HomeMy WebLinkAbout1702 BLACKBIRD CIR; ; CBR2016-0147; PermitPrint Date: 02/06/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
#Dwelling Units:
Bedrooms:
Project Title:
1702 Blackbird Cir
BLDG-Residential
2156026200
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: SIESEL: REPLACE EXIST. FAU/ SAME LOCAL
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00
Owner:
TRUST SIESEL 2010 TRUST 06-04-10
1702 Blackbird Cir
CARLSBAD, CA 92011
Total Payments To Date: $166.00
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
COASTAL REFRIGERATION
6525 Paseo Frontera, Apt L
Carlsbad, CA 92009-4534
760-683-5683
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.
Permit No: CBR2016-0147
Closed -Finaled
11/21/2016
11/21/2016
MColl
$166.00
$0.00
' • i THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING
{"atyof
Carlsbad
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONA
ADDRESS
CITY
PHONE
EMAIL
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACEI/UNITI
#BEDROOMS #BATHROOMS
PROPOSED USE
STATE ZIP
FAX
STATE
FAX
STATE LIC. #
0BUILDING DFIRE
Plan Check No.
Est. Value
PlanCk.
Date SWPPP
OCC. GROUP
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
~ve 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 work~~on,:s required by Section 3700 of the Labor Code, for the performance of the work f~hich this ~rmitis issued. y workers' compensation i urance rrier and policy
number are: Insurance Co. ~,L Policy No. Expiration Date ~~,e.,~-fi;tL-"""L-....L.c...
'j:lli§,section need not be completed if the permit is for one hundred dollars ($100) or less. U Certificate of Exemption: I certify that in the 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 Wo
California. WARNING: Failure to secure is unlawful, and shall subject an employer to criminal penalties and civil fines up to one
of the Labor code, interest and attorney's fees.
I hereby affirm 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 Contractors
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors License Law).
I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No
2. I (have I have not) signed an application for a building 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):
_.KS PROPERTY OWNER SIGNATURE 0AGENT DATE
I
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? DYes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
Lender's Name
I certify that I have read the application and state that the above infonnation is conectand that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State lav.s relating to building consbucllon.
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 CARLSB<\D
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permft is required for excavations over ' or construction of structures over 3 stories in height.
EXPIRATION: Every permtt issued by the Building i · expire by limttation and become null and void ~the building or v.or1< authorized by permit is not commenced within
180 days from the date of such permtt or suspended or abandoned at any time after the v.or1< is commenced for a (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.
DELIVERY OPTIONS
D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg, 1)
D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed abcve)
o CONTRACTOR (On Pg. 1)
D MAIL/ FAX TO OTHER:-----------------
A! APPLICANT'S SIGNATURE
(Office Use Only)
CA
o ASSOCIATEDCB#------------
o NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
PERMIT INSPECTION HISTORY REPORT (CBR2016-0147)
Permit Type: BLDG-Residential Application Date: 11/21/2016 Owner: TRUST SIESEL 2010 TRUST
06-04-10
Work Class: P/M/E Issue Date: 11/21/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 08/02/2017 Address: 1702 Blackbird Cir
Carlsbad, CA 92011-5008
IVR Number: 371
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
02/03/2017 02/03/2017 BLDG-43 Air 012463-2017 Passed Michael Collins Complete
Cond./Fumace Set
BLDG-Final 012464-2017 Failed Michael Collins Reinspection Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final No
BLDG-Mechanical Final Need HERS report. No
BLDG-Electrical Final No
02/06/2017 02/06/2017 BLDG-Final 012766-2017 Passed Michael Collins Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final T-24/HERS report received. Yes
BLDG-Electrical Final No
BLDG-Plumbing Final No
BLDG-Mechanical Final Need HERS report. No
February 06, 2017 Page 1 of 1
CERTIFICATE OF INSTALLATION CF2R·MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: SIESEL Enforcement Agency: City of Permit Number: on site
Carlsbad
Dwelling Address: 1702 Blackbird cir 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 CFlR?
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
.(#·'.!:· I :.'""~:r·./ ,.h,.<,/ci'' 7:'""L''lrh,1• ·r~~t1Lt1f' .;;i·t··rh ~!
MCH-20e -Sealing All Accessibl~teaks fing s"}9k,Tft~ ;'''''"' i . ,,~{ t~
;,, it''Mti; :,:~ ll't
~:,, ': ~' ~ ·~ ~ i"K 2c. " +"
7&fihliii:# 'l,;,,,,,,t[' ''L'l'funfu tdl' ''1Lcl'l'''i'•'fu' (!~li¥!il'~,!(: Jllf l)T ~7 bfu . 'l~(f' l'l',
B. Duct Leakage Diagnostic Testf+~~, ( '' ,, I, i
01 Condenser Nominal Cooling Capacity (ton) 0
02 Heating Capacity (kBtu/h) 71
03 Conditioned Floor Area served by this HVAC system (ft2) 2400
04 Duct Leakage Test Condition Test final
OS 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 749
(cfm)
Registration Date/Time: 2016-12-28 15:50:18 HERS Provider: CaiCERTS Registration Number: 216-A0478383A-M2000002A-OOOO
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2016-12-28 15:50:19
2013 Residential Compliance
CERTIFICATE OF INSTALLATION CF2R-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
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.
c c<'?'iw ' ,:"''R'f,c i1Y24Hc!', ;Jcf<\ iw;,;,iw!!J,; ,,v,,c ,,:
OS If cloth backed tape was used it was co~ered witl1<JA1as5c ~d draJfbaqdsi(ri:,: :, C,"'," ;~i ]! h« ,,;,;;+t ,,, '" ~,' ;:k
06 All connection points bet~ee(l,the air hltidler Jndthesup~ly and ~etui'n plen~ms a:~e compl~te!Y seal~d.
"'"'~-,;,! ' ' ,,
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 persons signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number: 216-A0478383A-M2000002A-OOOO
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-12-28 15:50:18 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2016-12-28 15:50:19
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 SignatureS~~~
Seth Woolson
Company: Signature Date: 2016-12-28 15:50:18 COASTAL REFRIGERATION HEATING & CONDITIONING
Address: CEA/ HERS Certification Identification (if applicable):
6525 PASEO FRONTERA UNIT I
City/State/Zip: Phone:
CARLSBAD CA 92009 760-683-5683 X123
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 regulatio~~. ~nd the install~tion c~ntormsJ?z~~ r~94.~r.~:men:ij,J~~~n on ~h~ plans and.~pecifications approved by
the enforcement agency. . • • · .,'.-'. ·,f ·;, .r; · ·' ·'
4. I understand that a HERS rater v,tiJl check th~j'lnstallation to)J!rifi, coihpliance, ~l!ldtltat" hecig id~ defects; l~m ~~~~ ~if.!lke
corrective action at my e se.'t~!-!nderstan~~hat En~y ~m~ssl?e and HErf Provi;t • sentltives perfornt~~u<\.!tv a;tttce checking
of installations, including oved as pal!t:of,;i sample grltp bot.AQt-t~;by 'HERLaterf'~md ft'. ioiallatiolls f311 to ·eet'tfle.;:
requirements of such quality e checking, the required corrective action anda<!ditional checking/te~ngpf~~her ~llatiansin t'lPtHERS
sample group will be performed at"~ expense.! ; '· ~ :. ~·· : r ( ~ ·r, ·· I ~ " f : } ' I ,j ~ _, ,>
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 Signature:
Seth Woolson ~~,Z,L. //..
Company Name: {Installing Subcontractor or General Contractor or Position With Company (Title):
Builder /Owner) Owner
COASTAL REFRIGERATION HEATING & CONDITIONING
Address: CSLB License:
6S25 PASEO FRONTERA UNIT I 974929
City/State/Zip: Phone: I Date Signed:
CARLSBAD CA 92009 760-683-5683 X123 2016-12-28 15:50:18
Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable):
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 responsibl1ity for the accuracy of the information.
Registration Number: 216-A0478383A-M2000002A-OOOO
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-12-28 15:50:18 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2016-12-28 15:50:19
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 1 of 7)
Project Name: SIESEL Enforcement Agency: City of Carlsbad Permit Number: on site
Dwelling Address: 1702 Blackbird cir City: Carlsbad Zip Code: 92011
A. General Information
01 Dwelling Unit Name SlESEL 02 Climate Zone 7
03 Dwelling Unit Total Conditioned Floor 2400 04 Number of Space Conditioning 1 Area (tt2) Systems in this Dwelling Unit.
OS 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
;wz'/ ,<' ,, ' '\ i
MCH-Olb Space Conditioning Systems Ducts and],fans-~4"escriptive Alterations i;
,,,' ~ '''lJY\,;, f?
;,'1': ,:w :,' ," j
'''il~W;~~t ;;;
B. Space Conditioning (SC) System Information '"'~J; <,
01 02 03 04 OS 06 07 08 09 10
SCSystem SCSystem CFAserved Is the SC Installing a Installing new SC Installing more Installing Installing
Identification or Location or Area by this SC system a refrigerant system than 40 feet of entirely new entirely new SC Alteration Type
Name Served System (ft2)
ducted containing components? ducts? duct system? system? system? component?
System 1 Location 1 2400 Yes
Registration Number: 216-A0478383A-M0100002A-0000
CA Building Energy Efficiency Standards-2013 Residential Compliance
No Yes No
Registration Date/Time: 2016-12-28 15:50:18
Report Version: 2013 Rev 1.008
Schema Version: 2013,1.008
Altered space
No No conditioning
system
, __ L__ , __ --
HERS Provider: CaiCERTS
Report Generated: 2016-12-28 15:49:16
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
All new No cooling or
Central gas heating Central section is System 1 AFUE 78 component SEER furnace componen split AC altered not
ts applicabl
e
D. Installed Heating Equipment Information F~~<:C ~··~ ~ < ,:
01 02 03 7~<; <~ ~ ~:04y ~ : ~ os~
System Identification or ; He~tinrr,E~ncf ~:;;,:,fieating'tJ.ik Heating<Un it'
Name Heating Efficiency Ty~t: Value '~Manufacturer Model Number
I
80g1uh090bp161-System 1 AFUE 78 ACPRO 55
Notes:
L__________._ ___ ---
E. Installed Cooling Equipment information
This section does not apply to this project.
F. Extension of Existing Duct System, Greater Than 40 Feet
Registration Number: 216-A0478383A-M0100002A-0000
CA Building Energy Efficiency Standards -2013 Residential Compliance
This section does not apply to this project.
Registration Date/Time: 2016-12-28 15:50:18
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
CF2R-MCH-01-E
(Page 2 of 7)
I
10 11 12 13 !
Central Fan I
Integrated I
New or (CFI)
Required Replaced New Ventilation I
Thermostat Duct Duct System
Type Length R-Value Status
!
Not a CFI
I Setback LTE40Ft R6 system
!
!
' :l ~D6,~' 07
'lie~tingUnlt'serral Rated Heating capacity,
number Output (BTUH)
I
' 1716h30328 71000
HERS Provider: CaiCERTS
Report Generated: 2016-12-28 15:49:16
CERTIFICATE OF INSTALLATION
Space Conditioning Systems, Ducts, and Fans
G. Installed Duct System information
H. Installed Air Filter Device Information
I. Air Filter Device Requirements
Registration Number: 216-A0478383A-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.
Registration Date/Time: 2016-12-28 15:50:18
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
CF2R-MCH-Ol-E
(Page 3 of 7)
HERS Provider: CaiCERTS
Report Generated: 2016-12-28 15:49:16
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 location 1 No Yes exemptions
Notes:
Registration Number: 216-A0478383A-M0100002A-OOOO
CA Building Energy Efficiency Standards-2013 Residential Compliance
05 06 07
MCH21 MCH22
Exemption
from
Minimum
R-Valuefor
Ducts In Ducts Located AHU Fan
Conditioned In Cond Space Efficacy
Space Verification (W/cfm)
No
Exemption No No
Registration Date/Time: 2016-12-28 15:50:18
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
CF2R-MCH-Ol-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 I
i
No No No
I
I
I
HERS Provider: CaiCERTS
Report Generated: 2016-12-28 15:49:16
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 lSO.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
lSO.O{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.
05 Standby Losses and Pilot Ughts: Fan-type central furnaces.may not have~a c~tinuously"6uminltp11otm~ht.;Section llO.S and Section 110.2(d). ;. • i'j ;:•: ' j'{ .D • ·D ••> .. D ·"· Cooling Equipment { ~ ·~.·
. ''· ,, .. ,, .·,·::""'
D. • ••• Jt?\
.,,. l~ '? ,., .· 1. •{i'
06 Equipment Efficiency: All cooling equipment misstmeet the minimum efficiencyrequirementsofSection 110.1 and Section 110.2(a) and the Appliance Efficiency -' ' -
Regulations.
07 Refrigerant Une 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
1SO.O(h)1 and 2.
Air Distribution System Ducts, Plenums and Fans
10 Insulation: In all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct insulation value is R-6. Note that higher values may be
required by the prescriptive or performance requirements. See Section 150.0(m)1.
Registration Number: 216-A0478383A-M0100002A-OOOO
CA Building Energy Efficiency Standards-2013 Residential Compliance
Registration Date/Time: 2016-12-28 15:50:18
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
HERS Provider: CaiCERTS
Report Generated: 2016-12-28 15:49:16
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.
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 ~.~,~n the ind~or set temperature cann~t.~~,'Y'e!."ccr ,',:
The responsible person signature on this complianc~,docum~ affirm~t~t ''' applicableorequitem~nts i~ thisi~1e have~¥., .f.!'·'
Registration Number: 216-A0478383A-M0100002A-OOOO
CA Building Energy Efficiency Standards -2013 Residential Compliance
Registration Date/Time: 2016-12-28 15:50:18
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
..
HERS Provider: CaiCERTS
Report Generated: 2016-12-28 15:49:16
CERTIFICATE OF INSTALLATION CFZR-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:
Seth Woolson
Documentation Author Signature: s~v~
Company: Signature Date:
COASTAL REFRIGERATION HEATING & CONDITIONING 2016-12-28 15:50:18
Address: CEA/ HERS Certification Identification (if applicable):
6525 PASEO FRONTERA UNIT I
City/State/Zip: Phone:
CARLSBAD CA 92009 760-683-5683 X123
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
3.
4.
5.
authorized representative of the responsible builder/installer. . .. · :.'"' !!"·-'' .?· •.• · Cv
The constructed or installed features, materials, comp~~nts or m~~ufactured t!e)ljces jt~ installati<~n;ljs:J~ntl!l~,? ~this ~rtifi~2! lnstallatioQco~,to ,1l.~·applicable codes and regulations, and the
installation conforms to the requirements given on th1ans and Sf)_,ecificatioJ'IS'&PJlroved by the enf~ement l!g\rtJilY· .~ ''l~' ~ .)f. ·~ J.
I reviewed a copy of the Certificate of Complian~rWd by the enf9{~;eJTi'IP~aJen~ that~~fi~~ll~Wefific fi!.quir+ents.f~~ wPpe of~Pntfuct~ Olti(l~lla~on identified on this Certificate of
Installation, and I have ensured that the requiremeri~:apply to the c~nstruction or installation have been met.. . . ' .... ·. . .
I will ensure that a registered copy of this Certificate of i~llation sh~ll be posted, or made available with the bu\!d4l8 permitJs) issued forthe l?uii.!Jing, .nd ma(:ie-available to the enforcement agency for all
applicable inspections. I understand that a registered copy oft his 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: s~v~
Seth Woolson
Company Name: (Installing Subcontractor-or GeneraiContraC:tor or Builder/Ownerj
COASTAL REFRIGERATION HEATING & CONDITIONING
Address:
6525 PAS EO FRONTERA UNIT I
Position With Company (Title):
Owner
CSLB License:
974929
City/State/Zip: Phone: 1 Date Signed:
CARLSBAD CA 92009 760-683-5683 X123 12016-12-28 15:50:18
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-A0478383A-M0100002A-OOOO
CA Building Energy Efficiency Standards -2013 Residential Compliance
Registration Date/Time: 2016-12-28 15:50:18
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
HERS Provider: CaiCERTS
Report Generated: 2016-12-28 15:49:16
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: SIESEL Enforcement Agency: City of Permit Number: on site
Carlsbad
Dwelling Address: 1702 Blackbird cir 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
<'<7' ,, ,,,,,,,
< ''"'"""',
,,,,,, ,'H' :,, c,'<,
""' 7 ;,), ,} <;)' r« l<, '* :J, ' ,,,,
MCH-20e-Sealing All Acces~,~?li{!eaks J,i~,~ ~n~~~f:rftt~:,, ,, 1:~ 1''~ ''7< ~~
1 ~ dx ~ '', o_)
,:''',,::':''! }l
,', '
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) 2400
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 Heating system method
Method
08 Measured AH UAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate (cfm) 231
10 Actual duct leakage rate from leakage test measurement 749
(cfm)
Registration Number: 216-A0478383A-M2000002A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-12-28 16:56:47 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-12-28 16:56:01
Schema Version: 2013.1.007
CERTIFICATE OF VERIFICATION CF3R-M CH-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.
i1J,< ,": ' ; ', ,, ,",,, <>' ,:'<,
04 Building cavities were not us:~ as plertfms or ~::fJfr~r~~rns in i!fY,,s,>f~H~~;' !;; 'F~,'41l~,;;;;, !~ i, 't ,,;
05 tf cloth backed tape was tised'Jt was co~~red'vJhh~a~ic ~Md>tlraJ'tictnd~~ ~; ::' \'; ~: :j I',
', ,;lili~t~ '' "'
06 ::;"~ ';' , t 2 "' ~ '":{ " ~\, fv>''4' f 1{ "; ) '\ ,}I Lt 1;: , £
All connection points between tne air hartdler andthe''stipply and retu'rn plenums are'completely sealed. t \
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-A0478383A-M2000002A-M20A Registration Date/Time: 2016-12-28 16:56:47 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2016-12-28 16:56:01
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: f~s~ Jason Solarez
Company: Date Signed:
Air-Tite Duct Testing 2016-12-28 16:56:47
Address: CEA/ HERS Certification Identification (if applicable):
2386 Warmlands Ave
City/State/Zip: Phone:
Vista CA 92084 760-231-9444
Responsible Person's Declaration statement
1 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 sectiQf!SIOf'the Certific~fe(s) pf~Wstallaptf'(CF~Rf· · ~~'~ubro:itte'tt by the per!9n(s) responsible for the
construction or installation conforms to the ~quirements:s,p,eci(\f!d,jjh the Certifjcate(s lbf C liarite (C proved by:*he ~emejtltgency.
5. I w_ill ~nsure that a registered cdl)\'; of this C~ificate o~yerfa~n ~all be po'~~~r ila~ wit ilding pe~~it(~l iss~i!d ~r the
bUild mg. and made ava1lab~,y> tl)~ enforcern~~. ~~e~};!~~ll lipphc~.\~J!JSI>i!}:J~~~· 1.. .. and ~at a r~ copy~ thfs; Certlflca.t9 .. of ~·
Verification is required to be 111\llllcf~d with the documentation the buil~er provides. to tne building owner at occupfncy. · " · ·
I
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
COASTAL REFRIGERATION HEATING & CONDITIONING -
Responsible Builder or Installer Name: CSLB License:
Seth Woolson 974929
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable)
Tested
HERS Rater Information
HERS Rater Company Name:
Air-Tite Duct Testing
Responsible Rater Name: Responsible Rater Signature: f~s~ Jason Solarez
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2006013 2016-12-28 16:56:47
Digitally signed by GaiCERTS. This digital signature is provided it1 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-A0478383A-M2000002A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-12-28 16:56:47 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-12-28 16:56:01
Schema Version: 2013.1.007
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of 3)
Project Name: SIESEL Date Prepared: 2016-12-28
-----
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 SIESEL 02 Date Prepared 2016-12-28
03 Project Location 1702 Blackbird cir 04 Building Type Single family
OS CACity Carlsbad 06 Dwelling Unit Name SIESEL
Dwelling Unit Conditioned 07 Zip Code 92011 08 Floor Area (ft2) 2400
Number of space conditioning
09 Climate Zone 7 10 (SC) systems in this dwelling 1
unit.
---------~ L__ ---~ --~ ------
B. Space Conditioning (SC) System Information
~·>---t,,, ~" ~--¥---F .-;
---
.---~ ,--±
01 02 03 04~ "'f]o5 -06~-'"'\
--
07 08
-" 09 10
·-Is the sc'"'' -qlfistalllng a f''" .,,_,___ -----~ -~"-; --
SCSystem SCSystem CFA served system a d!frigerant --Jnstam.jg.:new sc InstalUng lnstalliltg 1nstalling 1-. ~--entirely new Identification or Location or Area bythisSC ducted containing system more than 40 entirely new
Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type
System 1 Location 1 2400 Yes No 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-A0478383A-000000000-0000 Registration Date/Time: 2016-12-28 15:46:32 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
Report Generated: 2016-12-28 15:46:38
i
CERTIFICATE OF COMPUANCE 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 No cooling This field or This field or Less than or
System 1 furnace heating AFUE 78 AC component section is not section is not Setback equal to 40 R-6
components altered applicable applicable feet
R~:gyir~ QQ~;ym~:!lti!tiQ!J:
CF2R-MCH-Ql-E-Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H-Duct Leakage testing required when heating or cooling components are installed inducted systems, or when more than 40ft of duct length is replaced.
-Leakage rate compliance:~ 15%. or~ 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-2S-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.
Em:11ti2!l~-
-Duct_ systems registered with HERS provider as previously sealed are_ exempt fr~~~&J;!~20 Duct LE!JkageJ~ r~(jukeme,ll~' . . . ·.;
-Heatmg-<>nly systems and A~r Handler/Furnace changes do not requrre venficatl.iltt of Arr FIQw MCI:;{I-23,.t1t Refngetant Chatge MECH-25:
'\~?: ~::r.t:~ tl·"' -Existing duct systems constructed. insulated or sealed with asbest~are exem~ from MCn:'_!~ifu·l~kage Testi~g requirements.
"''" '~'~: :'1' ~1 !. ·~;l, ·, '> l! 'i'1 ~
'\•':r\f; pp.t ·>:->>•>' ••xmW %•· •RW •f%%' .:; \ ''
E. Entirely New or Complete Replacement DuctR~em, wi~h pr Vfitho~Jt.,Equipment Changeout (Sections 1'5P.2(b)~Dii~ and.:~0.2(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)
This section does not apply to this project.
Registration Number: 216.tA0478383A-OOOOOOOOO-OOOO Registration Date/Time: 2016-12-28 15:46:32 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008
Schema Version: O.SSSSDD
Report Generated: 2016-12-28 15:46:38
CERTIFICATE OF COMPUANCE 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: St!DtV~ Woolson, Seth
Company: Signature Date:
COASTAL REFRIGERATION_HEATING & CONDITIONING 2016-12-28 15:46:32
Address: CEA/ HERS Certification Identification (if applicable):
6525 PAS EO FRONTERA UNIT I
City/State/Zip: Phone:
CARLSBAD CA 92009 760-683-5683 X123
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 ofthe 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 manufactur!!d d~vices for th.e buildi"' design Ptsvstem design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of ~kitlons. ' ~ · ,:~ · • • · .;· •:i: ~·:·· ~);'· "' .•• ,::•.·.: •:·~
4. The building design features or system design features i.Qfntified o~his Certifitate:of Com@iance are~teq~'the i~or~.E'fPVided oriOt~aj)p~ca~ compliance documents, worksheets,
calculations, plans and specifications submitted to ~he 6iifprcement••gency forlpprov.,!. with this building permit ap'f)jicatiQI\. ·:!'; :::: ·~: · .lll.
5. I will ensure that a registered copy of this Certificlti'W ~pliance sft:a~be'madeavailable With:-b.itll!ting ~mit{i) issu~ for-fiil<(llg, and,\,aciit avalfabre•to.the':enforcement agency for all applicable
inspections. I understand that a registered copy of thi~-cate of Compliance. is. required to be included yvith the,docum!lntption the. bdll9er p~)lides tp..the b~W.ing owner at occupancy.
Responsible Designer Name: "\, l Responsible Designer Si~afure: '~. saiv~ Woolson, Seth
Company: Date Signed:
COASTAL REFRIGERATION_HEATING & CONDITIONING 2016-12-2815:46:32
Address: license:
6525 PASEO FRONTERA UNIT I 974929
City/State/Zip: Phone:
CARLSBAD CA 92009 760-683-5683 X123
Digitally signed by Ca/CERT$. 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-A0478383A-OOOOOOOOO-OOOO
CA Building Energy Efficiency Standards -2013 Residential Compliance
Registration Date/Time: 2016-12-28 15:46:32
Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
HERS Provider: CaiCERTS
Report Generated: 2016-12-28 15:46:38