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Home My WebLink About2668 WADSWORTH ST; ; CB161469; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-19-2016 Residential Permit Permit No: CB161469 Building Inspection Request Line (760) 602-2725 Job Address: 2668 WADSWORTH ST CBAD Permit Type: Parcel No: Valuation: RESDNTL Sub Type: SFD 2081931900 Lot#: 241 $479,444.00 Constuction Type: 58 Status: ISSUED Applied: 04/1512016 Entered By: SLE Occupancy Group: # Dwelling Units: 1 4 Reference#: CT130003 Structure Type: SFD Bathrooms: 4.5 Plan Approved: 0511912016 Issued: 0511912016 Bedrooms: Inspect Area: Orig PC#: PC150042 THE VISTAS: PHASE 31 PLAN 2 Plan Check #: PC 160023 Project Title: 3,051 SF LIV I 471 SF GARAGE I 62 SF PORCH 1204 SF CA ROOM Applicant: TOLL BROTHERS INC 725 W TOWN AND COUNTRY 200 ORANGE CA 92868 760-720-5485 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee HMP Fee Pot. Water Con. Fee Meter Size Add'l Pot. Water Con. Fee Reel. Water Con. Fee Green Bldg Stands (SB1473) Fee Green Bldg Stands Plan Chk Fee $1,975.06 $0.00 $1,382.54 ($500.00) ($110.60) $62.33 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,934.00 FS1 $0.00 $0.00 $20.00 $0.00 Total Fees: $27,845.50 Total Payments to Date: Inspector: Owner: RANCHO COSTERA LLC STE 200 725 W TOWN AND COUNTRY RD ORANGE CA 92868-4723 Meter Size Add'l Reel. Water Con. Fee Meter Fee SDCWA Fee CFD Payoff Fee PFF (3105540) PFF (4305540) License Tax (31 04193) License Tax (4304193) Traffic Impact Fee (3105541) Traffic Impact Fee (4305541) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees Fire Sprinkler Fees TOTAL PERMIT FEES $27,845.50 Balance Due: Clearance: FS1 $0.00 $356.00 $4,963.00 $1,710.27 $8,725.88 $0.00 $0.00 $0.00 $2,690.00 $0.00 $0.00 $315.00 $89.00 $130.02 $0.00 $0.00 $0.00 $0.00 $2,103.00 $0.00 $0.00 $27,845.50 $0.00 NOTlCE: Aease take NOTlCE Ita apprcMII ci your ~ect irdudes tre "I · ion" ci fees, dedications, resavations, or cther exactions hereafter oolledively refsred to as "feeslexa:iions." Yru have 00 days from the date this pemit VB3 issued to prctest ifTIX)Sitim ci these fees/exactions. If you pretest them, you rrust fdiONthe pretest prorlJres sa forth in <?DiemTent COOe Sectim GOOZl(a), ard file the protest end cny ether ra:rJre:l inforrratim wth the aty ~for pucessirg in acroda"cewth Ca1sba:l Mrlidj:EI COOe Sectim3.32.030. Faihreto tirrelyfoiiONthat p-oolCkrewll barcny subseqJert legal a:iim to attack, review, sa aside, \tid, or crn.d their ifTIX)Sition. Yru ere heret1y FLRl1-ER NOTlAEDthat yrur rig,! to prctest the specified feeslexa:iions c:x::ES NCJr APA...Ytovaer end se'J\el'oonnedim fees and ~ty changes, nor plcnirg, zairg, gairg or cther sinilcr applicatim pucessirg or service fees in CXJmedim wth tns ~ect. 1\CR c:x::ES IT APA... Y to cny . . . . . t . . . . City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-19-2016 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW160210 Job Address: Permit Type: 2668 WADSWORTH ST CBAD SWPPP Status: Parcel No: 2081931900 Lot#: 241 Applied: Reference #: CB#: Project Title: Applicant: TOLL BROTHERS STE 200 CT130003 CB161469 THE VISTAS: PHASE 3/ PLAN 2 725 W. TOWN AND COUNTRY RD ORANGE CA 92868 760-877-9885 Emergency Contact: GREG DEACON 760-637-9083 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Entered By: Issued: Inspect Area: Owner: RANCHO COSTERA LLC STE 200 Tier: Priority: 725 W TOWN AND COUNTRY RD ORANGE CA 92868-4723 ISSUED 04/28/2016 SLE 05/19/2016 1 L $0.00 $59.00 $0.00 $59.00 Total Fees: $59.00 Total Payments To Date: $59.00 Balance Due: FINAL APPROVAL DATE-ClEARANCE. __ _ SIGNATURE fflt. $0.00 Inspection List CB161469 RESDNTL SFD THE VISTAS: PHASE 3 / PLAN 2 Date Inspection Item Inspector Act Comments 3,051 SF LIV / 471 SF GARAGE / 62 SF PO Permit#: Type: 27 Shower Pan/Roman Tubs AEK AP09/15/2016 82 Drywall/Ext Lath/Gas Test AEK AP09/13/2016 84 Rough Combo AEK AP09/02/2016 13 Shear Panels/HD's AEK AP08/26/2016 21 Underground/Under Floor PB AP08/17/2016 22 Sewer/Water Service PB AP08/17/2016 22 Sewer/Water Service PB CA08/15/2016 15 Roof/Reroof AEK AP08/11/2016 11 Ftg/Foundation/Piers PB AP06/20/2016 11 Ftg/Foundation/Piers PB NR06/17/2016 21 Underground/Under Floor PB AP06/13/2016 Monday, November 21, 2016 Page 1 of 1 PERMIT INSPECTION HISTORY REPORT (CB161469) BLDG-Residential 04/15/2016Application Date:Permit Type:Owner:RANCHO COSTERA LLC Subdivision:Single Family Detached 05/19/2016Work Class:Issue Date: 2668 Wadsworth St Carlsbad, CA Address:Issued - Active 03/14/2017Expiration Date:Status: IVR Number: 713829 Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 11/16/2016 11/16/2016 BLDG-Final Inspection 001408-2016 Passed Andy Krogh Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Strutural Final Yes BLDG-Electrical Final Yes November 21, 2016 Page 1 of 1 <<~'> ~ CITY OF CARLSBAD J~!:dlding Division INSPECTION RECORD iNSPECTION RECORD CARD WITH APPROVED PLANS MUST BE I<EPT ON THE JOB ~ CALL BEFORE 3:30pm FOR NEXT WORK DAY INSPECTION li:l FOR BUILDING INSPECTION CALL: 760-602·2725 OR GO TO: www.Carlsbadca.goXfBulld!ng AND CLICK ON "Request Inspection" DATE: -/l.P CODI!tl STORM WATE:R REV1M012 CB161469 2668 WADSWORTH ST THE VISTAS: PHASE 3/ PLAN 2 3,051 SF LIV /471 SF GARAGE /62 SF PORCH /204 SF CAROOM RESDNTL SFD Lot#: 241 TOLL BROTHERS INC RECORD COPY SEE BACK FOR SPECIAL NOTES ?.. 4.1 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: CB161469 Carlsbad Dwelling Address: 2668 Wadsworth Street City: Carlsbad Zip Code: 92010 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area Served Location 03 Building Type from CF-1R Single family 04 Verified Low Leakage Ducts in Conditioned Space No, credit is not taken (VLLDCS) Credit from CFlR? 05 Verified Low Leakage Air Handling Unit Credit from Yes credit is taken CF1R? 06 Duct System Compliance Category New B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 3 02 Heating Capacity (kBtu/h) 52 03 Conditioned Floor Area served by this HVAC system (ft2) 1526 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor 6.0 07 Air Handling Unit Airflow (AHUAirflow) Determination Cooling system method Method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage Rate (cfm) 72 10 Actual duct leakage rate from leakage test measurement 38 (cfm) 11 Air Handling Unit Manufacturer Name N/A 12 Air Handling Unit Model Number N/A 13 Compliance Statement System passes leakage test Registration Number: 215-N0163346D-M2000038A-M20A Registration Date/Time: 2016-11-17 11:12:28 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 Report Generated: 2016-11-17 10:26:11 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 The Low Leakage Air-handling Unit Model identified on this compliance document is included in the list of certified low 01 Leakage Air-Handling Units published on the Energy Commission Website at: httg:L[www.energl£.ca.gov[title24[2008standards[sgecial case aggliance[sugglemental listings[Low Leakage Air- Handling Unit Listing 2Q12-10-30.gdf {grovide ugdated link}. 02 System was tested in its normal operation condition. No temporary taping allowed. Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage 03 testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 04 All supply and return register boots were sealed to the drywall. 05 Building cavities were not used as plenums or platform returns in lieu of ducts. 06 If cloth backed tape was used it was covered with Mastic and draw bands. 07 All connection points between the air handler and the supply and return plenums are completely sealed. 08 Verification Status Pass-all applicable requirements are met 09 Correction Notes for this table The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table .. D. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 I Complies: All specified verification protocol requirements on this document are met. Registration Number: 215-N0163346D-M2000038A-M20A Registration Date/Time: 2016-11-17 11:12:28 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 Report Generated: 2016-11-17 10:26:11 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: ~~~ Lorena Pichardo Company: Date Signed: Energy Inspectors 2016-11-17 10:57:23 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 1 certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy ofthis Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC Responsible Builder or Installer Name: CSLB License: Michelle Sanchez HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Energy Inspectors Responsible Rater Name: Responsible Rater Signature: CJ)cwu:et!}~acA Daniel Granback Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2004061 2016-11-1711:12:28 Digitally signed by CaiCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Date/Time: 2016-11-1711:12:28 HERS Provider: CaiCERTS Registration Number: 215-N0163346D-M2000038A-M20A CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 Report Generated: 2016-11-17 10:26:11 2013 Residential Compliance 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: CB161469 Carlsbad Dwelling Address: 2668 Wadsworth Street City: Carlsbad Zip Code: 92010 A. System Information 01 Space Conditioning System Identification or Name System 2 02 Space Conditioning System Location or Area Served Location 03 Building Type from CF-1R Single family 04 Verified Low Leakage Ducts in Conditioned Space No, credit is not taken (VLLDCS) Credit from CF1R? OS Verified Low Leakage Air Handling Unit Credit from Yes credit is taken CF1R? 06 Duct System Compliance Category New B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 3 02 Heating Capacity (kBtu/h) 52 03 Conditioned Floor Area served by this HVAC system (ft2) 1525 04 Duct Leakage Test Condition Test final OS Duct Leakage Test Method Total leakage 06 Leakage Factor 6.0 07 Air Handling Unit Airflow (AHUAirflow) Determination Cooling system method Method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage Rate (cfm) 72 10 Actual duct leakage rate from leakage test measurement 48 (cfm) 11 Air Handling Unit Manufacturer Name N/A 12 Air Handling Unit Model Number N/A 13 Compliance Statement System passes leakage test Registration Number: 215-N0163346D-M2000039A-M20A Registration Date/Time: 2016-11-17 11 :12:29 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 Report Generated: 2016-11-17 10:26:20 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 The Low Leakage Air-handling Unit Model identified on this compliance document is included in the list of certified Low 01 Leakage Air-Handling Units published on the Energy Commission Website at: httg:[Lwww.energ~.ca.govLtitle24L2008standardsLsgecial case agglianceLsugglemental listingsLLow Leakage Air- Handling Unit Listing 2012-10-30.gdf {grovide ugdated link}. 02 System was tested in its normal operation condition. No temporary taping allowed. Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage 03 testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 04 All supply and return register boots were sealed to the drywall. OS Building cavities were not used as plenums or platform returns in lieu of ducts. 06 If cloth backed tape was used it was covered with Mastic and draw bands. 07 All connection points between the air handler and the supply and return plenums are completely sealed. 08 Verification Status Pass-all applicable requirements are met 09 Correction Notes for this table The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table .. D. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 I Complies: All specified verification protocol requirements on this document are met. Registration Number: 215-N0163346D-M2000039A-M20A Registration Date/Time: 2016-11-17 11:12:29 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 Report Generated: 2016-11-17 10:26:20 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3} Documentation Author's Declaration Statement 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: ~~~ Lorena Pichardo Company: Date Signed: Energy Inspectors 2016-11-17 10:57:24 Address: CEA/ HERS Certification Identification (if applicable): 2570 South Miller Lane City/State/Zip: Phone: Las Vegas NV 89117 702-365-8080 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name {Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC Responsible Builder or Installer Name: CSLB License: Michelle Sanchez HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Energy Inspectors Responsible Rater Name: Responsible Rater Signature: q)O/Jliet!}~d Daniel Granback Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2004061 2016-11-1711:12:29 Digitally signed by CaiCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Date/Time: 2016-11-1711:12:29 HERS Provider: CaiCERTS Registration Number: 215-N0163346D-M2000039A-M20A CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 Report Generated: 2016-11-17 10:26:20 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: CB161469 Carlsbad Dwelling Address: 2668 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 OS Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 08 System Bypass Duct Status No Bypass Duct 09 Date of System Airflow Rate Measurement 2016-11-16 10 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum. Procedures for installing HSPP or PSPP are specified in RA3.3.1.1. 01 Method Used to Demonstrate Compliance with the HSPP installed and labeled consistent with Figure RA3.3-1 HSPP/PSPP Requirement C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in verification. RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus Shortridge Instruments 03 Model number of Airflow Measurement Apparatus CFM-88L Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www. energy. ca .gov /tit I e24/ equipment_ ce rtf am a_ fas /index.html Registration Number: 215-N0163346D-M2300038A-M23A Registration Date/Time: 2016-11-17 11:12:30 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:27 ~-------~--------~--~---------------- 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) 1096 04 Compliance Statement: System airflow rate complies E. Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 1SO.O(m)12 or 1SO.O(m)13 were properly installed in the system during system air flow rate measurement identified on this Certificate of Verification. The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of 02 Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning 03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. OS System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan 08 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 09 Verification Status: Pass -all applicable requirements are met 10 Correction Notes: The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. Registration Number: 215-N0163346D-M2300038A-M23A Registration Date/Time: 2016-11-17 11:12:30 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:27 ~ ~~~~--~~~-~-------------------- 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-M2300038A-M23A Registration Date/Time: 2016-11-17 11 :12:30 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:27 CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 4 of4) 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 2016-11-17 10:57:24 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. 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. 1 will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC Responsible Builder or Installer Name: CSLB License: Michelle Sanchez HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Energy Inspectors Responsible Rater Name: Responsible Rater Signature: q)Offlieft}~acA Daniel Granback Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2004061 2016-11-17 11:12:30 Digitally signed by CaiCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Date/Time: 2016-11-17 11:12:30 HERS Provider: CaiCERTS Registration Number: 215-N0163346D-M2300038A-M23A CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:27 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: CB161469 Carlsbad Dwelling Address: 2668 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 OS Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 08 System Bypass Duct Status No Bypass Duct 09 Date of System Airflow Rate Measurement 2016-11-16 10 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum. Procedures for installing HSPP or PSPP are specified in RA3.3.1.1. 01 Method Used to Demonstrate Compliance with the HSPP installed and labeled consistent with Figure RA3.3-1 HSPP/PSPP Requirement C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in verification. RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus Shortridge Instruments 03 Model number of Airflow Measurement Apparatus CFM-88L Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http://www. energy. ca .gov /titl e2 4/ equipment_ ce rt/a m a _fas /index.html Registration Number: 215-N0163346D-M2300039A-M23A Registration Date/Time: 2016-11-17 11 :12:31 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:37 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) 1051 04 Compliance Statement: System airflow rate complies E. Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 1SO.O(m)12 or 150.0(m)13 were properly installed in the system during system air flow rate measurement identified on this Certificate of Verification. The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of 02 Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning 03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. OS System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan 08 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 09 Verification Status: Pass-all applicable requirements are met 10 Correction Notes: The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. Registration Number: 215-N0163346D-M2300039A-M23A Registration Date/Time: 2016-11-17 11:12:31 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:37 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-M2300039A-M23A Registration Date/Time: 2016-11-1711:12:31 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:37 CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 4 of4) 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 2016-11-1710:57:24 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 1 certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy ofthis Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name {Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC Responsible Builder or Installer Name: CSLB License: Michelle Sanchez HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Energy Inspectors Responsible Rater Name: Responsible Rater Signature: CJ)O/J?JR£ !}ulln&x~ Daniel Granback Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2004061 2016-11-1711:12:31 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 responsibl1ity for the accuracy of the information. Registration Date/Time: 2016-11-17 11:12:31 HERS Provider: CaiCERTS Registration Number: 215-N0163346D-M2300039A-M23A CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:37 2013 Residential Compliance CERTIFICATE OF VERIFICATION CF3R-MCH-23-H Space Conditioning System Airflow Rate (Page 1 of 4) Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CB161469 Carlsbad Dwelling Address: 2668 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 OS Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 08 System Bypass Duct Status No Bypass Duct 09 Date of System Airflow Rate Measurement 2016-11-16 10 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP) in the Supply Plenum. Procedures for installing HSPP or PSPP are specified in RA3.3.1.1. 01 Method Used to Demonstrate Compliance with the HSPP installed and labeled consistent with Figure RA3.3-1 HSPP/PSPP Requirement C. Airflow Rate Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given in RA3.3.2. 01 Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in verification. RA3.3.3.1.4 02 Manufacturer of Airflow Measurement Apparatus Shortridge Instruments 03 Model number of Airflow Measurement Apparatus CFM-88L Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at 04 Accuracy http:/ /www.energy.ca.gov /title24/eq ui pment_ cert/ama _fas /index.html Registration Number: 215-N0163346D-M2300039A-M23A Registration Date/Time: 2016-11-17 11:12:31 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:37 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) 1051 04 Compliance Statement: System airflow rate complies E. Additional Requirements 01 Air filters that meet the applicable requirements of Standards Section 1SO.O(m)12 or 150.0(m)13 were properly installed in the system during system air flow rate measurement identified on this Certificate of Verification. The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of 02 Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the instrumentation specifications given in RA3.3.1. A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning 03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance. 04 All registers were fully open during the diagnostic test. OS System fan was set at maximum speed during the diagnostic test. 06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan 08 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 09 Verification Status: Pass-all applicable requirements are met 10 Correction Notes: The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. Registration Number: 215-N0163346D-M2300039A-M23A Registration Date/Time: 2016-11-17 11:12:31 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:37 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-M2300039A-M23A Registration Date/Time: 2016-11-17 11:12:31 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:37 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 2016-11-17 10:57:24 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. 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. 1 will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC Responsible Builder or Installer Name: CSLB License: Michelle Sanchez HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Energy Inspectors Responsible Rater Name: Responsible Rater Signature: q]a;m:et!}~ad Daniel Granback Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2004061 2016-11-1711:12:31 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: 2016-11-1711:12:31 HERS Provider: CaiCERTS Registration Number: 215-N0163346D-M2300039A-M23A CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:37 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: CB161469 Carlsbad Dwelling Address: 2668 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 No Bypass Duct 09 Date of System Airflow Rate Measurement 2016-11-16 10 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement B. Fan Watt Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2. 01 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 02 Actual Tested Airflow from MCH-23 (cfm) 03 Required Fan Efficacy (watts/cfm) 04 Actual Fan Efficacy (watts/cfm) OS Compliance Statement: Registration Number: 215-N0163346D-M2200038A-M22A CA Building Energy Efficiency Standards 2013 Residential Compliance 271 1096 0.58 0.25 System fan efficacy complies Registration Date/Time: 2016-11-17 11:12:33 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-17 10:34:59 Schema Version: 0.51SDD CERTIFICATE OF VERIFICATION CF3R-MCH-22-H Space Conditioning System Fan Efficacy {Page 2 of 3) D. Additional Requirements 01 All registers were fully open during the diagnostic test. 02 System fan was set at maximum speed during the diagnostic test. 03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test. 04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value. Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan OS efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Verification Status Pass-all applicable requirements are met 08 Correction Notes The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. E. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 I Complies: All specified verification protocol requirements on this document are met. Registration Number: 215-N0163346D-M2200038A-M22A Registration Date/Time: 2016-11-17 11:12:33 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 0.51SDD Report Generated: 2016-11-17 10:34:59 CERTIFICATE OF VERIFICATION CF3R-MCH-22-H Space Conditioning System Fan Efficacy (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: ~~~ Lorena Pichardo Company: Date Signed: Energy Inspectors 2016-11-17 10:57:24 Address: CEA/ HERS Certification Identification (if applicable): 2570 South Miller Lane City/State/Zip: Phone: Las Vegas NV 89117 702-365-8080 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificate(s) of Installation {CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s] issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC Responsible Builder or Installer Name: CSLB License: Michelle Sanchez HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Energy Inspectors Responsible Rater Name: Responsible Rater Signature: CJJmm:ei !}u:un8ad Daniel Granback Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2004061 2016-11-1711:12:33 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: 2016-11-17 11 :12:33 HERS Provider: CaiCERTS Registration Number: 215-N0163346D-M2200038A-M22A CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Schema Version: O.SlSDD Report Generated: 2016-11-17 10:34:59 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: CB161469 Carlsbad Dwelling Address: 2668 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 OS Condenser Speed Type Single Speed 06 Cooling System Zonal Control Type Not Zonal 07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system 08 System Bypass Duct Status No Bypass Duct 09 Date of System Airflow Rate Measurement 2016-11-16 10 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement B. Fan Watt Measurement Apparatus and Procedure Information Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in RA3.3.2.2. 01 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 273 02 Actual Tested Airflow from MCH-23 (cfm) 10S1 03 Required Fan Efficacy (watts/cfm) O.S8 04 Actual Fan Efficacy (watts/cfm) 0.26 OS Compliance Statement: System fan efficacy complies Registration Number: 215-N0163346D-M2200039A-M22A Registration Date/Time: 2016-11-17 11:12:35 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 0.51500 Report Generated: 2016-11-17 10:35:16 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 OS efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air handler fan speed. 06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy (Watt/cfm) criteria in every zonal control mode. 07 Verification Status Pass-all applicable requirements are met 08 Correction Notes The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. E. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 I Complies: All specified verification protocol requirements on this document are met. Registration Number: 215-N0163346D-M2200039A-M22A Registration Date/Time: 2016-11-17 11:12:35 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 0.51SDD Report Generated: 2016-11-17 10:35:16 CERTIFICATE OF VERIFICATION CF3R-MCH-22-H Space Conditioning System Fan Efficacy (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: ~~~ Lorena Pichardo Company: Date Signed: Energy Inspectors 2016-11-17 10:57:24 Address: CEA/ HERS Certification Identification (if applicable): 2570 South Miller Lane City/State/Zip: Phone: Las Vegas NV 89117 702-365-8080 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Verification is true and correct. 2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC Responsible Builder or Installer Name: CSLB License: Michelle Sanchez HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Energy Inspectors Responsible Rater Name: Responsible Rater Signature: q)a;;u;el!}~ru:h Daniel Granback Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2004061 2016-11-1711:12:35 Digitally signed by CaiCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Date/Time: 2016-11-1711:12:35 HERS Provider: CaiCERTS Registration Number: 215-N0163346D-M2200039A-M22A CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Schema Version: 0.51SDD Report Generated: 2016-11-17 10:35:16 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: CB161469 Carlsbad Dwelling Address: 2668 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/SHRAE Standard 62.2-2010. A. Dwelling Mechanical Ventilation -General Information 01 Dwelling unit name The Vistas at Robertsoh 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. ) Number of bedrooms in dwelling unit 5 OS (For addition projects the number of bedrooms equals the existing bedrooms plus addition bedrooms) 06 Ventilation Operation Schedule Continuous 07 Whole-Building Ventilation Rate Calculation Method Fan Ventilation Rate Method (4.1.1) 08 Whole Building Ventilation System Type Standalone-Exhaust MCH-27a -Continuous Ventilation Airflow -Fan Ventilation Rate Method B. Whole-Building Continuous Ventilation -Fan Ventilation Rate Method 01 Required Continuous Whole-Building Ventilation Rate 76 02 Installed Continuous Whole-Building Ventilation Rate 93 C. Compliance Statement 01 I Building passes continuous whole-building ventilation rate test Registration Number: 215-N0163346D-M2700037 A-M27 A CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-11-1711:12:36 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-17 10:26:45 Schema Version: 2013.1.008 CERTIFICATE OF VERIFICATION CF3R-MCH-27-H Indoor Air Quality and Mechanical Ventilation (Page 2 of 3} D. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 I Complies: All specified verification protocol requirements on this document are met. Registration Number: 215-N0163346D-M2700037A-M27A Registration Date/Time: 2016-11-17 11:12:36 HERS Provider: CaiCERTS CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:45 CERTIFICATE OF VERIFICATION CF3R-MCH-27-H Indoor Air Quality and Mechanical Ventilation (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: ~~~ Lorena Pichardo Company: Date Signed: Energy Inspectors 2016-11-17 10:57:24 Address: CEA/ HERS Certification Identification (if applicable): 2570 South Miller Lane Las Vegas I NV I 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. 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency. 5. 1 will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC Responsible Builder or Installer Name: CSLB License: Michelle Sanchez HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) Tested HERS Rater Information HERS Rater Company Name: Energy Inspectors Responsible Rater Name: Responsible Rater Signature: q)a;m:ef f}~acA Daniel Granback Responsible Rater Certification Number w/ this HERS Provider: Date Signed: CC2004061 2016-11-17 11:12:36 Digitally signed by CaiCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Date/Time: 2016-11-1711:12:36 HERS Provider: CaiCERTS Registration Number: 215-N0163346D-M2700037 A-M27 A CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Report Generated: 2016-11-17 10:26:45 2013 Residential Compliance CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING Additional Energy Features Additional Energy Feature Verification (Page 1 of 1) Project Address: 2668 Wadsworth Street Carlsbad CA, 9201 0 Builder Name: Toll Brothers, Inc. -Southern CA Builder Contact: na Telephone: 999-999-9999 Plan Number: Toll144 Plan 2j Sample Group Number: I Sample House Number: HERS Rater: Daniel Granback Telephone: 702-365-8080 Certifying Signature: 00//lief§~adi Date: 2016-11-1711:12:36 Firm: Energy Inspectors HERS Provider: CaiCERTS inc. Street Address: 2570 South Miller Lane City/State/Zip: Las Vegas I NV I 89117 1 a) Radiant Barrier Required: Yes 1 b) Was the Radiant Barrier installed? Yes 2) Opaque Surfaces: Opaque Surfaces MATCH or EXCEED the values in the CF1 R. 3) Glazing (Window) Values: SHGC and U-Values Surfaces MATCH or EXCEED the values in the CF1 R. 4) HVAC Efficiency: HVAC Efficiencies MATCH or EXCEED the values in the CF1 R. 5) Verify Water Heater Efficiency: Water Heater System Efficiencies MATCH or EXCEED the value in the CF1 R 1 Ccityof 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. Energy Efficiency 4.201.1 Low-rise residential buildings shall meet or exceed the minimum standard design required by (X) the California Energy Standards. Water Efficiency and Co_nservation h1door 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 maximum 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 use 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. Construction Waste Man~gement 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, perform 8-59, shall be submitted for approval to the enforcing agency. Building Mi:lintenance and Operation 4.410.1 An operation and maintenance manual shall be provided to the building occupant or owner. (X) Environmental Quality .· Fireplaces 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 applicable local ordinances. n ........ -. A-&"' 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 shalf be compliant with VOC 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 VOC 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 shalf 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 shalf 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 heating and cooling equipment according to ACCA 36-S _(Manual SJ 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 disciQiine they_ are inspecting. I, as the professional responsible for this project, certify that, to the best of my knowledge, the mandatory items fisted 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: olf.D~K' w~d ~ tJa r -/.-4 s I. Plan Check Number: 'j>c_ U.-00. \1.. :t~~5S 3M~S :ru~ -Print Name: Signed: , License Number: {o B 3~ ?, Date: (~ hb bb 8-51 Page 2 of 2 Rev. 11/15 CCityof Carlsbad WASTE MANAGEMENT PLAN 8-59 Owher: To\\ f)Cb±\ve.r .5 Contractor: Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Job Address: .J loCo~ . Lt>t,cl S l.l)01' t\n S ~ • Phone Number: _ __,g._&..l-=--9.1!....--..31$1!.-fO.:;__-_J..I0~"'9__._ ___ _ Permit#: ce \(9 I '?I fo 9 .. dos '~~s. ao Estimated Cost of Project: $, __ ::!.A...J-D&_:!I&...-I-~~::....\;I::::,_=--.:. ____ _ Type of Project: ~w Construction D Remodel or T.l. D Residential D Commercial D Demolition (check all that apply) D Other --------------------T-t--------- Non-hazardous construction waste generated during the course of this project shall be recycled anti; or salvaged for re-use at a minimum of 50% per CALGreen Sec. 5.408.1. Failure to comply may result in a penalty fee up to $1,000. For projects which consist of mainly equipment and/or racking, that have a combined weight of new construction disposal that does not exceed 2 lbs per square foot of building area affected by this permit, may be deemed to meet the 50% minimum requirement upon approval of Building Department. ALTERNATIVE FORMS o·F COMPLIANCE: (If selected, do not complete Tables 1 & 2 below} 0 Construction waste shall not exceed 2 lbs. per sf. of area. All receipts shall be provided to the Building Official prior to final. (This option not applicable for most construction projects.} Square feet of construction area X 2 lbs. = lbs. of allowable waste. 0 I plan on using a WASTE MANAGEMENT roll-off bin. All receipts shall be provided to the Building Official prior to final . . Table 1-Estimated Waste (To be filled out prior to permit issuance-refer to example on Page 2.) MATERIALS Waste Hauling Company or Re-Use Method lbs. of waste to be taken to lbs. of waste to be LANDFILL RE-USED or RECYCLED Aspha It 1 Concrete Brick/ Masonry Cardboard Drywall Landscape Debris Lumber 1 Wood ·Metals Mixed Waste TOTAL lbs: Estimated Percentage to be Re-Used or Recycled ]5 % I certify that the information provided herein, to the best of my knowledge, is true and correct. ~~s &M~S contraror~ Contractor or~ Official Use Only 0 Plan Approved 0 Plan Denied 0 Project Valuation Approved Reviewed 1 Approved by:, ________________ _ Page 1 of 2 Date Table 2 -Actual Waste (To be completed after construction.) MATERIALS Asphalt 1 Concrete Brick/ Masonry cardboard Drywall Landscape Debris. Lumber 1 Wood Metals Official Use. Only Jbs. of waste taken to LANDFILL Jbs. of waste RE-USED or Rf,CYCLED Waste Hauling Company or Re-Use Method (complete only if different than Table 1) D 50% Goal Achieved D 50% Goal Not Achieved D Alternative Compliance Achieved Penalty Paid $------- Reviewed 1 Approved by:. ________________ _ EXAMPLE: Use the following example as a guide to completing this form. MATERIALS lbs. of waste to be taken to lbs. of waste to be LANDFILL RE-USED or RECYCLED Asphalt I Concrete 0 2000 Brick I M~somy 1.00 .. 450 Cardboard 0 1.50 Drywall o· 50 Landscape Debris 0 1.20 Lumber I Wood -500 . 0 MetaJ.s 300 200 Mixed Waste 1.500 0 Trash I Garbage 300 0 Other: PooL CiiA.vW.te 0 jOO TOTALlbs.; 2J-OO 3f?J-O Percentage to be Re-Used or Recycled 59 % Formula: Total Re-used or Recycled X 100 = %Re-Used or Recycled (Total Combined Waste) Waste Hauling Company or Re-Use Method AlSC. H'V!iA.LLV\-CI c.o. WM I Re-W.e~ B.ri.c.R. Ov1..-s~te A lSC. !-tV! IA.LLV\,Oi C.o. A lSC. f-tC! 1A.LLV\,C1 Go. MiA.LcVieol "E; Re-IA.Seoi DV'v-sLte WV!ste MV!V'vV!C1ew..eV~-t WM I AlSC. f-tiii!A.LLV'vg WM WM w.eoi ills c.rnsVieoi lS.C!se OV'v-sLte 3870 X 100 = 59% Re-Used or Recycled (2700 + 3870) Since.59% exceeds the minimum requirement of 50%, this plan complies. Page 2of2 (: t.~, t.J) ·::·!-t5 .32•21:.: t::ust JIQet': 1202; T&ch~t= 42334 Uate: 07/2~;16 RUE\ '0 CGI'-ISTr~UCTION SERO I ;:·'~ .. ~4 J .TEFfEt\!:JON AVE, tfG MURRIETTA, CA 92562 ,-::-0 lfllil {1 ':1 i t y Nate !11: 1-4:4-:' 01.1 ~· : .t 4: t:. ! J. ..... '...J J \..-\.,, !ruck: 11840/0000 Container: Route: 08£11 Ortg1n: 085 Carlsbad .1. :t CELFH?lUL HEFUSE I:Gt•oss (!n): 21, 5!::-l~~. Units .:·. 4 '+ lhs S~.:l#2 ·. 4. 00 per·· TON E.><t. •:~nd ~c Cha1·ge t i..\1(~. 5€. 4, 881/.1. lbs.l Ta~·e 1E,6·S0. lbs Scl#2 Net: TOTAL DUE l Bli.L 5~ V10LETA ----~~------.. -~-~-------~-----------------·--~- ------·--~---. ·~----- [)pi l • .... .J.. 7 •::· .. .. I w :J ·.~ . 1'.: -·· ' .,..., pS, ::; -$1 -~ ,...._ ,;x ;.. .!. r:" ~ L! IIi ""~~ ,..., • I .·• ::; J: ::: en ' ·.-! a ...... w .;.. 1-llj . ., . ::J 1.. .. .j.) G -i-' Q ;l! t: 1lt l ~ C· 2 ...J ' ..... w ri : i. !-<:"• a . !' :q: ~J u ' ~ 0 f;j . .., 7 I:! Ci .r:J ·-::; .-.. (~ . . .;., ... f~~· ... ·t ·:.; ,-. ~-rt' •., I;" ~ :;; iJi 1-• ..... .;.;-!ll +'-f•J # .. !!.; +' ..... . ..... ~. ':.. .... IU -M (j r.l.! ,. Q :J (lj > -.-, .. 0 = CJ 1/' (. a:: -:r; .0 '-' 11: ill w 1'-{ 0: > ;JJ (.f') ·-..... , LL: f':J . -z ---. -.f.; L.:: .:;;: !.; c: : -....., C: I'' C.'J t'J .. )... 0 ~·: '~C ,...._ _, .L; ,,.. ~-(":": ; '-·-· c 0: .J c~ .::;· I U1 -, r~. ' ttl -· ... !. (-,_ L!.. c LL :J 0 ·, L. -~ -~-~--: .. -· -.- • ,-, I i ,.to I< :-:. ·' ,_. • · . ,, H.· ! :: W l,,;;_~:ohJ :)~:~rtn il\'f .. 'nd i d (I~ cr: ';3;=·n;·:·"·i 'r~l 7:15··321?.•~~ t <' 111 e r··: t ~-:0·~ • 1 '~ "~() CONSTRUCTitJH · 1.:1· :::.11 JI:.FFE:f~SUN {~tit·... If ·.!;' LETTA, CA 'J2'k" ·• .. •ot..fit~· · , .. , FHAUL Re::r:·t JSE. -: :: :: (In> : 21, 88~;:J.. 11·· !::DDH J v:o ~~= ~3393 f n: 1 -': . ~= 08'22/16 0 1,\1: : !L~ ; ... I -· ·f Ratte ::~(l ' H·::· 7ft. 1{11(1 prw Tt:lr.J :n e 16. 1'~80. 1 b s Sc : · , .. INVOICE lruek: 11840/0000 t:onta1rt1~t': Rc.11.·.te: 08G11 IJr•i y ift: 086 Cat· l" (),.,:j l\le t • E:xt T.·.leu Ch .. -,1 ;: 1 ':.'C.: {; lf.! 5, ,:;::,znza.. 1 bs J . • i : t':iL i:OIJE l'·•:.t,~?r f '!' ? . .,.. t:' t' ~ Ee:condido Resource Rec::ovet·y 1044 W Washington A~e Escondido, CQ 92025 ( 760) 745-·3203 Ct.tst omer: 1203 Ticket~ Date: RlJBIO CONSTRUCTION SERVI 26341 JEFFERSON AVE, #0 fVIURRIFTTA, CA 92562 Commodit~' Units tl SELFHAUL RFFUS£ 2.09 53788 08/23/lE· Rate In: Out~ 74.00 per TON 11:54 1 1 : 51t INVOICE Tn.\cJ:: 11419 Cc•ntainer: Route: fl.l8611 Origin: 086 Carl~bad CGross(In>: 26,160. lbs Scl#l Tare 21,980. lbs .Scl#l Ext endc.~d Chat"ge 154·. £.6 NP.t ~ 4, 1.8•7.1. 1 bsJ -~·-· -· ---··-... --- TCJ rr-tL DUE 15'•· {:;.6 EDI,.JARD C. -------·--"'"--·-·~---- Dt··i ver; ----·-- Escond1do Resource Recovery 1044 W Washington Ave Esconr4ldo, CA '3&::025 ( 760) .-45-,3;~03 Ct.tr: t rJmli't~ ~ 1203 Ticket: 54418 D:;,te~ 09/15/16 RUBIO CONSTRUCTION SERVI _£:341 JEFFERSON AVE! #G MURRIETTA, CA 92562 Commodl~y Units Rate In= 14:14 Out: 14:14 \ I I'I'JO ICE Tt~uck: 245110000 Containet": F:o11t e: 02311 Origin: 023 O~ean~tde 11 SELFHAUL REFUSE 2.08 tGt'oss ( ln>: 23~ 50tZI. lbs Scl#2 74.00 per lON F><ten1ded Ch.r:~t"ge 153.92 Tare 19,~40. lbs 8cl#2 Net: 4,160. lbsJ TOTAL DUE L33. 9c: nr< n.mu ·-·-,-···~---·-·~·---------~·· ~-----,.--···-------------· ""'-·-~ ·--------~-------···-"--~-----------...... -.. Dt~ i vet- j . : J .i. do ::) .:..· :; o .( , .. 1..:· e P , () v '·' .... hi i-J,:,.;;j·,,ngt.q·, ~~., ,- , .d; L.i '-'' L' i't ~~·;·::1?1 ~ 7 4 ~.5-.3 ::·,:'• .·~ .. 'Ill!~ t· ~ •i ;.~() ~~ I, i ("~ ! ·: : !; ~ '' D&,~, ~: j 11.1 '.,).'3: .. II.! I CI.Ji'JSTHL.' I I ON SEI<U [ :~t·tLR~0N nvc~ #G :: ·:::T r ,:•~ en '12:~Gi:· •• ,l t~-v :t r~t~. ,._~'"_:~> !Jn :i t: r 1 8•1· ,?fZ• •• :::HIZI. lbs c.kl#i. . ·---·-· ~~--' -"• ·--· ~------:t. ~.·; '.l b(j I·' d· ., , '4 • ~:·u.'1 ::·r>t" l~.-·1 . -, ;· f •.:.1 E. :7 'j. . ' ~; l llt ; :·: i ~!L 1 !r 1. JNVO · '-1~. ;·:' IJ C k ~ 1 J :J 't l(.i / •Zt("ofliZl . e .-• t d i. n r~ t' ~ ;-lot.• : .... ·· 0l-\G11 Ov·:~. !.:J .i. r. ~ 1!~06 C:.:w 1 s J·:, ,;.<~ • H~t ~ E!<t t·:n•:i!:!-(. 3~\::f:lm. 'b·. Clli:.i !J '" . ,"',-.. ~· f . -.I',.~.:.' f>UE 13C4 j .:. . Dr· 1 '' ·= , .. ·-· --·-·~-·-··-" ----· -··---- Escondido R~source Recovery 1044 W Washington Ave Escondido, CA 92025 (760) 745-3203 Gust omet"': 1203 Ticket: RUBIO CONSTRUCTION SERVI 2tS341 JEFFERSON AVE:, #G mURRIETTA, CA 92562 Date: ComnH:tdity Units 11 SELFHAUL REFUSE 1.90 fGr~oss <In): 23, 140. lbs Scl#2 76915 1121/12/16 Rate In: 14:19 Out: 14:19 74. 00 pet"' TON Tare 19,340. lbs Scl#2 IN~m ICE Truck: 24~1/0000 Con~ainer: Route: 08611 Origin: 086 Carlsb~d Extended C:h.:,rge 140. f,QI Net: 3 1 800. lb;:;J -------~ .......... - roTAL DUE 1 .::: Ill. ::,e, --~~---~--~-----... -~-----.. -------··-----------RODR 1 (:70 _______ , __________ -·--~----····-· . .,._, _____ ·-.. ~--.--... ~--- Dri·. eP ,I I _j E~condido Re:;;ow··c~ R•:CO'''::r•v 1044 W Washington Ave E: :: ·-~ l.• r.d j do, Cf:l 1;1;-:··~25 ~76121) 7-15-3203 C'•.tst Oltlt=_l': 1.~0...:; Ticket: 80974 Date: 10/21116 RUBXO CONSTRUCTION SEHV1 ;::·c-..:;41 JtTFEi~::::f)N AVE! '#G l'r'IURR I ET'l :~-~! Ct~ 92562 qr-1N ELLl 1:0 Commodity Uniti Hate In: 1 t : 3& L'ttt ~· : .t: .37 INVOICE Truck: 2451/0000 \.::ryntaine1·: Rottt£.1: 08011 (Jt-i gill: lliS0 San Marco 11 SELFHAUL REFUSE • 9'3 (Gros~<In): 21,320. lL~ S~l~2 74.00 per fON Extended Cha! :;;e :-:,. 26 1' 980. l b . J Tara 19,340. lbF S~l#2 Nat: TIJTAL Dl ;E ~-3 .. 26 ---~-·-·---· -___ ,_ -~ ~·----.tnRrrt-.~ Dt'i.'ler . ·-·-~-· ·-·-····· ·-··-,__, -. ----------... - j ' .. 76 SANQ;,.GJAVEL CONCRETE A.&lfliALT RECYCLE POBOX965 BONSALL, CA 92003 SALES: (760) 497-6041 ~-l.!) l L: CITY6F N PU 'TRAILER LOAD COUNT 1 2 ' ·x. ' ; I ! '- 11C6ADS ·' i 'FLATBED 3 X I ') 4 / BOBTAIL MATERIAL . .__ 5 PRICE r-x ENDDUMP r&T If c ,-.~ •t-c \ l \. \ ( 6 7 8 9 10 --- TOTAL J) TRUCK II ·7& SAND a G9AVJU,. ia not reepomdble for ...... vehfolt While being loaded or unlc*fed In yard. 01575 JOB COPY 76 SANl> 8£ GRAVEL CONCRETE & ASPHALT RECYCLE ~· POBOX96S JOS LOCATiON PU 'TRAILER LOAOCClUNT 1 2 'X' I) tLOAbS i ' · . .. ; BONSALL, CA 92003 SALES: (760) 497-6041 · .. t nc:: .' 'FLATBED IBOB1AIL rx~ 'END DUMP IT&T 3 4 X / . MATERIAL 5 ·-· PRICE 6 7 $ 8 9 otHER OHiJibes I -.,.,.. Ci' /"'·· __ _;- TOTAL 12 TRuCK* 10 -76 $MD a GRAva,. 1a not respanatble i for~,W11ibiofe whU. being.~ or unlOaded In yard. 01fi72 JOB COPY .. JOB UlCATION PU 'TRAILER LOAD COUNT 1 2 )( ; .... , IL t~LoAbS ,y • / SIGNATURE 76 SAND4G~VEL CONCRETEj&Y· . 1\I.,TRECYCLE . Pii . ·•965 BONS4~ 04 92003 SALES~. (?l8)497-6041 ~FLATBED 3 4 X AL SOBTAIL MATERIAL 5 PRICE rr .IENDO\JMP IT&T (\1 1\C\c.·-t .. ' 6 7 8 9 10 OTHER OHARGES ' ) ·""' ~· $ ..(__.) TOTAL 12 TROCKI# 76 SAND I GRAY&LJ8 not~ for .... tO.tllitdclewhlabllnsi loaded or untoMied In yard. Ot573 JOB COPY ! I I I i ~ . i .. \l r '-,.. ... 0 r 2J c.n I~ U) 01 .. ""' ~ ! i ij I i ~ r r .... . .0. CASH 76 SAND & GRAVEL CONCRETE & ASPHALT RECYCLE POBOX !165 BONSALL, CA 92003 SALES: (760) 497-6041 nME }-.... ( ( 1_)1 c CiTY 6F ORIGIN JOB LOCATION PU 1 2 ' '~ },_ i i #LOADS 3 X . ~/ ,. i .. 4 /~,(._{. r_i I.._ '--I , .(_ ( ' 5 I .... __ , ~ ·, ) ......... .:__; - PRiCE 6 7 8 9 , .. -... - c:tl"'ftCA CHARGes $ l ! __, cJ.i _J TOTAl 12- 10 SIGNATURE -AI* due· upon ~-Uflles8 OlhetWiSe· a..,.,.ct In adva-~-·~ ~to 11/25 month, oharge....,80days unj)Uf balance. TROCKI 7&SANPa--.t.ncat.......,.. · fcx .. , .. , ... ~.~--loaded oru~=-· -• 01557 JOB COPY @!!J!L.Jl&\X:)J,,# >h~-.-,,..,.,,.,~"l);:::.~-¥,i,.-";,.--,~~o-· I i I ' t W&MtZ#m;J\Z:W,;;~,.:.,; .... ~-'-'~-'' !!. -· 76 SAND & GRAVEL CONCRETE & ASPHALT RECYCLE PO BOX965 BONSALL, CA 92003 SALES: (760) 497-6041 1/\ { 1), c··, I ' . -. \...I CitY OF ORIGIN JOB LOCATION PU 1TRMLeA lFLATBED LOADCC>UNT 1 2 3 4 - X.. I ··- ''Li5H5s X \.-- ~ SIGNATURE ~-~ ~ ' I· , (. "\ -·· ... t 'BOBTAil 110-WHES. END DUMP JT & T MATeRIAL .· , ,I('\ (-'--tc:·· ' ~ 6 7 -~ -- J:! 5(;.! 'JiRiCE 8 9 $ J -,, -~"( l .;:._-'~- TOTAL f) .Kt 10 All bllt clUe \Jl!Ofl_,.....,.~ otheMise ~~~=:===b .,.._ ........ reepontible. •:t:s ........ belnglolded balance. or .· .. . . yant. 01551 JOB COPY .j I I I j • .. ' \. ... . -,..,. -, .. ,',•<' < ..-:'1 i l ! Q I l ~ !'I .:,. \ -~ ~ 0 0 0 i ~ ~ r r - /