HomeMy WebLinkAbout2661 WADSWORTH ST; ; CB163172; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-26-2016 Residential Permit Permit No: CB163172
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Applicant:
2661 WADSWORTH ST CBAD
RESDNTL Sub Type: SFD
2081930600 Lot#: 220
$480,990.00 Constuction Type: 58
1
4
Reference#: CT130003
Structure Type: SFD
Bathrooms: 4.5
Orig PC#: PC150042
THE VISTAS: PHASE 4 / PLAN 2
3,051 SF LIV/ 471 SF GARAGE/ 62 SF PORCH/ 204 SF CA ROOM
Owner:
TOLL BROTHERS INC RANCHO COSTERA LLC
200 200
Status: ISSUED
Applied: 08/17/2016
Entered By: SLE
Plan Approved: 08/26/2016
Issued: 08/26/2016
Inspect Area: PB
Plan Check#: PC160048
725 W TOWN AND COUNTRY RD 725 W TOWN AND COUNTRY
ORANGE CA 92868
760-720-5485
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park in Lieu Fee
Park Fee
LFM Fee
Bridge Fee
Other Bridge Fee
BTD#2 Fee
BTD#3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
HMP Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
Green Bldg Stands Plan Chk Fee
Total Fees: $27,892.51
Inspector:
ORANGE CA 92868
760-720-5485
$1,978.61 Meter Size
$0.00 Add'I Reel. Water Con. Fee
$1,385.03 Meter Fee
($500.00) SDCWA Fee
($110.80) CFO Payoff Fee
$62.53 PFF (3105540)
$0.00 PFF (4305540)
$0.00 License Tax (3104193)
$0.00 License Tax (4304193)
$0.00 Traffic Impact Fee (3105541)
$0.00 Traffic Impact Fee (4305541)
$0.00 Sidewalk Fee
$0.00 PLUMBING TOTAL
$0.00 ELECTRICAL TOTAL
$0.00 MECHANICAL TOTAL
$0.00 Housing Impact Fee
$0.00 Housing lnlieu Fee
$3,934.00 Housing Credit Fee
FS1 Master Drainage Fee
$0.00 Sewer Fee
$0.00 Additional Fees
$20.00 Fire Sprinkler Fees
$0.00
TOTAL PERMIT FEES
Total Payments to Date: $27,892.51 Balance Due:
FINAL APPROVAL
Date: 2-K-17 Clearance:
FS1
$0.00
$356.00
$4,963.00
$1,723.10
$8,754.02
$0.00
$0.00
$0.00
$2,690.00
$0.00
$0.00
$315.00
$89.00
$130.02
$0.00
$0.00
$0.00
$0.00
$2,103.00
$0.00
$0.00
$27,892.51
$0.00
NOTICE: Please take NOTICE that ~ cl ya.r IJ"Cied Includes tre "lrTl)CStiai' cl fees, declc:atia,s, reservatkns, a aher eocmla,s hereElter oolledlvely
referred to as "fee&lexa:.tiais." You hava ~ days frcm the date ttis pemit v.es Issued to praest lrTl)CStla, cl these fee&leocmlais. If~ praest them, ~ rrust
fdlo.vtre praest IJ'(XSC1.res set forth in (bierrmn O:xle Sed:ia, Em20(a), enl file tre praest aid any aher recpred irlarrala, wth the 0ty Mreger ftr
~rg in acaJdal mwtti Catslaj M.ndpal O:xleSed:iai 3.32.cm. Faili.retotirrelyfollo.vthat poc:ecirewll l:a'anySl.blecµrt legal daitoattad<,
l"S'liew, set aside, ldd, a anJ their lrrp:isitlon.
Youn ~ F\.RTH:R NOTIFIED that ya.r rig-t to praest the spedfied fee&laadla,s OCES I\OT ACPI.. Y to Wi!J.« enl f!BIB cxmedia, fees and~
c:ha,ges, na plmng, zcring, ga:.trg a aher sirrlla' applic:atia, ~rg a servias fees in cxmedia, wtti ttis IJ"Cied. r-cR OCES IT ACPL Y to any
0 I I 0
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-26-2016
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW160377
Job Address:
Permit Type:
2661 WADSWORTH ST CBAD
SW PPP Status:
Parcel No: 2081930600 Lot#: 220 Applied:
Reference #:
CB#: CB163172
Project Title: THE VISTAS: PHASE 4 I PLAN 2
Applicant:
TOLL BROTHERS INC
200
725 W TOWN AND COUNTRY RD
ORANGE CA 92868
760-720-5485
Emergency Contact:
GREG DEACON
760-637-9083
SWPPP Plan Check
SWPPP Inspections
Additional Fees
TOTAL PERMIT FEES
Entered By:
Issued:
Inspect Area:
Tier:
Priority:
Owner:
RANCHO COSTERA LLC
200
725 W TOWN AND COUNTRY
ORANGE CA 92868
760-720-5485
ISSUED
08/18/2016
SLE
08/26/2016
1
L
$0.00
$59.00
$0.00
$59.00
Total Fees: $59.00 Total Payments To Date: $59.00 Balance Due:
FINAL APPROVAL
DATE 2. '3'. I 1 CLEARANCE
SIGNATURE ~.)z, V,-~-v4~-
$0.00
Inspection List
Pennit#: CB163172 Type: RESDNTL SFD THE VISTAS: PHASE 4/ PLAN 2
3,051 SF LIV/ 471 SF GARAGE/ 62 SF PO
Date ___ ln~•ction Item __________ Inspector Act Comments
10/21/2016.15 Roof/Re roof AEK AP
09/09/2016 11 Ftg/Foundation/Piers NR AP
09/06/2016 11 Ftg/Foundation/Piers AEK AP
08/31/2016 21 Underground/Under Floor AEK AP
08/31/2016 22 Sewer/Water Service AEK AP
Thursday, February 09, 2017 Page 1 of 1
PERMIT INSPECTION HISTORY REPORT (CB163172)
Permit Type: BLDG-Residential Application Date: 08/17/2016 Owner: RANCHO COSTERA LLC -
INACTIVE
Work Class: Single Family Detached Issue Date: 08/26/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 04/19/2017 Address: 2661 Wadsworth St
Carlsbad, CA
IVR Number: 716507
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Relnspectlon Complete Date Start Date
11/03/2016 BLDG-13 Shear 000289-2016 Passed Andy Krogh Complete
Panels/HD (ok to
wrap)
11/08/2016 11/08/2016 BLDG-14 000529-2016 Partial Pass Andy Krogh Relnspectlon Incomplete
Frame/Steel/Bolting/
Welding (Decks)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Pre plumb for interior roof shear Yes
11/10/2016 11/10/2016 BLDG-84 Rough 000668-2016 Failed Andy Krogh Reinspection Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Not ready No
BLDG-14 No
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout No
BLDG-34 Rough Electrical No
BLDG-44 No
Rough-Ducts-Dampers
11/14/2016 11/14/2016 BLDG-84 Rough 000967-2016 Passed Andy Krogh Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Not ready Yes
BLDG-14 Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout Yes
BLDG-34 Rough Electrical Yes
BLDG-44 Yes
Rough-Ducts-Dampers
11/22/2016 11/22/2016 BLDG-17 Interior 002255-2016 Passed Andy Krogh Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Including gas test Yes
BLDG-18 Exterior 002256-2016 Passed Andy Krogh Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
01/13/2017 01/13/2017 BLDG-Electric Meter 009656-2017 Passed Jonathan West Complete
Release
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
February 08, 2017 Page 1 of2
PERMIT INSPECTION HISTORY REPORT (CB163172)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
Single Family Detached
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 08/17/2016 Owner:
Issue Date: 08/26/2016 Subdivision:
Expiration Date: 04/19/2017 Address:
IVR Number: 716507
Inspection No. Inspection Status Primary Inspector
02/08/2017 02/08/2017 BLDG-Final
Inspection
013014-2017 Passed Jonathan West
February 08, 2017
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
RANCHO COSTERA LLC -
INACTIVE
2661 Wadsworth St
Carlsbad, CA
Reinspection
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Page 2 of 2
.., '
Ccicyof
Carlsbad
RESIDENTIAL GREEN
BUILDING CODE
STANDARDS MANDATORY
MEASURES
CERTIFICATION
CHECKLIST
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
8-51
Site Development ..... Mandatory ..
4.106.2 A plan is developed and implemented to manage storm water drainage during construction. (X)
4.106.3 The site shall be planned and developed to keep surface water away from buildings. (X)
Construction plans shall indicate how site grading or a drainage system will manage all surface water
flows.
Energy Efficiency
4.201.1 Low-rise residential buildings shall meet or exceed the minimum standard design required by (X)
the California Energy Standards.
Water Efficiency and Conservation
Indoor Water Use
4.303.1 Indoor water use shall be reduced by at least 20 percent using one of the following methods: (X)
1. Water saving fixtures or flow restrictors shall be used. 7/01/2011
2. A 20 percent reduction in baseline water use shall be demonstrated.
4.303.2 When using the calculation method specified in Section 4.303.1, multiple showerheads shall not (X)
exceed maximum flow rates. 7/01/2011
4.303.3 Plumbing fixtures (water closets and urinals) and fittings (faucets and shower heads) shall (X)
comply with specified performance requirements. 7/01/2011
Outdoor Water Use
4.304.1 Automatic irrigation systems controllers installed at the time of final inspection shall be weather-(X)
based.
Enhanced Durability and Reduced Maintenance
4.406.1 Joints and openings. Annular spaces around pipes, electric cables, conduits or other openings
in plates at exterior walls shall be protected against the passage of rodents by closing such openings (X)
with cement mortar, concrete masonry or similar method acceptable to the enforcing agency.
Construction Waste Management Plan
4.408.1 A minimum of 50 percent of the construction waste generated at the site is diverted to recycle or (X)
salvage. Recycled material receipts from approved recyclers must be attached to this form.
4.408.2 Where a local jurisdiction does not have a construction and demolition waste management (X)
ordinance, construction waste management plan, per form 8-59, shall be submitted for approval to the
enforcina agencv.
Building .Maintenance and Operation
4.410.1 An operation and maintenance manual shall be provided to the building occupant or owner. (X)
Environmental Quality
Fireplac:;es
..... . ~ .. ·; •,, . ,• .. ··~·
4.503.1 Any installed gas fireplace shall be a direct-vent sealed-combustion type. Any installed
woodstove or pellet stove shall comply with US EPA Phase II emission limits where applicable. (X)
Woodstoves oellet stoves and fireclaces shall also comely with acolicable local ordinances.
B-51 Page 1 of 2 Rev. 11/15
....
Pollutant Control
4.504.1 Duct openings and other related air distribution component openings shall be covered (X)
during construction.
4.504.2.1 Adhesive, sealants and caulks shall be compliant with VOC and other toxic compound (X)
limits. (X)
4.504.2.2 Paints, stains and other coatings shall be compliant with VOC limits. (X)
4.504.2.3 Aerosol paints and coatings shall be compliant with product weighted MIR limits for
ROC and other toxic compounds. ' (X)
4.504.2.4 Documentation shall be provided to verify that compliant VOC limit finish materials
have been used. (X)
4.504.3 Carpet and carpet systems shall be compliant with VOC limits.
4.504.4 50 percent of floor area receiving resilient flooring shall comply with VOC-emission limits (X)
defined in the Collaborative for High Performance Schools (CHPS) Low-emitting Materials List or
be certified under the Resilient Floor Covering Institute (RFCI) FloorScore program. (X)
4.504.5 Particleboard, medium density fiberboard (MDF) and hardwood plywood used in interior
finish systems shall comply with low formaldehyde emission standards.
Interior Moisture Control
4.505.2 Vapor retarder and capillary break is installed at slab on grade foundations. (X)
4.505.3 Moisture content of building materials used in wall and floor framing is checked before (X)
enclosure.
Indoor Air Quality and Exhaust
4.506.1 Exhaust fans which terminate outside the buildino are provided in every bathroom. (X)
Environmental Comfort
4.507.1 Whole house exhaust fans shall have insulated louvers or covers which close when the (X)
fan is off. Covers or louvers shall have a minimum insulation value of R-4.2.
4.507.2 Duct systems are sized, designed, and equipment is selected using the following
methods: (X)
1. Establish heat loss and heat gain values according to ACCA Manual J or equivalent.
2. Size duct systems according to ACCA 29-D (Manual D) or equivalent
3. Select heating and cooling equipment according to ACCA 36-S (Manual S) or equivalent.
Installer and Special Inspector Qualifications
702.1 HVAC system installers are trained and certified in the proper installation of HVAC (X)
systems.
702.2 Special inspectors employed by the owner must be qualified and able to demonstrate (X)
competence in the discipline they are inspecting.
I, as the professional responsible for this project, certify that, to the best of my knowledge, the mandatory items
listed on this form have been incorporated into the project in order to comply with Title 24, Part 11 of the 2013
California Green Building Standards. All receipts for recycled materials have been attached to this form.
Project Address: o7Co~ l l Llcul..s l!cht ~ ~t. Plan Check Number: 'P<... H. -ee,. \ '2.
PMntName:~ Signed: ~""~5 ~~~5
License Number: ~ ! ~~ ; Date: cht~h,
8-51 Page 2 of 2 Rev. 11/15
4, CB163172 2661 WADSWORTH ST
~· CITY OF
CARLSBAD INSPECTION RECORD
THE VISTAS: PHASE 4 I PLAN 2
3,051 SF UV I 471 SF GARAGE/ 62 SF PORCH I 204 SF
J~uilding Division
SFD · .s:J INSPECTION RECORD CARD WITH APPROVED
PLANS MUST BE KEPT ON THE JOB
CA ROOM
RESDNTL
Lot#: 220 TOLL BROTHERS INC
0 CALL BEFORE 3:30 pm FOR NEXT WORK DAY INSPECTION
0 FOR BUILDING INSPECTION CALL: 760-602-2725 RECORD COPY
OR GO TO: www.Carlsbadca.gov/Building AND CLICK ON
"Request Inspection"
DATE: f?'".-2A,. / ,b
Required Prior to Requesting Building Final If Checked YES
Planning/Landscape 760-944-8463 Allow 48 hours
CM&l (Engineering Inspections] 76o-438-3891 Call before 2 pm
Fire Prevention 76o-602-4660 Allow 48 hours
Type of Inspection
CODE: # ELECTRICAL
#31 D ELECTRIC UNDERGROUND D UFER
#12 REINFORCED STEEL #34 ROUGH ELECTRIC
Date Inspector
·-.#66 MASONRY PRE GROUT #33 ELECTRIC SERVICE D TEMPORARY /-1 3.-I
0 GROUT O WALL DRAINS #35 PHOTO VOLTAIC
#10 TILT PANELS #39 FINAL ~~~~~~~~~~~~1--~~~-t--~~~~--;
#11 POUR STRIPS CODE:# MECHANICAL
#11 COLUMN FOOTINGS #41 UNDERGROUND DUCTS & PIPING
#14 SUBFRAME O FLOOR D CEILING #44 D DUCT & PLENUM D REF. PIPING
#18 EXTERIOR lATH
#17 INTERIOR LATH & DRYWALL
#51 POOL EXCA/STEEL/BOND/FENCE
#55 PREPLASTER/FINAL
#22 0 SEWER & BL/CO O PL/CO
#21 UNDERGROUND OWASTE O W1R
#24 TOP OUT O WASTE O WfR
#27 TUB & SHOWER PAN
#23 GAS TEST O GAS PIPING
#25 WATER HEATER
#28 SOLAR WATER
#29 FINAL
CODE:# STORMWATER
#600 PRE-CONSTRUCTION MEETING
/""""~603 FOLLOW UP INSPECTION
rso5 NOTICE TO CLEAN
#607 WRITTEN WARNING
#609 NOTICE OFVIOlATION
#610 VERBAL WARNING
REV 10/2012
coo&# COMBO INSPECTION
#81 UNDERGROUND (11,12,21,31)
#82 DRYWALL,EXTLATH, GAS TES (17,18,23)
#83 ROOF SH EATING, EXT SHEAR (13,15)
#84 FRAME ROUGH COMBO (14,24,34,44)
T-Bar (14,24,34,44)
ANAL OCCUPANCY (19,29,39,49)
A/S UNDERGROUND VISUAL
A/S UNDERGROUND HYDRO
A/5 UNDERGROUND FLUSH
A/S OVERHEAD VISUAL
A/S OVERHEAD HYDROSTATIC
A/SFINAL
F/AROUGH-IN
F/AFINAL
FIXED EXTINGUISHING SYSTEM ROUGH-IN
FIXED EXTING SYSTEM HYDROSTATIC TEST
FIXED EXTINGUISHING SYSTEM FINAL
MEDICAL GAS PRESSURE TEST
MEDICAL GAS FINAL
Date Inspector
SEE BACK FOR SPECIAL NOTES
\ •4~-
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of3)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CB163172
Carlsbad
Dwelling Address: 2661 Wadsworth Street City: Carlsbad Zip Code: 92010
A. System Information
01 Space Conditioning System Identification or Name System 1
02 Space Conditioning System Location or Area Served Location
03 Building Type from CF-lR 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 Credit from Yes credit is taken
CFlR?
06 Duct System Compliance Category New
B. Duct Leakage Diagnostic Test
01 Condenser Nominal Cooling Capacity {ton) 3
02 Heating Capacity {kBtu/h) 52
03 Conditioned Floor Area served by this HVAC system {ft2} 1526
04 Duct Leakage Test Condition Test final /
05 Duct Leakage Test Method Total leakage
06 Leakage Factor 6.0
07 Air Handling Unit Airflow {AHUAirflow} Determination Cooling system method
Method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate {cfm} 72
10 Actual duct leakage rate from leakage test measurement 41
{cfm)
11 Air Handling Unit Manufacturer Name N/A
12 Air Handling Unit Model Number N/A
13 Compliance Statement System passes leakage test
Registration Number: 215-N0163346D-M2000054A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:25:47
Schema Version: 2013.1.007
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
B. Duct Leakage Diagnostic Test
14 I Notes
C. Additional Requirements for Compliance
The Low Leakage Air-handling Unit Model identified on this compliance document is included in the list of certified Low
01 Leakage Air-Handling Units published on the Energy Commission Website at:
httg:Uwww.energ~.ca.govLtitle24L2008standardsLsgecial case agglianceLsugglemental listingsLLow Leakage Air-
Handling Unit Listing 2012-10-30.gdf (grovide ugdated link).
02 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
03 testing. OA ducts used for Central Fan Integrated (CFJ) 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.
04 All supply and return register boots were sealed to the drywall.
05 Building cavities were not used as plenums br platform returns in lieu of ducts.
06 If cloth backed tape was used it was covered with Mastic and draw bands.
07 All connection points between the air handler and the supply and return plenums are completely sealed.
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: 215-N0163346D-M2000054A-M20A Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2017-02-17 11:25:47
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: ~~~ Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2017-02-1711:51:00
Address: CEA/ HERS Certification Identification (if applicable):
2570 South Miller Lane
City/State/Zip: Phone:
Las Vegas NV 89117 702-365-8080
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2RJ signed and submittecl by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
,.
·.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
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:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: f~£S~ Joseph Schwartz
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004506 2017-02-17 12:09:02
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS Registration Number: 215-N0163346D-M2000054A-M20A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2017-02-17 11:25:47
2013 Residential Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 3}
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CB163172
Carlsbad
Dwelling Address: 2661 Wadsworth Street City: Carlsbad Zip Code: 92010
A. System Information
01 Space Conditioning System Identification or Name System 2
02 Space Conditioning System Location or Area Served Location
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?
05 Verified Low Leakage Air Handling Unit Credit from Yes credit is taken
CF1R?
06 Duct System Compliance Category New
B. Duct Leakage Diagnostic Test
01 Condenser Nominal Cooling Capacity (ton) 3
02 Heating Capacity (kBtu/h) 52
03 Conditioned Floor Area served by this HVAC system (ft2) 1525
04 Duct Leakage Test Condition Test final
05 Duct Leakage Test Method Total leakage
06 Leakage Factor 6.0
07 Air Handling Unit Airflow (AHUAirflow) Determination Cooling system method
Method
08 Measured AHUAirflow This field or section is not applicable
09 Calculated Target Allowable Duct Leakage Rate (cfm) 72
10 Actual duct leakage rate from leakage test measurement 52
(cfm)
11 Air Handling Unit Manufacturer Name N/A
12 Air Handling Unit Model Number N/A
13 Compliance Statement System passes leakage test
Registration Number: 215-N0163346D-M2000055A-M20A Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.007
Report Generated: 2017-02-17 11:26:01
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 2 of 3)
B. Duct Leakage Diagnostic Test
14 I Notes
C. Additional Requirements for Compliance
The Low Leakage Air-handling Unit Model identified on this compliance document is included in the list of certified Low
01 Leakage Air-Handling Units published on the Energy Commission Website at:
httg:LLwww.energ::,i.ca.govLtitJe24L2008standardsLsgecial case agglianceLsugglemental JistingsLLow Leakage Air-
Handling Unit Listing 2012-10-30.gdf (grovide ugdated link).
02 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
03 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.
04 All supply and return register boots were sealed to the drywall.
05 Building cavities were not used as plenums or platform returns in lieu of ducts.
06 If cloth backed tape was used it was covered witff Mastic and draw bands.
07 All connection points between the air handler and the supply and return plenums are completely sealed. '.
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: 215-N0163346D-M2000055A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:26:01
Schema Version: 2013.1.007
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: ~~~ Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2017-02-1711:51:00
Address: CEA/ HERS Certification Identification (if applicable):
2570 South Miller Lane
City/State/Zip: Phone:
Las Vegas NV 89117 702-365-8080
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections rif the Certificate(s) of lr\stallation (CF2R) signed'aiid submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy . .
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
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:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: f~£Sek~ Joseph Schwartz
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004506 2017-02-1712:09:02
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163346D-M2000055A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:26:01
Schema Version: 2013.1.007
.....
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 4)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CB163172
Carlsbad
Dwelling Address: 2661 Wadsworth Street City: Carlsbad Zip Code: 92010
A. Ducted Cooling System Information
01 System Identification or Name System 1
02 System Location or Area Served Location
03 System Installation Type New
04 Nominal Cooling Capacity (tons) of Condenser 3
05 Condenser Speed Type Single Speed
06 Cooling System Zonal Control Type Not Zonal
07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system
08 System Bypass Duct Status 'Kio Bypass Duct
.,
09 Date of System Airflow Rate Measurement 2017-02-06
10 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement
-
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP)
in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01 Method Used to Demonstrate Compliance with the HSPP installed and labeled consistent with Figure RA3.3-1
HSPP/PSPP Requirement
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given
in RA3.3.2.
01 Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in
verification. RA3.3.3.l.4
02 Manufacturer of Airflow Measurement Apparatus Shortridge Instruments
03 Model number of Airflow Measurement Apparatus CFM-88L
Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at
04 Accuracy http://www.energy.ca.gov/title24/eq ui pment_cert/ama_fas
/index.html
Registration Number: 215-N0163346D-M2300054A-M23A Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: Ca!CERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-02-17 11:37:40
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of4)
MCH-23a Forced Air System Airflow Rate Measurement -Newly Installed Non-Zoned Systems or Zoned Multi-Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01 Required Minimum System Airflow Rate (cfm/ton) 350
02 Required Minimum System Airflow Target (cfm} 1050
03 Actual System Airflow Rate Measurement (cfm} 1253
04 Compliance Statement: System airflow rate complies
E. Additional Requirements
01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m}l3 were properly installed in
the system during system air flow rate measurement identified on this Certificate of Verification.
,"''''
The airflow rate measurement apparatus used to perform the airflow rate measurement identified on this Certificate of
02 Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3.3.1.
'' ,, ·"
A visual inspection shall confirm that bypass ducts that deliver conditioned supply air di redly to the space conditioning
03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate
of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance
Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance.
04 All registers were fully open during the diagnostic test.
05 System fan was set at maximum speed during the diagnostic test.
06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
08 efficacy (Watt/cfm} with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
09 Verification Status: Pass -all applicable requirements are met
10 Correction Notes:
The responsible person's 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.
Registration Number: 215-N0163346D-M2300054A-M23A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:37:40
Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 4)
F. 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: 215-N0163346D-M2300054A-M23A Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-02-17 11:37:40
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: ~~~ Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2017-02-1711:51:01
Address: CEA/ HERS Certification Identification (if applicable):
2570 South Miller Lane
City/State/Zip: Phone:
Las Vegas NV 89117 702-365-8080
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcementagency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
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:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: f~£.StUJ~ Joseph Schwartz
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004506 2017-02-17 12:09:02
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS Registration Number: 215-N0163346D-M2300054A-M23A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-02-17 11:37:40
2013 Residential Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 4}
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CB163172
Carlsbad
Dwelling Address: 2661 Wadsworth Street City: Carlsbad Zip Code: 92010
A. Ducted Cooling System Information
01 System Identification or Name System 2
02 System Location or Area Served Location
03 System Installation Type New
04 Nominal Cooling Capacity (tons) of Condenser 3
05 Condenser Speed Type Single Speed
06 Cooling System Zonal Control Type Not Zonal
07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system
08 System Bypass Duct Status No Bypass Duct
09 Date of System Airflow Rate Measurement 2017-02-06
10 Airflow Rate Protocol Utilized RA3.3 procedures for airflow rate measurement
B. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently Installed Static Pressure Probe (PSPP)
in the Supply Plenum.
Procedures for installing HSPP or PSPP are specified in RA3.3.1.1.
01 Method Used to Demonstrate Compliance with the HSPP installed and labeled consistent with Figure RA3.3-1
HSPP/PSPP Requirement
C. Airflow Rate Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1.1, and system airflow rate measurement apparatus information is given
in RA3.3.2.
01 Airflow Rate Measurement Type used for this airflow rate Traditional Flow Capture Hood according to procedure in
verification. RA3.3.3.1.4
02 Manufacturer of Airflow Measurement Apparatus Shortridge Instruments
03 Model number of Airflow Measurement Apparatus CFM-88L
Certification Status of the Airflow Measurement Apparatus Certified by Manufacturer and listed on CEC Website at
04 Accuracy http://www.energy.ca.gov/title24/equipment_cert/ama_fas
/index.html
Registration Number: 215-N0163346D-M2300055A-M23A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:37:53
Schema Version: 2013.1.008
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 2 of4)
MCH-23a Forced Air System Airflow Rate Measurement -Newly Installed Non-Zoned Systems or Zoned Multi-Speed
Compressor
D. Forced Air System Airflow Rate Measurement
The procedures for System Airflow Rate Verification are specified in Reference Residential Appendix RA3.3.
01 Required Minimum System Airflow Rate (cfm/ton) 350
02 Required Minimum System Airflow Target (cfm) 1050
03 Actual System Airflow Rate Measurement (cfm) 1227
04 Compliance Statement: System airflow rate complies
E. Additional Requirements
01 Air filters that meet the applicable requirements of Standards Section 150.0(m)12 or 150.0(m)13 were properly installed in
the system during system air flow rate measurement identified on this Certificate of Verification.
C ,,,,,
The airflow rate measurement apparatus used fo perform the airflow rate measurement identified on this Certificate of
02 Verification was calibrated in accordance with the apparatus manufacturer's specifications and conforms to the
instrumentation specifications given in RA3.3.1.
', ' A visual inspection shall confirm that bypass ducts that deliverconditioned supply air directly to the space conditioning
03 system return duct airflow are not used on newly constructed zonally controlled systems unless the Performance Certificate
of Compliance indicates an allowance for use of a bypass duct. When a bypass duct is accounted for on the Performance
Certificate of Compliance, the airflow rate shall conform to the specifications listed on the Certificate of Compliance.
04 All registers were fully open during the diagnostic test.
05 System fan was set at maximum speed during the diagnostic test.
06 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
07 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
08 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
09 Verification Status: Pass -all applicable requirements are met
10 Correction Notes:
The responsible person's 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.
Registration Number: 215-N0163346D-M2300055A-M23A Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-02-17 11:37:53
-
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 3 of 4)
F. 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: 215-N0163346D-M2300055A-M23A Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-02-17 11:37:53
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: ~~~ Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2017-02-1711:51:01
Address: CEA/ HERS Certification Identification {if applicable):
2570 South Miller Lane
City/State/Zip: Phone:
Las Vegas NV 89117 702-365-8080
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections·ofthe Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
s. I will ensure that a registered CO!iJY of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a .registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
/ · .
• C
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
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:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: f~£Se6Jtna Joseph Schwartz
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004506 2017-02-17 12:09:02
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163346D-M2300055A-M23A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:37:53
Schema Version: 2013.1.008
-
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 3)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CB163172
Carlsbad
Dwelling Address: 2661 Wadsworth Street City: Carlsbad Zip Code: 92010
A. Ducted Cooling System Information
01 System Identification or Name System 1
02 System Location or Area Served Location
03 System Installation Type New
04 Nominal Cooling Capacity (tons) of Condenser 3
05 Condenser Speed Type Single Speed
06 Cooling System Zonal Control Type Not Zonal
07 Central Fan Integrated (CFI) Ventilation System Status Not a CFI system
,''
08 System Bypass Duct Status No Bypass Duct
'
09 Date of System Airflow Rate Measurement 2017-02-06
10 Airflow Rate Protocol utilized RA3.3 procedures for airflow rate measurement
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in
RA3.3.2.2.
01 I Fan Watt Verification Device Used. I Portable watt meter
MCH-22a Forced Air System Fan Efficacy Measurement -Newly Installed Non-Zoned Systems or Zoned Multi-Speed
Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3.
01 Actual Tested Watts 541
02 Actual Tested Airflow from MCH-23 (cfm) 1253
03 Required Fan Efficacy (watts/cfm) 0.58
04 Actual Fan Efficacy (watts/cfm) 0.43
05 Compliance Statement: System fan efficacy complies
Registration Number: 215-N0163346D-M2200054A-M22A Registration Date/Time: 2017-02-1712:09:02 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 0.51SDD
Report Generated: 2017-02-17 11:41:28
V -
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3)
D. Additional Requirements
01 All registers were fully open during the diagnostic test.
02 System fan was set at maximum speed during the diagnostic test.
03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
05 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy
(Watt/cfm) criteria in every zonal control mode.
07 Verification Status Pass -all applicable requirements are met
08 Correction Notes
The responsible persons signature on this comp.liance document affirms that all appl.icable requirements in this table have
been met unless otherwise noted in the Verification Status and the Corrections Notes in this table .
..
E. Determination of HERS Verification Compliance.
All applicable sections of this document shall indicate compliance with the specified verifrcation 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: 215-N0163346D-M2200054A-M22A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:41:28
Schema Version: O.SlSDD
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (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: ~~~ Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2017-02-1711:51:01
Address: CEA/ HERS Certification Identification (if applicable):
2570 South Miller Lane
City/State/Zip: Phone:
Las Vegas NV 89117 702-365-8080
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation {CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occup/mcy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (installing Subcontractor, General Contractor, or Builder/Owner):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
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:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: j'~£;S~~ Joseph Schwartz
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004506 2017-02-17 12:09:02
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS Registration Number: 215-N0163346D-M2200054A-M22A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: 0.51500
Report Generated: 2017-02-17 11:41:28
2013 Residential Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 3)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CB163172
Carlsbad
Dwelling Address: 2661 Wadsworth Street City: Carlsbad Zip Code: 92010
A. Ducted Cooling System Information
01 System Identification or Name System 2
02 System Location or Area Served Location
03 System Installation Type New
04 Nominal Cooling Capacity (tons) of Condenser 3
05 Condenser Speed Type Single Speed
06 Cooling System Zonal Control Type Not Zonal
07 Central Fan Integrated {CFI) Ventilation System Status Not a CFI system
08 System Bypass Duct Status No Bypass Duct
09 Date of System Airflow Rate Measurement 2017-02-06
10 Airflow Rate Protocol utilized .RA3.3 procedures for airflow rate measurement
B. Fan Watt Measurement Apparatus and Procedure Information
Instrument Specifications are given in RA3.3.1, and system fan watt measurement apparatus information is given in
RA3.3.2.2.
01 I Fan Watt Verification Device Used. I Portable watt meter
MCH-22a Forced Air System Fan Efficacy Measurement -Newly Installed Non-Zoned Systems or Zoned Multi-Speed
Compressor
C. Forced Air System Fan Efficacy Measurement
The procedures for System Fan Watt Verification are specified in Reference Residential Appendix RA3.3.
01 Actual Tested Watts 503
02 Actual Tested Airflow from MCH-23 (cfm) 1227
03 Required Fan Efficacy (watts/cfm) 0.58
04 Actual Fan Efficacy (watts/cfm) 0.41
05 Compliance Statement: System fan efficacy complies
Registration Number: 215-N0163346D-M2200055A-M22A Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: O.SlSDD
Report Generated: 2017-02-17 11:41:43
... ' -
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 2 of 3)
D. Additional Requirements
01 All registers were fully open during the diagnostic test.
02 System fan was set at maximum speed during the diagnostic test.
03 If fresh air duct is part of the HVAC system it was not closed during the diagnostic test.
04 Airflow rate and fan watt draw shall be simultaneous measurements when used to calculate the Fan Efficacy tested value.
Multi-speed compressor space cooling systems or variable speed compressor systems shall verify air flow (cfm/ton) and fan
05 efficacy (Watt/cfm) with system operating in cooling mode at the maximum compressor speed and the maximum air
handler fan speed.
06 Zoned cooling air distribution systems with single speed compressors shall meet both the airflow (cfm/ton) and fan efficacy
(Watt/cfm) criteria in every zonal control mode.
07 Verification Status Pass -all applicable requirements are met
08 Correction Notes
The responsible persons signature on this compliance document affir,ms that all applicable requirements in this table have
been met unless otherwise noted in the Verification Status and the Corrections Notes in this table.
E. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance wi.th the specified verification protocol requiremerits 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: 215-N0163346D-M2200055A-M22A Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 0.SlSDD
Report Generated: 2017-02-17 11:41:43
. ..j .... _,
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (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: ~~~ Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2017-02-17 11 :51 :01
Address: CEA/ HERS Certification Identification (if applicable):
2570 South Miller Lane
City/State/Zip: Phone:
Las Vegas NV 89117 702-365-8080
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of. lnstallatieh (CF2R) signed-and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement.agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
'
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (installing Subcontractor, General Contractor, or Builder/Owner):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
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:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: f~£.S~~ Joseph Schwartz
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004506 2017-02-17 12:09:02
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS Registration Number: 215-N01633460-M2200055A-M22A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: O.SlSDD
Report Generated: 2017-02-17 11:41:43
2013 Residential Compliance
CERTIFICATE OF VERIFICATION CF3R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 1 of3)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CB163172
Carlsbad
Dwelling Address: 2661 Wadsworth Street City: Carlsbad Zip Code: 92010
Title 24, Part 6, Section 150.0(o) Ventilation for Indoor Air Quality. All dwelling units shall meet the requirements of ANSI/ASH RAE
Standard 62.2. Ventilation and Acceptable Indoor Air Quality in Low-Rise Residential Buildings. Equation and table numbering on
this form corresponds to the numbering for that information in the published ANSI/SH RAE Standard 62.2-2010.
A. Dwelling Mechanical Ventilation -General Information
01 Dwelling unit name The Vistas at Robertson Ranch
02 Building Type Single family
03 Project scope Newly constructed building
Total Conditioned Floor Area of Dwelling Unit 3051
04 (For addition projects the conditioned floor area equals
existing area plus addition area. )
Number of bedrooms in dwelling unit 5
05 (For addition projects th~ number of bedrooms equals the
existing bedrooms plus addition bedrooms)
06 Ventilation Operation Schedule Continuous
07 Whole-Building Ventilation Rate Calculation Method Fan Ventilation Rate Method (4.1.1)
08 Whole Building Ventilation System Type Standalone -Exhaust
MCH-27a -Continuous Ventilation Airflow -Fan Ventilation Rate Method
B. Whole-Building Continuous Ventilation -Fan Ventilation Rate Method
01 Required Continuous Whole-Building Ventilation Rate 76
02 Installed Continuous Whole-Building Ventilation Rate 99
C. Compliance Statement
01 I Building passes continuous whole-building ventilation rate test
Registration Number: 215-N0163346D-M2700053A-M27A Registration Date/Time: 2017-02-1712:09:02 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-02-17 11:43:59
'.
CERTIFICATE OF VERIFICATION CF3R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 2 of 3)
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: 215-N0163346D-M2700053A-M27 A Registration Date/Time: 2017-02-17 12:09:02 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-02-17 11:43:59
CERTIFICATE OF VERIFICATION CF3R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (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: ~tp~ Lorena Pichardo
Company: Date Signed:
Energy Inspectors 2017-02-1711:51:01
Address: CEA/ HERS Certification Identification (if applicable):
2570 South Miller Lane Las Vegas I NV I 89117
City/State/Zip: Phone:
Las Vegas NV 89117 702-365-8080
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Verification is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made availab'l.e to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
;
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner):
AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
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:
Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: y'~£SeM!/~ Joseph Schwartz
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004506 2017-02-17 12:09:02
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Date/Time: 2017-02-1712:09:02 HERS Provider: CalCERTS Registration Number: 215-N0163346D-M2700053A-M27 A
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008
Schema Version: 2013.1.008
Report Generated: 2017-02-17 11:43:59
2013 Residential Compliance
" CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING Additional Energy Features ·~
Additional Energy Feature Verification (Page 1 of 1) 3
Project Address: 2661 Wadsworth Street Carlsbad CA. 92010 Builder Name: Toll Brothers, Inc. -Southern CA
Builder Contact: na Telephone: 999-999-9999
Plan Number: Tolll 44 Plan 2 I sample Group Number: I Sample House Number:
HERS Rater: Joseph Schwartz Telephone: 702-365-8080
Certifying Signature: ~~£S~~ Date: 2017-02-17 11 :43:04
Firm: Energy Inspectors HERS Provider: CalCERTS inc.
Street Address: 2570 South Miller Lane City/State/Zip: Las Vegas I NV I 89117
1 a) Radiant Barrier Required: Yes
1 b) Was the Radiant Barrier installed? Yes
2) Opaque Surfaces: Opaque Surfaces MATCH or EXCEED the values in the CFl R.
3) Glazing (Window) Values: SHGC and Li-Values Surfaces MATCH or EXCEED the values in the CFl R.
4) HVAC Efficiency: HV AC Efficiencies MATCH or EXCEED the values in the CFl R.
5) Verify Water Heater Efficiency: Water Heater System Efficiencies MATCH or EXCEED the value in the CFl R