HomeMy WebLinkAbout1785 CALLISIA CT; ; CB152034; Permit07-01-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanicai/Electrical (PME) Permit
Permit No: CBI52034
Building Inspection Request Line (760) 602-2725
Job Address;
Permit Type:
Parcel No:
Reference #;
PC #:
Project Title:
1785 CALLISIA CT CBAD
PME
2158812709
ISAACS RES- REPLACE A/C
LIKE FOR LIKE
Lot#:
Status:
Applied:
Entered By:
Plan Approved:
. Issued:
Inspect Area:
ISSUED
07/01/2015
LSM
07/01/2015
07/01/2015
Applicant:
OAK ISLAND HEATING AND AIR
STE 103
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Owner:
ISAACS WILLIAM A TRUST 01-20-04
1785 CALLISIACT
CARLSBADCA 92011
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$0.00
$160.00
$0.00
TOTAL PERMIT FEES $160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00
Clearance:
NOTICE: Please take NOTI
refen-ed to as "fees/exactions'
£ thai approval of your project indudes the "Imposition" of fees, dedications, reservations, or ottier exactions iiereafter collectively
Yol iiave 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infomiation with the City Manager for
processing in accordance with Carlsbad IVlunicipal 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 vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired.
Inspection List
Permit*: CB152034 Type: PME ISAACS RES-REPLACE A/C
LIKE FOR UKE
Date Inspection Item Inspector Act Comments
08/04/2015 43 AirCond/Furnace Set - Rl GC 1025/CALL WITH ETA
08/04/2015 43 AirCond/Furnace Set PY AP
08/04/2015 49 FinalMechanical - Rl
08/04/2015 49 FinalMechanical PY AP
Wednesday, August 05, 2015 Page 1 of 1
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: • PUNNING DENGINEERING nBUILDING DFIRE • HEALTH • HAZMAT/APCD
^ 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.C^fs ^3 V
Est. Value
Plan Ck. Deposit
Date SWPPP
JOBADDRESS 1785 CALLISIACT.
SUITEt/SPACEf/UNIT*
215 881 - 27 - 09
CT/PROJECT # PHASE # # OF UNn^S # BEDR00ri»S # BATHROOIMS TENANT BUSINESS NAME CONSTR.TYPE lOCCGROUP
DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s)
REMOVE AND REPLACE 1 A/C UNIT, LIKE FOR LIKE,
NO ELECTRICAL
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESPV NC| I
AIR CONDITIONING
YES I |NO| 1
FIRE SPRINKLERS
YES I |NO| I
APPUCANT NAME
Pilnani Contact TOM WOOD PROPERTYOWNER NAME BILL ISAACS
ADDRESS 1250 PACIFIC OAKS PL #103
ADDRESS
1785 CALLISIA CT.
CITY
ESCONDIDO
STATE
CA
ZIP
92029
CITY
CARLSBAD
STATE
CA
ZIP
92011
PHONE
760 839-8383
FAX PHONE
760 839-8380 760-931-1766
FAX
EMAIL
INF0@0AKISLANDAC.COM
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR
ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103
CITY STATE ZIP CITY
ESCONDIDO
STATE
CA
ZIP
92029
PHONE FAX PHONE
760 839-8383
FAX
760 839-8380
EMAIL EMAIL
INF0@0AKISLANDAC.COM
745400 C-20
CITY BUS. LIC.#
1212710
(Sec. 7031.5 Business and Professions Code: Any City or County whicti requires a permitto construct alter, improve, demolish or repair any structure, priorto its Issuance, also reciuires the applicant for such permit to file a signed statement that he Is licensed pursuantto the provisionsof the Contractor's License LawfChapter a, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 t)y any applicantfor a permit subjects the appHoantto a civil penally of not more than five hundred dollars ($500)).
WORKERS- COMPENSATION
Workers' Compensation Declaration: / hereby affinn under peo^ ofpeijury oneofthe follcmng dedaraSons:
LJ I have and will maintain a certificate of consent to self-insure fbr workers' compensation as provided by Section 3700 of ttie Labor Code, fbr ttie perfomiance of ttie work fbr wtik;h this pennit is Issued.
I have and will maintain workers' compensation, as required by Sectkin 3700 of the Labor Code, for the perfbrmance bf the work fbr which this pennit Is issued. My wcrkers' cbmpensatkin Insurance carrier and pdtey
number are: Insurance Cb, EVEREST NATIONAL INSURANCE poiicy Nb. 7600000635141 Date
This SBctinn need nbt be cbmpleted if the pennit is for bne hundred dollars ($100) or less.
I I Certificate of Exemption: I certify that in ttie pertbmiance of the work far whteh this pemiit is Issued, I shall not emplby any person In any manner so as to become subject to the Wcrkers' Cbmpensatkin Laws of
Califamia. 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 asprovlded for in Section 3706 of thi Labor code, interest . -t y
jgS" CONTRACTOR SIGNATURE ' /^"Y^ {JfVTy'Cy |7] AGENT DATE
;0 W N E R - B U11 0 E R 0 E C L A R A T ION
/ hereby affiim thet I am exempt from Contractor's Ucense Laiv for the fotlomng reason:
I I I, as owner of the properly or my emptoyees with wages as their sole compensation, wllldothewori(andthe stnjcture is not intended or offered for sale (Sec. 7044, Business and Profisssions (>xJe: The (Contractor's
Lteense Law does not apply tb an bwner bf pnoperty whb builds or improves thereon, and who does such wod( himself or thrbugh his bwn emplbyees, provkled that such Improvements are net intended br bflered fbr
sale. It, however, the bulWIng br imprbvement Is sokl within one year bf ccmpletlon, the owner-bulkier will have the burden of praving that he dW not bulk) br Imprbve for the purpese of sale).
I I I, as owner of the property, am exclusively ccntracting with Iteensed contractors to ccnstnict the project (Sec. 7044, Business and Proiesstons Code: The Contractors Lteense Law does nnt apply to an bwner of
property who builds br Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Lfcense Law).
I I I am exempt under Section^ ^Business and Professions Code for this reason:
1.1 personally plan to provkle the major labor and materials for constmctton of the praposed property improvemenL I lYes I INP
2.1 (have / have net) signed an applteatibn far a building pemiit far the proposed wori(.
3.1 have contracted with the fbltowing peison (fimi) to provide the proposed constraction (Include name address / phone / contractors' license number):
4.1 plan to provkle poitions of the wori«, but I have hired the fbllowing person to cooidinate, supeivise and provkle the major work (Include name / address / phone / contractors' license number):
5.1 will provkle some of Ihe wak, but I have contracted (hired) the following persons to provkle the work indicated (include name / addiess / phone / type of worit):
jgTpROPERTY OWNER SIGNATURE QAGENT DATE
COMPLETE THIS SECTION P O R N O N • R E S I O E N T I A L B U IL O I N G PERMITS ONLY
Is the applicant or futuie buikling occupant required to submit a business plan, acutely hazaidous materials registration fonn or risk management and prevention pragram under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazanlous Substance Account Act? OYes ONo
Is the applicant or future building occupant required to obtain a pennit from the air pollutton contral district or air quality management district? • Yes n No
Isthefacllitytobeconstractedwithin 1,000lieetoftheouterboundaryofaschoolsite? OYes Ofio
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 T>IE AIR POLLUTION CONTROL DISTRICT.
*||aO W i T R UCTION LENOING AGENC Y
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPL ICA N T C E H T I F I C ATI ON
I certify thati have lead the applkalxin and state that the above infomiation is collect and that the inlb^
I hereby authorize representative of Ihe City of Cartsbad to enter upon Ihe above mentioned property kx kispection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CflY OF CARLSBAD
AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CFTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT.
OSHA: An OSHA pemilt is required for excavatkms over 5U deep and demolitbn or constructbn of stiucluiES over 3 stories in heighL
EXPIRATION: Every pemiit issued by the Building OfJdai under the provisbns of this Code shall expire by limitatbn and become null and void if Ihe building or wnk aulhorized by such pemiit is not commenced wilhin
180 days fiom the date of such pemnit or if Ihe buikling or woric authorized by such pemiit suspended or abandoned at any time after the woik is commenced for a period of 180 days (Sectbn 108.4.4 Unilbmi Buikling Code).
>eS'APPUCANT'S SIGNATURE '''^{jlY) Uj]^/ DATE
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 1 of 3}
Project Name: ISAACS RESIDENCE Date Prepared: 2015-06-30
A. General Information
CFlR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. Wlien multiple dwelling units must be
documented, use one CFlR-ALT-02 document for each dwelling unit.
01 Project Name ISAACS RESIDENCE 02 Date Prepared 2015-06-30
03 Project Location 1785 CALLISIA CT 04 Building Type Single family
05 CA City Carlsbad 06 Dwelling Unit Name ISAACS RESIDENCE
07 Zip Code 92011 08 Dwelling Unit Conditioned
Floor Area (ft2) 1720
09 Climate Zone 7 10
Number of space conditioning
(SC) systems in this dwelling
unit.
1
B. Space Conditioning (SC) System Information
01 02 03 04 05 06 07 08 09 10
SC System
Identification or
Name
SC System
Location or Area
Served
CFA served
by this SC
System (ft2)
Is the SC
system a
ducted
system?
Installing a
refrigerant
containing
component?
Installing new SC
system
components?
Installing
more than 40
feet of ducts?
Installing
entirely new
duct system?
Installing
entirely new
SC system? Alteration Type
System 1 Location 1 1720 Yes Yes No No No No Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Sectionl50.2(b)lDiib)
This section does not apply to this project.
Registration Number: 215-A0177847A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-06-30 12:13:19
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-06-30 12:13:39
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2{b)lE and F)
01 02 03 04 05 06 07 08 09 10 11 12
System
Identification
or Name
Heating
System
Type
Altered
Heating
Components
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System Type
Altered
Cooling
Components
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
Required
Thermostat
Type
New or
Replaced
Duct Length
New Duct
R-Value
System 1 Central gas
furnace
No heating
component
altered
This field or
section is not
applicable
This field or
section is not
applicable
Central split
AC
Outdoor
condensing
unit
SEER 14 Setback
Less than or
equal to 40
feet
R-6
Reaulred Documentation:
CF2R-IVICH-01-E - Space Conditioning Systems Ducts and Fans
-Duct Insulation requirennent for new plenums: R6.
CF2R-IV1CH-20-H & CF3R-MCH-20-H - Duct Leakage testing required when heating or cooling components are installed In ducted systems, or v/hen more than 40 ft of duct length is replaced.
-Leakage rate compliance: £ 15%, or < 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-IV1CH-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 i 300 CFM/ton required when MCH-25 is required.
Exceotions:
-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)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 215-A0177847A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-06-30 12:13:19
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-06-30 12:13:39
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Young, Les
Documentation Author Signature: ^^i^ ^^!w^^
Company;
OAK ISLAND HEATING AND AIR CONDITIONING INC
Signature Date:
2015-06-30 12:13:19
Address:
1250 PACIFIC OAKS PL # 103
CEA/ HERS Certification Identification (If applicable):
City/State/Zip:
ESCONDIDO CA 92029
Phone:
(760) 839-8383
Responsible Person's Declaration statement
1 certify the following under penalty of perjury, under the laws ofthe State of California:
1. The Information provided on this Certificate of Compliance Is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responslblllty for the bulldlng 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. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available withthe building permlt(s) Issued forthe building, and made available to the enforcement agency for all applicable
inspections. 1 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:
Young, Les
Responsible Designer Signature: ^ /ny
Company;
OAK ISLAND HEATING AND AIR CONDITIONING INC
Date Signed;
2015-06-30 12:13:19
Address;
1250 PACIFIC OAKS PL # 103
License;
745400
Clty/State/ZIp:
ESCONDIDO CA 92029
Phone:
(760) 839-8383
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0177847A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-06-30 12:13:19
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-06-30 12:13:39
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page lof 3)
Project Name: ISAACS RESIDENCE Date Prepared: 2015-06-30
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 ISAACS RESIDENCE 02 Date Prepared 2015-06-30
03 Project Location 1785 CALLISIA CT. 04 Building Type Single family
05 CACity Carlsbad 06 Dwelling Unit Name ISAACS RESIDENCE
07 Zip Code 92011 08 Dwelling Unit Conditioned
Floor Area (ft2) 1720
09 Climate Zone 7 10
Number of space conditioning
(SC) systems in this dwelling
unit.
1
B. Space Conditioning (SC) System Information '. . ':^:-^' " ...
01 02 04 'vOSS 06 07 08 09 10
SC System
Identification or
Name
SC System
Location or Area
Served
CFA served
by this SC
System (ft2)
Is these
system a
ducted
system?
Installing a
refrigerant
containing
component?
Installing new SC
system
components?
Installing
more than 40
feet of ducts?
Installing
entirely new
duct system?
Installing
entirely new
sc system? Alteration Type
System 1 Location 1 1720 Yes Yes No No No No Altered space
conditioning system 0
0'
C. Extension of Existing Duct System, Greater Than 40 Feet (Sectionl50.2(b)lDiib)
This section does not apply to this project.
Registration Number: 215-A0177847A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-06-30 12:13:19
Report Version: 2014-03-31
Schema Version: 0.55SSDD
HERS Provider: CalCERTS
Report Generated: 2015-06-30 12:13:39
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
01 02 03 04 05 06 07 08 09 10 11 12
System
Identification
or Name
Heating
System
Type
Altered
Heating
Components
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System Type
Altered
Cooling
Components
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
Required
Thermostat
Type
New or
Replaced
Duct Length
New Duct
R-Value
System 1 Central gas
furnace
No heating
component
altered
This field or
section is not
applicable
This field or
section is not
applicable
Central split
AC
Outdoor
condensing
unit
SEER 14 Setback
Less than or
equalto 40
feet
R-6
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H - Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: < 15%, or < 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 Si CF3R-MCH-23 Air Flow > 300 CFM/ton required when MCH-25 is required.
Exceptions:
-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)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 215-A0177847A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-06-30 12:13:19
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-06-30 12:13:39
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Young, Les
Documentation Author Signature: ^ /yy
Company:
OAK ISLAND HEATING AND AIR CONDITIONING INC
Signature Date:
2015-06-30 12:13:19
Address:
1250 PACIFIC OAKS PL # 103
CEA/ HERS Certification Identification (If applicable):
City/State/Zip:
ESCONDIDO CA 92029
Phone:
(760) 839-8383
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 Compliance is true and correct.
2. lam 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 RegbTations.
4. The building design features or system design features Identified onphls Certlficate'of Ctomt>tiance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcemeniagency for apjH-oval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available vVith the building permit(s) Issued for the bdildihg, and made available to the enforcement agency for all applicable
Inspections. 1 understand thata registered copy of this Certif Icate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer IMame:
Young, Les
Responsible Designer Signatijre: /7y
Company:
OAK ISLAND HEATING AND AIR CONDITIONING INC
Date Signed:
2015-06-30 12:13:19
Address:
1250 PACIFIC OAKS PL # 103
License:
745400
City/State/Zip:
ESCONDIDO CA 92029
Phone:
(760) 839-8383
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0177847A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-06-30 12:13:19
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-06-30 12:13:39
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page lof 7)
Project Name: ISAACS RESIDENCE Enforcement Agency: City of Carlsbad Permit Number: on site
Dwelling Address: 1785 CALLISIA CT. City: Carlsbad Zip Code: 92011
A. General Information
01 Dwelling Unit Name ISAACS RESIDENCE 02 Climate Zone 7
03 Dwelling Unit Conditioned Floor Area
(ft2) 1720 04
Number of space conditioning (SC)
systems being altered in this dwelling
unit.
1
05 Certificate of Compliance Type Prescriptive alterations (CFIR-ALT) 06 Method used to calculate HVAC loads NotApplicableEquipmentChangeout
07 Calculated dwelling unit Sensible
Cooling Load (Btuh) This field or section is not applicable 08 Calculated Dwelling Unit Heating Load
(Btuh) This field or section is not applicable
MCH-Olb Prescriptive Alterations - Space Conditioning Sptems Ducts and Fans
B. Space Conditioning (SC) System Information
01 02 03 04 05 06 07 08 09 10
SC System
Identification or
Name
SC System
Location or Area
Served
CFA served
by this SC
System
(ft2)
Is the SC
system a
ducted
system?
Installing a
refrigerant
containing
component?
Installing new SC
system
components?
Installing more
than 40 feet of
ducts?
Installing
entirely
new duct
system?
Installing
entirely new
SC system? Alteration Type
System 1 Location 1 1720 Yes Yes Yes No No No
Altered space
conditioning
system
Registration Number: 215-A0177847A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-27 14:59:53
Report Version: 2014-05-13
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-07-27 14:22:15
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
System
Identification
or Name
Heating
System Type
Altered
Heating
Component
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System Type
Altered
Cooling
Component
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
Required
Thermostat
Type
New or
Replaced
Duct
Length
New
Duct
R-Value
Central Fan
Integrated
(CFI)
Ventilation
System
Status
System 1 Central gas
furnace
No heating
componen
t altered
This field
or
section is
not
applicabi
e
This field
or section
is not
applicable
Central
split AC
Outdoor
condensing
unit
SEER 14 Setback LTE40Ft R6 Not a CFI
system
D. Installed Heating Equipment information
This section does not apply to tfiis project.
E. Installed Cooling Equipment information:
01 02 03 04 05 06 07 08
Condenser or Package Unit
System Identification
or Name
Cooling Efficiency
Type
Cooling Efficiency
Value
Condenser or
Package Unit
Manufacturer
Condenser or
Package Unit
Model Number
Condenser or
Package Unit
Serial Number
System Rated Cooling
Capacity at Design
Conditions (BTUH)
Condenser Rated
Nominal Capacity
(ton)
System 1 SEER 14 Lennox 14acx-036-230-
al7 1915C33080 36000 3
Notes:
Registration Number: 215-A0177847A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-27 14:59:53
Report Version: 2014-05-13
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-07-27 14:22:15
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 7)
F. Extension of Existing Duct System, Greater Than 40 Feet
This section does not apply to this project.
G. Installed Duct System information
This section does not apply to this project.
H. Installed Air Filter Device Information
This section does not apply to this project.
I. Air Filter Device Requirements
This section does not apply to this project.
Registration Number: 215-A0177847A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-27 14:59:53
Report Version: 2014-05-13
Schema Version: 0.555SDD
HERSProvider: CalCERTS
Report Generated: 2015-07-27 14:22:15
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
MCH20 MCH21 MCH22 MCH23 MCH25 MCH28
SC System
Identification or
Name
SC System
Location or Area
Served
Exemption
From Duct
Leakage
Requirements
Duct
Leakage
Test
Exemption
from
Minimum
R-Value for
Ducts In
Conditioned
Space
Ducts Located
In Cond Space
Verification
AHU Fan
Efficacy
(W per
cfm)
AHU
Airflow
Rate (cfm
per ton)
Refrigerant
Charge
Return Duct Design
Table 150.0-C or D
System 1 Location 1 No
exemptions Yes Not
applicable No No No No No
Registration Number: 215-A0177847A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-27 14:59:53
Report Version: 2014-05-13
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-07-27 14:22:15
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 ofthe
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 ofthe building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections
150.0(h)land 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 ofthe 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 bythe prescriptive or performance requirements. See Section 150.0(m)l.
Registration Number: 215-A0177847A-M0100002A-0000 Registration Date/Time: 2015-07-27 14:59:53 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-05-13 Report Generated: 2015-07-27 14:22:15
Schema Version: 0.555SDD
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 appiicable to only newly installed equipment or portions ofthe
system that are altered. Existing equipment may be exempt from these requirements.
11
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,
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: 215-A0177847A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-27 14:59:53
Report Version: 2014-05-13
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-07-27 14:22:15
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 7 of 7)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Young, Les
Documentation Author Signature: _ _
Company:
OAK ISLAND HEATING AND AIR CONDITIONING INC
Signature Date: "
2015-07-27 14:59:53
Address:
1250 PACIFIC OAKS PL # 103
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
ESCONDIDO CA 92029
Phone:
(760) 839-8383
Responsible Person's Declaration statement
1 certify the following under penalty of perjury, under the lawsof the State of California:
1. The information provided on this Certificate of Installation Is true and correct.
2. lam 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 forthe scope of work identified on this Certificate of Installation, and attest to the declarations in this statement (responsible builder/installer), otherwise 1 am an
authorized representative of the responsible builder/installer.
3. The constructed or installed features, materials, components or m|fiufactured 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 ^llecifications approved by the enforcement agency.
4. 1 reviewed a copy of the Certificate of Compllancelapproved by the enforcement agency that identifies the specific requirements forthe scope of construction orinstallation identified on this Certificate of
Installation, and 1 have ensured that the requirements that apply to the construction or installation have been met.
5. 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the buikling permlt(s) issued forthe building, and madeavallable to the enforcement agency for all
applicable inspections. 1 understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides tb the building owner at occupancy.
Responsible Builder/Installer Name:
Young, Les
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
OAK ISLAND HEATING AND AIR CONDITIONING INC
Position With Company (Title):
MGR
Address:
1250 PACIFIC OAKS PL # 103
CSLB License:
745400
City/State/Zip:
ESCONDIDO CA 92029
Phone: Date Signed:
(760) 839-8383 2015-07-27 1 4:59:53
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0177847A-M0100002A-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-27 14:59:53
Report Version: 2014-05-13
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-07-27 14:22:15
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3)
Project Name: ISAACS RESIDENCE Enforcement Agency:
Carlsbad
City of Permit Number: on site
Dwelling Address: 1785 CALLISIA CT 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-IR Single family
04 Verified Low Leakage Ducts in Conditioned Space
(VLLDCS) Credit from CFIR?
No, credit is not taken
05 Verified Low Leakage Air Handling Unit (VLLAHU) Credit
from CFIR?
No, credit is not taken
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) 3
02 Heating Capacity (kBtu/h) 0
03 Conditioned FioorArea served by this HVAC system (ft2) 1720
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
Method
Cooling system method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage (cfm) 180
10 Actual duct leakage rate from leakage test measurement
(cfm)
102
11 Compliance Statement: System passes leakage test
Registration Number: 215-A0177847A-M2000002A-0000 Registration Date/Time: 2015-07-2714:59:53 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-07-27 14:23:03
2013 Residential Compliance Schema Version: O.SISDD
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
C. Additional Requirements for Compliance
01 System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage
testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet
ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct
leakage testing.
03 All supply and return register boots were sealed to the drywall.
04 Building cavities were not used as plenums or platform returns in lieu of ducts.
05 If cloth backed tape was used it was covered with Mastic and draw bands.
06 All connection points between the air handler and the supply and return plenums are completely sealed.
07
If the system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements
of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance.
The responsible persons signature on this compliance document affirms that all applicable requirements in this table have
been met.
Registration Number: 215-A0177847A-M2000002A-0000 Registration Date/Time: 2015-07-27 14:59:53 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-07-27 14:23:03
2013 Residential Compliance Schema Version: O.SISDD
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Les Young
Documentation Author Signature:
^^^^
Company:
OAK ISLAND HEATING AND AIR CONDITIONING INC
Signature Date; 2015-07-27 14:59:53
Address:
1250 PACIFIC OAKS PL #103
CEA/ HERS Certification Identification (if applicable);
City/State/Zip:
ESCONDIDO CA 92029
Phone;
(760) 839-8383
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws ofthe 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 ofthe
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 understand that a HERS rater will checkthe installation to verify compliance, andthat If such checking identifies defects; I am requirtd to take
corrective action at my expense, l understand that Energy Commission and HERS Provider representatives will also performtquaHty assurance checking
of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the #
requirements of such quality assurance checking, the required corrective action and additional checking/testing of other Installations in that HERS
sample group will be performed at my expense.!
5. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of
construction or installation identified on this Certificate of Installation, and I have ensured that the requirements that apply to the construction or
installation have been met.
6. I will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building permlt(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:
Les Young
Company Name: (Installing Subcontractor or General Contractor or
Builder/Owner)
OAK ISLAND HEATING AND AIR CONDITIONING INC
Responsible Builder/Installer Signature:
Position With Company (Title):
MGR
Address;
1250 PACIFIC OAKS PL #103
CSLB License:
745400
City/State/Zip:
ESCONDIDO CA 92029
Phone;
(760) 839-8383
Date Signed;
2015-07-27 14:59:53
Third Party Quality Control Program (TPQCP) Status: Name of TPQCP (if applicable):
Digitally signed by CalCERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 215-A0177847A-IVI2000002A-0000
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2015-07-27 14:59:53 HERS Provider: CalCERTS
Report Version: 2014-05-08 Report Generated: 2015-07-27 14:23:03
Schema Version: O.SISDD
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3 )
Project Name: ISAACS RESIDENCE Enforcement Agency:
Carlsbad
City of Permit Number: on site
Dwelling Address: 1785 CALLISIA CT 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-IR Single family
04 Verified Low Leakage Ducts in Conditioned Space
(VLLDCS) Credit from CFIR?
No, credit is not taken
05 Verified Low Leakage Air Handling Unit Credit from
CFIR?
No, credit is not taken
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) 3
02 Heating Capacity (kBtu/h) 0
03 Conditioned Floor Area served by this HVAC system (ft2) 1720
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
Method
Cooling system method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate (cfm) 180
10 Actuai duct leakage rate from leakage test measurement
(cfm)
102
11 Compliance Statement: System passes leakage test
12 Notes:
Registration Number: 215-A0177847A-M2000002A-M20A Registration Date/Time: 2015-07-27 14:54:11 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-07-27 14:53:19
2013 Residential Compliance Schema Version: O.SISDD
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
C. Additional Requirements for Compliance
01 System was tested in its normal operation condition. No temporary taping allowed.
02
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage
testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet
ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct
leakage testing.
03 All supply and return register boots were sealed to the drywall.
04 Building cavities were not used as plenums or platform returns in lieu of ducts.
05 If cloth backed tape was used it was covered with Mastic and draw bands.
06 All connection points between the air handler and the supply and return plenums are completely sealed.
07
Ifthe system complies using the Smoke Test method, the smoke test was conducted in accordance with the requirements
of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance.
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 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-A0177847A-M2000002A-M20A Registration Date/Time: 2015-07-27 14:54:11 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards Report Version: 2014-05-08 Report Generated: 2015-07-27 14:53:19
2013 Residential Compliance Schema Version: O.SISDD
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 3 of 3)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name;
Jason Solarez
Documentation Author Signature; ^
Company;
Air-Tite Duct Testing
Date Signed:
2015-07-27 14:54:11
Address;
2386 Warmlands Ave
CEA/ HERS Certification Identification (if applicable);
City/State/Zip:
Vista CA 92084
Phone;
760-231-9444
Responsible Person's Declaration statement
1 certify the following under penalty of perjury, under the laws ofthe State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. lam 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 Verif ication 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 Certiflcate(s) of Installation (CF2R) signed and submitted by the perpjn(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFIR) approved bythe ^^sgm^H^no/.
5. 1 will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building pertit(a issi#l 0 the
building, and made available to the enforcement agency for all applicable inspections. 1 understand that a registered copy #thlCer^cJl|Lof, j.
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):
OAK ISLAND HEATING AND AIR CONDITIONING INC
Responsible Builder or Installer Name;
Les Young
CSLB License:
745400
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:
Jason Solarez
Responsible Rater Signature:
Responsible Rater Certification Number w/ this HERS Provider;
CC2006013
Date Signed:
2015-07-27 14:54:11
Digitally signed by CalCERTS. This digital signature Is provided in order to secure the content of this registered document, and in no way implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 215-A0177847A-M2000002A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time:
Report Version: 2014-05-08
Schema Version: O.SISDD
2015-07-27 14:54:11 HERS Provider: CalCERTS
Report Generated: 2015-07-27 14:53:19