HomeMy WebLinkAbout2850 Andover Ave; ; CBR2017-0971; PermitPrint Date: 06/21/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2850 Andover Ave
BLDG-Residential
1674801842
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www .carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check #:
Plan Check#:
Description: BERGEN: REPLACE FAU (LIKE FOR LIKE) SAME LOCATION
Owner:
TRUST BERGEN DARCY J TRUST
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00 Total Payments To Date: $166.00
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
THA HEATING AND AIR
3240 F St
San Diego, CA 92102-3395
858-5 71-8865
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: CBR2017-0971
Closed -Finaled
05/08/2017
05/08/2017
$0.00
$166.00
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THE FOLLOWING APPROVALS REQUIRED PRIO~ TO !l"E!'!,YA ISSUANCE: 0 PLANNING D ENGINEERING
«~> ~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
DeulLDING DFIRE
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
JOB ADDRESS SUITE#/SPACE#/UNIT#
CT/PROJECT# LOT# PHASE# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESO #_ NOO
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE
PHONE FAX
EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
SWPP
CONSTR. TYPE OCC. GROUP
AIR CONDITIONING
YES D NOD
ZIP
FIRE SPRINKLERS
YES O NOD
&L
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjUf'/ one of the following declaraffons:
This section need not be completed if the permit is for one hundred dollars ($100) or less.
0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' 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, da,1!~f:JS:pro¥i<1iltor Section 3706 of the Labor code, Interest and attorney's fees. .-
,AS CONTRACTOR SIGNATURE , l:JAGENT DATE ~=-o8----i
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
Cl I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himseff or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
Cl I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
Cl I am exempt under Seetion Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Cl Yes Cl No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
_A5 PROPERTY OWNER SIGNATURE Cl AGENT DATE
.\
Is lhe applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acr. O Yes O No
Is lhe applicant or future building occupant required to obtain a permit from lhe air pollution control district or air quality management district? O Yes O No
Is lhe facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
Lender's Address
I certify that I have read the application and state that the above Information iscorrectand that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby aulholize representative of the Qty of Carlsbad lo enter upon the above menooned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDG,1ENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA AA OSHA permit is required for excavations over 5'0' deep and demolition OI' construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Ofocial under the provisions of this Code shall expire by imitation and become nul and void ff the buildflQ or work authorized by such permit is not commenced 'l.ilhin
180 days kom the date of such permitOI' if !he buildflQ or work authorized by such permit is suspended or abandoned at anytime after the work is commenced for a period of 180 days (Section 106.4.4 Unitim Building Code).
,,Ii$ APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY fCommerc1al Projects 0 n I y J
Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o ASSOCIATED CB#
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION
D MAIL/ FAX TO OTHER:
o CHANGE OF USE/ NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
,j,
PERMIT INSPECTION HISTORY REPORT (CBR2017-0971)
Permit Type: BLDG-Residential Application Date: 05/08/2017 Owner: TRUST BERGEN DARCY J TRUST
Work Class: P/M/E Issue Date: 05/08/2017 Subdivision: CARLSBAD TCT#82-16
Status: Closed -Finaled Expiration Date: 12/18/2017 Address: 2850 Andover Ave
Carlsbad, CA 92010-7002
IVR Number: 3577
Scheduled Actual Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date Inspection Type
06/21/2017 06/21/2017 BLDG-43Air 0267 43-2017 Passed Andy Krogh Complete
Cond./Fumace Set
BLDG-Final 026909-2017 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final Yes
June 21, 2017 Page 1 of 1
. ,
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CERTIFICATE OF COMPLIANCE CFlR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of 3)
Project Name: 2850 Andover Ave I Date Prepared: 2017-05-01
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 2850 Andover Ave 02 Date Prepared 2017-05-01
03 Project Location 2850 ANDOVER aVE 04 Building Type Single family
OS CA City Carlsbad 06 Dwelling Unit Name 2850 Andover Ave
07 Zip Code 08 Dwelling Unit Conditioned 994 Floor Area (ft2)
Number of Space
09 Climate Zone 10 Conditioning (SC) Systems in 1
this Dwelling Unit:
01 02 10
SC System SC System CFAserved system a refrigerant Installing new SC Installing Installing Installing
Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new
Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type
System 1 Location 1 994 Yes No No No No No No alteration
performed
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
Registration Number: 217-A020141678A-OOO-OOO-OOOOOOO-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
This section does not apply to this project.
Registration Date/Time:
Report Version: 2016.1.005
Schema Version: rev 10/16
2017-05-01 15:24:47 HERS Provider: CalCERTS
R<?port Generated: 2017-05-01 15:24:58
CERTIFICATE OF COMPLIANCE CFlR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
This section does not apply to this project.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F}
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
Registration Number: 217-A020141678A-OOO-OOO-OOOOOOO-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
This section does not apply to this project.
Registration Date/Time:
Report Version: 2016.1.005
Schema Version: rev 10/16
2017-05-0115:24:47 HERS Provider: CalCERTS
Report Generated: 2017-0S-Ol 15:24:58
j
I
I
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
lnostros, Cleo
Company:
THA Heating & Air, Inc.
Address:
3240 F Street
City/State/Zip:
San Die&o CA 92102
Responsible Person's Declaration statem
I certify the following under penalty of perjury, under th
1. The information provided ont. ·
2.
3.
4. The building design features or syste
calculations, plans and specifications
5. I will ensure that a registered copy of
inspections. I understand that a regi$t
Responsible Designer Name:
lnostros, Cleo
Company:
THA Heating & Air, Inc.
Address:
3240 F Street
City/State/Zip:
San Diego CA 92102
Documentation Author Signature:
Signature Date:
2017-05-01 15:24:47
CEA/ HERS Certification Identification (if applicable):
Phone:
858-571-8865
Date Signed:
2017-05-01 15:24:47
License:
732419
Phone:
858-571-8865
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: 217-A020141678A-OOO-OOO-OOOOOOO-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
Registration Date/Time:
Report Version: 2016.1.005
Schema Version: rev 10/16
2017-05-0115:24:47
CFlR-ALT-02-E
(Page 3 of 3)
HERS Provider: CalCERTS
Report Generated: 2017-05-01 15:24:58
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans {Page 1 of 7)
Project Name: 2850 Andover Ave Enforcement Agency: City of Carlsbad Permit Number: CBR2017-0971
Dwelling Address:
A. General Information
01
03
Dwelling Unit Name
Dwelling Unit Total Conditioned Floor
Area {ft2)
2850 ANDOVER aVE
2850 Andover Ave
994
City: Carlsbad Zip Code:
02 Climate Zone
04 Number of Space Conditioning
Systems in this Dwelling Unit.
05 Certificate of Compliance Type Prescriptive alterations (CFlR-ALT) 06 Method Used to Calculate HVAC Loads
07 Calculated Dwelling Unit Sensible
Cooling Load {Btu/h) field or section is not applicable 08 Calculated Dwelling Unit Heating Load
{Btu/h)
09
MCH-Olb -Space Conditioning Sys
B. Space Conditioning (SC) System Information
01 02 03 04
CFA served ls the SC
SC System SC System by this SC system a
Identification or Location or Area System ducted
Name Served {ft2) system?
System 1 Location 1 994 Yes
Registration Number: 217-A020141678A-000-001-M01001A-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
05 06
Installing a
refrigerant Installing new SC
containing system
component? components?
No No
Registration Date/Time:
Report Version: 2016.1.005
Schema Version: rev 10/16
07 08
Installing
Installing more entirely
than 40 feet of new duct
ducts? system?
No No
2017-05-2311:33:14
92010
7
1
NotApplicableEquipmentChangeout
This field or section is not applicable
09 10
Installing
entirely new
SC system? Alteration Type
No No alteration
performed
HERS Provider: CalCERTS
Report Generated: 2017-05-23 11:33:04
CERTIFICATE OF INSTALLATION
Space Conditioning Systems, Ducts, and Fans
C. Space Conditioning (SC) System Alterations Compliance Information
01 02 03 04 05 06 07 08 09
Heating Cooling
SC Altered Heating Minimum Altered Cooling Minimum
Identification Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency
or Name System Type Component Type Value System Type Component Type Value
This field This field This field
This field No cooling or or
Central gas or section section section is System 1 No cooling component furnace altered is not not
applicabl applicabl
e e
D. Installed Heating Equipment lnfq
E. Installed Cooling Equipment Information
This section does not apply to this project.
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.
Registration Number: 217-A020141678A-000-001-M01001A-OOOO Registration Date/Time: 2017-05-23 11 :33:14
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.005
Schema Version: rev 10/16
CF2R-MCH-01-E
(Page 2 of 7)
10 11 12 13
Central Fan
Integrated
New or (CFI)
Required Replaced New Ventilation
Thermostat Duct Duct System
Type Length R-Value Status
This
field
N/A-no or
sectio Not a CFI Setback ducts
replaced n is system
not
applic
able
HERS Provider: CalCERTS
Report Generated: 2017-05-23 11:33:04
CERTIFICATE OF INSTALLATION
Space Conditioning Systems, Ducts, and Fans
H. Installed Air Filter Device Information
I. Air Filter Device Requirements
Registration Number: 217-A020141678A-000-001-M01001A-0000
CA Building Energy Efficiency Standards -2016 Residential Compliance
This section does not apply to this project.
This section does not apply to this project.
Registration Date/Time:
Report Version: 2016.1.005
Schema Version: rev 10/16
2017-05-23 11 :33:14
I·····
'
. ..,,
CF2R-MCH-01-E
(Page 3 of 7)
HERS Provider: CalCERTS
Report Generated: 2017-05-23 11:33:04
CERTIFICATE OF INSTALLATION
Space Conditioning Systems, Ducts, and Fans
J. HERS Verification Requirements
01 02 03 04
MCH-20
Exemption
SC System SC System From Duct Duct
Identification or Location or Area Leakage Leakage
Name Served Requirements Test
System 1 Location 1 N/A No
Notes:
Registration Number: 217-A020141678A-000-001-M01001A-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
05 06 07
Exemption
from
Minimum MCH-22
R-Valuefor MCH-21 Ducts In AHU Fan
Conditioned Duct Location Efficacy
Space Verification (W/dm)
Not No No applicable
Registration Date/Time: 2017-05-23 11 :33:14
Report Version: 2016.1.005
Schema Version: rev 10/16
CF2R-MCH-01-E
(Page 4 of 7)
08 09 10
MCH-23
MCH-25
AHU MCH-28 Airflow
Rate Refrigerant Return Duct Design
(dm/ton) Charge -Table 150.0-B or C
No No No
HERS Provider: CalCERTS
Report Generated: 2017-05-23 11:33:04
I
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 5 of 7)
K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures
Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the
system that are altered. Existing equipment may be exempt from these requirements.
Heating Equipment
01
02
03
04
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.
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).
Sizing: Heating load calculations must b
150.0(h)l and 2).
Furnace Temperature Rise: Central fo~d-
inlet-to-outlet temperatu" ilpeeifk:ati
one on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections
heating furnace installations must be configured to operate at or below the furnace manufacturer's maximum
tiff· ;~.g,g&Q.)4,
05 Standby Losses and Pilot Lights:
Cooling Equipment
06
07
08
09
10
Equipment Efficiency: All coolil}g;quipment
Regulations. ··
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
150.00)2 and 3, and Section 150.0(m)9.
Condensing Unit Location: Condensing units shall not be placed within five (5) feet of a dryer vent outlet. See Section 150.0(h)3A.
Liquid Line Filter Drier: If applicable, a liquid line filter drier shall be installed according to the manufacturer's specifications. Section 150.0(h)3B
Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent undersizing or oversizing. See Section
150.0(h)l and 2.
Air Distribution System Ducts, Plenums and Fans
Registration Number: 217-A020141678A-000-001-M01001A-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
Registration Date/Time:
Report Version: 2016.1.005
Schema Version: rev 10/16
2017-05-23 11 :33: 14 HERS Provider: CalCERTS
Report Generated: 2017-05-23 11:33:04
I
..
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 6 of 7)
K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures
Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the
system that are altered. Existing equipment may be exempt from these requirements.
11 Insulation: In all cases, unless ducts are enclosed entirely in directly conditioned space, the minimum duct insulation value is R-6. Note that higher values may be
required by the prescriptive or performance requirements. See Section 150.0(m)l.
12
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
14 The thermostat shall be 1
15
16
The responsible person's signature o.n this complian
Registration Number: 217-A020141678A-000-001-M01001A-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
Registration Date/Time:
Report Version: 2016.1.005
Schema Version: rev 10/16
2017-05-2311:33:14 HERS Provider: CalCERTS
Report Generated: 2017-05-23 11:33:04
•
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans {Page 7 of 7)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
Cleo lnostros
Company: Signature Date:
THA Heating & Air, Inc. 2017-05-23 11:33:13
Address: CEN HERS Certification Identification (if applicable):
3240 F Street
City/State/Zip: Phone:
San Diego CA 92102 858-571-8865
Responsible Person's Declaration statem4
I certify the following under penalty of perjury, under t
1. is true and correct.
2.
The information provided9p
I am either: a) a responsible
features, materials, components,
representative of the responsible p
,fot'1:he ~IJ~~$1,and,Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of
3.
--~~ =:;:::; · ed "<h;, c.rt;fi~re of'""'"'""· ,oo '"'" :::~~,;,~ ;, <h;, =·~~:; ::~ :::::::::::,, '"'
e :;Ii e to the enforcement agency for all 4 .
Responsible Builder/Installer Name:
Cleo lnostros
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
THA Heating & Air, Inc.
Address:
3240 F Street
City/State/Zip:
San Diego CA 92102
Responsible Builder/Installer Signature:
Position With Company (Title):
program manager
CSLB License:
732419
Phone:
858-571-8865
n the builder provides to the building owner at occupancy.
:I!: :1:::l1 E::~.:, ;i:::l
Date Signed:
2017-05-23 11 :33: 14
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: 217-A020141678A-000-001-M01001A-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
Registration Date/Time:
Report Version: 2016.1.005
Schema Version: rev 10/16
2017-05-23 11 :33:14 HERS Provider: CalCERTS
Report Generated: 2017-05-23 11:33:04
' •
CERTIFICATE OF COMPLIANCE CFlR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC} (Page 1 of 3)
Project Name: 2850 Andover Ave I Date Prepared: 2017-05-01
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 2850 Andover Ave
03 Project Location 2850 ANDOVER aVE
05 CA City Carlsbad
07 Zip Code 92010
09 Climate Zone
01 02
SC System SC System CFAserved system a refrigerant
Identification or Location or Area by this SC ducted containing
Name Served System (ft2} system? component?
System 1 Location 1 994 Yes No
02 Date Prepared 2017-05-01
04 Building Type Single family
06 Dwelling Unit Name 2850 Andover Ave
08 Dwelling Unit Conditioned 994 Floor Area (ft2)
Number of Space
10 Conditioning (SC) Systems in 1
this Dwelling Unit:
09
Installing new SC Installing Installing Installing
system more than 40 entirely new entirely new
components? feet of ducts? duct system? SC system?
No No No No
10
Alteration Type
No alteration
performed
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
Registration Number: 217-A020141678A-OOO-OOO-OOOOOOO-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
This section does not apply to this project.
Registration Date/Time:
Report Version: 2016.1.005
Schema Version: rev 10/16
2017-05-01 15:24:47 HERS Provider: CalCERTS
Report Generated: 2017-05-01 15:24:58
\
CERTIFICATE OF COMPLIANCE CFlR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
This section does not apply to this project.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
Registration Number: 217-A020141678A-000-000-0000000-0000
CA Building Energy Efficiency Standards -2016 Residential Compliance
This section does not apply to this project.
Registration Date/Time:
Report Version: 2016.1.005
Schema Version: rev 10/16
2017-05-01 15:24:47 HERS Provider: CalCERTS
Report Generated: 2017-05-01 15:24:58
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
lnostros, Cleo
Company:
THA Heating & Air, Inc.
Address:
3240 F Street
City/State/Zip:
San Diego CA 92102
Responsible Person's Declaration statemerrt;
4.
5.
Responsible Designer Name:
lnostros, Cleo
Company:
THA Heating & Air, Inc.
Address:
3240 F Street
City/State/Zip:
San Diego CA 92102
Documentation Author Signature:
Signature Date:
2017-05-01 15:24:47
CEA/ HERS Certification Identification (if applicable):
Phone:
858-571-8865
Responstiiie Deig'i\er S
Date Signed:
2017-05-01 15:24:47
License:
732419
Phone:
858-571-8865
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: 217-A020141678A-OOO-OOO-OOOOOOO-OOOO
CA Building Energy Efficiency Standards -2016 Residential Compliance
Registration Date/Time:
Report Version: 2016.1.005
Schema Version: rev 10/16
2017-05-01 15:24:47
CFlR-ALT-02-E
(Page 3 of 3)
HERS Provider: CalCERTS
Report Generated: 2017-05-01 15:24:58