HomeMy WebLinkAbout2842 CEBU PL; ; CB153460; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-14-2015 Permit No: CB153460
Building Inspection Request Line (760) 602-2725
Job Address: 2842 CEBU PL CBAD
Permit Type: PME Status: ISSUED
Applied: 10/14/2015
Parcel No: 2153102302 Lot #: 0
Entered By: RMA
Reference #: Plan Approved: 10/14/2015
PC #: Issued: 10/14/2015
Inspect Area:
Project Title: FERRIN RES-REPLACE FAU & A/C
Applicant:
DIRECT AC INC
STE 126
4199 FLAT ROCK DR
RIVERSIDE CA 92505
951-742-8222
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
FERRIN TIMOTHY S&KELLY B LIVING TRUST 09-07-07
2842 CEBU PL
CARLSBAD CA 92009
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: $0.00
FINAL AP RO ALA
Inspector: Date: Clearance:
NOTICE Fleme take NOTICE that approval of your project includes the "Impositiori' fees, dedications, reeervaticns, or other exactions heremer collectively
referred to as "fees/exactions." You have 90 days from the date this pen -nit was issued to protest imposition of these fees(eVadions. If you protest them, you must
follow the protest prooeJ res set forth in Go/errrr�ent Code Section 66Wa), and file the protest and any other reel ired inforrretion Wth the Oty fvIanager for
processing in aocadanoe with Carlsbad Mriapal Code Section 3.32.030. Failure to timely fdlavthat prooed re w+ll bar any subsecluent legal action to attack,
review, set aside, void, or arind their iirposition.
You are hereby FURTHER NOTIFIED that your right to protest the spedfied fees/exactions DOES NOT APPLY to water and saner corr-ection fees and capacity
charxjes, nor planning, axing, gradng or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to arry
fees/exactions of which have ve\Aously been given a NOTICE simlar to this or as to vvtich the statute of limtations has OUSIV otherwise EXPIred.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [ ,]PLANNING ❑ENGINEERING I BUILDING ❑FIRE [3HEALTH ®HAZMATIAPCD
Building Permit Application
City of 1635 Faraday Ave., Carlsbad, CA 92008
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carisbadca.gov
Plan Check No. 0,A1.Dqboo0'o
Est. Value
Plan Ck. De osit
Date PPP
JOB ADDRESS /�
fJ
CC.
SUITE#/SPACE#/UNIT
APN -
CT/PROJECT #
LOT #
PHASE # # OF UNITS
#BEDROOMS
#BATHROOMS
TENANT BUSINESS NAME
CONSTR. TYPE
OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(S)
A
EXISTING USE
PROPOSED USE
GARAGE (SF)
PATIOS (SF)
DECKS (SF)
FIREPLACE
YES [:]# NO❑
AIR CONDITIONING
YES [:]NO[:]
FIRE SPRINKLERS
YES N0[::]
APPLICANT NAME
Primary Contact r,�x
r
`
PROPERTY OWNERe
\
ADDRESS P ��� PC ^v`C 1
7
ADDRESS Q� /r�
`
3�
CITY
P �F✓ 7r \
ST�IG�
C
CITY f ST
r E/mot d
CrC%
PHOf� r - FAX
19- 7L0 -y-,.-
PHONE
FAX
EMAIL
EMAIL
DESIGN PROFESSIONAL
CONTRACTOR BUS. NAME
ADDRESS
ADDRESS
CITY STATE ZIP
CITY STATE ZIP
PHONE
FAX
PHONE
FAX
EMAIL
EMAIL
STATE LIC. #
STATE LIC.#
CLASS
CITY 13 } LILf 12-
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, aver, improve, uernuusn ur re , any — ul.uI �, N„., . a �•• - •-
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (C VC,
9, commendingwlth 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)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain workers' c/Qpr1�pensati requi v Section 3700 of the Labor Code, for the performance of t e work for which this permit is issued. My workers' compensation insurance carrieprid olicy
number are: Insurance Co. 1�7G' J 4 ° Policy No. C �L9�� Expiration Date '0} '
Thi section need not be completed I the permit is for one hundred dollars ($100) or less.
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure work co ensation 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, dama s as prov1 ad f on 06 of the Labor co e, and attorney's fees. VIq
)KCONTRACTORSIGNATURE ❑AGENT DATE If 5
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended 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 himself 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 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 License Law).
I am exempt under Section Business and Professions Code for this reason:
1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. ❑Yes ❑No
2. 1 (have I have not) signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address I phone / contractors' license number):
4. 1 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 / phone / contractors' license number):
5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
.CSPROPERTY OWNER SIGNATURE AGENT DATE
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? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code),
Lenders Name
Lender's Address
I certifythat I have read the application and state thatthe above information's ooract and thatthe information on the plans is accurate. I agree to cornplywidr all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. 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 OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 60�deruthe
d der, or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Offici pro ' bnsofthis Code shall expire by limitation and become null and void 9 the building or work authorized by such permit is not commenced within
180 days from the date ofsuch permit or if the buildin r wothorized y su ataoy line after the work is commenced for a pe�od of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE /0,
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building(a carlSbadca.gOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
0#: (Office Use Only)
7
CONTACT NAME
OCCUPANT NAME
ADDRESS
BUILDING ADDRESS
CITY STATE ZIP
CITY STATE ZIP
Carlsbad CA
PHONE
FAX
EMAIL
OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE / NO CONSTRUCTION
ESAPPLICANT'S SIGNATURE
DATE
Inspection List
Permit#: C13153460 Type: PME
Date Inspection Item
11/13/2015 43 AirCond/Furnace Set
11/13/2015 43 AirCond/Furnace Set
11/13/2015 49 Final Mechanical
11/13/2015 49 Final Mechanical
FERRIN RES-REPLACE FAU & A/C
Inspector Act Comments
RI
AEK AP
RI
AEK FI
Monday, November 16, 2015 Page 1 of 1
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-1R-ALT HVAC)
Project Name:
Ferrin I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
201S-10-14
A. General Information
MR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one MR-ALT-02 document for each dwelling unit.
01
Project Name
Ferrin
02
Date Prepared
2015-10-14
03
Project Location
2842 Cebu PI
04
Building Type
Single family
OS
CA City
Carlsbad
06
Dwelling Unit Name
Ferrin
08
Dwelling Unit Conditioned
1369
07
Zip Code
92009
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
05
06
07
08
09
10
Is the SC
Installing a
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
System 1
Location 1
1369
Yes
Yes
Yes
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A6357011A-000000000-0000
Registration Date/Time:
2015-10-14 07:16:24
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10-14 07:16:21
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-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)IE and F)
01
02
03
04
0S
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
All new
All new
This field or
This field or
System 1
Central gas
heating
AFUE
0.78
Central split
cooling
SEER
13
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
Required Documentation:
CF213-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Dud Leakage testing required when heating or cooling components are installed in ducted systems, or when
more than 40 ft of duct length is replaced.
-Leakage rate compliance: 5 15%, or 5 10% leakage to outside, or seal all accessible leaks.
CF211-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 z 300 CFM/ton required when MCH-25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Dud 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.
-Existing dud systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Dud Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 215-A6357011A-000000000-0000 Registration Date/Time: 2015-10-14 07:16:24 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10-14 07:16:21
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAQ (Page 3 of 3 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: I -
Friend, Jason
Company:
Signature Date:
DIRECT BUY HEATING AND AIR CONDITIONING
2015-10-14 07:16:24
Address:
CEA/ HERS Certification Identification (if applicable):
4199 Flat Rock Dr #126
City/State/Zip:
1951-741-8222
Phone:
RIVERSIDE CA 92505
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. 1 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. 1 will ensure that a registered 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 owner at occupancy.
Responsible Designer Name:
�_buiilldiingg
Responsible Designer Signature: /r�i^
Friend, Jason
v/
Company:
Date Signed:
DIRECT BUY HEATING AND AIR CONDITIONING
2015-10-14 07:16:24
Address:
License:
4199 Flat Rock Dr #126
933392
City/State/Zip:
Phone:
1951-741-8222
RIVERSIDE CA 92505
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A6357013A-000000000-0000 Registration Date/Time: 2015-10-14 07:16:24 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10-14 07:16:21
Schema Version: 0.5555DD
CERTIFICATE OF VERIFICATION
CF3R-MCH-20-H
Duct Leakage Diagnostic Test
(Page 1 of 3 )
Project Name:
Cebu PI
Enforcement Agency: City of
Carlsbad
Permit Number: 153460
Dwelling Address:
2842 Cebu PI
City: Carlsbad
Zip Code: 92009
A. System Information
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location or Area Served
Whole House
03
Building Type from CF-1R
Single family
04
Verified Low Leakage Ducts in Conditioned Space
(VLLDCS) Credit from CF1R?
No, credit is not taken
05
Verified Low Leakage Air Handling Unit Credit from
CF1R?
No, credit is not taken
06
Duct System Compliance Category
Alteration
MCH-20d - Complete Replacement or Altered Duct System
B. Duct Leakage Diagnostic Test
01
Condenser Nominal Cooling Capacity (ton)
3
02
Heating Capacity (kBtu/h)
64
03
Conditioned Floor Area served by this HVAC system (ft2)
1369
04
Duct Leakage Test Condition
Test final
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.15
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Heating system method
O8
Measured AHUAirflow
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage Rate (cfm)
208
10
Actual duct leakage rate from leakage test measurement
(cfm)
115
11
Compliance Statement: System passes leakage test
Registration Number: 215-A6388329A-M2000002A-M20A Registration Date/Time: 2015-11-10 02:16:00 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013-1.006 Report Generated: 2015-11-10 02:14:01
2013 Residential Compliance Schema Version: 2013.1.006
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3 )
B. Duct Leakage Diagnostic Test
12 Notes:
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage
testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet
ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured 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.
05
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
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements
of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance.
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 1 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-A6388329A-M2000002A-M20A Registration Date/Time: 2015-11-10 02:16:00 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013-1.006 Report Generated: 2015-11-10 02:14:01
2013 Residential Compliance Schema Version: 2013.1.006
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: OAV44V
Danny Bauder
Company:
Date Signed:
Baud -Air Energy Efficiency Services
2015-11-10 02:16:00
Address:
CEA/ HERS Certification Identification (if applicable):
3616 Honeyglenn way
City/State/Zip:
Phone:
Ontario CA 91761
951-313-2603
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):
DIRECT BUY HEATING AND AIR CONDITIONING
Responsible Builder or Installer Name:
CSLB License:
Jason Friend
933392
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Baud -Air Energy Efficiency Services
Responsible Rater Name:
Responsible Rater Signature:
Danny Bauder
Responsible Rater Certification Number w/ this HERS Provider:
Date Signed:
CC2005690
2015-11-10 02:16:00
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 215-A6388329A-M2000002A-M20A Registration Date/Time: 2015-11-10 02:16:00 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013-1.006 Report Generated: 2015-11-10 02:14:01
2013 Residential Compliance Schema Version: 2013.1.006
CERTIFICATE OF INSTALLATION
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
(Page 1 of 7 )
Project Name: Cebu PI
Enforcement Agency: City of Carlsbad
Permit Number:
153460
Dwelling Address: 2842 Cebu PI
City: Carlsbad
Zip Code:
92009
A. General Information
01
Dwelling Unit Name
Cebu PI
02
Climate Zone
7
Number of space conditioning (SC)
03
Dwelling Unit Total Conditioned Floor
1369
04
systems being altered in this dwelling
1
Area (ft2)
unit.
05
Certificate of Compliance Type
Prescriptive alterations (CF1R-ALT)
06
Method used to calculate HVAC loads
ACCA_ManualJ
Calculated dwelling unit Sensible
36000
08
Calculated Dwelling Unit Heating Load
64000
07
Cooling Load (Btuh)
(Btuh)
09
Dwelling Unit Number of Bedrooms
2
MCH-01b Prescriptive Alterations - Space Conditioning Systems Ducts and Fans
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
CFA served
Is the SC
Installing a
Installing
SC System
SC System
by this SC
system a
refrigerant
Installing new SC
Installing more
entirely
Installing
Identification or
Location or Area
System
ducted
containing
system
than 40 feet of
new duct
entirely new
Name
Served
(ft2)
system?
component?
components?
ducts?
system?
SC system?
Alteration Type
Altered space
System 1
Whole House
1369
Yes
Yes
Yes
No
No
No
conditioning
system
Registration Number: 215-A6388329A-M0100002A-0000
Registration Date/Time
2015-11-10 02:17:00
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-10 02:09:24
Schema Version: 2013.1.006
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 2 of 7 )
C. Space Conditioning (SC) System Alterations Compliance Information
01
02
03
04
05
06
07
08
09
10
11
12
13
Central Fan
Integrated
Heating
Cooling
New or
(CFI)
System
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
Replaced
New
Ventilation
Identification
Heating
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Duct
Duct
System
or Name
System Type
Component
Type
Value
System Type
Component
Type
Value
Type
Length
R-Value
Status
This
field
Central gas
All new
heating
AFUE
078
Central
All new
cooling
SEER
15
Setback
N/A - no
ducts
or
sectio
Not a CFI
System 1
furnace
componen
.
split AC
components
replaced
n is
system
is
not
applic
able
D. Installed Heating Equipment information
01
02
03
04
05
06
07
System Identification or
Name
Heating Efficiency Type
Heating Efficiency
Value
Heating Unit
Manufacturer
Heating Unit
Model Number
Heating Unit serial
number
Rated Heating Capacity,
Output (BTUH)
System 1
AFUE
0.78
Amana
AME80805CXA
150803640
64000
Notes:
Registration Number: 215-A6388329A-M0100002A-0000
Registration Date/Time
2015-11-10 02:17:00
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-10 02:09:24
Schema Version: 2013.1.006
CERTIFICATE OF INSTALLATION
Space Conditioning Systems, Ducts, and Fans
E. Installed Cooling Equipment information:
01 02
System Identification Cooling Efficiency
or Name Type
System 1 SEER
Notes
03
04 05 1 06
Condenser or Package Unit
Cooling Efficiency
Value
Condenser or
Package Unit
Manufacturer
Condenser or
Package Unit
Model Number
Condenser or
Package Unit
Serial Number
15
Goodman
ASX16036
1506160769
F. Extension of Existing Duct System, Greater Than 40 Feet
I G. Installed Duct System information
H. installed Air Filter Device Information
I. Air Filter Device Requirements
This section does not apply to this project.
This section does not apply to this project.
This section does not apply to this project.
This section does not apply to this project.
07
System Rated Cooling
Capacity at Design
Conditions (BTUH)
36000
CF2R-MCH-01-E
(Page 3 of 7 )
08
Condenser Rated
Nominal Capacity
(ton)
3
g
Registration Number: 215-A6388329A-M0100002A-0000
Registration Date/Time: 2015-11-10 02:17:00 HERS Provider: CaICERTS
Report Version: 2013-1.006 Report Generated: 2015-11-10 02:09:24
CA Building Energy Efficiency Standards - 2013 Residential Compliance Re P
Schema Version: 2013.1.006
CERTIFICATE OF INSTALLATION
Space Conditioning Systems, Ducts, and Fans
J. HERS Verification Requirements
01 02
03
Exemption
SC System
SC System
From Duct
Identification or
Location or Area
Leakage
Name
Served
Requirements
System 1
Whole House
No
exemptions
Notes:
CF2R-MCH-01-E
(Page 4 of 7 )
04 05 06 1 07 08 09 10
MCH2O MCH21 I MCH22 I MCH23 MCH25 MCH28
Exemption
from
Minimum
R-Value for
AHU Fan
AHU
Duct
Ducts In
Ducts Located
Efficacy
Airflow
Leakage
Conditioned
In Cond Space
(W per
Rate (cfm
Refrigerant
Return Duct Design
Test
Space
Verification
cfm)
per ton)
Charge
Table 150.0-C or D
Yes
Not
No
No
No
No
No
applicable
g
Re istration Date/Time: 2015-11-10 02:17:00 HERS Provider: CaICERTS
Registration Number: 215-A6388329A-M0100002A-0000
ort Version: 2013-1.006 Report Generated: 2015-11-10 02:09:24
CA Building Energy Efficiency Standards - 2013 Residential Compliance Re p
Schema Version: 2013.1.006
CF2R-MCH-01-E
CERTIFICATE OF INSTALLATION
(Page 5 of 7 )
Space Conditioning Systems, Ducts, and Fans
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 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.
02 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 150.0(i), 110.2(b).
03 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
150.0(h)1 and 2).
04 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 150.0(h)4.
05 j 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 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency
Regulations.
07 Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section
150.0(j)2 and 3, and Section 150.0(m)9.
08 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(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
150.0(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 highervalues may be
required by the prescriptive or performance requirements. See Section 150.0(m)1.
g
Registration Number: 215-A6388329A-M0100002A-0000
Registration Date/Time: 2015-11-10 02:17:00 HERS Provider: CaICERTS
Report Version: 2013-1.006 Report Generated: 2015-11-10 02:09:24
CA Building Energy Efficiency Standards - 2013 Residential Compliance Re P
Schema Version: 2013.1.006
CFZR-MCH-01-E
CERTIFICATE OF INSTALLATION
(Page 6 of 7 )
Space Conditioning Systems, Ducts, and Fans
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 CIVIC 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.
Registration Number: 215-A6388329A-M0100002A-0000
Registration Date/Time
2015-11-10 02:17:00
HERS Provider: CaICERTS
Report Version: 2013-1.006 Report Generated: 2015-11-10 02:09:24
CA Building Energy Efficiency Standards - 2013 Residential Compliance Re p
Schema Version: 2013.1.006
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 7 of 7 )
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Friend, Jason
ROBX/1�
Company:
Signature Date:
DIRECT BUY HEATING AND AIR CONDITIONING
2015-11-10 02:17:00
Address:
CEA/ HERS Certification Identification (if applicable):
4199 Flat Rock Dr #126
City/State/Zip:
Phone:
RIVERSIDE CA 92505 1951-741-8222
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. 1 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. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of
Installation, and I have ensured that the requirements that apply to the construction or installation have been met.
5. I will ensure that a registered copy of this Certificate of Installation 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 Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Responsible Builder/Installer Signature:
Friend, Jason�/�'
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Position With Company (Title):
DIRECT BUY HEATING AND AIR CONDITIONING
Owner
Address:
CSLB License:
4199 Flat Rock Dr #126
933392
City/State/Zip:
Phone:
ate Signed:
T2011
RIVERSIDE CA 92505
1951-741-8222
5-11-10 02:17:00
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A6388329A-M0100002A-0000 Registration Date/Time: 2015-11-10 02:17:00 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-10 02:09:24
Schema Version: 2013.1.006