HomeMy WebLinkAbout2305 MICA RD; ; CB073238; Permit"
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-29-2010 Residential Permit Permit No: CB073238
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
12/29/2010
# Dwelling Units:
2305 MICA RD CBAD
RESDNTL
2132820200
$399,087.00
Sub Type:
Lot#:
Construction Type:
Reference #:
SFD
28
VN
CT 04006
Structure Type: SFD
Status:
Applied:
Entered By:
Issued:
Bedrooms: 3 Bathrooms: 3.5 Inspect Area:
VIRIDIAN-LA COSTA GREENS-PH$ 6 Orig PC#: Project Title:
PLAN 2: 3704SF LIV -687 SF GAR -130SF COV. PORCH,
104 SF
Plan Check#
DECK
Applicant:
APRIL TORNILLO
C/O TAYLOR MORRISON
15 CUSHING
IRVINE 92618
949-341-1289
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park in Lieu Fee
Park Fee
LFM Fee
Bridge Fee
Other Bridge Fee
BTD #2 Fee
BTD #3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
HMP Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
$1,604.25
$0.00
$1,042.76
$0.00
($83.42)
$39.91
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$4,878.00
D3/4
$182.00
$0.00
??
Owner:
TAYLOR MORRISON OF CA, LLC
15 CUSHING
IRVINE
CA 92618
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWA Fee
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
ISSUED
12/31/2007
JMA
Plan Approved:
12/29/2010
PC060023
PC070085
$0.00
$190.00
$4,492.00
$3,122.05
$7,263.38
$0.00
$0.00
$0.00
$2,286.80
$0.00
$0.00
$174.00
$60.00
$103.00
$0.00
$0.00
$0.00
$0.00
$2,018.00
$125.00
??
$27,497.73
Total Fees: $27,497.73 Total Payments To Date: $27,497.73 Balance Due: $0,00
Inspector:
FINAL AP
Date: /2. Clearance:
NOTICE: Please take NO ICE at approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as '1ees/exactions." ou have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their Imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f i n f i E i hi r lim'
• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-29-2010
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW100460
Job Address:
Permit Type:
Parcel No:
Reference #:
CB#:
Project Title:
Applicant:
2305 MICA RD CBAD
SWPPP
2132820200
CB073238
VIRIDIAN: PHS. 6
TAYLOR MORRISON OF CA, LLC
15 CUSHING
IRVINE
CA 92618
949-341-1289
Emergency Contact:
GARY BOUCK
949-246-7922
SWPPP Plan Check
SWPPP Inspections
Additional Fees
TOTAL PERMIT FEES
Status:
Lot#: 28 Applied:
Entered By:
Issued:
Inspect Area:
Tier:
Priority:
Owner:
TAYLOR MORRISON OF CA, LLC
15 CUSHING
IRVINE
CA 92618
ISSUED
11/23/2010
JMA
12/29/2010
1
M
$0.00
$208.00
$0.00
$208.00
Total Fees: $208.00 Total Payments To Date: $208.00 Balance Due:
FINAL APPROVAL
DAff:~ z..f ll,o/1_ CLEAAAN ---·
s•GNIITURE _ -f ---------
$0.00
'
City of Carlsbad Bldg Inspection Request
For: 11/30/2011
Permit# CB073238 Inspector Assignment: PY ---
Title: VIRIOIAN-LA COSTA GREENS-PHS 6
Description: PLAN 2: 3704SF LIV· 687 SF GAR· 130SF COV. PORCH,
104SF DECK
Type: RESONTL Sub Type: SFD
Job Address: 2305 MICA RO
Suite: Lot: 28
Location:
APPLICANT TAYLOR MORRISON OF CA, LLC
Owner: TAYLOR MORRISON OF CALIFORNIA LL C
Remarks:
Total Time:
CD Description Act Comments
19 Final Structural pf
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Comments/Notices/Holds
Phone: 9492467922
Inspector: -----
Requested By: GARY
Entered By: JH
Associated PCRs/CVs/SWPPPs Original PC# PC060023
SW100457 FINAL VIRIDIAN: PHS 6;
SW100458 FINAL VIRIDlAN: PHS. 6;
SW100459 FINAL VIRIDIAN: PHS 6;
SW100460 ISSUED VIRIDIAN: PHS. 6;
SW100461 ISSUED VIRIDIAN: PHS 6;
lnsgection History
Date Description Act lnsp Comments
09/07/2011 39 Final Electrical WC PY
07/25/2011 39 Final Electrical NR PY
06/02/2011 17 Interior Lath/Drywall AP PY
06/02/2011 18 Exterior Lath/Drywall AP PY
06/01/2011 17 Interior Lath/Drywall PA PY 1ST LAYER
05/25/2011 16 Insulation AP PY
05/23/2011 84 Rough Combo AP PY
05/19/2011 84 Rough Combo co PY
05/18/2011 84 Rough Combo CA PY
•
Inspection List
Permit#: CB073238 Type: RESDNTL SFD
Date Inspection Item Inspector
11/30/2011 89 Final Combo
11/30/2011 89 Final Combo PY
09/07/2011 39 Final Electrical PY
07/25/2011 39 Final Electrical PY
06/02/2011 17 Interior Lath/Drywall PY
06/02/2011 18 Exterior Lath/Drywall PY
06/01/2011 17 Interior Lath/Drywall PY
05/25/2011 16 Insulation PY
05/23/2011 84 Rough Combo PY
05/19/2011 84 Rough Combo PY
05/18/2011 84 Rough Combo PY
05/09/2011 13 Shear Panels/HD's PY
04/27/2011 13 Shear Panels/HD's PD
04/27/2011 15 Roof/Re roof PD
04/27/2011 15 Roof/Reroof PD
03/16/2011 11 Fig/Foundation/Piers PY
03/08/2011 21 Underground/Under Floor PY
03/08/2011 22 Sewer/Water Service PY
03/07/2011 21 Underground/Under Floor PD
Thursday, December 01, 2011
Act
RI
AP
WC
NR
AP
AP
PA
AP
AP
co
CA
AP
WC
AP
AP
AP
AP
AP
co
VIRIDIAN-LA COSTA GREENS-PHS 6
PLAN 2: 3704SF LIV • 687 SF GAR • 130SF
Comments
GMR
1ST LAYER
NO PLANS, CARD
Page 1 of 1
cnv or Carlsbad
~ ; Flnal Bulldlng IISPICdll ....... 7,.... "
AUG -5 201]
Dept: Building Engineering Planning CMWD St Lite Fire
Plan Check#:
Permit#:
Project Name:
PC070085
CB073238
VIRIDIAN-LA COSTA GREENS-PHS 6
Date: 08/04/2011
Permit Type: RESDNTL
Sub Type: SFD
PLAN 2: 3704SF LIV -687 SF GAR -130SF COV. PORCH
Address: 2305 MICA RD Lot: 28
Contact Person: Phone:
Sewer Dist: CA Water Dist: CA
Inspected b Date ~/4/:,r /Disapproved: __ By: ~ 7 Inspected: Approved: ? Inspected Date
By: Inspected: Approved: Disapproved: __
Inspected Date
By: Inspected: Approved: Disapproved: __
Comments: _____________________________ _
.
AUG-19-2009 WED 12:41 PM CITY OF CARSLBAD ).:,AX NO, 760 602 8551
-\-' u--.-...\ z__ NVn .
p, 0 l
<<~> ~ CITY OF
CARLSBAD
CIRCUIT CARD
B-36
Development Service5
Building Department
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov LOT 2-8
Tf-lJS CARD MUST BE FILL.ED OUT AND AVA\U.1)LE /<..TTUij. Sti'P-VlCl': W UlrMl!NT fOFI. nm ROUGH JNSPr.CTION
Address: 2..:2-n ~ M /CJ. R.ll Permit Number: r R f"l 7 --;i, ? ~ P-,
Owner. rA V / r, "/IA I",/) 0 C 1.n. Phone: Y L/ 9 ~ L+ [700 =
Area In Sq. Ft
Contractor: Phone:
PANEL -·-··· ......... ····-, .. , .. .. A.LC. VOLTS 0 WIRE
LOCATION CKT BKR WIRE MISC REC REC LTG MISC WIRE BKR CKT SIZE SIZE TYPE STZE TY~t~ SIZE LOCATION
N\ (j·' 1 w / 7---w er o ).,. '--10 2 A; JG • I -
(;..A-fl,, ~f_j_ 3 !< /-1 (' ,, --, C£ IA 'ff) 4 ,Ar/{.,,
~f µI>//..., 5 Ir:; Ii ('I.A {, ' ,. "JU 6 A--f c,,
WI.(/,,..!) 7 ;<::; I, c..... 7 '5 I' \.v,. '-fU 8 kl<--
£Q.J2_1--9 /6 I r .. ., ll' '-~ r. Jc;-10 I or:-,
9-,iu1 :, 11 15' I' u-. '-( 7 B (A, /.C 12 F\\,lc r o JI
_:::,~4 13 !,< I l'u 7 '1 \, Ir,-14 L,r. rL"'
JD qi.,., 1h 15 ,t;' ('-( r. I -i, 5 5 Ct,, 15' 16 '(/,;,..n, / vr
Uk\A 17 ;c: It/ r,, h 'f;, 'i 1 Cu I'? 18 I ~r:-r
19 20
21 22
23 24
25 26 . 27 28
29 30
31 32
33 34
35 ,,&, 36
37 38
39 I 40
41 42
MAIN:□ z..zs---AMP BRK/FUSE O MLO Computed Load AMPS
BUS; AMP S&fJ Ca/cu/mion Workslieer on back
Servicu enlra11ca or 1aader con<Juc1ont:
Branch circuits required:
A) Size: No B) Type: 0 CU DAL
A) Lighting Circuits 220 -3(b), 4(d)
B) Two Small Appliance Circuits 210-11(e)
C) Insulation: 0) Concluil Size: ·--C) Laundry Circuit 220-16(0)
Serv(ce ground/bond:
[~[]AL
D) Central Healing Equipmant 422 -12
A) Size: No.~ 7 B) Type: E) Bat11room :!10 -52(d)
C) Clamp location(,):
SiJFER 250 -5D(c) RemarKs:
D Waler Pipe 250-104
[l Ge:;: Rod 250 -52
l'Y 5
GFC! \ocalion:s 210-B, 680-10: / c9J1/fy that all terminetions hsve been torquBd in acoordance with manufscturers
!Q-1:fathroom(s) [H(llchcn iris/ruc:1fons and !hat the work shown on this circuir card represonts tho full Q)(fent of
u,L.Gar~g~{:.) {].Hydroma.s&age Tub tile work performed under this permit.
[iLh(itdoors □ D Owner
AFC! Protected Circ. 210-~2 0 Contract;.,efj;~!; i::s-eed roorn ( s) 0 Slgned '> Date
-·~·
B-36 Paoe 1 of 2 ~"'" ll".l./nO
,
ALJG-19-2009 WED • \ 2: 41 PM Cl TY OF CARSLBAD FAX NO, 760 602 8558
fl v P, 0 \
~. ((►:!'
•~ CITY Of
CARLSBAD
CIRCUIT CARD
B-36
Development Services
Building Department
1635 Faraday Avenue
760-602-2719
www .earls ba dca .isov
TJl!S CAr~D MUST BE FILLEl) OUT AND AVAlLABU: ,.,Ti~)ij $fi'RY1Cf-: J~CUlPMI!NT fOR THU ROUGli rNsrr.CTION
C Address Permit Number:
Owner I Phone: Area \n Sq. Ft.
Contractor: \ Phan@: --A.l.C. l'.t\NIL ··-·---. ·-·-.... ,' VOLTS 0 WIRE -WIHE WIRE CKT BKR MISC REC REC LTG MISC BKR
I LOCATION SIZE SIZE TYPE SIZE TYPL\ SIZE CKT LOCATION
[1c;~: w I 1,.-(.; \ 'i Li,, l/0 -1 2 0,jc,J
J V) I '1..-V\ .. c,...,_ '-/0 4 /),Ji,,\,
\j\'\ I G 5 -r;, I 1---r,,._ /v ",,_ u, 6 C,i)
Iv C. Iv J.Jvv -~ I 1-/o,,, \) 1 'Lo V' w 8
1 k,\-~1'-, ~ r1 r,. 'i t'-f )J, /{; lil) f.lnA
--
9 l'L-10
,Tz-;-r e,, r--, 11 U) / 1--Ch_ __ -'-/ / '--/ lA Jc; 7iv> 12 (t':{___ __
[f.W=e,,fi 13 -io I 1,-w y '--1 I 'L-'A, 2-o 14 D,tJQ...,
I~~ 15 w J 'l, [',. '.::, ;:, I 1---'h ZP 16 hsl•o\i
¼I '-/ c;:, (.{) I '-I Q,<.,, /~ (,4-,.,,,1,-,,/' --~~ 17 Vo /'v 18
19 16 I 'i (',. 12--37 7 /'i r. ;c; 20 f-,4-,vJ ,Y-
\z.;\--~ 21 b /'-{ {'IA. 11 2-1 I I cf (\' I C. 22 l-ruiJiH
\J, 23 24 I
I-25 26
27 28
29 30
31 32
33 34
3; 36
37 ,.,,
36 ---·---------
39 I 40
f-~-------..
41 42
MAINO ur AMP BRKIFUSE O MLO Cornput:ed Load AMPS
BUS: AMP Se" Calcu/e1ion Work.sbae/ on b-ack
S<nv,ctl f!l11rance or loader corn.h.1CIOr$' Branch circuits required:
A) Size. No._ B) Type: 0 CU DAL A) Lighting Circuits ?.20 -3(b), 4(d)
B) Two small Appliance Circuits 210 -11(e)
C) lnsula\lOn, 0) Coni:!ui\ Size: ___ C) Laundry Circuit 220 -16(b)
Service ground/bond:
IQ-cu [l AL
D) Central Healing Equiprnemt 422-12
A) Size· No. _-..L:::. __ B) Typo: E) Ba1)1room :110 · 52(d)
C) C\<.1mp location(s): -.-;~t:·.
BiJFER 250 -50(c) Rom,wr.··
0 Wener Pipe 250-104 • ~:,, e ,_,._
[ l Gr.:lmd Rod 250 -52 .;;):~-
I':/'" -me~ / r::srl/fy fhFJI a!/ lerminations have been torqued in ijCC6rdance with mant.rfaclure(s GFC~0t1ons 210 -P,, 680 -70·
Bothroom(s) ~.l\chcn institii:WOn.:;' :a(ld th8t the work shown on rtiis circuit curd rcpmscnts tho full ox/en! of
(9-13 .-.r~gu(:;) fSf1ydrom/3s&~ge Tub the work pefformed und0r !his permit. l riJ-15uldoor:; [J D Owner
AFC~rt:teder:1 Gire. 210-12 0 Contract"fJ!]!f!i,<L'tff,L.-:r:;.. 22::,."C
\ I B~d1·0orn(s) D Signed__ , Date
l __ -----··· --
B-36 Page 1 of 2 Rev. 03/09
LOT
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelo e -Insulation· Roofin • Fenestration (Page 1 of 3)
Enforcement Agency:
If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate
applicable to the portion of construction/or which they are responsible,· alternatively, the person with chief responsibility for cons'truction shall
prepare and sign this certificate for the entire construction. All applicable Mandatory Measures with check boxes require to be checked to e~ure
the mandato measures have been met.
1. RAISED FLOOR
Description of Insulation ~
Material: _________ ___,_,,._ _ _,,-+--Brand Name: _____________ _
Thickness (inches): ________ ....____ Thermal Resistance (R-Value): ______ _
D §150(d): Minimum R-13 insulation in raised wood-frame floor or equivalent U-factor.
2. SLAB FLOOR/PERIMETER t±~
Material: --~---------+~-,,,....+r-
Thickness (inches): --------+--~-Perimeter Insulation Depth (inches): ____ _
.Brand Name: _____________ _
Thermal Resistance (R-Value): ______ _
D § 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. ~tioq ;rype ( e.x. Batt, Loose Fill, Spray Foam)
------X>0\,1½.
n-l? a. Thermal Resistance (R-Value): ----'K--'--__ 5_......_ __
b .. Insulation Type ( e.x. Batt, Loose Fill, Spray Foam)
-Br_an_d_: ~~~--'G~';:'._~~=----"--·AA=----'-'~'---'-"I %:....:....:...,__ ___ _
b. Th=al Resistance (R-Value): ______ _
Spray/Loose fill) Spray/Loose fill) Installed Actual Thickness
(inches): _____ _ Contractor's min installed weight/ff __ lb
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
D §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. FOUNDATIONWALL Ii\.) ,/,;°
Material: I ,7ft: Brand Name: _____________ _
Thickness (inches):__________ Thermal Resistance (R-Value): ______ _
5. CEILING O J..l__ /' 0 '
Bart or Blanket Type:-~~~~~~----Brand Name: <J--t-1,M (),. I~
Loose Fill Type:___________ Thermal Resistance (R-Value): 1\-~.!(
Spray Foam Type:____________ Brand Name: ____________ _
Installed Actual Thickness (inches): ___ ~_ Contractor's min installed weight/ft' lb
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value):
□ §150(a): Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor.
TIC RADIANT BARRIER
Material: ------------\P<l--c,,Lt'\-c----
Material: ---;:----:-------:----~---t-:;~--11-t-Brand Name: ____________ _
Thickness (inches):__________ Thermal Resistance (R-Value): ______ _
Brand Name: ____________ _
□ § 11 S(a): Insulation installed meets Standards for Insulating Material.
□ §150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16.
2008 Residential Compliance Forms August 2009
.
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope -Insulation: Roofin!J': Fenestration (Page 2 of3)
Site Address: I Enforcement Agency: I Permit Number:
Descriotion ofRoofin~ Products
CRRC Product ID Manufactmer Product Roof R~~ Product Initial Solar Aged Solar Thenrud
Nu.mber1 Information Brand/1vfodel "'~e Area I Sia Wefa:ht 2 Reflectance Reflectance4 Emittance
(\ I / ' □'
/ -□'
/ .
□'
1. T71e CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
-ww.coolroofs.org/productslsearch.php
2. The weight in lbs per square feet of the roofing product being installed.
3. Check box if the Aged Reflectance is a calculated value using the equation below,footnote 4.
4. If the aged reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the initial reflectance value from the
directory and use the equation (0.2+0. 7(Pinitial-0.2) to obtain a calculated aied value.
✓ 0CHECKAPPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENT:
□ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from the above Cool
Roof criteria.
□ Roof constructions that have thermal mass over the roof membrane with a weight of at least 2? lb/tr 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 of 20 mils across the entire roof surface and
meet minimum nerformance requirements listed in §118(i)3 and Table 118-C. Select the annlicable coatinf!
D Aluminum-Pigmented Asohalt Roof Coating I D Cement-Based RoofCoatine I D Other
✓ 0 CRRC-1 Label Attached to CF-6R
· (Note ifno CRRC-1 label is available, this comvliance method cannot be used and another method is reauired to meet comvliance).
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' SHGC1 Panes Certified1• 2 (Ovtional\ ft' or Overhane Features
I /
2 1\1 /
3 '}' !
------4 / \I . • 5
6
7.
8.
1. Use values from a fenestration product's NFRC Certified Label. For fenestration products without an NFRC label, use the default values from Section 116, Table
116-A and 116-B of the 2008 Energy Efficiency Standards.
2. NFRC Label Certificates shall not be removed until the buildin~ inmector has verified the efficiencv. Enter Yes or No.
D § 1 I 6(a) 1: Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
D § 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 of Compliance (Form CF-lR).
D § I 16(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 §10-11 l(a)
D §117: Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed.
2008 Residential Compliance Forms August 2009
. INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope -Insulation; Roofinl1: Fenestration (Page 3 of 3)
Site Address: I Enforcement Agency: I Permit Number:
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 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 reviewed a copy of the Certificate of Compliance (CF-IR) 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 the installation have been met.
• I will ensure that a completed, signed copy of this 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 of this Installation Certificate is required to be included with the documentation the builder provides to the building
owner at occupancy.
Company Name: (Installin
Resp
2008 Residential Compliance Forms August 2009