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2339 MOANA PL; ; CB154369; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-29-2016 Residential Permit Permit No: CB154369 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2339 MOANA PL CBAD RESDNTL Sub Type: SFD Lot#: 13 Constuction Type: SB Reference#: CT 12-01 Structure Type: SFD Bathrooms: 4 Status: ISSUED Applied: 12/10/2015 Entered By: SLE Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1563513600 $525,529.00 1 4 LANAI PHASE 2: PLAN 2 Orig PC#: PC150036 Plan Approved: 02/29/2016 Issued: 02/29/2016 Inspect Area: Plan Check#: PC150066 3,300 SF LIVING I 580 SF GARAGE I 388 SF PATIO I 329 SF DECK Applicant: SHEA HOMES 9990 MESA RIM RD SAN DIEGO CA 92121 858-526-6500 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 Green Bldg Stands Plan Chk Fee $2,115.26 $0.00 $1,480.68 ($500.00) $0.00 $68.32 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $3,934.00 FS1 $0.00 $0.00 $22.00 $0.00 Total Fees: $34,873.78 Total Payments to Date: Inspector: fl!I. ~ Owner: Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFO 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 $34,873.78 Balance Due: Clearance: FS1 $0.00 $356.00 $4,800.00 $0.00 $9,564.63 $8,828.89 $0.00 $0.00 $3,160.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $881.00 $163.00 $0.00 $34,873.78 $0.00 NOTICE Fleasetake NOTICE that~ ct your efCied irdudestte "lrrpooitiorf ct fees, declcalicns, reservalicro, or ctl'erexadiCJ1S -c:dledivay referred to as 'feas/exa:tiais." You rave 00 days fn:m tte-tns pemit v.as issuad to iroest inµ,;iticn ct these feeslexadiCJ1S. If you imest ttem you rrust follo.vtre iroest pocsdJres sa fOl1h in GaJernrerl Code Sedicn 60020(a), ard file tte imest ard any ctra-req.ired irtooraticn wth tte aty M,mger tc,- irocessirg in ~\Mth Ca1sbad M.nidi:a CodeSecticn 3.32.030. FalU"etotirreyfollo.vttat ~wll ta-al'o/subsecµrt lega aticntoatt~ review, set aside, \Od, er an.A their irrposition. You ae reret,y FUmER NOTIFIBJ !tat yor ni,,t to imest tte specified fees'exa:tiCJ1S 1X€S "-OT />PPL Y to \Mrter ard """"'<Xll"lm"' fees ard ~ty manges, norplmrg, zrrirg, gaclrg orctrer slrrila-applicaicn irocessrg orSE>"Aretaas in ronredicnwth Iris efCject. r-1'.:R oces IT />PPLYto any • • • ' • • ........... _ rT . • ..... .....:......l City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-29-2016 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW150480 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: SHEA HOMES 2339 MOANA PL CBAD SW PPP 1563513600 CB154369 LANAI PHASE 2: PLAN 2 9990 MESA RIM RD SAN DIEGO CA 92121 858-526-6500 Emergency Contact: SARAH MORRELL 760-715-1584 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Lot#: 13 Owner. Total Fees: $282.00 Total Payments To Date: Status: Applied: Entered By: Issued: Inspect Area: Tier: Priority: ISSUED 12/11/2015 SLE 02/29/2016 1 M $54.00 $228.00 $0.00 $282.00 $282.00 Balance Due: $0.00 FINAL APPROVAL DATE oe, P:-9/ll,CLEARANCE. __ _ SIGNATURE fv!. ~s Inspection List Permit#: CB154369 Type: RESDNTL SFD LANAI PHASE 2: PLAN 2 3,300 SF LIVING I 580 SF GARAGE I 388 S Date Inspection Item Inspector Act Comments 08/29/2016 89 Final Combo RI COF 08/29/2016 89 Final Combo MC Fl 08/19/2016 89 Final Combo RI COF 08/19/2016 89 Final Combo MC PA MINOR PICK UP, GMR E-MAILED TO SDGE. 08/03/2016 39 Final Electrical MC AP EMR E-MAILED TO SDGE. 07/20/2016 39 Final Electrical MC NR COMPLETE TRIM OUT AND ADDRESS NUMBER. 06/10/2016 23 GasffesURepairs MC AP 06/09/2016 17 Interior Lath/Drywall MC AP 06/09/2016 18 Exterior Lath/Drywall MC AP 06/03/2016 16 Insulation PD AP 06/02/2016 84 Rough Combo PD AP 05/23/2016 13 Shear Panels/HD's MC NS COMPLETED 05/19/2016 05/20/2016 13 Shear Panels/HD's PD AP 05/19/2016 13 Shear Panels/HD's MC NR COMPLETE ALL TRADES. 05/03/2016 15 Roof/Reroof MC AP 03/16/2016 11 Ftg/Foundation/Piers MC AP RECEIVED PT, SOILS, FORM CERT. 03/16/2016 31 Underground/Conduit-Wirin MC PA UFER 03/08/2016 21 Underground/Under Floor MC AP WASTE TO P.O.C 03/08/2016 22 Sewer/Water Service MC AP BLDG. SUPPLY 03/07/2016 21 Underground/Under Floor MC NR RAIN EVENT 03/04/2016 21 Underground/Under Floor MC co Monday, August 29, 2016 Page 1 of 1 ~-CB154369 2339 MOANA PL ~· .. ~ C I TY O< CARLSBAD INSPECTION RECORD LANAI PHASE 2: PLAN 4 .3 300 SF LIVING/ 580 SF GARAGE/ 388 SF PATIO/ 329 . Building Division ,NSPECTION RECORD CARD WITH APPROVED PIANS MUST BE KEPT ON THE JOB 621 CALL BEFORE 3;30 pm FOR NEXT WORK DAY INSPEcnON 0 FOR BUILDING INSPECTION CALL: 76G-602-2725 OR GO TO: www.cartsbadca.gov/Bullding AND CLICK ON .. Request Inspection# DATE: z -cC1 -IU SF DECK RESDNTL Lot#; 13 SFD SHEA HOMES RECORD COPY IF ·YES .. IS CHCCl<ED SF:LOW 1 HAT D1v1s10N·s APPROVAL IS REQUIRED PRIOR TO ;;>Fq __ u~STIN_<:;_ .. \ FIN . .\L BlllLDING INSPECTION. IF YOU H,\VE ,\NY OUESTIONS PL<::ASF CALL THE APPLICABLE DIVISIONS ,\T THC r'f-lONE NlJMbERS PROVIDED BELOW. AFTER ,\LL RCQUIRED ,\PPRO'/,\LS ,\RF SIGNED OFF-r·\X TO 760-602·8560. EM,\IL TO El DG____i_!J_SPECTIDNS .. CARLSB/\DCA_.GOV OR BRINC IN A COPY OF THIS C,\RD TO: 1635 F,\R,\0,\ Y AVE. CARLSBAD. CA 92008. BUILDING INSPC:CTORS CAN BE REACHC:D AT 7G0·602-2700 BC:T\\':cEn 7:30 AM -3:00 AM TIIE DAY OF YOUR INSPECTION. Required Prior to Requesting Building Final If Checked YES Planning/landscape 76~44-8463 Allaw 48 hours CM&I (Engineering Inspections) 760438-3891 eau before 2 pm Fire Prevention 760-602-4660 Allow 48 hours #12 REINFORCED S1Ell #66 MASONRY PRE GROUT 0 GROUT O WALL DRAINS . .1.0 TILT PANELS #11 POURSJRIPS #11 COWMN FOOTINGS #41 UNDERGROUND DUCTS & PIPING #14 SUBFRAME O FtOOR O CEILING #44 0 Duer & PLENUM O REF. PIPING #15 ROOF SHEATHING #43 HEAT-AIR COND. SYSTEMS #13 EXT. SHEAR PANELS #16 INSUlATION Cooc# COMBO INSPECTION #18 EXTERIOR lATH #81 UNDERGROUND (11,12,21,31) #17 INTERIOR lATH & DRYWALL #82 DRYWAU.,EXTlATH, GAS TES (17,18,23) #51 POOLEXCA/STEEl/BOND/FENCE #83 ROOF SHEATING, EXT SHEAR (13,15) #55 PREPlASTER/FJNAL #84 FRAME ROUGH COMBO (14,24,34,44) #85 T-Bar(14,24,34,44) FIRE Date Ins or #24 A/S UNDERGROUND VISUAL #27 A/S UNDERGROUND HYDRO #23 A/S UNDERGROUND FtUSH #25 WATER HEATER A/$ OVERHEAD VISUAL #28 SOLAR WATER A/S OVERHEAD HYDROSTATIC #29 FINAL A/SANAL CocE:: STORM WATER F/A ROUGH-IN #600 PRE-CONSTRUCTION MEETING F/AANAL #603 FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH-IN ':OS NOTICE TO CLEAN FIXED EXTING SYSTEM HYDROSTATIC TEST .. .;01 WRITTEN WARNING FIXED EXTINGUISHING SYSTEM ANAL #609 NOTICE OFVJOlATION MEDICAL GAS PRESSURE TEST #610 VERBAL WARNING MEDICAL GAS ANAL REV 10/2012 SEE BACK FOR SPECIAL NOTES ' . Y1 (cityof Carlsbad CIRCUIT CARD B-36 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www .carlsbadca.gov THlS CARD MUST BE FILLED OUT AND AVAILABLE AT THESERVICEEf UIPMENT FOR THE ROUGH INSPECTION Address: Permit Number: owner: -[ Phone: Area in Sq. Ft. Contractor: I Phone: PANEL: A.I.C. VOLTS Ill WIRE LOCATION CKT BKR WIRE LT(;, REC REC LTG MISC WIRE BKR CKT LOCATION SIZE SIZE TYPE SlZE TYPE SIZE ~A)-1 2 .s l,\ lo li:llt.N ... -~ . 3 ,,, J(f:, ,.u, -, I fl.£ UJ. w 4 r-..... = o 5 1;; /(£ ( .,,, I 5 kt (I /J I J;; 6 t..bt=z-J:b... r _,-a.;,;, 7 -2,o 1!! I ~· 6 5 iu 11 ., l~ 8 .. . -n. .,., I-( k'f 9. .u> Ji, (],. 3 '-/ B I, ' '' rA ,., 10 4,--,~ ;s: I/. Ir. /;.-p I 11 ;1.:0 n. I ., 7/ 7 Ii ,VJ 1,; 12 11.M° ' ·-L ,, ,l". & l='1 13 :Lo t:J.. ( 'I 3 8 7 I 'I,, 15 14 Rd) - ,_ ... :,;. "" 15 J.-0 /)., . ' j 'I 3 i {)t,( /'J 16 l,(,..i,.1.-., 1At<l-'-O 17 :lo /J ' " I 6 6 /'/. ll11 lb 18 LA.jr/l,( kt./ l)t.inJ 19 QA 11> ~j I S' 7 . cL C'.l,f ,s-20 -r.s I •-Jr ,Ja-t ~Q... 21 3D 11) I " I I 'I If {',ci 1, 22 µk R.l":T\ . • /'-fi 23 ,,, ,~ " 5 6 5' (L (!t,.j 15 24 R _.. , ftAf1 P,1. ·ri D 25 ,,.,-1~ ,, '1 J 'I • .2 <!l,j ~ 26 r()Af'U l"?1' n;-;;e 27 .2.:c> ) II 3 28 a,n 29 1, ~ JU: " I 30 -,..;;. i 31 It:' Ill " I 32 Sub 33 /,cc Jlc, Al,. 34 35 36 37 38 39 i 40 41 42 MAIN:0 Ji6 AMP BRKIFUSE O MLO Computed Load AMPS BUS: AMP See Calculation Worksheet on back Service entrance or feeder conductors: Branch circuits required: A) Size: No. B) Type: 0 CU O AL A) Lighting Circuits 220 -3(b), 4(d) 8) Two Small Appliance Circuits 21D-11{e) C) Insulation: D) Conduit Size: ___ C) Laundry Circuit 22D-16(b) Service ground/bond; B) Type: !ld"6u DAL 0) Central Heating Equipment 422-12 A) Size: No. 1 E) Bathroom 210 -52(d) ~mp \ocatio"5): FER 250-50{c) Remarks: OWaterPipe 250 -104 ~Ground Rod 250 -52 _._., ,.,, ~ GF~ 1 tions ~1~-8, 680-70: S(Kitchen f certify that all termfnatlons have been torqued in accordance with manufacturer's Bathroom(s) Instructions and that the work shown on this circuit card represents the full extent of IC!'tarage(s) OHydromassage Tub the work performed under this permit. Voutdoors D OOWner AF~otected Circ. 21 O 12 0 Contractor "-~-I<, Bedroom(s) 0 Signed ., Date ' . B-36 Page 1 of 2 Rev. 03/09 cL "3 ) f .. JAAM Electric RESIDENTIAL -COMMERCIAL -TENANT IMPROVEMENT LOAD CALCULATIONS P/OJ\h 3315 SQUARE FOOTAGE x 3 WAITS 9945 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 ··---27773 watts-·--· 1st 10000 watts @ 100% 10000 watts BALANCE @ 40% 7109 watts A/C #1@ 125% 8880 watts A/C#2 5280 watts TOTAL WATTS 31269 watts 31269 WATTS-240 VOL TS 130 amps USE 200A MINIMUM 697 Greenfield Dr. El Cajon, CA 92021 -(619)579-6500 -FAX (619)579-3733 CALIFORNIA CONTRACTORS LICENSE NUMBER 1010289 .. '•' 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:.._ -> C ,, 'Oat~/ I . I., ~ TYPE OF D Reinforced Concrete D Welding D DIA/Epoxy INSPECTION []{ Post Tensioned Concrete D Fireproofing D Wood Framing REQUIRED D Reinforced Masonry D Asphalt D Other Job Address ~ . Tract No . Lot No. I I_.) ...> ..... •"~·c.-' Job Name L _\ V\ '\ I Permit No.~ Issued BY-_:A :) 'c. , ~ r ··"' c.. Type of Structure Ct:> Architect ., / ... (... Material Description (type, grade, source) Engineer ' .A-l/l ... 1.."'---~·-· - ' I/ J .: -,._, I Contractor • :-• ,\. J { C t I • (" '.:)v I <. .._ ... Inspector's Name -A/.) Subcontractor ::>. -l I \ " v<-1 (.. I ...._; TESTS PERFORMED SAMPLE AIR CONC WATER TIME SET# TRUCK# TICKET# LOCATION SLUMP TEMP TEMP ADDED CAST MIX# REMARKS INSPECTION SUMMARY-LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT · AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC. t:::> c ...,.> -..:f' ·--...... --v \ 1.-L ~ - (._, ~. -~ i:::. 'c ~ ,..:> T €_ 1-::> l.,., '---C..-tt-4 ...... {' -c.. ..--~ ..J< .... (. ~ ,:: 1'--I'-) -..? fi:..f.A..,( ,-.._) l 1..1.-{./? C> 1_ -;..'t-f'G/c... --· -I._.-Vl I I._;> ~-~.& Le -.Ji I l. '7'" --I ~1 -I .) -.., . .,.. I ..>'::>'t'.. L • _) 1 3,.._ ./<.. .-,. i :>.._)<..,/ .., ~ z. ,. -L... ~..:> _, -' I... ·, ~ -_;, \-i' ., (_ L,, i..A 1-..., l LA t.....--_, /:~ .2. '-1 1--, .._,-2 ~ 3L--0(, ~{2.~,, -#- L-U ' I I l.-z. )~ ;-v1 '--,/\ v,.A / ; ,~, ........ "'t._;;;:J -,r --....,-.--r t ( I ? ;;-... I {_.,-. I .__ p --. I _.J -/ ;;,(_ 4 -BF-COMPLIANCE I HEREBY CERTIFY TH VE .OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOV E~AJ~ORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WO TO COM ffifTHE AP O PLANS, SPECIFICATION, AND APPLICABLE CTI N OF THE GOVERN IN )3UILDI AWS. /' /,_ L f SPECIALTY AGENCY . :, .... J\ L.,. t: t±--l'.:6'_:; I :r?g -fJ .r .,~-~?, -it -'-JL(. ) -\ -·tr \._ --'-I I ..>I '::.., .,; t CONTINUED ON NEXT PAGE 0 PAGE TIMEIN TIME OUT Approved By -.,:-:;'~--~--·-'*' Project Superintendent White -Office Copy • Canary -Accounting Copy • Pink -Inspector's Copy • Goldenrod -Jobsite Copy SITI F·049 ©Southwest Inspection & Testing, Inc. OF SAMPLES ; w.o.,,:. . ..., :: { DATE ~· -~· -I ~ NAME ___________ ~--~ HOURS___.£~~~<i~J ____ _ Geotechnical • Coastal • Geologic • Environmental FOOTING TRENCH OBSERVATION SUMMARY Client Name: __.___h __ ,_. _____________ Project Name: _'-_.:_11, __ · • ..,. ____________ _ Location/Tract:---....:.-·· "'""t>_,,,__-r_::-_· __ -;a....;...• ----------,,,--------=-,.....,,.....,....--.,.,.,....-----'*".d. 2 :::.3S-J\,lDP././A PL4~E'-23t.JD lv•ON/A Pi.Ate --Unit/Phase/Lot(s): l 'T , -I · · -2. 3 ~Ci iY),)A}/d PLJ...t e.. :;, ~:, 4 f-i_;7;,..1.J~ ft..At..e. ....__ .... . , Observation Summary Initials 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. Date --- Initials 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 ---Date --- Notes to Superintendent/Foreman 1. 2. 4. Footing excavations should be cleaned of loose debris and thoroughly moistened just prior to placing concrete. 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. In the event of a site change subsequent to our footing observation and prior to concrete placement O.e., heavy rain, etc.), we should be contacted to perform additional site observations and/or testing. 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 col'!'lpaction 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. X 5741 PalmerWay cartsbad, CA 92008 1446 E. Chestnut Ave. Santa Ana. CA 92701 26590 Madison Ave. MuTieta, CA 92562 -b~A,lnc. land planning, civil engineering, surveying March 15, 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 12 THRO 15, MILES PACIFIC SUBDMSION, CT 12-01 Dear Mr. Collins: This letter is to attest that BHA, Inc. has staked the location for the house construction on the above-mentioned lots. We have checked the locations of the building forms of the proposed houses and found the horizontal and vertical location to conform to the Grading Plans prepared by our office. If you have any questions regarding this matter, please contact our office. Sincerely, bl-IA, Inc. Vice President PLS 5941 AAM:pjh cc: Jason Korszeniewski -Shea Homes building form verification.ltr2 ARMAND A. MAROIS PLS5941 5115 Avenida Encinas, Suite L o Carlsbad, California 92008-4387 o (760) 931-8700 o FAX (760) 931-7780 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 settling fador for R-values Job Name: Lot No: Lanai Phase 2 13 Insulation By: __ ...c\--,,:2-"'-•~,. ........ _,~"-"""'--~"-- Date Completed : _ _,8.ulwl.,S..,/c.,2.,D..,1..,6,:__ Item Installed R-38 24" x '18" -Unfaced -Batts R-15 15.25" x 105" -Unfaced -Batts R-2115.25" x 93" -Unfaced -Batts R-19 15.25" x 48" -Unfaced -Batts R-19 15.25" x 48" -Unfaced -Batts CF812 Foam R-38 InsulSafe SP -Blowing Insulation Job Address: 2339 Moana PlaCl! Carlsbad, CA 92008 Sq Feet 449 1579 500 354 932 3403 1317 INSTALLATION CERTIFICATE . CF-6R-ENV-21-HERS Ouali"' Insulation Installation lnTTI • Frainioll Staoe Cli.-.,kllst lPaoe 1 of2) .Site Address: 2339 Moana Place Carlsbad, CA 92008 . 1· Entorce~eiit Agency: . I Permit N.u.~ber: . Air barrier and preparation {QI' insulation verification inspection must be do~ at framing stage before i~ulation is installed. If there are any "No" answers row."i" not/riled <ml or signatures missing then this is nol valid form and cannot be accepted by the building department or HERS rater. If spray foam i..s used, then an air barrier is not required and NA would be clieclwL QI/ Clldi.1 not allowed if any steel 'flmin or structural amin that are in the walls o a conditioned S ce. 'f' FLOOR AIR BARRIER D D Iii All gaps in the raised floor lo uncondilioned space or to oulSide larger than 1/8" filled with foam or Yes No NA caulk."fNA if SP"' D D Iii All openings on a second flo?r including under a tub where the drain penetrates the floor are sealed Yes No NA "WAUS AIR BARRIER Iii D D All gaps in wall exterior sheathing to unconditioned space or to outside larger than 1/8" filled with Yes No NA foam or caulk. "'A if SP"' Iii D D 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. INA if SP"' I!! D D All gaps in Rim-joists in interior and exterior walls to the·outside including holes drilled for electrical Yes No NA and nlumbin• l·-er thsn 1/8" filled with foam or caulk. ""A if SPF) Ill Cl D Rope caulk, foam gasket, or caull.dng ~ead ~und the entire sole plate of the home Yes No NA Iii D D All gaps around the windows are caulked or foamed_(stuffing wilh fiberglass not acceptable) Yes No NA 'f' ATTIC INSPECTION Iii D D Attic rulers appropriate to the material installed evenly throughout the attic to verify depth. Yes No NA fNA if SPF or batt) Iii Cl Cl Atticarea(sqft) 1317 +2SO-~.i:Z minimum number of rulers installed. Must round up. Yes No NA Number of rulers actuallv installed~ "''A if SPF or batt\ Iii D D ALL rulers visible from altic alleeSS. (NA if SPF or batt) Yes No NA Iii D D Eave vents baffles installed at all eave vents to prevent air movement under or into insulation. Yes No NA INAifSP"' Iii D D Area of eave vent baffle is the same or larger than the net free-ventilation area of the eave vent. (NA Yes No NA if SP"' 'f' CEILING AIR BARRIER i<I D D All draft stops in place to form a continuous ceiling air barrier no gaps larger than 1/8". (NA if SPF) Yes No NA Iii D D All drops covered with hard covers. Gaps around or in the hard cover larger thsn 1/8" filled with Yes No NA foam or caulk. (NA if SPF). Iii D All recessed lighl fixtures in non conditioned space are IC rated and air light (AT) Yes No Iii D All recessed light fixtures are sealed with a gasket or caulk between the housing and the c.eiling Yes No Iii D Openings around flue shafts fully sealed wilh solid blocking or flashing and any remaining gaps Yes No sealed with fire-rated caulk or sealant. Iii D Piping shaft openings fully sealed and caulked Yes No )!I D Penetrations ftom wiring in inlerior walls, electrical boxes, fire alarms etc. sealed with caulk or sealant Yes No )!I D All duct chases, fireplace chases, and double walls sealed air tight at the ceiling Level. AU gaps into shafts larger Yes No than 1/8" filled with foam or caulk. S-ial attention ruiid to duds enterin2 shafts from ceilin.it. Registration Number: __________ Registration Date/Time: _______ HERS Provider:----- 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-ENV-21-HERS Oualitv Insulation Installetlon mni • Framine Staee Checklist CPa-2of2l SIie Address: J Enforcement Agency: I Penni! Number: 2339 Moana Place Carlsbad, CA 92008 ./' GARAGE /CEILING AIR BARRIER FOR TWO STORIES /no ooadltloned """CO over oara ... 1 I!) [J [J Alr barrier installed at joists In garage to house transition (between floors). No gaps larger than 1/8" Yes No NA allowed. Use of SPF satisfies the requirement to seal the .. ,,.. ,/' GARAGE /CEILING AIR BARRIER FOR TWO STORlllS I conditioned ,...,ce over ..,. ... .,.1 Iii D [J If insulation is to be installed at sub floor then sub floor 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 10 seal the ••ns, Iii [J D If insulation is to be installed at ceiling of garage then celling and joists to the outside have no gaps over 1/8". /NA if SPF or no conditioned sooce over ••,..•eS Yes No NA DECLARATION STATEMENT • l certify under penalty of perjury. under the laws: of the State of Caliromia, the information provided on this form is 1rue and oorrecl. • All rows in this document have been checked and all answers are yes or NA • 1 am eligible under Division 1 of the Business and Professions Code to accept responsibility for conslruction, or an authorized representative of the person responsible for construction (tesponsible 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 undentand that a HERS rater will check the installatioo to verify compliance, and that that if such checking identifies defecl8, 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 pan of a sample group but not cheeked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checkin& the required corrective action and additional checking/testing of olher installations In that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF·l R) form approved by the enforcement agency that identifies the specific requirements for the installation. l certify that the requirements detailed on the CF~lR lhat apply to the installation have been met. • l wlU ensure that a comple~ signed copy ortbis Installation Certificate slmll be posted, or made available with the bllllding permit(,) 1115Ued tor the buildin&, and made avallable to the enforcemut agency for all appllcoble inspections. I undenland that a •ianed copy ofthlo lnslallallon Certificate Is requin,d to be Included with the documentation the buUd.er provides to the buildlng owner at occupancy. I will ensure that all JmtaJlation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for a11 low•rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) OJ Insulation, L.P. Responsible Person's Name: Respo . .;_ ~son's Signa~ Tom Berry I. , CSLB License: I Date Signed: Position wiu Company t11Ue): / 888804 8/15116 General Manager Registration Number: -.,,.----=------Regisfration Date/Time: _______ HERS Provider:---,-=~ 2()()8 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-ENV -22-HERS Oualitv Insulation Installation m111 • Insulation Staae Checklist CPa2e 1 of 3) Site Address: 2339 Moana Place Carlsbad, CA 92008 I Rnforcement Agency: I Permit Number: Overview-In order for batt and blown in insulation to work correctly the insulation must flll the wall cavity and touch the air-barrier with no gaps or voids. Ceiling and raised floor batt and blown in insulation must not be compressed and have no gaps or voids. Qll credit not allowed if an steel framin or structural rramin that are in the walls of a conditioned ace. Insulation Sta"e Checklist~ FLOOR INSULATION D D 111 All floor joist cavity insulation Installed to unifonnly fit the cavity side-to-side and end-to-end. (NA if floors slab Yes No NA on grade\. D D 111 Insulation in full contact with the subfloor, NO gaps. (NA if floors are slab on grade). Yes No NA Cl Cl ii'.! Insulation in contacl with air barrier on all five sides. (ends, sides, back). NA if floors are slab on grade. Yes No NA D a 111 Batts cut to fit around wiring and plumbing. or split (delaminated). (NA if loose fill, SPF, or slab on grade). Yes No NA a D Iii Batt insulation has continuous support. (NA if loose fill, SPF, or slab on grade). Yes No NA a a Ill SPF (Spray Polyurethane Foam Medium Density) insulation the average thickness is equal to or greater than that Yes No NA listed on the CF-1R and the minimum thickness shall be no more than !i4 inch less than the required thickness for the R-value. t'NA for other forms of insulation\ Iii a Insulation R-value same or greater than listed on the CF-lR. Yes No a a Iii SPF insulation properly adhered to avoid gaps and provide an air seal (NA for other fonns of insulation). Yes No NA D a Iii For SPF list the required floor cavity R-value from CF-1R, R= __ Yes No NA List teued average depth of insulation (inchcs) __ x S.8 (R-valuefmch for medium density SPF)= __ (R-value). This is the installed R-value and must be equal to or greater than Hated on CF-tR (NA forotber forms of insulation). ~ WALL INSULATION Iii Cl a Standard depth cavities insulation fills cavity and touches air barrier on all six sides. (NA if SPF used and meets Yes No NA the -11uired R-value). liil a a 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 cavitv. Insulation touches all silt sides. <NA if SPF used and meels the required R-valuel. liil D Behind tub/shower, walls under stairs, and fireplace, insulation touches air barrier on five sides. Not required to Yes No fill the smi.ce. Cavitv reouired to be air tight. Gil a a BATl'S, not a single voidldcprcssion deeper than%"' in ANY stud bay. (NA if loose fill or SPF) Yes No NA Gil a Cl BATrS, voids/depressions less than 3/411 allow8d as long as the area is not greater than 10% of the surface area Yes No NA for each slud bav:""A moose fill or SPIil. a a liil Loose Fill no gaps or voids of any depth allowed. (NA if ballS or SPF). Yes No NA a Cl Iii SPF inaulation properly adhered ro avoid gaps and provide an air seal (NA for other forms of insulation). Yes No NA Iii Cl Any gaps between studs or Insulation larger than 1/8" must be filled with insulation or foam. Yes No Gil D Ail Rim-jolSIS to lhe oulSlde insulated. Yes No l!J D Special attention must be paid lo comer channels, wall intersections, and behind tub/shower cncloswts Yes No insulated to """per R-Value. l!J a a All skylight shafts and attic kncewalls insulated with minimum R-19. Yes No NA l!I a Cl Insulation in full contact with drywall or wall finishes of skylight shafts and attic kneewalls. Yes No NA Registration Number: ___________ Registration Datell'ime: _______ HERS Provider: ____ _ 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-ENV-22-HERS nuaJltv Insulation InstaUation rnm -Insulation Sta.,.. Checklist !l'aee 2 of3) Site Address: I Enforcement A;en<y: J Permit Number. '339 Moana Place Carlsbad, CA 92008 lu D Wall insulation same or better than what is listed on the CF-!R. Yes No D D lu SPF list the required wall cavity R-value from CF-lR, R-__ . List tested average depth of Yes No NA insulation (inch) __ X 5.8 (R-value/inch for medium density SPF)= __ (R-value) This is the installed R-value and must be equal toor greater than listed on CF-lR (NA for other forms of insulation) D D lu SPF {Spray Polyurethane Foam Medium Density) insulation the average thickness is equal to or greater than that Yes No NA listed on the CF-1R and the minimum thickness shall be no more than ~ inch less than the required thickness for the R-value. INA for other fonns of insulation) <I' CEIIJNG INSULATION Iii! D BA1TS there must not be a s.i11gle gap/void/depression deeper than%". (NA if loose fill or SPF). Yes No lu D BATrS voids/depressions less than 3/411 allowed as long as lhe area is not greater than 10% of the surface area Yes No for each stud bav. (NA if loose fill or SPFI. lu D D NO pps or voids allowed for looae fill and SPF. (NA if baits}. Yes No NA I!] D AIL ceiling insulation installed to uoifonnly fit tho cavity side-to-side and end-to-end. Yes No Iii! D Insulation in full contact with the ceiling. NO gaps. Yes No lil a Insulation in contad with air barrier on all five sides. Yes No lil D D Baits cul IO fil around wiring and plumbing, or split (delaminated). (NA for loose lilt or SPF). Yes No NA lil D D Batts taller than the trusses must expand so that they touch each other over the trusses. (NA for loose fill or Yes No NA SP"'. lil CJ D Yes No NA SPF insulation properly adhered 10 avoid gaps and provide an air seal (NA for other forms of insulation} lil D D Insulation fully fills cavity below any plywood platform or cat-walk. If SPF used then minimum Yes No NA 3 incites. tNA if no nlatforms or ca.t-walbl lil D Attic acceq gasketed Yes No Iii D Attic access insulaled with rigid foam or batt insulation usillg adhesive or mechanical fastener. Yes No R-value same as ceilinoo R-value listed on CF-IR Iii D Recessed light fixtures covered full depth with insulation. If SPF used then other fonns of insulation used to Yes No cover or enclosed in a box fabricated from ~inch nlvwood 18 u.. sheet metal. 1/4-inch hard board or "-·wall lil D Roof insulation same or beuer than what is listed on the CF-lR Yes No lil D D Loose Fill Insulation at proper depth-insulation rulers visible and indicating proper depth and R-value for Yes No NA blown in irurulation. (NA for batts or gpm_ lil D D Loose FRI Insulation unH'onnly covel"!j the entire ceiltng (or roof) area from outside of all exterior wallis. (NA Yes No NA for baus or SPFl. Loose-fill insulation meets or exceeds manufacturer'$ minimum weiSh' and thickness requirements for the target lil CJ D R-value. Target R•value. Manufacturer's minimum required weight for the target R-value (pounds-per..square- foot). Manufacturer's minimum required thickness at time of installation. Manufacturer's minimum required Yes No NA aellled thickness. Note: To receive compliance credit the HERS rater shall verify that the manufacturer's minimum weight and thickness bas been achieved for lhe targel R-value. (NA for balls or SPF). Registration. Number: __________ Registration Date/Time:-------HERS Pr<Jl)/der: __ -c-=-- 71)()8 Residential Complia~e Forms March 2010 INSTALIATION CERTIFICATE CF-6R-ENV-22-HERS o .. autv Insulation Installation mm -Insulation St .... e Checklist '"a2e 3 of3l Site Address: 2339 Moana Place Carlsbad, CA 92008 I Enfcm:ement Agency: l Permit Number. D D Iii SPF list the required ceiling cavity R-value from CF-IR, R-__ . List tested average depth of insulation __ Yes No NA in X S.8R • __ R this is the installed R·value and musl be equal to or grea1er than listed on CF-IR (NA for other forms of insulation) D D Ii] SPF insulation must be covered with other fonns of insulation or enclosed in a box fabricated from 1/1 inch Yes No NA plywood, 18 gauge me1al, 1h inch hard board or drywall. The exterior of the box may then be insulated with SPF. D D Iii SPF insulation the average thickness is equal to or greater than that listed on the CF-tR and the minimum Yes No NA thickness sbaJI be no more than 'h inch Jess than the required thickness for the R-vatue. (NA for other forms of insulation) -F GARAGE ROOF/CEILING INSULATION FOR TWO S'IORIES lno cooditioned space over nora-• l!I D D Insulation installed at joists against Ute air barrier in the garage to house transition. All wall insulation Yes No NA rMuirements above must be met. (NA if conditioned smce over earage). ~ GARAGE ROOF/CEILING INSULATION FOR TWO STORIESlcondiUoned snace over -ra=' Iii D a If insulation is to be installed at subfloor then the insulation must also be. instaJled at joists against the air barrier Yes No NA in the garage to house transition. All ceiling and wall insulation requirements above must be met. (NA if no conditioned 5na,-over P'ffl~ '\. Iii D D 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 rcauirements listed above must be met. (NA if no conditioned space over game), DECLARATION STATEMENT • I certify under penalty of perjury. under the laws of the State of ca&ifornia, the infonnation 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 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 oo jobs not tested by lhe HERS rater. • 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-lR that apply to the installation have been met. • I wlll CDIUl"C lbal a completed, signed copy of Ibis Installation Certllleste shall be po,ted, or made available with !be building permit(,) iaued for the buDdlllg, and made available to the enlon:ement _.,, for all applicable illspectlono. I Wlderstand that a signed eopy of tbis lnsbllladon CertlDeste Is required to be laduded with !be doauaealalion the builder provides lo the buOdln& owner at occupancy. I will en.sure 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~ Name: Tom Berry CSLB License 888804 Date Signed: 8/15/16 neral Manager RegistraJionNumber:_~---=,-------Regtstration DaJefI'une: _______ HERS Provider: ____ _ 2()()8 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-ENV-01 Envelooe -Insulation: Roofine:; Fenestration (Page I of3) Site Address: I Enforcement Agency: I Permit Number: Lanai -Lot 13 -2339 Moana Place If ma,. than one person Ira, responsibility fer /ns10/la1/an of lhe /rems an thir certificate, each person shall prepa,.. and sign a certlflcare applicable ta the portion of canstr11ctlonfer which they are respon,lh/e: altemarl .. ty, the person with c/1/ef responsibility for canslructlan shall pnpare and sign this certificate for the entire ccmstr11ctlon. All applicable Mandatory Measures with check boxes require to be checked to ensure the n1andaton• measures have been met. Description of Insulation I. RAISED FLOOR Material: Brand Name::------:---:---:-------- Thickness (inches): Thermal Resistance (R-Value): D § I SO(d): Minimum R-13 insulation in raised wood-frame floor or equivalent U-factor. ·------- 1. SLAB FLOOR/PERIMETER Material: Brand Name:. ______ --,-______ _ Thickness (inches): Thermal Resistance (R-Value):. ______ _ Perimeter Insulation Depth (inches):----- 0 § ISO(I): 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 datnage and UV light deterioration. 3, EXTERIOR WALL a. Insulation Type (e.x. Ban, Loose Fill, Spray Foam) a. Thermal Resistance CR-Value):------- b •. Insulation Type (e.x. Ban, Loose Fill, Spray Foatn) b. Thermal Resistance (R-Value): _____ _ Brand: ____________ _ Spray/Loose fill) Installed Actual Thickness (inches):. ____ _ Spray/Loose fill) Contractor's min installed weight/ft' __ lb Manufacturer's installed weight per square foot to achieve Thermal Resistance (R· Value) D §ISO(c): Minimum R-13 insulation in wood-frame wall or equivalent U-factor. Exterior Foam Sheathing (rigid Insulation) Material:._,_ __________ _ Thickness (inches) : _________ _ Brand Name:. ___________ _ Thermal Resistance (R-Value) :. _____ _ 4. FOUNDATION WALL Material:_,_-,----------- Thickness (inches): _________ _ Brand Name: ____________ _ Thermal Resistance CR-Value):. ______ _ S. CEILING Ban 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/ft' lb Manufacturer's installed weight per square foot to achieve Thermal Resistance CR-Value): D §ISO(a): Minimum R·l9 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): ------0 § 118(a): Insulation installed meets Standards for Insulating Material. D § ISO(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16. 1008 Residential Compliance Forms Augusr1009 INSTALLATION CERTIFICATE CF-6R-ENV-Ol Envelooe -Insulation; Roofinll'! Fenestration (Page 2 of3) SIie Address: I Enforcement Agency: I Permit Number: Lanai • Lot 13 • 2339 Moana Place Descrlollon of Rooftnl! Products CRRC Produc1 ID Manurac&urer Product Roof Roor Product lnilial Solar Aaed Solor Thermal Numbcr1 Information Bnmd/Modd T-Area Slo""' Wciahl 1 Renecunc:c Rcffedantet Emittance NIA GAF Charcoal Shingl Entire 9.12 NIA NIA c• NIA NIA c• c• /. The CRRC Product ID Number can be obtained from the Coal Rao/ Rating Council', Rated Product Dinctory at ww.coolraofs.o~CIJl,earch.php 2. The weight In lbs persquare feet of the roofing prodrict being installed. 3. Check box If the Aged Reflectance Is a calculated value wing the equation btlow, footnolf 4. 4. If the aged reflectance is nat available in the Coal Roof Rating Council's Roted Product Directory then use the inlr/al reflectance value from the direc1orv and ust the tauatlon (0.1+0. 7fo,-... _, -0.2} to obtain a calculated a2td Yalr,e. -'ClcHECK APPLICABLE BOX BELOW IF EXE.I/PT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENT: U The roof area CO\'Cred by building inlegralcd photovoltaic panels and building integrated solar thennal panels are exempt from the above Cool Roof criteria. u Roof constructions th Bl have thcm11l mass over the roof membrane with a weishl or at leaSI 25 lb/ft' is exempted from the above Cool Roor crileria. To apply Liquid Field Applied Coaling,, the coaling must bt applied with a minimum dry mll lhiclaress of 20 mils across lht entire roof ,urfact and meet minimum ""rformanct noulrements listed in GI l8'flJ and Table I /8.C. Select the '"""licable coatinsr • • Aluminum•Pian1entcd Asohalt Roof Coatin11. I LI Cement-Based Roof C0B11n2 I Oother ./' 0 CRRC· 1 Label Attached to CF-6R (Note I/no CRRC-1 labtl Is available, this camp/lance method cannot be t,sed and another method is required to melt comPilance). FENESTRATION/GLAZING Product # Total Quantity Add. Exterior Comments/ Manuractu=/Brarnl Name U· Pn>ducl or NFRC of Like Pn>duct Area Shading Dev. Location/ Spctial trem <GROUP LIKE RODUCTSI factor1 SHGC1 Panes Certified'· 2 l OJJtlonall fi' orOvcrhann Fearures I l l 4 s 6 7. 8. I. Us, valursjrom a/tntslt'tlllon protl,«t '.I NFRC Ctrlifltd Label. For /1ntnnuton ~u wlrholll an NFRC IGhtl, MSt lhl c tftlllll 1'tllue1from Section I 16, Tai, 116-A and I 16-B oftlw 20118 £n,,ry Eff/<l<ncy Siandanb. 2. NFRC Labtf c,r11ilcat,.1 sltoll no, b, rtmovn/ 11n11l 1M b•Udtn• , ........ c,or luu w,,n,d tM ,me,-·. Enur y,., or No. D § 116(0) I: Doors and windows bt:twccn conditioned and unconditioned spaces designed to limit air leakage. D §116(1)2 and 3: Actual fenestration products ins1alled an, equivalent to or have a lower u-ractor and/or a lower SHGC than that speeiHed on the Certificate of Compliance (Fonn CF-IR). Di 116(1)4: Fenestration products (except field-fabricated windows) have a label listing the cenified U-Factor, cenified Solar Heal Gain Coefficient (SHGC), and infiltration that meets the '"'IUimncnts or§ 10-111 (a) D § 117: Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed. 2008 Residential Comp/lance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-ENV-01 Envelope -Insulation; Roofinl!; Fenestration (Page 3 of 3) Site Address: I Enforcement Agency: I Permit Number: Lanai • Lot 13 • 2339 Moana Place DECLARATION STATEMENT • I certify under penalty ofperju1y, wider the laws oflhe State of California, the infOmullion provided on this fonn is true nnd corrcct. • I um eligible under Division 3 of the Ousincss ond Professions Code to accept responsibility for construction, or an authorized rcprcscntntivc of the person responsible for construction (responsible person). • I ccrtiry that the installed features, mnteri11ls, components, or manufactured devices ilh:ntificd on this ccrtificntc (the installation) confonns to all applicable codes and regulations. and the installation is consistent with the plans nnd specifications approved by the enforcement agency. • I n:vic\'<Cd a copy of the Certificate of Complinncc (CF-IR} fonn approved by the enforcement agency that identities the specific rcquirc1ncnts for the installation. I certify that the requirements detailed on the CF-IR that upply 10 the installation have been met. I will ensure: that a completed, slgntd cop)' of this Installation Cerclnca1c shall be posted, or made a,·ailable wllh lhe building pcrmit(s} issued ror the building, ind made a,,ailable lo lhe enforcement agency for all appli e inspections. I understand that a signed copy of this Installation Certificate Is rtqulred lo be included with lhe documentation r builder prol'I 10 the building on ner al occupancy. Con1pany Nwne: (Installing Subcon1rnc1or or General Contractor or Buildcr/0,,11cr) Leonard Roofing, inc. Responsible Person•s Name: Bruce Leonard CSLH License: 840399 1008 Residential Co111plia11ce Forn,s Date Signed: 8/11/2016 Position w· Presiden A1,g11s11009 INSTALLATION CERTIFICATE CF-6R-ENV-01 Envelope -Insulation; Roofin2: Fenestration (Page 1 of3) Site Address: I Enforcement Agency: I Permit Number: Lanai -Lot 15 -2336 Moana Place If more than ant person has responsibility for lns1allatlon of the items on 1hls certf/lcate, each person shall prepare and sign a ctrtljlcate applicable 10 the portion of constr11c1/onfor which they are respo,uible; a/ternattve/y, the ~rson with chie/respmulbl/lty for construction shall prepare and sign this certificale for the entire construc1ion. All applicable A-landatory Measures with check boxes nquirt to be checked 10 ensure the mandaton· measures hal-e brtn mel. Description of Insulation I. RAISED FLOOR Material: Brand Name: ____________ _ Thickness (inches): Thermal Resistance (R-Value): ______ _ D § ISO(d): Minimum R-13 insulation in raised wood-frame Roor or equivalent U-factor. 2. SLAB FLOOR/PERIMETER Material: _____________ _ Brand Name: ____________ _ Thennal Resistance (R-Value):. ______ _ Thickness (inches):--::c-,--,:-:---:----- Perimeter Insulation Depth (inches): -:---:--:---0 § I SO(I): 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. Thennal Resistance (R-Value): ------- b .. Insulation Type (e.x. Batt, Loose Fill, Spray Foam) b. Thermal Resistance (R-Value): ------ Brand: ______________ _ Spray/Loose fill) Contractor's min installed weight/ft2 __ lb Spray/Loose fill) Installed Actual Thickness (inches):. ____ _ Manufacturer's installed weight per square foot to achieve Thermal Resistance (R· Value) D §ISO( c): Minimum R-I 3 insulation in wood-frame wail or equivalent U-factor. Ederlor Foam Sheathing (rigid Insulation) Material: --:-:--:--::-----------Thickness (inches) : ________ _ Brand Name: __ -=---,--------Thennal Resistance (R-Value) :. _____ _ 4. FOUNDATION WALL Material:--:--,-,----------Thickness (inches): _________ _ Brand Name: ____________ _ Thermal Resistance CR-Value):. _____ _ S. CEILING Batt or Blanket Type: Brand Name: ---c:----,---,-------L oo s e Fill Type: 'IJ}ermal Resistance (R-Value): ------ Spray Foam Type: Ed Name: Installed Actual Thickness (inches): ntractor's min installed weight/ft' ___ .lb Manufacturer's installed weight per square foot to achieve Th I Resistance (R-Value): D §ISO(a): Minimum R-19 insuladon in wood•ftame ceiling or equf alent U-factor. I 6. ATTIC ROOF INSULATION AND/OR ATTIC RADIANT BARRIER Material: Brand Name:------------- Material: Brand Name: ---c:----,---------Th i ck n es s (inches): Thermal Resistance (R-Value): D § 11 S(a): insulation installed meets Standards for Insulating Material. ------- 0 § ISO(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16. 1008 Residential Compliance Forms August 2009 •