HomeMy WebLinkAbout2616 Wadsworth St; ; CBR2016-0271; PermitPrint Date: 07/24/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2616 Wadsworth St
BLDG-Residential
2081904600
$485,346.03
1
4.00
THE VISTAS
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Single Family Detached
229
DEV2016-0039
SB
4.50
PC150042
PC160070
Status:
Applied:
Issued:
Fina led:
Inspector:
Description: THE VISTAS: PHASE SB/ PLAN 2 / 3,051 SF LIV/ 471 SF GARAGE/ 62 SF PORCH/ 204 SF CA ROOM
Applicant:
TOLL BROS INC
JOANN EPSTINE
Owner:
RANCHO COSTERA LLC -2483
Co-Applicant:
TOLL BROS INC
Permit No: CBR2016-0271
Closed -Finaled
12/05/2016
12/07/2016
JWest
725 W Town And Country Rd, 200
ORANGE, CA 92868-4709
760-720-5485
725 W Town And Country Rd, 200
ORANGE, CA 92868-4723
760-729-2929
725 W Town And Country Rd, 200
ORANGE, CA 92868-4709
760-720-5485
BUILDING PERMIT FEE $2000+
BUILDING PLAN CHECK FEE (BLDG)
COMMUNITY FACILITIES DISTRICT (CFD) FEE
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
GREEN BUILDING STANDARDS PLAN CHECK
MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PUBLIC FACILITIES FEES -inside CFD
SB1473 BUILDING STANDARDS FEE
SDCWA SYSTEM CAPACITY CHARGE 5/8" Displacement
SEWER BENEFIT AREA FEES - B
SEWER CONNECTION FEE (General Capacity all areas)
STRONG MOTION-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1 -Medium BLDG
TRAFFIC IMPACT Residential Single Family w/in CFD
WATER METER FEE 1" Displacement
WATER SERVICE CONNECTION FEE 5/8" DISPLACEMENT (P)
WATER TREATMENT CAPACITY CHARGE 5/8" Displacement
Total Fees: $29,231.41 Total Payments To Date: $28,891.41 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.
$340.00
$1,996.30
$1,285.62
$1,723.10
$66.00
$66.00
$166.00
$92.00
$92.00
$182.00
$182.00
$8,833.30
$20.00
$4,840.00
$1,255.00
$899.00
$63.09
$232.00
$2,740.00
$362.00
$4,013.00
$123.00
Scheduled
Date
Single Family Detached
Closed -Finaled
Actual
Start Date Inspection Type
Checklist
Inspection No.
BLDG-Building Deficiency
07/24/2017 07/24/2017 BLDG-Final
Inspection
029572-2017
July 24, 2017
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
12/07/2016
11/14/2017
624
Inspection Status Primary Inspector
Passed Chris Renfro
2616 Wadsworth St
Carlsbad, CA 92010-5603
Re inspection
Yes
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Page 2 of 2
BLDG-Residential 12/05/2016 RANCHO COSTERA LLC -2483
Single Family Detached 12/07/2016
Closed -Finaled 11/14/2017 2616 Wadsworth St
Carlsbad, CA 92010-5603 624
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
12/21/2016 12/21/2016 BLDG-21 006521-2016 Passed Jonathan West Complete
Underground/Underf
loor Plumbing
Checklist
BLDG-Building Deficiency Yes
01/30/2017 01/30/2017 BLDG-11 011799-2017 Passed Jonathan West Complete
Foundation/Ftg/Pier
s (Rebar)
Checklist
BLDG-Building Deficiency Yes
03/06/2017 03/06/2017 BLDG-15 015545-2017 Passed Jonathan West Complete
Roof/ReRoof (Patio)
BLDG-Building Deficiency Yes
03/20/2017 03/20/2017 BLDG-13 Shear 016974-2017 Passed Andy Krogh Complete
Panels/HD (ok to
wrap)
03/22/2017 03/22/2017 BLDG-84 Rough 017344-2017 Passed Jonathan West Complete
Combo( 14,24,34,44)
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
03/31/2017 03/31/2017 BLDG-82 Drywall, 018452-2017 Passed Jonathan West Complete
Exterior Lath, Gas
Test, Hot Mop
BLDG-Building Deficiency Yes
BLDG-17 Interior Lath-Drywall Yes
BLDG-18 Exterior Lath and Yes
Drywall
BLDG-23 Gas-Test-Repairs Yes
05/17/2017 05/17/2017 BLDG-Fire Final 023386-2017 Passed Dominic Fieri Complete
Pessed
FIRE-Building Final Yes
05/18/2017 05/18/2017 BLDG-34 Rough 023691-2017 Passed Jonathan West Complete
Electrical
July 24, 2017 Page 1 of 2
«~~'> ~ CITY OF
RECORD COPY
CARLSBAD
Building Division INSPECTION RECORD·.
2616 WADSWORTH ST
THE VISTAS: PHASE 5B I PLAN 2 / 3,051 SF
LIV I 471 SF GARAGE I 62 SF PORCH I 204
SF CA ROOM P"'"'SPECTION RECORD CARD WITH APPROVED
1.ANS MUST BE KEPT ON THE JOB
@ CALL BEFORE 3:00 pm FOR NEXT WORI{ DAY INSPECTION DEV2016-0039
PC160070
2081904600
12/6/2016 @ FOR BUILDING INSPECTION CALL: 760-602-2725
OR GO TO: www.Carlsbadca.gov/Building AND CLICK ON
"Request Inspection"
DATE: \ G-""l-lU CBR2016-0271
Required Prior to Requesting Building Final If Checlced YES
Planning/Landscape 760-944-8463 Allow 48 hours
CM&I (Engineering Inspections) 7 60-4 38-3891 Call before 2 pm
Fire Prevention 760-602-4660 Allow 48 hours
Type of Inspection Type of Inspection
CODE# BUILDING Date Inspector Date Inspector
#11 FOUNDATION -3!)-17 . wE5i #31 0 ELECTRIC UNDERGROUND 0 UFER
#12 REINFORCED STEEL #34 ROUGH ELECTRIC
1*(,6 MASONRY PRE GROUT #33 LECTRIC SERVICE O TEMPORARY 5-
}) DGROUT D WALL DRAINS #35 PHOTO VOLTAIC
#10 TILT PANELS #39 FINAL
#11 POUR STRIPS
#11 COLUMN FOOTINGS #41 UNDERGROUND DUCTS & PIPING
#14 SUBFRAME D FLOOR D CEILING #44 0 DUCT & PLENUM 0 REF. PIPING
#15 ROOF SHEATHING
#13 EXT. SHEAR PANELS
#16 INSULATION
#18 EXTERIOR LATH #81 UNDERGROUND (11,12,21,31)
#17 INTERIOR LATH & DRYWALL #82 DRYWALL,EXT LATH, GAS TES (17,18,23) 1 '3
#51 POOL EX.CA/STEEL/BOND/FENCE #83 ROOF SHEATING, EXT SHEAR (13,15)
#55 PREPLASTER/FINAL #84 FRAME ROUGH COMBO (14,24,34,44) '?, 1,'l.. ,1
#19 FINAL #85 T-Bar (14,24,34,44}
CODE# PLUMBING Date Inspector #89 FINAL OCCUPANCY (19,29,39,49)
#22 D SEWER & BL/CO D PL/CO Date Ins ector
#21 UNDERGROUND WASTE'tiiiONTR l't•l.l•i/. . w~rr
#24 TOP OUT D WASTE D WTR A/S UNDERGROUND VISUAL
#27 TUB & SHOWER PAN A/S UNDERGROUND HYDRO
#23 D GAS TEST D GAS PIPING A/S UNDERGROUND FLUSH
#25 WATER HEATER A/S OVERHEAD VISUAL
#28 SOLAR WATER A/S OVERHEAD HYDROSTATIC
#29 FINAL A/SFINAL
CODE# STORM WATER F / A ROUGH-IN
~600 PRE-CONSTRUCTION MEETING F/AFINAL
; 03 FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH•IN
#605 NOTICE TO CLEAN FIXED EXTING SYSTEM HYDROSTATIC TEST
#607 WRITTEN WARNING FIXED EXTINGUISHING SYSTEM FINAL
#609 NOTICE OF VIOLATION MEDICAL GAS PRESSURE TEST
#610 VERBAL WARNING MEDICAL GAS FINAL
,:}-Cf -CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3}
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CBR2016-0271
Carlsbad
Dwelling Address: 2616 Wadsworth Street City:
A. System Information
01
02
03
04
05
06
Space Conditioning System Identification or Name
Space Conditioning System Location or Area Served
Building Type from CF-lR
Verified Low Leakage Ducts in Conditioned Space
(VLLDCS) Credit from CFlR?
Verified Low Leakage Air Handling Unit Credit from
CFlR?
Duct System Compliance Category
.,
. '.«'
B. Duct Leakage Diagnostic Jest
.· .. ,,
:.
01 Condenser Nominal Cooling Capacity (ton)
02 Heating Capacity (kBtu/h)
03 Conditioned Floor Area served by this HVAC system (ft2)
04 Duct Leakage Test Condition
05 Duct Leakage Test Method
06 Leakage Factor
07 Air Handling Unit Airflow (AHUAirflow) Determination
Method
08 Measured AHUAirflow
09 Calculated Target Allowable Duct Leakage Rate (cfm)
10 Actual duct leakage rate from leakage test measurement
(cfm)
11 Air Handling Unit Manufacturer Name
12 Air Handling Unit Model Number
13 Compliance Statement
Carlsbad Zip Code:
System 1
Location
Single family
No, credit is not taken
Yes credit is taken
New
.. , ,. (; '• .. , . "' '' '''"''""' ·«««,
,' ' ' .', ·"' :,.·
3 '\,' /
43
1526
Test final
Total leakage
6.0
Cooling system method
This field or section is not applicable
72
69
NA
NA
System passes leakage test
Registration Number: 215-N0163346D-M2000070A-M20A Registration Date/Time: 2017-06-14 14:35:32
92010
,.,
.· i ... . "
'
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2017-06-14 14:11:07
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
B. Duct Leakage Diagnostic Test
14 I Notes
C. Additional Requirements for Compliance
01
The Low Leakage Air-handling Unit Model identified on this compliance document is included in the list of certified Low
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.
03
Outside air (QA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
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 plent,mis or platform returns in !Eeu"of dpcts,
1 _' • -·----~ "
j '·,' . . ..,,. '· . ' ,,,, ..
06 If cloth backed tape was uselh was covered with Mastic and dra\i\lbands .
. -,.-d. ">· '. . ' .,, --,. , ___ ,,,
07 All connection points betweeri'the air handler and the,supply and return plenums are ~ompletely sealed.
' .. '>. ' . J ' '
08 Verification Status Pass -all applicable requirements are met
09 Correction Notes for this table
The responsible persons signature on this compliance document affirms that all applicable requirements in this table have
been met unless otherwise noted in the Verification Status and the Corrections Notes in this table ..
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01 I Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N0163346D-M2000070A-M20A Registration Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2017-06-14 14:11:07
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: C£&U?//Ul, O+clw1d6 Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2017-06-14 14:18:58
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 ofthe Certificate(s)of lnstalla!i6rii{€F2fJsigo.ed and sl.JbrqJtted by the per~on(s) responsible for the
construction or installation conforms to the requiremeots specified pn the Cert:M~~~~(s)}'.f ~cir;ilpliarice (CFi~J
1
approved b~fhe enfor~ement agency.
5. I will ensure that a registered copy of this Cer;tificate of Verification shall be post'ed;or made .ayailab[e with the Ja-llilding perrqit(s) issued for the
building, and made available,sg.th:~,enforcerileot a~en~¥[or all applicaJale)Q,SPE;,5/i~g?,1; !understand }hat a re§izfereJcopy of thfsCert!ficate5if
Verification is required to be fnc!\!c:ie,d with the documerifation the builder provides to tfie building owner at occupancy. ,,,.. '.' ' J' '·
Builder Or Installer Information A~Shown bnThJ 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)
217-03280 Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: <J)~f}~adi Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2017-06-14 14:35:32
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: 215-N0163346D-M2000070A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2017-06-14 14:11:07
Schema Version: 2013.1.007
CERTIFICATE OF VERIFICATION
Duct Leakage Diagnostic Test
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of
Carlsbad
Dwelling Address: 2616 Wadsworth Street City:
A. System Information
01
02
03
04
05
06
Space Conditioning System Identification or Name
Space Conditioning System Location or Area Served
Building Type from CF-lR
Verified Low Leakage Ducts in Conditioned Space
(VLLDCS) Credit from CFlR?
Verified Low Leakage Air Handling Unit Credit from
CFlR?
Duct System Compliance Category
...
B. Duct Leakage Diagnostic l'est ... JZ ,--,-:,~{~,,
-7'.!0 .. /'>
01 Condenser Nominal Cooling C:aP;ecity (ton)
02 Heating Capacity (kBtu/h)
7
03 Conditioned Floor Area served by this HVAC system (ft2)
04 Duct Leakage Test Condition
05 Duct Leakage Test Method
06 Leakage Factor
07 Air Handling Unit Airflow (AHUAirflow) Determination
Method
Carlsbad
System 2
Location
Single family
No, credit is not taken
Yes credit is taken
New . . ... . .. c'
••••
..
··\.> .... r •;
3
43
1525
Test final
Total leakage
6.0
Cooling system method
CF3R-MCH-20-H
(Page 1 of 3}
Permit Number: CBR2016-0271
Zip Code: 92010
. .. , .. . . ... ;• {
.·· ..• r• . ••
.
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate (cfm) 72
10 Actual duct leakage rate from leakage test measurement 47
(cfm)
11 Air Handling Unit Manufacturer Name NA
12 Air Handling Unit Model Number NA
13 Compliance Statement System passes leakage test
Registration Number: 215-N0163346D-M2000071A-M20A Registration Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2017-06-13 16:31:24
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
B. Duct Leakage Diagnostic Test
14 I Notes
C. Additional Requirements for Compliance
01
The Low Leakage Air-handling Unit Model identified on this compliance document is included in the list of certified Low
Leakage Air-Handling Units published on the Energy Commission Website at:
http://www.energy.ca.gov/tit1e24/2008standards/specia1 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.
03
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
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 Heu of Gl:Uct5;.
06 If cloth backed tape was LJsed.;lt was ccl~~red witn' N(lasticand draw bands,
',i '; oe,_<,,,,,,, •• •: -; -{,,".,,./
··•··
;.
07
;·: '.: ),
All connection points between the air handler and the supplyand retumplenums 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 I Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N0163346D-M2000071A-M20A Registration Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2017-06-13 16:31:24
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: Q?~CJ~ Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2017-06-14 14:18:58
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 secti9ns of the Certificate(s) of; rrrsfallaftorrfC:F2Ry signed ahd.stlbmitted by the person(s) responsible for the
construction or installation conforms to the requiremer;itsspecified on the Certffifate(s)!~f C:omplian,ce (c:FlR) approved by)the ~Jorcement agency.
5. I will ensure that a registered copy of this C:ertificate ofyerffication shall be posYeti, or made:availabi~ with tlie building permit(s) issued f~r the
building, and made avail~~,flG~!l\~nforcement agency f9r;a11 ~~plits1:~[e,,Jpspectionr I ~nder;~and~Jiat a regi5,tere~ copy ~J th\~ Certificafeof
Verification is required to be with the documentation the builder provides to the building owner at occupancy.
,-; ~~ ', -: ,' ', , ' "
, .. e· ,, .. ,'
Builder Or Installer Information As Shown On The Cert.ifi'cate Of Installation ··
C:ompany Name (Installing Subcontractor, General C:ontractor, or Builder/Owner):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: C:SLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable)
217-03280 Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: CJ)OIJ?iei !}tada& Daniel Granback
Responsible Rater C:ertification Number w/ this HERS Provider: Date Signed:
CC2004061 2017-06-14 14:35:32
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 Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS Registration Number: 215-N0163346D-M2000071A-M20A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2017-06-13 16:31:24
2013 Residential Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of4)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CBR2016-0271
Carlsbad
Dwelling Address: 2616 Wadsworth Street 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
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
.p; ... ,. ' , ... ;'.
08 System Bypass Duct Status .. No Bypass Duct > ::. ·• n .. ;;. ··;
Date of System Airflow Rate M~asurement
·; ..
2017~06-01 ;;;
;; ;;;;..
09 ... : .. ,;{ X <>it, >,-, ; .... .·.
''0'""''_c,
10 Airflow Rate Protocol Utilized ·· :. RA3.3 procedures for ajrflov., 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.l.l.
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.l.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.l.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/eq u i pment_cert/ama_fas
/index.html
Registration Number: 215-N0163346D-M2300070A-M23A Registration Date/Time: 2017-06-1414:35:32 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-06-13 16:32:02
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) 1050
03 Actual System Airflow Rate Measurement (cfm) 1305
04 Compliance Statement: System airflow rate complies
E. Additional Requirements
01
02
03
04
05
06
07
08
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.
_.,><';;..'; ;):'.: ,,.> ,>?-.,. .>
• SC •:: •:,: : ':< ,:
The airflow rate measurement apparatus used toperfqrm:the airflp»i ratecn;~asureirentlE:ientified onthi~;Certific;ate of
Verification was calibrateE:i in ~tcordance with the app;,iraf!i)S manufacturer\ speciffcations ~~d confo~E)1S to the
instrumentation specifidtio)1sgiven in RA3'.3':1. ' -· '
··~. .. -
', :-";-,
A visual inspection shall confirm that bypass ducts that deliverconditidned supply air directly to the space conditioning
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.
All registers were fully open during the diagnostic test.
System fan was set at maximum speed during the diagnostic test.
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
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
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-N0163346D-M2300070A-M23A Registration Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-06-13 16:32:02
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate {Page 3 of4)
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 I Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N0163346D-M2300070A-M23A Registration Date/Time: 2017-06-1414:35:32 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-06-13 16:32:02
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: (£&Wna., CA:duudJ Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2017-06-1414:18:58
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 an this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified an the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported an applicable sections,ofthe Certificate(s) ofliistallatfbil (CF2R)'sig11ed ail<l'sUbm):tred,by the persan(s) responsible for the
construction or installation conforms ta the requirements sp1=cifiedor1 the Certfficate(s) .of ~ompliance (CF:tR)approved by the enfor:~7mentagency.
5. I will ensure that a registered cap¥af this Certificate of Veri1~at1~n !}all be pa~fed, or mad/availabl7 with theb,uilding perrnit(s) iss~~d (~; the
building, and made availablJW? tni enforcement,a&ency fo/~11 a;f pl1c<1b,le~pspections. I understand that a.r:~~tered copy of this Certificate,of
Verification is required ta be'fnc:l\.t~ed with the documentation the buifcterprovides to t~e building owner atoccupancy. . .
!,1;:),' ' ,, . . " " ,. ... " ' ,, ' Builder Or Installer Information As Shown On The Certificate Of Installation
Campany 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)
217-03280 Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: <J)O/J?iet !}wdacA Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
((2004061 2017-06-14 14:35:32
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 Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS Registration Number: 215-N0163346D-M2300070A-M23A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-06-13 16:32:02
2013 Residential Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of4)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CBR2016-0271
Carlsbad
Dwelling Address: 2616 Wadsworth Street 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 3
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
·. .· f., .><\).;:•, ·:: ..• .ce••·
08 System Bypass Duct Status y No'.Bypass.Oud >:.::), ,) '-;,>y-_--~ ' J ..... ;
. ;,) .: : .. .. 'I 09 Date of System Airflow Rate Measurement <·:: 301ro6-Q8 t• · .. ·. '''. ''.·, . .. . ...
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.l.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/eq u i pment_ cert/ama _fas
/index.html
Registration Number: 215-N0163346D-M2300071A-M23A Registration Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-06-13 16:32:39
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of4)
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) 1050
03 Actual System Airflow Rate Measurement (cfm) 1281
04 Compliance Statement: System airflow rate complies
E. Additional Requirements
01
02
03
04
05
06
07
08
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.
" :/i : / / '<, ,;,,, ~--," >,
• · .... ·. .; •u• J• • . •. The airflow rate measuremenlapparattls used to p7rfqr~dhe airHQW rat~rngasurement icj~rtified orithiseertificate of
Verification was calibrate9 in i;;ordanc~ with the app#rai!~s manuf~cture(s sgecifications atjd conforms !P the
instrumentation specificJttE.II\\Jtgiven in RA3:3:1. ' · ·· ?; ·• ·• 1
•Y:) . • . . ·. ·. •.. .• ·. . • • ' .·
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directry to the space conditioning
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.
All registers were fully open during the diagnostic test.
System fan was set at maximum speed during the diagnostic test.
If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
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
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-N0163346D-M2300071A-M23A Registration Date/Time: 2017-06-1414:35:32 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-06-13 16:32:39
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 I Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N0163346D-M2300071A-M23A Registration Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-06-13 16:32:39
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
Company: Date Signed:
Energy Inspectors 2017-06-1414:18:58
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 secti91'.\so1'the Certificafe(sl, ptrnsrallaflori\,f@F4~)sitfled',art?silibrqitfed by the person(s) responsible for the
construction or installation confo.rms to the [/l-quirements sp,ecified ?n the Cert!flca~e(sfof C~rnpliaf(ce (CF1R)approved bythe Eenfor.cementagency.
5. I will ensure that a registered cop,iof this cJ~ificate of yerificatf~n ~hall be po,ltor rna'dlavailabi1 with {ne l:>uilding percmit(~) isS~E;d f9~ the
building, and made availabfE;;,tO t~enforceme.r:it 9g~ncy for.ill <l~plical:>[EejJ;!SP(i!JR,~· I sindersJ;and !Jlat a,r,i=gii~repcopy of th/s Certificate of
Verification is required to be rncly.c!M with the cfocumenfation the builder provfcfesto the builcfing owner atoccupancy.
,, '" ,''•,,: ,-·,,.,. .·
,; '" '•. ; " . ; ·• ·. ;
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:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable):
217-03280
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name:
Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider:
((2004061
CSLB License:
Dwelling Test Status in Sample Group (if applicable)
Tested
Responsible Rater Signature:
Date Signed:
2017-06-14 14:35:32
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 Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS Registration Number: 215-N0163346D-M2300071A-M23A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-06-13 16:32:39
2013 Residential Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 3)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CBR2016-0271
Carlsbad
Dwelling Address: 2616 Wadsworth Street 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
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 V. ..;,.;;.;~... ;•,;,.
NdBypass'Duc;t .. .. .. < ..
,;,,: .; . · .... •. . . ··; .
09 Date of System Airflow RatE: M~asurenfe.nt 2017-06-08 '; .. ;;: ... ·: ... : . . · " ?-~J;, :;, ; ' : .. . ..
10 Airflow Rate Protocol utilized RA3.3 procedures for airflow ·rate measwement
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.l, and system fan watt measurement apparatus information is given in
RA3.3.2.2.
01 I Fan Watt Verification Device Used. I 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 567
02 Actual Tested Airflow from MCH-23 (cfm) 1305
03 Required Fan Efficacy (watts/cfm) 0.58
04 Actual Fan Efficacy (watts/cfm) 0.43
05 Compliance Statement: System fan efficacy complies
Registration Number: 215-N0163346D-M2200070A-M22A Registration Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 0.51SDD
Report Generated: 2017-06-13 16:36:19
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.
05
Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
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 documentiiffirm~ that all applicable reguirements in this table have
been met unless otherwise noted in the Verification Status ~n,ithe Corrections Notes in;this'.table. .
~:'. . . }'< ; J'.}. ' . ' -~ .. ' . " ,.,,,
•. , . ,. ,; ;;"<• ·~;s., .:
E. Determination of HERS Verifi~~tJon 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-N0163346D-M2200070A-M22A Registration Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: O.SlSDD
Report Generated: 2017-06-13 16:36:19
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: ~~ Otdu:ud~ Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2017-06-14 14:18:58
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 sectionslW1:he Certificate(s) gftlristalla1:o[on (H2R:)'signed ancfslibrµjtted by the perspn(s) responsible for the
construction or installation conforms to the rE!quirements s~ecifiedo~ the Certificat~(s)';t>f sqrnpliaJ~e (C~~) approved by.the ~~fo(cementagency.
5. I will ensure that a registered copy, of this Certificate ofVeri:fka~on ~hall be post,~i:I, ·or m~·ae'',iyailable with t'fi~ building percrµit(s} issu~d for the
building, and made availabJ.i=:tpthe,enforcenienti\@n~Xfqr,,all appl~~ble inspectigqs. 1jnderstandJ:hat a r;1=gi5tered copy qf thi5Certjficate of
Verification is required to be l~c\ui:fed with the doct2me~t~tlon t'he builde~ providesto tti"e 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)
217-03280 Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: 0cwuel&~ad Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2017-06-14 14:35:32
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 Date/Time: 2017-06-1414:35:32 HERS Provider: CalCERTS Registration Number: 215-N0163346D-M2200070A-M22A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: 0.SlSDD
Report Generated: 2017-06-13 16:36:19
2013 Residential Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 3)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CBR2016-0271
Carlsbad
Dwelling Address: 2616 Wadsworth Street 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 3
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
No~ypas5;;~uj, '','f ,,•t·
08 System Bypass Duct Status
' . ·.· ;, ' ·.· ' . ,,,, '"', ( 09 Date of System Airflow Rate Me.asurement 2017-06-CJ8 ., ... ,. . . . ;,, .. '
10 Airflow Rate Protocol utilize/H{: 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 I Fan Watt Verification Device Used. I 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 532
02 Actual Tested Airflow from MCH-23 (cfm) 1281
03 Required Fan Efficacy (watts/cfm) 0.58
04 Actual Fan Efficacy (watts/cfm) 0.42
05 Compliance Statement: System fan efficacy complies
Registration Number: 215-N0163346D-M2200071A-M22A Registration Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 0.51500
Report Generated: 2017-06-13 16:36:51
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 co111pliance documentaffium~;;that alkapplica~le requirements in this table have
been met unless otherwise noted in the Verification Status and the Corr'ection·J Notes in thisitable. ·
l ll . >, -/t .. > .
.le. . : 1:t :r ·. ; ,!f .. ·· 'l i: '.; . ·. ..
,,, ",~ .... .. .,, ,.. •· .. .
E. Determination of HERS Verifi~ation Compliance
All applicable sections of this document shall indicate complia1{ce with the specifie<:J verification prntocol 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-N0163346D-M2200071A-M22A Registration Date/Time: 2017-06-1414:35:32 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: O.SlSDD
Report Generated: 2017-06-13 16:36:51
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: <£~ 0~ Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2017-06-1414:18:58
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 sectioqs;:ofthe Certifica{e(s) pf l'nstallatton(GF2.R,fsfgned an~subrultted by the perso~(s) responsible for the
construction or installation conforms to the{equirements-specifiedon the Cert~icat~(stpf .compliance (CF/j,R,)approved by;the epfort:ementagency.
5. I will ensure that a registered copy.of this cJ~ificate ofyeriffcation s!'lall be post~c(or n;tade ~vailab'l;e with tn/ouilding peii~it(s} iss~ed {()r the
building, and made availabte,tq t~~enforceme!ii\ag~n~f()fall ~.f?plicat;>Je},Q2Pectio.n~. I Llndef~tand i.fiat a ,egjs,teredcopy of this Certificate of
Verification is required to be ifid\;lil.~d with the documentation ttie builde'r'provldes 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)
217-03280 Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: gmm:ee !}~acA Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2017-06-14 14:35:32
Digita//y 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 Date/Time: 2017-06-14 14:35:32 HERS Provider: CalCERTS Registration Number: 215-N0163346D-M2200071A-M22A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: O.SlSDD
Report Generated: 2017-06-13 16:36:51
2013 Residential Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 1 of 3)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CBR2016-0271
Carlsbad
Dwelling Address: 2616 Wadsworth Street 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/ASH RAE
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/SH RAE Standard 62.2-2010.
A. Dwelling Mechanical Ventilation -General Information
01 Dwelling unit name The Vistas at Robertson Ranch
02 Building Type Single family
03 Project scope Newly constructed building
Total Conditioned Floor Area of Dwelling Unit 3051
04 (For addition projects the conditioned floor area equals
existing area plus addition area. ) ,.>J' lb, f\t ",, ,,;, [ .J ,;
... , . ·.· .
Number of bedrooms in dweH~ng unit , .· 5
05 (For addition projects thel'~U.111Ser of bed~99mseqUals;thi
existing bedrooms plus addfti9~J1edrooms)
; ;,
' . ' 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 76
02 Installed Continuous Whole-Building Ventilation Rate 108
C. Compliance Statement
01 I Building passes continuous whole-building ventilation rate test
Registration Number: 215-N0163346D-M2700069A-M27A Registration Date/Time: 2017-06-14 14:35:33 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-06-13 16:33:16
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 I Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N0163346D-M2700069A-M27A Registration Date/Time: 2017-06-14 14:35:33 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-06-13 16:33:16
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: <:£ {J1R/JUb 0~ Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2017-06-14 14:18:58
Address: CEA/ HERS Certification Identification (if applicable):
2570 South Miller Lane Las Vegas I 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 secticms of the Certificate(s) qfli'Ystallation (CF2R)'sigl]ed an.d submitted.by the perzon(s) responsible for the
construction or installation conforms to the r~quirementsspeci!fed~qi, the Certififate(sj,of Co~pliart~e (CFl~) approved byj:he enforc:ement agency.
s. I will ensure that a registered copy of this Cep:ificate of:Verltjrnti:1,n ~~all be posted; cir rri'fal'?l!~yailable with tr,t~uilding permit(s) issued for the
building, and made availabre,tq the enforcerrie!il,\?gem:\{ fo(all ~pplfc<;1:b)e in,spe/:tion~. I ~ndef!itand ttiat aregisteretj,copy qf this Certificate of
Verification is required to be°r~iltud.ed with the ddtumenta'tion the builder providesfo tfie building owner ~t'o'CcupJncy. '~s;;g__-:;; -.c ~ '',> -, . . ; :···· ·.: ..
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)
217-03280 Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: <J)amlet &~ad Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2017-06-14 14:35:33
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 Date/Time: 2017-06-14 14:35:33 HERS Provider: CalCERTS Registration Number: 215-N0163346D-M2700069A-M27 A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-06-13 16:33:16
2013 Residential Compliance
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING Additional Energy Features
Additional Energy Feature Verification (Page 1 of 1)
Project Address: 2616 Wadsworth Street Carlsbad CA. 9201 O Builder Name: Toll Brothers, Inc. -Southern CA
Builder Contact: na Telephone: 999-999-9999
Plan Number: Tolll 44 Plan 21 Sample Group Number: 217-03280 I Sample House Number:
HERS Rater: Daniel Granback Telephone: 702-365-8080
Certifying Signature: <J)a;m;ei !}tml'lfiri Date: 2017-06-13 16:32:51
Firm: Energy Inspectors HERS Provider: CalCERTS inc.
Street Address: 2570 South Miller Lane City/State/Zip: Las Vegas I NV I 89117
1 a) Radiant Barrier Required: Yes
lb) Was the Radiant Barrier installed? Yes
2) Opaque Surfaces: Opaque Surfaces MATCH or EXCEED the values in the CFl R.
3) Glazing (Window) Values: SHGC and U-Values Surfaces MATCH or EXCEED the values in the CFl R.
4) HVAC Efficiency: HVAC Efficiencies MATCH or EXCEED the values in the CFl R.
5) Verify Water Heater Efficiency: Water Heater System Efficiencies MATCH or EXCEED the value in the CFl R
Ccicyof
Carlsbad
RESIDENTIAL GREEN
BUILDING CODE
STANDARDS MANDATORY
MEASURES
CERTIFICATION
CHECKLIST
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
B-51
Site Development
" ..... ,• ~ . -· -. Mandatory
4.106.2 A plan is developed and implemented to manage storm water drainage during construction. (X)
4.106.3 The site shall be planned and developed to keep surface water away from buildings. (X)
Construction plans shall indicate how site grading or a drainage system will manage all surface water
flows. en,rgy l:fflciency .,
4.201.1 Low-rise residential buildings shall meet or exceed the minimum standard design required by (X)
the California Energy Standards .
. , .. , . . · ... ·. ' •'
V,Vater l;fficie11cy and Ce>fl!H~rvc1ti<>n '" ''
lndqQ! Water Use
.
4.303.1 Indoor water use shall be reduced by at least 20 percent using one of the following methods: (X)
1. Water saving fixtures or flow restrictors shall be used. 7/01/2011
2. A 20 percent reduction in baseline water use shall be demonstrated.
4.303.2 When using the calculation method specified in Section 4.303.1, multiple showerheads shall not (X)
exceed maxim um flow rates. 7/01/2011
4.303.3 Plumbing fixtures (water closets and urinals) and fittings (faucets and shower heads) shall (X)
comply with specified performance requirements. 7/01/2011
outdoor Water µse '
" '
4.304.1 Automatic irrigation systems controllers installed at the time of final inspection shall be weather-(X)
based.
,Enhanced Durability and Reduced Maintenance
4.406.1 Joints and openings. Annular spaces around pipes, electric cable~. conduits or other openings
in plates at exterior walls shall be protected against the passage of rodents by closing such openings (X)
with cement mortar, concrete masonry or similar method acceptable to the enforcing agency.
Constructfcm Wc1,te M~nfl~~.me11i Plan
4.408.1 A minimum of 50 percent of the construction waste gen_erated at the site is diverted to recycle or (X)
salvage. Recycled material receipts from approved recyclers must be attached to this form.
4.408.2 Where a local jurisdiction does not-have a construction and demolition waste management (X)
ordinance, construction waste management plan, per form 8-59, shall be submitted for approval to the
enforcina agency .
. Buildin~ M~intenance and Operation.
4.410.1 An operation and maintenance manual shall be provided to the building occupant or owner. (X}
Environmental Quality \
"
Fir~J)la~es
... ··-:.··:···· .. · " --~
4.503.1 Any installed gas fireplace shall be a direct-vent sealed-combustion type. Any installed
woodstove or pellet stove shall comply with US EPA Phase II emission limits where applicable. (X)
Woodstoves, pellet stoves and fireplaces shall also comply with aoolicable local ordinances.
Pollutant Control
4.504.1 Duct openings and other related air distribution component openings shall be covered (X)
during construction.
4.504.2.1 Adhesive, sealants and caulks shall be compliant with VOC and other toxic compound (X)
limits. (X)
4.504.2.2 Paints, stains and other coatings shall be compliant with voe limits. (X)
4.504.2.3 Aerosol paints and coatings shall be compliant with product weighted MIR limits for
ROC and other toxic compounds. ' (X)
4.504.2.4 Documentation shall be provided to verify that compliant voe limit finish materials
have been used. (X)
4.504.3 Carpet and carpet systems shall be compliant with VOC limits.
4.504.4 50 percent of floor area receiving resilient flooring shall comply with VOC-emission limits (X)
defined in the Collaborative for High Performance Schools (CHPS) Low-emitting Materials List or
be certified under the Resilient Floor Covering Institute (RFCI) FloorScore program. (X)
4.504.5 Particleboard, medium density fiberboard (MDF) and hardwood plywood used in interior
finish systems shall comply with low formaldehyde emission standards.
Interior Moisture Control
4.505.2 Vapor retarder and capillary break is installed at slab on grade foundations. (X)
4.505.3 Moisture content of building materials used in wall and floor framing is checked before (X)
enclosure.
Indoor Air Quality and Exhaust
4.506.1 Exhaust fans which terminate outside the building are provided in every bathroom. (X)
Environmental Comfort
4.507.1 Whole house exhaust fans shall have insulated louvers or covers which close when the (X)
fan is off. Covers or louvers shall have a minimum insulation value of R-4.2.
4.507.2 Duct systems are sized, designed, and equipment is selected using the following
methods: (X)
1. Establish heat loss and heat gain values according to ACCA Manual J or equivalent.
2. Size duct systems according to ACCA 29-D (Manual D) or equivalent
3. Select heatinq and cooling eauipment according to ACCA 36-S (Manual S) or equivalent.
Installer and Special Inspector Qualifications
702.1 HVAC system installers are trained and certified in the proper installation of HVAC (X)
systems.
702.2 Special inspectors employed by the owner must be qualified and able to demonstrate (X)
competence in the discipline they are inspectinQ.
I, as the professional responsible for this project, certify that, to the best of my knowledge, the mandatory items
listed on this form have been incorporated into the project in order to comply with Title 24, Part 11 of the 2013
California Green Building Standards. All receipts for recycled materials have been attached to this form.
Project Address: ~lsl(o v.Jc..c~s lwrf t., $ f. Plan Check Number: ])c_ \(..-0:). \ '2.
Print Name: ~W\65 ~t~s Signed: \~ •
License Number: bi is-l{ 3 Date: It:> /1 /,1
8-51 Page 2 of 2 Rev. 11/15