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Home My WebLink About2806 JACARANDA AVE; ; CB162997; Permit08-04-2016 Job Address: Permit Type: Parcel No: Reference#: PC#: Project Title: Applicant: ASI HASTINGS STE 200 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME} Permit Permit No: CB162997 Building Inspection Request Line (760) 602-2725 2806 JACARANDA AV CBAD PME 2551031600 Lot#: 0 KAISER, INSTALL AC WITH ELECT Owner: CHERYL KAISER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/04/2016 JW 08/04/2016 08/04/2016 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 2806 JACARANDA AVE, CARLSBAD DEL MAR CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $201.00 Total Payments To Date: Inspector: fV1· ~ $0.00 $38.00 $163.00 $0.00 $201.00 $201.00 Balance Due: Clearance: $0.00 NCJTlCE: Rease tci<e NCJTlCE Ita~ ci yos prqed irdudes tte "lrrpcsition" ci fees, c:la:icciialS, resavatialS, or cther exa::tialS l1er'eefu" ooledively referred to as "fee9'exa::tia1S." You l"ave 00 ~from tte date tlls penrit \MIS issued to prdest irJ'lXS!ion ci these fee9'exa::tions. If }OJ prdest lt'em, }OJ rrust fdiC>IVtte prdest proorlres set forth in GcNernrent Code Section 60020(a), a-d file tte prdest a-d Mf cther ~red infooretion wth the Oty IVmager for processirg in axmia mWth Ca1stm M.rid~ Code Section 3.32.030. Faih.retotirrelyfdiC>IVthat Jl"Cl(Birewll ta" Mf~ legal dontoattcD<, r'EMew, set aside, \tid, or anJ their irJ'lXS!ion. You ere herel7y F\.RTitR NCJTlRED that yos rigt to prdest the specified fee9'exa::tia1S IXES NOr APPLY to Wil.er a-d FSNer oonnedion fees a1d ~ d"a"ges, nor plmrg, 20'irg, gcrlrg or cther sirrila-<Wia:iion processirg or service fees in oonnedion wth tlls prqed. I'm IXES IT APPLY to Mf ~ exa::tialSciWidl l"ave 'ousl sirrila-totll t Wi 11 lirritai . . 'red. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING 0FIRE 0HEALTH D HAZMAT/APCD . Plan Check No. a I ~ ~ z_qq7 «~~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ' ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Depo,it CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date r I l( I , I lsWPPP JOB ADDRESS SUITEt/SPACEt/UNITt I API'( I 2806 JACARANDA AVE, CARLSBAD 92009 - -- CT/PROJECT # I LOT# I PHASE# r OF UNITS r BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. lYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) INSTALL FURNACE AND A./C WITH ELECTRICAL EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I OECKS (SF) FIREPLACE i I AIR CONDITIONING I FIRE SPRINKLERS YESO N<O YESONoD YESONoO APPLICANT NAME SABRINA MOREY PROPERTY OWNER NAME CHERYL KAISER Prlnarv Contact ADDRESS ADDRESS 3645 RUFFIN ROAD# 330-335 2806 JACARANDA AVE, CARLSBAD 92009 CITY STATE ZIP CITY STATE ZIP san dieQo ca 92123 CARLSBAD CA PHONE I FAX PHONE I FAX 619-590-9337 (760) 717-4014 EMAIL EMAIL SABRINA.MOREY@WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinQs ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieao ca 92131 PHONE I FAX PHONE I FAX 619-590-9337 EMAIL EMAIL I STATE uc. # STATE UC.# I CLASS I CllY BUS. uc.1200804 513115 c20 (Sec. 7031.5 Busmess and Professions Code: Any C1ty or County wh1ch requ1res a perm1t to construct, alter, Improve, demolish or repa1r any structure, pnor to 1ts ISSuance, also requ1res the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). WORI<ERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declara#ons: D I have and will maintain a certificate of consent to self·insure for workers' compensation as provided by Section 3700 of lhe Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of lhe work for which this permil is issued. My workers' compensation insurance carrier and policy number are: Insurance eo. CYPRESS INSURANCE COMPANY Policy No. ASWC605204 Expiration Date 91112016 ]:l!i§,section need not be completed if the permit is for one hundred dollars ($100} or less. U Certificate of Exemption: I certify that in the performance of lhe work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to lhe Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in 3706 code, interest and attorney's fees . .8$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not inlended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for lhe purpose of sale). I, as owner of the property, am exclusively contracting with licensed conlractors to construe! the project (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Ucense Law). I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide lhe major labor and materials for construction of the proposed property improvement. DYes 0No 2. I (have I have not] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired} the following persons to provide the work indicated (include name I address I phone I type of work): .8$ PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Ll Yes Ll No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes Ll No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above information is conect and that the information on the plans Is accurate. I agree to compty'Aflh all CH¥ ordinances and 5ta1e laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property i:Jr inspection puiJ))SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OFTHIS PERMIT. OSHA: An OSHA permft is required for excavations over 5'0' deep and demolftion or construction of structures over 3 stories in height. EXPIRATION: Every permft issued by the Building Official under the of this Code shall expire by imitation and become nuU and void if the building or oork authorized by such permit is not commenced v.ithin 180days from the date of such permit or if the building permtt is suspended or abandoned at anytime after the oork is commenced fora period of 180days (Section 106.4.4 Uniform Building Code). ~APPLICANT'S SIGNATURE DATE ? Inspection List CB162997 PME KAISER, INSTALL AC WITH ELECT Date Inspection Item Inspector Act Comments Permit#: Type: 43 AirCond/Furnace Set MC AP10/04/2016 49 Final Mechanical MC CO10/04/2016 REESTABLISH OCCUPANCY SEPARATION IN GARAGE Tuesday, November 22, 2016 Page 1 of 1 PERMIT INSPECTION HISTORY REPORT (CB162997) BLDG-Commercial 08/04/2016Application Date:Permit Type:Owner:CHERYL KAISER Subdivision:P/M/E 08/04/2016Work Class:Issue Date: 2806 Jacaranda Av Carlsbad, CA 92009 Address:Issued - Active 04/03/2017Expiration Date:Status: IVR Number: 716220 Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 11/03/2016 11/03/2016 BLDG-43 Air Cond./Furnace Set 002426-2016 Passed Michael Collins Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Final Inspection 002427-2016 Passed Michael Collins Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No November 22, 2016 Page 1 of 1 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of 3) Project Name: 2806 Jacaranda Ave I Date Prepared: 2016-08-03 L__ A. General Information CFlR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CFlR-ALT-02 document for each dwelling unit. 01 Project Name 2806 Jacaranda Ave 02 Date Prepared 2016-08-03 03 Project Location 2806 Jacaranda Ave 04 Building Type Single family OS CACity Carlsbad 06 Dwelling Unit Name Main 07 Zip Code 92009 08 Dwelling Unit Conditioned 2468 Floor Area (ft2) Number of space conditioning 09 Climate Zone 7 10 (SC) systems in this dwelling 1 unit. -- B. Space Conditioning (SC) System Information 01 02 03 04 OS 06 07 08 09 10 lstheSC Installing a scs.,tem ' SCSys,.... ~ §I'AseNed.l system a refrigerant Installing new SC Installing Installing Installing Identification or\i ; location ctltea ~~, ducted containing system more than 40 entirely new entirely new Name •··.• · Servel· Sy~i!i'nfftll system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Yes I Yes I Yes I Yes I No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) Registration Number: 316-A1030674A-OOOOOOOOO-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance This section does not apply to this project. Registration Date/Time: 2016-08-03 12:19:59 Report Version: 2013 Rev 1.007 Schema Version: O.SSSSDD HERS Provider: USERA Report Generated: 2016-08-03 12:20:09 I ! CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 OS 06 07 08 09 10 11 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value Central gas All new Central split All new Greater than System 1 furnace heating AFUE .80 AC cooling SEER 14 Setback 40 feet R-6 components components Reguired Documentation: CF2R-MCH-01-E-Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF2R-MCH-20-H & CF3R-MCH-20-H-Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40ft of duct length is replaced. -Leakage rate compliance:~ 15%, or~ 10% leakage to outside, or seal all accessible leaks. CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow<: 300 CFM/ton required when MCH-25 is required. Exce(ltions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements. -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MECH-25. ~ting duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. - E. Entirely New or Complete ReplaeementOuCt-~ystem, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F) Registration Number: 316-A1030674A-000000000-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance This section does not apply to this project. Registration Date/Time: 2016-08-03 12:19:59 Report Version: 2013 Rev 1.007 Schema Version: O.SSSSDD HERS Provider: US ERA Report Generated: 2016-08-03 12:20:09 CERTIFICATE OF COMPLIANCE CFlR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC) (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: ~~ Maria Baldwin Company: Signature Date: ! -· · ASI 2016-08-03 Address: CEA/ HERS Certification Identification (if applicable): 4870 Viewridge Av. #200 513115 City/State/Zip: Phone: San Diego CA 92123 619-590-9300 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 Compliance is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. I will ensl!lfe that a registel'ed copy of this Certificate of Compliance shall be 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 Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: ' Responsible Designer Signature: /{. • B · Maria Baldwin ~ ',~':_, aA.ta. aL.dt.lt"'' '" . ~A,ri" R"lrlwin 'A11n "< ?n1 R\ Company: t~,,·;s~~::. -~~i~ .. / l!!;~~~:t;~~~.~·. Date Signed: ASI s:;, ·,r :~~~'·'· 2016-08-03 Address: u.s. Energy Ra ~Association 4870 Viewridge Av. #200 City/State/Zip: Phone: San Diego CA 92123 619-590-9300 u .. u.s. Energy Raters Assoclotton "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: 316-A1030674A-OOOOOOOOO-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-08-03 12:19:59 Report Version: 2013 Rev 1.007 Schema Version: O.SSSSDD HERS Provider: USERA Report Generated: 2016-08-03 12:20:09 r-7---.---------------------------------------------------. C"!:RTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test Project Name: 2806 Jacaranda Ave Enforcement Agency: Carlsbad Permit Number: Building Department Dwelling Address: 2806 Jacaranda Ave City: Carlsbad Zip Code: A. System Information 01 02 03 04 OS 06 Space Conditioning System Identification or Name Space Conditioning System Location or Area Served Building Type from CF-1R Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CF1R? Verified Low Leakage Air Handling Unit Credit from CF1R? Duct System Compliance Category System 1 Main Single family No, credit is not taken No, credit is not taken Replacement (Page 1 of3) CB162997 92009 01 Condenser Nominal Cooling Capacity (ton) U.S Energy Raters Association 02 Heating Capacity (kBtu/h) 71 03 Conditioned Floor Area served by this HVAC system (ft2) 2468 04 Duct Leakage Test Condition Test final OS Duct Leakage Test Method Total leakage 06 Leakage Factor .06 07 Air Handling Unit Airflow (AHUAirflow) Determination Measured air flow method Method 08 Measured AHUAirflow 1900 09 Calculated Target Allowable Duct Leakage Rate (cfm) 114 10 Actual duct leakage rate from leakage test measurement 96 (cfm) 11 Compliance Statement: System passes leakage test Registration Number: 316-A1030674A-M2014095A-M20A Registration Date/Time: 2016-08-31 13:39:36 HERS Provider: USERA CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 Report Generated: 2016-08-31 13:39:51 ~ CERTIFIC.~TE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3) B. Duct Leakage Diagnostic Test 12 I Notes: C. Additional Requirements for Compliance 01 System was tested in its normal operation condition. No temporary taping allowed. 02 Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage testing. OA ducts used for Central Fan Integrated (CFI) Indoor Air Quality ventilation systems, or Central Fan Ventilation Cooling Systems, that utilize dampers that open only when OA is required and automatically close when OA is not required, may configure the OA damper to the closed position during duct leakage testing. 03 If a complete replacement, all supply and return register boots were sealed to the drywall. 04 Building cavities were not used as plenums or platform returns in lieu of ducts. OS If cloth backed tape was used it was covered with Mastic and draw bands. 06 All connection points between the air handler and the supply and return plenums are completely sealed. ' < the smoke test was eonducted;ifl accordance with the requirements < ' ,,, /"\ ' ''''<"' 07 . Systems that comply using~smoke tesfshall not be InCluded in sample ,. '. ' -J 08 Pass-all applitable requfrements are met 09 Correction Notes for this table Raters Association 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 l Complies: All specified verification protocol requirements on this document are met. Registration Number: 316-A1030674A-M201409SA-M20A Registration Date/Time: 2016-08-31 13:39:36 HERS Provider: USERA CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 Report Generated: 2016-08-31 13:39:51 .. ' £ERTIFICATE 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: Kenneth Mesday Company: We Green Inc. Address: 3645 Ruffin Road City/State/Zip: San Diego CA 92123 Responsible Person's Declaration statement Documentation Author Date Signed: 2016-08-31 CEA/ HERS Certification Identification (if applicable): 10728163 Phone: 888-991-4377 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 I offrfstallatfon (CF2R)s1grftld1llld submitted by the:person(s) responsible for the specified drftheCeitlficate(s) of Compliance (CFlR) approved by the enforcement agency. 5. Verification shall be, posted, or m~de available With the building permit(s) issued for the for all applicable inspection$~ J understand thatliregistered copy of this Certificate of the builder provides to the building ow·ner at occupancy. ~~~pany Name (Installing Subcontractor, General Contractor, or Buildert:;.rS~ Energy Raters Association Responsible Builder or Installer Name: Maria Baldwin HERS Provider Data Registry Information Sample Group Number (if applicable): 316-24771 HERS Rater Information HERS Rater Company Name: We Green Inc. Responsible Rater Name: Kenneth Mesday Responsible Rater Certification Number w/ this HERS Provider: 10728163 CSLB License: 513115 Dwelling Test Status in Sample Group (if applicable) Tested Responsible Rater Signature: Date Signed: 2016-08-31 u.s. Energy Raters Assoclstlon "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: 316-A1030674A-M2014095A-M20A CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-08-31 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 13:39:36 HERS Provider: USERA Report Generated: 2016-08-31 13:39:51 CERTIFICATE OF INSTALLATION CF2R-MCH~01!E "': Space Conditioning Systems, Ducts, and Fans (Page 1 of7) Project Name: 2806 Jacaranda Ave Enforcement Agency: Carlsbad Building Permit Number: CB162997 I Department Dwelling Address: 2806 Jacaranda Ave City: Carlsbad Zip Code: 920091 ------- A. General Information 01 Dwelling Unit Name 2806 Jacaranda Ave 02 Climate Zone 7 03 Dwelling Unit Total Conditioned Floor 2468 04 Number of Space Conditioning 1 Area (ft2) Systems in this Dwelling Unit. OS Certificate of Compliance Type Prescriptive alterations (CFlR-ALT) 06 Method used to Calculate HVAC Loads NotApplicableEquipmentChangeout 07 Calculated Dwelling Unit Sensible 0 Cooling Load (Btuh) 09 Dwelling Unit Number of Bedrooms 4 01 ~~ ~D SC System I SC System I CFA served Identification or Location or Area by this SC ducted Name Served System (ft2) system? System 1 I Main I 2468 I Yes I Registration Number: 316-A1030674A-M0123729A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance 08 Calculated Dwelling Unit Heating Load (Btu h) 07 ifttiOI)nore containing system than 40 feet of components? ducts? component? Yes I Yes I Yes Registration Date/Time: 2016-08-31 13:31:01 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 I 08 Installing entirely new duct system? I No 0 I I 09 I 10 Installing entirely new SCI Alteration Type system? Altered space I No I conditioning system HERS Provider: USERA Report Generated: 2016-08-31 13:31:16 CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 OS 06 07 08 09 Heating Cooling System Altered Heating Minimum Altered Cooling Minimum Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency or Name System Type Component Type Value System Type Components Type Value All new All new System 1 Central gas heating AFUE .780 Central cooling SEER 14.000 furnace componen split AC components ts D. Installed Heating Equipment Information System Identification or Name Heating Efficiency Type Heating Efficiency Value Heating Unit Manufacturer Heating Unit Model Number Notes: System Identification or Name System 1 Cooling Efficiency Type SEER Cooling Efficiency Value 14.000 Registration Number: 316-A1030674A-M0123729A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance ,.c \ 4312JA)I048090ADJ 1 A Condenser or Package Unit Condenser or Package Unit Manufacturer YORK Condenser or Package Unit Model Number CZH04812CA Condenser or Package Unit Serial Number W1F6674969 Registration Date/Time: 2016-08-31 13:31:01 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 CF2R-MCH,o1:E (Page 2 of7 ) 1 10 11 12 13 Central Fan Integrated New or (CFI) Required Replaced New Ventilation Thermostat Duct Duct System Type Length R-Value Status Setback GT40Ft R6 Not a CFI system Heating Unit serial number Rated Heating Capacity, Output (BTUH) 0409A15365 System Rated Cooling Capacity at Design Conditions (BTUH) 48 71000 Condenser Rated Nominal Capacity (ton) 4.0 HERS Provider: USERA Report Generated: 2016-08-31 13:31:16 CERTIFICATE OF INSTALLATION CF2R-MCH-Ol~E Space Conditioning Systems, Ducts, and Fans (Page 3 of 7 ) l E. Installed Cooling Equipment information 01 02 03 04 05 06 07 08 Condenser or Package Unit Condenser or Condenser or Condenser or System Rated Cooling Condenser Rated I System Identification Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit Capacity at Design Nominal Capacity I or Name Type Value Notes: - F. Extension of Existing Duct System, Greater Than 40 Feet G. Installed Duct System information H. Installed Registration Number: 316-A1030674A-M0123729A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Manufacturer Model Number Serial Number Conditions (BTUH) (ton) ---- This section does not apply to this project. This section does not apply to this project. This section does not apply to this project. Registration Date/Time: 2016-08-31 13:31:01 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 -··----- HERS Provider: USERA Report Generated: 2016-08-31 13:31:16 I CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans J. HERS Verification Requirements 01 02 03 04 OS 06 07 MCH20 MCH21 MCH22 Exemption from Minimum Exemption R-Value for System SCSystem From Duct Duct Ducts In Ducts Located AHU Fan Identification or Location or Area Leakage Leakage Conditioned In Cond Space Efficacy Name Served Requirements Test Space Verification (W/dm) System 1 Main No Yes No No No exemptions Exemption Notes: U.S. Energy Raters Association Registration Number: 316-A1030674A-M0123729A-OOOO CA Building Energy Efficiency Standards -2013 Residential Compliance Registration Date/Time: 2016-08-31 13:31:01 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 CFZR-MCH.-01!£ (Page 4 of 7) 08 09 10 MCH23 MCH25 MCH28 AHU Airflow Rate Refrigerant Return Duct Design (dm/ton) Charge Table 150.0-C or D No No No HERS Provider: USERA Report Generated: 2016-08-31 13:31:16 CERTIFICATE OF INSTALLATION CFZR-MCW-Ol-E Space Conditioning Systems, Ducts, and Fans (PageS of 7) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. Heating Equipment 01 02 03 04 05 06 07 08 09 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency Regulations. Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant to program the temperature set points for at least four different periods in 24 hours. See Sections 1SO.O(i), 110.2(b). Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections 1SO.O(h)1 and 2). Furnace Temperature Rise: Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum inlet-to-outlet temperature rise specification. See Section 1SO.O(h)4. Standby Losses and Pilot Lights: Fan-type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(d). ency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section Condensing Unit Location: Condensing units shall ni2Jt>Q>.IalifletrgyeRlaterfSdAsS00ia.ti'€)n=ction 1SO.O(h)3A. Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing. See Section 1SO.O(h)1 and 2. Air Distribution System Ducts, Plenums and Fans 10 Insulation: In all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct insulation value is R-6. Note that higher values may be required by the prescriptive or performance requirements. See Section 1SO.O(m)l. Registration Number: 316-A1030674A-M0123729A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-08-31 13:31:01 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 HERS Provider: USERA Report Generated: 2016-08-31 13:31:16 CERTIFICATE OF INSTALLATION CF2R-MC .... 01~ Space Conditioning Systems, Ducts, and Fans (Page 6 of 7) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the system that are altered. Existing equipment may be exempt from these requirements. 11 Connections and Closures: All installed air-distribution system ducts and plenums must be, sealed and insulated to meet the requirements of CMC Sections 601.0, 602.0, 603.0, 604.0, 605.0 and ANSI/SMACNA-006-2006: Supply-air and return-air ducts and plenums must be insulated to a minimum installed level of R-6.0 or enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing in accordance with the requirements of Reference Residential Appendix RA3.1.4.3.8. Heat Pump Thermostat 12 I A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c). 13 I The thermostat shall be installed in accordance with the manufacturers published installation specifications 14 I First stage of heating shall be assigned to heat pump heating. 15 I Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met. The responsible person signature on this compliance document affirms that all applicable requirements in this table have been met. U.S. Energy Raters Association Registration Number: 316-A1030674A-M0123729A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-08-31 13:31:01 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 HERS Provider: USERA Report Generated: 2016-08-31 13:31:16 r \ CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Maria Baldwin Company: ASI Av. #200 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Installation is true and correct. Documentation Author Signature: Signature Date: 2016-08-31 619-590-9300 CF2R-MCH-01~ (Page 7 of 7) 2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the responsible builder/installer. 3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements given on the plans and specifications approved by the enforcement agency. lnstallati ~"~ d I have en that · ' ,/!/~at applytotbeconstructionor)~;~Stallation~l:!een met. 4. I review.py of the :.::· te of C,.. · . ,approved by the enfon;ement agency,thatidentifiesJhe specific requirements for the scope of construction or installation identified on this Certificate of 5. I will ens . at a ree:iste oov . s Certific;t,Jf Installation shall be posted, oi"'~de availabl~ With the buildi!)g permit{s) issued for the building, and made available to the enforcement agency for all of this Certificate of lnstal~ti(i!};is requ!r~·to·:be includedWjth the dOcumentation the builder provides to the building owner at occupancy . 619-590-9300 .lU.LO-U0-.)1 US~,,$ u.s. Energy Raters Association "This digital signature is provided in order to secure the content of this registered docurmmt. and in no way implies Registration Provider responsibility for the accuracy of the information.· Registration Number: 316-Al030674A-M0123729A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-08-31 13:31:01 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 HERS Provider: USERA Report Generated: 2016-08-31 13:31:16