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HomeMy WebLinkAbout2575 HIGHLAND DR; ; CBR2016-0059; PermitPrint Date: 12/12/2016 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: #Dwelling Units: Bedrooms: Project Title: 2575 Highland Dr BLDG-Residential 1560524600 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: PALMERO: REPLACE FURNACE IN SAME LOCATION PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: COOWNER PALERMO J05EPH&DAY MAUREEN 2575 Highland Dr CARLSBAD, CA 92008 Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: Inspector: Contractor: THOMPSON HEATING & AIR 1980 Peacock Blvd, Ste C Oceanside, CA 92056-3581 760-842-7630 Balance Due: 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. Permit No: CBR2016-0059 Closed-Finaled 11/10/2016 11/15/2016 $166.00 $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING 0BUILDING OFIRE 0HEALTH 0HAZMATIAPCD ~Clcyof Building Permit Application Plan Check No.~~ "2-olCo -Oo59 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 lswPPP JOB ADDRESS SUITEII/SPACEII/UNIT# IAPN 2575 HIGHLAND DR - - - CT/PROJECT # I LOT# I PHASE II I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) REPLACE FURNACE, SAME LOCATION EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YEsO NcO YES0No0 YEsONoO APPLICANT NAME JOSHEPH & MAUREEN DAY PALMERO PROPERTY OWNER NAME JOSHEPH & MAUREEN DAY PALMERO Prtna"' Contact ADDRESS ADDRESS 2575 HIGHLAND DR 2575 HIGHLAND DR CITY STATE ZIP CITY STATE ZIP CARLSBAD CA 92008 CARLSBAD CA 92009 PHONE I FAX PHONE I FAX 510-323-2634 510-323·2634 EMAIL EMAIL CONTACT@THACC.NET CONTACT@THACC.NET DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Thomoson Heatina and Air Condition ina ADDRESS ADDRESS 1980 Peacock Blvd. Ste. C CITY STATE ZIP CITY STATE ZIP Oceanside CA 92056 PHONE I FAX PHONE I FAX 760-842-7630 EMAIL EMAIL contact@thacc. net I STATE LIC. # STATE LIC.# ICLASSC20 I CITY BUS. LIC1 240618 974400 (Sec. 7031.5 Busmess and Profess1ons Code: Any C1ty or County wh1ch reqwes a perm1t to construct, alter, 1mprove, demolish or repa1r any structure, pnor to 1ts 1ssuance, also reqwes 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 declarations: 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 permit is issued. [Z] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. NORGUARD INSURNACE COMPANY Policy No. THWC700341 Expiration Date 4/7/2017 J]li§.section need not be completed if the permit is for one hundred dollars ($100) or less. U Certificate of Exemption: I certify that in the performance 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' 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. Ji5 CONTRACTOR SIGNATURE I hereby affirm that! am exempt from Contractor's License Law for the following reason: D 0 D I, as owner of the property or my employees with wages as their sole compensation, will do the worl< and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If. however, the building or 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 License 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 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 the 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 contracted with the following person (firm) 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 1 address I phone 1 type of work): Ji5 PROPERTY OWNER SIGNATURE [ZJAGENT DATE 11/8/16 Is the applicant or futurt 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-TaP!;.,!rjlazardous Substance Account Act? DYes D No Is the applic~r future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes 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 and state that the above information is correct and thatthe information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Ca~sbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permrt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limrtation and become null and void ~the building or wor11 authorized by such permit is not commenced within 180 days from the date of such permit or ~the building or wor11 authorized by such permrt is suspended or abandoned at any time after the wor1l is commenced for a period of 180 days (Section 1 06.4.4 Uniform Building Code). _,g APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2016-0059) BLDG-Residential 11/10/2016Application Date:Permit Type:Owner:COOWNER PALERMO JOSEPH&DAY MAUREEN Subdivision:P/M/EWork Class:Issue Date: 2575 Highland Dr Carlsbad, CA 92008 Address:Under Review - Active Expiration Date:Status: IVR Number: 175 Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 11/15/2016 11/15/2016 BLDG-43 Air Cond./Furnace Set 001098-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 001097-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Mechanical Final Yes November 15, 2016 Page 1 of 1 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of7) Project Name: 2575 Highland dr Enforcement Agency: City of Carlsbad Permit Number: on site Dwelling Address: Day City: Carlsbad Zip Code: A. General Information 01 Dwelling Unit Name 2575 Highland dr 02 Climate Zone 03 Dwelling Unit Total Conditioned Floor 2800 04 Number of Space Conditioning Area (ft2) Systems in this Dwelling Unit. OS Certificate of Compliance Type Prescriptive alterations (CF1R-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) (Btuh) 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 SCSystem SCSystem CFAserved Is the SC Identification or Location or Area by this SC system a Name Served System (ft2) ducted system? System 1 Eastside 1500 Yes Registration Number: 216-A0419797 A-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: 2016-11-10 12:36:14 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 08 Installing entirely new duct system? No 92008 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: CaiCERTS Report Generated: 2016-11-10 12:36:06 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 2 of 7) B. Space Conditioning (SC) System Information 01 02 03 04 OS 06 07 08 09 10 SCSystem SCSystem 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? Altered space System 2 Westside 1300 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 System 1 Central gas heating AFUE 78 furnace componen ts All new Central gas heating System 2 furnace AFUE 78 componen ts Registration Number: 216-A0419797A-M0100002A-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 This field No cooling or No cooling component SEER section is altered not applicabl e This field No cooling or section is No cooling component SEER altered not applicabl e Registration Date/Time: 2016-11-10 12:36:14 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 Not a CFI Setback LTE40Ft R6 system HERS Provider: CaiCERTS Report Generated: 2016-11-10 12:36:06 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 System 1 AFUE System 2 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 I. Air Filter Device Requirements Registration Number: 216-A0419797 A-M0100002A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Value Manufacturer Model Number 78 Maytag mc2a054k23al 78 Maytag mgc2sa054c23a 1 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. This section does not apply to this project. Registration Date/Time: 2016-11-10 12:36:14 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-01-E (Page 3 of7) . 06 07 . Heating Unit serial Rated Heating Capacity, number Output (BTUH) mgg160105429 43200 mgg160102613 43200 ! ! HERS Provider: CaiCERTS Report Generated: 2016-11-10 12:36:06 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 Eastside No Yes exemptions System 2 Westside No Yes exemptions Notes: Registration Number: 216-A0419797 A-M0100002A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance CF2R-MCH-01-E (Page 4 of 7) OS 06 07 08 09 10 MCH21 MCH22 MCH23 MCH25 MCH28 Exemption from Minimum R-Valuefor AHU Ducts In Ducts Located AHU Fan Airflow Conditioned In Cond Space Efficacy Rate Refrigerant Return Duct Design Space Verification (W/dm) (dm/ton) Charge Table 1SO.Q-C or D No No No No No No Exemption No No No No No No Exemption --------·-· ··----------------------------- ---------------------------------------------- Registration Date/Time: 2016-11-10 12:36:14 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CaiCERTS Report Generated: 2016-11-10 12:36:06 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 5 of 7) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly Installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Heating Equipment 01 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. 02 Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(i), 110.2(b). 03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections 150.0(h)1 and 2). 04 Furnace Temperature Rise: Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum inlet-to-outlet temperature rise specification. See Section 150.0(h)4. 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 150.00)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)1. ~~ --~- Registration Number: 216-A0419797 A-M0100002A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-11-1012:36:14 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 ----·---·---- HERS Provider: CaiCERTS Report Generated: 2016-11-10 12:36:06 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 6 of 7) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Connections and Closures: All installed air-distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CMC Sections 601.0, 11 602.0, 603.0, 604.0, 605.0 and 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: 216-A0419797 A-M0100002A-OOOO CA Building Energy Efficiency Standards -2013 Residential Compliance Registration Date/Time: 2016-11-1012:36:14 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CaiCERTS Report Generated: 2016-11-10 12:36:06 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: /}OARLt 03aMd Garett Baird Company: Signature Date: THOMPSON HEATING AND AIR CONDITIONING 2016-11-1012:36:14 Address: CEA/ HERS Certification Identification (if applicable): 2531 BRADLEY STREET City/State/Zip: Phone: OCEANSIDE CA 92056 760-471-5800 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 aH 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: Responsible Builder/Installer Signature: c.(}OARft 03aMd Garett Baird Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): THOMPSON HEATING AND AIR CONDITIONING Owner Address: CSLB License: 2531 BRADLEY STREET 974400 City/State/Zip: Phone: I Date Signed: OCEANSIDE CA 92056 760-471-5800 2016-11-1012:36:14 ---·- 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-A0419797 A-M0100002A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-11·10 12:36:14 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CaiCERTS Report Generated: 2016-11-10 12:36:06 i I • ' ' ' : • ! CERTIFICATE OF INSTALLATION CF2R-MCH-2o-H Duct Leakage Diagnostic Test (Page 1 of3) Project Name: 2S7S Highland dr Enforcement Agency: City of Permit Number: on site Carlsbad Dwelling Address: Day 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 Eastside 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 (VLLAHU) Credit No, credit is not taken from CFlR? 06 Duct System Compliance Category Alteration using smoke test MCH-20e -Sealing All Accessible Leaks using Smoke Test B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 0 02 Heating Capacity (kBtu/h) 43 03 Conditioned Floor Area served by this HVAC system (ft2) 1500 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 CERTIFICATE OF INSTALLATION CF2R-MCH-2D-H Duct Leakage Diagnostic Test (Page 2 of3) 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 System was tested in its normal operation condition. No temporary taping allowed. Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage 02 testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 All supply and return register boots were sealed to the drywall. 04 Building cavities were not used as plenums or platform returns in lieu of ducts. 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 of 07 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-A0419797 A-M2000002A-OOOO CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-11-10 12:37:00 HERS Provider: caiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-10 12:37:27 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: §OJteii; {ljaJild Garett Baird Company: Signature Date: 2016-11-1012:37:00 THOMPSON HEATING AND AIR CONDITIONING Address: CEA/ HERS Certification Identification (if applicable): 2531 BRADLEY STREET City/State/Zip: Phone: OCEANSIDE CA 92056 760-471-5800 Responsible Person's Declaration statement 1 certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. 2. 1 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. 1 understand that a HERS rater will check the Installation to verify compliance, and that If such checking identifies defects; I am required to take corrective action at my expense. I understand that Enell'f Commission and HERS Provider representatives will afso perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if thoSe installations fall to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. 5. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, 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 SignaA~ (An.IA, •-.pft ·~d Garett Baird Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) Owner THOMPSON HEATING AND AIR CONDITIONING Address: CSLB License: 2531 BRADLEY STREET 974400 City/State/Zip: Phone: I Date Signed: OCEANSIDE CA 92056 760-471-5800 2016-11-1012:37:00 Third Party Quality Control Program (TPQCP) Status: Name ofTPQCP (if applicable): Digitally signed by GaiCERTS. 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-A0419797A-M2000002A-OOOO CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-11-1012:37:00 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-10 12:37:27 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of3) Project Name: 2S7S Highland dr Enforcement Agency: City of Permit Number: on site Carlsbad Dwelling Address: Day 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 Eastside 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 CFlR? 06 Duct System Compliance Category Alteration using smoke test MCH-20e -Sealing All Accessible Leaks using Smoke Test B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 0 02 Heating Capacity (kBtu/h) 43 03 Conditioned Floor Area served by this HVAC system (ft2) 1SOO 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 This field or section is not applicable 09 Calculated Target Allowable Duct Leakage (cfm) 140 10 Actual duct leakage rate from leakage test measurement 270 (cfm} Registration Number: 216-A0419797A-M2000002A-0000 CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-11-10 12:37:00 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-10 12:37:27 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-2D-H Duct Leakage Diagnostic Test (Page 2 of 3) B. Duct Leakage Diagnostic Test Compliance Statement: System passes using smoke test of an altered HVAC system in an existing building. No visible smoke exits the accessible portions of the duct system. Smoke is only emanating from air-handling unit (AHU) cabinet and non 11 accessible portions of the duct system. Note -Accessible is defined as having access thereto, but which first may require removal or opening of access panels, doors, or moving similar obstructions. If access to the ducts requires an object to be demolished or deconstructed then sealing of those ducts is not required C. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage 02 testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 All supply and return register boots were sealed to the drywall. 04 Building cavities were not used as plenums or platform returns in lieu of ducts. 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 of 07 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-A0419797 A-M2000002A-OOOO CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/lime: 2016-11-10 12:37:00 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-10 12:37:27 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page3 of3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: §evteit (:!JaUu::£ Garett Baird Company: THOMPSON HEATING AND AIR CONDITIONING Signature Date: 2016-11-10 12:37:00 Address: CEA/ HERS Certification Identification (if applicable): 2531 BRADLEY STREET City/State/Zip: Phone: OCEANSIDE CA 92056 760-471-5800 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 understand that a HERS rater will check the installation to verify compliance, and that if such checking identlftes defects; I am required to take corrective action at my expense. I understand that Energy Commission and HERS Provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater; and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. 5. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of Installation, 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 SignaA: {Aat/u::£ Garett Baird 'l.n. pft . Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) Owner THOMPSON HEATING AND AIR CONDITIONING Address: CSLB License: 2531 BRADLEY STREET 974400 City/State/Zip: Phone: I Date Signed: OCEANSIDE CA 92056 760-471-5800 2016-11-10 12:37:00 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): Digitally signed by GaiCERTS. 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-A0419797 A-M2000002A-OOOO CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-11-10 12:37:00 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-10 12:37:27 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: 2575 Highland dr Enforcement Agency: City of Permit Number: on site Carlsbad Dwelling Address: Day Oty: Carlsbad Zip Code: 92008 A. System Information 01 Space Conditioning System Identification or Name System 2 02 Space Conditioning System location or Area Served Westside 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 MCH-20d -Complete Replacement or Altered Duct System B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 0 02 Heating Capacity (kBtu/h) 43 03 Conditioned Floor Area served by this HVAC system (ft2) 1300 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 This field or section is not applicable 09 Calculated Target Allowable Duct leakage (cfm) 140 10 Actual duct leakage rate from leakage test measurement 134 (cfm) 11 Compliance Statement System passes leakage test Registration Number: 216-A0419797 A-M2000003A-0000 CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-11·10 12:36:14 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-10 12:36:37 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page2 of 3} 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. The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 216-A0419797 A-M2000003A-OOOO CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-11-10 12:36:14 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 Report Generated: 2016-11-10 12:36:37 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: c!}taJteit; (:/3t1.liu::f Garett Baird Company: THOMPSON HEATING AND AIR CONDITIONING Signature Date: 2016-11-10 12:36:14 Address: CEA/ HERS Certification Identification (if applicable): 2531 BRADLEY STREET City/State/Zip: Phone: OCEANSIDE CA 92056 760-471-5800 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. 1 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 understand that a HERS rater will check the Installation to verify compliance, and that If such checking ldentiftes defects; I am required to take corrective action at my expense. I understand that Energy Commission and HERS Provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater; and if those installations fan to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. 5. 1 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. 1 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 Signa£~4pft (An.U!d Garett Baird Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): Builder/Owner) Owner THOMPSON HEATING AND AIR CONDITIONING Address: CSLB License: 2531 BRADLEY STREET 974400 City/State/Zip: Phone: I Date Signed: OCEANSIDE CA 92056 760-471-5800 2016-11-10 12:36:14 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-A0419797A-M2000003A-OOOO CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-11-10 12:36:14 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-10 12:36:37 Schema Version: 2013.1.007