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Home My WebLink About2844 AVENIDA HELECHO; ; CB162647; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 07-08-2016 Permit No: CB162647 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2844 AVENIDA HELECHO CBAD PME 2552811400 Lot#: PUTERBAUGH: ADD 2 NC UNITS 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/08/2016 SLE 07/08/2016 07/08/2016 ACTION AIR COND & HEATING-SO PUTERBAUGH FAMILY TRUST 06-20-94 2750 S SANTA FE AV SAN MARCOS CA 92069 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2844 AVENIDA HELECHO 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: Inspector: FINAL APPROVAL 1{-17-11 Date: Clearance: $0.00 NOTlCE: Please take CE that cwuvai a' }WI' prqed indudes the "lrrpa;ition" a' fees, dedcatims, reservations, or ether exa::tims hereafter ooledively referred to as "fees'exa::tims." Yru rave OOdays frornthedatetns pemit W3S iSSled to prctest irrposition a'thesefees'exa::tims. lfyoo p-ctest them, yoo rrust follo.vtre p-ctest prcrecires set forth in <?o.lernrent Ccxle Section 60020(a), crd file the p-ctest crd cny ether req..ired infooration wth the Oty IVa1ager for proolSsirg in cnxrda'mwth Ca1sb00 M.rid~XJ! Ccxle Section 3.32.tm. RiiLretotirrelyfollo.vthat J)'CXlldrewlll:a" cnysui:EEqslt lega a:lion to attack, n:Mew, set aside, void, or anJ their irrpa;ition. Yru Gre heretJy FlRTH3"\DTlREDthat ;ur rigt to pUest the ~fiedfees'exa::tims !XES NOT JIPPI... Yto\M3ter crdSEMer rorection fees and~ ~ rrr plcnirg, zcrirg. gocirg or ether simla-~ication proolSsirg or service fees in roredion wth tns prqed. I'm OC'ES IT APPlY to cny fees'exa::tims a' Wich ·rus~ \m a NOTlCE sirrila-to tns or as to Wi tre statute a' lirritatims tas ·ru;~ ctherMse 'red. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING DFIRE DHEALTH DHAZMATIAPCD {'city of Building Permit Application Plan Check No. C81to2lo 41-- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date 1-~-Lo lsWPPP JOB ADDRESS SUITE#/SPACEt/UNIT# IAPN 2&~4 .Ave.n"ida.. rie..\e_c..-ht'\ --- CT/PROJECT # l LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~"'"ota.\\ z N~ 3-te....-.. Ah F Co\\.s . EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE ! I AIR CONDITIONING I FIRE SPRINKLERS YEsO_ NoD YEs0No0 YESDNoD APPLICANT NAME ~eve.'!.....,__ ~ \w,\ e_,c-e.r-P~_TTYO~+c h Primary Contact e.-c-.a H•h ADDRESS ADDRESS ~ 3\""Z.ZS Lo... \5c:\ . .'\J<==-. Dc--. .::ft 2. I~ 2&L-\L\ Ave.n I dc:a.... \-\ e..\ec. ho CITY STATE ZIP CITY STATE ZIP IJ e..!'.:\·\ o..k e.. v \\\ <:>.. '\C. CA. q 1"3~1... Cc-..... -c-\sbc;:r..d CA Cf20D9 PHONE .._. I FAX PHONE I FAX ~1'?-1-:=..s--nit.--?leo -IS' 2.. 2-4'4 3;! EMAIL EMAIL DESIGN PROFESSIONAL itTI+fTOR BUA k:ME l-l ~' C "IOh C e..tll.: IT'll' E;. So\01..r ADDRESS ADDRESS ..... 27.SO S-~ ..... ~c.. ~ A\Je.. CITY STATE ZIP CITY STATE ZIP s;o......-... Mo.."(' c D!:. CA '12Cb9 PHONE I FAX PHONE I FAX /lc:IQ-72. 7-t4 152. EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS ~~\B~~~ SOq(3().5 C?O (Sec. 7031.5 Busmess and Professions Code: Any C1ty or County which requ1res a perm1t to construct, alter, 1m prove. demolish or repa1r any structure, pnor to 1ts 1ssuance, also reqUires 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}). and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code. for the perfonnance of the worl< for which this penn it is issued. and will maintain wo~ compensation, as requir;d \Y Section 3700 of the Labor Code, for the perfonnance of the worl< for which this permit is issued. My workers' compensation in urance carrier and policy number are: Insurance Co. ..1-'("\ So C 0 D£-h. e. {.Je..s-\-Policy No. W S D 7 07 (')>-Jb£ D I Expiration Date l ""2. "?:I) l l.. This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: I certify that in the perfonnance of the worl< for which this penn it is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. 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 Section 3706 of the Labor code, interest and attorney's fees. '"""' ,------.. ..c.> CONTRACTOR SIGNATURE ~-------- I hereby affirm that I am exempt from Contractor's License 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 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 Contractors 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 Contractors License Law). I 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 0No 2. I (have I have not) signed an application for a building penni! for the proposed work. 3. I have contracted with the following person (finn) 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): _ft5 PROPERTY OWNER SIGNATURE 0AGENT DATE I -,~~~ = = -C<~ -- 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? 0 Yes 0 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 0 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 certify1hat I have read 1he application and state 1hat1he above information is correct and 1hat the information on 1he plans is accurate. I agree to complywi1h 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permtt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in heght. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ~the building or v.ork authorized by such permit is not commenced within 180 days from the date of such permit or if the building orv.ork authorized by such permit is suspended or abandoned at any time after the v.ork is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) . ..@S' APPLICANT'S SIGNATURE DATE 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@carlsbadca.govor Mail the completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. (Office Use Only) CA No. DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#·------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION _6S APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CB162647) BLDG-Commercial 07/08/2016Application Date:Permit Type:Owner:TRUST PUTERBAUGH FAMILY TRUST 06-20-94 Subdivision:P/M/E 07/08/2016Work Class:Issue Date: 2844 Avenida Helecho Carlsbad, CA 92009 Address:Issued - Active 01/04/2017Expiration Date:Status: IVR Number: 715687 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 001615-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 001616-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Mechanical Final Yes November 21, 2016 Page 1 of 1 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of8) Project Name: PJ PUTERBAUGH Enforcement Agency: City of Carlsbad Permit Number: cb162647 Dwelling Address: 2844 AVENIDA HELECHO [HOUSE) City: Carlsbad Zip Code: --~ -~ ---·· -·· ---··- A. General Information 01 Dwelling Unit Name HOUSE 02 Climate Zone 03 Dwelling Unit Total Conditioned Floor 4100 04 Number of Space Conditioning Area (ft2) Systems in this Dwelling Unit. OS Certificate of Compliance Type Prescriptive alterations (CF1R-ALT) 06 Method used to Calculate HVAC Loads 07 Calculated Dwelling Unit Sensible This field or section is not applicable 08 Calculated Dwelling Unit Heating Load Cooling Load (Btuh) (Btu h) 09 Dwelling Unit Number of Bedrooms 5 - ---------L__ MCH-Olb Space Conditioning Systems Ducts and Fans -Prescriptive Alterations B. Space Conditioning (SC) System Information 01 02 03 04 SC System SC System CFA served Is the SC Identification or Location or Area bythisSC system a Name Served System (ft2) ducted system? SYSTEM 1 WHOLE HOUSE 2050 Yes - -----L__ ------ Registration Number: 416-A0007186A-M0100001A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance OS 06 07 Installing a Installing new SC Installing more refrigerant system than 40 feet of containing components? ducts? component? Yes Yes No L__ __ ---- Registration Date/Time: 2016-11-02 02:09:56 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 08 Installing entirely new duct system? No 92009 7 2 NotApplicableEquipmentChangeout This field or section is not applicable 09 10 Installing entirely new SC Alteration Type system? Altered space No conditioning system HERS Provider: CHEERS Report Generated: 2016-11-02 14:10:04 I I I I CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 2 of 8) B. Space Conditioning (SC) System Information 01 02 03 04 OS 06 07 08 09 10 SC System SC System CFA served Is the SC Installing a Installing new SC Installing more Installing Installing Identification or Location or Area by this SC 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 WHOLE HOUSE 2050 Yes Yes Yes No No No conditioning system ---------------------L__ ------------------------------- C. Space Conditioning (SC) System Alterations Compliance Information 01 02 03 04 OS 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 No heating SYSTEM 1 Central gas AFUE 0.80 furnace componen t altered Registration Number: 416-A0007186A-M0100001A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance System Type Components Type Value All new Central cooling SEER 14 split AC components Registration Date/Time: 2016-11-02 02:09:56 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 Type Length R-Value Status This field N/A-no or Setback ducts sectio Not a CFI n is system replaced not applic able HERS Provider: CHEERS Report Generated: 2016-11-02 14:10:04 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 This field No heating or This field All new Central gas section is or section Central SYSTEM 2 furnace componen is not split AC cooling SEER 14 t altered not components applicabl applicable e D. Installed Heating Equipment Information This section does not apply to this project. E. Installed Cooling Equipment information 01 02 03 System Identification Cooling Efficiency Cooling Efficiency or Name Type Value SYSTEM 1 SEER 14.0 Registration Number: 416-A0007186A-M0100001A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance 04 OS 06 Condenser or Package Unit Condenser or Condenser or Condenser or Package Unit Package Unit Package Unit Manufacturer Model Number Serial Number LENNOX 14ACX-036-1916049138 230Al8 Registration Date/Time: 2016-11-02 02:09:56 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-01-E (Page 3 of8) 10 11 12 13 Central Fan Integrated New or (CFI) Required Replaced New Ventilation Thermostat Duct Duct System Type Length R-Value Status This field N/A-no or sectio Not a CFI Setback ducts n is replaced system not applic able 07 08 System Rated Cooling Condenser Rated Capacity at Design Nominal Capacity Conditions (BTUH) (ton) 36000 3.00 HERS Provider: CHEERS Report Generated: 2016-11-02 14:10:04 CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans 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 2 SEER 14.0 LENNOX 14ACX-036-1916049183 230A18 Notes: -------------------__ , .... -. -· -·--- ------ F. Extension of Existing Duct System, Greater Than 40 Feet G. Installed Duct System information H. Installed Air Filter Device Information I. Air Filter Device Requirements Registration Number: 416-A0007186A-M0100001A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance 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. Registration Date/Time: 2016-11-02 02:09:56 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-Ol-E (Page 4 of8) 07 08 System Rated Cooling Condenser Rated Capacity at Design Nominal Capacity Conditions (BTUH) (ton) 36000 3.00 -- HERS Provider: CHEERS Report Generated: 2016-11-02 14:10:04 CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans J. HERS Verification Requirements 01 02 03 04 MCH20 Exemption System SC System From Duct Duct Identification or Location or Area Leakage Leakage Name Served Requirements Test SYSTEM 1 WHOLE HOUSE No Yes exemptions SYSTEM 2 WHOLE HOUSE No Yes exemptions Notes: -------------··------- Registration Number: 416-A0007186A-M0100001A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance OS 06 07 MCH21 MCH22 Exemption from Minimum R-Value for Ducts In Ducts Located AHU Fan Conditioned In Cond Space Efficacy Space Verification (W/cfm) This field or section is No No not applicable This field or section is No No not applicable ---- Registration Date/Time: 2016-11-02 02:09:56 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-01-E (Page 5 of 8) 08 09 10 MCH23 MCH25 MCH28 AHU Airflow Rate Refrigerant Return Duct Design (cfm/ton) Charge Table 150.0-C or D No No No No No No HERS Provider: CHEERS Report Generated: 2016-11-02 14:10:04 1 1 I CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 6 of 8) 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 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. 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 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 higher values may be required by the prescriptive or performance requirements. See Section 150.0(m)l. - ---· Registration Number: 416-A0007186A-M0100001A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance - --------~-- Registration Date/Time: 2016-11-02 02:09:56 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CHEERS Report Generated: 2016-11-02 14:10:04 CERTIFICATE OF INSTAlLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 7 of 8) 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. --------·--~ -~ ---· ----·· --····------·· --· -----·· - - Registration Number: 416-A0007186A-M0100001A-0000 CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-11-02 02:09:56 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CHEERS Report Generated: 2016-11-02 14:10:04 I I I CERTIFICATE OF INSTALLATION CF2R-MCH-Ol-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: Casey Mcquown CCl4ey ~cquow vv Company: Signature Date: Action Air Conditioning Heating & Solar 2016-11-02 Address: CEA/ HERS Certification Identification (if applicable): 2750 S. Santa Fe Avenue City/State/Zip: Phone: San Marcos CA 92069 760-727-4152 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. 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 1 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: Casey Mcquown Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Action Air Conditioning Heating & Solar Address: 2750 S. Santa Fe Avenue City/State/Zip: San Marcos CA 92069 Registration Number: 416-A0007186A-M0100001A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Responsible Builder/Installer Signature: CCl4ey ~cquowvv Position With Company (Title): Contractor/Installer CSLB License: 509805 Phone: I Date Signed: 760-727-4152 2016-11-02 Digitally signed by CHEERSrM. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Date/Time: 2016-11-02 02:09:56 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CHEERS Report Generated: 2016-11-02 14:10:04 I I