HomeMy WebLinkAbout1750 COTTONWOOD AVE; ; CBR2016-0322; PermitCity of Carlsbad
1635 Faraday Av Carlsbad,CA 92008
Print Date: 06/05/2017 Residential Permit Permit No: CBR2016-0322
www.carlsbadca.gov
Job Address:1750 Cottonwood Ave
Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled
Parcel No:2155033726 Lot #:Applied:12/09/2016
Valuation:$0.00 Reference #:Issued:12/09/2016
Occupancy Group:Construction Type:Finaled:
# Dwelling Units:Bathrooms:Inspector:
Bedrooms:Orig. Plan Check #:
Plan Check #:
Project Title:
Description:FENTON: REPLACE FAU AND ADD A/C (PRE-PLUMBED)
Owner:Contractor:
GREGORY M FENTON COASTAL REFRIGERATION
760-683-5683 1750 Cottonwood Ave
CARLSBAD, CA 92011 6525 Paseo Frontera, Apt L
Carlsbad, CA 92009-4534
760-683-5683
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00
Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project.NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
.....THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:El PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD
Plan Check No.CI6R010)&)—piaBuildingPermit Application(TCity of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. DepositCarlsbademail: building@carlsbadca.gov
www.carlsbadca.gov Date lajg 110 SWPPP
JOB ADDRESS ...SUITE/i/SPACEVUNI14 APN/AS 6thvaigui "fee.---
c-r/pRoJEcT#LOT #PHASE ##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:Include Square Feet of Affected Area(s)
2.0.7totee „6",i-._I-I #.4 74....Sit et.e .9-Ato,...1".xfi cAv. --74 14"e P4i•Ite...•
ti
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESD#N0I YES ONO E yEso NOD
APPLICANT NAME PROPERTY OWNER
Primary Contact (.1171/1 r L10/1 gra fil 1.Islifli/
ADDRESS -----ADDRESS6s--z s-PAC-.0 71-04140/ 4-.l •/ 75 -0 746 /aiel /414/e
ci,...??r41....zip,4001 CITOz017-r4fel STATE(-4-Z
CONE
FAX PHONE FAX606 8;-s---dP3
Al EMAIL
DESIGN PROFESSIONA CONTRACT S. NAME ,75--'47-1--e._ert-r7001A-Ar.-
ADDRESS ADDRES 5-25--jig)
7*be./lf..P4.ZIP
..Z.. ;ftf'-'
CITY STATE ZIP CITY 47/iek/./..TATE 9peta7PHONEFAXPE)FAX7fy‘ef-zi-xe....?
EMAIL EMAI
STATE LIC. #STATE LIC.#CLASS CITY BUS. LIC.#97$/9077Y (1-4a 0 /t;?y13/f )
(Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuan e, also requires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)).
7g
..'.W.Ei R:K E RiS
'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury. one of the following declarations:0 ave 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.eIi"have and will maintain workers' corn nsationrenuiry by Section 3700 of the Labor Code, for the performance of the ntrirkfiwhich this permit is
issue/d9workers'
compensation ins nce .er and policy
number am: Insurance Co.,fdrie.a Policy No.74 40V--/(T.(15'Expiration Date4--
This section need not be completed if the permit is for one hundred dollars ($100) or less.0 Certificate of Exemption:I certify that in the perfo .:nce of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California.WARNING: Failure to secure workers'/mpensationcove ..•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,dam.i
-...rovided forin S:1..706 of the Labor code, interest and attorney's fees.
."1..ES CONTRACTOR SIGNATURE W..._,..........,0 AGENT DATE /4 -F....ae.„46.
OWNER -BUILDER DECLARATION :...a ;la...illi ii:.
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
IDI,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).DI,as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).0 I am exempt under Section Business and Professions Code for this reason:
1.I personally plan to provide the major labor and materials for construction of the proposed property improvement.DYes DNo
2.I (have / 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 / phone / 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 /address/phone / contractors' license number):
5.I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
AcPROPERTYOWNER SIGNATURE DAGENT DATE
COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act?0 Yes 0 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No
Is the facility to be constructed within 1,000 feet of the outer boundary ofa school site?CI Yes Cl 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.
7744 .7=.47CONSTRUCTIONLENDINGAGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (0 Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
Icertify thatI have read the application and state that the above information isconed and that the information on the plans is accurate.Iagree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representativeofthe CityofCarlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over SO' deep and demolition or construction of structures over 3 storiesin height.
EXPIRATION: Every permit issued by the Building Official un•e provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if the building or .authorized by such pe it's suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
AtcAPPLICANT'S SIGNATURE DATE 4r ?,„0.6./0.
STOP)
STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@CarlsbadCa.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#:(Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
In PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On P.1)
ASSOCIATED CB#
CI MAIL TO:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On pg.i) NO CHANGE IN USE /NO CONSTRUCTION
0 MAIL /FAX TO OTHER:
o CHANGE OF USE/NO CONSTRUCTION
AKAPPLICANT'S SIGNATURE DATE
.
•
•PERMIT INSPECTION HISTORY REPORT (CBR2016-0322)N.
Permit Type:BLDG-Residential Application Date:12/09/2016 Owner:GREGORY FENTON
Work Class:P/M/E Issue Date:12/09/2016 Subdivision:
Status:Closed -Finaled Expiration Date:11/29/2017 Address:1750 Cottonwood Ave
Carlsbad, CA 92011 -5140
IVR Number:717
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
06/05/2017 BLDG-Final 025447-2017 Passed Jonathan West Complete
Inspection
Checklist !tern COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Mechanical Final Yes
BLDG-Electrical Final Yes
06/02/2017 06/02/2017 BLDG-43 Air 025107-2017 Passed Jonathan West Complete
Cond./Furnace Set
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Final 025108-2017 Passed Jonathan West Incomplete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Mechanical Final Yes
BLDG-Electrical Final Yes
•
June 05, 2017 Page 1 of 1
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 1 of 7 )
Project Name:Fenton Enforcement Agency:City of Carlsbad Permit Number:on site
Dwelling Address:1750 Cottonwood ave City:Carlsbad Zip Code:92011
A. General Information
01 Dwelling Unit Name Fenton 02 Climate Zone 7
Dwelling Unit Total Conditioned Floor Number of Space Conditioning03160004 1Area (ft2)Systems in this Dwelling Unit.
05 Certificate of Compliance Type Prescriptive alterations (CF1R-ALT )06 Method used to Calculate HVAC Loads NotApplicableEquipmentChangeout
Calculated Dwelling Unit Sensible Calculated Dwelling Unit Heating Load07Cooling Load (Btuh)This field or section is not applicable 08 (Btuh)This field or section is not applicable
,09 Dwelling Unit Number of Bedrooms 2
MCH-01b Space Conditioning Systems Ducts and Fans -Prescriptive Alterations
B. Space Conditioning (SC)System Information
01 02 03 04 05 06 07 08 09 10
aSCSystemSCSystemCFAservedIstheSCInstalling Installing new SC Installing more Installing InstallingrefrigerantaIdentification or Location or Area by this SC systemsystem than 40 feet of entirely new entirely new SC Alteration Type
Name Served System (ft2)ducted containing components?ducts?duct system?system?system?component?
Altered space
System 1 Location 1 1600 Yes Yes Yes Yes No No conditioning
system
Registration Number: 216-A0479825A-M0100002A-0000 Registration Date/Time:2016-12-29 08:41:36 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-29 08:40:38
Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 2 of 7 )
C.Space Conditioning (SC)System Alterations Compliance Information
01 02 03 04 05 06 07 08 09 10 11 12 13
Central Fan
Integrated
Heating Cooling New or (CFI)
System Altered Heating Minimum Altered Cooling Minimum Required Replaced New Ventilation
Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Duct Duct System
or Name System Type Component Type Value System Type Components Type Value Type Length R-Value Status
All new All newCentral gas heating Central Not a CFISystem1AFUE78coolingSEER13SetbackGT40FtR6furnacecomponensplitACsystem
is components
D.Installed Heating Equipment Information
01 02 03 04 05 06 07
I System Identification or Heating Efficiency Heating Unit Heating Unit Heating Unit serial Rated Heating Capacity,
Name Heating Efficiency Type Value Manufacturer Model Number number Output (BTUH)
System 1 AFUE 78 Maytag mgc2sa0724b1 mgg161139106 56000
Notes:
E.Installed Cooling Equipment information
01 I 02 I 03 04 I 05 I 06 07 I 08
Condenser or Package Unit
Condenser or Condenser or Condenser or System Rated Cooling Condenser Rated
System Identification Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit Capacity at Design Nominal Capacity
or Name Type Value Manufacturer Model Number Serial Number Conditions (BTUH)(ton)
System 1 SEER 14 MAYTAG csa4be036ka csf160606984 36000 3
I
Registration Number: 216-A0479825A-M0100002A-0000 Registration Date/Time:2016-12-29 08:41:36 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-29 08:40:38
Schema Version: 2013.1.008
3
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 7 )
E.Installed Cooling Equipment information
01 I 02 03 04 I 05 I 06 07 I 08
Condenser or Package Unit
Condenser or Condenser or Condenser or System Rated Cooling Condenser Rated
System Identification Cooling Efficiency Cooling Efficiency Package Unit Package Unit Package Unit Capacity at Design Nominal Capacity
or Name Type Value Manufacturer Model Number Serial Number Conditions (BTUH)(ton)
Notes:
F.Extension of Existing Duct System, Greater Than 40 Feet
This section does not apply to this project.
G.Installed Duct System information
This section does not apply to this project.
H.Installed Air Filter Device Information
This section does not apply to this project.
I.Air Filter Device Requirements
This section does not apply to this project.
•
Registration Number: 216-A0479825A-M0100002A-0000 Registration Date/Time:2016-12-29 08:41:36 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-29 08:40:38
Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 4 of 7 )
J. HERS Verification Requirements
01 02 03 04 05 06 07 08 09 10
MCH2O MCH21 MCH22 MCH23 MCH25 MCH28
Exemption
from
Minimum
Exemption R-Value for AHU
System SC System From Duct Duct Ducts In Ducts Located AHU Fan Airflow
Identification or Location or Area Leakage Leakage Conditioned In Cond Space Efficacy Rate Refrigerant Return Duct Design
Name Served Requirements Test Space Verification (W/cfm)(cfm/ton)Charge Table 150.0-C or D
System 1 Location 1 No No Yes No No No No NoexemptionsExemption
Notes:
,.
1
1
1
,
1
Registration Number: 216-A0479825A-M0100002A-0000 Registration Date/Time:2016-12-29 08:41:36 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-29 08:40:38
Schema Version: 2013.1.008
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 5 of 7 )
K.Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures
Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the
system that are altered. Existing equipment may be exempt from these requirements.
Heating Equipment
01 Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency
Regulations.
02 Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant
to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(i), 110.2(b).
03 Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing.See sections
150.0(h)1 and 2).
04 Furnace Temperature Rise: Central forced-air heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum
inlet-to-outlet temperature rise specification.See Section 150.0(h)4.
05 Standby Losses and Pilot Lights:Fan-type central furnaces may not have a continuously burning pilot light. Section 110.5 and Section 110.2(d).
Cooling Equipment
06 Equipment Efficiency: All cooling equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency
Regulations.
07 Refrigerant Line Insulation: All refrigerant line insulation in split system air conditioners and heat pumps must meet the R-value and protection requirements of Section
150.0(j)2 and 3, and Section 150.0(m)9.
08 Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet.See Section 150.0(h)3A.
09 Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing.See Section
150.0(h)1 and 2.
Air Distribution System Ducts, Plenums and Fans
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-A0479825A-M0100002A-0000 Registration Date/Time:2016-12-29 08:41:36 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-29 08:40:38
Schema Version: 2013.1.008
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.
1
1 Registration Number: 216-A0479825A-M0100002A-0000 Registration Date/Time:2016-12-29 08:41:36 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-29 08:40:38
Schema Version: 2013.1.008
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:
Seth Woolson ..5DeZi(406.11e.
Company:Signature Date:
COASTAL REFRIGERATION_HEATING & CONDITIONING 2016-12-29 08:41:36
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 regulations, and the
installation conforms to the requirements given on the plans and specifications approved by the enforcement agency.
4.I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of construction or installation identified on this Certificate of
Installation, and I have ensured that the requirements that apply to the construction or installation have been met.
5.I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permits) 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 SWiakot6exie.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)Position With Company (Title):
COASTAL REFRIGERATION_HEATING & CONDITIONING Owner
Address:CSLB License:
6525 PASEO FRONTERA UNIT I 974929
City/State/Zip:Phone:Date Signed:
CARLSBAD CA 92009 760-683-5683 X123 2016-12-29 08:41:36
Digitally signed by CaICERTS.This digital signature is provided in order to secure the contentof this registered document, and in no way implies Registration Provider responsibility for the accuracyofthe information.
Registration Number: 216-A0479825A-M0100002A-0000 Registration Date/Time:2016-12-29 08:41:36 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-29 08:40:38
Schema Version: 2013.1.008
CEN'TIFICKIEO VERNICKIION CF3R41104-2041
Duct Leader Diagnostic Test (Page 1 of 3 )
Project Name:6531 Ave Del Paraiso St EnlacementAter City of Permit Number:CBR2016-0310
Carlsbad
Dwelling Acidres=6531 Ave Del Paraiso St City:Carlsbad lip Code:92009
(Main)
A. System infomsation
01 Space Conditioning System Identification or Name System 1
02 Space Conditioning System Location or Area Served Main
03 Building Type from CF-1R Single family
Verified Low Leakage Ducts in Conditioned Space No,credit is not taken04(VUDCS) Credit from CF1R?
Verified Low Leakage Air Handing Unit (VLIAllU) Credit No, credit is not taken05from CFIR?
.-
06 Duct System Compliance Category .s:•...;.'.1.Aiteratkin using smoke test
v.•
I80101.20e -Sealing Ail„ccessible Leaks using Smoke**,,
B. Duct Leakage Diagnostic Test
.„401Condenser Nominal Cooling Capacity (ton)•-4.0 '•-
02 Headng Capacity (kEtbilf)64
03 Conditioned Floor Area served by this HVAC system (ft2)1500
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
06 Measured AHUAirflow 0.0
09 Calculated Target Allowable Duct Leakage Rate (dm)240
10 Actual duct leakage rate from leakage test measurement 538
(cfm)
-
Registration Number: 416-A0010583A-1142000002A-M20A Registration Date/lime: 2016-12-15 08:51:27 HERS Provider CHEERS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-12-15 083136
2013 Residential Compliance Schema Version: 2013.1.007
CERTIFICATEOf VERIFICKETON CF3R-MC114-Z!!-H
Duct Leakase Diagnostic Test (Page 2 of 3 )
•
B.Duct Leakage DiagnOsticlest
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 portionsof 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 flecpoirements 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 offduring duct leakage
02 testing. OA ducts used for Central Fan integrated (CFI) indoor Air Quality ventilation systems, or Central Fan Ventilation
Cooling Systrue.,that utilize dampers that open only when OA is required and automatically dose when OA is not required,
may configure the OA damper to the dosed positiondyaing duct leakage testing.
03 All supply and return register boots were sealed
04 Building cavities were not used as plenums or •ina lieu of ducts.
05 If cloth backed tape was used it was covered with Maifdc 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 Sintike Its nietftoCthe sinOke tesfyras conducted in accordance with the requirements
07 of Reference Residential Appendix liAll.L43.6.Systems that corixibiusingeolre test shall not be included in sample
groupsfor HERS verification compliance.
08 Verification Status:Pass -all applicable requirements are met
09 Correction Notes for this table:
The responsible pitmans signature on this conspNance document of that all applicable requirements in this table have
been met unless odienvise noted in the Verlikedon Status and the Corrections Not 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 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 416-A0010583A-M2000002A4A20A Registration Date/Time: 2016-12-15 08:51:27 HERS Provider:CHEERS
C.AeuildifigEnergy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2016-12-15 08:51:36
2013 Residential Compliant Schema Version: 2013.1.007