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Home My WebLink About2624 Wadsworth St; ; CB163516; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 05/19/2017 Residential Permit Permit No: CB163516 www.carlsbadca.gov Job Address:2624 Wadsworth St Permit Type:BLDG-Residential Work Class:Single Family Detached Status:Closed -Finaled Parcel No:2081904800 Lot ft:Applied:09/14/2016 Valuation:$480,990.00 Reference U:DEV11017 Issued:09/21/2016 Occupancy Group:Construction Type:Finaled: U Dwelling Units:Bathrooms:Inspector:JWest Bedrooms:Orig. Plan Check U: Plan Check ft: Project Title:ROBERTSON RANCH WEST VILLAGE Description:RESDNTL -SFD THE VISTAS: PHASE 5A/PLAN 2 3,051 SF LIV /471 SF GARAGE /62 SF PORCH /204 SF CA ROOM Applicant:Owner: TOLL BROS INC RANCHO COSTERA LLC -INACTIVE 725 W Town And Country Rd, 200 725 W Town And Country Rd, 200 ORANGE, CA 92868-4709 ORANGE, CA 92868-4709 760-720-5485 760-720-5485 Total Fees:Total Payments To Date: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. .•• . PERMIT INSPECTION HISTORY REPORT (CB163516)• Permit Type:BLDG-Residential Application Date:09/14/2016 Owner:RANCHO COSTERA LLC - INACTIVE Work Class:Single Family Detached Issue Date:09/21/2016 Subdivision: Status:Closed -Finaled Expiration Date:09/05/2017 Address:2624 Wadsworth St Carlsbad, CA IVR Number:717090 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 03/06/2017 BLDG-23 015754-2017 Passed Jonathan West Complete Gas/Test/Repairs BLDG-Electric Meter 015755-2017 Passed Jonathan West Complete Release Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 11/17/2016 11/17/2016 BLDG-15 001685-2016 Passed Andy Krogh Complete Roof/ReRoof (Patio) 12/02/2016 12/02/2016 BLDG-13 Shear 004186-2016 Passed Jonathan West Complete Panels/HD (ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 12/12/2016 12/12/2016 BLDG-84 Rough 005053-2016 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 12/19/2016 12/19/2016 BLDG-82 Drywall,006142-2016 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 03/06/2017 03/06/2017 BLDG-Fire Final 013217.2017 Passed Dominic Fieri Complete Checklist (tern COMMENTS Passed FIRE-Building Final Yes 03/07/2017 03/07/2017 BLDG-Final 015736-2017 Cancelled Jonathan West Reinspection Complete Inspection May 19, 2017 Page 1 of 2 -„ • - PERMIT INSPECTION HISTORY. REPORT.IpB1.. 63616) Permit Type:BLDG-Residential Application Date:09/14/2016 Owner:RANCHO COSTERA LLC - INACTIVE Work Class:Single Family Detached Issue Date:09/21/2016 Subdivision: Status:Closed -Finaled Expiration Date:09/05/2017 Address:2624 Wadsworth St Carlsbad, CA IVR Number:717090 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 05/19/2017 05/19/2017 BLDG-Final 023856-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes May 19, 2017 Page 2 of 2 —— Inspection History: 10/03/2016:11-BLDG-Ftg/Foundation/Piers Approval Completed By AEK ; 10/03/2016:12-BLDG-Steel/Bond Beam Approval Completed By AEK ; 09/26/2016:21-BLDG-Underground/Under Floor Approval Completed By AEK ; 09/26/2016:22-BLDG-Sewer/Water Service Approval Completed By AEK „,,‘REL.:0 RD COPY CB163516 2624 WADSWORTH ST THE VISTAS: PHASE 5A / PLAN 2VCITYOF3,051 SF LI V / 471 SF GARAGE /62 SF PORCH / 204 SF CARLSBAD INSPECTION RECORD CA ROOM Building Division RESDNTL SFD, )INSPECTION RECORD CARD WITH APPROVED , Lot#:231 TOLL BROTHERS INC PLANS MUST BE KEPT ON THE JOB El CALL BEFORE 3:30 pat FOR NEXT WORK DAY INSPECTION El FOR BUILDING INSPECTION CALL:760-602-2725 OR GO TO: www.Carlsbadca.gov/Bunding AND CLICK ON "Regyeit nsp ction”T...)WiNCIC3 -1•Irtrytt DATE:1 2-I / cz. If "YES" is checked below that Division's approval is required prior to requestin a Final Building Inspection. If you have any questions please call the applicable divisions at the phone numbers provided below. After all required approvals are signed off -fax to 760-602-8560, email to bldginspections@carlsbadca.gfiv or bring in a COPY of this card to: 1635 Faraday Ave.. Carlsbad. NO YES Required Prior to Requesting Building Final If Checked YES Date Inspector Notes Planning/Landscape Fire Prevention 760-944-8463 760-602-4660 Allow 48 hours Allow 48 hours 4-040-.1't rte/ CM&I (Engineering Inspections)760-438-3891 Call before Z pm 1(2//2 .el'Ai- y117 Sir Yfr-il Type of Inspection Type of Inspection CODE a BUILDING Date Inspector CoDe a ELECTRICAL Date Inspector #11 FOUNDATION #31 0 ELECTRIC UNDERGROUND 0 UFER #12 REINFORCED STEEL 1 0 5fik Oa--#34 ROUGH ELECTRIC #66 MASONRY PRE GROUT #33"A ELECTRIC SERVICE 0 TEMPORARY 2.-2.2.-I -ki-)a:f"51- i )OGROUT C]WALL DRAINS #35 PHOTO VOLTAIC #10 TILT PANELS #39 FINAL #11 POUR STRIPS corm a MECHANICAL #11 COLUMN FOOTINGS #41 UNDERGROUND DUCTS &PIPING #14 SUBFRAME CI FLOOR CI CEILING #44 D DUCT &PLENUM 0 REF. PIPING #15 ROOF SHEATHING li-i7-14 A-0—#43 HEAT-AIR COND. SYSTEMS #13 EXT.SHEAR PANELS /2 -2 -le X L..#49 FINAL #16 INSULATION #18 EXTERIOR LATH #81 UNDERGROUND (11,12,21,31) #17 INTERIOR LATH &DRYWALL #82 DRYWALLEXT LATH, GAS TES (17,18,23)ZZ•/5-1(j:a..e-37 #51 POOL EXCA/STEEL/BOND/FENcE #83 ROOF SHEATING, EXT SHEAR (13,15) #55 PREPIASTER/FINAL #84 FRAME ROUGH COMBO (14,24,34,44)/2.-/2.-td ZatA.C $T #19 FINAL #85 T-Bar(14,24,34,44)' CODE a PLUMBING Date ins .ector #89 FINAL OCCUPANCY (19,29,39,49)5-19 -1 Ts tp.1“ T #22 0 SEWER & BL/C0 C3 PL/C0 .-A _..-1 FIRE Date Ins •ector #21 UNDERGROUND OWASTE 0 WTR -'.7 /"44 FT #24 TOP OUT 0 WASTE El WTR A/S UNDERGROUND VISUAL #27 TUB &SHOWER PAN A/S UNDERGROUND HYDRO #23 XGAS TEST *AS PIPING Z-Z.z.--17 -7.14.4-.17'A/SUNDERGROUND FLUSH #25 WATER HEATER A/SOVERHEAD VISUAL /..26 .??diet-:\ #28 SOLAR WATER A/SOVERHEAD HYDROSTATIC //6 A7i0--e, #29 FINAL A/S FINAL 4 /Wil -4-----/---fr° co...STORM WATER F/A ROUGH-1N #600 PRE-CONSTRUCTION MEETING F/A FINAL #603 FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH-IN ()605 NOTICE TO CLEAN FIXED EXTING SYSTEM HYDROSTATIC TEST #607 WRITTEN WARNING FIXED EXTINGUISHING SYSTEM FINAL #609 NOTICE OFV10IATION MEDICAL GAS PRESSURE TEST #610 VERBAL WARNING MEDICAL GAS FINAL REV 10)2012 SEE BACK FOR SPECIAL NOTES to 1;,?3( 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:CB163516 Carlsbad Dwelling Address:2624 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: Lorena Pichardo 092erna 64;4066- Company:Energy Inspectors Date Signed: 017 On 09 09:08:18Address:CEA/HERS Certification Identification (it applicaoie): 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 on this Certificate of Compliance is 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): 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) 217-01110 Not tested HERS Rater Information HERS Rater Company Name:Energy Inspectors Responsible Rater Name:Responsible Rater Signature: Daniel Granback 70/12aNta/n8ackResponsible Rater Certification Number w/this HERS Provider:Date Signed: CC2004061 2017-03-09 09:28:08 Digitally signed by CalCERTS.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-N0163346D-M2000058A-M20A Registration Date/Time:2017-03-09 09:28:08 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-08 17:45:23 2013 Residential Compliance Schema Version: 0.52SDD 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:CB163516 Carlsbad Dwelling Address:2624 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: Lorena Pichardo 092eina OW/CMAYL9- Company:Energy Inspectors Date Signed: •Address:CEA/HERS Certification Identification (W9p1p7a)99 09:08:18 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 on this Certificate of Compliance is 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): 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) 217-01110 Not tested HERS Rater Information HERS Rater Company Name:Energy Inspectors Responsible Rater Name:Responsible Rater Signature: Daniel Granback g)0/17.1;eeNtcodack Responsible Rater Certification Number w/this HERS Provider:'Date Signed: CC2004061 2017-03-09 09:28:08 Digitally signed by CalCERTS.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-N0163346D-M2000059A-M20A Registration Date/Time:2017-03-09 09:28:08 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-08 17:45:28 2013 Residential Compliance Schema Version: 0.52SDD 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:CB163516 Carlsbad Dwelling Address:2624 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: Lorena Pichardo 9/Willa 64.4a2C6- Company:Energy Inspectors Date Signed: Address:CEA/ HERS Certification Identification 0?l'411071 '.?)?e)99 09:08:18 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 on this Certificate of Compliance is 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): 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) 217-01110 Not tested HERS Rater Information HERS Rater Company Name:Energy Inspectors Responsible Rater Name:Responsible Rater Signature: Daniel Granback g12/12aNtagdack Responsible Rater Certification Number w/this HERS Provider:Date Signed: CC2004061 2017-03-09 09:28:08 Digitally signed by CaICERTS.This digital signature is provided in order to secure the contentof this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-N0163346D-M2300058A-M23A Registration Date/Time:2017-03-09 09:28:08 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-08 17:46:56 2013 Residential Compliance Schema Version: 0.52SDD 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:CB163516 Carlsbad Dwelling Address:2624 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: Lorena Pichardo 092P/71a 615(d/a26- Company:Energy Inspectors Date Signed:2017 Q3 Og Og:08:18 Address:CEA/HERS Certification Identification (it appiicabie): 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 on this Certificate of Complianceis 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): 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) 217-01110 Not tested HERS Rater Information HERS Rater Company Name:Energy Inspectors Responsible Rater Name:Responsible Rater Signature: Daniel Granback g).67/1Nta/idack Responsible Rater Certification Number 1.v/this HERS Provider:Date Signed: CC2004061 2017-03-09 09:28:08 Digitally signed byCalCERTS.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-N0163346D-M2300059A-M23A Registration Date/Time:2017-03-09 09:28:08 HERS Provider:CalCERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-08 17:47:01 2013 Residential Compliance 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:CB163516 Carlsbad Dwelling Address:2624 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: Lorena Pichardo gfte_1 64:CACL26- Company:Energy Inspectors Date Signed: 2017 Q3 09 09:08:18Address:CEA/HERS Certification Identification (it appiicabie): 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 on this Certificate of Compliance is 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): 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) 217-01110 Not tested HERS Rater Information HERS Rater Company Name:Energy Inspectors Responsible Rater Name:Responsible Rater Signature: Daniel Granback 0/7/aNta/id g)ad Responsible Rater Certification Number w/this HERS Provider:Date Signed: CC2004061 2017-03-09 09:28:08 Digitally signed by CalCERTS.This digital signature is provided in order to secure the contentof this registered document, and in no way implies Registration Provider responsibility for the accuracy ofthe information. Registration Number: 215-N0163346D-M2200058A-M22A Registration Date/Time:2017-03-09 09:28:08 HERS Provider:CalCERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-08 17:46:18 2013 Residential Compliance 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:CB163516 Carlsbad Dwelling Address:2624 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: Lorena Pichardo (5112a Company:Energy Inspectors Date Signed: Address:CEA/HERS Certification Identification (iqp1pTicaVe)Pg 09:08:18 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 on this Certificate of Compliance is 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): 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) 217-01110 Not tested HERS Rater Information HERS Rater Company Name:Energy Inspectors Responsible Rater Name:Responsible Rater Signature: Daniel Granback g)ig/iiieeNtevigack Responsible Rater Certification Number w/this HERS Provider:Date Signed: CC2004061 2017-03-09 09:28:08 Digitally signed byCalCERTS.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-N0163346D-M2200059A-M22A Registration Date/Time:2017-03-09 09:28:08 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-08 17:46:22 2013 Residential Compliance Schema Version: 0.52SDD 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:CB163516 Carlsbad Dwelling Address:2624 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: Lorena Pichardo Vftena 673;CAC/4d6 Company:Energy Inspectors Date Signed: 99 Og:08:19Address:CEA/HERS Certification Identification (i?la3p1pTicaqa) 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 on this Certificate of Compliance is 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): 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) 217-01110 Not tested HERS Rater Information HERS Rater Company Name:Energy Inspectors Responsible Rater Name:Responsible Rater Signature: Daniel Granback g)agaNta/i-ad Responsible Rater Certification Number w/this HERS Provider:Date Signed: CC2004061 2017-03-09 09:28:08 Digitally signed by CalCERTS.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-N0163346D-M2700057A-M27A Registration Date/Time:2017-03-09 09:28:08 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-03-08 17:47:28 2013 Residential Compliance Schema Version: 0.52SDD CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING Additional Energy Features Additional Energy Feature Verification (Page 1 of 1) Project Address:2624 Wadsworth Street Carlsbad CA,92010 Builder Name:Toll Brothers, Inc.-Southern CA Builder Contact:na Telephone:999-999-9999 Plan Number:To111 44 Plan 2 Sample Group Number:217-01110 Sample House Number:1 01 7960 HERS Rater:Daniel Granback Telephone:702-365-8080 Certifying Signature:g)ainZel c9taildad Date:2017-03-09 09:28:08 Firm:Energy Inspectors HERS Provider:CaICERTS inc. Street Address:2570 South Miller Lane city/state/zip:Las Vegas /NV /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:N/A 1 b) Was the Radiant Barrier installed?N/A 2) Opaque Surfaces:N/A 3) Glazing (Window) Values:N/A 4) HVAC Efficiency:N/A 5) Verify Water Heater Efficiency:N/A LoT.v 31 RESIDENTIAL GREEN City of BUILDING CODE Development Services STANDARDS MANDATORY Building Division Carlsbad MEASURES 1635 Faraday Avenue CERTIFICATION 760-602-2719 CHECKLIST www.carlsbadca.gov B-51 ,..•, Thit form, signed and completed. and all receipts for the recyOled materials shall be submitted to the Building inspector prior to Final inspection. Site Development Mandatory 4.106.2 A plan is developed and implemented to manage storm water drainage during construction.(X) 4.106.3 The site shall be planned and developed to keep surface Water away from buildings.(X) 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 (X) 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:(X) 1.Water saving fixtures or flow restrictors shall be used.7/01/2011 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 (X) exceed maximum flow rates.7/01/2011 4.303.3 Plumbing fixtures (water closets and urinals) and fittings (faucets and shower heads) shall (X) comply with specified performance requirements.7/01/2011 Outdoor Water Use 4.304.1 Automatic irrigation systems controllers installed at the time of final inspection shall be weather-(X) based. Enhanced Durability and Reduced Maintenance 4.406.1 Joints and openings. Annular spaces around pipes, electric cables, conduits or other openings in plates at exterior walls shall be protected against the passage of rodents by closing such openings (X ) with cement mortar, concrete masonry or similar method acceptable to the enforcing agency. Construction Waste Management Plan 4.408.1 A minimum of 50 percent of the construction waste generated 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 not 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 agency. Building Maintenance and Operation 4.410.1 An operation and maintenance manual shall be provided to the building occupant or owner.(X ) Environmental Quality •Fireplaces 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.(X) Woodstoves, pellet stoves and fireplaces shall also comply with applicable local ordinances. B-51 Page 1 of 2 Rev. 11/15 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 VOC 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 VOC limit finish materials have been used.(X) 4.504.3 Carpet and carpet systems shall be compliant with VOC 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 systems shall comply 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-D (Manual D) or equivalent 3.Select heating and cooling equipment 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 they are inspecting. 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:d to G2 ci LOucts (4.Plan Check Number:?(..—IL—03 a Print Name:.4.4/1E..5 1:1/4,11 Signed: License Number:Ct7 0 3SN S Date:I B-51 Page 2 of 2 Rev. 11/15 Plavi z. nt Services(City of WASTE MANAGEMENT Development ing Division PLAN Faraday AvenueCarlsbadB-59 1635 Fa 760-602-2719 www.carlsbadca.gov aj Owner:1.0 II fActr4'er S 140fttej Contractor:To (1 op ra t -1.4.ers Her rn es Job Address:09 cod4 wctAswoctii Sr Phone Number:ti°isl'OCI 0 Permit #:t ct Estimated Cost of Project:$4485 3es • Type of Project:g<ew Construction 0 Remodel or T.I.0 Residential ID Commercial 0 Demolition (check all that apply)0 Other Non-hazardous construction waste generated during the course of this project shall be recycled and/or salvaged for re-use at a minimum of 50% per CALGreen Sec. 5.408.1. Failure to comply may result in a penalty fee up to $1,000.For projects which consist of mainly equipment and/or racking, that have a combined weight of new construction disposal that does not exceed 2 lbs per square foot of building area affected by this permit, may be deemed to meet the 50% minimum requirement upon approval of Building Department. ALTERNATIVE FORMS OF COMPLIANCE: (If selected, do not complete Tables 1 & 2 below) 0 Construction waste shall not exceed 2 lbs. per sf. of area. All receipts shall be provided to the Building Official prior to final. (This option not applicable for most construction projects.) Square feet of construction area X 2 lbs. =lbs. of allowable waste. 0 I plan on using a WASTE MANAGEMENT roll-off bin.All receipts shall be provided to the Building Official prior to final. Ta bye 1 -Estimated Waste (To be filled out prior to permit issuance -refer to example on Page 2.) lbs.of waste to be taken to lbs. of waste to beMATERIALSLANDFILLRE USED or RECYCLED Waste Hauling Company or Re-Use Method Asphalt/ Concrete 0 11565-1inula..1 kspL0.14. ifinclele Brick /Masonry tar 443s*5-q..a 'age(mptialf gatfielp idc Cardboard C 200 ezeotati:elo et Setae&CZECekr4.-. Drywall 0 Loa.c). 41 11 Landscape Debris 360 jSoa.ada ecSnuLtY kjaeoUartLumber/Wood 0 I let Ai et seq..1.%C. Metals 0 tOO gse",41:do Qesource 6415t19(d.Mixed Waste 400 7_040 4sectAA: eko e1.203 4-0-Ce StakcoUes.). Trash /Garbage •ent O (And.-0 (1 Other: TOTAL lbs:C495—G300 Estimated Percentage to be Re-Used or Recycled 15 I certifyljaat the information provided herein, to the best of my knowledge,is true and correct. _1 avvk ESContractor(pri t e)36 7Contractor or ner (signature)Date Official Use Only El Plan Approved 0 Plan Denied 0 Project Valuation Approved Reviewed /Approved by: Page 1 of 2 Table 2 -Actual Waste (To be completed after construction.) MATERIALS lbs. of waste taken to lbs. of waste Waste Hauling Company or Re-Use Method LANDFILL RE-USED or RECYCLED (complete only if different than Table 1) Asphalt/Concrete 0 P4 ic $2kcit Ceave 1 As?kIlf ee le 1:iry Brick/Masonry a 9 7)••(ptt?SoAti Gra.04.1 .45?kal I- fersee.Cardboard ••0 .3 `I 5--•c ldtisdoel0 RoaCource YDrywalla0-0 LAnce 00 Landscape Debris., •1 Y5';1 3 45'‘AbAl.).6 kerettece .Xeezieert Lumber/Wood 6 1 (c.pt kir;.e02e Metals -•.0 c9 (0(1 5Ceadkio Ro feu (et Oa idiej. Mixed Waste ),g of 9 00 ise..frAdkit)itr se tee"teecn 0 el t Trash /Garbage 01 X CO 0 Z.Ana c.` I ( Other: TOTAL lbs.:(4 115 /t 9 ‘01 Actual Percentage Re-Used or Recycled Sao % Official Use Only iiii 50% Goal Achieved 0 50% Goal Not Achieved 0 Alternative Compliance Achieved Penalty Paid $ Reviewed /Approved by: EXAMPLE:Use the following example as a guide to completing this form. lbs.of waste to be taken to lbs.of waste to beMATERIALSLANDFILLRE-USED or RECYCLED Waste Hauling Company or Re-Use Method Asphalt /Concrete ••0 2000 A-BC..H-a u.Li-A4 Co. Brick/Masonry .•100 .450 WM / Rt-14..seci •F=r1.clq,Ow-site Cardboard 0 150 ABC f-±qui..1-1/Lo Co. Drywall •0 50 •A-F.C. H-a u.L1.0-Co. Landscape Debris 0 120 muLaliect g Re-kSet)ow-si-te Lumber/ Wood •500 •0 Waste Ma voqevutiAt Metals 300 200 WM / A-g.C1-taixi.i.vue Mixed Waste 1500 0 WM Trash /Garbage 300 0 wm Other: POOL Guwite o .500 used as Crushed Base Ow-Site TOTAL lbs.:2700 •seyo Percentage to be Re-Used or Recycled 59 % Formula: Total Re-used or Recycled X 100 =% Re-Used or Recycled (Total Combined Waste) 3870 X 100 =59%Re-Used or Recycled (2700 +3870) Since 59% exceeds the minimum requirement of 50%, this plan complies. Page 2 of 2 54 Ticket #:1515897 PALOMAR TRANSFER5960ELCAMINOREAL Weighmaster:gomezdaCARLSBAD,CA 92008 (760)603 -0153 In:November 10,2016 7:55 am 333367 -RUBIO CONSTRUCTION SERVICES INC Out:November 10,2016 7:55 am26341JEFFERSONAVESTE#G MURRIETA,CA 92562 Vehicle:a41707 Ref:Contract:COMM-GATE Yr.200 BOL: GROSS 34,920 Scale In TARE 28,880 Tare Out INBOUND NET 6,040 INVOICE Tracking Qty:0.00 Qty Unit Description Rate Extension Tax Total 3.02 TN MSW $66.00 $199.32 $0.00 $199.32 Origin:VISTA 100% Total $199.32 Paid $0.00 Change $0.00 Signature: u .Escondido Resource.ecovry 1044 W Washington Ave ' `Escondido,CA 92025 INVOICE (760)745-3203 /. Customer:1203 Ticket:99718 In:14:12 Truck:.2451/0000.. Date:12/02/16 Out:14:12 Container: Route:602311 RUBIO CONSTRUCTION SERVI Origin:023 Oceanside 26341 JEFFERSON AVE,#G ^ MURRIETTA,CA 92562 Extended Commodity Units Rate Charge 11 SELFHAUL REFUSE 3.00 74.00 per TON 222.00 [Gross(In):25,320.lbs Scl#2 Tare 19,320.lbs Scl#2 Net:69000"lbs ] TOTAL DUE 222.00 _- ALMA Driver .' ' ^ / ' Escondido Resource Recovery 1044 W Washington Ave Escondido,CA 92025 INVOICE (760)745 3203 Customer:1203 Tikt:5954 I:13:3 TTqck:102591.0000uae:12/15/16 Ou Containers, Route:08611 RUBIO CONSTRUCTION SERVI Origin:086 Carlsbad 26341 JEFFERSON AVE,#G ' MURRIETTA,CA 92582 `ExtendedCommodity'Units Rate 'Charge 11 SELFHAUL REFUSE .94 74.00 per TON G9"56 [Gross(In):19,260.lbs Scl#2 Tare 17,380.lbs 8c1#2 Net:1,880.lbs ] TOTAL DUE 69.56 ' ' ARTURO Driver ' '. ~ Escondido Resource Recovery .1044 W Washington Ave Escondidov CA 92025 INVOICE (760)745-3203 Customer:1203 Ticket:8140 In:11x36 Truck:2451/00069 Date:12/21/16 Out:11:36 Container: Route:01611 RUBIO CONSTRUCTION GERVI Origin:016 Escondido 26341 JEFFERSON AVE,#G ( MURRIETTA,CA 92562 'Extended Commodity Units Rate Charge 11 SELFHAUL REFUSE 2.71 74^00 per TON '''.'200"54 [Gross(In):24,740.lbs Scl#2 Tare 19,320.lbs Scl#2 Net lbs ] .TOTAL DUE 200.54 MARTIN Driver 54 Ticket #: 1542496 PALOMAR TRANSFER5960ELCAMINOREAL Weighmaster:gomezdaCARLSBAD,CA 92008 (760)603 -0153 In:January 18,2017 1:07 pm 333367 -RUBIO CONSTRUCTION SERVICES INC Out:January 18,2017 1:07 pm26341JEFFERSONAVESTE#GMURRIETA,CA 92562 Vehicle:a40908 Ref: Contract:COMM-GATE Yr.200 BOL: GROSS 27,180 Scale In TARE 18,900 Tare Out INBOUND NET 8,280 INVOICE Tracking Qty:0.00 Qty Unit Description Rate Extension Tax Total• 4.14 TN MSW $66.00 $273.24 $0.00 $273.24 Origin:CARLSBAD 100% Total $273.24 Paid $0.00 Change $0.00 Signature: • | ! ' Escondido Resource Recovery 1044 W Washington Ave Escondido,CA 92025 INVOICE (760)7453203 Customer:12693 Ticket:20775 In:12:29 Truck:2451/69000 Date:691/24/17 Out:12:29 Container: Route:08011 RUBIO CONST'CTION.SERVI Origins 080 San Marco 26341 JEFFERGONA #G' MURRIETTA,CA 92562 Extended CmKdj,t Uit Rathgryg1LHULREFUGE.3/74.0m per TON [Gross(In):269060.lbs 8ol#1 Tare 19,320.lbs Scl#1 Net:6-1 -1740 TOTAL DUE 249.38 ` - -------IN ----'---------'Driver ^ - 54 Ticket #:1548811 PALOMAR TRANSFER 5960 EL CAMINO REAL Weighmaster:RAMOSALCARLSBAD,CA 92008 (760)603 -0153 In:February 03,2017 7:00 am 333367 -RUBIO CONSTRUCTION SERVICES INC Out:February 03,2017 7:00 am26341JEFFERSONAVESTE#GMURRIETA,CA 92562 Vehicle:a40908 Ref:Contract:COMM-GATE Yr.200 BOL: GROSS 25,860 Scale In TARE 18,900 Tare Out INBOUND NET 6,960 INVOICE Tracking Qty:0.00 Qty Unit Description Rate Extension Tax Total 3.48 TN MSW $66.00 $229.68 $0.00 $229.68 Origin:CARLSBAD 100% Total $229.68 Paid $0.00 Change $0.00 Signature: .. AGRISCAPE, INC.10736037760 Borel Road Murrieta. CA 92563 (951) 696-0651 I &i _.;DATE I 1 1.1 20 ,..:-..r 1:(.(.,[(--; CL.RECEIVED FROM ...kj CO ‘0 2:...)'‘,.tv;.i1,) \.- ..)k.,_1 ku v:\$ , ____-: - W For ?. OM ' . '0 r>;.-.7.-- - ll.\,' 160W Truck *.Timii7 -,----_,CC . ..:.. AMOUNT OF ACCOUNT H / THIS PAYMENT 0 CHECK ..-; Eti a/BALANCE DUE 0 CHARGE ---. Thank You!f.. i---k ,. • i .. -,-- AGRISCAPE, INC.10801637760 Borel RoadMurrieta, CA 92563 (951) 696-0651 . DATE //20 / 7 ai.RECEIVED FROM r-1 - ...8 )0 Ce).s ,--i.0 e'l It.)) I $OM W Truck e TimeC IAMOUNT OF ACCOUNT 0 CASH THIS PAYMENT BALANCE DUE 0 CHECK 0 CHARGE BY Thank You! • t 76 SAND & GRAVEL CONCRETE & ASPHALT RECYCLE• PO BOX 965 BONSALL, CA 92003 SALES: (760) 497-6041 P.O.JOB #DATE 17 \ \CASH CHECK CHARGE COMMERCIAL RESIDENCE E NAME 7 VP\I L+\7 CITY OF ORIGIN JOB LOCATION A-7P ---Ae PU TRAILER FLATBED BOBTAIL 104;7-END DUMP T & T MATERIAL 7I LOAD COUNT (__C %X tQ t C 1 2 3 4 5 6 7 8 9 10 # LOADS X PRICE -OTHER CHARGES TOTAL SIGNATURE TRUCK # •All bills due upon presentation unless otherwise'76 SAND & GRAVEL is not responsible arranged in advance. Open accounts subject to for damage to vehicle while being loaded 1 1/2% month, charge after 30 days unpaid 'or unloaded in yard. balance. +-• 01873JOB COPY .. '5... 76 SAND & GRAVEL CONCRETE &ASPHALT RECYCLE PO BOX 965 BONSALL, CA 92003 .,,SALES: (760) 497-6041 il P.O.JOB a I 7TE ,...... I .(..- E12CA-1CASHCHECKCHARGECOMMERCIALRESIDENCETIM .... NAME.....---. •((V-.--.A.., .--.CITY OF ORIGIN ..„: .1..'JOB LOCATION il (‘(....k .\'.CI---V)CNk. PU TRAILER FLATBED BOBTAIL 10-WHEEL END DUMP T&T MATERIAL LOADF... ....LOAD COUNT L C.0(X IC 1 2 3 4 5 6 7 8 9 10 X . k .. f. t... LI Z.\Z2 C- --N— # LOADS X PRICE •-OTHER CHARGES it: $VT-E)Ls--- :•TOTAL1..• ... • ....- ... :•!.. .-•:-.SIGNATURE TRUCK # -All bills due upon presentation. unless otherwise __76 SAND & GRAVEL is not responsible ...i arranged in advance. Open accounts subject to for damage to vehicle while being loaded 1 1/2% month, charge after 30 days unpaid or unloaded in yard. e i balance. i 01894JOB COPYi.. 76 SAND & GRAVEL CONCRETE & ASPHALT RECYCLE PO BOX 965 BONSALL, CA 92003 SALES: (760) 497-6041 P.O.JOB # DAT1 • .Z•• CASH CHECK CHARGE COMMERCIAL RESIDENCE ME NAME iL CC Tv"1/.1 CITY OF ORIGIN JOB LOCATION X _Are' kC PU TRAILER FLATBED BOBTAIL 105ZEL END DUMP T & T MATERIAL LOAD COUNT 1 2 3 4 5 6 7 8 9 10 # LOADS X PRICE OTHER CHARGES $ TOTAL SIGNATURE •TRUCK #••.• All bills due upon presentation unless othOrwise •76 SAND &-GRAVEL is not responsible •• ._arranged in advance. Open accounts subject to for damage to vehicle while being loaded 1 1/2% month, charge after 30 days unpaid or unloaded in yard. balance. 01910 JOB COPY 76 SAND & GRAVEL CONCRETE & ASPHALT RECYCLE PO BOX 965 BONSALL, CA 92003 SALES: (760) 497-6041 • P.O.JOB #.DATEICASHCHECKCHARGECOMMERCIALRESIDENCE -2- IME NAME k k 0( CITY OF ORIGIN JOB LOCATION Orl — PU TRAILER FLATBED BOBTAIL 10-WHEEL END DUMP T &T MATERIls LOAD COUNT ‘-‘C •Q 1 2 3 4 5 6 7 8 9 10 X fi • # LOADS X PRICE •OTHER CHARGES TOTAL •;)' ,^, ••SIGNATURE TRUCK # ••All bills due upon presentationsunless otherwise.76 SAND:& GRAVEL is notTesponsible : arranged in advance. Open accounts subject to for damage to vehicle while being loaded 1 1/2% month, charge after 30 days unpaid or unloaded in yard. balance. 01916 JOB COPY • AGRISCAPE, INC.10738037760 Borel Road Murrieta. CA 92563 (951) 696-0651 DATE i 20 L-- 11•0 •. as RECEIVED FROM W For (i() NIP Truck *Time CC AMOUNT OF ACCOUNT 0 CASH THIS PAYMENT CHECK BY BALANCE DUE 0 CHARGE Thank You!