HomeMy WebLinkAbout2907 Corte Celeste; ; CBR2017-0143; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 01/27/2017 Residential Permit Permit No: CSR2017-0143
www.carlsbadca.gov
Job Address:2907 Corte Celeste
Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled
Parcel No:2551464900 Lot #:Applied:01/23/2017
Valuation:$0.00 Reference #:Issued:01/23/2017
Occupancy Group:Construction Type:Finaled:
# Dwelling Units:Bathrooms:Inspector:
Bedrooms:Orig. Plan Check #:
Plan Check #:
Project Title:
Description:SWAN: REPLACE FURNACE
Owner:Contractor:
TRUST SWAN JOHN&CATHERINE FAMILY GLOBAL HEATING AND AIR CONDITIONING
TRUST 01-26-96 INC
2907 Corte Celeste
CARLSBAD, CA 92009 5805 Water St
La Mesa, CA 91942-4175
619-567-6691
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00
Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction."You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project.NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
F
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:E PLANNING 0 ENGINEERING
K3UILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD
C .
,ity of 1635 Faraday Ave., Carlsbad, CA 92008
Building Permit Application Plan Check No.C.r?,9-7-c.A ---
7 -01•A 3CEst. Value
Ph:760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan C Deposit
www.carlsbadca.gov Date I "2-3 (( 7 SWPPP
JOB ADDRESS
lot O K-1-'-e C-e i
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CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP
DESCRIPTION OF WORK:Include Square Feet of Affected Area(s)
ref)I 4 ( -e f olio(c-q.
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESEllt NOE YES ONO E YES0 NOE
APPLICANT NAME PROPERTY OWNER <-r—1Primary Contact S.Ct 1.Csseili •\O (-III c.1A.k..,AA.ADDRESS ADDRESS
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(Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commendingwith Section 7000 of Division 3 of theBusiness 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 acivil penalty of not more than five hundred dollars ($500)).
WORKERS'COMPENSATION 111111111E1 .
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
ElI 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.
gkhave and will maintain workers' compensation,as required by Srtion 3700 of the Labor Code, for the performance of the work for which this permit is issued y workers' compensation insurance carrier and policy
number are: Insurance Co.-4/:e7 ra3 U6)101 i t.t.) in-44-Cl-e Policy No.6 L k/C -4-18 I t.--0 Expiration Date 't 7— "?.._i / t l.issued
y
section need not be completed if the permit is for one hundred dollars ($100) or less.0 Certificate of Exemption:I certify thatin 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 workers' compensation cover. r...'s 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 !rovided for in 5.iil 3706 of the Labor code, interest and attorney's fees.
AS'CONTRACTOR SIGNA11166 --------.......-41 0 AGENT DATE I /-Z-2 /1 -7
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.WNER -BUILDER IIIIIC•LARATION --,''4::-
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I hereby affirm thatlamexempt 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).0 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.EYes DNo
2.I (have I have not) signed an application fora building permit for the proposed work.
3.I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.I plan to provide portions of the work, butI have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / 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 / address / phone / type of work):
AKPROPERTY OWNER SIGNATURE DAGENT DATE
.„•••••••••....
COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY
••
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act?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.
CONSTRUCTION LENDING AGENCY
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).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify thatI have read the application and state that the above information is correctand that the information on the plans is accurate.Iagree to complywith 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 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions ofthi Lodeshall expire by limitation and become null and void if the building or won( authorized by such permitis not commenced within
180 days from the date of such permit or if the building or wo . uthorized by su rmitis suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code).
APSAPPLICANT'S SIGNATURE DATE k
TOP
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.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#:(Office Use Only)
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
0 PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#0 MAIL TO:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)o NO CHANGE IN USE /NO CONSTRUCTION
0 MAIL/FAX TO OTHER:
o CHANGE OF USE /NO CONSTRUCTION
..(KAPPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT.(CBR2017.0143)
Permit Type:BLDG-Residential Application Date:01/23/2017 Owner:TRUST SWAN JOHN&CATHERINE
FAMILY TRUST 01-26-96
Work Class:P/M/E Issue Date:01/23/2017 Subdivision:
Status:Closed -Finaled Expiration Date:07/26/2017 Address:2907 Corte Celeste
Carlsbad, CA 92009-9211
11/R Number:1575
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
01/27/2017 01/27/2017 BLDG-43 Air 011583-2017 Passed Jonathan West Complete
Cond./Furnace Set
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Final 011584-2017 Passed Jonathan West Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final Yes
e ne 7 7 17
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 1 of 7)
Project Name:2907 Corte Celeste Enforcement Agency:City of Carlsbad Permit Number:PENDING
Dwelling Address:2907 Corte Celeste City:Carlsbad Zip Code:92009
A. General Information
01 Dwelling Unit Name 2907 Corte Celeste 02 Climate Zone 7
Dwelling Unit Total Conditioned Floor Number of Space Conditioning03217404 1Area (ft2)Systems in this Dwelling Unit.
05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT )06 Method Used to Calculate HVAC Loads NotApplicableEquipmentChangeout
Calculated Dwelling Unit Sensible Calculated Dwelling Unit Heating Load07This field or section is not applicable 08 This field or section is not applicableCooling Load (Btu/h)(Btu/h)
_.
09 Dwelling Unit Number of Bedrooms 3
MCH-Olb -Space Conditioning Systems Ducts and Fans -Prescriptive Alterations
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 Location 1 2174 Yes No Yes No No No conditioning
system
Registration Number: 217-A020010813A-000-001-M01001A-0000 Registration Date/Time:2017-01-25 16:20:36 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-25 16:20:59
Schema Version: rev 10/16
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)
SC 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
This field field
All new or orNo cooling N/A -noCentral gas heating section is sectio Not a CFISystem1AFUE80No cooling component SEER Setback ductsfurnacecomponennot n is systemalteredreplacedisapplicablnot
e applic
able
D.Installed Heating Equipment Information
01 02 03 04 05 06 07
Heating Efficiency Heating Unit Heating Unit Heating Unit Serial Rated Heating Capacity,
SC Identification or Name Heating Efficiency Type Value Manufacturer Model Number Number Output (Btu/h)
System 1 AFUE 80 BRYANT 314JAV048090 3616A18869 71000
Notes:
E.Installed Cooling Equipment Information
This section does not apply to this project.
Registration Number: 217-A020010813A-000-001-M01001A-0000 Registration Date/Time:2017-01-25 16:20:36 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-25 16:20:59
Schema Version: rev 10/16
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 7)
F.Extension of Existing Duct System, Greater Than 40 Feet
This section does not apply to this project.
G.Installed Duct System Information
This section does not apply to this project.
H.Installed Air Filter Device Information
This section does not apply to this project.
I.Air Filter Device Requirements
This section does not apply to this project.
Registration Number: 217-A020010813A-000-001-M01001A-0000 Registration Date/Time:2017-01-25 16:20:36 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-25 16:20:59
Schema Version: rev 10/16
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 4 of 7)
J.HERS Verification Requirements
01 02 03 04 05 06 07 08 09 10
Exemption
MCH-20 from MCH-23MinimumMCH-22 MCH-25
Exemption R-Value for AHUMCH-21 MCH-28
SC System SC System From Duct Duct Ducts In AHU Fan Airflow
Identification or Location or Area Leakage Leakage Conditioned Duct Location Efficacy Rate Refrigerant Return Duct Design
Name Served Requirements Test Space Verification (W/cfm)(cfm/ton)Charge -Table 150.0-B or C
System 1 Location 1
No Yes Not No No No No Noexemptionsapplicable
Notes:
Registration Number: 217-A020010813A-000-001-M01001A-0000 Registration Date/Time:2017-01-25 16:20:36 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-25 16:20:59
Schema Version: rev 10/16
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
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 Liquid Line Filter Drier: If applicable,a liquid line filter drier shall be installed according to the manufacturer's specifications. Section 150.0(h)3B
10 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
Registration Number: 217-A020010813A-000-001-M01001A-0000 Registration Date/Time:2017-01-25 16:20:36 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-25 16:20:59
Schema Version: rev 10/16
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.
11 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)1.
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,
12 602.0, 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
13 A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c).
14 The thermostat shall be installed in accordance with the manufacturers published installation specifications
15 First stage of heating shall be assigned to heat pump heating.
16 Second stage back up heating shall be set to come on only when the indoor set temperature cannot be met.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
Registration Number: 217-A020010813A-000-001-M01001A-0000 Registration Date/Time:2017-01-25 16:20:36 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-25 16:20:59
Schema Version: rev 10/16
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:
Actotee/#14f.Nicole Godina
Company:Signature Date:
The Energuy CA LLC 2017-01-25 16:20:36
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 either:a)a responsible person 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, or b)I am an authorized
representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf.
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 Certificate of Compliance, plans, and specifications approved by the enforcement agency.
4.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:Electronically Signed
Sal Anwar By Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)Position With Company (Title):
GLOBAL HEATING AND AIR CONDITIONING EMPLOYEE
Address:CSLB License:
5805 WATER STREET 988444
City/State/Zip:Phone:Date Signed:
LA MESA CA 91942 619-564-0122 2017-01-25 16:20:36
Digitally signed by CalCERTS.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: 217-A020010813A-000-001-M01001A-0000 Registration Date/Time:2017-01-25 16:20:36 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-25 16:20:59
Schema Version: rev 10/16
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name:2907 Corte Celeste Enforcement Agency:City of Permit Number:PENDING
Carlsbad
Dwelling Address:2907 Corte Celeste 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 (VLLDCS)No, credit is not taken
Credit from CF1R?
•
05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit No, credit is not taken
from CF1R?
06 Duct System Compliance Category Alteration using smoke test
MCH-20e -Sealing All Accessible Leaks using Smoke Test
B.Duct Leakage Diagnostic Test
01 Condenser Nominal Cooling Capacity (ton)0
02 Heating Capacity (kBtu/h)71
03 Conditioned Floor Area served by this HVAC system (ft2)2174
04 Duct Leakage Test Conditions Test final
05 Duct Leakage Test Method Total leakage
06 Leakage Factor 0.15
07 Air Handling Unit Airflow (AHUAirflow) Determination Heating system method
Method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage (cfm)231
10 Actual Duct Leakage Rate from Leakage Test Measurement 415
(cfm)
Registration Number:Registration Date/Time:2017-01 -25 16:20:36 HERS Provider:CaICERTS
217-A020010813A-000-001-M20001A-0000
CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-01-25 16:21:24
2016 Residential Compliance Schema Version: rev 03/16
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
B.Duct Leakage Diagnostic Test
System passes using smoke test of an altered HVAC system
in an existing building. No visible smoke exits the accessible
portions of the duct system. Smoke is only emanating from
air-handling unit (AHU) cabinet and non accessible portions
11 Compliance Statement:of the duct system. Note -Accessible is defined as having
access thereto, but which first may require removal or
opening of access panels, doors, or moving similar
obstructions. If access to the ducts requires an object to be
demolished or deconstructed then sealing of those ducts is
not required
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 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.
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements of
07 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 person's signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number:Registration Date/Time:2017-01 -25 16:20:36 HERS Provider:CaICERTS
217-A020010813A-000-001-M20001A-0000
CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-01-25 16:21:24
2016 Residential Compliance Schema Version: rev 03/16
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 Signatur:xceee.0ta/Nicole Godina
Company:Signature Date:2017-01-25 16:20:36The 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 either:a)a responsible person 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, or b)I am an authorized representative of the responsible
person and attest to the declarations in this statement on the responsible person's behalf.
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 Certificate of Compliance, plans, and
specifications approved by the enforcement agency.
4.I understand that a HERS rater will check the installation to verify compliance and if such checking determines the installation fails to comply,I am
required to offer any necessary corrective action at no charge to the building owner.
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:Electronically Signed _jippeSalAnwarBy Authorized Rep
Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title):
Builder/Owner)EMPLOYEE
GLOBAL HEATING AND AIR CONDITIONING
Address:CSLB License:
5805 WATER STREET 988444
City/State/Zip:Phone:Date Signed:
LA MESA CA 91942 619-564-0122 2017-01-25 16:20:36
Third Party Quality Control Program (TPQCP) Status:Name of TPQCP (if applicable):
•
Digitally signed byCa/CERTS.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 accuracyof the information.
Registration Number:Registration Date/Time:2017-01-25 16:20:36 HERS Provider:CaICERTS
217-A020010813A-000-001-M20001A-0000
CA Building Energy Efficiency Standards Report Version: 2016.1.005 Report Generated: 2017-01-25 16:21:24
2016 Residential Compliance Schema Version: rev 03/16