoD YES0No0 YESONoO APPLICANT NAME PR~t::O..., ~L\ t\ '£.../' Primary Contact ADDRESS ADDRESS tna.A\' ~~ RO,. ~7~ CITY STATE ZIP ~u~ STAa_Pa ZIP q ~D~ PHONE I FAX PHONE I FAX 7!oDbb3·'7~ EMAIL EMAIL DESIGN PROFESSIONA CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL EMAIL I STATE LIC. # STATE LJC.# I CLASS I CITY BUS. LJC.# (Sec. 7031.5 Busmess and Professions Code: Any City or County wh1ch requ1res a permit to construct, alter, improve, demolish or repair an~ structure, pnor to 1ts Issuance, also requ1res the applicant 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 the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaraffons: D I have and will maintain a certificate of consent to self·insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this penrit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonrance of the work for which this penrit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date _________ _ This section need not be completed ~the permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: I cert~ that in the perfonrance of the work for which this penrit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Cal~omia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. _85 CONTRACTOR SIGNATURE 0AGENT DATE , OWNER·BUILOER DECLARATION I hereby affinn that I am exempt from Contractor's Ucense 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 Ucense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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 Ucense Law). I am exempt under.Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No 2. I (have I have not) signed an application for a building penrit for the proposed work. 3. I have contracted with the following person (finr) 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): .85 PROPERTY OWNER SIGNATURE ::&.:fb~ E~ v 0AGENT DATE d... Jlf.fh COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYes D No Is the applicant or future building occupant required to obtain a permit from the air pollution central district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application andstatethatthe above infonnation is correct and that the information on the plans is accurate. I agree ID comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter ufX)n the above mentioned property tr 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 OFTHIS PERMIT. OSHA: An OSHA permtt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permtt issued by the Building Official under the provisions of this Code shall expire by limttation and become null and void if the building orv.ork authorized by such permit is not commenced Yoithin 180 days from the date of such permtt or if the building or v.ork authorized by such permtt is suspended or abandoned at any time after the v.ork is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). /15 APPLICANT'S SIGNATURE ~b.t' DATE j J_. I .!4::, • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. (Office Use Only) CA DELIVERY OPTIONS D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATEDCB#·------------D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE j NO CONSTRUCTION D MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION ..IS APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2016-0367) BLDG-Residential 12/14/2016Application Date:Permit Type:Owner:TRUST BLADEN BARBARA A TRUST 09-12-06 Subdivision:P/M/E 12/14/2016Work Class:Issue Date: 2273 Masters Rd Carlsbad, CA 92008-3849 Address:06/12/2017Expiration Date:Status: IVR Number: 828 Closed - Finaled Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 12/16/2016 BLDG-43 Air Cond./Furnace Set 005901-2016 Scheduled Jonathan West Incomplete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Final Inspection 005902-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Mechanical Final Yes December 16, 2016 Page 1 of 1 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of 7) Project Name: "' BLADEN Enforcement Agency: City of Carlsbad Permit Number: cbr2016-0367 Dwelling Address: 2273 Master rd City: Carlsbad Zip Code: 92008 A. General Information 01 Dwelling Unit Name BLADEN 02 Climate Zone 7 03 Dwelling Unit Total Conditioned Floor 2500 04 Number of Space Conditioning 1 Area (ft2) Systems in this Dwelling Unit. OS Certificate of Compliance Type Prescriptive alterations (CFlR-ALT) 06 Method used to Calculate HVAC loads NotApplicableEquipmentChangeout 07 Calculated Dwelling Unit Sensible This field or section is not applicable 08 Calculated Dwelling Unit Heating load This field or section is not applicable Cooling load (Btuh) (Btu h) 09 Dwelling Unit Number of Bedrooms 4 ~ . Ji··· •. i Ji , . .. .:. MCH-Olb Space Conditioning Systems Ducts anf,Fans-~lescripf1A~~ions ·~. ··•:%. . • .. . ,y1 ~i.'% .• ~:. \YC i i. "\ ( ···;iii;,~~\: B. Space Conditioning (SC} System Information ~·~, .; .~ 01 02 03 04 SCSystem SC System CFAserved Is the SC ldentificaticn or Location or Area by this SC system a Name Served System (ft2) ducted system? System 1 Location 1 2500 Yes Registration Number: 216-A0474597A-M0100002A-0000 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? No Yes No Registration Date/Time: 2016-12-22 16:28:49 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 .. ·,f 08 09 10 Installing Installing entirely new entirely new SC Alteration Type duct system? system? Altered space No No conditioning system HERS Provider: CaiCERTS Report Generated: 2016-12-22 16:28:10 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 2 of7) C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 OS 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 All new No cooling or System 1 Central gas heating AFUE 78 Central component SEER section is Setback LTE40Ft RG Nota CFI furnace componen split AC altered not system ts applicabl e D. Installed Heating Equipment Information 01 02 ~ 77 ill ~~ OS 07 "llefrt-i~J,n\serial System Identification or Name Heating Efficiency He'~t:,~=!~~cf ·~r:~:,;:~:::r L r' ~ 1 ,,, f~ fteating,Unit,; Model Nun;~b~r \ ' '" I ~urn~ Rated Heating Capacity, Output (BTUH) System 1 AFUE Notes: E. Installed Cooling Equipment information F. Extension of Existing Duct System, Greater Than 40 Feet Registration Number: 216-A0474597A-M0100002A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance 78 Day & Night n9mse0802120a2 This section does not apply to this project. This section does not apply to this project. Registration Date/Time: 2016~12-2216:28:49 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 a161644577 78000 HERS Provider: CaiCERTS Report Generated: 2016-12-22 16:28:10 CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans G. Installed Duct System information H. Installed Air Filter Device Information I. Air Filter Device Requirements Registration Number: 216-A0474597A-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. Registration Date/Time: 2016-12-22 16:28:49 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-01-E (Page 3 of 7) HERS Provider: CaiCERTS Report Generated: 2016-12-22 16:28:10 CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans J. HERS Verification Requirements 01 02 03 04 MCH20 .. Exemption System SCSystem From Duct Duct Identification or Location or Area Leakage Leakage Name Served Requirements Test System 1 Location 1 No Yes exemptions Notes: Registration Number: 216-A0474597A-M0100002A-OOOO 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: 2016-12-22 16:28:49 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 D No No No HERS Provider: CaiCERTS Report Generated: 2016-12-22 16:28:10 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 02 03 04 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant to program the temperature set points for at least four different periods in 24 hours. See Sections lSO.O(i), 110.2(b). Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections lSO.O(h)l and 2}. Furnace Temperature Rise: Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum inlet-to-outlet temperature rise specification. See Section 1SO.O(h)4. OS I Standby losses and Pilot lights: Fan-type centrru furnace~ii\fllot hav~.a contlnliousfi{tiur't·Iri'gs,pi!Ot!ftllt;;!Se'ffion llO.i'and Section 110.2(d). :;: '~ ~ -, ;,~ ~:};,, '> Cooling Equipment ~eet thttrnf'imurn efficiency requirer:r~tspDSeqlon.lH.l.l"'and Se!flopll0:2(atand the Appliance Efficiency · · · Regulations. ' • 0 1 · • • 07 08 09 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 1SO.O(m}9. Condensing Unit location: Condensing units shall not be placed within five (5} feet of a dryer vent outlet. See Section 1SO.O(h)3A. Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing. See Section 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-A0474597A-M0100002A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-12-22 16:28:49 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CaiCERTS Report Generated: 2016-12-22 16:28:10 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 Requh:ements 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 andA.NSI/SM~CNA-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. • ,,qv'V,', C' , , > >' >, V •,Vc>' C'V,,,>, ,cc>;V:C,, ,, The responsible person signature on this complianc~ocumer affirm~,~'tt ~I applicabh~"'equi~~ts i~ thi~lta"e have ~er;:m~ t' Registration Number: 216-A047459JA--MOi00002A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-12-22 16:28:49 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CalCERTS Report Generated: 2016-12-22 16:28:10 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: e7) ~ Dan Moore W~/T(~ Company: Signature Date: MOOR CO SERVICE INC 2016-12-22 16:28:49 Address: CEA/ HERS Certification Identification (if applicable): 3239 ROYMAR RD STE A City/State/Zip: Phone: OCEANSIDE CA 92058 760-722-1541 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. .· ,c:.z&•1'•·:f ~;: __ z&&:r:cc -<::1:,• }' 3. The con~tructed or installed features, mate~ials, compo~ents or mf~facturedtt~.ce~tt~installati~V:fl~nti!!e~ l:lilthis gertificate of lnstallationco~forms to ,~llpplicable codes and regulations, and the mstallat1on conforms to the requ1rements g1ven on the,,ans and SJfCificatlo,~~ro'!d 'the enf~ementJ!gen~. : _ •; :', -:~ 4. I reviewed a copy of the Certificate of Compliana!~~:RPrdiled by the 1li!:{~~~n~ thiltijj~tifie!i~~specific rectuirements for the scope of ton~ucti~ dil:ii~llation identified on this Certificate of Installation, and I have ensured that the requiremenfS:~!i,apply to the construction or installation have been met. · 5. 1 will ensure that a registered copy of this Certificate of lrtfallation shall be posted, or inade a~~ble withth~ bui{dirig permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy ~f this Certificate ofhistallation 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: 1!17) ~ Dan Moore W~/T(~ Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): MOOR CO SERVICE INC Owner Address: CSLB License: 3239 ROYMAR RD_STE A 413621 City/State/Zip: Phone: !Date Signed: OCEANSIDE CA 92058 760-722-1541 2016-12-22 16:28:49 L__ -----·-__ ._ -----·---------- 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-A0474597A-M0100002A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-12-22 16:28:49 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CaiCERTS Report Generated: 2016-12-22 16:28:10 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: BLADEN Enforcement Agency: City of Permit Number: cbr2016-0367 Carlsbad Dwelling Address: 2273 Master rd City: Carlsbad Zip Code: 92008 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location 1 03 Building Type from CF-1R Single family 04 Verified Low Leakage Ducts in Conditioned Space No, credit is not taken (VLLDCS) Credit from CF1R? OS Verified Low Leakage Air Handling Unit (VLLAHU) Credit No, credit is not taken from CF1R? 06 Duct System Compliance Category Alteration using smoke test "'''''?'''' If!: Jlf4'¥'ww; :;'"''p ~~' ,"''''~'': ''''"r'" ,;r;'''', ,,,~ '" MCH-20e -Sealing All Accessibh~;leaks .ing s"'91lrdft,:r ~,,,,, ,,( ,'1 ;yk;:t' i~ It,,,,~~ ,,,,, tL ,'; (, '" ','(: '#It, :!0' ·;," ·~ [/il;_. ,~;; t;; [t ~\, '4l,, ;'' ''zlv'' '";, '''c, z,+" 1:,\'~}'c 'H'PZ ,, iz, '"'''"'''"''' \\" i 'C ,,, ,,,,, B. Duct Leakage Diagnostic Test ,, 'r' 1 01 Condenser Nominal Cooling Capacity (ton) 0 02 Heating Capacity (kBtu/h) 78 03 Conditioned Floor Area served by this HVAC system (ft2) 2SOO 04 Duct Leakage Test Condition Test final OS Duct Leakage Test Method Total leakage 06 Leakage Factor O.lS 07 Air Handling Unit Airflow (AHUAirflow) Determination Heating system method Method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage (cfm) 2S4 10 Actual duct leakage rate from leakage test measurement S10 (cfm) --------------------------------------------······--------- Registration Number: 216-A0474597 A-M2000002A-OOOO CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-12-22 16:28:49 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-12-22 16:28:42 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CFZR-MCH-20-H Duct Leakage Diagnostic Test (Page Z 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 C. Additional Requirements for Compliance 01 02 03 04 OS 06 07 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 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. All supply and return register boots were sealed to the drywall. Building cavities were not used as plenums or platform returns in lieu of ducts. If cloth backed tape was used )t was ce;i~red wrt"R .:i~"' 1(,,7 , f?e"" All connection points ber·· '~e~up~fVtantt·~tfll'~ -~en~s are cornl:fl~tty seatid. '"-Ej~~ ~ ~--------:;::---; ::-;;_,""~ :-; _,/ -, -':,---" ,T ;-S ~ , If the system complies using the Smoke Test method, the'smoke test was coriducted in'accdrdanee wlt11'the r~quirements of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample groups for HERS verification compliance. The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 216-A0474597A-M2000002A-OOOO CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-12-22 16:28:49 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 Report Generated: 2016-12-22 16:28:42 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: ~~/'It'~ Dan Moore Company: Signature Date: 2016-12-22 16:28:49 MOOR CO SERVICE INC Address: CEA/ HERS Certification Identification (if applicable): 3239 ROYMAR RD STE A City/State/Zip: Phone: OCEANSIDE CA 92058 760-722-1541 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 requireme~t~given onthe plans and specifications approved by the enforcement agency. 4. 1 understand that a HERS rater will check the lnstallatiorito yerify cqtnpliance, and that ifs\l(;h checking identifies defects; 1 am ~·~~ired tqtake corrective action at my expense.! understand that Energy CQmmission and HERS Provider representatives will also perform quality as~rabce checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations f~fl to meefthe requirements of such quality assurance checking, the required corrective action and additional checking/testing of ather 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, and I have ensured that the requirements that apply to the construction or installation have been met. 6. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand 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: M, Dan Moore ~.4."· -· ... Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) Owner MOOR CO SERVICE INC Address: CSLB License: 3239 ROYMAR RD STE A 413621 City/State/Zip: Phone: I Date Signed: OCEANSIDE CA 92058 760-722-1541 2016-12-22 16:28:49 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by Ca!CERTS. 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-A0474597 A-M2000002A-OOOO CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-12-22 16:28:49 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-12-22 16:28:42 Schema Version: 2013.1.007