The URL can be used to link to this page

Home My WebLink About114 WINDVANE LN; ; CBR2016-0065; PermitPrint Date: 12/21/2016 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: #Dwelling Units: Bedrooms: Project Title: Description: Applicant: 114 Windvane Ln BLDG-Residential 2145901308 $0.00 BURT: REPLACE 1 AC LIKE FOR LIKE Owner: ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit Permit No: CBR2016-0065 www.carlsbadca.gov Work Class: P/M/E Status: Issued -Active Lot#: Applied: 11/10/2016 Reference#: Issued: 12/02/2016 Construction Type: Finaled: Bathrooms: Inspector: JWest Orig. Plan Check #: Plan Check#: Contractor: OAK ISLAND HEATING & A/C INC TOM WOOD COOWNER HAWKES PATRICK&DIANE 114 Windvane St OAK ISLAND HEATING & A/C INC 1250 Pacific Oaks PI, #103 ESCONDIDO, CA 92029 760-839-8383 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 CARLBAD, CA 92011 Total Payments To Date: $166.00 1250 Pacific Oaks PI, 103 Escondido, CA 92029-2908 760-839-8383 Balance Due: 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. FINAL APPROVAL DATE I zer)! /_.CLEARANCE ___ _ SIGNATURE ___ ~5:1 ____ _ $166.00 $0.00 ,,,,,,, ____ ~---·----·-·-·---·--·----------------· THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING 0BUILDING OFIRE 0HEALTH 0 HAZMATIAPCD «~~' Building Permit Application Plan Check No. G'\L~~t6-oa~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date ({l('c l I~ lswPPP JOB ADDRESS SUITEf/SPACEf/UNIT, rPN 114 WINDVANE LANE --- CT/PROJECT # I LOT# I PHASE# I # OF UNITS I # BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. lYPE I occ. GROUP DESCRIPT10N OF WORK: Include Square Feet of Affected Area(s) REMOVE AND REPLACE 1 AIC UNIT, LIKE FOR LIKE EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESQ No(:] YESE:)Noc:J YESE:)Noc:J APPLICANT NAME TOM WOOD PROPERTY OWNER NAME GWEN BURT Prtnarv Contact ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 114 WINDVANE LANE CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92011 PHONE (AX PHONE JFAX 760 839-8383 760 839-8380 559-280-0720 EMAIL EMAIL INFO@OAKISLANDAC.COM D~GNPRO~ONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 CITY STATE ZJP CITY STATE ZIP ESCONDIDO CA 92029 PHONE PHONE I FAX 760 839-8383 I FAX 760 839-8380 EMAIL EMAIL INFO@OAKISLANDAC.COM 'STATE LIC. # STATE LIC.# rLASSC-20 I CITY BUS. uc.121271 0 745400 ' . (Sec, 7031.5 Bus1ness and Prof~1ons Code: Any C1ty or County wh1ch requ1res a penmt to c~nstruct, alter, Improve, <!emol1sh or repa1r any structure, prtor t~ 1ts 1ssuance, also re<l~1res the applicant for such permit to file a s1eJled statement that he 1s licensed pursuant to the [)roviSIOns of the Contractor's L1cense Law !Chapter 9, commendmg w1th Section 7000 of DIVISIOn 3 of the Business and Professions Code} or that he is exemP.t 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 Workers' Compensation Declaration: I hereby affirm under penalty of 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 wotk for which this permit is issued. 0 I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this perm~ is issued. My wotkers' compensation insurance carrier and policy number are: Insurance eo. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration Date 01/0112017 ~section need not be completed W the perm~ is for one hundred dolars ($1 00) or less. U Certificate of Exemption: I certify that in the performance of the work for which this perm~ is issued, I shaH not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calffomia. WARNING: Failure to secure workers' compensation coverage is 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 for in 3706 of the interest and attorney's fees. g CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the wotk 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 wil have the burden of proving that he did not build or improve for the purpose of sale). D 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto~s license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s)licensed pursuant to the Contractor's 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 permK for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction Onclude 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 1 address 1 phone 1 contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the wotk indicated Onclude name I address I phone I type of work): g PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or future building occupent required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe Presley-Tanner Hazardous Substance Account Act? Cl Yes Cl No Is lhe applicant or future building occupent required to obtain a permit from lhe air poUution control district or air quality management district? Cl Yes Cl No Is lhe facility to be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes Cl No IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I cerlllythatl have read the application and slate that the above information is COIIIlCtand that the information on the plans is acx:urate.l agree to complyMth an C11J Oldlnancesand S1a1e laws R!lallngto building construction. I hereby authorize representative of the City of carlsbad to enter upon the above mentioned IJOper\y tJr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penn~ is required i:>r excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every penn~ issued by lhe Ek!ilding Oflicial under the provisions of lhis Code shal expi'e by lin italian and become nul and voKI if the buildilg or 1\011< aulhorized by such ~ is not CXlfllmenoed Wlhi1 180 days from the date of such permit or if the building or 'NJrk authorized by 1 such perm~ rspended or abandoned at any time after the 1\011< is commenced tJr a period of 180 days (Section 106.4.4 Unm Eklildi1g Code) . .8$ APPUCANT'S SIGNATURE ~ (J..ruucJ\ DATE f/ .(} b PERMIT INSPECTION HISTORY REPORT (CBR2016-0065) BLDG-Residential 11/10/2016Application Date:Permit Type:Owner:COOWNER HAWKES PATRICK&DIANE Subdivision:P/M/E 12/02/2016Work Class:Issue Date: 114 Windvane Ln Carlsbad, CA 92011 Address:Issued - Active 05/31/2017Expiration Date:Status: IVR Number: 183 Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual Start Date 12/05/2016 12/05/2016 BLDG-43 Air Cond./Furnace Set 004145-2016 Passed Jonathan West Complete BLDG-Final Inspection 004144-2016 Passed Jonathan West Complete COMMENTS PassedChecklist Item BLDG-Mechanical Final Yes BLDG-Electrical Final Yes December 22, 2016 Page 1 of 1 ~ CERTIFICATE OF COMPLIANCE CFlR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of3) Project Name: BURT RESIDENCE Date Prepared: 2016-11-10 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 BURT RESIDENCE 02 Date Prepared 2016-11-10 03 Project Location 114 WINDVANE LANE 04 Building Type Single family OS CAClty Carlsbad 06 Dwelling Unit Name BURT RESIDENCE 07 Zip Code 92011 08 Dwelling Unit Conditioned 2142 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 these Installing a SCSystem SCSystem CFAserved $\'Stem a refrigetartt lnstalli.,.g new sc Installing Installing Installing Identification or Location or Area bythisSC 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 2142 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) Registration Number: 216-A0419126A-000000000-0000 CA Building Energy Efficiency Standards -2013 Residential Compliance This section does not apply to this project. Registration Date/Time: 2016-11-10 09:38:39 Report Version: 2013 Rev 1.008 Schema Version: 0.555SDD HERS Provider: CaiCERTS Report Generated: 2016-11-10 09:39:05 CERTIFICATE OF COMPLIANCE CFlR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-lR-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 No heating This field or This field or Centra I split Outdoor Less than or System 1 component section is not section is not condensing SEER 14 Setback equal to40 R-6 furnace altered applicable applicable AC unit feet Regyi!J:~ QO!;Ym!l!lt~tiQn: CF2R-MCH-01-E-Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF2R-MCH-2Q-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: s 15%, or s 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, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow~ 300 CFM/ton required when MCH-25 is required. E!l&lll!liQn~: -Duct systems registered with HERS provider as previously sealed are exempt from I\4CH-20 Duct Le!lkage Testing requirements. -Heating-only systems and Air Handler/Furnace changes do not require verificatiQI'I of Air Flow MCH•23,or ~efrigetant ChaiJe MECH-2S. -Existing duct systems constructed, insulated or sealed with asbestos ,are exempt from MCH~20 Duct L~kage Testi11Jrequi~rmlf)ts. E. Entirely New or Complete Replacement Dudt5¥Jtem, with or withoutfquipment Changeout (Sections 1S0.2(b)1Diia and 150.2(b)lE, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC) Registration Number: 216-A0419126A-000000000-0000 CA Building Energy Efficiency Standards -2013 Residential Compliance This section does not apply to this project. Registration Date/Time: 2016-11-10 09:38:39 Report Version: 2013 Rev 1.008 Schema Version: 0.555SDD HERS Provider: CaiCERTS Report Generated: 2016-11-10 09:39:05 # 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: ~r~ Young, Les Company: Signature Date: OAK ISLAND HEATING AND AIR CONDITIONING INC 2016-11-10 09:38:39 Address: CEN HERS Certification Identification (if applicable): 1250 PACIFIC OAKS PL # 103 City/State/Zip: Phone: ESCONDIDO CA 92029 760-839-8383 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: ~r~ Young, les Company: Date Signed: OAK ISLAND HEATING AND AIR CONDITIONING INC 2016-11-10 09:38:39 Address: License: 1250 PACIFIC OAKS PL # 103 745400 City/State/Zip: Phone: ESCONDIDO CA 92029 760-839-8383 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-A0419126A-OOOOOOOOO-OOOO CA Building Energy Efficiency Standards -2013 Residential Compliance Registration Date/Time: 2016-11-10 09:38:39 Report Version: 2013 Rev 1.008 Schema Version: O.SSSSDD HERS Provider: CaiCERTS Report Generated: 2016-11-10 09:39:05 CERTIFICATE OF COMPLIANCE CflR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of3) Project Name: BURT RESIDENCE I Date Prepared: 2016-11-10 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 BURT RESIDENCE 02 Date Prepared 2016-11-10 03 Project Location 114 WINDVANE LANE 04 Building Type Single family OS CACity Carlsbad 06 Dwelling Unit Name BURT RESIDENCE 07 Zip Code 92011 08 Dwelling Unit Conditioned 2142 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 1': 04' .. ' · ·os 06 ' 07 08 09 10 ,· Is the SC lnstallii-1g a : ···< SCSystem SCSystem CFAserved system a refrigerant Installing new SC lnstaHing Installing Installing Identification or Location or Area by this SC ducted containing system morethan40 entirely new entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 2142 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) Registration Number: 216-A0419126A-OOOOOOOOO-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance This section does not apply to this project. Registration Date/Time: 2016-11-10 09:38:39 Report Version: 2013 Rev 1.008 Schema Version: 0.555SDD HERS Provider: CaiCERTS Report Generated: 2016-11-10 09:39:05 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 2 of3) 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 No heating This field or This field or Central split Outdoor Less than or System 1 furnace component section is not section is not AC condensing SEER 14 Setback equal to 40 R-6 altered applicable applicable unit feet R~:gyir!:d Do~;ymenta!ign: 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 in ducted systems, or when more than 40ft of duct length is replaced. -Leakage rate compliance: s 15%, or s 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, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow~ 300 CFM/ton required when MCH-25 is required. Ex~;~:gtjoc~· -Duct systems registered with HERS provider as previously sealed are exempt from MCI:I-20 Duct L~age T~~g rj.1QlJJJ;(!me.Q~· . . . ·· .. · . -Heating-only systems and Air Handler/Furnace changes do not require verificatiOh of Air Flow. MC~23.:M'Ref~igerani: Chaie 'M~H~25! _'''::_ 2 -Existing duct systems constructed, insulated or sealed with asbesto.s are exempt from MCH~20Duct Leakage Testlfts.lequirt!metrts. · 7: · .. ' . '. E. Entirely New or Complete Replacement Ducts;.tem, 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-A0419126A-OOOOOOOOO-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance This section does not apply to this project. Registration Date/Time: 2016-11-10 09:38:39 Report Version: 2013 Rev 1.008 Schema Version: 0.555SOO HERS Provider: CaiCERTS Report Generated: 2016-11-10 09:39:05 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: ~r~ Young I Les Company: Signature Date: OAK ISLAND HEATING AND AIR CONDITIONING INC 2016-11-10 09:38:39 Address: CEA/ HERS Certification Identification (if applicable): 1250 PACIFIC OAKS PL # 103 City/State/Zip: Phone: ESCONDIDO CA 92029 760-839-8383 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 ~esign 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 ~illations. , ' , ' , ,·· ·· . . f . ,.· . .. 4. The building design features or system design features identified onihis Certificate•of Comp!iance areCcmsiste'".wiutthe information provided ori:othtra'Pf!icabfecompliance documents, worksheets, calculations, plans and specifications submitted to the etJtorcement jlgency for approval with this buildlng perf1'1lt applicatioi't. . • : ''; 5. I will ensure that a registered copy of this Certificat6,qf Compliance shall be made available With the bUilding permit(s} issutid for the bliildirig, and made avaJlabii! to the enforcement agency for all applicable inspections. I understand that a registered copy of thiseeitlficate 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: ~r~ Young I Les Company: Date Signed: OAK ISLAND HEATING AND AIR CONDITIONING INC 2016-11-10 09:38:39 Address: license: 1250 PACIFIC OAKS PL # 103 745400 City/State/Zip: Phone: ESCONDIDO CA 92029 760-839-8383 Digitally signed by Ca/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 accuracy of the information. Registration Number: 216-A0419126A-OOOOOOOOO-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-11-10 09:38:39 Report Version: 2013 Rev 1.008 Schema Version: 0.555SDD HERS Provider: CaiCERTS Report Generated: 2016-11-10 09:39:05 CERTIFICATE OF INSTALLATION CF2R-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 1 of7) Project Name: BURT RESIDENCE Enforcement Agency: City of Carlsbad Permit Number: on site Dwelling Address: 114 WINDVANE LANE City: Carlsbad Zip Code: 92011 -------------------------- A. General Information 01 Dwelling Unit Name BURT RESIDENCE 02 Climate Zone 7 03 Dwelling Unit Total Conditioned Floor 2142 04 Number of Space Conditioning 1 Area (ft2) Systems in this Dwelling Unit. 05 Certificate of Compliance Type Prescriptive alterations (CFlR-ALT) 06 Method used to Calculate HVAC Loads NotApplicableEquipmentChangeout 07 Calculated Dwelling Unit Sensible This field or section is not applicable 08 Calculated Dwelling Unit Heating Load This field or section is not applicable Cooling Load (Btuh) (Btu h) 09 Dwelling Unit Number of Bedrooms 3 .::'---( .-.. · •: ; "l} { -~ MCH-Olb Space Conditioning Systems Ducts ancflans -PrescriptiveiAtteritions ~-'s _, i '''" J! ···-t · .. _ <~ -~_--.. , ·_-L -.,,,., ·. ,; -.. --,i~L_ -:: B. Space Conditioning {SC) System Information . 01 02 03 04 SCSystem SCSystem CFA served Is the SC Identification or Location or Area bythisSC system a Name Served System (ft2) ducted system? System 1 Location 1 2142 Yes Registration Number: 216-A0419126A-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: 2016-11-2810:11:51 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 . 08 09 10 Installing Installing entirely new entirely new SC Alteration Type duct system? system? Altered space No No conditioning system HERS Provider: CaiCERTS Report Generated: 2016-11-28 10:11:14 I J I ! ! I 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 1 furnace componen not is not split AC cooling SEER 14 t altered applicabl applicable components e --------------·----- D. Installed Heating Equipment Information This section doe~ not apPly to tf\is ~rojed. ,' E. Installed Cooling Equipment information 01 02 03 System Identification Cooling Efficiency Cooling Efficiency or Name Type Value System 1 SEER 14 Notes: Registration Number: 216-A0419126A-M0100002A-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 Heil nh4a448aka10 x163186652 0 ---- Registration Date/Time: 2016-11-2810:11:51 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-01-E (Page 2 of 7) 10 11 12 13 Central Fan Integrated New or (CFI) Required Replaced New Ventilation Thermostat Duct Duct System Type Length R-Value Status Not a CFI Setback LTE40Ft R6 system - 07 08 System Rated Cooling Condenser Rated capacity at Design Nominal Capacity Conditions (BTUH) (ton) 48000 4 HERS Provider: CaiCERTS Report Generated: 2016-11-28 10:11:14 CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans 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-A0419126A-M0100002A-OOOO 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: 2016-11-2810:11:51 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-01-E (Page 3 of7) HERS Provider: CaiCERTS Report Generated: 2016-11-28 10:11:14 CERTIFICATE OF INSTALLATION Space Conditioning Systems, Ducts, and Fans J. HERS Verification Requirements 01 02 03 04 MCH20 Exemption System SCSystem 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-A0419126A-M0100002A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance OS 06 07 MCH21 MCH22 Exemption from Minimum R-Valuefor Ducts In Ducts Located AHU Fan Conditioned In Cond Space Efficacy Space Verification (W/dm) No No No Exemption ------ Registration Date/Time: 2016-11-28 10:11:51 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 CF2R-MCH-01-E (Page 4 of 7) 08 09 10 MCH23 MCH25 MCH28 AHU Airflow Rate Refrigerant Return Duct Design (dm/ton) Charge Table 150.0-C or D No No No ------------- HERS Provider: CaiCERTS Report Generated: 2016-11-28 10:11:14 CERTIFICATE OF INSTALLATION CFZR-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page 5 of7) K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures Note: Additional mandatory requirements from Section lSO.O 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 1SO.O(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 1SO.O(h)4. OS Standby Losses and Pilot Lights: Fan-type central furnaces may not have a continuously burning pilot Oght. Section 110.5 and Section 110.2(d). ' :· :· ·: ,' .;: : ' .:··=· ', ,. Cooling Equipment ': ; ·:·, \'-·~ '' := 06 Equipment Efficiency: All cooling equipment mllstmeet the minimum effidency requirements of Section 110.1 and Section ll0.2(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 150.0(h)l and 2. Air Distribution System Ducts, Plenums and Fans 10 Insulation: In all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct insulation value is R-6. Note that higher values may be required by the prescriptive or performance requirements. See Section 150.0(m)1. L__. ___ Registration Number: 216-A0419126A-M0100002A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-11-2810:11:51 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CaiCERTS Report Generated: 2016-11-28 10:11:14 ! I CERTIFICATE OF INSTALLATION CFZR-MCH-01-E Space Conditioning Systems, Ducts, and Fans (Page6 of7) 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. .. ·'>'' ,.:·,•, < ,. ·· ·,.·rc>, ,,,,·.,,;.>•·• .·' The responsible person signature on this compliance document affirms that a11 applicabl~uequlrements iJ this table have bfaen met. :: ,', ' ' ' . :,, ' Registration Number: 216-A0419126A-M0100002A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-11-2810:11:51 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CaiCERTS Report Generated: 2016-11-28 10:11:14 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: ~~L Les Young Company: Signature Date: OAK ISLAND HEATING AND AIR CONDITIONING INC 2016-11-28 10:11:51 Address: CEA/ HERS Certification Identification (if applicable): 1250 PACIFIC OAKS PL # 103 City/State/Zip: Phone: ESCONDIDO CA 92029 760-839-8383 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 rnaflufactured'·devices{t~ installatiCJh) identified.~ this ~rtifi-of lnstallatiolt conf~ to ~·89J!Iicable codes and regulations, and the installation conforms to the requirements given on thel!ans and ~cificationsliJ)I)roved ~the enf0JY;ernent.geh¢y. ) · : •·· .· · :: , 4. I reviewed a copy of the Certificate of Complianciappr*d by the I!Morce~t qenc:y thM iqe{ltifi" the spd'tific rtlquiretilents4'or die scope ofconstruct!Cm dt.tnstaiiJtion identified on this Certificate of Installation, and I have ensured that the requirements-apply to the construction or installation have been met. 5. I will ensure that a registered copy of this Certificate of iiistallation shall be posted, or made aliailable 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: ~ -:?~. Les Young Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title): OAK ISLAND HEATING AND AIR CONDITIONING INC MGR Address: CSLB License: 1250 PACIFIC OAKS PL # 103 745400 City/State/Zip: Phone: I Date Signed: ESCONDIDO CA 92029 760-839-8383 2016-11-28 10:11:51 Digitally signed by Ca/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 accuracy of the information. Registration Number: 216-A0419126A-M0100002A-OOOO CA Building Energy Efficiency Standards-2013 Residential Compliance Registration Date/Time: 2016-11-2810:11:51 Report Version: 2013 Rev 1.008 Schema Version: 2013.1.008 HERS Provider: CaiCERTS Report Generated: 2016-11-28 10:11:14 . I I CERTIFICATE OF INSTALLATION CFZR-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: BURT RESIDENCE Enforcement Agency: City of Permit Number: on site Carlsbad Dwelling Address: 114 WINDVANE LANE City: Carlsbad Zip Code: 92011 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 CFlR? 06 Duct System Compliance Category Alteration using smoke test 0!/' ,,, ' ';, C ,,,,,,, :!' "' ,, 'l'''o;~'"" ,:!'_"lit'''''''' E~C''' Jc MCH-20e-Sealing All Accesslbl .. aks iing s-e.r4t\'. f·' ' < ;i \,' ' " J' ', :,' ;: ' ::;::,, ,~::~, ' ; ' ':; . ' :,; !,,,. ,', ,· '>'' ~ ,-'.' ; " . B. Duct Leakage Diagnostic Test"'''!i(~ 01 Condenser Nominal Cooling Capacity (ton) 4 02 Heating Capacity (kBtu/h) 0 03 Conditioned Floor Area served by this HVAC system (ft2) 2142 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 Cooling system method Method 08 Measured AHUAirflow This field or section is not applicable 09 Calculated Target Allowable Duct Leakage (cfm) 240 10 Actual duct leakage rate from leakage test measurement 338 (cfm) Registration Number: 216-A0419126A-M2000002A-OOOO CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-11-2810:11:51 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-28 10:11:55 Schema Version: 2013.1.007 CERTIFICATE OF INSTALLATION CF2R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of3) B. Duct Leakage Diagnostic Test Compliance Statement: 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 11 accessible portions 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 ofthose ducts is not required C. Additional Requirements for Compliance 01 02 03 04 OS 06 07 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 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. All supply and return register boots were sealed to the drywall. Building cavities were not used as plenums or platform returns in lieu of ducts. ,,,cJi>'ili,• ;; ,,·,, ,,,,, ~,· ,,.. ,, " . ,. If cloth backed tape was used it was co~red wifl!!la~c 'nd draw,'~gds~ >~' ~ " \~ If the system complies using the Smoke T~st fnethod, 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. The responsible persons signature on this compliance document affirms that all applicable requirements in this table have been met. Registration Number: 216-A0419126A-M2000002A-OOOO CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-11-28 10:11 :51 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-28 10:11:55 Schema Version: 2013.1.007 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~ ~.L Les Young iT 7 Company: Signature Date: 2016-11-2810:11:51 OAK ISLAND HEATING AND AIR CONDITIONING INC Address: CEA/ HERS Certification Identification (if applicable): 1250 PACIFIC OAKS PL # 103 City/State/Zip: Phone: ESCONDIDO CA 92029 760-839-8383 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, aJtd the install~ion c9.r~9rms~.9J~t re.!J.Mlr~.!"EI!:I~~~EI." o~~~ plans and specifications approved by the enforcement agency. , · , < 1 { ; •:, 'l •} <. . ..... 4. I understand that a HERS rater wiM check the1nstallation tii'if!rifi cc$lpliance, -that · ecfg ide-s defects; I'm reiiulft!l t9<take co~rective ~ctio~ at my expense. · nderstarlifhat Ene¢/'~rfss~ and HEf Provi sen1@tive~ will. at' ~erfor~u-+v asfr11Jce checking of mstallat1ons, mcludmg oved as part.of a sa.-grOUp b~.chiao1by te~land if,tftore nlftallat!Ons fidl to meet the requirements of such quality a .. ·. ce checking, the required C(lrrective action and additior:tal checking/testing of':Other installations in that HERS sample group will be performed at''riiv 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. 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 Sign~ ~~, Les Young Company Name: (Installing Subcontractor or General Contractor or Position With Company (Title): , v Builder/Owner) MGR OAK ISLAND HEATING AND AIR CONDITIONING INC Address: CSLB license: 1250 PACIFIC OAKS PL # 103 745400 City/State/Zip: Phone: I Date Signed: ESCONDIDO CA 92029 760-839-8383 2016-11-28 10:11:51 Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable): 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-A0419126A-M2000002A-OOOO CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-11-28 10:11:51 HERS Provider: caiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-28 10:11:55 Schema Version: 2013.1.007 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: BURT RESIDENCE Enforcement Agency: City of Permit Number: on site Carlsbad Dwelling Address: 114 WINDVANE LANE City: Carlsbad Zip Code: 92011 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 CFlR? 06 Duct System Compliance Category Alteration using smoke test '"·'. i£ ~LV '""'. ,f' ,II , 'i : 't $ 'f s .···· MCH-20e -Sealing All Acces#~~bl~f.eaks ~~g S"f'tfmtt ,{'; ::. : ': ··:· .. : '. •,,, V, ·,:, ... ,,.,., 'ry:,, ,.:::·:· ·~· ::, ··:. ····~'t'}~L ' ·' : B. Duct Leakage Diagnostic Test 01 Condenser Nominal Cooling Capacity (ton) 4 02 Heating Capacity (kBtu/h) 0 03 Conditioned Floor Area served by this HVAC system (ft2) 2142 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 Rate (cfm) 240 10 Actual duct leakage rate from leakage test measurement 338 (cfm) Registration Number: 216-A0419126A-M2000002A-M20A CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-11-2816:00:20 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-28 15:59:54 Schema Version: 2013.1.007 CERTIFICATE OF VERIFICATION CF3R-MCH-20-H Duct Leakage Diagnostic Test (Page 2 of 3) B. Duct Leakage Diagnostic Test Compliance Statement: 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 11 accessible portions 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 12 Notes: 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 pf~ffjprr&r~~rns in ~~.of~~: ; ' ~-3\ c: ~,$J;r.tJ:J!f ~t .~~:~ { ~k' '"·~;:\ If cloth backed tape was A'~i~,was coveredw~h'~aJ1c i~draJt>ands. ·.' OS {:';'~{~::.:\ 06 All connection points between tHe air handler a~d 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. 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 I Complies: All specified verification protocol requirements on this document are met. Registration Number: 216-A0419126A-M2000002A-M20A CA Building Energy Efficiency Standards 2013 Residential Compliance Registration Date/Time: 2016-11-28 16:00:20 HERS Provider: CaiCERTS Report Version: 2013 Rev 1.008 Report Generated: 2016-11-28 15:59:54 Schema Version: 2013.1.007 CERTIFICATE OF VERIFICATION Duct Leakage Diagnostic Test Documentation Author's Declaration Statement 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Jason Solarez Company: Air-Tite Duct Testing Address: 2386 Warmlands Ave City/State/Zip: Vista CA 92084 Responsible Person's Declaration statement Documentation Author Signature: Date Signed: 2016-11-2816:00:20 CEA/ HERS Certification Identification (if applicable): Phone: 760-231-9444 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. CF3R-MCH-20-H (Page 3 of 3) 2. 3. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 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. The information reported on applicable sectiqes. ·.·'. ·t!f···· the Certific~·· (s~. ,. '~ .... · .. · I ·. . ·.C··· F . . ·. ~.·. ·.· •. ··.by t. he pertO···· n(s .. ) resp· .. o·· ns·i·.·b.·le. ~ .. o. r the construction or installation conforms to the fquireme ·. d, the Ce .~(s (C.tapproved byfle ~me~agency. I will ensure that a registered co of this Ctificate of n .. "all be po ,, , or ith tffil~'lfWilding peljlit(f issu\Wd tpr the building, and made availa force .U$n . pi ... ,,l.~~q:;p~~R~· I • _.at a~,&.~re;copy ~thjJCertlficale,of . Verification is required to be with the docume 1on t e builder proviaes tot e ui !ling owner at occupBhcy. · 4. 5. ·, r ·• i i ·•. Builder Or Installer Information As ~hown On The Certificate Of Installation Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): OAK ISLAND HEATING AND AIR CONDITIONING INC Responsible Builder or Installer Name: Les Young HERS Provider Data Registry Information Sample Group Number (if applicable): HERS Rater Information HERS Rater Company Name: Air-Tite Duct Testing Responsible Rater Name: Jason Solarez Responsible Rater Certification Number w/ this HERS Provider: CC2006013 CSLB license: 745400 Dwelling Test Status in Sample Group (if applicable) Tested Responsible Rater Signature: Date Signed: 2016-11-28 16:00:20 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 Date/Time: 2016-11-2816:00:20 HERS Provider: CaiCERTS Registration Number: 216-A0419126A-M2000002A-M20A CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Schema Version: 2013.1.007 Report Generated: 2016-11-28 15:59:54 2013 Residential Compliance