The URL can be used to link to this page

Home My WebLink About2322 LA COSTA AVE; E; CB164066; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-31-2016 Permit No: CB164066 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2322 LA COSTA AV CBAD St: E PME Status: Parcel No: 2163101404 Lot#: 0 Applied: Reference #: PC#: Project Title: WISSINK: REPLACE FAU Applicant: STILLMAN HEATING AND AIR CONDITIONING SUITE A 7200 PONTO DR CARLSBAD CA 92011 760-431-3266 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: MARTINEZ EDWARD D 2322 LA COSTA AVE #A CARLSBAD CA 92009 ISSUED 10/31/2016 JMA 10/31/2016 10/31/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: FINAL APPROVAL Inspector: Date: I 1-'b-I b Clearance: $0.00 NOTlCE Aease ta<e ~CE tta wM ci )OJ prqed ird.-tre ''lrrpositiorl' ci fees, decicalicrs, reseMii<llS, a ether ....:liens-cdledivay refelrecl to as 1ees'e<a:lions." You hlve 00 <Bys lim1 tre date ths pemit""" iSSI.BJ to prdest irrpositicn ci trese -e<a:lj<llS, If )OJ prdest tf>lrr\ )OJ m.st fdlootre ;mast ;:roa:<l.les set forth in (hermrt COOe Sedia160020(a), a-d filetre prdest a-d any ether ""!-ired infarreticn wth tre Oty Mmgerfcr ~rg in amda rewth CalsbOO Mridpal COOe Sedia13.32.03J. Failcretotirrelyfdlootta ~wll tB' anystbseq.at legal.cicn to~ reMew, set aside, \tid, a an.J treir irrp:Stion. You ae hlrei:¥ F\.RTl-ER NOll RED !tat )OJ riftt to prdest tre spedfied fees' ....:liens !XES 001" APPLY to'Mlter a-d""""' ocnn.cicn fees ard ~ chrges, na paYirg, 200rg, ga:lrg or ether srril..-appicaicn ~rg a ser.ioe fees in ocnn1dicn wth ths prqed. f'ffi !XES IT APPLY to any I ·ens cimoh \OJ hlve 1 bea1, · • NOTlCEsrril..-toths a as toVIhohtre stmieci l'rritmcns has rnNiou!i ctha'Wse exrired. ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING 0FIRE 0HEALTH 0HAZMATIAPCD Ccicyof Building Permit Application Plan Check No. ()3/ {:>-Lf(){p ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date trJ .& I'/).. jSWPPP JOB ADDRESS l\1.1 t.._ C"o-<)-\-q A'v'->t}~ SUITEt/SPACEI/UNITt IAPN -- - CT/PROJECT # I LOT# I PHASE# I# OF UNITS #BEDROOMS-#BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) i\.1\ "-l "" \\ \>"'\~<le v\1\ i +- ' EXISTING USE I PROPOSED USE GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE II AIR CONDITIONING II FIRE SPRINKLERS vEs[)l_ N<O vEsONoD YESONoD APPLICANT NAME Primary Contact ..j ~ ~ \1\ "\ 01\ {_ \'J\. PROPERTY OWNER l 'lo.IAV\ Vv-:a-.1.V ADDRESS "l,_C,\.!\ ~ -.,>/-1[_,......._ 1-~ ADDRESS L ~ 1.1. C'<:.,<A"" A--\J~~.. ~ e [..."' CITY c., <A"'-. ~'\.~ () STATE ZIP c:..t..\1-l., CITY STATE ZIP ;· tl <'"" r' S'oo.c\ cA q-z.c.tei PHONE (;lc .. q0 ''\)'<Jv<t\ I'AX PHONE 16o 1B )Tl?l I'AX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ~.{.i\\"" "'"' ADDRESS ADDRESS \ C\~ (_ "\~1\.._a "''<::l."'W>'~ -tL 0 CITY STATE ZIP CITY STATE ZIP (\ L<rO~ C"" fl'k>u<\ CA PHONE I'AX PHONE ~~ 01,'2,\ 'tc[~ I'AX EMAIL EMAIL 'STATE UC. # STATE UC.# lo'Scrt-~1 I CLPSS ICITYBU\~'ct-1 "\ILl (Sec. 7031.5 Busmess and ProfeSSions Code. Any City or County which requ1res a permit to construct. alter, 1mprove, demoliSh or repa1r any structure, pnor to 1ts 1ssuance, also reqUires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 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 declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensatfon as provided by Section 3700 of the Labor Code, for the performance of the work for which lhis permit is issued. D I have and will maintain workers' com pens ·on, as required by Section 3700 of the Labor Code, for the performance oft work fo~~ ~\'\~ issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. S \.rJ . \ Expiration Date \ 0 · \ -q This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: 1 certify that in the performance of the work for whic this permit is issued, I shall not employ any person in any manner so as to become subjecl to the Workers' Compensalion Laws of California. WARNING: Failure to secure workers' compensation coverage i nlawful, 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 37 of the labor code, interest and attorney's fees . .IS CONTRACTOR SIGNATURE -· I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 0 D D I, as owner of the property or my employees with wages as lheir sole compensalion, 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 empJoyees, provided that such improvements are not intended or offered for sale. If, hO'Never, the building or improvement is sold within one year of completion, the owner-builder will have lhe 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 lo construct lhe project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol aPPlY loan owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License 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 lhe proposed property improvement. DYes 0No 2. I (have I have not) signed an application for a building permit for the proposed work 3. I have oontracled with lhe following person (f1rm) to provide the proposed construction (include name address I phone I rontractors'license number): 4. I plan to provde jXIrtions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (incll.Jde 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): Jt5 PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future bt.ilding 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 ActJ t:1 Yes t:1 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? t:1 Yes t:1 No Is the tcdlity to be constructed within 1,000 feet of the outer boundary of a school site? t:1 Yes t:1 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 aboYe information Is correct and that the lnfonnalion on the plans is accurate. I agree 1D comp~Yiflh all City ordinances and State laws relating 1D building construction. I hereby authorize representali'Je of the CityofCarlsba:lto enteruJXll)lhe at:ove menOOned property br inspedioo pu!JX)SE!S. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CnY OF CAALSBA.D AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUEAG.AJNST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA ,::enn~ is required br excavations OYef 5'0' deep and derndb or ronstruction of strucb.Jres over 3 stories in height. EXPIRATION: Every pennH issued by the B..rilding Oflk:ial under the ~visbns of this Co:1e shall expire by limitaOOn and OOrome null and void if the building or'Mlrk authorized by such penni! is not oommencaJ Wlhin 100 days tram the date of sucil ,::ennH or if the buildhg or'Mlrk authorized by sucil pennH is sus,::ende:f or abard:Jned at any time after the 'Mlrk is oommencaJ for a perbd of 1 00 days (Section 1 00.4.4 UnOOnn Building COOe). ~APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. (Office Use Only) Carlsbad CA DELNERY OPTlONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATEDCB#------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER:----------------o CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CB164066) BLDG-Residential 10/31/2016Application Date:Permit Type:Owner: Subdivision:P/M/E 10/31/2016Work Class:Issue Date: 2322 La Costa Av , E Carlsbad, CA 92009 Address:Issued - Active 05/01/2017Expiration Date:Status: IVR Number: 718029 Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 11/17/2016 BLDG-Final Inspection 002377-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Mechanical Final Yes 11/08/2016 11/08/2016 BLDG-43 Air Cond./Furnace Set 000267-2016 Failed Jonathan West Reinspection Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Final Inspection 000269-2016 Failed Jonathan West Reinspection Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 11/09/2016 11/09/2016 BLDG-43 Air Cond./Furnace Set 000328-2016 Partial Pass Jonathan West Reinspection Incomplete COMMENTS PassedChecklist Item BLDG-Building Deficiency Need condensate piping and hers No BLDG-Final Inspection 000329-2016 Partial Pass Jonathan West Reinspection Incomplete COMMENTS PassedChecklist Item BLDG-Mechanical Final Yes 11/16/2016 11/16/2016 BLDG-43 Air Cond./Furnace Set 001517-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Need condensate piping and hers Yes November 22, 2016 Page 1 of 1 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Condltionfng Systems, Ducts, and Fans (Page1of7) Project Name: 2322 La Costa Ave UnitE Enforcement Agency: City of Carlsbad Permit Number: CB164066 Dwelling Address: 2322La Costa Ave UnitE [Main] City: Carlsbad Zip Code: A. General Information 01 Dwelling Unit Name Main 02 Climate Zone 03 Dwelling Unit Total Conditioned Floor 1500 04 Number of Space Condition in& Area (ttl) Systems In this Dwelllrc Unit. OS Certlflcate of Compliance Type Prescriptive alterations (CFlR-ALT) 06 Method used to calculate HVAC Loads . 07 calculated Owelftng Unit Sensible This field or section is not appllcabJe-118 calculated Dwelhng Unit Heating load Cooli"' Load (Btuh) (Btuh) 09 Dwelling Unit Number of Bedrooms 2 MCH-Glb Space Conditioning Systems Ducts and Fans-Prescriptive Alterations B. Space Conditioning (SC) System Information 01 02 03 04 SCSystem SCSystem CFAserved Is the sc Identification or lDcatlon or Area bythlsSC system. Name Served System(tt2) duc:ted system? 2322 la Costa Ave UnitE Main 1500 Yes RegistratiOn Number: 416-A0007010A-M0100002A.()()()() CA Building Energy Efficiency Standards-2013 Residential Compliance OS 06 07 Installing a Installing new SC lnstallins more refrigerant system than 40 feet of containina components? ducts? component? Yes Yes No Registration Date/Time: 2016-11-10 02:24:22 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 DB lnstalllna entirety new duct system 1 No 92009 7 1 NotApplicableEquipmentChangeout This field or section is not applicable 09 10 lnstallln& entirely new SC AllerotlonType system? Altered space No conditioning system HERS Provider: CHEERS Report Generated: 2016-11-10 14:24:28 CEmRCATE OF INSTAllATION Space Condltionil'tl Systems, Ducts, and Fans C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 05 06 01 08 09 Heatina: Cooling System Altered Heating Minimum Altered Coolina: Minimum ldentlflcatton Heatins -... Efflclency Elliclency Cooling Cooling Elliclency Efflclency or Name System Type Component Type Value System Type Components Type value Central All new Central All new 2322 La Costa packaged heating HSPF 8.0 pad<aaed cooling SEER 14 Ave UnitE HP componen At. components ts D. Installed Heating Equipment Information 01 02 03 04 DS System Identification or Heating Efficiency Heatlns Unit Heating Unit Name Heating Efficiency Type value --· Model Number 2322 La Costa Ave UnitE HSPF 8.0 Notes: E. Installed Cooling Equipment Information 01 02 ( 03 System Identification Coollna; Efficiency Coollns Efficiency or Name Type Value 2322 La Costa Ave Unit SEER 14.0 E Registration Number: 416-A0007010A-M0100002A-OCI00 CA Building Energy Efficiency Standartls-2013 Residential Compliance DAIKIN DP14HM4841AA 04 I DS 06 Condenser or Packap Unit Condenser or Condenser or Condenser or Packqe Unlt Packqe Unlt Packap Unit Manufacturer Model Number Serial Number DAIKIN DP14HM4841A 1603063215 A Registration Date/Time: 2016-11-10 02:24:22 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 (Pqe2of7) 10 11 12 13 Central Fan Integrated New or (CFI) Requited Replaced New Ventilation Thermostat Duct Duct System Type l.en&th R·Value Status Setback LTE40Ft R6 Nota CFI system 06 07 Heatina Unit serial Rated Heating Capacity, number Output (BTUH) 1603063215 80 01 I 08 System Rated Cooling Condenser Rated Capacity at Deslsn Nominal capacity Conditions (BTUH) (ton) 48 4.00 HERS Provider: CHEERS Report Generated: 2016-11-10 14:24:28 CERTIFICATE OF INSTAllATION Space Conditionlna: Systems, Ducts, and Fans E. Installed COOling Equipment Information 01 02 ' 03 04 I OS 06 Condenser or Package Unit Condenser or Condenser or Condenser or System ldenttflcation Cooling Efftdency Coolllll Efficiency PackapUn~ Pac:ka&e Un~ Packap Unit or Name tYpe Value Notes: F. Extension of Existins Duct System, Greater Than 40 Feet G. Installed Duct System Information H. Installed Air Filter Device Information I. Air Filter Device Requirements RegistratiOn Number: 416-A0007010A-M0100002A-QOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Manufacturer Model Number Serial Number This section doe$.AAapply 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 Dat@/Time: 2016-11-10 02:24:22 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-ot-E (Pqe3of7J 07 08 System Rated eoon111 Condenser Rated Capacity .. Deslcn Nominal capacity Conditions (BTUH) (ton) HERS Provider. CHEERS Report Generated: 2016-11-10 14:24:28 CERnACATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans J. HERS Yerlflcatlon Requirements 01 02 03 04 MCH20 Exemption System SCSystem From Duct Duct Identification or Location or Area ......... ......... Name Served Requirements Test Altered duct system has 2322 La Costa Ave Main less than 40ft No UnitE of duct in unconditioned spaces Notes: Registration Number: 416-A0007010A-M0100002A-0000 CA Building Energy Efficiency Standards-2013 Residential COmpliance OS 06 07 MCH21 MCH22 Exemption fn>m Minimum R-Yaluefor Duc:ts In Ducts located AHU Fan Cond1ttoned In Cond Space Eflkacy !jlae Verification (W/cfm) .· No No No E>comptlon Registration Date/nme: 2016-11-10 02:24:22 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-ot·E (Pqe4of7) 08 09 10 MCH23 MCH25 MCH28 AHU Airflow Rate llefri&erant Return Duct Desian (elm/ton) Charge Table lSO.IK or D No No No HERS Provider: CHEERS Report Generated: 2016-11-10 14:24:28 / CERTIACATE OF INSTAUATJON CF2R-MCH-01-E Space Condltionlnc Systems, Ducts, and Fans , ..... ,.,,, K. Space Conditioning s,sterns, Ducts and Fans Mandatory Requirements and Additional Measures Nob!: Addltlonlil m1ndMOry requirements from Section 150.0 that are not listed here may be 1ppllalble to som11 systems. ThiiSe requirements ml'{ be <~pplielble to onlv newly Instilled equipm11nt or portions of the system tMt 11re altered. ExistlrJ8 equipment may be eJ~empt from theSII requlrem~~nts. Heatlna Equipment 01 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 02 Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant to program the temperature set points for at least four different periods in 24 hours. See Sections 1SO.O{i), 110.2{b). 03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections 1SO.O(h)1and 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 efft<:iency 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 150.00)2 and 3, and Section 150.0{m)9. 08 Condensing Unit location: Condensing units shall not be placed within fwe (S) feet of a dryer vent outlet. See Section 1SO.O(h)3A. 09 Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizlng or oversizing. See Section 150.0(h)1 and 2. Air Distribution System Ducts, Pk!nums and Fans 10 Insulation: In all cases, unless ducts are endosed 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-A0007010A-M0100002A.()()()() CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-11-10 02:24:22 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CHEERS Report Generated: 2016-11-10 14:24:28 CERnACATE OF INSTALlATION CF2R-MCH-01-E Space Condltionl,. Systems, Duc:ts, and Fans (Pqe6of7) It Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Addition;~! mendiltory requirements from Section 150.0 that ;~re not ltst.d hare may be ;~pplk:iible to some systems. ThRH requintm•lrt:$ may be •ppllalble to only-newly installed equipment or portion$ of the system thlt are altered. Existi"' equipment may be exempt from these requlnlmelrt:$. 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, 60S.O 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 11Q.2(b) and Section 110.2{c). 13 The thermostat shall be installed in accordance with the manufacturers pu~ 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: 4l&A0007010A-M0100002A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-11-10 02:24:22 Report Version: 2013 Rev 1.008 Schema VersiOn: 2013.1.008 HERS Provider: CHEERS Report Generated: 2016-11-10 14:24:28 CERTIACATE OF INSTALlATION CF2R-MCH-D1-E Space Condltionlna Systems, Ducts, and Fans (Pqe7of7) Documentation Author's Declaration Statement 1. I certify that this Certlflcate of Installation documentation Is accurate and complete. Documentation AuthOI'" Name: Documentation Author Silnature: Gabe Patten G...!» P~ Company: Silnlture Dlte: Stillman Heating and Air Conditioning Inc. 2016-11-10 Address: aA/ HERS Certification ldentiflclltion (if applicilble): 1945 camino Vi do Roble, Suite J City/State/Zip: Phone: Carlsbad CA 92008 760-431~075 Responsible Person's Declaratlon statement I certffvthe following under penalty of perjury, under the lrNs of the State ofCalifomil: 1. The Information provided on this Certificate of lnstallltlon Is true and correct. 2. I am alil;ible under Division 3 of the Business and Professions Code in the appi!Qble clustfk.ttfon to accept responsibmty for the $\'Stem das!Jin, construction, 01'" installiltlon offeillturft, ITIItltrials, components, or manufillctured device$ for the seopoe of work identified on thisCert:ificillte oftmtaollation, and attest to the declarations in this m.tement (responsible buikler/installer), otherwl$e 1 am an authorized r.presentat!Ye ofthe re$ponslble builder/installer. •. The constructed or installed features, materills, compo1111nts 01'" rrumufillctured devices (the lnstallltlon)ldentified on this CertifiQte of Jnstallltion conforms to •II app~Cillble codes and r.e:ulltlons, and the installation conforms to the requirements efven on the pial!$ and speclflcltloll$ approved by the enforcement OIIP!nty. 4. I revie-d 1 copy of the Certificate of Compliance approved by the enforcement apncy ltwt iderUie:s the sper;1fic requirements for the seopa of c:onstructlon or lnstallltlon Identified on this Certlfiarte of Installation, and I have ensured that the requirements that apply to the tonstructfon or IMtallatlcrn-Mve been met. 5. I will ensure that a reci5ter.d copy of this CartlfiCillte oflnstall01tlon shall be posted, or made iiVllllabla with the bulldins permit(s) Issued for the build inc. and m01da avanabla to the enforcement agency for 01il applicable Inspections. I understand thilt a registered c:opy ofthlsC.rtifit;JW of lnstali;Jtion is required to be inelucled with the documentation the builder provides to the buildiq owner 01t oa:upaney. Responsible Builder/Installer Name: Gabe Patten ComjMny Nama: (lnsta111rc Subcontractor or Ga1111r.rl Contr.rctoror Builder/Owner) Stillman Heating and Air Conditioning Inc. Address: 1945 Camino Vido Roble, Suite J City/State/Zip: Carlsbad CA 92008 Reg[st:ratkln Number: 41&A0007010A-M0100002A.OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Responsible Builder/Installer Sia;nature: G«ht>P~ Position With Company (Title): Contractor/Installer CSLB License: 703043 Phone: ~~eSisnad: 760-431-8075 2016-11-10 Digitally signed by CHEERS.... This digital signature is provided in order ro secure the content of this registereiJ doaiment, and in no way implies Registration Provider responsib11lty for the accuracy of the Information. Registration Date/Time: 201&11-10 02:24:22 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CHEERS Report Generated: 2016-11·10 14:24:28