HomeMy WebLinkAbout2673 WADSWORTH ST; ; CB161465; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-19-2016 Residential Permit Permit No: CB161465
Building Inspection Request Line (760) 602-2725
Job Address: 2673 WADSWORTH ST CBAD
Permit Type:
Parcel No:
Valuation:
RESDNTL Sub Type: SFD
2081930900 Lot#: 223
$603,281.00 Constuction Type: 58
Status: ISSUED
Applied: 0411512016
Entered By: SLE
Occupancy Group:
# Dwelling Units:
Bedrooms:
1
5
Reference #: CT130003
Structure Type: SFD
Bathrooms: 5.5
Plan Approved: 0511912016
Issued: 0511912016
Inspect Area:
Project Title:
Orig PC #: PC150042
THE VISTAS: PHASE 31 PLAN 4
Plan Check#: PC160023
3,897 SF LIV I 432 SF GARAGE I 229 SF PORCH
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
$2,349.26
$0.00
$1,644.48
($500.00)
($131.56)
$78.43
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$5,609.00
FS314
$0.00
$0.00
$25.00
$0.00
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 (3104193)
License Tax (4304193)
Traffic Impact Fee (31 05541)
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
Total Fees: $32,441.67 Total Payments to Date: $32,441.67 Balance Due:
Inspector:
FINA~VAL
Date: Clearance:
FS314
$0.00
$356.00
$4,963.00
$1,710.27
$10,979.71
$0.00
$0.00
$0.00
$2,690.00
$0.00
$0.00
$339.00
$89.00
$137.08
$0.00
$0.00
$0.00
$0.00
$2,103.00
$0.00
$0.00
$32,441.67
$0.00
NOTICE: Rease take NOTICE thai: appro.ial r:J ~ poqed irdudes the "lrrpooition" r:J fees, dedcations, reservations, or dher exactions herei:filr ooledively
referred to as "fees/exoctions." You have 00 days from the date this pemit v.as iSSl.ed to prdest irrposition r:J these fees/exactions. If }W prdest them, }W rrust
fdiONthe prdest ptXl3d.res sa forth in GcNerment Ca:1e Section 600a)(a), a-d filetre prdest a-d alYcther~red irtorrretionv..iththe atyrvtngertcr
~rg in acxxrda'm v..ith Ca1sbad M.llidj:B Ca:1e Section 3.32.ml. FaiiLre to tirrely fdiON thai: p1Xld.re v..iii!B' alY ~ legal cdion to attcd<,
1'9\Aew, sa aside, wid, or a"li'1J. their irrpcsition.
You a-e herel:7y F\.Rll-£R NOTIRED that }Wr rig,! to prdest the spedfied feeslexoctions OOES NOT .APPLY to mer a-d fXN'Ii!I Cll'Hldion fees a-d~
clulges, nor plcrrirg, :zairg, gcdrg or dher sinilcr c;Wicciion ~rg or servire fees in amedion v..ith this poqect. ~ OOES IT .APPLY to alY . . . . . . . . .
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-19-2016
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW160206
Job Address:
Permit Type:
2673 WADSWORTH ST CBAD
SWPPP Status:
Parcel No: 2081930900 Lot#: 223, Applied:
Reference #:
CB#:
Project Title:
Applicant:
TOLL BROTHERS
STE 200
CT130003
CB161465
THE VISTAS: PHASE 3/ PLAN 4
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 ttfr?f'fcLEARAIICE, __ _
SIGNATURE_.!.../)6:..::_:.../L ____ _
$0.00
Inspection List
CB161465 RESDNTL SFD THE VISTAS: PHASE 3 / PLAN 4
Date Inspection Item Inspector Act Comments
3,897 SF LIV / 432 SF GARAGE / 229 SF P
Permit#: Type:
33 Service Change/Upgrade AEK AP10/25/2016
27 Shower Pan/Roman Tubs AEK AP09/15/2016
82 Drywall/Ext Lath/Gas Test AEK AP09/13/2016
17 Interior Lath/Drywall AEK AP09/12/2016
18 Exterior Lath/Drywall AEK CO09/12/2016 PATCH HOLES
23 Gas/Test/Repairs AEK AP09/12/2016
17 Interior Lath/Drywall AEK NR09/06/2016
18 Exterior Lath/Drywall AEK NR09/06/2016
84 Rough Combo AEK AP08/30/2016
13 Shear Panels/HD's PB AP08/19/2016
21 Underground/Under Floor PB AP08/16/2016
22 Sewer/Water Service PB AP08/16/2016
22 Sewer/Water Service PB CA08/15/2016
15 Roof/Reroof PD PA08/08/2016
11 Ftg/Foundation/Piers PB AP06/16/2016
21 Underground/Under Floor AEK AP06/10/2016
Monday, December 19, 2016 Page 1 of 1
PERMIT INSPECTION HISTORY REPORT (CB161465)
BLDG-Residential 04/15/2016Application Date:Permit Type:Owner:RANCHO COSTERA LLC-2483
Subdivision:Single Family Detached 05/19/2016Work Class:Issue Date:
2673 Wadsworth St
Carlsbad, CA
Address:Issued - Active 04/24/2017Expiration Date:Status:
IVR Number: 713825
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual
Start Date
11/22/2016 11/22/2016 BLDG-Final
Inspection
002429-2016 Passed Andy Krogh Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
December 19, 2016 Page 1 of 1
<._(~'> ~ CllY OF
Building Division INSPECTION RECORD ·cARLSBAD
1jNSPECTION RECORD CARD WITH APPROVED
PLANS MUST BE I<EPT ON THE JOB
0 CALL BEFORE 3:30pm FOR NEXT WORI< DAY INSPECTION
0 FOR BUILDING INSPECTION CALL: 760-602-2725
OR GO TO: www.Carlsbadca.gov/Building AND CLICI< ON
"Request Inspection"
DAT£: -ILP
REV 1012012
CB161465 2673 WADSWORTH ST
THE VISTAS: PHASE 3/ PLAN 4
3,897 SF LIV I 432 SF GARAGE /229 SF PORCH
RESONTL SFD
Lot#: 223 TOLL BROTHERS INC
I~ECORD COPY
SEE BACK FOR SPECIAL NOTES
(City of
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
This form, signed and completed, and all receipts for the recycled materials shall be
submitted to the Building Inspector prior to Final Inspection.
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 Conservation
Indoor 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 cables, 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 Management Plan
4.408.1 A minimum of 50 percent of the construction waste generated 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 B-59, shall be submitted for approval to the
enforcing agency.
Building Maintenance 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.
Pollutant Control
4.504.1 Duct openings and other related air distribution component openings shall be cov·ered (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 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 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 whem 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 heating_ and cooling equiQment 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 inspecting.
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: ;J(p ]] u;a.Js uJorl-h sf. Plan Check Number: 'j>(.. \t.,-00.\ '2.
Print Name: ']'~ 5v~~ Signed:~~
License Number: (o B 3Sl{?, Date: \\J\b ~ \b
B-51 Page 2 of 2 Rev. 11/15
~-----~···
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: CB16146S
Carlsbad
Dwelling Address: 2673 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?
OS Verified Low Leakage Air Handling Unit Credit from Yes credit is taken
CFlR?
06 Duct System Compliance Category New
B. Duct Leakage Diagnostic Test
01 Condenser Nominal Cooling Capacity (ton) 4
02 Heating Capacity (kBtu/h) 61
03 Conditioned Floor Area served by this HVAC system (ft2) 1949
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) 96
10 Actual duct leakage rate from leakage test measurement 49
(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-N0163349D-M2000006A-M20A Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2016-11-18 10:42:33
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.energll.Ca.gov[title24[2008standardslsgecial case aggliance[sugglemental listings[Low 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-N0163349D-M2000006A-M20A Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2016-11-18 10:42:33
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 2016-11-1811:00:31
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 (CFlR) 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)
216-05888 Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: CJ)mm:et!}~adi Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1811:08:25
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-N0163349D-M2000006A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2016-11-18 10:42:33
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: CB161465
Carlsbad
Dwelling Address: 2673 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) 61
03 Conditioned Floor Area served by this HVAC system (ft2) 1948
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 57
(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-N0163349D-M2000007 A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-11-18 10:43:37
Schema Version: 2013.1.007
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
B. Duct Leakage Diagnostic Test
14 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:LLwww.energy.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-N0163349D-M2000007A-M20A Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2016-11-18 10:43:37
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 2016-11-18 11:00:31
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.! 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)
216-05888 Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: 9)am:et!}~~ Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1811:08:25
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: 2016-11-18 11:08:25 HERS Provider: CaiCERTS Registration Number: 215-N0163349D-M2000007A-M20A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2016-11-18 10:43:37
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: CB161465
Carlsbad
Dwelling Address: 2673 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 4
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! e24/ equipment_ cert/a m a_ fas
/index.html
Registration Number: 215-N0163349D-M2300006A-M23A Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2016-11-18 10:44:59
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate {Page 2 of 4)
MCH-23a Forced Air System Airflow Rate Measurement-Newly Installed Non-Zoned Systems or Zoned Multi-Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01 Required Minimum System Airflow Rate (cfm/ton) 350
02 Required Minimum System Airflow Target (cfm) 1400
03 Actual System Airflow Rate Measurement (cfm) 1580
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-N0163349D-M2300006A-M23A Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2016-11-18 10:44:59
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-N0163349D-M2300006A-M23A Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2016-11-18 10:44:59
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 2016-11-1811:00:31
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)
216-05888 Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: 0~!}~ad Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1811:08:25
Digitally signed by CaiCERTS. This digital signature is provided in order to secure the content of this registered document. and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163349D-M2300006A-M23A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-1811:08:25 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-11-18 10:44:59
Schema Version: 2013.1.008
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: CB161465
Carlsbad
Dwelling Address: 2673 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. en ergy.ca .gov /titl e24/ equipment_ cert/a m a _fas
/index.html
Registration Number: 215-N0163349D-M2300007A-M23A Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2016-11-18 10:46:13
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) 1064
04 Compliance Statement: System airflow rate complies
E. Additional Requirements
01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of Verification.
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of
02 Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3.3.1.
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air directly to the space conditioning
03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate
of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance
Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance.
04 All registers were fully open during the diagnostic test.
05 System fan was set at maximum speed during the diagnostic test.
06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (dm/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-N0163349D-M2300007A-M23A Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2016-11-18 10:46:13
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-N0163349D-M2300007 A-M23A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-11-18 10:46:13
Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: ~~~ Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2016-11-1811:00:31
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)
216-05888 Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: r;!)cwu:ei!}~acA Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1811:08:25
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: 2016-11-18 11:08:25 HERS Provider: CaiCERTS Registration Number: 215-N0163349D-M2300007 A-M23A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2016-11-18 10:46:13
2013 Residential Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy {Page 1 of3)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CB16146S
Carlsbad
Dwelling Address: 2673 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 4
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 390
02 Actual Tested Airflow from MCH-23 (cfm) 1S80
03 Required Fan Efficacy (watts/cfm) O.S8
04 Actual Fan Efficacy (watts/cfm) 0.2S
OS Compliance Statement: System fan efficacy complies
Registration Number: 215-N0163349D-M2200006A-M22A Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 0.51SDD
Report Generated: 2016-11-18 10:53:18
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-N0163349D-M2200006A-M22A Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 0.51500
Report Generated: 2016-11-18 10:53:18
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 2016-11-1811:00:32
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)
216-05888 Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: rJJO//Uet !}ul/a&uA Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1811:08:25
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: 2016-11-18 11:08:25 HERS Provider: CaiCERTS Registration Number: 215-N0163349D-M2200006A-M22A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: 0.51SDD
Report Generated: 2016-11-18 10:53:18
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: CB16146S
Carlsbad
Dwelling Address: 2673 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
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-N0163349D-M2200007 A-M22A
CA Building Energy Efficiency Standards
2013 Residential Compliance
489
1064
O.S8
0.46
System fan efficacy complies
Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-11-18 10:54:25
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-N0163349D-M2200007 A-M22A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date{rime: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-11-18 10:54:25
Schema Version: 0.51SOO
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 3 of3)
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 2016-11-1811:00:32
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 (CFlR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (installing Subcontractor, General Contractor, or Builder/Owner):
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)
216-05888 Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: g)a/J7iet!}~acA Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1811:08:25
Digitally signed by CaiCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163349D-M2200007 A-M22A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-1811:08:25 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-11-18 10:54:25
Schema Version: 0.51SDD
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: CB161465
Carlsbad
Dwelling Address: 2673 Wadsworth Street City: Carlsbad Zip Code: 92010
Title 24, Part 6, Section 1SO.O(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 Robertson Ranch
02 Building Type Single family
03 Project scope Newly constructed building
Total Conditioned Floor Area of Dwelling Unit 3897
04 (For addition projects the conditioned floor area equals
existing area plus addition area. )
Number of bedrooms in dwelling unit 6
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 91
02 Installed Continuous Whole-Building Ventilation Rate 105
C. Compliance Statement
01 I Building passes continuous whole-building ventilation rate test
Registration Number: 215-N0163349D-M2700005A-M27 A Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2016-11-18 10:47:02
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 1 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-N0163349D-M2700005A-M27 A Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2016-11-18 10:47:02
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 2016-11-1811:00:32
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. I arn 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)
216-05888 Tested
HERS Rater Information
HERS Rater Company Name:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: q)anJei!}~acli Daniel Granback
Responsible Rater Certification Number wf this HERS Provider: Date Signed:
CC2004061 2016-11-18 11:08:25
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 N urn ber: 215-N 0163349 D-M 2 700005A-M 27 A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-18 11:08:25 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-11-18 10:47:02
Schema Version: 2013.1.008
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING Additional Energy Features
Additional Energy Feature Verification (Page 1 of 1)
Project Address: 2673 Wadsworth Street Carlsbad CA. 9201 0 Builder Name: Toll Brothers, Inc.-Southern CA
Builder Contact: na Telephone: 999-999-9999
Plan Number: Toll147 Plan 4 Standard I Sample Group Number: 216-058881 Sample House Number:
HERS Rater: Daniel Granback Telephone: 702-365-8080
Certifying Signature: q]~§~acA Date: 2016-11-18 11:08:25
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 CFl 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 CFl R