HomeMy WebLinkAbout1608 MARITIME DR; ; CB162962; Permit10-20-2016
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB162962
Building Inspection Request Line (760) 602-2725
1608 MARITIME DR CBAD
PME
2150821900
KLENNER: REPLACE FURNACE I
ADDNC
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/02/2016
JMA
08/02/2016
08/02/2016
MAUZY HEATING & AIR KLENNER
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
1608 MARITIME DR
CARLSBAD CA 92011
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." 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.
THE FOLLOWING A'PPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHEALTH OHAZMAT/APCD I
(City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. (6/ b. ZP( (pl.---
Est. Value
Plan Ck. Dep9sit
Date g / -z.--/ lb lsWPPP
SUITE#/SPACE#/UNIT# I APN
CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~ kv ~C 6"'-cb{~ ~ -to<' C.lo u
EXISTING USE PROPOSED USE I GARAGE (SF) PATIOS (SF) !DECKS (SF) FIREPIJ\CE lAIR CONDITIONING ' I FIRE SPRINKLERS
YEsQt_ NoD YES DNa D 1 YESO NoD
APPLICANT NAME , " , L , a ,
Primary Contact t' \. ]...,.-(_\---.. U \ IA.-rl\(),y-,
CITY , \ _ L. v -.lr J. 0 STATE ZIP? I We~ -c. ~'~~~e. CJ>. ~I .)fb L
EMAIL EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY ZIP ZIP t:\20 'l l STATE cn~J c~or-STATE
cl\
PHONE
EMAIL EMAIL
I STATE LIC. #
'
CLASS ,, I CITY BUS. LIC.# Clo/C1.ol fJ , 1. 3! 'S lO
(Sec. 7031.5 Bus1ness and Professions Code: Any C1ty or County wh1ch requires a perm1t to construct, alter, 1mprove, demoliSh or repair any structure, pnor to 1ts 1ssuance, also requires the applicant for such permit to file a sig;ned 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 of perjury one of the following declarations:
0.J.have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work or whici)Jhis p rmit is issued. My workers' compensaliiJn · suran carrier and policy
number are: Insurance Co. ~ ~ Policy No. M tJv L 2-'\\. ~ Expiration Dale r cH
This section need not be completed i e permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjec1 to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000}, in
addition to the cost of compensation, damages as 3706 of the Labor code, interest and attorney's fees.
Ji5 CONTRACTOR SIGNATURE 12(AGENT
I hereby affinn that I am exempt from Contractor's Ucense Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale}.
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's LicE,nse 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 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 (hired} the following persons to provide the work indicated (include name I address I phone I type of work}:
Ji5 PROPERTY OWNER SIGNATURE DATE
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all CH;y ordinances and State lav.s relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentklned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEf' 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 perm~ 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 of this Code shall expire by limitation and become null and vokl if the buik:ling or v.ork authorized by such permit is not commenced within
180 days from the date of such permit or if the building orv.ork authorized by such permit is suspended or abandoned at any time after the v.ork is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
~APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
(Office Use Only)
STATE ZIP ZIP
CA
PHONE FAX
DELIVERY OPTIONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#---------·---MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION
~APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CB162962)
BLDG-Residential 08/02/2016Application Date:Permit Type:Owner:
Subdivision:P/M/E 08/02/2016Work Class:Issue Date:
1608 Maritime Dr
Carlsbad, CA
Address:Issued - Active 01/30/2017Expiration Date:Status:
IVR Number: 716154
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual
Start Date
12/06/2016 12/06/2016 BLDG-43 Air
Cond./Furnace Set
004281-2016 Passed Andy Krogh Complete
BLDG-Final
Inspection
004280-2016 Passed Andy Krogh Complete
COMMENTS PassedChecklist Item
BLDG-Mechanical Final Yes
BLDG-Electrical Final Yes
December 15, 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: _ JEFF KLENNER I Date Prepared: 2016-07-26
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 JEFF KLENNER 02 Date Prepared 2016-07-26
03 Project Location 1608 MARITIME DRIVE 04 Building Type Single family
OS CACity Carlsbad 06 Dwelling Unit Name JEFF KLENNER
07 Zip Code 92011 08 Dwelling Unit Conditioned 2691 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
SCSystem SCSystem CFA served system a refrigerant Installing new SC Installing Installing Installing
Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new
Name Served System (ft2) system? component? components? feet of ducts? duct system? SCsystem? Alteration Type
System 1 Location 1 2691 Yes Yes Yes No No No Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0279591A-OOOOOOOOO-OOOO Registration Date/Time: 2016-07-26 22:23:59 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version: 2013 Rev 1.007
Schema Version: O.SSSSDD
Report Generated: 2016-07-26 22:23:44
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 This field or This field or
System 1 heating AFUE 80 cooling SEER 25 Setback section is not section is not furnace components AC components applicable applicable
B!lguired Dgcumentation:
CF2R-MCH-Ol-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: 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.
Exce(!tiQn~:
-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-A0279591A-OOOOOOOOO-OOOO
CA Building Energy Efficiency Standards-2013 Residential Compliance
This section does not apply to this project.
Registration Date/Time: 2016-07-26 22:23:59
Report Version: 2013 Rev 1.007
Schema Version: 0.55SSDD
HERS Provider: CaiCERTS
Report Generated: 2016-07-26 22:23:44
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: c..A1atthew L/11auz3 Mauzy, Matthew
Company: Signature Date:
M N MAUZY MECHANICAL INC 2016-07-26 22:23:59
Address: CEA/ HERS Certification Identification (if applicable):
1551 N CUYAMACA STREET
City/State/Zip: Phone:
EL CAJON CA 92020 619-583-9545
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: c..A1atthew L/11auz3 Mauzy, Matthew
Company: Date Signed:
M N MAUZY MECHANICAL INC 2016-07-26 22:23:59
Address: License:
1551 N CUYAMACA STREET 759171
City/State/Zip: Phone:
EL CAJON CA 92020 619-583-9545
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-A0279591A-OOOOOOOOO-OOOO
CA Building Energy Efficiency Standards-2013 Residential Compliance
Registration Date/Time: 2016-07-26 22:23:59
Report Version: 2013 Rev 1.007
Schema Version: O.SSSSDD
HERS Provider: CaiCERTS
Report Generated: 2016-07-26 22:23:44
.
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: Jeff Klenner Enforcement Agency: City of Permit Number: CB162962
Carlsbad
Dwelling Address: 1608 Maritime Drive City: Carlsbad Zip Code: 92011
[HOUSE]
A. System Information
01 Space Conditioning System Identification or Name SYSTEM 1
02 Space Conditioning System Location or Area Served WHOLE HOUSE
03 Building Type from CF-1R Single family
04 Verified Low Leakage Ducts in Conditioned Space No, credit is not taken
(VLLDCS) Credit from CF1R?
OS Verified Low Leakage Air Handling Unit Credit from No, credit is not taken
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.o
02 Heating Capacity (kBtu/h) 110
03 Conditioned Floor Area served by this HVAC system (ft2) 2691
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 0.0
09 Calculated Target Allowable Duct Leakage Rate (cfm) 300.00
10 Actual duct leakage rate from leakage test measurement 190.0
(cfm)
11 Compliance Statement: System passes leakage test
Registration Number: 416-A0003702A-M2000002A-M20A Registration Date/Time: 2016-08-29 14:17:09 HERS Provider: CHEERS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
Report Generated: 2016-08-29 14:17:16
.
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
B. Duct Leakage Diagnostic Test
12 I 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 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.
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: 416-A0003702A-M2000002A-M20A
CA Building Energy Efficiency Standards
Registration Date/Time: 2016-08-29 14:17:09 HERS Provider: CHEERS
2013 Residential Compliance
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
Report Generated: 2016-08-29 14:17:16
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
Timothy Ceausu Tlnnothyc~
Company: Date Signed:
I Permit E Raters 2016-08-29
Address: CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip: Phone:
Westlake Village CA 93291 818-735-7886
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
Mauzy Heating, Air & Solar
Responsible Builder or Installer Name:
Matt Mauzy
HERS Provider Data Registry Information
Sample Group Number (if applicable):
HERS Rater Information
HERS Rater Company Name:
I Permit E Raters
Responsible Rater Name:
Timothy Ceausu
Responsible Rater Certification Number w/ this HERS Provider:
RCN13063
Registration Number: 416-A0003702A-M2000002A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
CSLB License:
759171
Dwelling Test Status in Sample Group (if applicable)
N/A
Responsible Rater Signature:
Tlnnothyc~
Date Signed:
2016-08-29
Digitally signed by CHEERSrr". 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: 2016-08-29 14:17:09 HERS Provider: CHEERS
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
Report Generated: 2016-08-29 14:17:16
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 1 of 7)
Project Name: Jeff Klenner Enforcement Agency: City of Carlsbad Permit Number: CB162962
Dwelling Address: 1608 Maritime Drive [HOUSE] City: Carlsbad Zip Code:
A. General Information
01 Dwelling Unit Name HOUSE 02 Climate Zone
03 Dwelling Unit Total Conditioned Floor 2691 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) (Btuh)
09 Dwelling Unit Number of Bedrooms 3
MCH-Olb Prescriptive Alterations -Space Conditioning Systems Ducts and Fans
B. Space Conditioning (SC) System Information
01 02 03 04
SC System SC System CFA served Is the SC
Identification or Location or Area by this SC system a
Name Served System (ft2) ducted
system?
SYSTEM 1 WHOLE HOUSE 2691 Yes
Registration Number: 416-A0003702A-M0100001A-OOOO
CA Building Energy Efficiency Standards-2013 Residential Compliance
OS 06 07
Installing a Installing new SC Installing more refrigerant system than 40 feet of containing components? ducts? component?
Yes Yes No
Registration Date/Time: 2016-08-29 02:10:36
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
08
Installing
entirely new
duct system?
No
92011
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: CHEERS
Report Generated: 2016-08-29 14:10:40
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
All new All new
SYSTEM 1 Central gas heating AFUE 0.80 Central cooling SEER 25 furnace componen split AC
ts components
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 80.0 LENNOX SL280UH110V60C
-04
Notes:
-----------
Registration Number: 416-A0003702A-M0100001A-OOOO Registration Date/Time: 2016-08-29 02:10:36
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 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
This
field
N/A-no or
Setback ducts sectio Not a CFI
n is system replaced not
applic
able
06 07
Heating Unit serial Rated Heating Capacity,
number Output (BTUH)
5916G01533 110000
HERS Provider: CHEERS
Report Generated: 2016-08-29 14:10:40
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 25.0
Notes:
F. Extension of Existing Duct System, Greater Than 40 Feet
G. Installed Duct System information
H. Installed Air Filter Device Information
I. Air Filter Device Requirements
Registration Number: 416-A0003702A-M0100001A-0000
CA Building Energy Efficiency Standards-2013 Residential Compliance
Manufacturer Model Number Serial Number
LENNOX XC25-060-230-5816018596 02
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: 2016-08-29 02:10:36
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
CF2R-MCH-01-E
(Page 3 of 7)
07 08
System Rated Cooling Condenser Rated
Capacity at Design Nominal Capacity
Conditions (BTUH) (ton) I
60000 5.0
HERS Provider: CHEERS
Report Generated: 2016-08-29 14:10:40
CERTIFICATE OF INSTALLATION
Space Conditioning Systems, Ducts, and Fans
J. HERS Verification Requirements
01 02 03 04
MCH20
Exemption
System SC System From Duct Duct
Identification or Location or Area Leakage Leakage
Name Served Requirements Test
SYSTEM 1 WHOLE HOUSE No Yes exemptions
Notes:
Registration Number: 416-A0003702A-M0100001A-0000
CA Building Energy Efficiency Standards-2013 Residential Compliance
OS 06 07
MCH21 MCH22
Exemption
from
Minimum
R-Value for
Ducts In Ducts Located AHU Fan
Conditioned In Cond Space Efficacy
Space Verification (W/cfm)
This field or
section is No No not
applicable
-------
Registration Date/Time: 2016-08-29 02:10:36
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: CHEERS
Report Generated: 2016-08-29 14:10:40
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)l 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.
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
150.0(j)2 and 3, and Section 150.0(m)9.
08 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A.
09 Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing. See Section
150.0(h)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)l.
Registration Number: 416-A0003702A-M0100001A-0000
CA Building Energy Efficiency Standards-2013 Residential Compliance
Registration Date/Time: 2016-08-29 02:10:36
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
HERS Provider: CHEERS
Report Generated: 2016-08-29 14:10:40
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: 416-A0003702A-M0100001A-0000
CA Building Energy Efficiency Standards-2013 Residential Compliance
Registration Date/Time: 2016-08-29 02:10:36
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
HERS Provider: CHEERS
Report Generated: 2016-08-29 14:10:40
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:
Matt Mauzy ~ cU:t ~ CI.-U%.Y
Company: Signature Date:
Mauzy Heating, Air & Solar 2016-08-29
Address: CEA/ HERS Certification Identification (if applicable):
9411 Bond Avenue
City/State/Zip: Phone:
El Cajon CA 92021 619-448-9545
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials,
components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement (responsible builder/installer), otherwise I am an
authorized representative of the responsible builder/installer.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and regulations, and the
installation conforms to the requirements given on the plans and specifications approved by the enforcement agency.
4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of
Installation, and I have ensured that the requirements that apply to the construction or installation have been met.
5. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all
applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Matt Mauzy
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Mauzy Heating, Air & Solar
Address:
9411 Bond Avenue
City/State/Zip:
El Cajon CA 92021
Registration Number: 416-A0003702A-M0100001A-OOOO
CA Building Energy Efficiency Standards-2013 Residential Compliance
Responsible Builder/Installer Signature:
~cd:t~CI.-U%.Y
Position With Company (Title):
Contractor/Installer
CSLB License:
759171
Phone: I Date Signed:
619-448-9545 2016-08-29
Digitally signed by CHEERS'M. 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: 2016-08-29 02:10:36
Report Version: 2013 Rev 1.007
Schema Version: 2013.1.007
HERS Provider: CHEERS
Report Generated: 2016-08-29 14:10:40
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