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HomeMy WebLinkAbout2816 HIGHLAND; ; CB163639; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-23-2016 Permit No: CB163639 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference#: PC#: Project Title: Applicant: ASI HASTINGS STE 200 2816 HIGHLAND DR CBAD PME 1562002500 SHOUP:CHANGEOUT2 AC'S 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: FOWLER CRAIG&JANET 2816 HIGHLAND DR CARLSBAD CA 92008 ISSUED 09/23/2016 SF 09/23/2016 09/23/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROVtL Date: 1/, /I-' Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. THE FOLLOWI)IG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMATIAPCD ·~ Building Permit Application Plan Check No.<.. 'BI <o) C '39 « •,'#)' 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date cr I l-"3/ (~ ISWPPP JOB ADDRESS SUITEif/SPACEf/UNITI IAPN 2816 HIGHLAND DR, CARLSBAD 92008 -- - CT /PROJECT # I LOT# I PHASE# r OF UNITS r BEDROOMS #BATHROOMS I TENANT SUSINESS NAME J CONSTR. TYPE l OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) CHANGEOUT 2 AC'S EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 AIR CONDITIONING riRE SPRINKLERS YESQI N<Q YEsONoO YESONoO APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME MATT SHOUP Prtnorv Contact ADDRESS ADDRESS 3645 RUFFIN ROAD # 330·335 2816 HIGHLAND DR, CARLSBAD 92008 CITY STATE ZIP CITY STATE ZIP san diee~o ca 92123 CARLSBAD CA PHONE rAX PHONE rAX 619·590-9337 (951) 255-7351 EMAIL EMAIL JERMAINE~WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieao ca 92131 PHONE 'FAX PHONE !FAX 619-590·9337 EMAIL EMAIL 'STATE LIC. # STATE UC.# I CLASS I CITY BUS. uc.1200804 513115 c20 (Sec. 7031.5 Busmess and Professions Code: Any C1ty or County which requires a perm1t to construct, alter, 1mprove, demolish or repair an~ structure, pnor to 1ts Issuance, also reqwes the applicant for such permit to file a signed statement tnat 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 exem.Qt 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 Worke11' Compensation Declaration: I hereby affirm under penalty of petjury one of the follOwing declarations: 0 I have and will maintain a certificate of consent to self·lnsure for woiXers' compensation as provided by Section 3700 of the Labor Code, for the perfo""ance of the woiX for which this pe""it Is Issued. [{] I have and will maintain workn' compensation, as required by Section 3700 of the Labor Code. for the performance of the woiX tor which thiS pe""n Is Issued. My woiXers' compensation Insurance carrier and policy number are: Insurance Co. CYPRESS INSURANCE COMPANY Policy No. ASWC605204 Expiration Date 911/2016 l!!ii, section need not be completed n the pe""n Is for one hundred dollars ($1 00) or less. U Certificate of Exemption: I certify that In the of the woiX for which this permit is issued, I shall not employ any person In any manner so as to become subject to the WoiXers' Compensation Laws of Calnomla. WARNING: Failure to secure coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolla11 (&100,000), in addition to the cost of compensation, damages as 3706 of the Labor code, interest and attorney's fees. ~CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the follOwing reason: 0 D 0 I, as owner of the property or my empioyees with wages as their sole compensation, will do the woiX and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or Improves thereon, and who does such woiX himseff or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner·builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects wnh contractor(s) licensed pursuant to the Contracto(s License Law). 1 am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes Do 2. I (have I have not) signed an application for a building pe""n for the proposed woiX. 3. 1 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 woiX, but I h hired the following person to coordinate, supervise and provide the major woiX (Include name I address I phone I contractors' license numbe~: 5. I will provide some of the woiX, but I have tracted (hired) the following persons to provide the woiX Indicated (Include name I address I phone I type of woiX): ~PROPERTY OWNER SIGNATURE 0AGENT DATE Is ttfe applicant or future building occupant required to submit a business plan, a:utely hazan!ous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazan!ous Substance Account Act? CJ Yes CJ No Is the applicant or future building occupant required to obtain a permn from the alr pollution control district or air quality management district? CJ Yes CJ No Is the fa:ility to be constructed within 1,000 feet of the outer boundary of a school sne? CJ Yes CJ 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. Lender's Name I certify that I halie read the application and state that the above Information Is con8CI and that the information on the plans is accurate. I agree to cornply\Wth all City ordnances and State laws relating to building construcllon. I herei:Y)' authorize representative of the City of Carlsbad i> enter upon lhe abow mentbned property fi:lr inspectbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY. N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA perm~ is required tor excavations over 5'0' deep and demolition struction of structures over 3 stories in height EXPIRATION: Every perm~ issue:! by the Buikling Official t.nder the proviskms of Code II expire by Imitation and become nuU and ..00 K the building or work autllorized by such permit is not corrmenced within 180 days from the date of such ~or Wlhe buikling or work authorized by rm~ · at any line alter the work isoom!\'le~Y.:)9j tor a period of 180days (Section 106.4.4 Unifi:lrm Buikfng Code). A$ APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CB163639) BLDG-Residential 09/23/2016Application Date:Permit Type:Owner:PINHEIRO FAMILY LP Subdivision:P/M/E 09/23/2016Work Class:Issue Date: 2816 Highland Dr Carlsbad, CA 92008 Address:Issued - Active 03/22/2017Expiration Date:Status: IVR Number: 717314 Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 11/17/2016 11/17/2016 BLDG-43 Air Cond./Furnace Set 001660-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 001661-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Mechanical Final Yes November 21, 2016 Page 1 of 1 'f CERTIFICATE OF INSTALLATION I CF2R-MCH-01-E I I Space Conditioning Systems, Ducts, and Fans I (Page 1 of 8 ) , I Project Name: 2816 Highland Dr Enforcement Agency: Carlsbad Building Permit Number: CB163639 I Department i Dwelling Address: 2816 Highland Dr City: Carlsbad Zip Code: 92oo8 I - -----·--· -·----· ---------- I A. General Information 01 Dwelling Unit Name 2816 Highland Dr 02 Climate Zone 7 03 Dwelling Unit Total Conditioned Floor 3500 04 Number of Space Conditioning 2 Area (ft2) Systems in this Dwelling Unit. OS Certificate of Compliance Type Prescriptive alterations (CF1R-ALT) 06 Method used to Calculate HVAC Loads NotApplicableEquipmentChangeout 07 Calculated Dwelling Unit Sensible 0 Cooling Load (Btuh) 09 Dwelling Unit Number of Bedrooms 5 01 SC System SCSystem CFAserved Identification or Location or Area by this SC ducted Name Served System (ft2) system? System 1 I Main I 1750 I Yes I Registration Number: 316-A1034142A-M0126142A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance 08 Calculated Dwelling Unit Heating load (Btuh) - - - -- --· -·-------- 05 07 '" tef191f\8EK> iatiOJtnore containing system than 40 feet of components? ducts? component? Yes I Yes I No Registration Date/Time: 2016-10-13 15:21:04 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 I 08 Installing entirely new duct system? I No 0 - I 09 I 10 Installing entirely new SCI Alteration Type system? Altered space I No I conditioning system HERS Provider: USERA Report Generated: 2016-10-13 15:21:34 .. CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 2 of8) B. Space Conditioning (SC) System Information I I 01 02 03 04 OS 06 07 08 09 10 ! SCSystem SCSystem CFAserved Is the SC Installing a Installing new SC Installing more Installing Installing ' Identification or location or Area bythisSC system a refrigerant system than 40 feet of entirely new entirely new SC Alteration Type Name Served System (ft2) ducted containing components? ducts? duct system? system? system? component? Altered space System 2 Main 1750 Yes Yes Yes No No No conditioning system - C. Space Conditioning (SC) System Alterations Compliance Information Central Fan Integrated Heating Cooling New or (CFI) sy .. em f ' A .. , •• ~ Heating I Minimum Altered Cooling Minimum Required Replaced New Ventilation Identification kl!eating •1 ;: ~'1iea!~!l~-i; JV4t¥cy ·.Efficiency Cooling· . Cooling EfftciEmcy Efficiency Thermostat Duct Duct System or Name · . em Tvoe ~ ~Comolnrnt · . e · Value svstemTvoe ·Components Type Value Type length R-Value Status All new I I I I System 1 I~ I ' comfli3 --~· ·-.1 -· ,:-_-:~:-·· I ;;~~RJt~;;itsb~;:ti 1 +4.000 Setback LTE40Ft RG Not a CFI system e -- This field h I 0 ' This field All new I Central gas 1 No eatmg . . Central I I I I I System 2 sect1on IS or section cooling I SEER 14.000 Setback LTE40Ft RG Not a CFI furnace componen not is not split AC system t altered r bl applicable components app 1ca e Registration Number: 316-A1034142A-M0126142A-OOOO Registration Date/Time: 2016-10-13 15:21:04 HERS Provider: USERA CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-10-13 1S:21:34 Schema Version: 2013.1.007 ~ CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans D. Installed Heating Equipment Information This section does not apply to this project. E. Installed Cooling Equipment information 01 02 03 04 OS 06 Condenser or Package Unit Condenser or Condenser or Condenser or System Identification Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit or Name Type Value Manufacturer Model Number Serial Number System 1 SEER 16.000 DAIKIN DX16SA0481AB 1608360799 System 2 SEER 16.000 DAIKIN DX16SA0481AB 1608360786 Notes: F. Extension Thi'S section do.es notapplyto this project. G. Installed U.S. iiifler§)loRatetS tA&sooiatio n H. Installed Air Filter Device Information Registration Number: 316-A1034142A-M0126142A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance This section does not apply to this project. Registration Date/Time: 2016-10-13 15:21:04 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 CF2R-MCH-Ol-E (Page 3 of8) 07 08 System Rated Cooling Condenser Rated Capacity at Design Nominal Capacity Conditions (BTUH) (ton) 48 4.0 48 4.0 HERS Provider: USERA Report Generated: 2016-10-13 15:21:34 CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans I. Air Filter Device Requirements This section does not apply to this project. U.S. Energy Raters Association Registration Number: 316-A1034142A-M0126142A-0000 Registration Date/Time: 2016-10-13 15:21:04 CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 CF2R-MCH-Ol-E (Page 4 of 8) HERS Provider: USERA Report Generated: 2016·10-13 15:21:34 CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans J. HERS Verification Requirements MCH20 I I MCH21 I MCH22 Exemption from Minimum Exemption R-Value for System I SC System I 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) Altered duct system has System 1 I Main I less than 40 ft I No I No I No I No of duct in Exemption unconditioned spaces System 2 No Yes ' No I No··· ·.·I No '•/fiiVt. ' · <i<~roptioris. Exemption >..mi,...,,,,, (c7i ,, ' Notes: U.S. Energy Raters Association Registration Number: 316-A1034142A-M0126142A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-10-13 15:21:04 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 CF2R-MCH-01-E (Page 5 of8) I MCH23 I MCH25 I MCH28 AHU Airflow Rate I Refrigerant I Return Duct Design (dm/ton) Charge Table 150.0-C or D I No I No I No I No I No I No HERS Provider: USERA Report Generated: 2016-10-13 15:21:34 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 6 of8) 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 OS 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 lSO.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 lSO.O(h)l 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). Cooling Equipment 06 meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency ·~~ ' 07 in split system air conditioners and heat pumps rQ.U~t meet the R-value and protection requirements of Section 08 I Condensing Unit Location: Condensing units shall ni2JI~S>Jai.cfler'(!lftleAatelfgdAseO~~ction 1SO.O(h)3A. 09 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 lSO.O(h)l 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 lSO.O(m)l. Registration Number: 316-A1034142A-M0126142A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-10-13 15:21:04 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 HERS Provider: USERA Report Generated: 2016-10-13 15:21:34 CERTIFICATE OF INSTALLATION CFZR-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 7 of8) 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. 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, 11 602.0, 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 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c). 13 The thermostat shall be installed in accordance with the manufacturers published installation specifications 14 First stage of heating shall be assigned to heat pump heating. 15 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-Al034142A-M0126142A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-10-13 15:21:04 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 HERS Provider: USERA Report Generated: 2016-10-13 15:21:34 I I i ' CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 8 of 8) Documentation Author's Declaration Statement 1. I certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Maria Baldwin Signature Date: 2016-10-13 Identification (if ViPwrirlPP Av. #200 Phone: 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 Installation is true and correct. 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. 4. I reviewed,a.coov of the Certificate of C~ aooroved.by .th!l.~llforcemeot agtmCY thiit.identifie~ the specific requjre!Jlents for the scope of construction or installation identified on this Certificate of apptYtd'ttie construction orinstall1i"tion\fli1Ve:been met. · . ; . 5. I will ensdte,that a registeiil:lt:Coov df!his Certificate~f InstallatiOn shall be posted, or rniide availabl~ )inih the building' permit(s) issued for the building, and made available to the enforcement agency for all of this C~rtificafe of InstallatiOn is required'tt,~.be included with the documentation the builder provides to the building owner at occupancy. re: 619-590-9300 us U.S. Energy Rsters Association "This digital signature is provided in order to secure the content of this registered document. and rn no way implies Registration Provider responsibility for tire accuracy of the information.· Registration Number: 316-A1034142A-M0126142A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-10-13 15:21:04 Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 HERS Provider: USERA Report Generated: 2016-10-13 15:21:34 CERTIFICATE OF VERIFICATION Duct Leakage Diagnostic Test Project Name: 2816 Highland Dr Enforcement Agency: Carlsbad Building Dwelling Address: 2816 Highland Dr City: A. System Information 01 02 03 04 05 06 Space Conditioning System Identification or Name Space Conditioning System Location or Area Served Building Type from CF-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 Department Carlsbad System 2 Main Single family No, credit is not taken No, credit is not taken Alteration '" ~ CF3R-MCH-20-H (Page 1 of 3) Permit Number: CB163639 Zip Code: 92008 i 01 U.S.I Energy Raters Association 02 I Heating Capacity (kBtu/h) 1 03 I Conditioned Floor Area served by this HVAC system (ft2) I 1750 04 I Duct Leakage Test Condition I Test final 05 I Duct Leakage Test Method Total leakage 06 I Leakage Factor .15 07 1 Air Handling Unit Airflow (AHUAirflow) Determination I Cooling system method Method 08 Measured AHUAirflow 0 09 Calculated Target Allowable Duct Leakage Rate (cfm) 240 10 1 Actual duct leakage rate from leakage test measurement I 227 (cfm) 11 I Compliance Statement: System passes leakage test Registration Number: 316-A1034142A-M2015614A-M20A Registration Date/Time: 2016-10-13 15:23:54 HERS Provider: USERA CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 Report Generated: 2016-10-13 15:24:23 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3) B. Duct Leakage Diagnostic Test 12l 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. 07 r.l'i!tt;mhthod~ the smoke test was conduct~d\IO'accordance With the requirements Systems that comply using sm()ke test shall not be jndtided in sample 08 I VeriTir::mnr Pass-all applicable requirements are met 09 I Correction Notes for this table u.s 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 I Complies: All specified verification protocol requirements on this document are met. Registration Number: 316-A1034142A-M2015614A-M20A Registration Date/Time: 2016-10-13 15:23:54 HERS Provider: USERA CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 Report Generated: 2016-10-13 15:24:23 • .. CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 3 of 3 I Documentation Author's Declaration Statement 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Nathan Gray Company: We Green Inc. Address: 4077 32nd Street #8 City/State/Zip: San Diego CA 92194 Responsible Person's Declaration statement Documentation Author Signature: Date Signed : 2016-10-13 CEA/ HERS Certification Identification (if applicable): 10361563 Phone: 6195497372 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 reported"gn afl'plicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the installatiorf conforms to thel"~qolrem~nts specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency. 5. a register'ed copy f this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the made availaole to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of included with the the builder provides to the building owner at occupancy. e Certificate Of lnstallati.on Company Name (Installing Subcontractor, General Contractor, or Builder~@; Energy Raters Association ASI Responsible Builder or Installer Name: Maria Baldwin HERS Provider Data Registry Information Sample Group Number (if applicable): 316-27290 HERS Rater Information HERS Rater Company Name: We Green Inc. Responsible Rater Name: Nathan Gray Responsible Rater Certification Number w/ this HERS Provider: 10361563 CSLB License: 513115 Dwelling Test Status in Sample Group (if applicable) Tested Responsible Rater Signature: Date Signed: 2016-10-13 u.s. Ener.gy Raters As:oociatton "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-A1034142A-M2015614A-M20A CA Building Energy Efficiency Standards Registration Date/Time: 2016-10-13 15:23 :54 HERS Provider: USERA 2013 Residential Compliance Report Version: 2013 Rev 1.007 Schema Version: 2013.1.007 Report Generated: 2016-10-13 15:24:23 . .