HomeMy WebLinkAbout1204 LANAI CT; ; CB162111; Permit07-14-2016
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit Permit No: CB162111
Building Inspection Request Line (760) 602-2725
1204 LANAI CT CBAD
RESDNTL
1563513100
$573,981.00
1
4
Sub Type: SFD
Lot#: 8
Constuction Type: 58
Reference#: CT120001
Structure Type: SFD
Bathrooms: 4.5
Orig PC#: PC150036
Status: ISSUED
Applied: 05/31/2016
Entered By: SLE
Plan Approved: 07/14/2016
Issued: 07/14/2016
Inspect Area:
Plan Check#: PC160034
Project Title: LANAI: PHASE 4/ PLAN 6
3,687 SF LIV I 549 SF GARAGE
Applicant:
SHEA HOMES
200
9990 MESA RIM RD
SAN DIEGO CA 92121
858-526-6554
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l 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'l Renewal Fee
Other Building Fee
HMP Fee
Pot. Water Con. Fee
Meter Size
Add'l Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
Green Bldg Stands Plan Chk Fee
$2,259.26
$0.00
$1,581.48
($500.00)
($126.52)
$74.62
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$5,609.00
FS3/4
$0.00
$0.00
$23.00
$0.00
Total Fees: $38,894.30 Total Payments to Date:
Inspector:
Owner:
SHEA HOMES
STE 200
9990 MESA RIM RD
SAN DIEGO CA 92121-3933
858-526-6554
Meter Size
Add'l Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFD Payoff Fee
PFF (3105540)
PFF (4305540)
License Tax (3104193)
License Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee (4305541)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnlieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
Fire Sprinkler Fees
TOTAL PERMIT FEES
$38,894.30 Balance Due:
Clearance:
FS3/4
$0.00
$356.00
$4,963.00
$0.00
$10,446.45
$9,642.88
$0.00
$0.00
$3,160.00
$0.00
$0.00
$329.00
$89.00
$106.13
$0.00
$0.00
$0.00
$0.00
$881.00
$0.00
$0.00
$38,894.30
$0.00
t-OTICE: Please ta<e t-OTICE tha aw<MII rl your prqed includes the "lfl1XJ!ilion" rl fees, dedcctions, ressvaia1s, or cther ea:.tials hereafter oolledively
refened to as "feeslexafuls." Yw have 00 days from the dale this perrrit v.es issued to prdest ifl1XJ!ilion rl these feeslea:.tions. If you prdest them, you rrust
fdiONthe prdest ~set forth in G:Nerrmri Code Section a:m:l(a), an:l file the prdest an:l ar?f cther recpred inforrrli:tion IMth the aty llfa1ager for
proa!SSirg in amdar ~re Wth Ca1sl:la:l Mridpal Code Section 3.32.cm. Fail1.1e to tirrely fdiONtta prcx:aire wllt:a ar?f Slb;e:prt legal a::tion to attack,
review, set aside, vad, or amJ their ifl1XJ!ilion.
Yw ae ~ FI.Rll-ER t-OTIAEDthat your rigt to prdest the specified feeslea:.tials cx::ES 1\01" APPLY to waer an:l ser.er cxmection fees an:1 ~
ctalges, nor plcmirg, :zcrirg, ga:irg or cther sirrilar ~icction jl'O(ESSirg or SEliVire fees in cxmection IMth this prqect. ['.(R cx::ES IT APPI... Y to ar?f . . . . . . . . .
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-14-2016
Storm Water Pollution Preventi.on Plan (SWPPP) Permit
Permit No:SW160252
Job Address:
Permit Type:
Parcel No:
Reference #:
CB#:
Project Title:
Applicant:
SHEA HOMES
200
1204 LANAI CT CBAD
SWPPP
1563513100
CB162111
LANAI: PHASE 4/ PLAN 6
9990 MESA RIM RD
SAN DIEGO CA 92121
858-526-6554
Emergency Contact:
SHEA HOMES
858-526-6554
SWPPP Plan Check
SWPPP Inspections
Additional Fees
TOTAL PERMIT FEES
Lot#: 8
Owner:
SHEA HOMES
STE 200
9990 MESA RIM RD
Status:
Applied:
Entered By:
Issued:
Inspect Area:
Tier:
Priority:
SAN DIEGO CA 92121-3933
858-526-6554
ISSUED
05/31/2016
SLE
07/14/2016
1
L
$49.00
$59.00
$0.00
$108.00
Total Fees: $108.00 Total Payments To Date: $108.00 Balance Due:
FINAL APPROVAL
o:.:l ::·'rf;t __
$0.00
PERMIT INSPECTION HISTORY REPORT (CB162111)
Permit Type: BLDG-Residential Application Date: 05/31/2016 Owner: SHEA HOMES LIMITED
PARTNERSHIP
Work Class: Single Family Detached Issue Date: 07/14/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 05/22/2017 Address: 1204 Lanai Ct
Carlsbad, CA
IVR Number: 714851
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspectlon Complete
11/14/2016 BLDG-27 Shower 001219·2016 Passed Michael Collins Complete
PanfTubs
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
11/14/2016 11/14/2016 BLDG-84 Rough 000998-2016 Passed Michael Collins Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency 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
11/16/2016 11/16/2016 BLDG-161nsulation 001402-2016 Passed Michael Collins Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
11/21/2016 11/21/2016 BLDG-171nterior 002142-2016 Failed Michael Collins Relnspection Complete
Lath/Drywall
Checklist Item COMMENTS , Passed
BLDG-Building Deficiency No
11122/2016 11/22/2016 BLDG-171nterior 002278-2016 Failed Michael Collins Reinspection Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-18 Exterior 002279-2016 Passed Michael Collins Complete
Lath/Drywall
BLDG-23 002745-2016 Passed Michael Collins Complete
GasfTest/Repairs
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
11/23/2016 11/23/2016 BLDG-171nterior 002696-2016 Passed Michael Collins Complete
Lath/Drywall
12/23/2016 12/23/2016 BLDG-Electric Meter 006908-2016 Passed Michael Collins Complete
Release
NOTES Created By TEXT Created Date
Michael Collins EMR emailed to SDGE. 12/23/2016
January 27, 2017 Page 1 of2
PERMIT INSPECTION HISTORY REPORT (CB162111)
Permit Type: BLDG-Residential Application Date: 05/31/2016 Owner:
Work Class: Single Family Detached Issue Date: 07/14/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 05/22/2017 Address:
IVR Number: 714851
Scheduled Actual Inspection No. Date Start Date Inspection Type Inspection Status Primary Inspector
01/23/2017 01/23/2017 BLDG-Final 010625-2017 Partial Pass Michael Collins
Inspection
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
NOTES Created By TEXT
Michael Collins GMR emailed to SDGE.
01/24/2017 01/24/2017 BLDG-Final 011005-2017 Failed Michael Collins
Inspection
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
NOTES Created By TEXT
Michael Collins GMR emailed to SDGE.
01/27/2017 01/27/2017 BLDG-Final 011636-2017 Passed Peter Dreibelbis
Inspection
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
NOTES Created By TEXT
Michael Collins GMR emailed to SDGE.
January 27, 2017
SHEA HOMES LIMITED
PARTNERSHIP
1204 Lanai Ct
Carlsbad, CA
Reinspection
Reinspection
Passed
No
No
No
No
No
Complete
Incomplete
Created Date
01/23/2017
Reinspectlon
Passed
No
No
No
No
No
Complete
Created Date
01/23/2017
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Created Date
01/23/2017
Page 2 of 2
Inspection List
Permit#: CB162111 Type: RESDNTL SFD
Date Inspection Item
10/31/2016 13 Shear Panels/HD's
10/28/2016 13 Shear Panels/HD's
1 0/19/2016 15 Roof/Reroof
09/06/2016 11 Ftg/Foundation/Piers
09/06/2016 31 Underground/Conduit-Wirin
08/26/2016 21 Underground/Under Floor
08/26/2016 22 Sewer/Water Service
Monday, January 30, 2017
lnsp~ctor . Act
MC AP
MC CO
MC AP
MC AP
MC AP
PD AP
PD AP
LANAI: PHASE 4/ PLAN 6
3,687 SF LIV I 549 SF GARAGE
Comments
COMPLETE ALL TRADES
UFER
Page 1 of 1
·~ ,,~ ::: rv o;
CARLSBAD INSPECTION RECORD ilding Division
b!liNSPECTION RECORD CARD WITH APPROVED
PlANS MUST BE KEPT ON THE JOB
0 CAU BEFORE 3:30pm FOR NEXT WORK DAY INSPECTION
0 FOR BUILDING INSPECTION CALL: 760-602-2725
OR GO TO: www.carlsbadca.gov/Building AND CLICK ON
"Request Inspection"
DATE:
Planning/Landscape
CM&I (Engineering lnsp,ections)
Fire Prevention
CODE# STORM WATER
REV 10<'20':2
CB162111 1204 LANAI CT
LANAI: PHASE 4/ PLAN 6
3.687 SF LIV /549 SF GARAGE
RESDNTL SFD
Lot# 8 SHEA HOMES
RECORD COPY
SEE BACK FOR SPECIAL NOTES
Southwest Inspection and Testing, Inc.
441 Commercial Way, La Habra, Ca 90631
(562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026
REGISTERED INSPECTOR'S DAILY REPORT
I SWIT Job No.
tSo~t:S 'Date ;. , ;:< 9 de.-t<.e.
TYPE OF i Reinforced Concrete [:J Welding D DIA/Ep~
INSPECTION Post Tensioned Concrete D Fireproofing D Wood Framing
REQUIRED D Reinforced Masonry D Asphalt I D Other
Job Address~-~~ ~ ""-~
Tract No. Lot No. .-, ·-'? _._
Job Name ( A..v\A..__l PermitJIJI5' <I#~ ~~~ Issued Be_ • t'5Al>
Type of Structure ~o.C..... Architect ... ~
1_ ......,~
Mj;~lgescripB~{ty~~de, SO)Irce~t'. -· -~ ~ ~ ~· ., .. . ~ ~ Engineer . '........_, _...__.c. r
-r-~--...... ,.. y~ ·d ~-,:c.~/~~ Contractor <....I~ ..._ J .L --~ ~<...
Inspector's Name . ~ . Ad~..._.,.o4' Subcontractor ..S •f'"" (A;1. <....~.:!> a TESTS PERFORMED
SAMPLE AIR CONC WATER TIME
SET# TRUCK# TICKET# LOCATION SLUMP TEMP TEMP ADDED CAST MIX# REMARKS
INSPECTION SUMMARY-LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS,
REMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF
TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC.
-.~ -IAAbe"£<.~ (..e,~#-r ... ~<1: -
-c:::!)t$~~" AIF .r'} .""I"U£.. t. A.>../-~ 1 ' F>c. .~ 111' A~--.. ~ ~ II£
.......-1c ~ .# ..r::xnA s. C.v~" ci ~~ ~~A. ' , .. fe.tJ;.~ -6 ~-......., ~ --<:! e' . (. ... err-II-7 •
a A ...A ., 1"'1 ..... AA.-1?"' .I $. O...-<...a ~3 .;~"q.
r ,
.... ~L#"2.C~~~ Alii? ~ ~ Pte --I? S12-1£S { .At.ta..
u.... #P ..... ~~-~·1 ~ '1 ~f·s~ c. -.
.I I
~·~-pe., ... .~_s .I
L 1fJ T -If. "'1 lZ_&3 {A_V\.4.1 ~-~AAZ.T • ;-.vi'.~·~·IL~Z ez
... ~ f:8· t'Lo</ .. 1 ~q 11(_.~
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I H~~;:,
ALL OF THE ABOVE
FOUND THIS WO
AND APPLICABIJ S
,,
.. "' ; ~ ..... -1t1 (1-_.cJZ( .. ~t. I(&;.~ 1 (~
CONTINUED ON NEXT PAGE D PAGE ..1_ OF
TIME IN TIMEOUT SAMPLES
White-Office Copy • Canary-Accounting Copy • Pink -Inspector's Copy • Goldenrod-Jobsite Copy
sm F-049
bi-JA, Inc
land planning, civil engineering, surveying
September 2, 2016
W.O. 452-1224-600
Mr. Michael Collins
CITY OF CARLSBAD
BUIWING INSPECTION
1635 Faraday Avenue
Carlsbad, CA 92008
ROD BRADLEY, Urban Planner
RONALD L. HOLLOWAY, Civil Engineer
RE: BUILDING FORM VERIFICATION OF LOTS 7, BAND 9, MILES ·PACIFIC
SUBDMSION, CT 12-01
Dear Mr. Collins:
This letter is to attest that BHA, Inc. has staked the location for the house construction on the
above-mentioned lots. We have checked the locations of the building forms of the proposed
houses and found the horizontal and vertical location to conform to the grading plans prepared
by our office.
If you have any questions regarding this m~tter, please contact our office.
Sincerely,
bliA, Inc.
~t?()?J.~
:z:d A. MaroY ·'
Vice President
PLS5941
AAM:aam
cc: Jason Korszeniewski-Shea Homes
K:\Gvil3D\1224\Certification Letters\bldg-form-verification.wpd
5115 Avenida Encinas, Suite L o Carlsbad, California 92008-4387 o (760) 931-8700 o FAX (760) 931-7780
Geotechnical • Coastal • Geologic • Environmental
FOOTING TRENCH OBSERVATION SUMMARY
Client Name: .......__!.._, ........:-/'._. ____________ Project Name:..:-:....· _--~ ..:..~•.:..:>i...._ __________ _
/ -Location/Tract: ...;~_,.::::::;_'-/ .....:.'...:-::..........;·..::.>..:..: --~..: ':::....:.·: ,_·....:1 .... .;.:...._-------------------------
Unitlf§~~!§;: ..:..l..;..!.:....l -..._ ..... --.::.· _'-'.:...· _··· ........... ..:..·':....' ___;---:..1_--_.:...'_-_,;..;;1-:o...· ..;._1...:::-.... ":.acY:..;.o"'"'"·,.........,t...,';-.:...i :.;;:IZ..~O'-I_.· -&~wo:;.;':t:.:.' .... & .... ~t~'.l"t_._J.;;..~ ..... /,·___... ....... .._. ';.;.;;'·~-·_..... ..... -t.__ ___ _
#I'
Referenced Geotechnical Report(s): _-~.;,.:--..::;.-...;:;_,._-:: -'-f-'--'·--+-~i-"-.....,t -........:..·'-':...~.' t_-.._.l..;..:.......:-_ ..... ~ .... <._i ._) ..:...·.:_-~-·-. -._/ _-' .... /'-:..; ---------
'
Observation Summary
/( /. Initials
; . : "' Date
i' !. Initials
I I~,, Date
1~.:, f, Initials
1 " Jt Date
l, I. . Initials
1 ; ;;. Date
A representative of GeoSoils, Inc. observed onsite soil and footing trench conditions. Soil conditions
in the trench are generally free of loose soil and debris, non-yielding and uniform, and plumb; and
are in general conformance with those indicated in the geotechnical report.
A representative of GeoSoils, Inc. observed and reviewed footing excavation depth/width. Footing
excavations generally extend to proper depth and bearing strata, and are in general conformance
with recommendations of the geotechnical report.
A representative of GeoSoils, Inc. reviewed footing setbacks from slope face (if applicable). The
setback was in general accordance with the recommendations of the geotechnical report.
._ ! 1 I ~ , , ; l
Notes to Superintendent/Foreman
1. Footing excavations should be cleaned of loose debris and thoroughly moistened just prior to placing concrete.
2. Based on expansion potential of underlying soils, presoaking of soil below slabs may be recommended. Consult
the geotechnical report for presoaking recommendations. We note that clayey soils may take an extended
period of time for such, and the contractor should schedule accordingly.
3. In the event of a site change subsequentto our footing observation and prior to concrete placement (i.e., heavy
rain, etc.), we should be contacted to perform additional site observations and/or testing.
4. This memo does not confirm the minimum footing dimension as required by the project structural engineer's
design, if different from the geotechnical report.
Notes to Building Inspector
Soil compaction test results, as well as depth of fill, relative compaction, bearing values, corrosivity, and soil expansion
index test results are contained in the As-Graded Geotechnical or Final Compaction Report provided at the completion
of grading.
5741 PalmerWay
---1-L-.....1 ,...A "'"'"tftnft
1446 E. Chestnut Ave.
l':anh• AnA r:A Q?701
Representative of GeoSoils, Inc.
26590 Madison Ave.
Murrieta. CA 92562
(City of
Carlsbad
CIRCUIT CARD
8-36
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
TIDS CARD MUST BE FILLED OUT AND A V AlLABLE AT TilE SERVICE EQ IDPMENT FOR THE ROUGH INSPECTION
Address: Permit Number:
Owner: I Phone: Area in Sq. Ft. Contractor: I Phone:
PANEL: Mc.ti\ A. I. C. lW VOLTS '1-c.lo 0 WIRE
BKR WIRE MISC REC REC LTG MISC WIRE BKR CKT LOCATION LOCATION CKT SIZE SIZE TYPE SIZE TYPE SIZE
1 2
3 4
n"" hlo 11..1 5 I'>' r q ~ . .; I I /2.. (' l..l Zc7 6 (.~vi
~ 7 t-;' (j.f /t) ~ ' l"l "1.-4 8 tJ~ f-.~1
ln .... LK 9. ,..., lt.f Q ...,..... lc.f /f) 10 ~'t~
-Cl.J~" 11 c') li.f s; .-'1 i l_"l f.:) 12 fl-~L ..t~
11>1-... IJJtt<. 13 1-J \~ ~ I lc.f l') 14 lot~u~d.~,.-·
p,;~ 15 ~~,. \~ ' 'I rz ·z..o 16 k-tl ,f--Ig(,,
rt.J,;; 17 '1.4 '"-,.,., ' f /'7, z., 18 l~t..•-c:J Atl' 19 l'3o li1 ' I /0 ]<1:1 20 lott4A
1/c.. 21 'l&~ to \V I ~ {0 ja 22 CK./.9/l
~.A, 23 t.w 1. Jt , I fl? 1· 24 .A/C.
.S.,t? 25 I IIV 1,. 11-L... ~ I /1? 3• 26 #'c.
27 I It( \V 1-s-28 ~nc ~ Scfclwt.
29 30
31 32
33 34
35 36
37 38
39 \ 40
41 42
MAIN: 0' "'t..#o AMP BRKIFUSE 0 MLO Computed Load AMPS
BUS: AMP See C8/culation Worksheet on back
Service entrance or feeder conductors: Branch circuits required:
A) Size: No. B) Type: 0 CU 0 AL A) Lighting Circuits 220-3(b), 4(d)
B) Two Small Appliance Circuits 210 -11(e) C) Insulation: D) Conduit Size: __ C) Laundry Circuit 220 -16(b) Service ground/bond:
B) Type: [}(u 0 AL
D) Central Heating Equipment 422-12
A) Size: No. -JI:-'f E) Bathroom 210-52( d) "{? Clamp location(s):
UFER 250-50(c) Remarks:
0 Water Pipe 250-104
0 Ground Rod 250-52
0
GFCIIocations 210-8, 680-70: "1!1 Kitchen
I certify that all terminations have been torqued in accordance with manufacturer's ~ Bathroom(s) instructions and that the work shown on this circuit card represents the full extent of
\] Garage(s) OHydromassage Tub the work performed under this permit.
Outdoors 0 DOWner
AFCI Protected Circ. 210 -12 0 Contractor ~ _!gl(, -o Bedroom(s) 0 Signed .¥I Date J-18-l "2
.LJ: -u
B-36 Page 1 of2 Rev. 03/09
(City of
Carlsbad
CIRCUIT CARD
B-36
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
THIS CARD MUST BE FILLED OUT AND A V AJLABLE AT TIIE SERVICE EQUIPMENT FOR TIIE ROUGH INSPECTION
Address: Permit Number:
Owner: I Phone: Area in Sq. Ft.
Contractor: I Phone:
PANEL: CJb A. I. C. l. 2u VOLTS z~,d 0 1-z.. WIRE
BKR WIRE MISC REC REC LTG MISC WIRE BKR CKT LOCATION LOCATION CKT SIZE SIZE TYPE SIZE TYPE SIZE
t:A<A 1 In-I .. Df ~ II./ ,s 2 ltf~ 17r7
PAtA 3 lf" l r; 1-'1..-/a{ (') 4 lt..tlliJIJ....u-JJ..,.u
ILwo-~ 5 /<.-., ' a 1 /'{ IS" 6 ll.Ll.t3.JI. 3
-~
lll..J I..~ 1 7 f'f l'"f ' " ' f4 ~ 8 'L~""".J.. l.t~: /.-..<. 9. 1<.-IZ. £, I " ~ 10 (L~,.... .A.. -(\ 11 l) 1¥ lL. ...
12
13 14
15 16
17 18
19 20
21 22
23 24
25 26
27 28
29 30
31 32
33 34
35 36
37 38
39 \ 40
41 42
MAIN:O AMP BRKIFUSE 0 MLO Computed Load AMPS
BUS: AMP See Calculation Worksheet on back
Service entrance or feeder conductors: ~ Branch circuits required:
A) Size: No. ~"7-B) Type: 0 CU AL A) Lighting Circuits 220-3(b), 4{d)
B) Two Small Appliance Circuits 210-11(e) C) Insulation: D) Conduit Size: ___ C) Laundry Circuit 220-16(b)
Service ground/bond: 6c D) Central Heating Equipment 422-12
A) Size: No. # '( B) Type: CU EJ AL E) Bathroom 210-52( d)
{{ Clamp location(s):
UFER 250-50( c) Remarks:
0 Water Pipe 250-104
D Ground Rod 250-52
D
,locations 210-8, 680-70: ~Kitchen I certify that all terminations have been torqued in accordance with manufacturer's
Bathroom(s) Instructions and that the work shown on this circuit card represents the full extent of
Garage(s) OHydromassage Tub the work performed under this permit. "rJ Outdoors D DOWner
AFCI Protected Circ. 210-12 D Contractor V!J..Ii /:.[.(~ ~ Bedroom(s) D Signed ~ ~ Date t-1.1¥'17 ~
(J
B-36 Page 1 of 2 Rev. 03/09
OJ-Escondido (874)
2061 Aldergrove Ave.
Escondido, CA 92029
Insulation Certificate
Insulation is installed in the structure described below as follows:
Work Area
Attic Area -Batts
Exterior Walls and Rim Joists
Exterior Walls and Rim Joists
Garage ceiling with living area above
Overhangs/cantilevered Areas
Caulk and Seal exterior doors, windows and sill plates
Blown Attic Area
*Rberglass blow has no settling factor for R-values
Job Name:
Lot No:
Lanai Phase 4
8
Insulation By:. __ <=-=::oo~..,.;ifo".,:.,..~ ..... ---::~,~~~,..._--J.__
Date Completed: _ _,.lL.!!o2"-/&19ot</u2uOr..~l~6:....__
Item Installed
R-38 24" x 48" -Unfaced -Batts
R-15 15.25" x 105"-Unfaced-Batts
R-2115.25" x 93" -Unfaced -Batts
R-19 15.25" x 48" -Unfaced -Batts
R-19 15.25" x 48"-Unfaced-Batts
CF812 Foam
R-38 InsuiSafe SP-Blowing Insulation
Job Address: 1204 Lanai Ct
carlsbad, CA 92008
Sq Feet
576
2457
400
476
48
3763
1511
.-..,,:•
.•.
INSTALLATION CERTIFICATE .. . .. . . •' . CF-6R-ENV-21-BERS
. Quality Insulation Installation {Qm • Friiinini Staee Checklist. -(Page 1 ofl)
. Site Address: I' ED:force~ea't Agency: .. , Permit N_tuDber:
1204 Lanai Ct Carlsbad, CA 92008 •' · ..
space or to than 1/8" filled with foam or
118" filled with
to the material installed evenly throughout the attic to verify depth.
rulers installed. Must round up.
same or larger than the net free-ventilation area of the eave vent. (NA
covers.. Gaps around or in the hard cover larger than l/8" filled with
any gaps
Penetrations from wiring in interior walls, electrical boxes, fire alarms etc. sealed with caulk or sealant
into shafts larger
Registration Number: __________ Registration Date/Time: _______ HERS Provider:----
2()(}8 Residential Compliance Forms March 2010
INSTALLATION CERTIFICATE CF-6R-ENV·21-HERS
__Cl_uality Insulation Installation (Oll) -Framing Stage Checklist (Paae2of2)
Site Address: I EDforeeme~~t Ageucy: I PErmit Number: 1204 Lanai Ct Carlsbad, CA 92008
-t' GARAGE /CEILING AIR BARRIER FOR TWO STORIES (no coudltlooed space over Pra&e)
1!1 0 0 Air barrier installed at joists in garage to house transition (between floors). No gaps larger than l/8"
Yes No NA allowed. Use of SPF satisfies the reauirement to seal the 2BD&.
o/ GARAGE /CEIUNG AIR BARRIER FOR TWO STORIES (c:onditioned suace over garage)
Iii 0 0 If insulation is to be installed at subfloor then subfloor has no gaps over 1 18". Air barrier installed at
Yes No NA joists in garage to house transition (between floors). Use of SPF satisfies the requirement to seal the
~ps.
liJ 0 D If insulation is to be installed at ceiling of garage then ceiling and joists to the outside have no gaps
Yes No NA over l/8". (NA ifSPF or no conditioned soace over garage.)
DECLARATION STATEMENT
• I certify under penalty of peljury, under the laws of the State of California, the information provided on this form is true and correct.
• All rows in this document have been checked and all answers are yes or NA
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
representative of the person resporiSI'ble for construction (responsible person).
• I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation)
confonns to all applicable codes and regulations, and the installation is consistent witb the plans and specifications approved by the
enforcement agency.
• I understand that a HERS rater will check the installation to verify compliliiiCe, and that that if such checlcing identifies defects, I am
required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also
perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HBRS
rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and
additional checkin!Vtesting of other installations in that HERS sample group will be performed at my expense.
• I reviewed a copy of the Certificate of Compliance (CF-1 R) form approved by the enforcement agency that identifieS the specific
requirements for the installation. I certify that the requirements detailed on the CF·lR that apply to the installation have been met.
• 1 wiD ensure tbat a completed, slgDed copy oftbisiDstallatioo Certlftcate sball be posted, or made available with the bulldiDg
permit(s) issued for the buildlna. aad made available to tbe eaforeemeat ageacy for all applieable illspedioDS. I uaderstand
tbat a siped copy oftbls IDstllllatloD Certificate is required to be ladaded with the documeatatfoa the buDder provides to the
building owner at occapaac:y. I will ensure that all Installation Certificates will come from a HERS provider data registry for
multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
OJ Insulation, L.P.
ResponsJ'ble Person's Name:
Tom Berry
CSLB license:
888804
Date Signed:
12/19/16
Registration Number: --=----=-------Registration Date/Time: _______ HERS Provider:--,~~---
2008 Residential Compliance Forms March 2010
INSTALLATION CERTIFICATE .. CF -6R·ENV -22-HERS
~lity lnsnlation Installation (QID • Insulation Stage Checldist (Paae 1 of3)
Site Address:
1204 Lanai Ct Carlsbad, CA 92008
I Euforcemeut Ageoc:y: I Permit Number:
Overview-In order for batt and blown in insulation to work conectly the insulation must ftll the wall cavity and touch the air barrier
with no gaps or voids. Ceiling and raised floor batt and blown in insulation must not be compressed and have no gaps or voids. Qll
credit not allowed if an steel framin or structural framin that are in the walls of a coudltioaed ace.
Insulation Staae Checklist ~ FLOOR INSULATION
D D Ia All floor joist cavity insulation installed to uniformly fit the cavity side-to-side and end-to-end. (NAif floors slab
Yes No NA on grade).
D D Ia Insulation in full contact with the subfloor, NO gaps. (NAif floors are slab on grade). Yes No NA
D [J Iii Insulation in contact with air barrier on all five sides. (ends, sides, back). NA if floors are slab on grade. Yes No NA
0 0 Iii Batts cut to fit around wiring and plumbing, or split {delaminated). {NAif loose fill, SPF, or slab on grade). Yes No NA
D D il Batt insulation has continuoll$ support. (NAif loose fill, SPF, or slab on grade). Yes No NA
D 0 1!1 SPF (Spray Polyurethane Foam Medium Density) insulation the average thickness is equal to or greater than that
Yes No NA listed on the CF-1R and the minimum thickness shall be no more than Y.z inch less than the required thickness for
the R-value. (li!_A for other fonns of lnsulatiott).
Iii 0 Insulation R-value same or greater lhan listed on the CF-lR. Yes No
D D Iii SPF insulation properly adhered to avoid gaps and provide an air seal (NA for other fonns of insulation). Yes No NA
D D Iii For SPF list the required floor cavity R-value from CF-lR, R• __
Yes No NA Ust tested average depth of insulation (inches) __ X 5.8 (R-valuetinch for medium density SPF) = __
(R-value). This is the installed R-value and must be equal to or greater than listed on CF-tR (NA for other forms
of insulation).
~WAIL INSUlATION
IKI 0 0 Standard depth cavities insulation fills cavity and touches air barrier on all six sides. (NA if SPF used and meets
Yes No NA the required R-value).
IKI D D All double walls and bump-outs, the insulation fills the cavity or additional air barrier installed so that the
Yes No NA insulation fills the cavity. Insulation touches all six sides. cNA if SPF used and meets the required R-value).
Iii D Behind tub/shower, walls under stairs, and fireplace, insulation touches air barrier on five sides. Not required to
Yes No fill the space. Cavity required to be air tight.
Iii 0 D BATfS, not a single void/depression deeper than%" in ANY stud bay. (NAif loose fill or SPF) Yes No NA
Iii D D DATI'S, voids/depressions tess than 3/4" allowed as long as the area is not greater than 10% of the surface area
Yes No NA for each stud bay. -(NA if loose fill or SPF).
0 0 Iii Loose Fill no gaps or voids of any depth allowed (NA if batts or SPF). Yes No NA
D D Iii SPF insulation properly adhered to avoid gaps and provide an air seal (NA for other forms of insulation). Yes No NA
Iii D Any gaps between studs or insulation larger than 118" must be filled with insulation or foam. Yes No
[iii D All Rim-joists to the outside insulated. Yes No
l!l D Special attention must be paid to comer channels, wall intersections, and behind tub/shower enclosures
Yes No insulated to proper R-Value.
l!J D D All skylight shafts and attic kneewalls insulated with minimum R-19. Yes No NA
1!1 0 D Insulation in full contact with drywall or wall fmlshes of skylight shafts and attic kneewalls. Yes No NA
Re:gisJration Number: __________ Registration DaJe/Time: _______ HERS Provider:-.:-.,....-....,...-~~
2008 Residentilll Compliance Forms March 2010
INSTALLATION CERTIFICATE CF-6R·ENV-22-HERS
QoaUty Insulation lnstaUation (QII) • Insolation Stage Checklist (Paae2 of3)
Site Address: J Euforcemeat Agency: I Permit Number:
1204 Lanai Ct Carlsbad, CA 92008
ILl 0 Wall insulation same or better than what is listed on the CF-lR. Yes No
0 0 ILl SPF list the required wall cavity R-value from CF-lR, R-__ • List tested average depth of
Yes No NA insulation (inch) __ X 5.8 (R-valuelinch for medium density SPF) = __ (R-value) This is the
installed R-value and must be equal to or greater than listed on CF-lR (NA for other forms of
insulation)
D 0 ILl SPF (Spray Polyurethane Foam Medium Density) insulation the average thickness is equal to or greater than that
Yes No NA listed on the CF-1R and the minimum thickness shall be no more than ~ inch less than the required thickness for
the R-value. (NA for other forms of insulation)
<I CEWNG INSULA110N
IKl D DATI'S there must not be a single gap/void/depression deeper than W'. (NA ifloose fill or SPF). Yes No
IKl D BATI'S voids/depressions less than 314" allowed as long as the area is not greater than 10% of the surface area
Yes No for each stud bay. (NA if loose fill or SPF).
IKl D D NO gaps or voids allowed for loose fill and SPF. (NA if bans). Yes No NA
ltl D All ceiling insulation installed to uniformly fit the cavity side-to-side and end-to-end. Yes No
lia D Insulation in full contact with the ceiling. NO gaps. Yes No
lia Cl Insulation in contact with air barrier on all five sides. Yes No
lia D D Batts cut to fit around wiring and plumbing. or split (delaminated). (NA for loose fill or SPF). Yes No NA
IKI D D Batts taller than the trusses must expand so that they touch each other over the trusses. (NA for loose fill or
Yes No NA SPF).
lia Cl D
Yes No NA SPF insulation properly adhered to avoid gaps and provide an air seal (NA for other forms of insulation}
lia D D Insulation fully flUs cavity below any plywood platform or cat-walk. If SPF used then minimum
Yes No NA 3 inches. (NA if no platforms or cat-walks)
Iii D Attic access gasketed Yes No
Iii D Attic access insulated with rigid foam or batt insulation using adhesive or mechanical fastener.
Yes No R-value same as ceiling R-value listed on CF-1R
Iii D Recessed light fiXtures covered full depth with insulation. If SPF used then other forms of insulation used to
Yes No cover or enclosed in a box fabricated from lh-inch plywood, 18 ga. sheet metal, 1/4-inch hard board or drywall
Iii D Roof insulation same or better than what is listed on the CF-1R Yes No
Iii 0 0 Loose FlU Insulation at proper depth-insulation rulers visible and indicating proper depth and R-value for
Yes No NA blown in insulation. (NA for bans or SPF).
Iii Cl D Loose FiU Insulation uniformly covers the entire ceiling (or roof) area from outside of all exterior walls. (NA
Yes No NA for batts or SPF).
Loose-fin insulation meets or exceeds manufacturer's minimum weight and thickness requirements for the target
Iii Cl D R-value. Target R-value. Manufacturer's minimum required weight for the target R-value (pounds-per-square-
foot). Manufacturer's minimum required thickness at time of installation. Manufacturer's minimum required Yes No NA settled thickness. Note: To receive compliance credit the HERS rater shall verify that the manufacturer's
minimum weight and thickness bas been achieved for the target R-value. (NA for baUs or SPF).
Registration Number: --:--~------Registration Dateflime: _______ HERS Provider:---,---~
2008 Residentitd Complianc.e Forms March 2010
INSI'ALLATION CERTIFICATE CF~6R-ENV-22~HERS
Quality Insolation Installation (QID -Insulation Statze Checklist (P82e 3 of3)
Site Address:
1204 Lanai Ct Carlsbad, CA 92008
I Euron:ement Agency: I Permit Number:
D D Iii SPF list the required ceiling cavity R-value from CF-lR. R-__ . List tested average depth of insulation
Yes No NA in X 5.8R = __ R this is the installed R-value and must be equal to or greater than listed on CF-lR (NA ro;-
other forms of insulation) ·
0 0 liJ SPF insulation must be covered with other fonns of insulation or enclosed in a box fabricated from ~ inch
Yes No NA plywood, 18 gauge metal, 'A inch hard board or drywall. The exterior of tbe box may then be insulated with
SPF.
[J [J Iii SPF insulation the average thickness is equal to or greater than that Usted on the CF·lR and the minimum
Yes No NA thickneSs shall be no more than ~inch less than the required thickness for the R-value. (NA for other forms of
insulation)
-' GARAGE ROOF/CER.ING INSULATION FOR TWO STORIES (no conditioned space over uraae)
!!] D I D Insulation installed at joists against the air barrier in the garage to house transition. All wall insulation
Yes No NA requirements above must be met. (NAif conditioned space over garage).
./ GARAGE ROOF/CEILING INSUI.A'DON FOR TWO STORIES( conditioned SPace over unute)
Iii 0 0 If insulation is to be Installed at subtloor then the Insulation must also be installed at joists against the air barrier
Yes No NA in the garage to house transition. All ceiling and wall insulation requirements above must be met. (NA if no
conditioned soace over 28Ilge).
Iii D I:J If insulation is to be installed at ceiling of garage then the joists to the outside must be insulated and all tbe
Yes No NA insulation requirements listed above must be met. (NAif no conditioned space over garage).
DECLARA'DON STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the infonnation provided on this fonn is true and correct.
• I have read the High Quality Insulation Installation Procedures (Residential Appendix, RA3.5), understand these procedures, and
understand that there are additional requirements than must be met than those listed on this CF-6R.
• All rows in this document have been checked and all answers are yes or NA
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
representstive of the person responsible for construction (responsible penon).
• I certify that the installed features, materials. components, or manufactured devices identirled on this certificate {the installation)
confo.ons to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• I unden;tand that a HERS rater will be checking the installation and that If such checking identifies defects, I am required to take
corrective action at my expense. If the installation is part of a sample group for HERS verification, and tbe installation fails to meet
the requirements of such quality assurance checking. additional checking/testing and repair of other installations in the HERS
sample group will be required at my expense. I understand that the HERS provider, and Energy Commission representatives will
also be performing checks of the installation on jobs not tested by the HERS rater.
• I reviewed a copy of the Certificate of Compliance (CF-lR) fonn approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF-lR that apply to the installation have been met.
• I wiH ensure tbat a completed, signed copy of this Installation Certificate shaD be posted, or made available with the building
permit(&) issued for tbe buftdbag, ad made aYaUable tn the euforc:ement ageoey for all applicable inspections. I understand
that a signed cop;y of this lustallatloa Certificate It required to be laduded with the dOCIImeotation the builder provides to the
buildiug owner at ocwpaucy. I will ensure that all Installation Certificates will come from a HERS provider data registry for
multiple orientation alternatives and on October 1, 2010, for all low-rise residential buildings.
Company Name: (Installing Subcontraaor or General Contractor or Builder/Owner)
OJ Insulation
Responsible Person's Name:
Tom Berry
CSLB License 888804 Date Signed: 1211911
Registration Number:-...,.,...-~~-----Registration Date/Time:-------HERS Provider:--=-~--=-::-::-::~
2008 Residential Complillnce Forms March 2010