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Home My WebLink About1205 LANAI CT; ; CB162112; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-14-2016 Residential Permit Permit No: CB162112 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1205 LANAI CT CBAD RESDNTL 1563513200 $607,377.00 1 4 Sub Type: SFD Lot#: 9 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 5 3,842 SF LIV /657 SF GARAGE /493 SF PATIO 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 $2,361.26 $0.00 $1,652.88 ($500.00) ($132.23) $78.96 $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 $25.00 $0.00 Total Fees: $40,234.19 Total Payments to Date: Inspector: m. ~ 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 $40,234.19 Balance Due: Clearance: FS3/4 $0.00 $356.00 $4,963.00 $0.00 $11,054.26 $10,203.93 $0.00 $0.00 $3,160.00 $0.00 $0.00 $326.00 $89.00 $106.13 $0.00 $0.00 $0.00 $0.00 $881.00 $0.00 $0.00 $40,234.19 $0.00 I'OTlCE: Rease take I'OTlCE tta ~ ci your prqec:t irdllles tre "lrrpositicn" ci fees, decicctions, reservaioos, or aher exa:iions hereafter oollec:tively refened to as "feeslexa:iiOI"lS." You have 00 days fran tl"e date tns penrit was issued to praest irrpositial ci these feesfexa:iions. If yw prdest them, yw rrust fcllo.vtl"e praest proadJes set forth in GMmrert Ccxle Sec:tioo EBl20(a), a-d file tl"e prdest a-d art/ aher recpred irlarTBioo Wth tl"e aty Mllager for proca;sirg in a:x:ada ICE Wth catsba:l Mridpal Ccxle Sec:tioo 3.32.!m. Faill.le to till"Eiy fcllo.vthat proalCkJe Yoill bEl" artf Slbsecp.Ert legal a::lioo to alta:k, review, set aside, \tid, or an..ll their irrpositioo. You ae l"erel:7f Fl..Rll-ER I'OTlRED that ywr ngt to praest tl"e ~e::t feesfexa:iions CXl:S f\OT .APPI... Y to Wfl.er a-d esN?r oornec:tia1 fees a-d~ cta-ges, nor plmrg, zorirg, ga:irg or dher sirrilar ~icctioo proca;sirg or servire fees in oomedial Wth tlis prqec:t. 1\(R CXl:S IT .APPI... Y to artf • • • 0 • • 0 • • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-14-2016 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW160253 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: SHEA HOMES 200 1205 LANAI CT CBAD SWPPP 1563513200 CB162112 LANAI: PHASE 4/ PLAN 5 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#: 9 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: $0.00 FINAL APPROVAL DATE oif 'Z'5' r1 CLEARANCE. ___ _ SIGNATURE f11. ~' Inspection List Permit#: CB162112 Type: RESDNTL SFD Date _ _ln~p_t!5>_n~m ___________ Inspector 10/27/2016 13 Shear Panels/HD's PD 10/18/2016 15 Roof/Reroof MC 10/17/2016 15 Roof/Reroof MC 09/06/2016 11 Ftg/Foundation/Piers MC 09/06/2016 31 Underground/Conduit-Wirin MC 08/29/2016 21 Underground/Under Floor MC 08/29/2016 22 Sewer/Water Service MC Thursday, January 26, 201'7 Act AP AP PA AP AP AP AP LANAI: PHASE 41 PLAN 5 3,842 SF LIV I 657 SF GARAGE I 493 SF P Comments TRUSS ESE ONLY UFER WASTE TO P.O.C., SEWER BF DEVICE REQUIRED BLDG. SUPPLY Page 1 of 1 PERMIT INSPECTION HISTORY REPORT (CB162112) 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: 04/25/2017 Address: 1205 Lanai Ct Carlsbad, CA IVR Number: 714852 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 11/09/2016 BLDG-27 Shower 000706-2016 Passed Michael Collins Complete Pan/Tubs Checklist Item COMMENTS Passed BLDG-Building Deficiency No 11/07/2016 11/07/2016 BLDG-84 Rough 000056-2016 Failed Michael Collins Reinspection 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 11/08/2016 11/08/2016 BLDG-84 Rough 000287-2016 Failed Michael Collins Reinspection 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 Complete all work. No BLDG-34 Rough Electrical No BLDG-44 No Rough-Ducts-Dampers 11/09/2016 11/09/2016 BLDG-84 Rough 000524-2016 Passed Michael Collins Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Complete all work. Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 11/1412016 11/1412016 BLDG-161nsulation 000996-2016 Passed Michael Collins Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency No 11/21/2016 11/18/2016 BLDG-171nterior 001960-2016 Passed Peter Dreibelbis Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes January 25, 2017 Page 1 of2 PERMIT INSPECTION HISTORY REPORT (CB162112) 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: 04/25/2017 Address: IVR Number: 714852 Scheduled Actual Inspection Type Inspection No. Date Start Date Inspection Status Primary Inspector 12/22/2016 12/22/2016 BLDG-Electric Meter 006684-2016 Passed Michael Collins Release NOTES Created By TEXT Michael Collins EMR emailed to SDGE. 01/23/2017 01/23/2017 BLDG-Final 010633-2017 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. 01/25/2017 01/25/2017 BLDG-Final 011142-2017 Passed 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. January 25, 2017 SHEA HOMES LIMITED PARTNERSHIP 1205 Lanai Ct Carlsbad, CA Reinspection Complete Complete Created Date 12/22/2016 Relnspection Passed No No No No No Incomplete Created Date 01/23/2017 Passed Yes Yes Yes Yes Yes Complete Created Date 01/23/2017 Page 2 of2 '~ ' ...... ~ "•' ~ c rv o;: CARLSBAD ·ifding Division INSPECTION RECORD ~ INSPECTION RECORD CARD WITH APPROVED PLANS MUST BE KEPT ON THE JOB 0 CALL BEFORE 3:30pm FOR NEXT WORK DAY INSPECTION 0 FOR BUILDING INSPECTION CALL: 760-602-2725 OR GO TO: www.Carlsbadca.gov/Buifding AND CUCK ON "Request Inspection" DATE: Planning/Landscape 76Q-944-8463 CM&I (Engineering Inspections) 760-438-3891 Fire Prevention 76Q-602-4660 CB162112 1205 LANAI CT LANAI: PHASE 4 I PLAN 5 3,842 SF LIV I 657 SF GARAGE I 493 SF PATIO RESDNTL SFD Lot# 9 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'31::;-'Date~ .It< q de.. 't~ TYPE OF i Reinforced Concrete D Welding 0 DINEp~ INSPECTION Post Tensioned Concrete D Fireproofing D Wood Framing REQUIRED D Reinforced Masonry D Asphalt I D Other Job Address~_~_.... rz;.,: _L -""'--~ Tract No. Lot No. ·( _ "1 Job Name ( .LL..A._A.f Permi~ <:..lift:. oil!! ~~ A.AJ lssuedBC..~ Type of Structure ~o.C..... Architect ... £ ........ ,_,.. ~escri~~(type, grade, source~,, __ ... ~ .I .-,.· '~"" J I> c;, .£L'-"""" Engineer ·, ......... l' ...... A.6r _:1-~-......... ,.. y~ .. d ~~c.c:../-+~ Contractor <...JJ...,e ..._ L -~ 6#'<.. Inspector's Name ~ . A u' --1, ,_._.,. .. ' SubcontractorS .r (A.1, C.....CilAr.::::> 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, lYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS _(\X_ELD MADE H.T. BOLTS TORQUEQ}_ CHECKED, ETC. -~-~p~~ (....,e:, ,...,. -# -r ... ~<1.' - -c>t$.$~A AIF 1':} TU£. t. ..4. ..>J-o....vr l . Pc. .~ 31'~r ~ d. ~ ~ ~...r:::>c:nA s. (_}I~" <:6 --e-...... -"':. "") ~ 1Jf.:..A-..L ", .. If?~ ~---r--~~ .... <:..1 d <2' ( .... or-11 "7 ~,.c:; . ....A~~ .AA-11? L S. O-<.... '11!3 .. '"" J!t:,..c:....QIC ~ ~-:> .44 -~ ~ p~ CS,/?~<5.. ~~ , ~~ C.Jtk . ..LJ? ~~1 ~JI.... c. v~ .1/Cd.. - I ~·f!x_ccy_ f*~~"•--.~.s . I l .r1 T .If. -t lZ~ <...AV'\Art ~ ~.AAIZ.'t lj ;-.£."J~-~~zez .., ~ ~8 I'G o<.f c. -1-.~ . IlL~ CERTIFICATION OF COMPL!ANCE I HEREBY CERTIFY THAT I H..,_;;..,uv ALL OF THE ABOVE FOUND THIS WO AND APPLICABI.! S ,, .. "' ; ~ viii# "'"lf1 v f0(,1 .. ~~ I <&>"'l., 1 t ·~ CONTINUED ON NEXT PAGE 0 PAGE L OF TIME IN TIMEOUT SAMPLES White-Office Copy • Canary-Accounting Copy • Pink-Inspector's Copy • Goldenrod-Jobsite Copy sm F-049 Geotechnical • Coastal • Geologic • Environmental FOOTING TRENCH OBSERVATION SUMMARY Client Name:....;:...,...;../:...., ....;._.~'-._. ____________ Project Name:...:::-:...· ..;.·:..;.''.:;;;;r'.i..' ------------ , ... -., .. Location!Tract: ...;'-:::::..."-i ...:.i...:·;:.., ·..;..·...:.~)..._! _-::....:::..:..:':.:...:;: ,_·....:/..._,. ;.;...__.__ ______________________ _ Uni~~-~.~): ..:.f...:.l._.l -..... , .......::.~--'-,.:...· _ .......... ~':...-; _..;....;.·_/_.· ·--=-!_-_.:...:/ ';;....· ....;._/....:::-... "::.::+'-="":..:.· < ............ 7"-:; "-/ .:..;;1 --:...;;~....~'.,~.......:....-· ;:....-• ............ '-:...f. -r~.-· (.;;;.:&o1114.,..;,;:....;.J...,.·.:..l ·<~'i""l_., ....... t ..... ---- 1 I ... Referenced Geotechnical Report(s): _(...;..:-..;:;:._ ...:. ... :...-..;..:_... .. "'-f-. ___;-....;.---.:.J_-· ·:...t .... ....:..., -•:...:.' ~-·-..;..t .__..._____.~.;;.;{ ":...' ..._! ..._,::.....;..,_· -::...,: _r_.,r...;..' i ---------; Observation Summary !\I. Initials 1 . f/· Date / /. Initials 1 f 1 ~-Date fi. 1, Initials . , , It Date f. f. . Initials ...L-.:......:.i.::..:..,!., 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 . ',I.--.':..,.•,-.... t-, _ ;~.... ~ ......... iL ~:);~-.-·Vi"' ! 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 subsequent to 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 r.arlcohal'l r.A Q~OOR 1446 E. Chestnut Ave. Santa Ana. CA 92701 Representative of GeoSoils, Inc. 26590 Madison Ave. Murrieta, CA 92562 bl-tA,Inc land planning, civil engineering, surveying September 2, 2016 W.O. 452-1224-600 Mr. Michael Collins CITY OF CARLSBAD BUILDING INSPECTION 1635 Faraday Avenue Carlsbad, CA 92008 ROD BRADLEY, Urban Planner RONALD L. HOLLOWAY, Civil Engineer RE: BUILDING FORM VERIFICATION OF LOTS 7, 8 AND r, MILES ·PACIFIC SUBDIVISION, 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, bl-tA, Inc. ~t/()~·~ :-L:d A Maro:l .- Vice President PLS5941 AAM:aam cc: Jason Korszeniewski-Shea Homes K:\Ovil3D\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 (City of Carlsbad CIRCUIT CARD B-36 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www .carlsbadca .gov TillS CARD MUST BE FILLED OUT AND AVAILABLE AT THE SERVICE EQUIPMENT FOR THE ROUGH INSPECTION Address: Permit Number: Owner: I Phone: Area in Sq. Ft. Contractor: I Phone: PANEL: f-t..ar ·,"" A.I.C. /~ VOLTS ·z."-'c 0 WIRE BKR WIRE MISC REC REC LTG MISC WIRE BKR CKT LOCATION LOCATION CKT SIZE SIZE TYPE SIZE TYPE SIZE ltAit.n1 1 1-o 12 (l) I _q 1 1'/ r-11 /) 2 1/.w.~ li_. J. Jill. 3 -tP 11. 4 /0 1-1 ('j'"' 4 !t)...,)f,i,#/-t-' Alf I 5 "JO '" \ ' ·( ,., (~ 6 lt1 ... n"''' Jti. 7 '}0 JO I I ,.., I<"" 8 ~-~·w. ir£ 9. -;o 10 ' t 1j_ t<"" 10 IJ}sr, "'•sMs-tl 11 .,, rd ' t.{ /'I.. v 12 I 'JC-tff#'!» flt,nrz Ltul\ 13 'l-<1 10 ' 3 . \ '1-ZA 14 ~11 #A. r..JJ)\. 15 '1" co 'v \ 3 (1... -z,o 16 rttf~.J 17 I .J't,. ~~.u. ,,o 18 <JI'J 19 I 1-"'L-~r ),.L ,,o 20 s,..,,.., 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 \ 40 41 42 MAIN:~ z..,e, AMP BRKJFUSE 0 MLO Computed Load AMPS BUS: AMP See Celculation 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: ~ 0 AL D) Central Heating Equipment 422-12 A) Size: No. ,l: ~ E) Bathroom 210-52( d) C) Clamp location(s). lsiUFER 250-50(c) Remarks: OWaterPipe 250-104 0 Ground Rod 250-52 0 GFCIIocalions 210-8, 680-70: ·""o I certify that all terminations have been torqued in accordance with manufacturer's :'\:l Bathroom(s) Kitchen 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 ·'lA~"' Cft{.. 'ts. Bedroom(s) 0 Signed _...j_ Date J~ii-::&1"1 r v u B-36 Page 1 of2 Rev. 03/09 ~ {City of Carlsbad lA,} CIRCUIT CARD B-36 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov TillS CARD MUST BE FILLED OUT AND AVAILABLE AT TilE SERVICE EQUIPMENT FOR THE ROUGH INSPECTION Address: Permit Number: Owner: I Phone: 1----------------1'--------------------i Area in Sq. Ft. Contractor: I Phone: PANEL: Svb A A.I.C. ('l,..Q VOLTS 7/{(} vo WIRE LOCATION CKT BKR SIZE WIRE SIZE TYPE MISC REC REC LTG MISC WIRE SIZE TYPE BKR SIZE CKT LOCATION ,, • " 1'1 fO "} t'b 2 1-S;t-JL.t~;. ~ IILJ//1 ..il . ..A 3 \""( 14 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 MAIN: 0 AMP BRK/FUSE 0 MLO BUS: 1~ AMP Service entrance or feeder conductors: A} Size: No. -j-z, B} Type: 0 CU 0 AL C) Insulation: D) Conduit Size: __ _ Service ground/bond: d A) Size: No. tp 2 B) Type: 0 CU 0 AL C) Clamp location(s): ~UFER ld Water Pipe ~Ground Rod 0 250-50(c) 250-104 250-52 GFCIIoc-a""'"'ti-on-s""""21"""o---=-a-::, 680:=:-_--:7=-=o-: -'-- ~ Bathroom(s) ~Kitchen ~ Garage(s) OHydromassage Tub "liJ Outdoors 0 AF.e_ Protected Circ. 210 -12 ------ ~ Bedroom(s) 8-36 t:> 4 LM=Ol..n.. -z/-' 6 ICA-"""'" 8 ,;.,4-<A. t"'V v 10 IDJ .... PI~ 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 Computed Load -~---::--:---:-;;---:-:c:-:--:--:---:--:---AMPS See Calculation Worksheet on back Branch circuits required: A) Lighting Circuits B) Two Small Appliance Circuits C) Laundry Circuit D) Central Heating Equipment E) Bathroom 220-3(b), 4{d) 210-11(e) 220 -16{b) 422-12 210-52( d) Remarks: _______________ _ I certify that all terminations have been torqued in accordance with manufacturer's instructions and that the work shown on this circuit card 'represents the full extent of the work performed under this permit. DOWner 0 Contract""'"o-r--::d:"""¢-M~---,1;)=1(7(-;;;--· ------ 0 Signed ___,:--o1t-:::,-----Date 1-l'f. 17 ~ v 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 *Fiberglass blow has no setUing factor for R-values Job Name: Lot No: Lanai Phase 4 9 Insulation av:. __ a=~~~:41"'44--~~~,L--+- Date completed: 12/19no16 . Item Installed R-38 24" x 48"-Unfaced-Batts R-15 15.25" x 105"-Unfaced-Batts R-21 15.25" 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: 1205 Lanai a Car1sbad, CA 92008 Sq Feet 996 1906 800 661 125 3892 1334 "-• INSTALLATION CERTIFICATE .. ., CF-6R.-ENV -21-HERS . -.. .Quality Insulation Installation (Q_ll) -Frilinin2 Staae Cliecklist -(Pagel of2) .. Site Adcbws: r En:force~eiit Ageucy: . I Permit N.umber: 1205 Lanai Ct Carlsbad, CA 92008 to unconditioned space or to outside larger than 1/8" filled foam or holes for electrical up. area the eave vent. covers. Gaps around or in the hard cover larger than l/8" filled with 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: ___ _ 2008 Residentilll Compliance Forms March 2010 INSTALLATION CERTIFICATE CF -6R-ENV -21-BERS -QuaUty Insulation Installation COD) -Framin~ Staae Checklist (Paae2ofl) Site Address: I Eafon:ement Ageac:y: r Permit Number: 1205 Lanai Ct Carlsbad, CA 92008 -1' GARAGE /CEIUNG AIR BARRIER FOR TWO STORIES (no eoodltloned space over Pru.e) 1!1 D D Air barrier installed at joists in garage to house transition (between floors), No gaps larger than l/8" Yes No NA allowed. Use ofSPF satisfies the reauirement to seal the 2ans. ./ GARAGE /CEILING AIR BARRIER FOR TWO STOIUES (cooditioned space over !l81'82e) liJ D (J If insulation is to be installed at sub floor then subfloor has no gaps over 1/8". Air barrier installed at Yes No NA joists in garage to house transition (between floors). Use of SPF satisfies the requirement to seal the gaj?S. liJ D 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 1/8". (NA if SPF 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 responsible 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 oodes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking 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 HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • 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 dtta.iled on the CF·lR that apply to the installation have been met. • I wll eDSUre that a completed. slgDecl copy of this Installation Certilkate shaH be posted, or made avaRable with the building permlt(s) Issued for the buUdi~~g. aad DUlcie available to the enfolUIIlent agency for aD applleable IDspeetioDS. I understand that a siped mpy of Oils IDstallatiGII Certifkate Is required to be illdllded with the documeJitatlou tbe buDder provides to the building owner at occupucy. 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. Responsible Person's Name: Tom Berry CSLB license: 888804 Date Signed: 12/19/16 Registration Number: --=---------Registration Date/Tune:-------HERS Provider:--..,.--= 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-ENV -22-HERS OUftUlY Insulation Installation (Qll) -Insulation SW!e Checklist (Pae:e 1 of 3) Site Address: 1205 Lanai Ct Carlsbad, CA 92008 I Bafoccemeot Agency: I Permit Number: Overview-In order for batt and blown in insulation to work correctly the insulation must Oil 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 framln or structural framin that are in the walls of a coaditioned s ce. losulation Stae:e Checklist ./' FLOOR INSULA110N [] [] iJ 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 iJ Insulation in Cull contact with the subfloor, NO gaps. (NAif floors are slab on grade). Yes No NA [] D iJ Insulation in contact with air barrier on all five sides. (ends, sides, back). NAif floors are slab on grade. Yes No NA D D iJ Batts cut to fit around wiring and plumbing, or split (delaminated). (NAif loose fill, SPF, or slab on grade). Yes No NA D D iJ Batt insulation bas continuous support (NAif loose fill, SPF, or slab on grade). Yes No NA D D 1!1 SPP (Spray Polyurethane Foam Medium Density) insulation the average thickness is equal to or greater than that Yes No NA listed on the CF-lR and the minimum thickness shall be no more than ¥z inch less than the required thickness for the R-value. (NA for other forms of insulation). Ia [] Insulation R-value same or greater than listed on the CF-lR. Yes No D [] Iii SPF insulation properly adhered to avoid gaps and provide an air seal (NA for other forms of insulation). Yes No NA D D Iii For SPF li5t the required floor cavity R-value from CF-1R, 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-lR (NA for other forms of insulation) • ./'WALL INSULATION Ia D [J 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). liJ D [J 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. (IliA if SPP used and meets the required R-value). liil 0 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. liJ D D BA'ITS, not a single voidfdepression deeper than %" in ANY stud bay. (NA if loose fill or SPF) Yes No NA [jjJ [] 0 BA1TS, voids/depressions less 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 [] liJ Loose Fill no gaps or voids of any depth allowed. (NA if batts or SPF). Yes No NA CJ 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 I!J D Special attention must be paid to corner channels, wall intersections, and behind tub/shower enclosures Yes No insulated to proper R-Value. l!l c D All skylight shafts and attic kneewalls insulated with minimum R-19. Yes No NA 1!1 c [] Insulation in ful contact with drywall or wall finishes of skylight shafts and attic kneewalls. Yes No NA Registration Number:--,....----.,.------Registration Date/Time:-------HERS Provider:----- 2(){)8 ResidentitJl Complilmce Forms March 2010 INSTALLATION CERTIFICATE CF·6R·ENV -22-HERS QuaHty Insulation Installation (QII) • Insulation Stage Cbeddist (Pa~2of3) Site Address: I Enforcemeot Agency: I Permit Number: 1205 Lanai Ct Carlsbad, CA 92008 il 0 WaU insulation same or better than what is listed on the CF-lR. Yes No 0 0 il SPF list the required wall cavity R-value from CF-lR, R-__ • List tested average depth of Yes No NA insulation (incb) __ X 5.8 (R-value/inch for medium density SPF) = __ (R-value) This is the installed R-value and must be equal to or greater than listed on CF-1R (NA for other forms of insulation) D 0 il SPF (Spray Polyurethane Foam Medium Density) insulation the average thickness is equal to or greater than that Yes No NA listed on the CF-lR and the minimum thickness shall be no more than If, inch less than the required thickness for the R-value. (NA for other forms of insulation) <f CEILING INSULATION Iii 0 DATI'S there must not be a single gap/void/depression deeper than%". (NA if loose fill or SPF). Yes No Iii 0 DATI'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. (NAif loose fill or SPF). IKl 0 0 NO gaps or voids allowed for loose fill and SPF. (NA if batts). Yes No NA iJ [J All ceiling insulation installed to uniformly fit the cavity side-to-side and end-to-end. Yes No Iii 0 Insulation in full contact with the ceiling. NO gaps. Yes No Iii 0 Insulation in contact with air barrier on all five sides. Yes No IKI 0 0 Batts cut to fit around wiring and plumbing, or split (delaminated). (NA for loose fill or SPF). Yes No NA Iii IJ 0 Batts taller than the trusses must expand so that they touch each other over the trusses. (N A for loose fill or Yes No NA SPF). Iii CJ 0 Yes No NA SPF insulation properly adhered to avoid gaps and provide an air seal (NA for other forms of insulation) Iii [J D Insulation fully fills 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 0 Attic access gasketed Yes No Iii [J Attic access insulated with rigid foam or batt insulation using adhesive or mechanical fastener. Yes No R-value same as ceilingR-value listed on CF-lR Iii [J 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 lf,z.inch plywood, 18 ga. sheet metal 1/4-inch hard board or drywall tiiJ 0 Roof insulation same or better than what is listed on the CF-1R Yes No tiiJ 0 CJ Loose FiU Insulation at proper depth-insulation rulers visible and indicating proper depth and R-value for Yes No NA blown in insulation. {NA for batts or SPF). tiiJ [J [J Loose FiU Insulation DDifonnly covers the entire ceiling (or roof) area from outside of all exterior walls. (NA Yes No NA for batt& or SPF). Loose-fill insulation meets or exceeds manufacturer's minimum weight and thickness requirements for the target tiiJ 0 D R-value. Target R-value. Manufacturer's minimum required weight for the target R-value (pounds-per-square- Yes No NA foot). Manufacturer's minimum required thickness at lime of installation. Manufacturer's minimum required settled thickness. Note: To receive complianoe credit the HERS rater shall verify that the manufacturer's minimum weight and thickness has been achieved for the target R-value. (NA for baUs or SPF). Registration Number: __________ Registration Date/Time; _______ HERS Provider:-:-:-...,...,~~ 2008 Residential Complianc.e Forms March 2010 INSTALLATION CERTIFICATE CF-6R-ENV -22-HERS Quality Insolation Installation (Qm -Insulation Sta£e Checklist lPne3of3) Site Address: 1205 Lanai Ct Carlsbad, CA 92008 I EDfon:ement Agency: l Permit Number: Cl Cl 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 for other forms of insulation) 0 0 il SPF insulation must be covered with other forms of insulation or enclosed in a box fabricated from ~ inch Yes No NA plywood, 18 gauge metal, V.. inch hard board or drywall. The exterior of the box may then be insulated with SPF. D D m SPF insulation the average thickness is equal to or greater than that listed 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/CEHJNG INSULATION FOR TWO STORIES Cno conditioned 11oace over ural!e\ 1!1 o I [J Insulation installed at joists apinst the air barrier in the garage to house transition. All wall insulation Yes No NA requirements above must be met (NAif ronditioned space over sage). <I' GARAGE ROOF/CEILING INSULATION FOR TWO STORIES( conditioned soace over unme) Iii D [J If insulation is to be Installed at subtloor then the insulation must aiSG 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 (NAif no conditioned &Dace over earue). Iii D 1:1 If insulation is to be installed at ceiling of garage then the joists to the outside must be insulated and all the Yes No NA insulation requirements listed above must be met. (NA if no conditioned space over garage). DECLARATION STATEMENT • l certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I have read the High Quality Insulation Installation Procedures (Residential Appendix, RA3.5), unde.tstand 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 ronstruction, or an authorized represenlalive of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is a)Osistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will be checking the installation and that if such checking identifies defects, l am required to take rorrective 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 ropy 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 iustallation have been met. • I wiD easure that a completecl, rdgaed cop1 of thillastallatio.a Certitieate shall be posted, or made available with the buildina permit(&) isaued for the bulldillg. aDd made avaUable to the enforcement agency for all applicable inspections. I understand that a siped copy of this lastalladon Certi&cat.e ill required to be Included with the documeatation the builder proYides to the buildiag owner at oc:eupancy. 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 Subrontractor or General Contractor or Builder/Owner) OJ Insulation Responsible Person's Name: Tom Berry CSLB License 888804 Date Signed: 1211911 Registration Number: __________ Reglslralion Date/Tune:-------HERS Provider:--=--=--~=-=~ 2008 Residential Compliance Forms March 2010