Loading...
HomeMy WebLinkAbout2321 CAMINO ROBLEDO; ; CB164052; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-28-2016 Permit No: CB164052 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2321 CAMINO ROBLEDO CBAD PME 2552725900 Lot#: 0 WEINGARDEN: CHANGEOUT 2 FURNACES Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/28/2016 SF 10/28/2016 10/28/2016 ASI HASTINGS STE 200 WEINGARTEN MICHAEL J&TRACEY L FAMILY TRUST 02-20 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2321 CAMINO ROBLEDO CARLSBAD CA 92009 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROVAL Date: I 1-It -11 Clearance: $0.00 NCJTlCE: Please ta<e t--OJi"CE that ~ c:i ;wr ~ect indudes thl"lrrpa;itim" c:i fees, dedcaticrs, reservaticrs, or ether exa:iicrs rereeiter oolectivay referred to as "fees/exa:iicrs." You t-ave 9J days fran thl date !lis pemit IJ\ffi iSSL.ed to pretest irrpa;itim c:i these fees/exa:iicrs. If ;w pretest them, ;w rrust fdla.vthe pretest ~ set forth in Golemrent Code Sedim amo(a), <rd file thl putest <rd arry ether req.ired irtCJTTB!im v..ith thl Oty llt'a1ager for jl'OOOSSirg in oo:xrdcrcev..ith Ca1sb00 M.ridpal Code Sedim 3.32.030. Faih.retotirrelyfdla.vtha! pua:rl.rev..ill txr arrySI..IOOeQJent legal <dim toatta::k, review, set aside, vdd, or crn.J treir irrpa;itim. You ere hereiJf FI.RT1-£R f'DllFlEDthat ;wr rigt to pretest thlSjB]fied fees'exa:iicrs OCES NOT APPlY to mer <rd &Mer cxrnectimfees and~ d'a"g:ls, nor plcrnrg, zoirg, ga:irg or ether sinilar ~icatim jl'OOOSSirg or saVire fees in cxrnectim v..ith !lis ~ect. 1\CR OCES IT APPlY to arry fees'exa:iicrs c:i v-..hdl \OJ have ore'Jiouslv been civen a NCJTlCE sinilar to !lis or as to v-..hdl thl statute c:i linitalions 1m ore'Jiouslv ctheMise exril'l'rl THE FOLLOWING AfPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING 0BUILDING OFIRE 0HEALTH 0 HAZMAT/APCD «~·j; Building Permit Application Plan Check No. <::6 t (o\.\, t) ~ )-.. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~·CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date ltl [ 2-8' { t(p jsWPPP JOB ADDRESS SUITE#/SPACE#/UNITII IAPN 2321 Camino Robledo, Carlsbad, CA 92009 --- CT/PROJECT # I LOT# I PHASE# r OF UNITS 1 #BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) CHANGEOUT2FURNACES EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE II AIR CONDITIONING I FIRE SPRINKLERS YESO N<O YES ONo D YEsO NoD APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME MICHAEL WEINGARDEN Prlna .. Contact ADDRESS ADDRESS 3645 RUFFIN ROAD # 330-335 2321 Camino Robledo, Carlsbad, CA 92009 CITY STATE ZIP CITY STATE ZIP san dieQo ca 92123 CARLSBAD CA PHONE I FAX PHONE rAX 619-590-9337 (760) 942-7676 EMAIL EMAIL JERMAINE~WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieQo ca 92131 PHONE I FAX PHONE I FAX 619-590-9337 EMAIL EMAIL I STATE LIC. # STATE LIC.# JCLASS I CITY BUS. LIC.1200804 513115 c20 (Sec. 7031.5 Busmess and Profess1ons Code: Any C11y or Coun1y wh1ch requ1res a perm1t to construct, alter, Improve, demolish or repa1r an~ structure, pnor to 1ts Issuance, also requ1res the applicant for such permit to file a signed statement t~at 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 penally of not more than five hundred dollars {$500)). [ ,,WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of peljury one of the following declaraffons: 0 I have and will maintain a certificate of consent to self·insure for workers' compensation as provided by Section 3700 of the Labor Code. for the performance of the work for which this penni! is issued. lZJ I have and will maintain workers' compensation, as reQuired by Secijon 3700 of the Labor Code, for the performance of the work for which this penni! is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. CYPRESS INSURANCE COMPANY Policy No. ASWC711636 Expiration Date 91112017 1Jli§, secijon need not be completed ~ the penni! is for one hundred dollars {$1 00) or less. U Certificate of Exemption: I certify that in the perfo nee of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' c pensatlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred dollars {&100,000), in add~ion to the cost of compensation, damages as o 'ded ion 3706 of the Labor code, interest and attorney's fees. • L 9 Ji5 CONTRACTOR SIGNATURE 0 I hereby affirm that I am exempt from COntractor's Ucense Law for the following reason: D D D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ or through his own employees, provided that such improvements are nol 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 Contractors License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects wnh conlractor(s) licensed pursuant to the Contractors License Law). 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. DYes 0No 2. I (have I have not) signed an application for a buildi g pennn for the proposed work. 3. I have contracted with the following person (finn) provide the proposed construcijon (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have red the following person to coordinate, supervise and provide the major work (include name I address 1 phone 1 contractors' license number): 5. I will provide some of the work, but I have con (hired) the following persons to rovide the work indicated (include name I address I phone I type of work): Ji5 PROPERTY OWNER SIGNATURE 0AGENT DATE Is the ap"cant 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? 0 Yes 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? 0 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 certify that I have read the application and state that the above Information is conectand that the Information on the plans is accurate. I agree to comply with all Cilyordinanoesand State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection puf!XlSElS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CI1Y OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY ACCRUE AGAINST SAID CI1Y IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permtt is required for excavations over 5'0' deep and demolttion or over 3 stories in height. EXPIRATION: Every permtt issued by the Building Oflicial under the provisions of this and become null and void W the building or work authorized by such is not commenced within 180 days from the date of such permit or Wthe building or WOI1\ authorized by such permit is time after the work is commenced for a period of 180days 106.4.4 Uniform Building Code). d·lb ,/i5 APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CB164052) BLDG-Commercial 10/28/2016Application Date:Permit Type:Owner:TRUST WEINGARTEN MICHAEL AND TRACEY FAMILY TRUST 02-20 Subdivision:P/M/E 10/28/2016Work Class:Issue Date: 2321 Camino Robledo Carlsbad, CA 92009 Address:Issued - Active 04/26/2017Expiration Date:Status: IVR Number: 718000 Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 11/16/2016 11/16/2016 BLDG-43 Air Cond./Furnace Set 001262-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 001261-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Mechanical Final Yes November 21, 2016 Page 1 of 1 ' 1. " CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of 8) Project Name: 2321 Camino Robledo Enforcement Agency: City of Carlsbad Permit Number: CB164052 Dwelling Address: 2321 Camino Robledo [Main] City: Carlsbad Zip Code: A. General Information 01 Dwelling Unit Name Main 02 Climate Zone 03 Dwelling Unit Total Conditioned Floor 2980 04 Number of Space Conditioning Area (ft2) Systems in this Dwelling Unit. OS Certificate of Compliance Type Prescriptive alterations (CFlR-ALT) 06 Method used to Calculate HVAC Loads 07 Calculated Dwelling Unit Sensible This field or section is not applicable 08 Calculated Dwelling Unit Heating Load Cooling Load (Btuh) (Btu h) 09 Dwelling Unit Number of Bedrooms 2 MCH-Olb Space Conditioning Systems Ducts and Fans-Prescriptive Alterations B. Space Conditioning (SC) System Information 01 02 03 04 SC System SC System CFAserved Is the SC Identification or Location or Area by this SC system a Name Served System (ft2) ducted system? 2321 Camino Robledo Main 1490 Yes Registration Number: 416-A0006644A-M0100001A-QOOO 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: 2016-11-09 09:44:27 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 08 Installing entirely new duct system? No 92009 7 2 NotApplicableEquipmentChangeout This field or section is not applicable 09 10 Installing entirely new SC Alteration Type system? Altered space No conditioning system HERS Provider: CHEERS Report Generated: 2016-11-09 09:44:35 I • . { CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 2 of8) B. Space Conditioning (SC) System Information 01 02 03 04 OS 06 07 08 09 10 SCSystem SC System CFAserved Is the SC Installing a Installing new SC Installing more Installing Installing Identification or Location or Area by this SC system a refrigerant system than 40 feet of entirely new entirely new SC Alteration Type Name Served System (ft2) ducted containing components? ducts? duct system? system? system? component? 2321 Camino Altered space Robledo Main 1490 Yes No Yes No No No conditioning system ---- C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 OS Heating System Altered Heating Minimum Identification Heating Heating Efficiency Efficiency or Name System Type Component Type Value All new 2321 Camino Central gas heating AFUE 0.8 Robledo furnace componen ts All new 2321 Camino Central gas heating AFUE 0.8 Robledo furnace componen ts Registration Number: 416-A0006644A-M0100001A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance 06 07 08 09 Cooling Altered Cooling Minimum Cooling Cooling Efficiency Efficiency System Type Components Type Value No cooling Central component SEER 14 split AC altered No cooling Central component SEER 14 split AC altered Registration Date/Time: 2016-11-09 09:44:27 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 10 11 12 13 Central Fan Integrated New or (CFI) Required Replaced New Ventilation Thermostat Duct Duct System Type Length R-Value Status Setback LTE40Ft R6 Not a CFI system Setback LTE40Ft R6 Not a CFI system HERS Provider: CHEERS Report Generated: 2016-11-09 09:44:35 l-I CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans D. Installed Heating Equipment Information 01 02 03 04 OS System Identification or Heating Efficiency Heating Unit Heating Unit Name Heating Efficiency Type 2321 Camino Robledo AFUE 2321 Camino Robledo AFUE Notes: E. Installed Cooling Equipment information F. Extension of Existing Duct System, Greater Than 40 Feet G. Installed Duct System information H. Installed Air Filter Device Information Registration Number: 416-A0006644A-M0100001A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Value Manufacturer Model Number 80.0 YORK TM8Y080C16MP1 1A 80.0 YORK YPLC060A12MP12 cc This section does not apply to this project. This section does not apply to this project. This section does not apply to this project. This section does not apply to this project. Registration Date/Time: 2016-11-09 09:44:27 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-Ol-E (Page 3 ofS) 06 07 Heating Unit serial Rated Heating Capacity, number Output (BTUH) W1H6852177 64000 W1B6372332 48000 HERS Provider: CHEERS Report Generated: 2016-11-09 09:44:35 \-CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans I. Air Filter Device Requirements Registration Number: 416-A0006644A-M0100001A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance This section does not apply to this project. Registration Date/Time: 2016-11-09 09:44:27 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-01-E (Page 4 of8) HERS Provider: CHEERS Report Generated: 2016-11-09 09:44:3S --- CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans J. HERS Verification Requirements 01 02 03 04 MCH20 Exemption System sc System From Duct Duct Identification or Location or Area Leakage Leakage Name Served Requirements Test 2321 Camino Main No Yes Robledo exemptions 2321 Camino Main No Yes Robledo exemptions Notes: L__ __ ---- Registration Number: 416-A0006644A-M0100001A-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 No No No Exemption Registration Date/Time: 2016-11-09 09:44:27 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-01-E (Page 5 of8) I I 08 09 10 i ! MCH23 MCH25 MCH28 AHU Airflow Rate Refrigerant Return Duct Design (dm/ton) Charge Table 150.0-C or D No No No No No No HERS Provider: CHEERS Report Generated: 2016-11-09 09:44:3S ~ CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 6 ofB) 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 ofthe building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections 150.0(h)1 and 2). 04 Furnace Temperature Rise: Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum inlet-to-outlet temperature rise specification. See Section 150.0(h)4. OS Standby Losses and Pilot Lights: Fan-type central furnaces may 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 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)l. Registration Number: 416-A0006644A-M0100001A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-11-09 09:44:27 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CHEERS Report Generated: 2016-11-09 09:44:35 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 7 of 8) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Connections and Closures: All installed air-distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CMC Sections 601.0, 11 602.0, 603.0, 604.0, 605.0 and ANSI/SMACNA-006-2006: Supply-air and return-air ducts and plenums must be insulated to a minimum installed level of R-6.0 or enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference Residential Appendix RA3.1.4.3.8. Heat Pump Thermostat 12 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c). 13 The thermostat shall be installed in accordance with the manufacturers published installation specifications 14 First stage of heating shall be assigned to heat pump heating. 15 Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met. The responsible person signature on this compliance document affirms that all applicable requirements in this table have been met. ----------------------- Registration Number: 416-A0006644A-M0100001A-OOOO CA Building Energy Efficiency Standards -2013 Residential Compliance Registration Date/Time: 2016-11-09 09:44:27 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CHEERS Report Generated: 2016-11-09 09:44:35 CERTIFICATE OF INSTALLATION CF2R-MCH-Ol-E Space Conditioning Systems, Ducts, and Fans (Page 8 of8) 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 ~IM'"Lw13c«dw Wv Company: Signature Date: ASI Hastings, Inc. 2016-11-09 Address: CEA/ HERS Certification Identification (if applicable): 4870 Viewridge Avenue #200 City/State/Zip: Phone: San Diego CA 92123 800-481-2665 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 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: Maria Baldwin Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ASI Hastings, Inc. Address: 4870 Viewridge Avenue #200 City/State/Zip: San Diego CA 92123 Registration Number: 416-A0006644A-M0100001A-OOOO CA Building Energy Efficiency Standards -2013 Residential Compliance Responsible Builder/Installer Signature: ~IM'"Lw 13c«dw Wv Position With Company (Title): Contractor/Installer CSLB License: 513115 Phone: I Date Signed: 800-481-2665 2016-11-09 Digitally signed by CHEERS'M. 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 Date/Time: 2016-11-09 09:44:27 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CHEERS Report Generated: 2016-11-09 09:44:3S CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: 2321 Camino Robledo Enforcement Agency: City of Permit Number: CB164052 Carlsbad Dwelling Address: 2321 Camino Robledo City: Carlsbad Zip Code: 92009 [Main] A. System Information 01 Space Conditioning System Identification or Name 2321 Camino Robledo 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 CFlR? OS Verified Low Leakage Air Handling Unit Credit from No, credit is not taken CF1R? 06 Duct System Compliance Category Alteration MCH-20d -Complete Replacement or Altered Duct System B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 0.0 02 Heating Capacity (kBtu/h) 48 03 Conditioned Floor Area served by this HVAC system (ft2) 1490 04 Duct Leakage Test Condition Test final OS Duct Leakage Test Method Total leakage 06 Leakage Factor 0.15 07 Air Handling Unit Airflow {AHUAirflow) Determination Heating system method Method 08 Measured AHUAirflow 0.0 09 Calculated Target Allowable Duct Leakage Rate (cfm) 156.24 10 Actual duct leakage rate from leakage test measurement 153.0 (cfm) 11 Compliance Statement: System passes leakage test ----- Registration Number: 416-A0006644A-M2000003A-M20A Registration Date/Time: 2016-11-09 09:53:02 HERS Provider: CHEERS CA Building Energy Efficiency Standards ?013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 Report Generated: 2016-11-09 09:53:20 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3) B. Duct Leakage Diagnostic Test 12 I Notes: C. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. 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 If a complete replacement, all supply and return register boots were sealed to the drywall. 04 Building cavities were not used as plenums or platform returns in lieu of ducts. OS If cloth backed tape was used it was covered with Mastic and draw bands. 06 All connection points between the air handler and the supply and return plenums are completely sealed. If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements 07 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. 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 I Complies: All specified verification protocol requirements on this document are met. Registration Number: 416-A0006644A-M2000003A-M20A CA Building Energy Efficiency Standards _f!013 Residential Compliance Registration Date/Time: 2016-11-09 09:53:02 HERS Provider: CHEERS Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 Report Generated: 2016-11-09 09:53:20 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: Nick Banta NLdv'B~ Company: Date Signed: We Green Inc. 2016-11-09 Address: CEA/ HERS Certification Identification (if applicable): 3645 Ruffin Road #330 City/State/Zip: Phone: San Diego CA 92123 888-891-43 77 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 of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency. 5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): ASI Hastings, Inc. Responsible Builder or Installer Name: Maria Baldwin HERS Provider Data Registry Information Sample Group Number (if applicable): HERS Rater Information HERS Rater Company Name: We Green Inc. Responsible Rater Name: Nick Banta Responsible Rater Certification Number w/ this HERS Provider: RCN13127 Registration Number: 416-A0006644A-M2000003A-M20A CA Building Energy Efficiency Standards JOB Residential Compliance CSLB License: 513115 Dwelling Test Status in Sample Group (if applicable) N/A Responsible Rater Signature: NLdv'B~ Date Signed: 2016-11-09 Digitally signed by CHEERSrM. 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 Date/Time: 2016-11-09 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 09:53:02 HERS Provider: CHEERS Report Generated: 2016-11-09 09:53:20 CERTIFICATE OF VERIFICATION CFlR-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of3) Project Name: 2321 Camino Robledo Enforcement Agency: City of Permit Number: CB1640S2 Carlsbad Dwelling Address: 2321 Camino Robledo City: Carlsbad Zip Code: 92009 [Main] A. System Information 01 Space Conditioning System Identification or Name 2321 Camino Robledo 02 Space Conditioning System Location or Area Served Main 03 Building Type from CF-1R Single family 04 Verified Low Leakage Ducts in Conditioned Space No, credit is not taken (VLLDCS) Credit from CF1R? OS Verified Low Leakage Air Handling Unit Credit from No, credit is not taken CFlR? 06 Duct System Compliance Category Alteration MCH-20d -Complete Replacement or Altered Duct System B. Duct leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 0.0 02 Heating Capacity (kBtu/h) 64 03 Conditioned Floor Area served by this HVAC system (ft2) 1490 04 Duct Leakage Test Condition Test final OS Duct Leakage Test Method Total leakage 06 Leakage Factor 0.1S 07 Air Handling Unit Airflow (AHUAirflow) Determination Heating system method Method 08 Measured AHUAirflow 0.0 09 Calculated Target Allowable Duct Leakage Rate (cfm) 208.32 10 Actual duct leakage rate from leakage test measurement 199.0 (cfm) 11 Compliance Statement: System passes leakage test -----·-- Registration Number: 416-A0006644A-M2000002A-M20A Registration Date/Time: 2016-11-09 09:50:17 HERS Provider: CHEERS CA Building Energy Efficiency Standards .J-013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 Report Generated: 2016-11-09 09:50:40 .. CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3) B. Duct Leakage Diagnostic Test 12 I Notes: C. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. 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 If a complete replacement, all supply and return register boots were sealed to the drywall. 04 Building cavities were not used as plenums or platform returns in lieu of ducts. OS If cloth backed tape was used it was covered with Mastic and draw bands. 06 All connection points between the air handler and the supply and return plenums are completely sealed. If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements 07 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. 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 I Complies: All specified verification protocol requirements on this document are met. Registration Number: 416-A0006644A-M2000002A-M20A CA Building Energy Efficiency Standards Registration Date/Time: 2016-11-09 09:50:17 HERS Provider: CHEERS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-09 09:50:40 Schema Version: 2013.1.007 )013 Residential Compliance • 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: Nick Banta N~'B~ Company: Date Signed: We Green Inc. 2016-11-09 Address: CEA/ HERS Certification Identification (if applicable): 3645 Ruffin Road #330 City/State/Zip: Phone: San Diego CA 92123 888-891-4377 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 of the Certificate{s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance {CFlR) approved by the enforcement agency. 5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name {Installing Subcontractor, General Contractor, or Builder/Owner): ASI Hastings, Inc. Responsible Builder or Installer Name: Maria Baldwin HERS Provider Data Registry Information Sample Group Number (if applicable): HERS Rater Information HERS Rater Company Name: We Green Inc. Responsible Rater Name: Nick Banta Responsible Rater Certification Number w/ this HERS Provider: RCN13127 CSLB License: 513115 Dwelling Test Status in Sample Group (if applicable) N/A Responsible Rater Signature: N ~ 'BCU\t'et~ Date Signed: 2016-11-09 Digitally signed by CHEERSTM. 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: 416-A0006644A-M2000002A-M20A CA Building Energy Efficiency Standards Registration Date/Time: 2016-11-09 09:50:17 HERS Provider: CHEERS Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 Report Generated: 2016-11-09 09:50:40 .. 2013 Residential Compliance • ...