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Home My WebLink About2333 MICA RD; ; CB080013; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-20-2011 Residential Permit Permit No: CB080013 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Vaiuation: Occupancy Group: 12/29/2010 # Dwelling Units: 2333 MICA RD CBAD RESDNTL 2132820900 $453,008.16 Sub Type: Lot#: Construction Type: Reference #: SFD 35 VN CT040016 Structure Type: SFD Status: Applied: Entered By: Issued: Bedrooms: 4 Bathrooms: 4.5 Inspect Area: Project Title: VIRIDIAN-LA COSTA GREENS-PH$ 7 Orig PC#: PLAN 4: 4194 SF LIV-826 SF GAR.-172 SF PORCH//88 SF DECK Plan Check# Applicant: TAYLOR MORRISON OF CA, LLC 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 $1,785.69 $0.00 $1,160.70 $0.00 ($92.86) $45.30 $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 949-341-1289 Meter Size Add'I 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 ISSUED 12/27/2007 JMA Plan Approved: 12/29/2010 PY PC060023 PC070086 $0.00 $190.00 $4,492.00 $3,122.05 $8,244.75 $0.00 $0.00 $0.00 $2,286.80 $0.00 $0.00 $223.00 $60.00 $103.00 $0.00 $0.00 $0.00 $0.00 $2,018.00 $125.00 ?? $28,823.43 Total Fees: $28,823.43 Total Payments To Date: $28,823.43 Balance Due: $0.00 Inspector: FINAL AP 2 Date: Clearance: NOTICE: Please take NO pproval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposttion 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 x i n f h" h v r vi Tl hi r whi h h f limi i n h rwi City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-29-2010 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW100467 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: 2333 MICA RD CBAD SWPPP 2132820900 CB080013 VIRIDIAN: PHS. 7 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#: 35 Applied: Entered By: Issued: Inspect Area: Tier: Priority: Owner: TAYLOR MORRISON OF CA, LLC 15 CUSHING IRVINE CA 92618 949-341-1289 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: FINA . APPROVAL OATF.Jl/1 ~ti_ CLEARANCE__~_ l:ilGNATURE _ _ _ ____ _, $0,00 City DI Carlsbad ~ ·; Final Building Inspection ~ --,~,~-~ r Dept: Building Engineering Planning CMWD St Lite Fire I 2 2011 Plan Check #: Permit #: Project Name: PC070086 CB080013 VIRIDIAN-LA COSTA GREENS-PHS 7 Date: 09/09/2011 Permit Type: RESDNTL Sub Type: SFD PLAN 4: 4194 SF LIV-826 SF GAR.-172 SF PORCH//88 SF Address: 2333 MICA RD Lot: 35 Contact Person: Phone: Sewer Dist: CA Water Dist: CA .... , .................................................................................................................................................... . Inspected ~ Date 9[~/_u By: ~ 2 :::::, Inspected: Approved: ~ Disapproved: __ Inspected 7 Date By: Inspected: Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ ........................................................................................................................................................... Comments: _____________________________ _ City of Carlsbad Bldg Inspection Request For: 11/30/2011 Permit# CB080013 Inspector Assignment: PY Title: VIRIDIAN-LA COSTA GREENS-PHS 7 Description: PLAN 4: 4194 SF LIV-826 SF GAR.-172 SF PORCH//88 SF DECK Type: RESDNTL Sub Type: SFD Phone: 9492467922 Job Address: 2333 MICA RD Suite: Lot: 35 Location: Inspector: OWNER TAYLOR MORRISON OF CA, LLC Owner: TAYLOR MORRISON OF CALIFORNIA LL C Remarks: Total Time: CD Description Act Comments 19 Final Structural ~ 29 Final Plumbing 39 Final Electrical t-49 Final Mechanical Comments/Notices/Holds ----- Requested By: GARY Entered By: JH Associated PCRs/CVs/SWPPPs Original PC# PC060023 SW100462 FINAL VIRIDIAN: PHS. 7; SW100463 ISSUED VIRIDIAN: PHS. 7; SW100464 ISSUED VIRIDIAN: PHS. 7; SW100465 FINAL VIRIDIAN: PHS. 7; SW100466 FINAL VIRIDIAN: PHS. 7; SW100467 ISSUED VIRIDIAN: PHS. 7; lns(:!ection Histoi:y Date Description Act lnsp Comments 08/24/2011 39 Final Electrical PA PY EMR 07/19/2011 23 Gas/Test/Repairs AP PY 07/11/2011 17 Interior Lath/Drywall AP PY 07/11/2011 18 Exterior Lath/Drywall AP PY 06/30/2011 16 Insulation AP PY 06/28/2011 84 Rough Combo AP PY 06/16/2011 13 Shear Panels/HD's AP PY 06/07/2011 15 Roof/Reroof AP PY Inspection List Permit#: CB080013 Type: RESDNTL SFD Date Inspection Item Inspector 12/01/2011 89 Final Combo 11/30/2011 89 Final Combo 11/30/2011 89 Final Combo PY 08/24/2011 39 Final Electrical PY 07/19/2011 23 Gas/TesVRepairs PY 07/11/2011 17 Interior Lath/Drywall PY 07/11/2011 18 Exterior Lath/Drywall PY 06/30/2011 16 Insulation PY 06/28/2011 84 Rough Combo PY 06/16/2011 13 Shear Panels/HD's PY 06/07/2011 15 Roof/Reroof PY 06/06/2011 15 Roof/Reroof PD 06/03/2011 15 Roof/Re roof TP 06/02/2011 15 Roof/Reroof PY 04/12/2011 81 Underground Combo PY 03/31/2011 21 Underground/Under Floor PY 03/31/2011 22 Sewer/Water Service PY Thursday, December 01, 2011 Act RI RI AP PA AP AP AP AP AP AP AP CA NR NR AP AP AP VIRIDIAN•LA COSTA GREENS-PHS 7 PLAN 4: 4194 SF LIV-826 SF GAR.-172 SF Comments GMR EMR Page 1 of 1 ✓/~lD/4/l/ f.ii(if,f:t 1Jspection and Testing, Inc. Prw~-7 441 Commercial Way La Habra CA 90631 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 REGISTERED INSPECTOR'S DAILY REPORT TYPE OF INSPECTION REQUIRED Job Address 0 Reinforced Concrete Post Tensioned Concrete 0 Reinforced Masonry 0 Structural Steel Assembly 0 Post Tensioned Concrete 0 Asphz:lt Type of Structure '::f(l , fT F'OJ, 0 i:::;A T1 O "'] ~ Architect Subcontractor \JC-R...6,.UbO TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES -I,-// A 1):-) INSPECTION SUMMARY -LOCATIONS OF WORK INSPECTED, TESliSAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS ELD MADE H.T. BOLTS TORQUED CHECKED, ETC. CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATION, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SPECIAL TY NO. AGENCY CONTINUED ON NEXT PAGE □ PAG TIME IN TIME OUT REG. HOUR O.T. HOURS Approved by ----:J...,,,__ __ Pro"ect Su rintendent ~I£-( f?tf-1 N GEOCON INCORPORATED 6960 FLANDERS DRIVE PJM&~ 7 --C~ GEO TECHNICAL CONSULT ANTS SAN DIEGO, CALIFORNIA 92121-297 4 ■ TEL 18581 558-6900 ■ FAX 18581 558-6159 Iii FOUNDATION OBSERVATION REPORT PROJECT NAME : -~/-'"'=e------'_G~IIZ_l!!::_e_v_;..s~_/._o_____c.6 _______ _ LOCATION : ____ L_o_r __ 3_S_.J) __ 3_b-'--------- FOUNDATION LOCATION (if not entire building} PLAN FILE NO. PERMIT NOS : 3S: CJJ>o8oo 13 FOUNDATION TYPE : D CONVENTIONAL POST -TENSIONED a~ oe>r O • PU~SE OF OBSERVATION 37,; O PROJECT NO. 06>.~o3 -S2. -~S ._; / 1 1 I -;z...o 1 1 0 ADDITIONAL OBSERVATION REQUIRED fJ'jerify soil conditions exposed are similar to those anticipated cf' Verify footing excavations extend to minimum depth recommended in soil report D Verify foundation reinforcement complies with minimum recommended in soil report D Jerify slab reinforcement, sand bedding and moisture barrier comply with minimum recommended in soil report [)" Verify footings have been extended to an appropriate bearing strata 0 Other -------------------------------------- • APPLICABLE SOIL REPORT: TITLE: --'U"""P_O_J\....:....:....7 F:" __ _,,G...,tE.=o=re"--==c'-u.C....:.'----#-/<i--""--'---n-----'-----"~'---• .......:......V,_,._.___,,.'---o_,= __ L.,. __ £--_o_"i_~ __ ____ ,_,,,_e.. __ G;:___e:.;__u.::..___...J_s ___ /__c,_;:O::..;(p..._ _ _.________________ DA TE : ,,.,,, >.,... ~ J., Id) I ;to O {, • SOIL REPORT RECOMMENDATIONS BASED ON: Expansion Condition O VERY LOW O LOW O MEDIUM 0 VERY HIGH Gf'Fill Geometry -----=3::..:S~.l~-~0,~1 _,,,;77~1 ~-+-~CA~~-r--=Te::!!=.L __ -~3:...!.7:__ _ _g~--------- □ Other :-------------------------------------- • MINIMUM FOUNDATION RECOMME~D TIONS: -p :JV.- □ Footing Depth : D 12 Inches 18 Inches 24 Inches OTHER _____________ _ Footing Reinforcement: 0 No.4 T&B O 2-No.4 T&B O 2-No.5 T&B ~ost-Tensioned OTHER : _____ _ Interior Slab Reinforcement : D 6x6-10/10 D 6x6-6/6 D No.3@241nches D No.3@181nches Post-Tensioned Slab Bedding Material and Thickness : ___________ _ Vapor Barrier : Foundation Width : ---------------------------------- • OBSERVATIONS: sf substantial conformance with Soil Reports (see "Purpose of Observation") D Substantial conformance with Foundation Plans. Identify : -------------------- 0 Other OTE: IT IS ASSUMED THAT All FOOTING EXCAVATIONS Will SE aEANED Of LOOSE MATERIAL PRIOR TO PLACING CONCRETE AND THAT THE SOIL MOISTURE CONTENT WILL SE MAINTAINED AELD COPIES TO GEOCON REPRESENTATIVE «,:/:• ~ CITY OF CARLSBAD CIRCUIT CARD B-36 Development Services Building Department 1635 Faraday Avenue 760-602-2 719 www .carlsba dca. gov 1'HlS CAltDMUST BE FILLED OUT AND AYIIILAllL'E ,<.TTtlll SlllWlCE ec UlPMI:),IT fOR nm ROUGII INSPCCTION Address: 2 '3?. \ MlCA Rf) Permit Numt>or: C JI)., d A Q/"'J I ~ Owner: ,, A" J .r~r lll {) h /) g/J' }Phooo: CilJ Q -~ l/} '/()(J -Area In Sq. Ft. Contractor. Phone: PANEL ....... ---·M ... o•••••-• '• ...... ...... , A.LC. VOLTS 0 WIRE BKR WIRE MISC REC REC LTG MISC WIRE BKR LOCATION CKT SIZE SIZE TYPE Slo/.E T\'l'~ SIZE CKT LOCATION 7-D l 'L ~ ;o ~ \ 1/0 J.,/, -N\. f-lo,(\r\, 1 I • 2 w Iv ~ s <i< ~ '-10 A-it--?l>'>n<v 3 " 4 /;iM./11h 5 15 I ti tu 7 cf, lJ lf{) 6 Alv ~o,0 "-I <;..(") 7 1.< I;,., ' JO 5( /~ J lfD 8 ,A-'/v \2,uL6' 9 ,< / L fl LJ .. '7 &, ~ 3 f Lf l~ i 1< 10 t.J\ . /br-;I\ 971h '.'½ " 15 ;;J 1 .Ll II 1-, ln ( l( ~ 15' 12 /..1,A{.f,,,- ito--t ~ 13 ,~ 14 i'k\ z 9 z 7 I fl-/ u /~ 14 HA-U- I .. b ... I I IL/ ,, J< rllbbrl. te.O 2,' 1-, 15 /{<( lJ. ll 16 C.~i( 17 ,.c Ii, ()A lo L.. 2.. 3 I /Li " Ir 18 iN\. hJsr'J, fl,/) ,Ju<, /lW\ 19 !'5' /'1 '..,t. !j ' ,7 s I 11 ·~ J /C::: 20 1e,,J./,,...., <z>br 21 1< t '1 ~ ,A /l/ ~. ,4 IC 22 ,::',41 j se1 ,,;L, 23 ,C:: I '1 M IY e.. I§ 24 rA--IA +lV\.1hi ~ ii 25 !-< I '1 ti ~ 26 ' 27 28 29 30 31 32 33 34 35 ' 36 37 38 39 't 40 41 42 MAIN:0 zzr AMP BRK/FUSE O MLO Computed Load AMPS SH Calculelion WOrltliiae( on beci< BUS; AMP Branctl circuits required: Servico enlr.inCll or leader conduCle>r<;: A) Lighting Circuits 220 -3/b), 4(d) A) Si;ze; No. B) Type: D cu DAL B) Two Small Appliance Clrc1ills 210-11(e) Ci Insulation: 0) Conduit Size: __ C) Laundry ClrC\ltt 220 -16(b) Sentlce ground/bond: ffiu [)AL D) Central Heating Equipm&nl 422 -12 A) Size: No. z._ B) Type: E) Baltlroom 210 -52(d) C) Clamp location(s): 2S0-S0(c) Remarl<s: !9'UFER D Water Pipe 250 -104 ~~c 250 -52 GFC~tions 210 -e. 680 -70; / csrllly rhat &II terminations have been rorqut1d in acccirdance with manufactur11r's :ithroom(s) ~hen insln.ic:sion~ and that th6 work shown on this circuil card represents tho full llxtent of ~&g,,/s) _ ydromasr,119e Tub tile work partormod under this pt1rmil. . utdoors D D Owner D Contra~~_$t&rJn l: AF~cted Gire. 210-12 edroom(s) D Signed · Date B-36 Page 1 of 2 • ~·---------~~__._~~-- c ~ <<~,:;:> CIRCUIT CARD Deveto~:1:1~:i~:~~=:i ~ C I T Y O F B-36 1635 Faraday Avenue CARLSBAD 760-602-2719 www.carlsbadca.gov 1'H1S. CA.JU) MU!iT BE FILLED Ot.rr ANO AVAILAbLE AT TU9 sEiVlt.f. JI,( UIPMENT r,of{ mn ROUGH JNSPBCTION Address: Permit Number: Owner: I Phono: Area In Sq. Ft. Contractor: I Phone: J)ANEL ··•···. "-. A.LC. VOLTS 0 WIRE BKR WIRE MISC REC REC LTG MISC WIRE BKR LOCATION CK,-Si2E SIZE l'IPE SIZE. TY'E S12E CKT LOCATION 0,/0 /\ 1 7,) th l'., ,\. I z_,. ''., ZD 2 D..P oJtA, 3 '1( ~ J/'-/(_ ~A -z..o 4 "-'• "° Ckill fler 5 -Z,o / 7.,.. .... I& 'I Zo 6 "'"--· Da. .. , . ..-- 7 U) / t. A )V ' 7,<.J B I ... -1A ..... M,c:.., . Lh~n 9 U) I 2.-r .. ~ le l '.1,. -ui 10 ~ . .} G.r-i ii) I z_,, r .. 'Z, /& ' Z-c ,2 11 ;J-{,,f'I r~n 11 tJv,,. · .. \ 11.." 13 Z,0 /7, u, i '-f I z__ . , JJ) 14 Di .J.1., Ne»"-15 z,u I l-c.... J I 3 fl • IA ,~ 16 f°AivJ t...,.. l\looll-17 IS 17 ~ /0 8 I" .. IC: ,e • , .. ~ lz.. '-~--' 18 1-5 /'-f r .. 11> ' 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.u AMP BRK/FUSE O MLO Computed Load AMPS SN Calcula/JOn Woricah&et on ~ BUS: AMP Branch circuihl required: SetviOG snlranca or1esdercontiuct~: A) Lighting Circuits 220 -3(b), 4(d) A) Size; No. B)Type: D cu DAL Bl Two Small Appliance Clrc"lts 210-11(e) C) Jnsulalion: O) Conduit Size:_ C) LaundryClrC1.lH 220-16(b) Service gro"nd/bond: ~DAL D) Central Heating Equiprn•nt 422 -12 A) Stze: No. 7 B)Type: E) Ball\room 210 • 52(d) ~•mp location(,): 2$0-S0(c) Remarks: UFER D Water Pipe 250-104 ~Rod 250-52 -:s GFC~lions 2:10-E'., 680-'70: ~chcn f cat1.lfy that eJI terminations heve been torqued in acccirdance with manufsc1urer·s 3throom(s) ins/fl.lczion:; and that the work shown on this circuit card represents thG full &xtent of e:rtlarag,,ls) ~ ydrome5&a9e Tub tile work pBrformoci under this permil. l]H!)utdoors D □Owner AF~cted Gire, 210-12 0 Contracto$_~t~ •c ~droom(s) D Signed , :A . Date B-36 Paga 1 of 2 l OT 3,5' INSTALLATION CERTIFICATE CF-6R-ENV-01 (Page 1 of3) 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 construction 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. Description of Insulation 1. RAISED FLOOR Material: ________ .......,.....,----",_,.____ Brand Name: _____________ _ Thickness (inches): ____ -1-:::.f---l-.L---Thermal Resistance (R-Value}: ______ _ D §lS0(d): Minimum R-13 insulat10 in raised wood-frame floor or equivalent U-factor. 2. SLAB FLOOR/PERIMETER Material: _________ -----lf+-cH'----1'1---.Brand Name: _____________ _ Thickness (inches): _____ ----l---+--11----1--Thermal Resistance (R-Value): ______ _ Perimeter Insulation Depth (inches): _____ _ D §150(1): Water.absorption rate for the insulation material alone without facings is no greaterthan 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. In~~ype ( e.x. Batt, Loose Fill, Spray Foam) a. Thermal Resistance (R-Value): _R_-__ \~~~--- b .. Insulation Type ( e.x. Batt, Loose Fill, Spray Foam) -B-ran_d_:-::_-::_:,(r:~~<.N}.J.,"'-_""-_""-"'~"-'--'~'-~.:._.:._.:.._ ____ _ b. Thermal Resistance (R-Value): ______ _ Spray/Loose fill) Spray/Loose fill) Installed Actual Thickness (inches):. _____ _ Contractor's min installed weight/ft' __ lb Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) D §150(c): lvfinimum R-13 insulation in wood-frame wall or equivalent U-factor . . Exterior Foam Sheathing (rig· snlation) Material: _______ .._..,_,__-1->-----Brand Name: _____________ _ Thickness (inches) : ____ ~------Thermal Resistance (R-Value) : ______ _ 4. FOUNDATIONWALL ~ Material: Thickness (inches): t) Brand Name: _____________ _ Thermal Resistance (R-Value): ______ _ 5. CEILING () 1.-\.-0 ,0 , Batt or Blanket Type: ---=~=-"''""JL'--'------Brand Name: I..J::lA~ v'\ I~ ~ Loose Fill Type:___________ Thermal Resistance (R-Value): 7<.-:S,x.. Spray Foam Type:-------~~,._-Brand Name: ____________ _ \•1 II . 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. 6. ATTIC ROOF INSULATION AND/,OR ATTIC RADIANT BARRIER Material: '{' / _ t Brand Name: _____________ _ Material: . t f/ / Brand Name: Thickness (inches):~ / Thermal Resis_tan_c_e-(R--V-al-u-e)_: ______ _ □ §118(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; Roofing; Fenestration (Page 2 of3) Site Address: I Enforcement Agency: ! Permit Number: Descriotion of Roofine: Products CRRC Product ID Manufacturer Product z:: /Roof Product Initial Solar Aged Solar Thermal Number' Information Brand/Model T=e s1o~ Wei.e;ht1 Reflectance Reflectance4 Emittance ' V/ '\ □' / 1 □' □' 1. The 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. l(Pinirial-0.2) to obtain a calculated a's!ed value. ✓ DCHECKAPPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENT, □ The roof area covered by building integrated photovoltaic panels and building integrated solar thennal panels are exempt from the above Cool Roof criteria. □ Roof constructions that have thennal mass over the roof membrane with a weight of at least 2? lb/ft~ 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 performance requirements listed in .fl 18(1)3 and Table 118-C. Select the annlicable coatinz D Aluminum-Pio-mented Asohalt Roof Coating I D Cement-Based Roof Coating I D 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 reauired to meet comoliance). 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 RODUCTSl factor1 SHGC1 Panes Certifie,l,1,2 (Ootional) ft' or Overhang Features 1 /I 2 \. I (\ 3 / 17 / , 4 5 6 7. 8. I. 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 Certtficates shall not be removed until the buildinJ? inspector has verified the efficiency. Enter Yes or No. D § 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 of Compliance (Form CF-JR). D § 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 §10-11 l(a) D § 117: Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed. 2008 Residential Compliance Forms August2009 ____ a ___ ,,,... . INSTALLATION CERTIFICATE CF-6R-ENV-01 Envelope -Insulation: Roofing; Fenestration (Page 3 of 3) Site Address: I Enforcement Agency: I Permit Number: DEC.LARATION 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-lR) 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. 2008 Residential Compliance Forms August 2009