HomeMy WebLinkAbout2586 GLASGOW DR; ; CB163455; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-21 -2016 Residential Permit Permit No: CB163455
Building Inspection Request Line (760) 602-2725
Job Address:2586 GLASGOW DR CBAD
Permit Type:RESDNTL Sub Type: SFD Status:ISSUED
Parcel No:2081900400 Lot #:28 Applied: 09/08/2016
Valuation:$668,381.00 Constuction Type: 5B Entered By: JMA
Occupancy Group:Reference #: CT130003 Plan Approved: 09/21/2016
# Dwelling Units:1 Structure Type: SFD Issued: 09/21/2016
Bedrooms:5 Bathrooms:5.5 Inspect Area: PB
Orig PC #:PC150074 Plan Check #: PC160055
Project Title:THE BLUFFS: PHASE 2 -PLAN 2
4,311 SF LIV /561 SF GAR / 363 SF PATIO
Applicant:Owner:
TOLL BROTHERS INC
200
725 W TOWN & COUNTRY RD
ORANGE CA 92868
760-720-5485
Building Permit $2,544.26 Meter Size FS3/4
Add'I Building Permit Fee $0.00 Add'I Recl. Water Con. Fee $0.00
Plan Check $1,780.98 Meter Fee $356.00
Add'I Plan Check Fee ($500.00)SDCWA Fee $4,963.00
Plan Check Discount ($142.48)CFD Payoff Fee $2,858.17
Strong Motion Fee $86.89 PFF (3105540)$12,164.53
Park in Lieu Fee $0.00 PFF (4305540)$0.00
Park Fee $0.00 License Tax (3104193)$0.00
LFM Fee $0.00 License Tax (4304193)$0.00
Bridge Fee $0.00 Traffic Impact Fee (3105541)$2,690.00
Other Bridge Fee $0.00 Traffic Impact Fee (4305541)$0.00
BTD #2 Fee $0.00 Sidewalk Fee $0.00
BTD #3 Fee $0.00 PLUMBING TOTAL $318.00
Renewal Fee $0.00 ELECTRICAL TOTAL $95.75
Add'I Renewal Fee $0.00 MECHANICAL TOTAL $137.08
Other Building Fee $0.00 Housing Impact Fee $0.00
HMP Fee $0.00 Housing InLieu Fee $0.00
Pot. Water Con. Fee $5,609.00 Housing Credit Fee $0.00
Meter Size FS3/4 Master Drainage Fee $0.00
Add'I Pot. Water Con. Fee $0.00 Sewer Fee $2,103.00
Red. Water Con. Fee $0.00 Additional Fees $0.00
Green Bldg Stands (SB1473) Fee $27.00 Fire Sprinkler Fees $0.00
Green Bldg Stands Plan Chk Fee $0.00 Fire Expedited PC Fees $0.00
TOTAL PERMIT FEES $35,091.18
Total Fees:$35,091.18 Total Payments to Date:$35,091.18 Balance Due:$0.00
FINAL P RO AL
Inspector:Date:7 Clearance:
NOTICE:Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions."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 vou have previously been aiven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired.
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Storm Water Pollution Prevention Plan (SWPPP) Permit
09-21 -2016 Permit No:SW160421
Job Address:2586 GLASGOW DR CBAD
Permit Type:SWPPP Status:ISSUED
Parcel No:2081900400 Lot #:28 Applied:09/08/2016
Reference #:Entered By:JMA
CB#:CB163455 Issued:09/21/2016
Inspect Area:PB
Project Title:THE BLUFFS: PHASE 2 Tier:1
Priority:L
Applicant:Owner:
TOLL BROTHERS INC
200
725 W TOWN & COUNTRY RD
ORANGE CA 92868
760-720-5485
Emergency Contact:
GREG DEACON
760-637-9083
SWPPP Plan Check $0.00
SWPPP Inspections $59.00
Additional Fees $0.00
TOTAL PERMIT FEES $59.00
Total Fees:$59.00 Total Payments To Date:$59.00 Balance Due:$0.00
FINAL APPRoAPPROVAL
DATE
CLEARANCE1A15/Z./
SIGNATURE /(1--271.—
,•,„"
,.
•
•'PECTION HISTORY REPORT (C8163455)
Permit Type:BLDG-Residential Application Date:09/08/2016 Owner:RANCHO COSTERA LLC-2483
Work Class:Single Family Detached Issue Date:09/21/2016 Subdivision:
Status:Closed -Finaled Expiration Date:08/17/2017 Address:2586 Glasgow Dr
Carlsbad, CA
IVR Number:716973
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
.,
11/28/2016 11/28/2016 BLDG-15 002938-2016 Passed Paul Burnette Complete
Roof/ReRoof (Patio)
Checklist item COMMENTS Passed
BLDG-Building Deficiency Yes
12/13/2016 12/13/2016 BLDG-13 Shear 005257-2016 Passed Andy Krogh Complete
Panels/HD (ok to
wrap)
12/22/2016 12/22/2016 BLDG-84 Rough 006740-2016 Failed Andy Krogh Reinspection Complete
Combo(14,24,34,44)
klist Item COMMENTS Passed
BLDG-Building Deficiency Not ready No
BLDG-14 No
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout Gas not holding pressure No
BLDG-34 Rough Electrical No
BLDG-44 No
Rough-Ducts-Dampers
12/23/2016 12/23/2016 BLDG-84 Rough 006948-2016 Passed Andy Krogh Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-14 Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout Yes
BLDG-34 Rough Electrical Yes
BLDG-44 Yes
Rough-Ducts-Dampers
12/28/2016 12/28/2016 BLDG-84 Rough 007363-2016 Passed Andy Krogh Complete
Combo(14,24,34,44)
Checklist item COMMENTS Passed
BLDG-Building Deficiency Wrong house called in s/b cb163453 for Yes
combo
BLDG-14 Yes
Frame-Steel-Boiting-Welding
(Decks)
BLDG-24 Rough-Topout Yes
BLDG-34 Rough Electrical Yes
BLDG-44 Yes
Rough-Ducts-Dampers
01/05/2017 01/05/2017 BLDG-17 Interior 008429-2017 Passed Andy Krogh Complete
Lath/Drywall
01/10/2017 01/10/2017 BLDG-82 Drywall,009108-2017 Passed Andy Krogh Complete
Exterior Lath, Gas
Test, Hot Mop
March 29, 2017 Page 1 of 2
mr
.PERMIT 'INSPECTION HISTORY...REPORr(CB163455)•
r
•
Permit Type:BLDG-Residential Application Date:09/08/2016 Owner:RANCHO COSTERA LLC-2483
Work Class:Single Family Detached Issue Date:09/21/2016 Subdivision:
Status-Closed -Finaled Expiration Date:08/17/2017 Address:2586 Glasgow Dr
Carlsbad, CA
IVR Number:716973
---
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
Checklist item COMMENTS Passed
BLDG-17 Interior Lath-Drywall Yes
BLDG-18 Exterior Lath and Yes
Drywall
BLDG-23 Gas-Test-Repairs Yes
02/23/2017 02/23/2017 BLDG-Electric Meter 014524-2017 Passed Andy Krogh Complete
Release
03/15/2017 03/15/2017 BLDG-Fire Final 016303-2017 Partial Pass Dominic Fieri Reinspection Incomplete
Checklist Item COMMENTS Passed
FIRE-Building Final No underground meter at time of inspection Yes
03/21/2017 03/21/2017 BLDG-Fire Final 017076-2017 Passed Dominic Fieri Complete
Checklist Item COMMENTS Passed
FIRE-Building Final No underground meter at time of inspection Yes
03/29/2017 03/29/2017 BLDG-Final 018047-2017 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
March 29, 2017 Page 2 of 2
Inspection List
Permit#:CB163455 Type:RESDNTL SFD THE BLUFFS: PHASE 2 -PLAN 2
4,311 SF LIV /561 SF GAR / 363 SF PATIO
Date Inspection Item Inspector Act Comments
10/17/2016 11 Ftg/Foundation/Piers PB AP
10/03/2016 21 Underground/Under Floor PB AP
Friday, March 31, 2017 Page 1 of 1
-4$08163455 2586 'GLASGOW DR...,..*xv ciTy or THE BLUFFS: PHASE 2 -PLAN 2CARLSBADINSPECTION RECORD 4,311 SF LIV / 561 SF GAR / 363 SF PATIOBuilding Division RESDNTL SFD
INSPECTION RECORD CARD WITH APPROVED Lot#:28 TOLL BROTHERS INC
PLANS MUST BE KEPT ON THE JOB
El CALL BEFORE 3:30 pm FOR NEXT WORK DAY INSPECTION
RI FOR BUILDING INSPECTION CALL:760-602-2725
OR GO TO: www.Carisbadca.qov/Buildinq AND CLICK ON PECORD Copy
"Requestrinspection"DATE:—C-.-1
—I k...()
If "YES" is checked below that Division's approval is required prior to requesting,a Final Building Inspection. If you have any questions
please call the applicable divisions at the phone numbers provided below. After all required approvals are signed off -fax to
760-602-8560, email to bldginspections(ocarlsbadca.gov or bring in a COPY of this card to: 1635 Faraday Ave., Carlsbad.
NO YES Required Prior to Requesting Building Final if Checked YES Date Inspector Notes
11111M1Planning/Landscape 760-944-8463 Allow 48 hours 3. "Al RCM '
IIIIMICM6.1 (Engineering inspections}760-438-3891 Cali before 2 pm FIIMIresnilInnFirePrevention760-602-4660 Allow 48 hours illial A 0.\ISM
1.11111
Type of Inspection Type of Inspection
cope ft BUILDING Date Inspector copy.e ELECTRICAL Date Inspector
#11 FOUNDATION #31 0 ELECTRIC UNDERGROUND UFER
#12 REINFORCED STEEL Jo-rtin UFER
tie sv
-
#34 ROUGH ELECTRIC
#68 MASONRY PRE GROUT #33 .ELECTRIC SERVICE 0 TEMPORARY '"'"•3 4 7 &XX.
#35 PHOTO VOLTAIC0GROUT0WALL DRAINS
#10 TILT PANELS #39 FINAL
#11 POUR STRIPS CODER MECHANICAL
#11 COLUMN FOOTINGS #41 UNDERGROUND DUCTS &PIPING
#14 SUBFRAME 0 FLOOR 0 CEILING #44 0 DUCT& PLENUM 0 REF. PIPING
#15 ROOF SHEATHING `/'nib' 3J.#43 HEAT-AIR COND. SYSTEMS
.
#13 En SHEAR PANELS _1>--1.-.14: 4014-#49 FINAL
#16 INSULATION Conan COMBO INSPECTION
#18 EXTERIOR LATH #81 UNDERGROUND (11,12,21,31)
#17 INTERIOR LATH &DRYWALL _FS-14 kAaf '#82 DRYWALL,EXT LATH, GAS TES (17,18,23)1-JD -17 Prall-
#51 POOL EXCA/STEEL/BOND/FENCE #83 ROOF SHEATING, EXT SHEAR (13,16)
#55 PREPLASTER/FINAL #84 FRAME ROUGH COMBO (14,24,34,44)/2 -0.34‘467e-
#19 FINAL #85 1-Bar(14,24,34,44)
cone #PLUMBING Date Ins.•or #89 flNALOCCUPANCY(19,29,39,49)
#22 0 SEWER &131./C0 El PL/C0 i 1111.11 FIRE Date Ins •ector•
#21 UNDERGROUND OWASTE 0 WTR
10
`_
#24 TOP OUT 0 WASTE 0 WT%A/S UNDERGROUND VISUAL
#27 TUB &SHOWER PAN A/S UNDERGROUND HYDRO
#23 0 GAS TEST 0 OAS PIPING A/S UNDERGROUND FLUSH
#25 WATER HEATER A/S OVERHEAD VISUAL Ale-./
#28 SOLAR WATER A/S OVERHEAD HYDROSTATIC /z4 ;e:ii'enr,e1
#29 FINAL A/S FINAL --/-it .riz
-1)M/CA\
cooz#STORM WATER F/A ROUGH-IN
#600 PRE-CONSTRUCTION MEETING F/AFINAL
#603 FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH-IN _
"605 NOTICE TO CLEAN FIXED WINGSYSTEM HYDROSTATIC TEST
#607 WRITTEN WARNING -,_FIXED EXTINGUISHING SYSTEM FINAL
#609 NOTICE OF VIOLATION MEDICAL GAS PRESSURE TEST
#610 VERBAL WARNING MEDICAL GAS FINAL
REV 10/2012 I-'."SEE BACK FOR SPECIAL NOTES
/ci 2'
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3 )
Project Name:Robertson Ranch: The Bluffs Enforcement Agency:City of Permit Number:CB163455
Carlsbad
Dwelling Address:2586 Glasgow City:Carlsbad Zip Code:92010
A. System Information
01 Space Conditioning System Identification or Name System 1
02 Space Conditioning System Location or Area Served Location
03 Building Type from CF-1R Single family
04 Verified Low Leakage Ducts in Conditioned Space No,credit is not taken
(VLLDCS)Credit from CF1R?
05 Verified Low Leakage Air Handling Unit Credit from Yes credit is taken
CF1R?
06 Duct System Compliance Category New
B.Duct Leakage Diagnostic Test
01 Condenser Nominal Cooling Capacity (ton)3.5
02 Heating Capacity (kBtu/h)60
03 Conditioned Floor Area served by this HVAC system (ft2)2156
04 Duct Leakage Test Condition Test final
05 Duct Leakage Test Method Total leakage
06 Leakage Factor 6.0
07 Air Handling Unit Airflow (AHUAirflow) Determination Cooling system method
Method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate (cfm)84
10 Actual duct leakage rate from leakage test measurement 80
(cfm)
11 Air Handling Unit Manufacturer Name N/A
12 Air Handling Unit Model Number N/A
13 Compliance Statement System passes leakage test
Registration Number: 215-N6489699E-M2000014A-M20A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:23:11
2013 Residential Compliance Schema Version: 2013.1.007
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3 )
B.Duct Leakage Diagnostic Test
14 Notes
C.Additional Requirements for Compliance
The Low Leakage Air-handling Unit Model identified on this compliance document is included in the list of certified Low
01 Leakage Air-Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/2008standards/special case appliance/supplemental listings/Low Leakage Air-
Handling Unit Listing 2012-10-30.pdf (provide updated link).
02 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
03 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.
04 All supply and return register boots were sealed to the drywall.
05 Building cavities were not used as plenums or platform returns in lieu of ducts.
06 If cloth backed tape was used it was covered with Mastic and draw bands.
07 All connection points between the air handler and the supply and return plenums are completely sealed.
08 Verification Status Pass -all applicable requirements are met
09 Correction Notes for this table
The responsible persons signature on this compliance document affirms that all applicable requirements in this table have
been met unless otherwise noted in the Verification Status and the Corrections Notes in this table..
D.Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N6489699E-M2000014A-M20A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:23:11
2013 Residential Compliance Schema Version: 2013.1.007
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3 )
Documentation Author's Declaration Statement
1.I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:Documentation Author Signature:
Lorena Pichardo 092e/na 66/;CA/26.
Company:Date Signed:
Energy Inspectors 2017-03-27 15:39:59
Address:CEA/HERS Certification Identification (if applicable):
2570 South Miller Lane
City/State/Zip:Phone:
Las Vegas NV 89117 702-365-8080
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 (CF1R)approved by the enforcement agency.
5.I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made 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):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name:CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable):Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:
Daniel Granback OCOZZeeNecodack
Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004061 2017-03-27 15:42:30
Digitally signed by CalCERTS.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 accuracyof the information.
Registration Number: 215-N6489699E-M2000014A-M20A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:23:11
2013 Residential Compliance Schema Version: 2013.1.007
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3 j
Project Name:Robertson Ranch: The Bluffs Enforcement Agency:City of Permit Number:CB163455
Carlsbad
Dwelling Address:2586 Glasgow City:Carlsbad Zip Code:92010
A. System Information
01 Space Conditioning System Identification or Name System 2
02 Space Conditioning System Location or Area Served Location
03 Building Type from CF-1R Single family
04 Verified Low Leakage Ducts in Conditioned Space No,credit is not taken
(VLLDCS)Credit from CF1R?
05 Verified Low Leakage Air Handling Unit Credit from Yes credit is taken
CF1R?
06 Duct System Compliance Category New
B.Duct Leakage Diagnostic Test
01 Condenser Nominal Cooling Capacity (ton)4
02 Heating Capacity (kBtu/h)60
03 Conditioned Floor Area served by this HVAC system (ft2)2155
04 Duct Leakage Test Condition Test final
05 Duct Leakage Test Method Total leakage
06 Leakage Factor 6.0
07 Air Handling Unit Airflow (AHUAirflow) Determination Cooling system method
Method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate (cfm)96
10 Actual duct leakage rate from leakage test measurement 82
(cfm)
11 Air Handling Unit Manufacturer Name N/A
12 Air Handling Unit Model Number N/A
13 Compliance Statement System passes leakage test
Registration Number: 215-N6489699E-M2000015A-M2OB Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:31:15
2013 Residential Compliance Schema Version: 2013.1.007
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3 )
B.Duct Leakage Diagnostic Test
14 Notes
C.Additional Requirements for Compliance
The Low Leakage Air-handling Unit Model identified on this compliance document is included in the list of certified Low
01 Leakage Air-Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/title24/2008standards/special case appliance/supplemental listings/Low Leakage Air-
Handling Unit Listing 2012-10-30.pdf (provide updated link).
02 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
03 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.
04 All supply and return register boots were sealed to the drywall.
05 Building cavities were not used as plenums or platform returns in lieu of ducts.
06 If cloth backed tape was used it was covered with Mastic and draw bands.
07 All connection points between the air handler and the supply and return plenums are completely sealed.
08 Verification Status Pass -all applicable requirements are met
09 Correction Notes for this table
The responsible persons signature on this compliance document affirms that all applicable requirements in this table have
been met unless otherwise noted in the Verification Status and the Corrections Notes in this table..
D.Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N6489699E-M2000015A-M2OB Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:31:15
2013 Residential Compliance Schema Version: 2013.1.007
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3 )
Documentation Author's Declaration Statement
1.I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:Documentation Author Signature:
Lorena Pichardo 0514.e/na 6ACACOAY6
Company:Date Signed:
Energy Inspectors 2017-03-27 15:39:59
Address:CEA/HERS Certification Identification (if applicable):
2570 South Miller Lane
City/State/Zip:Phone:
Las Vegas NV 89117 702-365-8080
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 (CF1R)approved by the enforcement agency.
S.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):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name:CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable):Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:
Daniel Granback 06/12ZeeNta/idaCk
Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004061 2017-03-27 15:42:30
Digitally signed byCalCERTS.This digital signature is provided in order to secure the contentof this registered document, and in no way implies
Registration Provider responsibility for the accuracy ofthe information.
Registration Number: 215-N6489699E-M2000015A-M2OB Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:31:15
2013 Residential Compliance Schema Version: 2013.1.007
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 4 )
Project Name:Robertson Ranch: The Bluffs Enforcement Agency:City of Permit Number:CB163455
Carlsbad
Dwelling Address:2586 Glasgow City:Carlsbad Zip Code:92010
A. Ducted Cooling System Information
01 System Identification or Name System 1
02 System Location or Area Served Location
03 System Installation Type New
04 Nominal Cooling Capacity (tons) of Condenser 3.5
05 Condenser Speed Type Single Speed
06 Cooling System Zonal Control Type Not Zonal
07 Central Fan Integrated (CFI)Ventilation System Status Not a CFI system
08 System Bypass Duct Status No Bypass Duct
09 Date of System Airflow Rate Measurement 2017-03-24
10 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP)
in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01 Method Used to Demonstrate Compliance with the HSPP installed and labeled consistent with Figure RA3.3-1
HSPP/PSPP Requirement
C.Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given
in RA3.3.2.
01 Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in
verification.RA3.3.3.1.4
02 Manufacturer of Airflow Measurement Apparatus Shortridge Instruments
03 Model number of Airflow Measurement Apparatus CFM-88L
Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at
04 Accuracy http://www.energy.ca.gov/title24/equipment_cert/ama_fas
/index.html
Registration Number: 215-N6489699E-M2300014A-M23A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:28:32
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 4 )
MCH-23a Forced Air System Airflow Rate Measurement -Newly Installed Non-Zoned Systems or Zoned Multi-Speed
Compressor
D.Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01 Required Minimum System Airflow Rate (cfm/ton)350
02 Required Minimum System Airflow Target (cfm)1225
03 Actual System Airflow Rate Measurement (cfm)1256
04 Compliance Statement:System airflow rate complies
E.Additional Requirements
01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of Verification.
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of
02 Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3.3.1.
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning
03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate
of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance
Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance.
04 All registers were fully open during the diagnostic test.
05 System fan was set at maximum speed during the diagnostic test.
06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
08 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
09 Verification Status:Pass -all applicable requirements are met
10 Correction Notes:
The responsible person's 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.
Registration Number: 215-N6489699E-M2300014A-M23A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:28:32
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 4 )
F.Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N6489699E-M2300014A-M23A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:28:32
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 4 of 4 )
Documentation Author's Declaration Statement
1.I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:Documentation Author Signature:
Lorena Pichardo 092671.42 03:Chtait.C6.
Company:Date Signed:
Energy Inspectors 2017-03-27 15:39:59
Address:CEA/ HERS Certification Identification (if applicable):
2570 South Miller Lane
City/State/Zip:Phone:
Las Vegas NV 89117 702-365-8080
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 (CF1R)approved by the enforcement agency.
5.I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made 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):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name:CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable):Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:
Daniel Granback OCOZZeeN20/17.8674
Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004061 2017-03-27 15:42:30
Digitally signed by CalCERTS.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: 215-N6489699E-M2300014A-M23A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:28:32
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 4 )
Project Name:Robertson Ranch: The Bluffs Enforcement Agency:City of Permit Number:CB163455
Carlsbad
Dwelling Address:2586 Glasgow City:Carlsbad Zip Code:92010
A. Ducted Cooling System Information
01 System Identification or Name System 2
02 System Location or Area Served Location
03 System Installation Type New
04 Nominal Cooling Capacity (tons) of Condenser 4
05 Condenser Speed Type Single Speed
06 Cooling System Zonal Control Type Not Zonal
07 Central Fan Integrated (CFI)Ventilation System Status Not a CFI system
08 System Bypass Duct Status No Bypass Duct
09 Date of System Airflow Rate Measurement 2017-03-24
10 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement
B.Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP)
in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01 Method Used to Demonstrate Compliance with the HSPP installed and labeled consistent with Figure RA3.3-1
HSPP/PSPP Requirement
C.Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given
in RA3.3.2.
01 Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in
verification.RA3.3.3.1.4
02 Manufacturer of Airflow Measurement Apparatus Shortridge Instruments
03 Model number of Airflow Measurement Apparatus CFM-88L
Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at
04 Accuracy http://www.energy.ca.gov/title24/equipment_cert/ama_fas
/index.html
Registration Number: 215-N6489699E-M2300015A-M23A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:48:55
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of 4 )
MCH-23a Forced Air System Airflow Rate Measurement -Newly Installed Non-Zoned Systems or Zoned Multi-Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01 Required Minimum System Airflow Rate (cfm/ton)350
02 Required Minimum System Airflow Target (cfm)1400
03 Actual System Airflow Rate Measurement (cfm)1659
04 Compliance Statement:System airflow rate complies
E.Additional Requirements
01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of Verification.
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of
02 Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3.3.1.
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning
03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate
of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance
Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance.
04 All registers were fully open during the diagnostic test.
05 System fan was set at maximum speed during the diagnostic test.
06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
08 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
09 Verification Status:Pass -all applicable requirements are met
10 Correction Notes:
The responsible person's 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.
Registration Number: 215-N6489699E-M2300015A-M23A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:48:55
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 4 )
F.Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N6489699E-M2300015A-M23A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:48:55
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 4 of 4 )
Documentation Author's Declaration Statement
1.I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:Documentation Author Signature:
Lorena Pichardo 094.e1/20. CheACM/49-
Company:Date Signed:
Energy Inspectors 2017-03-27 15:39:59
Address:CEA/ HERS Certification Identification (if applicable):
2570 South Miller Lane
City/State/Zip:Phone:
Las Vegas NV 89117 702-365-8080
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 (CF1R)approved by the enforcement agency.
5.I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made 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):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name:CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable):Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:
Daniel Granback 10/71(d42.60igack
Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004061 2017-03-27 15:42:30
Digitally signed by CalCERTS.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 accuracyofthe information.
Registration Number: 215-N6489699E-M2300015A-M23A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:48:55
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 3 )
Project Name:Robertson Ranch: The Bluffs Enforcement Agency:City of Permit Number:CB163455
Carlsbad
Dwelling Address:2586 Glasgow City:Carlsbad Zip Code:92010
A. Ducted Cooling System Information
01 System Identification or Name System 1
02 System Location or Area Served Location
03 System Installation Type New
04 Nominal Cooling Capacity (tons) of Condenser 3.5
05 Condenser Speed Type Single Speed
06 Cooling System Zonal Control Type Not Zonal
07 Central Fan Integrated (CFI)Ventilation System Status Not a CFI system
08 System Bypass Duct Status No Bypass Duct
09 Date of System Airflow Rate Measurement 2017-03-24
10 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in
RA3.3.2.2.
01 Fan Watt Verification Device Used.Portable watt meter
MCH-22a Forced Air System Fan Efficacy Measurement -Newly Installed Non-Zoned Systems or Zoned Multi-Speed
Compressor
C.Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3.
01 Actual Tested Watts 450
02 Actual Tested Airflow from MCH-23 (cfm)1256
03 Required Fan Efficacy (watts/cfm)0.58
04 Actual Fan Efficacy (watts/cfm)0.36
05 Compliance Statement:System fan efficacy complies
Registration Number: 215-N6489699E-M2200014A-M22A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:51:33
2013 Residential Compliance Schema Version: 0.51SDD
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3 )
D.Additional Requirements
01 All registers were fully open during the diagnostic test.
02 System fan was set at maximum speed during the diagnostic test.
03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
05 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy
(Watt/cfm) criteria in every zonal control mode.
07 Verification Status Pass -all applicable requirements are met
08 Correction Notes
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.
E.Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N6489699E-M2200014A-M22A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:51:33
2013 Residential Compliance Schema Version: 0.51SDD
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (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:
Lorena Pichardo .(9/teli/Aai 64.CACZ/tC6-
Company:Date Signed:
Energy Inspectors 2017-03-27 15:39:59
Address:CEA/ HERS Certification Identification (if applicable):
2570 South Miller Lane
City/State/Zip:Phone:
Las Vegas NV 89117 702-365-8080
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 (CF1R)approved by the enforcement agency.
5.I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made 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):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name:CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable):Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:aDaniel Granback 7/aNtagdack
Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004061 2017-03-27 15:42:30
Digitally signed byCalCERTS.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: 215-N6489699E-M2200014A-M22A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:51:33
2013 Residential Compliance Schema Version: 0.51SDD
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 3 )
Project Name:Robertson Ranch: The Bluffs Enforcement Agency:City of Permit Number:CB163455
Carlsbad
Dwelling Address:2586 Glasgow City:Carlsbad Zip Code:92010
A. Ducted Cooling System Information
01 System Identification or Name System 2
02 System Location or Area Served Location
03 System Installation Type New
04 Nominal Cooling Capacity (tons) of Condenser 4
05 Condenser Speed Type Single Speed
06 Cooling System Zonal Control Type Not Zonal
07 Central Fan Integrated (CFI)Ventilation System Status Not a CFI system
08 System Bypass Duct Status No Bypass Duct
09 Date of System Airflow Rate Measurement 2017-03-24
10 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in
RA3.3.2.2.
01 Fan Watt Verification Device Used.Portable watt meter
MCH-22a Forced Air System Fan Efficacy Measurement -Newly Installed Non-Zoned Systems or Zoned Multi-Speed
Compressor
C.Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3.
01 Actual Tested Watts 649
02 Actual Tested Airflow from MCH-23 (cfm)1659
03 Required Fan Efficacy (watts/cfm)0.58
04 Actual Fan Efficacy (watts/cfm)0.39
05 Compliance Statement:System fan efficacy complies
Registration Number: 215-N6489699E-M2200015A-M22A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:52:36
2013 Residential Compliance Schema Version: 0.51SDD
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3 )
D.Additional Requirements
01 All registers were fully open during the diagnostic test.
02 System fan was set at maximum speed during the diagnostic test.
03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
05 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy
(Watt/cfm) criteria in every zonal control mode.
07 Verification Status Pass -all applicable requirements are met
08 Correction Notes
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.
E.Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N6489699E-M2200015A-M22A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:52:36
2013 Residential Compliance Schema Version: 0.51SDD
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (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:
Lorena Pichardo (514.e/12.42 066.CAO/VIOI-
Company:Date Signed:
Energy Inspectors 2017-03-27 15:39:59
Address:CEA/HERS Certification Identification (if applicable):
2570 South Miller Lane
City/State/Zip:Phone:
Las Vegas NV 89117 702-365-8080
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 (CF1R)approved by the enforcement agency.
5.I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made 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):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name:CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable):Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:
Daniel Granback g)C/MieeNta/idack
Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004061 2017-03-27 15:42:30
Digitally signed byCalCERTS.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 accuracyofthe information.
Registration Number: 215-N6489699E-M2200015A-M22A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:52:36
2013 Residential Compliance Schema Version: 0.51SDD
CERTIFICATE OF VERIFICATION CF3R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 1 of 3 )
Project Name:Robertson Ranch: The Bluffs Enforcement Agency:City of Permit Number:CB163455
Carlsbad
Dwelling Address:2586 Glasgow City:Carlsbad Zip Code:92010
Title 24, Part 6, Section 150.0(o) Ventilation for Indoor Air Quality. All dwelling units shall meet the requirements of ANSI/ASHRAE
Standard 62.2. Ventilation and Acceptable Indoor Air Quality in Low-Rise Residential Buildings. Equation and table numbering on
this form corresponds to the numbering for that information in the published ANSI/SHRAE Standard 62.2-2010.
A. Dwelling Mechanical Ventilation -General Information
01 Dwelling unit name Robertson Ranch: The Bluffs
02 Building Type Single family
03 Project scope Newly constructed building
Total Conditioned Floor Area of Dwelling Unit 4311
04 (For addition projects the conditioned floor area equals
existing area plus addition area.)
Number of bedrooms in dwelling unit 6
05 (For addition projects the number of bedrooms equals the
existing bedrooms plus addition bedrooms)
06 Ventilation Operation Schedule Continuous
07 Whole-Building Ventilation Rate Calculation Method Fan Ventilation Rate Method (4.1.1)
08 Whole Building Ventilation System Type Standalone -Exhaust
MCH-27a -Continuous Ventilation Airflow -Fan Ventilation Rate Method
B.Whole-Building Continuous Ventilation -Fan Ventilation Rate Method
01 Required Continuous Whole-Building Ventilation Rate 96
02 Installed Continuous Whole-Building Ventilation Rate 112
C.Compliance Statement
01 Building passes continuous whole-building ventilation rate test
Registration Number: 215-N6489699E-M2700013A-M27A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:53:08
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 2 of 3 )
D.Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N6489699E-M2700013A-M27A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:53:08
2013 Residential Compliance Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (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:
Lorena Pichardo (514.e/17..a 613;CACMAC76
Company:Date Signed:
Energy Inspectors 2017-03-27 15:40:00
Address:CEA/HERS Certification Identification (if applicable):
2570 South Miller Lane Las Vegas /NV /89117
City/State/Zip:Phone:
Las Vegas NV 89117 702-365-8080
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 (CF1R)approved by the enforcement agency.
5.I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made 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):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name:CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable):Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:
Daniel Granback a/17.CeiNtagdcz.ek
Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004061 2017-03-27 15:42:30
Digitally signed by Ca/CERTS.This digital signature is provided in order to secure the content ofthis registered document and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N6489699E-M2700013A-M27A Registration Date/Time:2017-03-27 15:42:30 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-27 13:53:08
2013 Residential Compliance Schema Version: 2013.1.008