HomeMy WebLinkAbout2652 WADSWORTH ST; ; CB163176; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-26-2016 Residential Permit Permit No: CB163176
Building Inspection Request Line (760) 602-2725
Job Address:2652 WADSWORTH ST CBAD
Permit Type:RESDNTL Sub Type: SFD Status: ISSUED
Parcel No:2081931500 Lot #:237 Applied: 08/17/2016
Valuation:$477,671.00 Constuction Type: 5B Entered By: SLE
Occupancy Group:Reference #: CT130003 Plan Approved: 08/26/2016
# Dwelling Units:1 Structure Type: SFD Issued: 08/26/2016
Bedrooms:4 Bathrooms:4.5 Inspect Area: PB
Orig PC #: PC150042 Plan Check #: PC160048
Project Title:THE VISTAS: PHASE 4 / PLAN 2
3,051 SF LIV / 471 SF GARAGE / 62 SF PORCH / 204 SF CA ROOM
Applicant:Owner:
TOLL BROTHERS INC RANCHO COSTERA LLC
200 200
725 W TOWN AND COUNTRY RD 725 W TOWN AND COUNTRY
ORANGE CA 92868 ORANGE CA 92868
760-720-5485 760-720-5485
Building Permit $1,967.96 Meter Size FS1
Add'I Building Permit Fee $0.00 Add.' Red. Water Con. Fee $0.00
Plan Check $1,377.57 Meter Fee $356.00
Add'I Plan Check Fee ($500.00)SDCWA Fee $4,963.00
Plan Check Discount ($110.21)CFD Payoff Fee $1,723.10
Strong Motion Fee $62.10 PFF (3105540)$8,693.61
Park in Lieu Fee $0.00 PFF (4305540)$0.00
Park Fee $0.00 License Tax (3104193)$0.00
LFM Fee $0.00 License Tax (4304193)$0.00
Bridge Fee $0.00 Traffic Impact Fee (3105541)$2,690.00
Other Bridge Fee $0.00 Traffic Impact Fee (4305541)$0.00
BTD #2 Fee $0.00 Sidewalk Fee $0.00
BTD #3 Fee $0.00 PLUMBING TOTAL $315.00
Renewal Fee $0.00 ELECTRICAL TOTAL $89.00
Add'I Renewal Fee $0.00 MECHANICAL TOTAL $122.96
Other Building Fee $0.00 Housing Impact Fee $0.00
HMP Fee $0.00 Housing InLieu Fee $0.00
Pot. Water Con. Fee $3,934.00 Housing Credit Fee $0.00
Meter Size FS1 Master Drainage Fee $0.00
Add'I Pot. Water Con. Fee $0.00 Sewer Fee $2,103.00
Red. Water Con. Fee $0.00 Additional Fees $0.00
Green Bldg Stands (SB1473) Fee $20.00 Fire Sprinkler Fees $0.00
Green Bldg Stands Plan Chk Fee $0.00
TOTAL PERMIT FEES $27,807.09
Total Fees:$27,807.09 Total Payments to Date:$27,807.09 Balance Due:$0.00
ki eV
FINAL APPROVAL't 3 "/C---I 1Inspector:•Date:Clearance:
NOTICE:Please take CE that approval dyour project includes the "Imposition"d fees,deck ions, reservations, or ether exactions hereafter ccilesfively
referred to as lees/eocacticns."You have 90 days from the date this permit was issued to pretest imposition of these feestexacticns.If you pretest them, you rust
follow the pretest procedures set forth inaverment Code Section 68320(a), and file the protest and any ether required irforrnation with the CityMregerfor
processing inac=rdance with Carlsbad fvknicipal Cede Section 3.32030.Failure to timely fdlary that pecedue will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTI-ER NOTIFIED that your right to protest the spedfied feeslexactims DOES NOT APPLY to water and seweroarection fees and capacity
changes, nor playing, zoning, gracing or ether similar application processing or service fees in comedian with this project.NOR DOES IT APPLY to any
fees/exactions dwrictiyou haveprevictslv beeneven a NOTICEfilarto this.cr as to which the statute of limitations has Previously otherwise mired
-....
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Storm Water Pollution Prevention Plan (SWPPP) Permit
08-26-2016 Permit No:SW160382
Job Address:2652 WADSWORTH ST CBAD
Permit Type:SWPPP Status:ISSUED
Parcel No:2081931500 Lot #:237 Applied:08/18/2016
Reference #:Entered By:SLE
CB#:CB163176 Issued:08/26/2016
Inspect Area:
Project Title:THE VISTAS: PHASE 4 / PLAN 2 Tier:1
Priority:L
Applicant:Owner:
TOLL BROTHERS INC RANCHO COSTERA LLC
200 200
725 W TOWN AND COUNTRY RD 725 W TOWN AND COUNTRY
ORANGE CA 92868 ORANGE CA 92868
760-720-5485 760-720-5485
Emergency Contact:
GREG DEACON
760-637-9083
SWPPP Plan Check $0.00
SWPPP Inspections $59.00
Additional Fees $0.00
TOTAL PERMIT FEES $59.00
Total Fees:$59.00 Total Payments To Date:$59.00 Balance Due:$0.00
FINAL AP'PAOVAL
DATC4
-15-
1.7 CLEARANCE
SIGNATURE 1../fl'q'
PERMIT INSPECTION HISTORY REPORT (CB163176)
Permit Type:BLDG-Residential Application Date:08/17/2016 Owner:RANCHO COSTERA LLC -
INACTIVE
Work Class:Single Family Detached Issue Date:08/26/2016 Subdivision:
Status:Closed -Fineled Expiration Date:05/01/2017 Address:2652 Wadsworth St
Carlsbad, CA
IVR Number:716511
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
11102/2016 BLDG-34 Rough 002342-2016 Passed Andy Krogh Complete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency exterior pocket door Yes
11/0812016 11/08/2016 BLDG-84 Rough 000050-2016 Passed Andy Krogh 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
11/16/2016 11/16/2016 BLDG-82 Drywall,001394-2016 Passed Andy Krogh 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
01/05/2017 01/05/2017 BLDG-Electric Meter 008415-2017 Passed Jonathan West Complete
Release
03/15/2017 03/15/2017 BLDG-Final 016572-2017 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
ai
March 15, 2017 Page 1 of 1
ion
Inspection List
Permit#:CB163176 Type:RESDNTL SFD THE VISTAS: PHASE 4 / PLAN 2
3,051 SF LIV / 471 SF GARAGE / 62 SF PO
Date Inspection Item Inspector Act Comments
11/01/2016 13 Shear Panels/HD's AEK AP
10/31/2016 13 Shear Panels/HD's AEK PA PRELIM FOR INTERIOR ROOF
10/19/2016 15 Roof/Reroof AEK AP
09/09/2016 11 Ftg/Foundation/Piers A AP
08/29/2016 21 Underground/Under Floor PB AP
08/29/2016 22 Sewer/Water Service PB AP
Thursday, March 16, 2017 Page 1 of 1
X37
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:CB163176
Carlsbad
Dwelling Address:2652 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 ,r-exe&a.96c/girr44.
Company:Energy Inspectors Date Signed:
2017 V 17 11:52:.I1Address:CEA/HERS Certification Identification Or app ica e):
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 resuhsthat require HERS verification
identified on this Certificate of Verification comply with the applicable retjUirements 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)
217-00817 Not tested
HERS Rater Information
HERS Rater Company Name:Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:
Joseph Schwartz feachkgaidave*Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004506 2017-02-17 12:10:04
Digitally signed by CaICERTS.This digital signature is provided in order to secure the content ofthis registered document. and in no way implies
Registration Provider responsibility for the accuracyofthe information.
Registration Number: 215-N0163346D-M2000050A-M20A Registration Date/Time:2017-02-17 12:10:04 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:47:01
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:CB163176
Carlsbad
Dwelling Address:2652 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 ..42.rei4vPecdoir.4
Company:Energy Inspectors Date Signed:
Address:CEA/HERS Certification Identification (MplicaVe)17 11:52:-.11
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 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 (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)
217-00817 Not tested
HERS Rater Information
HERS Rater Company Name:Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:
Joseph Schwartz fo4....5C/teafie*Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004506 2017-02-17 12:10:04
•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 accuracyofthe information.
Registration Number: 215-N01633460-M2000051A-M20A Registration Date/Time:2017-02-17 12:10:04 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:47:07
2013 Residential Compliance Schema Version: 0.52SDD
yam arimom
CERTIFICATE OF VERIFICATION CF3R-MCH-23-H
Space Conditioning System Airflow Rate (Page 1 of 1 j
Project Name:The Vistas at Robertson Ranch Enforcement Agency:City of Permit Number:CB163176
Carlsbad
Dwelling Address:2652 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 „,Z•vre4a/Pic/gair.4fr
Company:Energy Inspectors Date Signed:
Address:CEA/HERS Certification Identification (inp1pricNe)17 11:52:11
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 reO'uirements 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)
•217-00817 Not tested
HERS Rater Information
HERS Rater Company Name:Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:
Joseph Schwartz itive,kgeliewe*Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004506 2017-02-17 12:10:04
Digitally signed byCaICERTS.This digital signature is provided in order to secure the contentofthis registered document, and in no way implies
•Registration Provider responsibility for the accuracyofthe information.
Registration Number: 215-N01633460-M2300050A-M23A Registration Date/Time:2017-02-17 12:10:04 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:48:05
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:CB163176
Carlsbad
Dwelling Address:2652 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 ,..,6-reitarPeetwe.4
Company:Energy Inspectors Date Signed:017 02 17 11:52:41Address:CEA/HERS Certification Identification (ir applicaole):
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 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 (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:
law
License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable):Dwelling Test Status in Sample Group (ifapplicable)
217-00817 Not tested
HERS Rater Information
HERS Rater Company Name:Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:
Joseph Schwartz faal 64.9C/14.W.'V*
Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004506 2017-02-17 12:10:04
Digitally signed byCaICERTS.This digital signature is provided in order to secure the contentofthis registered document and in no way implies
Registration Provider responsibility for the accuracyofthe information.
•
Registration Number: 215-N0163346D-M2300051A-M23A Registration Date/Time:2017-02-17 12:10:04 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:48:10
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:C8163176
Carlsbad
Dwelling Address:2652 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 „Zerew.4.96.e1.44..4fr
Company:Energy Inspectors Date Signed:017 02 17 11:52:41Address:CEA/ HERS Certification Identification (it appocanie):
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 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 (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)
217-00817 Not tested
HERS Rater Information
HERS Rater Company Name:Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:
Joseph Schwartz 3615.6k—gaiGif.*Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004506 2017-02-17 12:10:04
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 ofthe information.
Registration Number: 215-N0163346D-M2200050A-M22A Registration Date/Time:2017-02-17 12:10:04 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:47:34
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:C8163176
Carlsbad
Dwelling Address:2652 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 .."-ezewarPeeisvue
Company:Energy Inspectors Date Signed:01 02 17 11:52:11Address:CEA/HERS Certification Identification (it applicable):
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 resultsthat require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference ApOendices 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)
217-00817 Not tested
•HERS Rater Information
•HERS Rater Company Name:Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:
Joseph Schwartz 36410,—.5Wtel414*Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004506 2017-02-17 12:10:04
Digitally signed by CalCERTS.This digital signature is provided in order to secure the contentofthis registered document and in no way implies
Registration Provider responsibility for the accuracy ofthe information.
Registration Number: 215-N0163346D-M2200051A-M22A Registration Date/Time:2017-02-17 12:10:04 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:47:40
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:CB163176
Carlsbad
Dwelling Address:2652 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:
Lorena Pichardo
Documentation Author Signature:
0..e~i4wPec/g4.44.
Company:Energy Inspectors Date Signed:017 02 17 11:52:11Address:CEA/HERS Certification Identification (ir appiicaoie):
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 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 (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)
217-00817 Not tested
HERS Rater Information
HERS Rater Company Name:Energy Inspectors
Responsible Rater Name:Responsible Rater Signature:
Joseph Schwartz 490,6k—CCItealit*Responsible Rater Certification Number w/this HERS Provider:Date Signed:
CC2004506 2017-02-17 12:10:04
Digitally signed by CalCERTS.This digital signature is provided in order to secure the content ofthis registered document and in no way implies
Registration Provider responsibility for the accuracyofthe information.
Registration Number: 215-N01633460-M2700049A-M27A Registration Date/Time:2017-02-17 12:10:04 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:48:34
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:2652 Wadsworth Street Carlsbad CA, 9201 0 Builder Name:Toll Brothers, Inc.-Southern CA
Builder Contact:na Telephone:999-999-9999
Plan Number:To111 44 Plan 2 Sample Group Number:217-00817 Sample House Number:1017930
HERS Rater:Joseph Schwartz Telephone:702-365-8080
Certifying Signature:fe ei ocaleigiro*Date:2017-02-17 12:10:04
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
a 37
RESIDENTIAL GREEN
Ay of STANDARDS MANDATORY BUILDING
CODE Development Services
Building Division
Carlsbad MEASURES 1635 Faraday Avenue
CERTIFICATION 760-602-2719
CHECKLIST www.carlsbadca.gov
B-51
This form, signed and completed, and all receipts for the recycled 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.
Amminannimminnim...
•
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 (RECO 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 InsPaCior buaiifications
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:‘2(p5701 (auk it)e -r 14 S4-.Plan Check Number:'PC IL—eel?.
Print Name:_V.VV .S Signed:
License Number:(o 3 3sli !Date:a k
B-51 Page 2 of 2 Rev 11 /1