HomeMy WebLinkAbout2608 Wadsworth St; ; CBR2016-0267; PermitPrint Date: 06/14/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2608 Wadsworth St
BLDG-Residential
2081904400
$485,346.03
1
5.00
THE VISTAS
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: Single Family Detached Status:
Lot#: 227 Applied:
Reference #: DEV2016-0039 er ,z-a~ Issued:
Construction Type: SB Fina led:
Bathrooms: 5.50 Inspector:
Orig. Plan Check#: PC150042
Plan Check#: PC160070
Description: THE VISTAS: PHASE SB/ PLAN 4 / 3,897 SF LIV/ 432 SF GARAGE/ 229 SF PORCH
Applicant:
TOLL BROS INC
JOANN EPSTINE
Owner:
RANCHO COSTERA LLC • 2483
Co-Applicant:
TOLL BROS INC
Permit No: CBR2016-0267
Closed -Finaled
12/05/2016
12/07/2016
JWest
725 W Town And Country Rd, 200
ORANGE, CA 92868-4709
760-720-5485
725 W Town And Country Rd, 200
ORANGE, CA 92868-4723
760-729-2929
725 W Town And Country Rd, 200
ORANGE, CA 92868-4709
760-720-5485
BUILDING PERMIT FEE $2000+
BUILDING PLAN CHECK FEE (BLDG)
COMMUNITY FACILITIES DISTRICT (CFO) FEE
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
GREEN BUILDING STANDARDS PLAN CHECK
MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PUBLIC FACILITIES FEES· inside CFO
581473 BUILDING STANDARDS FEE
SDCWA SYSTEM CAPACITY CHARGE 3/4" Displacement
SEWER BENEFIT AREA FEES· B
SEWER CONNECTION FEE (General Capacity all areas)
STRONG MOTION-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1-Medium BLDG
TRAFFIC IMPACT Residential Single Family w/in CFO
WATER METER FEE 1" Displacement
WATER SERVICE CONNECTION FEE 3/4" DISPLACEMENT (P)
WATER TREATMENT CAPACITY CHARGE 3/4" Displacement
Total Fees: $30,939.41 Total Payments To Date: $30,599.41 Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$340.00
$1,996.30
$1,285.62
$1,723.10
$66.00
$66.00
$166.00
$92.00
$92.00
$182.00
$182.00
$8,833.30
$20.00
$4,840.00
$1,255.00
$899.00
$63.09
$232.00
$2,740.00
$362.00
$5,721.00
$123.00
PERMIT INSPECTION HISTORY REPORT (CBR2016-0267)
Permit Type: BLDG-Residential Application Date: 12/05/2016 Owner:
Work Class: Single Family Detached Issue Date: 12/07/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 11/20/2017 Address:
IVR Number: 619
Actual Scheduled
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
06/13/2017 06/13/2017
06/14/2017 06/14/2017
June 14, 2017
BLDG-Fire Final 026203-2017
BLDG-Final
Inspection
Checklist Item
FIRE-Building Final
026205-2017
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Daniel Stowe
COMMENTS
Passed Jonathan West
COMMENTS
RANCHO COSTERA LLC -2483
2608 Wadsworth St
Carlsbad, CA 92010-5603
Reinspection
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
Page 2 of 2
PERMIT INSPECTION HISTORY REPORT (CBR2016-0267)
Permit Type: BLDG-Residential Application Date: 12/05/2016 Owner: RANCHO COSTERA LLC -2483
Work Class: Single Family Detached Issue Date: 12/07/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 11/20/2017 Address: 2608 Wadsworth St
Carlsbad, CA 92010-5603
IVR Number: 619
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date
12/29/2016 12/29/2016 BLDG-21 007600-2016 Passed Jonathan West Complete
Underground/Underf
Joor Plumbing
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
02/01/2017 02/01/2017 BLDG-11 012060-2017 Passed Jonathan West Complete
Foundation/Ftg/Pier
s (Rebar)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
03/08/2017 03/08/2017 BLDG-15 015836-2017 Passed Jonathan West Complete
Roof/ReRoof (Patio)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
03/28/2017 03/28/2017 BLDG-13 Shear 017935-2017 Passed Jonathan West Complete
Panels/HD (ok to
wrap)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
03/31/2017 03/31/2017 BLDG-84 Rough 018449-2017 Passed Jonathan West Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-14 Yes
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout Yes
BLDG-34 Rough Electrical Yes
BLDG-44 Yes
Rough-Ducts-Dampers
04/07/2017 04/07/2017 BLDG-82 Drywall, 019315-2017 Passed Jonathan West Complete
Exterior Lath, Gas
Test, Hot Mop
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-17 Interior Lath-Drywall Yes
BLDG-18 Exterior Lath and Yes
Drywall
BLDG-23 Gas-Test-Repairs Yes
05/24/2017 05/24/2017 BLDG-33 Service 024353-2017 Passed Jonathan West Complete
Change/Upgrade
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
June 14, 2017 Page 1 of 2
«~ ~ CITY O f co CARLSBAD
Building Division N RECORD '
2608 WADSWORTH S~7J> ~~~
THE VISTAS,: PHASE 5B I PLAN 4 I 3,897 SF
LIV I 432 SF GARAGE I 229 SF PORCH
,Pl',JNSPECTION RECORD CARD WITH APPROVED
}LANS MUST BE l(EPT ON THE JOB
@ CALL BEFORE 3:00 pm FOR NEXT WORK DAY INSPECTION
I
DEV2016-0039
PC160070
2081904400
12/6/2016 @ FOR BUILDING INSPECTION CALL: 760-602-2725
OR GO TO: www.Carlsbadca.gov/BuildJng AND CLICI( ON
"Request Inspection" CBR2016-0267
DATE: \C:,-\ -\LP
Required Prior to Requesting Building Final If Checl<ed YES
Planning/Landscape
CM&! (Engineering Inspections)
Fire Prevention
#11
#12 REINFORCED STEEL
#66 MASONRY PRE GROUT
D GROUT O WALL DRAINS
#10 TILT PANELS
#11 POUR STRIPS
#11 COLUMN FOOTINGS
#14 SUBFRAME D FLOOR O CEILING
#15 ROOF SHEATHING
#13 EXT. SHEAR PANELS
#16 INSULATION
#18 EXTERIOR lATH
#17 INTERIOR lATH & DRYWALL
#51 POOL EXCA/STEEL/BOND/FENCE
#55 PREPLASTER/FINAL
#19 FINAL
D SEWER & BL/CO
UNDERGROUND OWASTE D WTR
#24 TOP OUT Jii:('WASTE 'Q WTR
#27 TUB & SHOWER PAN
#23 D GAS TEST D GASlPIPING
#25 WATER HEATER
#28 SOLAR WATER
#29 FINAL
CODE# STORM WATER
#600 PRE·CONSTRUCTION MEETING
rJ)3 FOLLOW UP INSPECTION
. #605 NOTICETO CLEAN
#607 WRITTEN WARNING
#609 NOTICE OF VIOLATION
#610 VERBAL WARNING
760-944-8463 Allow 48 hours
760-438-3891 Call before 2 pm
760-602-4660 Allow 48 hours
Inspector
·"-'nT
RO GH ELECTRIC
ELECTRIC SERVICE D TEMPORARY
#35
#39
#41 UNDERGROUND DUCTS & PIPING
#44 0 DUCT 8c PLENUM 0 REF. PIPING
#43 HEAT-AIR COND. SYSTEMS
#49 FINAL
UNDERGROUND (11,12,21,31)
#82 DRYWALL,EXT lATH, GAS TES (17,18,23)
#83 ROOFSHEATING, EXTSHEAR(13,15)
#84 FRAME ROUGH COMBO (14,24,34,44)
#85 T-Bar( 14,24,34,44)
FINAL OCCUPANCY (19,29,39,49)
A/S UNDERGROUND VISUAL
A/S UNDERGROUND HYDRO
A/S UNDERGROUND FLUSH
A/S OVERHEAD VISUAL ,
A/S OVERHEAD HYDROSTATIC
A/S FINAL
F/A ROUGH-IN
F/A FINAL
FIXED EXTINGUISHING SYSTEM ROUGH-IN
FIXED EXTING SYSTEM HYDROSTATIC TEST
FIXED EXTINGUISHING SYSTEM FINAL
MEDICAL GAS PRESSURE TEST
MEDICAL GAS FINAL
Date Inspector
1 :r. \,JE <; 1
Date Ins ector
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 1)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CBR2016-0267
Carlsbad
Dwelling Address: 2608 Wadsworth Street City: Carlsbad Zip Code: 92010
HERS measure was verified using the methodology defined for the untested features included in a sample group.
This measure passes through its relationship with the actual one tested and passed. Therefore no data is included
on this Certificate of Verification.
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
~tJ1&la, 05iduuch Lorena Pichardo
Company: Energy Inspectors Date Signed: 'ln17 na AA AA-10·1'2
Address: CEA/ HERS Certification Identification (if appficabfe):
2570 South Miller Lane
City/State/Zip: Las Vegas NV 89117 Phone: 702-365-8080
Responsible Person's Declaration statement
<
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided an this Certificate ofCamplianc.e is true arid ~orrect.
2. I am the certified HERS Rater wJjo,'.~rformed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the appficable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation {CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification 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 registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIRE FORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable)
217-03280 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature:
C/)am/nfl £1nmA~ Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed: -
CC2004061 2017-06-14 14:35:43
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163349D-M2000038A-M20A Registration Date/Time: 2017-06-14 14:35:43 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards
2013 Residential Compliance
Report Version: 2013 Rev 1.008
Schema Version: 0.52SD0
Report Generated: 2017-06-14 09:24:29
----------I
CERTIFICATE OF VERIFICATION CF3R-MCH-20-H
Duct Leakage Diagnostic Test (Page 1 of 1)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CBR2016-0267
Carlsbad
Dwelling Address: 2608 Wadsworth Street City: Carlsbad Zip Code: 92010
HERS measure was verified using the methodology defined for the untested features included in a sample group.
This measure passes through its relationship with the actual one tested and passed. Therefore no data is included
on this Certificate of Verification.
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
~(J1,0JW, Otck»uh Lorena Pichardo
Company: Energy Inspectors Date Signed: ')(H "7 na. ~ A ~A.~ n. ~ ')
Address: CEA/ HERS Certification Identification (if appficable):
2570 South Miller Lane
City/State/Zip: Las Vegas NV 89117 Phone: 702-365-8080
Responsible Person's Declaration statement
I certify the following under penalty of perj~ under the laws of the State of California:
1. The information provided on this Certificate ofCamplianceis trtie and c9rrect.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, tdrilponents, manufactured devices, or system performance diagnostic resultsthat require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification 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 registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable)
217-03280 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature:
<;:/),-/V:I ·~ · ~-6Y1m.&ui Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2017-06-14 14:35:43
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163349D-M2000039A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-06-14 14:35:43 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2017-06-13 16:31:38
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 1)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CBR2016-0267
Carlsbad
Dwelling Address: 2608 Wadsworth Street City: Carlsbad Zip Code: 92010
HERS measure was verified using the methodology defined for the untested features included in a sample group.
This measure passes through its relationship with the actual one tested and passed. Therefore no data is included
on this Certificate of Verification.
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: ~~ 05t:dwulb Lorena Pichardo
Company: Energy Inspectors Date Signed: 'Jf'17 na ~,. 1.A-10-1-:i
Address: CEA/ HERS Certification Identification (if appficable):
2570 South Miller Lane
City/State/Zip: Las Vegas NV 89117 Phone: 702-365-8080
Responsible Person's Declaration statement
,·
I certify the following under penalty of perjui:y, under the laws of theS~te of California:
1. The information provided on this Certificate afComplianceistru~ anocorrect.
2. I am the certified HERS Rater woo performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured deviCT:!S, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification 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 registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable)
217-03280 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature:
C/'Jrzm/n/J r-{!;~od Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2017-06-14 14:35:43
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163349D-M2300038A-M23A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-06-14 14:35:43 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2017-06-13 16:32:13
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 1)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CBR2016-0267
Carlsbad
Dwelling Address: 2608 Wadsworth Street City: Carlsbad Zip Code: 92010
HERS measure was verified using the methodology defined for the untested features included in a sample group.
This measure passes through its relationship with the actual one tested and passed. Therefore no data is included
on this Certificate of Verification.
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
~(9-tena, Clk:lk1,£h Lorena Pichardo
Company: Energy Inspectors Date Signed: ">fH"7 nc: 1 A 1 Jt.1n.1-:,
Address: CEA/ HERS Certification Identification (if appficable): -· -
2570 South Miller Lane
City/State/Zip: Las Vegas NV 89117 Phone: 702-365-8080
Responsible Person's Declaration statement
I certify the following under penalty of perjufV, under the laws of the State of California:
1. The information provided on ~his certificate of Compliance is true and correct.
2. I am the certified HERS Rater whoj1erformed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification 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 registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIRE FORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable)
217-03280 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: CJ).,,= ·,,IJ -0 r=Aad Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed: -
CC2004061 2017-06-14 14:35:43
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163349D-M2300039A-M23A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-06-14 14:35:43 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2017-06-13 16:32:57
Schema Version: 0.52SDD
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy {Page 1 of 1)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CBR2016-0267
Carlsbad
Dwelling Address: 2608 Wadsworth Street City: Carlsbad Zip Code: 92010
HERS measure was verified using the methodology defined for the untested features included in a sample group.
This measure passes through its relationship with the actual one tested and passed. Therefore no data is included
on this Certificate of Verification.
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: c;LJ<YUma, 0~ Lorena Pichardo
Company: Energy Inspectors Date Signed: ')n17 na ~ A 1A-10-1 -:i
Address: CEA/ HERS Certification Identification (if appficable):
2570 South Miller Lane
City/State/Zip: Las Vegas NV 89117 Phone: 702-365-8080
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of C~ifornia:
1. The information provided on this E;ertificate ofComplianceJs true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic; results that require HERS verification
identified on this Certificate of Verification comply with the appficable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification 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 registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable)
217-03280 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature:
CJ),--.,,tJ AA --Aaclu Daniel Granback r-r ,IJIIA
Responsible Rater Certification Number w/ this HERS Provider: Date Signed: -
CC2004061 2017-06-14 14:35:43
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163349D-M2200038A-M22A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-06-14 14:35:43 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2017-06-13 16:36:36
CERTIFICATE OF VERIFICATION CF3R-MCH-22-H
Space Conditioning System Fan Efficacy (Page 1 of 1)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CBR2016-0267
Carlsbad
Dwelling Address: 2608 Wadsworth Street City: Carlsbad Zip Code: 92010
HERS measure was verified using the methodology defined for the untested features included in a sample group.
This measure passes through its relationship with the actual one tested and passed. Therefore no data is included
on this Certificate of Verification.
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: <£m,em,a, 05tduuch Lorena Pichardo
Company: Energy Inspectors Date Signed: ')/'H 7 na ~ A ,f A• ,f ('I. ,f '2
Address: CEA/ HERS Certification Identification (if appficable):
2570 South Miller Lane
City/State/Zip: Las Vegas NV 89117 Phone: 702-365-8080
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State cif C~fornia:
1. The information provided on this ~rtificate of Compliance ls true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater}.
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s} of Installation (CF2R} signed and submitted by the person(s} responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification 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 registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner}: AIRE FORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable}
217-03280 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature:
qJa/YJh,I _.e!JnmA~ Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed: -
CC2004061 2017-06-14 14:35:43
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163349D-M2200039A-M22A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-06-14 14:35:43 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2017-06-13 16:37:06
CERTIFICATE OF VERIFICATION CF3R-MCH-27-H
Indoor Air Quality and Mechanical Ventilation (Page 1 of 1)
Project Name: The Vistas at Robertson Ranch Enforcement Agency: City of Permit Number: CBR2016-0267
Carlsbad
Dwelling Address: 2608 Wadsworth Street City: Carlsbad Zip Code: 92010
HERS measure was verified using the methodology defined for the untested features included in a sample group.
This measure passes through its relationship with the actual one tested and passed. Therefore no data is included
on this Certificate of Verification.
Documentation Author's Declaration Statement
1. I certify that this Certificate of Verification documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: c;t(JWJUJ, (?~ Lorena Pichardo
Company: Energy Inspectors Date Signed: 'lfH, na ~" ~A-~O-~A
Address: CEA/ HERS Certification Identification (it appficable):
2570 South Miller Lane
City/State/Zip: Las Vegas NV 89117 Phone: 702-365-8080
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State qf California:
1. The information provided on th,is€ertificate ofComplian7e~ tr+e and correct.
2. I am the certified HERS Rater who.performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic: results that require HERS verification
identified on this Certificate of Verification comply with the appficable requirements in Reference Appendices RA2, RA3, arid the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R} signed and submitted by the person(s} responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR} approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification 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 registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner}: AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable}: Dwelling Test Status in Sample Group (if applicable)
217-03280 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature:
<;/)a/VJ ,n/J r-0U7/l?Aaci Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed: -
CC2004061 2017-06-14 14:35:43
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163349D-M2700037 A-M27 A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2017-06-14 14:35:43 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2017-06-13 16:33:29
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING Additional Energy Features
Additional Energy Feature Verification (Page 1 of 1)
Project Address: 2608 Wadsworth Street Carlsbad CA, 9201 O Builder Name: Toll Brothers, Inc. -Southern CA
Builder Contact: na Telephone: 999-999-9999
Plan Number: Tolll 47 Plan 4 Standard I Sample Group Number: 217-03280 I Sample House Number: 1062276
HERS Rater: Daniel Granback Telephone: 702-365-8080
Certifying Signature: <J)O#lief !}~m:A Date: 2017-06-13 16:32:51
Firm: Energy Inspectors HERS Provider: CalCERTS inc.
Street Address: 2570 South Miller Lane City/State/Zip: Las Vegas I NV I 89117
HERS measure was verified using the methodology defined for the untested features included
in a sample group.
This measure passes through its relationship with the actual one tested and passed.
Therefore no data is included on this Certificate of Verification.
1 a) Radiant Barrier Required:
1 b) Was the Radiant Barrier installed?
2) Opaque Surfaces: ' >'' ..
3) Glazing (Window) Values: >
' ' .,. 0
p
4) HVAC Efficiency: ...
5) Verify Water Heater Efficiency:
N/A
N/A
N/A
N/A
N/A
N/A
Ccityof
Carlsbad
RESIDENTIAL GREEN
BUILDING CODE
STANDARDS MANDATORY
MEASURES
CERTIFICATION
CHECKLIST
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
8-51
This form, signed and completed, and all receipts for the recycled materials shall be
submitted to the Building Inspector prior to Rna/ Inspection. ~ ·-· I' t ~·
Site Development
4.106.2 A plan is developed and implemented to manage storm water drainage during construction.
4.106.3 The site shall be planned and developed to keep surface water away from buildings.
Construction plans shall indicate how site grading or a drainage system will manage all surface water
flows.
Energy Efficiency
4.201.1 Low-rise residential buildings shall meet or exceed the minimum standard design required by
the California Energy Standards.
Water Efficiency and Conservation ·,· -...,.
Indoor Water Use
4.303.1 Indoor water use shall be reduced by at least 20 percent using one of the following methods:
1. Water saving fixtures or flow restrictors shall be used.
2. A 20 percent reduction in baseline water use shall be demonstrated.
4.303.2 When using the calculation method specified in Section 4.303.1, multiple showerheads shall not
exceed maxim um flow rates.
4.303.3 Plumbing fixtures (water closets and urinals) and fittings (faucets and shower heads) shall
comply with specified performance requirements.
· Outdoor Water Use
4.304.1 Automatic irrigation systems controllers installed at the time of final inspection shall be weather-
based.
Enhanced Durability and Reduced Maintenance
4.406.1 Joints and openings. Annular spaces around pipes, electric cable~. conduits or other openings
in plates at exterior walls shall be protected against the passage of rodents by closing such openings
with cement mortar, concrete masonry or similar method acceptable to the enforcing agency.
Construction Waste Management Plan
Mandatory
(X)
(X)
(X)
(X)
7/01/2011
(X)
7/01/2011
(X)
7/01/2011
(X)
(X)
4.408.1 A minimum of 50 percent of the construction waste gen.erated at the site is diverted to recycle or (X)
salvage. Recycled material receipts from approved recyclers must be attached to this form.
4.408.2 Where a local jurisdiction does no~ have a construction and demolition waste management ( X)
ordinance, construction waste management plan, per form B-59, shall be submitted for approval to the
enforcing aQencv.
Bui,ldirig Maintenance and Operation
4.410.1 An operation and maintenance manual shall be provided to the building occupant or owner. (X)
Environmental Quality
Fir~p_la~es ..
4.503.1 Any installed gas fireplace shall be a direct-vent sealed-combustion type. Any installed
woodstove or pellet stove shall comply with US EPA Phase II emission limits where applicable.
Woodstoves, pellet stoves and fireplaces shall also comply with applicable local ordinances.
' ..
(X)
1-------
Pollutant Control
4.504.1 Duct openings and other related air distribution component openings shall be covered (X)
during construction.
4.504.2.1 Adhesive, sealants and caulks shall be compliant with VOC and other toxic compound ( x)
limits. (X)
4.504.2.2 Paints, stains and other coatings shall be compliant with voe limits. (X)
4.504.2.3 Aerosol paints and coatings shall be compliant with product weighted MIR limits for
ROC and other toxic compounds. , ( X)
4.504.2.4 Documentation shall be provided to verify that compliant voe limit finish materials
have been used. (X)
4.504.3 Carpet and carpet systems shall be compliant with voe limits.
4.504.4 50 percent of floor area receiving resilient flooring shall comply with VOC-emission limits ( X)
defined in the Collaborative for High Performance Schools (CHPS) Low-emitting Materials List or
be certified under the Resilient Floor Covering Institute (RFCI) FloorScore program. ( X)
4.504.5 Particleboard, medium density fiberboard (MDF) and hardwood plywood used in interior
finish svstems shall comolv with low formaldehyde emission standards.
Interior Moisture Control
4.505.2 Vapor retarder and capillary break is installed at slab on grade foundations. (X)
4.505.3 Moisture content of building materials used in wall and floor framing is checked before (X)
enclosure.
Indoor Air Quality and Exhaust
4.506.1 Exhaust fans which terminate outside the building are provided in every bathroom. (X)
Environmental Comfort
4.507.1 Whole house exhaust fans shall have insulated louvers or covers which close when the (X)
fan is off. Covers or louvers shall have a minimum insulation value of R-4.2.
4.507.2 Duct systems are sized, designed, and equipment is selected using the following
methods: (X)
1. Establish heat loss and heat gain values according to ACCA Manual J or equivalent.
2. Size duct systems according to ACCA 29-0 (Manual D) or equivalent
3. Select heating and coolino eciuipment according to ACCA 36-S (Manual S} or equivalent.
Installer and Special Inspector Qualifications
702.1 HVAC system installers are trained and certified in the proper installation of HVAC (X)
systems.
702.2 Special inspectors employed by the owner must be qualified and able to demonstrate ( x)
competence in the discipline thev are insoectino.
I, as the professional responsible for this project, certify that, to the best of my knowledge, the mandatory items
listed on this form have been incorporated into the project in order to comply with Title 24, Part 11 of the 2013
California Green Building Standards. All receipts for recycled materials have been attached to this form.
Project Address: o2£9o 8 U,M<; Wl:)C' ~ ~+. Plan Check Number: pc_ I~ -00. \ "2.
Print Name:---------------Signed: ______________ _
License Number: (o B 3.s:':( 3 Date:--------
B-51 Page 2 of 2 Rev. 11/15