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Home My WebLink About2361 MICA RD; ; CB080015; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-29-2010 Residential Permit Permit No: CB080015 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: 12/29/2010 # Dwelling Units: 2361 MICA RD CBAD RESDNTL 2132821600 $496,872 ,00 Sub Type: Lot#: Construction Type: Reference #: SFD 42 VN CT 04006 Structure Type: SFD Status: Applied: Entered By: Issued: Bedrooms: 4 Bathrooms: 4.5 Inspect Area: Project Title: VIRIDIAN-LA COSTA GREENS-PHS 8 Orig PC#: PLAN 4: 4635 SF LIV-826 SF GAR.-200 SF PORCH Plan Check# Applicant: APRIL TORNILLO C/O 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 $1,930.17 $0.00 $1,254.61 $0.00 ($100.37) $49.69 $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 PC060023 PC070087 $0.00 $190,00 $4,492.00 $3,122.05 $9,043.07 $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 ?? $29,857.02 Total Fees: $29,857.02 Total Payments To Date: $29,857.02 Balance Due: $0.00 Inspector: Clearance: approval 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 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 x i n f i Tl E im'I hi r . . . . City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-29-2010 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW100472 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: 2361 MICA RD CBAD SWPPP 2132821600 CB080015 VIRIDIAN: PHS. 8 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#: 42 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: $0.00 FINAL APPROVAL .. ~---- SIGNATURE, ___ ...f....J¥,.!;)c.::.. __ _ Inspection List Permit#: CB080015 Type: RESONTL SFD Date Inspection Item Inspector 03/29/2012 89 Final Combo 03/29/2012 89 Final Combo PY 03/29/2012 89 Final Combo , 11/07/2011 39 Final Electrical PY 09/27/2011 82 Drywall/Ext Lath/Gas Test PY 09/26/2011 82 Drywall/Ext Lath/Gas Test PY 09/19/2011 16 Insulation PY 09/15/2011 84 Rough Combo PY 09/08/2011 84 Rough Combo PY 08/31/2011 13 Shear Panels/HD's PY 08/18/2011 15 Roof/Re roof PD 08/17/2011 15 Roof/Re roof PD 07/12/2011 11 Ftg/Foundation/Piers PY 07/12/2011 21 Underground/Under Floor PY 06/30/2011 21 Underground/Under Floor PY 06/30/2011 22 Sewer/Water Service PY Friday, March 30, 2012 Act RI AP RI PA AP NR AP AP NR AP AP CA AP WC AP AP VIRIDIAN•LA COSTA GREENS-PHS 8 PLAN 4: 4635 SF LIV-826 SF GAR.-200 SF Comments EMR NAIL STRIP -B VENT@ ROOF Page 1 of 1 • ,,111 enw of Clrllblll ~ -~ Flnal 1111•101 1ns11ct1on , ·--:-: . ~v ~~\~\ Dept: Building En eering Pl~ning CMWD St Lite Fire Plan Check#: PC07008 Date: 11/16/2011 Permit#: Project Name: Address: Contact Person: Sewer Dist: CB080015 VIRIDIAN-LA COSTA GREENS·PHS 8 PLAN 4: 4635 SF LIV-826 SF GAR.-200 SF PORCH 2361 MICA RD Phone: CA Water Dist: CA Permit Type: RESDNTL Sub Type: SFD Lot: 42 ...... ,,,, .. , ...................... ,,.,,., ............................................. ,,.,,.,, ............................................ ,,.,, ......... . Inspected Date By: Inspected: Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ ...................................................................................................................... ,,., ................................ , Comments: _______________________________ _ ~ Cltv of Carlsbad 113 Flnal Bulldlna IISPICIIDI Dept: Building Engineering Planning CMWD St Lite Fire Plan Check#: PC070087 Date: 11/16/2011 Permit#: CB080015 Permit Type: RESDNTL Project Name: VIRIDIAN-LA COSTA GREENS-PHS 8 Sub Type: SFD PLAN 4: 4635 SF LIV-826 SF GAR.-200 SF PORCH Address: 2361 MICA RD Lot: 42 Contact Person: Phone: Sewer Dist: CA Water Dist: CA ·························································································································································· Inspected -A By: c! 2 /--Date Inspected: Inspected Date By: __________ Inspected: ____ _ Inspected Date By: Inspected: ____ _ Approved: Disapproved: __ Approved: ___ Disapproved: __ Approved: ___ Disapproved: __ ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• , •••••••••••••••••••••• 1 Comments: _____________________________ _ City of Carlsbad Bldg Inspection Request For: 03/29/2012 Permit# CB080015 Inspector Assignment: PY --- Title: VIRIDIAN-LA COSTA GREENS-PHS 8 Description: PLAN 4: 4635 SF LIV-826 SF GAR.-200 SF PORCH Type: RESDNTL Sub Type: SFD Job Address: 2361 MICARD Suite: Lot: 42 Location: APPLICANT TAYLOR MORRISON OF CA, LLC Owner: TAYLOR MORRISON OF CALIFORNIA LL C Remarks: Total Time: CD Description Act Comments 19 Final Structural f 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Comments/Notices/Holds Phone: 7607055699 Inspector: ----- Requested By: KELLY Entered By: CW Associated PCRs/CVs/SWPPPs Original PC# PC060023 SW100468 FINAL VIRJDIAn PHS. 8; SW100469 ISSUED VIRIDIAN: PHS. 8; SW100470 FINAL VIRJDIAN: PHS. 8: SW100471 FINAL VIRJDIAN: PHS. 8: SW100472 ISSUED VIRJDIAN: PHS. 8; SW100473 FINAL VIRIDIAN: PHS. 8; lnsi;1ection Histoi:y Date Description Act lnsp Comments 11/07/2011 39 Final Electrical PA PY EMR 09/27/2011 82 Drywall/Ext Lath/Gas Test AP PY 09/26/2011 82 Drywall/Ext Lath/Gas Test NR PY 09/19/2011 16 Insulation AP PY 09/15/2011 84 Rough Combo AP PY NAIL STRIP -B VENT@ ROOF /2(~::.,,-. "' 4b·S ,I ~·· CITY Of CARLSBAD C,8 o too 15 CIRCUIT CARD B-36 Development Services Building Department 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov nus CAR.D MUST BE FILLED OUi AND AVA!LAbLE 1-..TTUB SE"P.VlCE'. r,r UlPMlrNT fOR nm ROUGH rNSPllCTION Address· Permit Number: owner. ) Phow Area In Sq. Ft Contractor. I Phone: JlAN'cL: -~--.. ··· .• .. ..,, A.LC. VOLTS 0 WIRE BKR WIRE MISC REC REC LTG MISC WIRE BKR LOCATION CKT SIZE SIZE TYPE Sl%ri T\'fE SIZE CKT LOCAnON ,~. "·"" 1 w I '7 , !',U jO <?; I '10 2 £le- Dwnil/ 3 w Iv (,._,_ s 71 II 'f,) 4 A-It- /,,,r,<1,.{,h 5 15 I c..u 7 cf, ;J (f 1 6 ,4/~ R.ori ~ <.o 7 1< /1, , . JO ~ " 1./0 6 ,-4-/u !2,1..I t5 9 15 I l ,, _r::, lo 'O 3 I L .J I.;' 10 ,A ·"'~" p.,71,,:') 11 15 ;, "., fl 'J., (,,, I' JA I,;' 12 /.l;l-U / $,Qj)~,:> 13 !K I 1A z 1 z. 7 I /c 1A ;c: 14 HA-lL. 'b,.f1 i' 1-, 15 /f( ,. J; 5 , 1 l ! '-I I< 16 r/)hA,ri. ,, C.1'rJW,,,,( 17 g; I' c,,,.. lo , 2-/') I /L/ IC-1e ,, ,.,N\.l',b,'1' f).,,T~u"' fl.• ,s /'5 ,, ··., !j 1 :? C, I"! ,, le:' 20 Y·•' ~ 7:,br 21 1-< I' IA l'i A IC 22 ,::,4, I SP! ,f;I • n IC. I '1 .vi / '-j ' 15"' 24 rA-U ~lt\,L.. i;.{/ 25 ,~ I '1 '., $?) 26 27 28 29 30 31 32 33 34 35 ""' 36 37 38 39 ·, 40 41 . 42 MAIN: D zz.r AMP BRK/FUSE O MLO Computed Load AMPS See Calcu/Dlion Work.sl)H/ on bacl< BUS: AMP Branch circuits required: Servi co entrance or teeder condu~1~: A) Lighting Circuits 220 -3ib), 4id) A) Size: No. BJ Type: D cu DAL B) Two Small Appliance Circuits 210-11(•1 Ci lnsuls\ion: D} Conduit Size: ___ CJ Laundry Clrcun 220-16(b) Se;v(ce ground/bond: ffiu[]AL D) Central Heating Equipm&nt 422 -12 AJ Size: No L-BJ Type: E) Bathroom 210 · 52(d) CJ Clamp location(,): 2$0-50(c) Romarl<s: IB'UFER O wa,er Pipe 250-104 ~~' 250 -52 GFC~tion'l. 210-e,6BO-'rD: I c:srtlfy rhsl 8/1 terminations heve been rorquod in accordance with manut&c!Urers -1throom(s) ~hen ins/n.iction$ enc! thal the work shown on this circui1 card represents thG full GXlent of ~.-,,g~(:;) _ ydrornassage Tub 1/Je work performed under this permit. .. uldoors 0 0 Owner Af~cted Gire, 210-12 0 Contr•t4S~plechr edroom(s) D Signed Date P;;inA 1 ,-.,1 ? ~. « ~::ii./·•. ~·-CITY Of CARLSBAD CIRCUIT CARD B-36 Development Services Building Departrnent 1635 Faraday Avenue 760-602·2719 www.carlsbadca.gov 1'HJ.~ CARD MU Si BE FILLED Ot.rr AND AVAILADL'E ~True S"G.'P. VICE eoulrMIDJT roR 11--H! ROUGH rNSPt'.CTION Address: Permit NumbOr: Owner I Phew Contractor: I Phone: Aree In Sq. Ft. PAN'EL: ,. __ ,. .... .. _, A.LC. VOLTS 0 WIRE BKR WIRE MISC REC REC LTG MISC WIRE BKR LOCATION CKT SIZE SIZE 1YPE Sl%fi TYPE SIZE CKT LOCAnON u,ID .I\ 1 ,U th [',. I z_,, l'..1 ZD 2 \).,0 oJV"\, 3 'IU ~ AA I I. ~,, "2.,C) 4 l,j, (\J) c.h1 II flt,r 5 -Z..o I 7.,. ,, I 7.,, . ' Zo 6 UtA...,--,..A !"I ....... " 7 w / 1,, A i-v n 7.,,u e '"\cl,.~,,,. ri,\i L--. - \-h,,f) 9 VJ /1, I ,. ;:, le '1. VJ ,o Jl.,..f--C:.A r_T) 11 zj) I z_,,, .. -z, J?.,. 'UI 12 /;;J--{,,r-7 tJI, ._, \l>i'-i3 zo /7 c,. "( •-{ I z_,, ,, Jf) 14 Vi ,J,.,, /'\Joi, 15 z,u I z_, c... 3 3 r< /l,, Jr 16 (,.,.,., I,,,,, /\l0<'.)11.. 17 1,; '7 c .. /0 8 I' .. IC-,e I •~•m1tJ /l1VI k, L-" ,. ' 18 ,'5 /'-f ~ / 1, 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 ., 3B 39 I 40 41 42 MAIN: D "Z__U; AMP BRK/FUSE O MLO Computed load AMPS SH Caicu/EJlion Worl;-,/,ee/ on baCK BUS: AMP Branch circuits required: Servioo enlrance or teeder c:ono'uc1or:!:: A) Lighting Circuits 220 -3(b), 4(d) A) Size; No. B) Type: 0 CU O AL B) Two Small Appliance Circuits 210-11(e) Ci Insulation: D) Conduit Size: ___ C) Laundry Clrcutt 220-16[b) ServJce ground/bond: ~[]AL D) Central Heatlng Equipm•n1 422 -12 A) Stze: No. 7 B) Type: E) Bat11room 210 • 52(d) C) Clamp location[,): EfUFER 250 -50(c) RemarKs: D Waler Pipe 250-104 ~Roe 250-52 -:5 GFC~tion~ 210-f., 680-ID: ~chen I csrlJfy thsf t1/I terminations hsve been torqued in accordance with mantJfsciurBr's 3throom(s) ins/ruc;zion$ and thst the work shown on rhis circui1 card represonls thG full DXfent of 01'::ar~Qts(:.) _ ydromassage Tub tile work performed under this permit. D.1-<futdoors D D Owner AF=ec\ed Gire. 2,0-~2 0 Contractor f:t.~~ 'C cdroom(s) D Signed ~ A . Date 9-36 Page 1 ot 2 i:,.,., n''""" 09-21-11; 10: 16AM;GATEWAY INS. ;951-808-1576 # 13/ 18 j ,,J_ L/2 INSTALLATION CERTIFICATE CF-6R-ENV-01 Envelone -Insulation; Roofinf!': Fenestration (Page 1 of3) Site Address: I Enforcement Agency: I Permit Number: 2361 Miea Road. Carlsbad Ca 92009 l'.!6o6om5 If more than one person has respo'nsibi/ityfor instalfaJlon oft/Jt Items on this certificate, each person shall prepare and sign Q cerlificaJe applicable to the p()r'llon of constructJtmfor which they are responsible,· alternatively, the person with chlefrespansibillty for eonstrr,ction shall preparl1 and sign this certificate/or the entlre corutrucllon. All opplfcah/1'! Mandatory Ml'!asuri!s with check bOJ:cs rcquirr: to be ch"ked ID emsure the 1Jl(1.r,datnn> mea.mres have btM met. Description of Insulation 1, RAISED FLOOR Material: BATTS Brand Name:,.:G,,:UARD,,,,""'_.,I,,AN"'------------ Thickness (inches):_,._._:,.________ Themial Resistance (R-Value):_R~-.1~0 ___ _ □ §150(d): Minimum R-13 insulation in raised wood-frame floor or equivalent U-factor. 2. SLAB FLOOR/PERIMETER Material:.-"'-,_,, ____________ _ Thickness (inches): _________ _ Brand Name: ____________ _ Thermal Resistance CR-Value): ______ _ Perimeter Insulation Depth (inches): ____ _ □ §150(1): Water absorption rate for the insulation material olone without facing., 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) BATTS b .. Insulation Type (e.x. Batt, Loose Fill, Spray Foam) Brand: GUARDIAN Spray/Loose fill) lrtstalled Actual Thickness (inches):. ____ _ a. Thermal Resistance CR-Value): ~R~·~l~3 .... __ _ b, Thermal Resistance (R-Value): _____ _ Spray/Loose fill) Con\fllctor's min installed weight/ft' __ lb Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Valuc) □ §IS0(c): Minimum R-13 insulation in wood-frame wall or equivalent u.factor. Exterior Foam Sheathing (rigid lnsulation) Material:~N~A~-----------Brand Namc:_---,,---:-:--:--------Thennal Resistance CR-Value): ______ _ Thickness (inches): ________ _ 4. FOUNDATIONWALL Material: . ..JN.,_,_,Ae,.. _________ _ Brand Name:. ____________ _ Thickness (inches):. _________ _ Thermal Resistance (R-Value): ______ _ 5. CEILING Batt or Blanket Type: BATTS Brand Name: ~G~UARD==-eI~AN=c--------- Loose Fill Type:__________ Thennal Resistance (R-Value): _.R~-~3~8~--- Spray Foam Type: __________ Brand Name: -,----,--------,c-c-"C""C"~c-----~- lnstalled Actual Thickness (inches): 12. OD Contractor's min installed weight/ft' ___ 1.b M_anufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value): □ § l 50(a): Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor. 6. ATIIC ROOF INSULATION AND/OR ATTIC RADIANT BARRIER Material: ..JY.~~-----------Brand Name: ____________ _ Material; ...,.,.--c-----,-----------Brand Name: ---=..,.,.-,--,--------Thickness (inches):__________ Thennal Resistance (R-Value): ______ _ □ §ll 8(a): Insulation installed meets Standards for Insulating Material. □ §150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16, 2008 Resident/a/ Compliance Forms August 2009 09-21-11 ; 10: 16AM; GA TE WAY I NS. ;951-808-1576 # 14/ 18 INSTALLATION CERTIFICATE CF-6R-ENV-01 Envelooe -Insulation; Roofin<re Fenestration (Page 2 of3) Site Address: l Enforcement Agency: l Permit Number: 2361 Mica Read, Carlsbad, Ca 92009 Dcscrintion of Roofina Products CRRC l'toduct ID Manufb.eturer Product Roof Roof Prndnct lDitud Solnr Ag<d Soi.t Thenrnil N,l'll'lbd lufommtion BnnuVMod~I T"~~ A>oo Slone Wllil!ht~ Rcfl"""'°' RdlcctDnCc4 Emittance NIA □' □• □' J, 77,e CRRC Product ID Number ~an be obt(JinedfiYJm the Cool Raaf Rating Council's Rated Product Directory at ww.ctJOlroofa.otg/ptoduttsl-ttarch.pltp 2. The weight in lbs per square/eel of the roofing product being inslflfled. 3. Cl,eck box. iftlte Agtd Reflectance Is a calculated value using tht! equation below.foot11ote 4. 4. If the aged reflectance is not available in the Cool Roof R'1ting Council',\' Rat"1 Pl'Od~I Di,<ectory then use the initial reflectance value from the directory and us, the enuation (0,2+0. 7(/Jinltlal 0.2) ta oh1t1i11 a aalculaled ar,ed ,iah,e. ✓ 0CHECKAPPLJCABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT' "COOL ROOF" REQVIREMENT, □ The roof area covered by building integrated photovoltaic pancl5 and building integrated solar thermaJ pMels .lte exempt from the above Cool Roof critcriL □ :Roof constructions thn1 have thcnnal mMs over the roof membrane with a wc.ight oht l~t 25 lb/tr is exempted from tbe above Cool Roof criteria. To apply Liquid Field Applied Coatings, lhe C<Xlfirrg must be applied with a minimum dry mil thlc::/cn,t.J:s t>f 20 mils across tire entire roof s1uface and meet mlnhm,m .. ,.rformanae reaulremcnts listed In ~118(/)3 and Tabfo 118-C. Select tire annficable Cl)(ltinfl D Aluminum-Pi-ented A-halt RoofCoatimz I O Ccment-8osed Roof Coatino I O Other ✓ 0 CRRC• I Label AU.ched to CF-6R (Natl! ff no CRRC-1 /ab1tl i\' aw1ilabfe, t/Jls com,,Jiance method cannot be used and another method is renuired to meet comnliance). l'ENF.,STRA TION/GLAZTNG Product # Toto! Quantity Add. Exterior Comments/ Manufacturer/Brand Namo U-Product of NFRC of Like Product Arco Sh,ding Dev. Locntion/ Spccilll Item (GROUP LIKE RODUCTS) factor' SHGC1 Pan~ Certified 1 • 2 {Ontfonafl n' orOverhanl! Fen..., I NIA 2 J < 4 5 - 6 7. 8. J, Us,; valm:sfrvm afcrrcsttution p,YX}uel '.t NFRC C~rttflitd Label. For [ltttitstrat/on pr(Jdu~t.f withCJUI an NFRC label, .we tire default 1'aluesfrom Section 116, Table l /6-A a11d 116-D a/the 2008 E1tttgy EJ!ltHcnC)I S1a,ufard.t. 2. NFRC labrl Certificat<!:r shall not be rcmrm:cl until 11111 buildt-· iristrCUlf Ila., verified tli, ,m,1,ncy, Etttt.r Yu nr Nn. CJ §l 16(a)I: Doors nnd windows between conditioned and uoconditionf:d spacos dcsignod to limit nir leakage. □ §116(a)2 and 3: Actual fenestration pt0duets installed are equivalent to or have a lower U-factor nnd/or a lower SHGC lhllD tbac specified on the Certificate of Compliance (Form CF-IR). □ §l l6(1t)4: Fenc:;tf'ij,tiOn produelS (except field-fabricru.ed windows) have a label listing the certified U-Factor, cenifkd Solar Heat Gain Coofficicnl (SHGC), and infiltration thal meets the rcquircmcnls of §10-1 I l(a) CJ § 117: Exterior doors and windows weather-stripped; all joints and penetrations gauJkcd and scaled. 2008 Residential Compliance Forms Augu.,•t 2009 09-21-1 I; 10:16AM;GATEWAY INS. ;951-808-1576 # 15/ 18 INSTALLATION CERTIFICATE CF-6R-ENV-0l Envelone -Insulation; Roofml!; Fenestration (Page 3 of3) Site Address: I Enforcement Agency: I Permit Number: 2361 Mica Road. Carlsbad. Ca 92009 DECLARATION STATEMENT • 1 certify under penalty of perjury, ,md~ the laws of the State ofCaJifomia, the information provided on this form is truc 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 porson rcspQnsibilc for construction. (te~nsible: person). • I ce:nify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable wdes and regulation$., tirtd th~ ins.tatlatk1n is Mn.sistent with the plans and specifications approved by the enforcement •ll""C)I, • I n;:vicwcd a copy of the Certificate ofComplitmce (CF-IR) term approved by the enforcement agency that identifies the specific r~uircments for the installation. I certify that the requllWD~ots di;taikd on ibe CF~ lR that apply to the irt$tallation h:t.ve been met. • T wm ensure tbo.t D. completed, siJtDed copy of this Iostallatioa Certificate ,ball be pQsted, or mnde available with the building pcrmit(s) iHucd fol' the buildinCt and made awllablc to the enforcement a,:ency for all applicable inspections. I 11.JldCtStand that a signed topy or this lnstalladon Certiflcnte b required to be included with the documentation. the builder provides to the building owner at occupnncy. Company .Name: (Installing Subcontractor or General Contractor or Builder/Owner) Rockwell Dr all, Inc. Responsible Pet$0n's Name: BUTCH INGRAM CSLB License: 956154 2008 Residential Compliance Forms Date Signed: 0 21 ll August 2009