HomeMy WebLinkAbout2614 El Aguila St; ; CBR2017-0230; PermitPrint Date: 07/28/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2614 El Aguila St
BLDG-Residential
2155623200
$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: SCHOENLEBER: CHANGEOUT FURNACE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00
Owner:
TRUST SCHOENLEBER FAMILY TRUST
08-23-05
2614 El Aguila Ln
CARLSBAD, CA 92009
Total Payments To Date: $166.00
Status:
Applied:
Issued:
Fina led:
Inspector:
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: CBR2017-0230
Closed -Finaled
02/02/2017
02/02/2017
$0.00
$166.00
•1 ~IE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMAT/APCD
('City of
Carls Dad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. c:_t:n.'2.o l
Date SW PPP
JOB ADDRESS N
SUITE#/SPACE#/UNIT#
CT/PROJECT# MS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
EXISTING USE PATIOS (SF) DECKS (SF)
APPLICANT NAME PROPERTY OWNER
CITY s Atv CITY ZIP
0\1..o
PHONE {fC\b\ FAX PHONE ""l b G ~ ~ L\c, \._;
EMAIL EMAIL
DESIGN PROFESSIONA" CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY
PHONE FAX PHONE
EMAIL EMAIL
STATE UC.# STATE UC.# CLASS
Cl.-d
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement tl\at he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exemP.t 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 underpenaHy of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain worl!ers' 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. Policy No. Expiration Date----------
This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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.
·,g CONTRACTOR SIGNATURE ~
I hereby afflll/1 /hat I am exempt from Contractor's License Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The 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 Contracto(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. QYes Oo
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 I address I phone I type of work):
nATJ:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registratioo form or risk management and prevention program under Sections 25505, 25533 or 25534 or the
Presley-Tanner Hazardous Substance Account Act? D Yes D No ·
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above Information Is correct and that the information on the plans is accurate. I agree to comply with all City Oldlnances and State laws relating to building construction.
I hereby au1horize representawe cl the City cl Carlsbad to enter upoo lhe aboYe mentioned propel1y for i1spedion 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 GRAmlNG OF THIS PERMIT.
OSHA: An OSHA pennit is requied for excavations (JJe( 5'0' deep and demoitioo or consbuction cl stn.dures (JJe( 3 stories in height
EXPIRATION: Eve!)' pennit issued by the Building Official under lhe proYisioos of this Code shaU expre by linitalion and become nun and void if the building or WOik au1horized by such pemit is net ca 1111e11ced v.itlm
180 days 1iom lhe date of such pemitor if the building or WOik au1horized by such permit is suspended or abandoned atc11y tine after lhe WOik is amnenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
_g APPLICANT'S SIGNATURE DATE L--Z.. ~1
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o ASSOCIATED CB#------------
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
D MAIL/ FAX TO OTHER:----------------o CHANGE OF USE / NO CONSTRUCTION
,NS APPLICANT'S SIGNATURE DATE
-
PERMIT INSPECTION HISTORY REPORT (CBR2017-0230)
Permit Type: BLDG-Residential Application Date: 02/02/2017 Owner: TRUST SCHOENLEBER FAMILY
TRUST 08-23-05
Work Class: P/M/E Issue Date: 02/02/2017 Subdivision:
Status: Closed -Finaled Expiration Date: 01/15/2018 Address: 2614 El Aguila St
Carlsbad, CA 92009-4332
IVR Number: 1771
Scheduled Actual Inspection No. Date Start Date Inspection Type Inspection Status Primary Inspector Reinspection Complete
07/28/2017 BLDG-Final 030159-2017 Passed Chris Renfro 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
07/18/2017 07/18/2017 BLDG-43 Air 028994-2017 Passed Chris Renfro Complete
Cond./Furnace Set
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
July 28, 2017 Page 1 of 1
I
CERTIFICATE OF INSTALLATION CFZR-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 1 of7)
Project Name: 2614 El Aguila Ln Enforcement Agency: City of Carlsbad Permit Number: CBR2017-0230
Dwelling Address: 2614 El Aguila Ln City: Carlsbad Zip Code:
A. General Information
01 Dwelling Unit Name Main 02 Climate Zone
03 Dwelling Unit Total Conditioned Floor 1830 04 Number of Space Conditioning
Area (ft2) Systems in this Dwelling Unit.
05 Certificate of Compliance Type Prescriptive alterations (CFlR-ALT) 06 Method Used to Calculate HVAC Loads
07 Calculated Dwelling Unit Sensible This field or section is not applicable 08 Calculated Dwelling Unit Heating Load
Cooling Load (Btu/h) (Btu/h)
09 Dwelling Unit Number of Bedrooms 3
MCH-Olb -Space Conditioning Systems Ducts and Fans -Prescriptive Alterations
B. Space Conditioning (SC) System Information
01 oz 03 04
CFA served ls the SC
SC System SC System by this SC system a
Identification or Location or Area System ducted
Name Served (ft2) system?
System 1 Main 1830 Yes
Registration Number: 417-A020015466A-004-000-M01001A-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
05 06 07
Installing a
refrigerant Installing new SC Installing more
containing system than 40 feet of
component? components? ducts?
No Yes No
Registration Date/Time: 2017-02-16 10:13:20
Report Version: 2016.1.005
~rh1>m:> \/1>rcinn· ""' 1 n/1 h
08
Installing
entirely
new duct
system?
No
92009
7
1
NotApplicableEquipmentChangeout
This field or section is not applicable
09 10
Installing
entirely new
SC system? Alteration Type
Altered space
No conditioning
system
HERS Provider: CHEERS
Report Generated: 2017-02-16 10:13:23
CERTIFICATE OF INSTALLATION
Space Conditioning Systems, Ducts, and Fans
C. Space Conditioning (SC) System Alterations Compliance Information
01 02 03 04 05 06 07 08 09
Heating Cooling
SC Altered Heating Minimum Altered Cooling Minimum
Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency
or Name System Type Component Type Value System Type Component Type Value
This field This field
All new No cooling or or
System 1 Central gas heating AFUE 0.81 Central component section section is
furnace componen split AC altered is not not
ts applicabl applicabl
e e
D. Installed Heating Equipment Information
01 02 03 04 05
Heating Efficiency Heating Unit Heating Unit
SC Identification or Name Heating Efficiency Type Value Manufacturer Model Number
System 1 AFUE 80 YORK TGLS060A12MP11
B
Notes:
E. Installed Cooling Equipment Information
This section does not apply to this project.
F. Extension of Existing Duct System, Greater Than 40 Feet
Registration Number: 417-A020015466A-004-000-M01001A-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
This section does not apply to this project.
Registration Date/Time: 2017-02-16 10:13:20
Report Version: 2016.1.005
<;rh<>m::a \/<>rcinn· '"" 1 n/i,:;
CF2R-MCH-01-E
(Page 2 of 7)
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
06 07
Heating Unit Serial Rated Heating Capacity,
Number Output (Btu/h)
W1H6914248 48000
HERS Provider: CHEERS
Report Generated: 2017-02-16 10:13:23
CERTIFICATE OF INSTALLATION
Space Conditioning Systems, Ducts, and Fans
G. Installed Duct System Information
H. Installed Air Filter Device Information
I I. Air Filter Device Requirements
I
Registration Number: 417-A020015466A-004-000-M01001A-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
This section does not apply to this project.
This section does not apply to this project.
This section does not apply to this project.
Registration Date/Time: 2017-02-16 10:13:20
Report Version: 2016.1.005
C:rh<>m:> \/<>rdnn· r<>\110/1/;
CF2R-MCH-01-E
(Page 3 of 7)
HERS Provider: CHEERS
Report Generated: 2017-02-16 10:13:23
CERTIFICATE OF INSTALLATION
Space Conditioning Systems, Ducts, and Fans
I J. HERS Verification Requirements
01 02 03 04
MCH-20
Exemption
SC System SC System From Duct Duct
Identification or Location or Area Leakage Leakage
Name Served Requirements Test
System 1 Main No Yes exemptions
Notes:
Registration Number: 417-A020015466A-004-000-M01001A-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
OS 06 07
Exemption
from
Minimum MCH-22
R-Value for MCH-21 Ducts In AHU Fan
Conditioned Duct Location Efficacy
Space Verification (W/dm)
Not No No applicable
Registration Date/Time: 2017-02-16 10:13:20
Report Version: 2016.1.005
<;rh .. m;, v .. rcinn· "'"' 1n/1i;
CF2R-MCH-01-E
(Page 4 of 7)
08 09 10
MCH-23
MCH-25
AHU MCH-28
Airflow
Rate Refrigerant Return Duct Design
(cfm/ton) Charge -Table 150.0-B or C
No No No
HERS Provider: CHEERS
Report Generated: 2017-02-16 10:13:23
I
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)l 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.
05 Standby Losses and Pilot Lights: Fan-type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(d).
Cooling Equipment
06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency
Regulations.
07 Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section
150.0(j)2 and 3, and Section 150.0(m)9.
08 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A.
09 Liquid Line Filter Drier: If applicable, a liquid line filter drier shall be installed according to the manufacturer's specifications. Section 150.0(h)3B
10 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)l and 2.
Air Distribution System Ducts, Plenums and Fans
Registration Number: 417-A020015466A-004-000-M01001A-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
Registration Date/Time: 2017-02-16 10:13:20
Report Version: 2016.1.005
C::rhpm,o \/prcinn• rP\/ 1 n/1 h
HERS Provider: CHEERS
Report Generated: 2017-02-16 10:13:23
I
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.
11 Insulation: In all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct insulation value is R-6. Note that higher values may be
required by the prescriptive or performance requirements. See Section 150.0(m)l.
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,
12 602.0, 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
13 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c).
14 The thermostat shall be installed in accordance with the manufacturers published installation specifications
15 First stage of heating shall be assigned to heat pump heating.
16 Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number: 417-A020015466A-004-000-M01001A-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
Registration Date/Time: 2017-02-16 10:13:20
Report Version: 2016.1.005
<;rh"m" v .. rcinn· r"" 1 n/1 I';
HERS Provider: CHEERS
Report Generated: 2017-02-16 10:13:23
I
I
I
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:
Maria Baldwin lvtetYlcv Bcildwlfll
Company: Signature Date:
ASI Hastings, Inc. 2017-02-16
Address: CEA/ HERS Certification Identification (if applicable):
4870 Viewridge Avenue #200
City/State/Zip: Phone:
San Diego CA 92123 800-481-2665
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am either: a) a responsible person 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, or b) I am an authorized
representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf.
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 Certificate of Compliance, plans, and specifications approved by the enforcement agency.
4. I will ensure that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Maria Baldwin
Company Name: {Installing Subcontractor or General Contractor or Builder/Owner)
ASI Hastings, Inc.
Address:
4870 Viewridge Avenue #200
City /State/Zip:
San Diego CA 92123
Registration Number: 417-A020015466A-004-000-M01001A-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
Responsible Builder/Installer Signature:
lvtetYlcv Bcildwlfll
Position With Company (Title):
Contractor/Installer
CSLB License:
513115
Phone: I Date Signed:
800-481-2665 2017-02-16
Digitally signed by CHEERS™. This digital signature is provided in order
to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Date/Time: 2017-02-16 10:13:20
Report Version: 2016.1.005
<;rh .. m::1 \/"rcinn· r"" 1 n/1 /;
HERS Provider: CHEERS
Report Generated: 2017-02-16 10:13:23
-
CERTIFICATE OF VERIFICATION
Duct Leakage Diagnostic Test
Project Name: 2614 El Aguila Ln Enforcement Agency: City of Permit Number:
Carlsbad
Dwelling Address: 2614 El Aguila Ln City: Carlsbad Zip Code:
A. System Information
01 Space Conditioning System Identification or Name System 1
02 Space Conditioning System Location or Area Served Main
03 Building Type from CF-lR Single family
04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) No, credit is not taken
Credit from CFlR?
05 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) This field or section is not applicable
02 Heating Capacity (kBtu/h) 48
03 Conditioned Floor Area served by this HVAC system (ft2) 1830
04 Duct Leakage Test Conditions Test final
05 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 Rate (cfm) 156.24
10 Actual Duct Leakage Rate from Leakage Test 499
Measurement (cfm)
Registration Number:
417-A020015466A-004-000-M20000A-0000
Registration Date/Time: 2017-02-16 10:15:32
CF3R-MCH-20-H
(Page 1 of 3)
CBR2017-0230
92009
HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2016 Residential Compliance
Report Version: 2016.1.005
Schema Version: rev 03/16
Report Generated: 2017-02-16 10:15:36
-
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
B. Duct Leakage Diagnostic Test
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 accessible portions of the duct system. Note
11 Compliance Statement: -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
12 Notes:
C. Additional Requirements for Compliance
01 System was tested in its normal operation condition. No temporary taping allowed.
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
02 testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required,
may configure the OA damper to the closed position during duct leakage testing.
03 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.
05 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.l.4.3.6. Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance.
08 Verification Status:: Pass -all applicable requirements are met
09 Correction Notes:
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.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01 I Complies: All specified verification protocol requirements on this document are met.
Registration Number:
417-A020015466A-004-000-M20000A-OOOO
CA Building Energy Efficiency Standards
2016 Residential Compliance
Registration Date/rime: 2017-02-16 10:15:32 HERS Provider: CHEERS
Report Version: 2016.1.005
Schema Version: rev 03/16
Report Generated: 2017-02-16 10:15:36
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:
Jacob Canfield Ja.,coo-Ccw,fi,eld,
Company: Date Signed:
We Green, Inc. 2017-02-16
Address: CEA/ HERS Certification Identification (if applicable):
3645 Ruffin Road #330 RCN13089
City/State/Zip: Phone:
San Diego CA 92123 888-891-4377
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
ASI Hastings, Inc.
Responsible Builder or Installer Name:
Maria Baldwin
HERS Provider Data Registry Information
Sample Group Number (if applicable):
HERS Rater Information
HERS Rater Company Name:
We Green, Inc.
Responsible Rater Name:
Jacob Canfield
Responsible Rater Certification Number w/ this HERS Provider:
RCN13089
Registration Number:
417-A020015466A-004-000-M20000A-OOOO
CA Building Energy Efficiency Standards
2016 Residential Compliance
CSLB License:
513115
Dwelling Test Status in Sample Group (if applicable)
N/A
Responsible Rater Signature:
Ja.,coo-Ccw,fi,eld,
Date Signed:
2017-02-16
Digitally signed by CHEERS™. This digital signature is provided in order
to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Date/Time: 2017-02-16 10:15:32 HERS Provider: CHEERS
Report Version: 2016.1.005
Schema Version: rev 03/16
Report Generated: 2017-02-16 10:15:36