HomeMy WebLinkAbout1224 LANAI CT; ; CB152654; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11 -23-2015 Residential Permit Permit No: CB152654
Building Inspection Request Line (760) 602-2725
Job Address:1224 LANAI CT CBAD
Permit Type:RESDNTL Sub Type: SFD Status:ISSUED
Parcel No:1563512600 Lot #:3 Applied: 08/18/2015
Valuation:$543,013.00 Constuction Type: 5B Entered By: SLE
Occupancy Group:Reference #:Plan Approved:11/23/2015
# Dwelling Units:1 Structure Type: SFD Issued:11/23/2015
Bedrooms:5 Bathrooms:5.5 Inspect Area:
Orig PC #: PC150036 Plan Check #:
Project Title:LANAI BY SHEA HOMES: MODEL
PLAN 5 -3,842 SF LIV, 697 SF GARAGE, 493 SF PATIO, 488 SF
DECK,1 FIREPLACE
Applicant:Owner:
SHEA HOMES
9990 MESA RIM RD
SAN DIEGO CA 92121
858-526-6500
Building Permit $2,169.26 Meter Size FS3/4
Add'l Building Permit Fee $0.00 Add'l Red. Water Con. Fee $0.00
Plan Check $1,518.48 Meter Fee $317.00
Add'I Plan Check Fee ($1,500.00)SDCWA Fee $4,800.00
Plan Check Discount $0.00 CFD Payoff Fee $0.00
Strong Motion Fee $70.59 PFF (3105540)$9,882.84
Park in Lieu Fee $0.00 PFF (4305540)$9,122.62
Park Fee $0.00 License Tax (3104193)$0.00
LFM Fee $0.00 License Tax (4304193)$0.00
Bridge Fee $0.00 Traffic Impact Fee (3105541)$3,100.00
Other Bridge Fee $0.00 Traffic Impact Fee (4305541)$0.00
BTD #2 Fee $0.00 Sidewalk Fee $0.00
BTD #3 Fee $0.00 PLUMBING TOTAL $296.00
Renewal Fee $0.00 ELECTRICAL TOTAL $89.00
Add'I Renewal Fee $0.00 MECHANICAL TOTAL $94.18
Other Building Fee $0.00 Housing Impact Fee $0.00
HMP Fee $0.00 Housing InLieu Fee $0.00
Pot. Water Con. Fee $5,604.00 Housing Credit Fee $0.00
Meter Size FS3/4 Master Drainage Fee $0.00
Add'I Pot. Water Con. Fee $5.00 Sewer Fee $842.00
Red. Water Con. Fee $0.00 Additional Fees $138.00
Green Bldg Stands (SB1473) Fee $22.00 Fire Sprinkler Fees $0.00
Green Bldg Stands Plan Chk Fee $0.00
TOTAL PERMIT FEES $36,570.97
Total Fees:$36,570.97 Total Payments to Date:$36,570.97 Balance Due:$0.00
FINAL APPR,OVAL
Inspector:(c.-ee4;i4e Date:0411g1/1-7 _Clearance:
NOTICE Reese take NOTICE that approval of your pitied indudes the "Imposition" cf fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions."You have 93 clays from the date this pernit was issued to protest imposition cf these fees/exactions.If you protest them, you must
follcvv the protest procecbres set forth in Government =te Section 6€020(a), and file the protest and any other mocked it &Alf ation with the City MarrEger for
processing in dautla a Wth Carlsbad Munidpal °lie Section 3.32.030.Failure to timely follow that procedure WII her any subsequent legal action to attadc
review, set aside, void, or alnul their irrposition.
You are hereby FURTFER NOTIFIED that your right to protest the specified fees/exactions COPS NOT APPLY to water and sewer connection fees and capacity
thanges, nor planning, zoning, gracing or other sirrilar application processing or service fees in connection withttis project.NOR DOES IT APPLY to any
fees/exactionsc which you have ore‘ricuslv been riven a NOTICE similar to this. or as to With the statute cf limitations has oreviouslv otherwise mired.
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Storm Water Pollution Prevention Plan (SWPPP) Permit
12-01 -2015 Permit No:SW150321
Job Address:1224 LANAI CT CBAD
Permit Type:SWPPP Status:ISSUED
Parcel No:.N41563512600 Lot #:3 Applied:08/18/2015
Reference #:Entered By:SLE
CB#:CB152654 Issued:11/23/2015
Inspect Area:MC
Project Title:N LANAI MODEL: PLAN 5 Tier:1
Priority:M
Applicant:Owner:
SHEA HOMES
9990 MESA RIM RD
SAN DIEGO CA 92121
858-526-6500
Emergency Contact:
SARAH MORRELL
760-715-1584
SWPPP Plan Check $53.00
SWPPP Inspections $224.00
Additional Fees $0.00
TOTAL PERMIT FEES $277.00
Total Fees:$277.00 Total Payments To Date:$277.00 Balance Due:$0.00
FINAL APPROVAL
DATEo4kii CLEARANCE
SIGNATURE tfrl.Gz-eeAs
PERMIT INSPECTION HISTORY REPORT (C8152654)
Permit Type:BLDG-Residential Application Date:08/18/2015 Owner:
Work Class:Single Family Detached Issue Date:11/23/2015 Subdivision:
Status:Closed -Finaled Expiration Date:09/01/2017 Address:1224 Lanai Ct
Carlsbad, CA
IVR Number:708644
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
03/22/2017 03/22/2017 BLDG-Final 017317-2017 Failed Michael Collins Reinspection Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
03/29/2017 03/29/2017 BLDG-Final 018062-2017 Failed Michael Collins Reinspection Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
04/06/2017 04/06/2017 BLDG-Final 019086-2017 Failed Michael Collins Reinspection Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
04/18/2017 04/18/2017 BLDG-Final 020262-2017 Passed Michael Collins Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
April 18, 2017 Page 1 of 1
Inspection List
Permit#:CB152654 Type:RESDNTL SFD LANAI BY SHEA HOMES: MODEL
PLAN 5 -3,842 SF LIV, 697 SF GARAGE, 4
Date Inspection Item Inspector Act Comments
05/12/2016 89 Final Combo MC PA OK TO OCCUPY FOR MODEL USE
ONLY.
05/10/2016 89 Final Combo MC CA PER CONTRACTOR
05/04/2016 92 Compliance Investigation MC PA MODEL FINAL PRE-LIM.
03/09/2016 82 Drywall/Ext Lath/Gas Test MC AP
03/04/2016 22 Sewer/Water Service MC AP BUILDING SEWER AND WATER TO
P.O.C.
03/04/2016 27 Shower Pan/Roman Tubs MC AP
03/04/2016 84 Rough Combo MC AP
03/03/2016 84 Rough Combo MC NR
02/29/2016 13 Shear Panels/HD's MC AP
02/16/201615 Roof/Reroof MC AP
12/11/2015 11 Ftg/Foundation/Piers MC AP
12/11/2015 31 Underground/Conduit-Wirin MC AP UFER
12/04/2015 21 Underground/Under Floor PD AP
Thursday, April 20, 2017 Page 1 of 1
„.410,„,,.,. S.
...........
A r4 ..5 ?PROJECT NO.
INSPECTION DATE /V/
DAILY INSPECTION REPORT •OONiasygnyE FOR WEEKENDING
I AN MIGIORfitso By The llCRY ofBan MIN 0 (ISM .0 ASIR Ei REMFONCED CONCRETE •0 STRUCTURAL STEEL ASSEMBLY
UNMATED AGENCY TO PERFORM 0 C.ALTRANS .ErICSO 0 ACI itiePRIMRESSEDCONCRETE 0 DEEP FOUNDATION
SPECIAL INSPEOTKINIi TIE o ostieD 0 AWE 0 REINFORCED MASONRY 0 SPRAY-APPLIED FIREPROOFING ,
CATSTORT CHECKED.0 Other 13 Other
JOB ADDRESS .•BUILDING PERMIT NUMBER PLAN FILE NUMBER
.,i i t----
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4.04.....i .•S i t -8 C4 01.0
OtAtIER OR PROJECT NAME APPLICATION NUMBER •..1 4 "eAX .e A /7 LC g A 0 .
.comm.MATERIAL (TYPE. GRADE. ETC.).15ESICAI STRENGTH SOURCE OF MFGR.ARCHIW .
'.N n tririf‘_1(/ivAe7-c.1"."4 I 0....:
DESCRIBE MATERIALAM DESIGN, RE-BAR GRAPE & MANUFACTURER, WELD-ROD. ETC.)'ENGINEER
..]7.1 fit''1..o.dA a Cvc..
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GENERAL CONTRACTORj/1-1 HC...m
--•CONTRACTOR PERFORMING REPORTED WORK
•
ARRIVAL. TIMM/DETAILED REPORT OP -LOCATION OF WORK INSPECTED, TEST SAMPLES TAKEN, WORKREJEC‘O.JOB PROBLEMS,
DEPARTURE WORK INSPECTED .PROGRESS. REMARKS,MO-
TIME •
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TIME ON TRAVEL .REGULAR OVERTIME e rat TEST ..,...•
SITE ,TIME HOURS •NONRII •SPECIMENS".
.,Day.1^Iit 1 .71.INSPECT(Q ,1 C /AAA
.NAME OF REGISTERED Olt —
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v CERTIFICATION NUMBERAlMpg:talon based an a minimumof4 Ins & over4hts -8 hra minimum
kt addition,over BANS and Satuntayvia be Wed at time and ahalf
-CEIDIFICATSOF COMPUANCE
TOMS BEST OF MY KNOWLEDGE. THE ABOVE REPORTED INORK messOTHERWISE
SIGNATURE it Nom.Is incoscoatrAnceWITH TIMAPPROVIID MANS AND SPECIFIC.XDONto .
•Authorized-4th Site Contacli Company -AND THE APPLICABLE iVORMAANSHIP PROVISIONS OF THE GOVERNING STANDARDS
151.07E-FILE-CANARY-CLIENT-PINK-INSPECTOR •
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,W.O.,.C-..
Olit -TM DATE ivas.NAME'.1P
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1411s
•
HOURS Z-
Geotechnical • Coastal • Geologic • Environmental
FOOTING TRENCH OBSERVATION SUMMARY
,,
Client Name:.Viiii Aitamidr3 Project Name:/-4./Mi CY /7 -01
Location/Tract:.-4.045A06 77C ..:r-i2=-19 i
r
,
Unit/Phase/Lot(s):Z -
"'21.110//iieotte.e.3
,,,
Referenced Geotechnical Report(s):(;i31.-4.11(0.031-
-41")AT ar)//1VkV/AA i aolgit
Observation Summary
raiir-Initials A representative of GeoSoils, Inc. observed onsite soil and footing trench conditions. Soil conditions
iyitrAr Date 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.
4 Initials A representative of GeoSoils, Inc. observed and reviewed footing excavation depth/width.Footing
9riksDate excavations generally extend to proper depth and bearing strata, and are in general conformance
with recommendations of the geotechnical report.
--&-A-Initials A representative of GeoSoils, Inc. reviewed footing setbacks from slope face (if applicable).The
Date setback was in general accordance with the recommendations of the geotechnical report.
,,.
k'7....4 Initials .1.4v7711104sier typeat425/01.-71.-~iiiv.../e221..ii.dp.irafiNor,„26.76-...net.rjr..47:,j 3.
/7..1454L Date iy -444•Apt odAtups AO 4'4 (p zw.iftydr4 clenste•507/110.*de i ykiir.
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.
..7
45*.et‘
...._,_
Representative o oils, Inc.
5741 Palmer Way 1446 E. Chestnut Ave.26590 Madison Ave.
Carlsbad, CA 92008 SantaMa,CA 92701 Murrieta, CA 92562
(760) 438-3155 (714) 647-0277 (9511677-9651
A,.....,TY 0 F CB152654 1224 LANAI CT-7.7 CI
CARLSBAD INSPECTION RECORD LANAI BY SHEA HOMES: MODEL
Building Division PLAN 5 -3,842 SF, 697 SF GARAGE, 493 SF PATIO, 488
SF2INSPECTION RECORD CARD WITH APPROVED R
DECK,*I
FIREPLACE ESDNTLSFD
'DNS MUST BE KEPT ON THE JOB Lot#:3 SHEA HOMES
El CALL BEFORE 3:30 pm FOR NEXT WORK DAY INSPECTION
El FOR BUILDING INSPECTION CALL:760-602-2725
OR GO TO:www-Carlsbadca.gov/Buildinq AND CLICK ON RECORD COPY"Request Inspection"
DATE:1 I
IF"YES IS CHECKED BELOW THAT DIVISIONS APPROVAL IS REQUIRED PRIOR TO REQUESTING A FINAL BUILDING INSPECTION.
IF YOU HAVE ANY QUESTIONS PLEASE CALL THE APPLICABLE DIVISIONS AT THE PHONE NUMBERS PROVIDPD BELOW.AFTER
ALL REQUIRED APPROVALS ARE SIGNED OFF—FAX TO 760-602-8560 EMAIL TO BLDCHNSPECTION;_CARL RB ;DCA rTh/OR
BRING IN A COPY OF THIS CARD TO 1635 FARADAY AVE CARLSBAD CA 92008.BUILDING INSPECTORS CAN BE REACHED
AT 760-602-2700 BETWEEN 7:30 AM --8:00 AM THE DAY OF YOUR INSPECTION.
NO YES Required Prior to Requesting Building Final If Checked YES Date Inspector Notes
II‘>/.._.Planning/Landscape 760-944-8463 Mow 48 hours 4..ti • (taw Pe.)fly..scatags...-tIII=CM&I (Engineering Inspections)760-438-3891 Call before 2 pm EMIELIIIIN
111111 Fire Prevention 760-6024660 Allow 48 hours EffillIFAMIMIMIMEI
Type of Inspection Type of Inspection
coor st-BUILDING Date Inspector coot #ELECTRICAL Date Inspector
#11 FOUNDATION IS tli LS me-#31 0 ELECTRIC UNDERGROUND t*FER 12.LI IF.tr.44
#12 REINFORCED STEEL #34 ROU ELECTRIC
#66 MASONRY PRE GROUT #33 CTRIC SERVICE 0 TEMPORARY 4115/16 Mt.
_0 GROUT 0 WALL DRAINS #35 PHOTO VOLTAIC
s...TILT PANELS #39 FINAL
#11 POUR STRIPS coDE 4.MECHANICAL
#11 COLUMN FOOTINGS #41 UNDERGROUND DUCTS &PIPING
#14 SUBFRAME 0 FLOOR 0 CEILING #44 0 DUCT&PLENUM 0 REF. PIPING
#15 ROOF SHEATHING 0%((o 1.NZ.#43 HEAT-AIR COND. SYSTEMS
#13 EXT. SHEAR PANELS ..'e=to.La.#49 FINAL
#16 INSULATION CODES COMBO INSPECTION
#18 EXTERIOR LATH #81 UNDERGROUND (11,12,21,31)
#17 INTERIOR LATH &DRYWALL #82 DRYWALL,EICT LATH, GAS TES (17,18,23)co*0 9/16 MG
#51 POOL ECCA/STEEL/BOND/FENCE #83 ROOF SHEATING,ERSHEAR (13,15)
#55 PREPLASTER/FINAL #84 FRAME ROUGH COMBO (14,24,34,44)03(0 411ig Mk#19 FINAL #85 T-Bar (14,24,34,44)
CODE S PLUMBING Date Ins •for #89 FINAL OCCUPANCY (19,29,39,49)
#22 •EWER & BL/CO 2 PL/CO et.3 MI,U FIRE Date Ins •ector
#21 UNDERGROUND OWASTE El WTR /2.If. Jr"'re ii:
#24 TOP OUT 0 WASTE 0 WM A/S UNDERGROUND VISUAL
#27 TUB &SHOWER PAN 03/64/1‘fC.A/S UNDERGROUND HYDRO \
#23 0 GAS TEST 0 GAS PIPING A/S UNDERGROUND FLUSH \"
#25 WATER HEATER A/S OVERHEAD VISUAL 3-/V6 •/i.i=/7
#28 SOLAR WATER A/S OVERHEAD HYDROSTATIC -0 //'4 _K--n•-;
#29 FINAL A/S FINAL 5---V-ifc .a,.474e4
CODES STORM WATER F/A ROUGH-IN
#600 PRE-CONSTRUCTION MEETING F/A FINAL /
'FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH-IN .f
.-.,6"NOTICE TO CLEAN FIXED EXTING SYSTEM HYDROSTATIC TEST 1 /
#607 WRITTEN WARNING FIXED EXTINGUISHING SYSTEM FINAL //
#609 NOTICE OF VIOLATION MEDICAL GAS PRESSURE TEST i /1
#610 VERBAL WARNING MEDICAL GAS FINAL i ./
REV 10/2012 SEE BACK FOR SPECIAL NOTES
bhA,Inc.ROD BRADLEY,Urban Planner
land planning, civil engineering, surveying RONALD L.HOLLOWAY,Civil Engineer
December 8, 2015 s CaTISbau
W.O. 452-1224-600 CM 0'
r\cC -2-M5
Mr. Michael Collins 9\001\1
o\otAG 0‘CITY OF CARLSBAD
Building Inspection
1635 Faraday Avenue
Carlsbad, CA 92008
RE:BUILDING FORM VERIFICATION OF LOTS 2 AND 3,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 matter, please contact our office.
Sincerely,
b li A,Inc."".".F7-Yr 4,
,.....„..c).....:;.:
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12.4.71 N3. 29271Ronald L. Holloway 7`'
/Senior Vice President
R.C.E. 29271 x........,;:-.2„.?.ccx......:-/
.,/./
RLH:pjh
cc:Jason Korszeniewski -Shea Homes
building form verification.ltr
5115 Avenida Encinas, Suite L 0 Carlsbad, California 92008-4387 0 (760) 931 -8700 0 FAX (760) 931 -7780
REC....3RD COP\
SWANSON & ASSOCIATES 17055 Via Del Campo SUITE 100 SAN DIEGO, CA 92127 (858) 487-7600
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•DESCRIPTION DATE *DESCRIPTION DATEREVISIONS ITEM NO.
CLIENT.5 OVA (4e NI ....0 ITEM TITLE PROJECT
ATTN TO:L A 4A'
PHONES PCANI 1?ClAiatPtcperi a J DATE:V51)6 SHEET
FAX.l O p ISCALE:1/11...
L 0 f 3 ,1.44‘.04-
,.Development Services(City of CIRCUIT CARD Building Division
Carlsbad B-36 1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
THIS CARD MUST BE FILLED OUT AND AVAILABLE AT THE SERVICE EQUIPMENT FOR THE ROUGH INSPECTION
Address:/ 22 q Lout;Covrf Permit Number:Cf$152 (054_
Owner:Phone:
Area in Sq.Ft.Li411Contractor:Shea 401.ec Phone:
PANEL:2-co 04".f 4/Z14 A.I.C.1.1i0 VOLTS 0 WIRE
BKRLOCATIONCKT MISC REC REC LTG MISC CKT LOCATIONWIREWIREBKR SIZESIZETYPE SIZE TYPE SIZE
Ilk*Oft 1 io t 7..cp.
.-1 _
.
._
.
2
'gat.)el 3 40 .i3.1 ._4,
;0'1010.:it ,5 IS'1
L:.11 6
..
1.4tuvovy Lii-7 IS I '[1.3 8
1-IVINI PI 9 ,i S'lif 10 _I'_10
Z.€41..11 15 it-,i 1.12
15 ary. Dril 13 1.5 11
-4 .1 ,.,
14
'Bed _3 15 11 I C
1
'0 2--16
&-ariotae.17 i 5
7.
i .5 18
Stito [kit'19 ICO ti 0 1 __20
1 2217-41mt.21 30 to _..
ovely 23 so (0 1
24
A/L 25 30 I.0
1
_j 26
LA/27 35 10 i 28
29 30.,
31 32
33 34
35 36
37 38
i
39 .40—-
41 42
MAIN:Z /A 0 AMP BRK/FUSE 0 MLO Computed Load AMPS
BUS:AMP See Calculation Worksheet on back
Service entrance or feeder conductors:Branch circuits required:
A) Size: Na.B) Type:0 CU 0 AL A) Lighting Circuits 220 -3(b), 4(d)
B) Two Small Appliance Circuits 210 -11(e)C) Insulation:0) Conduit Size:C) Laundry Circuit 220 -16(b)Service ground/bond:0)Central Heating Equipment 422 -12
A) Size: No.yo B) Type:0 CU 0 AL E) Bathroom 210 -52(d)
C)Clamp location(s):
UFER 250 -50(c)Remarks:)‘.12v.,ts.q,-i-4--;)-).2._VI0Water Pipe 250 -104 ionit Pa.CP .
0 Ground Rod 250 -520
GFCI locations 210 -8, 680 -70:I certify that all terminations have been torqued in accordance with manufacturer's
athroom(s)Or kitchen instructions and that the work shown on this circuit card represents the full extentof
7.4 Garage(s)0Hydromassage Tub the work performed under this permit.
t?rOutdoors 0 0 Owner
AFC113.'mtected Circ. 210 -12 D
ontractoii.1
.A .
rlepzgri) seLc 4.5 Signed fvrr ft/i4.-1.\Date yje___11_
B-36 Page 1 of 2 Rev. 03/09
SINGLE FAMILY DWELLING
ELECTRICAL SERVICE LOAD CALCULATION
As an alternative method, the STANDARD METHOD
found in ARTICLE 220 of the National Electric Code, may be used
1.GENERAL LIGHTING LOADS
Dwelling sq. ft. x 3 VA =220-3(a)VA
Small appliance loads —220-16(a) 1500 VA x circuits =VA
Laundry load —220-16(b) 1500 VA x circuits =VA
General Lighting Total VA
2.COOKING EQUIPMENT LOADS -Nameplate Value
Range VA =VA
Cooktop VA =VA
Oven (s)VA =VA
Cooking Equipment Total VA
3.ELECTRIC DRYER 220-18 (Nameplate, 5000 VA minimum)
Dryer VA =Dryer Total VA
4.FIXED APPLIANCE LOADS 230-30 (b) (3)
Dishwasher =VA
Disposal =VA
Compactor =VA
Water Heater =VA
Hydromassage Bathtub =VA
Microwave Oven =VA
Built-in Vacuum =VA
VA
Fixed Appliance Total VA
5.OPTIONAL SUBTOTAL (Add all of the above totals)VA
6.APPLYING DEMAND FACTORS —TABLE 220-30
First 10,000 VA x 100% =10,000 VA
Optional Subtotal (from line 5){Remaining VA x 40%=VA
7.HEATING OR AC LOAD -TABLE 220-30
Larger of the Heating or AC Load =VA
8.OPTIONAL LOADS TOTAL (Add totals from lines 6 and 7)=VA
9.MINIMUM SERVICE SIZE =Optional Loads Total =Ampere
240 Volt
(Please put total on front of card under Computed Load)
JAAM Electric
RESIDENTIAL -COMMERCIAL -TENANT IMPROVEMENT
LOAD CALCULATIONS
Lanai Plan 5
3842 SQUARE FOOTAGE x 3 WATTS 11526 watts
2 APPLIANCE CIRCUITS 3000 watts
1 LAUNDRY CIRCUIT 1500 watts
1 GARBAGE DISPOSAL 828 watts
1 MICROWAVE 1500 watts
1 DISHWASHER 1200 watts
2 FAU 1800 watts
1 OVEN 8000 watts
SUBTOTAL 29354 watts
1st 10000 watts @ 100%10000 watts
BALANCE @ 40%7742 watts
A/C #1 @ 125%8880 watts
NC #2 5280 watts
TOTAL WATTS 31902 watts
31902 WATTS-240 VOLTS 133 amps
USE 200A MINIMUM
697 Greenfield Dr. El Cajon, CA 92021 -(619)579-6500 -FAX (619)579-3733
CALIFORNIA CONTRACTORS LICENSE NUMBER 1010289
.........,
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope --Insulation; Roofing; Fenestration (Page 1 of3)
Site Address:
Lanai Models -Lot 3 -1224 Lanai Court 1
Enforcement Agency:Permit Number:6
Ifmore than one person has responsibilityfor installation ofthe items on this certificate, each person shall prepare and sign a certificate
applicable to the portion ofconstructionfor which they are responsible; alternatively, the person with chief responsibilityfor construction shall
prepare and sign this certificatefor the entire construction.All applicable Mandatory Measures with check boxes require to be checked to ensure
the mandatory measures have been met.
Description of Insulation
1.RAISED FLOOR
Material:Brand Name:
Thickness (inches):Thermal Resistance (R-Value):
0 §150(d): Minimum R-13 insulation in raised wood-frame floor or equivalent U-factor.
2.SLAB FLOOR/PERIMETER
Material:Brand Name:
Thickness (inches):Thermal Resistance (R-Value):
Perimeter Insulation Depth (inches):
0 §150(1): Water absorption rate for the insulation material alone without facings is no greater than 0.3%; water vapor permeance
rate is no greater than 2.0 perm/inch and shall be protected from physical damage and UV light deterioration.
3.EXTERIOR WALL
a.Insulation Type (e.x. Batt, Loose Fill, Spray Foam)a.Thermal Resistance (R-Value):
b..Insulation Type (e.x. Batt, Loose Fill, Spray Foam)b.Thermal Resistance (R-Value):
Brand:
Spray/Loose fill)
Spray/Loose fill)Installed Actual Thickness Contractor's min installed weight/112 lb
(inches):
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
0 §150(c): Minimum R-13 insulation in wood-frame wall or equivalent U-factor.
Exterior Foam Sheathing (rigid Insulation)
Material:Brand Name:
Thickness (inches):Thermal Resistance (R-Value):
4.FOUNDATION WALL
Material:Brand Name:
Thickness (inches):Thermal Resistance (R-Value):
5.CEILING
Batt or Blanket Type:Brand Name:
Loose Fill Type:Thermal Resistance (R-Value):
Spray Foam Type:Brand Name:
Installed Actual Thickness (inches):Contractor's min installed weight/f12 lb
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value):
0 §150(a): Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor.
6.ATTIC ROOF INSULATION AND/OR ATTIC RADIANT BARRIER
Material:Brand Name:
Material:Brand Name:
Thickness (inches):Thermal Resistance (R-Value):
CI §118(a):Insulation installed meets Standards for Insulating Material.
ID §150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-ENV-OI
Envelope —Insulation; Roofing; Fenestration (Page 2 of 3)
Site Address:Enforcement Agency:Permit Number:
Lanai Models -Lot 3 -1224 Lanai Court
Description of Rooting Products
CRRC Product ID Manufacturer Product Roof Roof Product Initial Solar Aged Solar Thermal
Number',Information Brand/Model Type Area Slope Weight=Reflectance Reflectance'Emittance
N/A GAF Charcoal Shing Entire 4.12 N/A N/A ix N/A N/A
03•
I.The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
ww.coolroofs.oreproducts/search.php
2.The weight in lbs per square feet ofthe roofing product being installed.
3.Check box ifthe Aged Reflectance is a calculated value using the equation below, footnote 4.
4.Ifthe aged reflectance Is not available in the Cool Roof Rating Council's Rated Product Directory then use the initial reflectance valuefront the
directory anduse the equation (0.2+0.7(pwitat —a2) to obtain a calculated aged value.
OCHECKAPPLICABLE BOX BELOWIFEXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENT.• The roofarea covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from the above Cool
Roof criteria. Roofconstructions that have thermal mass over the roof membrane with a weight ofat least 25 lb/ft2 is exempted from the above Cool Roof
criteria.
To apply Liquid Field Applied Coatings, the coating must be applied with a minimum dry mil thickness of20 mils across the entire roofsurface and
meet minimum performance requirements listed in §1180 3 and Table 118-C.Select the applicable coating
in Aluminum-Pigmented Asphalt Roof Coating Cement-Based Roof Coating I Other CRRC-1 Label Attached to CF-6R
(Note ifno CRRC-1 label is available, this compliance method cannot be used and another method is required to meet compliance).
FENESTRATION/GLAZING
Product #Total Quantity Add. Exterior Comments/
Manufacturer/Brand Name U-Product of NFRC of Like Product Area Shading Dev.Location/ Special
Item (GROUP LIKE RODUCTS)factor'SHGC'Panes Certified'.2 (Optional)ill or Overhang Features
2
3
4
5
6
7.
8.
1.Use valuesfrom afenestration product's NFRC Certified Label. For fenestration products without an NFRC label,use the default valuesfromSection 116. Table
116-A and 116-8 ofthe 2008 Energy Efficiency Standards.
2.NFRC Label Certificates shall not be removed until the building inspector has verified the efficiency. Enter Yesor No.
¢116(a)1:Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
§116(a)2 and 3: Actual fenestration products installed are equivalent to or have a lower U-factor and/or a lower SHGC than that specified on
the Certificate ofCompliance (Form CF-1R).
§116(a)4:Fenestration products (except field-fabricated windows) have a label listing the certified U-Factor, certified Solar Heat Gain
Coefficient (SHGC),and infiltration that meets the requirements of §10-111(a)
§117:Exterior doors and windows weather-stripped; all joints and penetrations caulked and scaled.
2008 Residential Compliance Forms August 2009
..
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope —Insulation; Roofing; Fenestration (Page 3 of 3)
Site Address:Enforcement Agency:Permit Number:
Lanai Models -Lot 3 -1224 Lanai Court
DECLARATION STATEMENT
•I certify under penalty of perjury, under the laws ofthe State ofCalifornia, the information provided on this form is true and correct.
•I am eligible under Division 3 ofthe Business and Professions Code to accept responsibility for construction. or an authorized representatisc
ofthe person responsible for construction (responsible person).
•I certify that the installed features, materials, components, or manufactured devices identi lied on this certificate (the installation) conforms
to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement
agency.
•I reviewed a copy ofthe Certificate ofCompliance (CF-lit)form approved by the enforcement agency that identifies the specific
requirements for the installation.I certify that the requirements detailed on the CF-IR that apply to thc installation have been met.
•I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available st ith the building
permil(s)issued for the building, and made available to the enforcement agency for all applicable inspections.I understand that a
signed copy ofthis Installation Certificate is required to be included with the documentation the builder pros ides to the building
owner at occupancy.
Company Name:(Installing Subcontractor or General Contractor or Builder/Owner)
Leonard Roofing, Inc.
Responsible Person's Name:Responsible
PerSop2in'sSig
at .
Bruce Leonard
CSLB License:1.Date Signed:Position W. h cos (Tit
840399 5/10/2016 Presiders
2008 Residential Compliance Forms August 2009
03 Insulation,L.P. -Escondido (874)
2061 Aldergrove Ave.
Escondido, CA 92029
Insulation Certificate
Insulation is installed in the structure described below as follows:
Work Area Item Installed Sc{Feet
Caulk and Seal exterior doors, windows and sill plates to meet Title 24 Hilti CF812 Window & Door Pro Foam 3,892
Interior Wall R-11 15.25" x 105" -Unfaced -Batts 2,302
Garage walls R-13 15.25" x 105" -Unlaced -Batts 678
Exterior Walls and Rim Joists R-15 15.25" x 105" -Unfaced -Batts 1,906
Garage ceiling with living area above R-19 15.25" x 48" -Unfaced -Batts 661
Overhangs/Cantilevered Areas R-19 15.25" x 48"-Unlaced -Batts 126
Between floor area R-19 15.25" x 48" -Unfaced -Batts 1,490
Exterior Walls and Rim Joists R-21 15.25" x 93"-Unlaced -Batts 800
Attic Area -Batts R-38 24" x 48"-Unfaced -Batts 996
Blown Attic Area R-38 InsulSafe SP -Blowing Insulation 1,334
*Fiberglass blow has no settling factor for R-values
Job Name:Lanai Release 0 Job Address:1224 Lanai Court
Lot No.:3 Carlsbad, CA 92008
Insulation By:
Date Completed:312612016
•
,s
..
INSTALLATION CERTIFICATE •
.•CF-6R-ENV-21-HERS
Quality Insulation Installation (QI1) -FriMing Stage Cliitklist ,(Page 1 of2)
Site Address:Enforcemeit Agency:Permit Number:
1334 Lanai Court, Lot 3, Carlsbad, CA. 92008 -.•
•
Quality Insulation Installation (QII) Framing Stage Checklist
Air barrier and preparation forinsulation verification Inspection must be done at framing.stage before insulation is installed.Ifthere are
any "No"answers rows notfilled out or signatures missing then this is not valid form and cannot be accepted by the building department •
or HERS rater.Ifspray foam Is used, then an air barrier is not required and NA would be checked.QII credit not allowed ifany steel
framing or structural framing that are in the walls of a conditionedspace.
1.FLOOR AIR BARRIER
' 0 El An gaps in the raised floor to unconditioned space or to outside larger than 1/8" filled with foam or
Yes No NA caulk. (NA if SPF)
El 0 01 All openings on a second floor including under a tub where the drain penetrates the floor are sealedYesNoNA
VWALLS MR BARRIER
ID 0 0 All gaps in wall exterior sheathing to unconditioned space or to outside larger than 1/8" filled with
Yes No NA foam or caulk.(NAif SPF)
0 0 0 No gaps in sheathing against the garage, attic, or covered patio.All gaps larger than 1/8" filled with
Yes No NA foam or caulk.(NA if SPF)
CI 0 0 All gaps in Rim-joists in interiotand exterior walls to the outside including holes drilled for electrical
Yes No NA and plumbing larger than 1/8" filled with foam or caulk. (NA ifSPF)
0 0 Rope caulk, foam gasket, or caulking bead around the entire sole plate of the homeYesNoNA
El 0 0
Yes No NA All gaps around the windows are caulked or foamed (Stuffing with fiberglass not acceptable)
ATTIC INSPECTION
E3 0 0 Attic rulers appropriate to the material installed evenly throughout the attic to verify depth.
Yes No NA (NA ifSPF or batt)
RI 0 0 Attic area (sqft)1.334 4-250 =5.3 minimum number of rulers installed.Must round up.
Yes No NA Number of rulers actually installed 6 (NA if SPF or batt)
li8 0 0 ALL rulers visible from attic access.(NA ifSPF or battyYesNoNA
In 0 0 Eave vents baffles installed at all eave vents to preVent air movement under or into insulation.
Yes No NA (NA if SPF)
El 0 0 Area of eave vent baffle is the same or larger than the pet free-ventilation area of the eave vent.(NA
Yes No NA if SPF)
1 CEILING AIR BARRIER
13 El BD All draft stops in place to form a continuous ceiling air barrier no gaps larger than 1/8".(NA ifSPF)
Yes No NA
0 0 0 Ail drops covered with hard covers.Gaps around or in the hard cover larger than 1/8" filled with
Yes No NA foam or caulk.(NA ifSPF).
0 0 fit.4'IF All recessed light fixtures in non conditioned space are IC rated and air tight (Al)Yo No '
CI 0 •All recessed light fixtures are sealed with a gasket or Caulk between the housing and the ceilingYesNo
CU 0 Openings around flue shafts fully sealed with solid blocking or flashing and any remaining gaps
Yes No 'sealed with fire-rated caulk or sealant.
El E3
Yes No Piping shaft openings fully sealed and caulked ,
f„;.
Yes
E3 )04 Penetrations from wiring in interior walls, electrical boxes, fire alarms etc. sealed with caulk or sealantNo
,,0 0 All ductchases, fireplace chases, and double walls sealed air tight at the ceiling level.All gaps into shafts larger
Yes No r 'ill than 1/8" filled with foam or caulk.Special attention paid to ducts entering shafts from ceiling.
Registration Number:Registration Date/Time:HERS Provider:
2008 Residential Compliance Forms March 2010
...._
INSTALLATION CERTIFICATE CF-6R-ENV-21-HERS
Quality Insulation Installation -Framing Stage Checklist (Page 2 of 2)
Site Address:Enforcement Agency:Permit Number:1334 Lanai Court, Lot 3, Carlsbad, CA. 92008
GARAGE/CEILING AIR BARRIER FOR TWO STORIES (no conditioned space over garage)
ti3 0 0 Air barrier installed at joists in garage to house transition (between floors).No gaps larger than 1/8"Yes No NA allowed.Use ofSPF satisfies the requirement to seal the gaps.V GARAGE /CEILING AIR BARRIER FOR TWO STORIES (conditioned space over garage)
LE p If insulation is to be installed at subfloor then subfloor has no gaps over 1/8".Airbarrier installed at
Yes No NA joists in garage to house transition (between floors). Use of SPF satisfies the requirement to seal the
gaps.
aa 0 0 If insulation is to be installed at ceiling ofgarage then 'ceiling and joists to the outside have no gapsYesNoNAover 1/8". (NA ifSPF or no conditioned space over garage.)
DECLARATION STATEMENT
•I certify under penalty ofperjury, 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
•1 am eligible under Division 3 ofthe 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)
conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency.
•I understand that a HERS raterwill check the installation to verify compliance, and that that ifsuch checking identifies defects,I am
required to take corrective action at my expense.I understand that Energy Commission and HERS provider representativeswill also
perform quality assurance checkingof installations, including those approved as partof a sample group but not checked by a HERS
rater, and ifthose installations fail to meet the requirements ofsuch quality assurance checking, the required corrective action and
additional checking/testing ofother installations in that HERS sample group will be performed at my expense.
•I reviewed a copy of the Certificate ofCompliance (CF-1R) form approved by the enforcement agency that identifies the specific
requirements for the installation.I certify that the requirements detailed on the CF-1R that apply to the installation have been met.
•I will ensure that a completed, signed copy ofthis Installation Certificate shall be posted, or made available with the building
permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections.I understand
that a signed copy ofthis Installation Certificate is required to be included with the documentation the builder provides to the
building owner at occupancy.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:Res nsi arson's Signature:
Tom Berry
CSLB License:Date Signed:Post ton Vtompany (Title):
888804 5/9/16 General Manager
Registration Number:Registration Date/Time:HERS Provider:
2008 Residential Compliance Forms March 2010
INSTALLATION CERTIFICATE CF-6R-ENV-22-ILERS
Quality Insulation Installation (QII)-Insulation Stage Checklist (Page 1 of 3)
Site Address:Enforcement Agency:Permit Number:
1334 Lanai Court, Lot 3, Carlsbad, CA. 92008
Overview —In order for ban and blown in insulation to work correctly the insulation must fill the wall cavity and touch the air barrier
with no gaps or voids.Ceiling and raisedfloor batt and blown in insulation must not be compressed and have no gaps or voids.(211
credit not allowed if any steel framing or structural framing that are in the walls ofa conditioned space.
Insulation Stage Checklist FLOOR INSULATION
0 0 in All floor joist cavity insulation installed to uniformly fit the cavity side-to-side and end-to-end.(NA if floors slab
Yes No NA on grade).0 0 121 Insulation in full contact with the subfloor, NO gaps.(NA if floors are slab on grade).Yes No NA00Ia Insulation in contact with air barrier on all five sides.(ends, sides, back).NA if floors are slab on grade.Yes No NA00CO Batts cut to fit around wiring and plumbing, or split (delaminated).(NAif loose fill,SPF, or slab on grade).Yes No NA
0 0 171 Batt insulation has continuous support.(NA ifloosefill,SPF, or slab on grade).Yes No NA
SPF (Spray Polyurethane Foam Medium Density) insulation the average thickness is equal to or greater than that
listed on the CF-1R and the minimum thickness shall be no more than 'A inch less than the required thicknessforYesNoNAthe R-value.(NA for other forms of insulation).
Insulation R-value same or greater than listed on the CF-1R.Yes No
SPF insulation properly adhered to avoid gaps and provide an air seal (NA for other forms of insulation).Yes No NA00lia For SPF list the required floor cavity R-value from CF-1R,
Yes No NA List tested average depth ofinsulation (inches)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-11t (NA for other forms
of insulation).
'of WALL INSULATION
121 0 0 Standard depth cavities insulation fills cavity and touches air barrier on all six sides.(NAif SPF used and meets
Yes No NA the required R-value).
til 0 0 Alldouble 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.(NA if SPF used and meets the required R-value).
l 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.
Gil 0 BATTS, nota single void/depression deeper than Vi" in ANY stud bay.(NA if loose fill or SPF)
Yes No NA
®BATTS, voids/depressions less than 3/4" allowedas long as the area is not greater than 10%ofthe surface area
Yes No NA for each stud bay.(NA ifloose fill or SPF).
0 ta Loose Fill no gaps or voids ofany depth allowed. (NA if baits or SPIT).Yes No NA
0 0 SPF insulation properly adhered to avoid gaps and provide an air seal (NA for other forms of insulation).
Yes No NA
III 0 —
Yes No Any gaps between studs or insulation larger than 1/8" must be filled with insulation or foam.
Ga G:1 Ali Rim-joists to the outside insulated.Yes No
el 0 Special attention must be paid to corner channels, wall intersections, and behind tub/shower enclosures
Yes No •Insulated to proper R-Value.
0 0 G3 All skylight shafts and attic kneewalls insulated with minimum R-19.
Yes No NA
CI 0 12 Insulation in full contact with drywall or wall finishes of skylight shafts and attic kneewalls.
Yes No NA
Registration Number:Registration Date/Time:HERS Provider:
2008 Residential Compliance Forms March 2010
INSTALLATION CERTIFICATE CF-6R-ENV-22-HERS
Quality Insulation Installation (QII) -Insulation Stage Checklist '(Page 2 of 3)
Site Address:Enforcement Agency:Permit Number:
1334 Lanai Court, Lot 3, Carlsbad, CA. 92008
Wall insulation same or better than what is listed on the CF-1R.Yes No0 ~la SPF list the required wall cavity R-value from CF-1R, R-.List tested average depth of
Yes No NA insulation (inch)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)0 Cl El 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 Y2 inch less than the required thickness for
the R-value.(NA for other forms of Insulation)
1 CEILING INSULATION
10 0 BATTS there must not be a single gap/void/depression deeper than 1/4".(NA ifloose fill or SPF).Yes No
gi BArrs voids/depressions less than 3/4" allowed as longas the area is not greater than 10%of the surface area
Yes No for each stud bay.(NA if loose fill or SPF).
Gil 0 0 NO gaps or voids allowed for loose fill and SPF.(NA if balls).Yes No NA
E3 0 All ceiling insulation installed to uniformly fit the cavity side-to-side and end-to-end.Yes No
Insulation in full contact with the ceiling, NO gaps.Yes No
al Insulation in contact with air barrier on all five sides.Yes No0 0 Batts cut to fit around wiring and plumbing, or split (delaminated). (NA for loose fill or SIT).Yes No NAgl 0 Batts taller than the trusses must expand so that they touch each other over the trusses.(NA fot loose fill or
Yes _No NA SPF).0 0 ta
Yes No NA SPF insulation properly adhered to avoid gaps and provide'an air seal (NA for other forms of insulation)
Cl 0 12 Insulation fully fills cavity below any plywood platfornior cat-walk.If SPF used then minimum
Yes No NA 3 inches.(NA ifno platforms or cat-walks)
12 Attic access gasketedYesNo
gl Attic access insulated with rigid foam or ban insulation using adhesive or mechanical fastener.
Yes No R-value same as ceiling R-value listed on CF-1R •
Q 0 Recessed light fixtures covered full depth with insulation.IfSPF used then other forms of insulation used to
Yes No cover or enclosed ina box fabricated from Winch plywood, 18 ga. sheet metal, 1/4-inch hard board or drywall-
113 0 Roof insulation same or better than what is listed on the CF.I.RYesNo
113 Cl 0 Loose Fill Insulation at proper depth— insulation rulers visible and indicating proper depth and R-value for
Yes No NA.blown in insulation. (NA for belts or SPF).
gl Cl 0 LooseFill Insulation uniformly covers the entire ceiling (or roof)area from outside of all exterior walls. (NA
Yes No NA for batts or SPF).
Loose-fill insulation meets or exceeds manufacturer's minimum weight and thickness requirements for the target
Cl 0 R-vatue. 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 time of installation.Manufacturer's minimum required
settled thickness. Note:To receive compliance credit the HERS rater shall verify that the manufacturer's
minimum weight and thickness has been achieved for the target R-value.(NA for baits or SPF).
Registration Number:Registration DatelTime:HERS Provider:
2008 Residential Compliance Forms March 2010
•
INSTALLATION CERTIFICATE CF-6R-ENV-22-HERS
Quality Insulation Installation (QII)-Insulation Stage Checklist (Page 3 of3)
Site Address:Enforcement Agency:Permit Number:
1334 Lanai Court, Lot 3,Carlsbad, CA. 92008
0 0 El SPF list the required ceiling cavity R-value from CF-1R, 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-1R (NA for
other forms of insulation)0 0 El SPF insulation must be covered with other forms ofinsulation or enclosed in a box fabricated from Y2 inch
Yes No NA plywood, 18 gaugemetal,1/4 inch hard board or drywall.The exterior of the box may then be insulated with
SPF.0 0 -
El SPF insulation the average thickness is equal to or greater than that listed on the CF-1R and the minimum
Yes No NA thickness shall be no more than 54.inch less than the required thickness for the R-value.(NA for other forms of
insulation)
GARAGE ROOF CEILING INSULATION FOR TWO STORIES (no conditioned space over garage)
ID 0 0 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.(NA If conditioned space.ver garage).1 GARAGE ROOF/CEILING INSULATION FOR TWO STORIES(conditioned space over garage)
111 la 0 If insulation is to be installed at subfloor then the insulation must also be installed at joists against the air barrier
in the garage to house transition.All ceiling and wall insulation requirements above must be met. (NA ifnoYesNoNAconditioned space over garage).
Gil 0 0 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
•I 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), 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
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)
conforms to all applicable codes and regulations, and the installation is consistent 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, I am required to take
corrective action at my expense.If the installation is part of a sample group for HERS verification, and the installation fails to meet
the requirements of such quality assurance checking, additional checkingnesting;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 representativeswill
also be performing checks ofthe installation on jobs not tested by the HERS rater.
•I reviewed a copy of the Certificate of Compliance (CF-1R) form approved by the enforcement agency that identifies the specific
requirements for the installation.I certify that the requirements detailed on the CF-1R that apply to the installation have been met.
•I will ensure that a completed, signed copy of this Installation Certificate shidi be posted,or made available with the building
permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections.I understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the
building owner at occupancy.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 Subcontractor or General Contractor or Builder/Owner)
OJ Insulation
Responsible Person's Name:Responsibl erson's Signature:
Tom Berry (
CSLB License 888804 Date Signed:5/9116 Post With Company (Tit 0: General nager
Registration Number:Registration Datelrime:HERS Provider:
2008 Residential Compliance Forms March 2010
•