HomeMy WebLinkAbout2855 CACATUA ST; ; CB162785; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
07-19-2016 Permit No: CB 162785
Buildinn Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2855 CACATUA ST CBAD
PME Status:
Parcel No: 2153701900 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
KAMEN RES-NEW A/C UNIT WITH
ELECTRIC
GUTHRIE AND SONS INC
3914 HICOCK ST
SAN DIEGO CA 92110
619 269-3013
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Owner:
LINDSEY KAMEN
2855 CACA TUA ST
CARLSBAD CA 92009
415515-2922
Issued:
Inspect Area:
ISSUED
07119/2016
RMA
07/19/2016
07/19/2016
$0.00
$38.00
$163.00
$0.00
$201.00
Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due:
Inspector:
fL-FINAL AfPROVAL
J<!' Date: ·Zt .--( U Clearance:
$0.00
NOTICE Please take NOllCE that~ ci ycu rxqect indudes the "lrrp:J3ition" d fees, dedicatims, reservatims, or ether exoctims hereafter wlectively
referred to as "feffi'exoctims." Yoo have 00 days from the date this pernit >\as issued to protest iiTJX)sition d these feffi'exoctims. If yoo protest them, yoo rrust
fallON the protest pa:edures set forth in GoverrrrEnt Code Sedim 60020(a), and file the protest and any ether required infarration wth the Oty rvB1ager fcr
p-ooassing in acrodance wth Carlsba:l tvlridpal CaJe Sedim 3.32.030. Failure to brrely fallON that pa:edure \Mil OOr any suiJ3equent legal OO:ion to attack,
revieN, set asicJe, vdd, cr cn1UI their iiTJX)sition.
Yoo are hereby Ft.RTriER 1\011 RED that yoor right to p-alest the specified feffi'exoctims CXJES NOT APPL. Y to water and reNer CO'Y1Edim fees and capcrny
chalges, rcr plmng, Zlring, gra:ling or ether sirrilar applicatim p-ooassing or servics fees in CO'Y1Edim will ths rxqect. NCR CO:::S IT APPLY to ary
feffi'exadims ci'vlklidl have ·cus~ been ·vena NOTICE sirnlar to ths or as to v..tldl the statute ci lirntatims has evicusl otllenMse red.
(_'city of
Carlsbad
Buildiing Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 7•80-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
PlanCheckNo. CJl Jf; ~ Jij_~
v
Est. Value
Date 7//cf // h lswPP
JOB ADDRESS 2.865 Co.cATvA
SUITE#/SPACE#/UNIT#
~~· ~~# ~~·r_u_N_rr_s_L1._~_D_R_O_O_M_S_~·-B_A_T-HR_O_O_M_S __ ~IT_~_A_N_T_B_u_~_N_5_S_N_A_M_E __________ L1c_o_N_S_T_R._IT_P_E~~-o-c_c_.G_R_o_u_r~
DEscR;l\~F ;oRK:{r:(_ square Fee?{j/[e[ [ ~ 'T fi.l ~
I "'-._
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE lAIR CONDITIONING IFIRE SPRINKLERS
YES 0 #_ NO 0 YES 0 NO 0 YES 0 NO 0
PROPE~TY~WNERNAME l.d~~Akd•)
....... , f..J t>£?\5lll \1"'"' y ""-
APPLICANT NAME (Primary Contact)
ADDRESS ADDRESS I 2-~ ~s--Cl\G,.~tuA sr
CITY STATE ZIP
PHONE PnNE ~ IFAX 'tl ~ S( (" ~·2:~:l
EMAIL EMJ!:IL
DESIGN PROFESSIONAL NAME CONTRACT}U!. BUS. NAME c' (-1Un-\t2.1~ '""\
ADDRESS ADDRESS ,: L U '-~\\'""\ T\ \C{)V~
CITY STATE ZIP CITYSD STATE
CA-
ZIP
~\0
PHjJNE
IC\~ I
FAX
Ob\ '?J
PHONE
EMAIL EMAIL
I STATE LIC. # STATE LIC.# ~1-~214 I
CLASS ICIIT BUS. LIC.#
G-Z-o I '2. -~~?7 4 '?,'1
(Sec. 7031.5 Busmess and Professions Code: Any City or County Which requ1res a permit to construct, alter, 1m prove, demolish or repair 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}).
Workers' Compensation Declaration: I hereby affirm under penalty or perjury one of the following declarations:
0 I 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.
laJ have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performan~e of the work for which this permit is issued. My workers' compen~ation insurance carrier and policy
number are Insurance Co. 1h cz--t=\ ~j) Policy No.JlvsE C:. \) f-'"i£>~"12...-Expiration Date ~ { 1 /I ~
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of work for which this
California. WARNING: Failure to
addition to the cost of cornpems.atio•!WD.Ibl!l9eS
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
i is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
,..,.;,;_:o·-~· interest and attorney's fees.
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).
D 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).
D 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. 0 Yes 0 No
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 (hi reel) the following persons to provide the work indicated (include name I address I phone I type of work):
~PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify that I have read the application and state that the above infonnalion is correct and that the information on the plans is accurate. I agree to comply with 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 penni! is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in hek]ht.
EXPIRATION: Every penni! issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ~the building or work authorized by such permit is not commenced within
180 days from the date of such penni! or~ the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Un~onn Building Code).
2f APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB162785 Type: PME
Date Inspection Item
09/21/2016 43 AirCond/Furnace Set
09/21/2016 43 AirCond/Furnace Set
09/21/2016 49 Final Mechanical
09/21/2016 49 Final Mechanical
Thursday, September 22, 2016
Inspector Act
Rl
PB AP
Rl
PB AP
KAMEN RES-NEW A/C UNIT WITH
ELECTRIC
Comments
1-3 (PM)
1-3 (PM)
Page 1 of 1
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 1 of 7)
Project Name: 2855 Cacatua St. Enforcement Agency: City of Carlsbad Permit Number: CB162785
Dwelling Address: 2855 Cacatua St. City: Carlsbad Zip Code:
A. General Information
01 Dwelling Unit Name 2855 Cacatua St. 02 Climate Zone
03 Dwelling Unit Total Conditioned Floor 2900 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 4
MCH-Olb Prescriptive Alterations-Space Conditioning Systems Ducts and Fans
B. Space Conditioning (SC} System Information
01 02 03 04
SC System SC System CFAserved Is the SC
Identification or location or Area by this SC system a
Name Served System (ft2)
ducted
system?
System 1 Location 1 1 Yes
Registration Number: 216-A0264826A-M0100002A-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
Registration Date/Time: 2016-08-01 16:26:03
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
08
Installing
entirely new
duct system?
No
92009
7
1
NotApplicableEquipmentChangeout
This field or section is not applicable
09 10
Installing
entirely new SC Alteration Type
system?
Altered space
No conditioning
system
HERS Provider: CaiCERTS
Report Generated: 2016-08-01 16:23:09
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 Va!ue System Type Components Type Value
All new All new Central gas heating Central System 1 furnace AFUE 80 split AC cooling SEER 16 componen components ts
D. Installed Heating Equipment Information
01 02 03 04 OS
System Identification or Heating Efficiency Heating Unit Heating Unit
Name Heating Efficiency Type Value Manufacturer Model Number
System 1 AFUE 80 Rheem R802VA100521mx
a
Notes:
Registration Number: 216-A0264826A-M0100002A-0000 Registration Date/Time: 2016-08-01 16:26:03
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
CF2R-MCH-01-E
(Page 2 of7)
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 system replaced not
applic
able
06 07
Heating Unit serial Rated Heating Capacity,
number Output (BTUH)
w231607930 80000
-----
HERS Provider: CaiCERTS
Report Generated: 2016-08-01 16:23:09
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
System 1 SEER 16
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: 216-A0264826A-M0100002A-0000
CA Building Energy Efficiency Standards-2013 Residential Compliance
Manufacturer Model Number Serial Number
Rheem RA1460AJ1NA W231621504
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: 2016-08-01 16:26:03
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
CF2R-MCH-Ol-E
(Page 3 of7)
07 08
System Rated Cooling Condenser Rated
Capacity at Design Nominal Capacity
Conditions (BTUH) (ton)
60000 5
HERS Provider: CaiCERTS
Report Generated: 2016-08-01 16:23:09
CERTIFICATE OF INSTALLATION
Space Conditioning Systems, Ducts, and Fans
J. HERS Verification Requirements
01 02 03 04
MCH20
C'v.l"''l""'n+;,....., I..A'""IIIt' I.IVII
System SC System From Duct Duct
Identification or Location or Area Leakage Leakage
Name Served Requirements Test
System 1 Location 1 No Yes exemptions
Notes:
-· ·-----·----------
Registration Number: 216-A0264826A-M0100002A-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)
No No No Exemption
~--
Registration Date/Time: 2016-08-01 16:26:03
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
CF2R-MCH-01-E
{Page 4 of 7)
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
HERS Provider: CaiCERTS
Report Generated: 2016-08-01 16:23:09
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 5 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 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
1SO.O(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 1SO.O(h)4.
OS 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
1SO.O(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 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
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 150.0(m)l.
Registration Number: 216-A0264826A-M0100002A-0000
CA Building Energy Efficiency Standards-2013 Residential Compliance
Registration Date/Time: 2016-08-01 16:26:03
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
HERS Provider: CaiCERTS
Report Generated: 2016-08-01 16:23:09
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
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.
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: 216-A0264826A-M0100002A-OOOO
CA Building Energy Efficiency Standards-2013 Residential Compliance
Registration Date/Time: 2016-08-01 16:26:03
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
HERS Provider: CaiCERTS
Report Generated: 2016-08-01 16:23:09
I
I
I
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: ,5Lflmna Sto{fosa Stoklosa, Alanna M
Company: Signature Date:
The Energuy CA LLC 2016-08-01 16:23:55
Address: CEA/ HERS Certification 1dentification (if app!icab!e):
1215 K St., 17th Floor
City/State/Zip: Phone:
Sacramento CA 95814 877-600-0123
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 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
1
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: ~ ~~
Guthrie, Wes ~~
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title):
GUTHRIE AND SONS Owner
Address: CSLB License:
3914 HICOCK ST 875279
City/State/Zip: Phone: I Date Signed:
SAN DIEGO CA 92110 619-269-3013 2016-08-01 16:26:03 --·-----~ ~---------
Digitally signed by CaiCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0264826A-M0100002A-0000
CA Building Energy Efficiency Standards-2013 Residential Compliance
Registration Date/Time: 2016-08-01 16:26:03
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
HERS Provider: CaiCERTS
Report Generated: 2016-08-01 16:23:09
I
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: 28SS Cacatua St. Enforcement Agency: City of Permit Number: CB16278S
Carlsbad
Dwelling Address: 28SS Cacatua St. 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 Location 1
03 Building Type from CF-1R Single family
04 Verified Low Leakage Ducts in Conditioned Space No, credit is not taken
(VLLDCS) Credit from CF1R?
OS Verified Low Leakage Air Handling Unit (VLLAHU) Credit No, credit is not taken
from CF1R?
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) s
02 Heating Capacity (kBtu/h) 80
03 Conditioned Floor Area served by this HVAC system (ft2) 1
04 Duct Leakage Test Condition Test final
OS Duct Leakage Test Method Total leakage
06 Leakage Factor 0.1S
07 Air Handling Unit Airflow (AHUAirflow) Determination Cooling system method
Method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage (cfm) 300
10 Actual duct leakage rate from leakage test measurement 1SS
(cfm)
11 Compliance Statement System passes leakage test
Registration Number: 216-A0264826A-M2000002A-OOOO
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-08-0116:26:03 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.007 Report Generated: 2016-08-01 16:23:44
Schema Version: 2013.1.007
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
C. Additional Requirements for Compliance
01 System was tested in its normal operation condition. No temporary taping allowed.
Outside air (OA) duct connections to the central forced air duct system shall not be sealed/taped off during duct leakage
02 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.
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements
07 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.
The responsible persons signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number: 216-A0264826A-M2000002A-OOOO
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-08-01 1€>:26:03 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
Report Generated: 2016-08-01 16:23:44
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test {Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: ._:;:;t{a ~ ~ {!;
Alanna M Stoklosa anna to osa
Company: Signature Date: 2016-08-01 16:23:55 The Energuy CA LLC
Address: CEA/ HERS Certification Identification (if applicable):
1215 K St., 17th Floor
City/State/Zip: Phone:
Sacramento CA 95814 877-600-0123
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 understand that a HERS rater will check the installation to verify compliance, and that if such checking identifies defects; I am required to take
corrective action at my expense. I understand that Energy Commission and HERS Provider representatives will also perform quality assurance checking
of installations, including those approved as part of a sample group but not checked by a HERS rater, a11d if those installations fail to meet the
requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS
sample group will be performed at my expense.
5. I 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.
6. 1 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 ow11er at occupancy.
Responsible Builder/Installer Name: Responsible Builder/Installer Si!:nature:
v~~~ Wes Guthrie
Company Name: {Installing Subcontractor or General Contractor or Position With Company (Title)~
Builder/Owner) Owner
GUTHRIE AND SONS
Address: CSLB License:
3914 HICOCK ST 875279
City/State/Zip: Phone: I Date Signed:
SAN DIEGO CA 92110 619-269-3013 . 2016-08-01 16:26:03
Third Party Quality Control Program (TPQCP) Status: Name ofTPQCP (i_~pplicable): _
Digitally signed by CaiCERTS. This digital signature is provided in order to secure the content of this registered document. and in no way implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 216-A0264826A-M2000002A-OOOO
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-08-01 16:26:03 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.007 Report Generated: 2016-08-01 16:23:44
Schema Version: 2013.1.007
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of 3)
Project Name: 2855 Cacatua St. Date Prepared: 2016-07-18
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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 2855 Cacatua St. 02 Date Prepared 2016-07-18
03 Project Location 2855 Cacatua St. 04 Building Type Single family
OS CACity Carlsbad 06 Dwelling Unit Name 2855 Cacatua St.
07 Zip Code 92009 08 Dwelling Unit Conditioned 2900 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
Is the SC Installing a
SC System SC System CFAserved 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
System 1 Location 1 1 Yes Yes Yes Yes No No Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
Registration Number: 216-A0264826A-OOOOOOOOO-OOOO
CA Building Energy Efficiency Standards-2013 Residential Compliance
This section does not apply to this project.
Registration Date/Time: 2016-07-18 14:04:04
Report Version: 2013 Rev 1.007
Schema Version: O.SSSSDD
HERS Provider: CaiCERTS
Report Generated: 2016-07-18 14:04:18
CERTIFICATE OF COMPLIANCE CFlR-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 78 AC cooling SEER 14 Setback 40 feet R-6
components components
R~guired 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 inducted 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, 8-1S).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow;, 300 CFM/ton required when MCH-25 is required.
Exceb!tions:
-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.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct 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)
Registration Number: 216-A0264826A-000000000-0000
CA Building Energy Efficiency Standards-2013 Residential Compliance
This section does not apply to this project.
Registration Date/Time: 2016-07-18 14:04:04
Report Version: 2013 Rev 1.007
Schema Version: O.SSSSDD
HERS Provider: CaiCERTS
Report Generated: 2016-07-18 14:04:18
'
'
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: v~~~ Guthrie, Wes
Company: Signature Date:
GUTHRIE AND SONS 2016-07-18 14:04:04
Address: CEA/ HERS Certification Identification (if appiicabiej:
3914 HICOCK ST 875279
City/State/Zip: Phone:
SAN DIEGO CA 92110 619-269-3013
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 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 building owner at occupancy.
Responsible Designer Name: Responsible Designer Signature: v~~~ Guthrie, Wes
Company: Date Signed:
GUTHRIE AND SONS 2016-07-18 14:04:04
Address: License:
3914 HICOCK ST 875279
City/State/Zip: Phone:
SAN DIEGO CA 92110 619-269-3013
---------'------------
Digitally signed by CaiCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0264826A-OOOOOOOOO-OOOO
CA Building Energy Efficiency Standards-2013 Residential Compliance
Registration Date/Time: 2016-07-18 14:04:04
Report Version: 2013 Rev 1.007
Schema Version: O.SSSSDD
HERS Provider: CaiCERTS
Report Generated: 2016-07-18 14:04:18
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