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HomeMy WebLinkAbout2653 WADSWORTH ST; ; CB163171; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-26-2016 Residential Permit Permit No: CB163171 Building Inspection Request Line (760) 602-2725 Job Address:2653 WADSWORTH ST CBAD Permit Type:RESDNTL Sub Type: SFD Status: ISSUED Parcel No:2081930400 Lot #:218 Applied: 08/17/2016 Valuation:$342,449.00 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:3 Bathrooms:3.5 Inspect Area: PB Orig PC #: PC150042 Plan Check #: PC160048 Project Title:THE VISTAS: PHASE 4 / PLAN 1 2,165 SF LIV / 430 SF GARAGE / 153 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 $1,488.71 Meter Size FS1 Add! Building Permit Fee $0.00 Add'I Red. Water Con. Fee $0.00 Plan Check $1,042.10 Meter Fee $356.00 Add'I Plan Check Fee ($500.00)SDCWA Fee $4,963.00 Plan Check Discount ($83.37)CFD Payoff Fee $1,723.10 Strong Motion Fee $44.52 PFF (3105540)$6,232.57 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 $249.00 Renewal Fee $0.00 ELECTRICAL TOTAL $89.00 Add'I Renewal Fee $0.00 MECHANICAL TOTAL $99.07 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 Addl 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 $14.00 Fire Sprinkler Fees $0.00 Green Bldg Stands Plan Chk Fee $0.00 TOTAL PERMIT FEES $24,444.70 Total Fees:$24,444.70 Total Payments to Date:$24,444.70 Balance Due:$0.00 -t(n) FINAL APPROVAL Z 24 1 -7Inspector:'1 Date:Clearance: NOTICE:Please take CE that approval cl your project includes the "Imposition"cffees, dedications, resenratiore, or other exactions hereafter collectively referred to as "fees/ions."You have 93 days from the date this perrrit was issued to protest imposition cf these fees/exactions.If you protest them, you rrust follow the protest prrxecUres set forth in Government Code Section 613020(a),and file the protest and any other redirect irfonnation with the Cfty Manager for processing in <laud.'icewith Carlsbad Municipal Cade Section 3.32.030.Failure to firmly follow that propedtre will bar any subsequent legal action to attack review, set aside, void, or annul their imposition. You aehereby FURTFER NOTIFIED that your right to protest the spedfied fees/exactions DOES NOT APPLY to wateraid sewer connection fees and capacity changes, nor planning, zoning,Daring 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 avera NOTICE sirrila to this. or as to whidl the statute cf linitaticre has Deviously otherwise mired. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit 08-26-2016 Permit No:SW160375 Job Address:2653 WADSWORTH ST CBAD Permit Type:SWPPP Status:ISSUED Parcel No:2081930400 Lot #:218 Applied:08/18/2016 Reference #:Entered By:SLE CB#:CB163171 Issued:08/26/2016 Inspect Area: Project Title:THE VISTAS: PHASE 4 / PLAN 1 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 FINA Iway ervROVAL •DATEZ.Z7-17 SIGNATURE Inspection List Permit#:CB163171 Type:RESDNTL SFD THE VISTAS: PHASE 4 /PLAN 1 2,165 SF LIV / 430 SF GARAGE / 153 SF C Date Inspection Item •Inspector Act Comments 09/12/2016 11 Ftg/Foundation/Piers AEK AP 09/06/2016 21 Underground/Under Floor AEK AP 09/06/2016 22 Sewer/Water Service AEK AP • Thursday, February 23, 2017 Page 1 of 1 • ?^ ",I '4,.......?4::.1::''tr:Z.'''''i -4....-):14 PERMIT INSPECTION HISTORY REPORT (CB163171) Permit Type:BLDG-Residential Application Date:08/17/2016 Owner:TOLL BROS INC Work Class:Single Family Detached Issue Date:08/26/2016 Subdivision: Status:Closed -Finaled Expiration Date:09/13/2017 Address:2653 Wadsworth St Carlsbad, CA IVR Number:716506 Scheduled Actual Date Start Dee Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 11/15/2016 11/15/2016 BLDG-13 Shear 001212-2016 Passed Andy Krogh Complete Panels/HD (ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 11/23/2016 11/23/2016 BLDG-84 Rough 002736-2016 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 11/3012016 11/30/2016 BLDG-82 Drywall,003518-2016 Failed Andy Krogh Reinspection Complete Exterior Lath, Gas Test, Hot Mop Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready No BLDG-17 Interior Lath-Drywall No BLDG-18 Exterior Lath and No Drywall 'BLDG-23 Gas-Test-Repairs No 12/01/2016 12/01/2016 BLDG-82 Drywall,003743-2016 Passed Jonathan West Complete Exterior Lath, Gas Test, Hot Mop Checklist Item COMMENTS Passed •BLDG-Building Deficiency Not ready Yes• BLDG-17 Interior Lath-Drywall Yes BLDG-18 Exterior Lath and Yes Drywall BLDG-23 Gas-Test-Repairs Yes 01/24/2017 01/24/2017 BLDG-Electric Meter 010996-2017 Passed Jonathan West Complete Release 02122/2017 02/22/2017 BLDG-Final 014385-2017 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 1 BLDG-Electrical Final Yes :i February 22, 2017 Page 1 of 2 .",* :„..,..,. C6163171 2653 WADSWORTH ST \-7.CITY OF THE VISTAS: PHASE 4 / PLAN 1 CARLSBAD INSPECTION RECORD 2,165 SF LIV /430 SF GARAGE / 153 SF CA ROOMRuilding Division RESDNTL SFD I -1 I Lot#:218 TOLL BROTHERS INCINSPECTION RECORD CARD WITH APPROVED PLANS MUST BE KEPT ON THE JOB 0 CALL BEFORE 3:30 jam FOR NEXT WORK DAY INSPECTION ' li3FOR BUILDING INSPECTION CALL:760-6024725 REGORD COPYOR GO TO: wyvw.Carlsbadca.gov/Buildino AND CLICK ON "Request Inspection" DATE:S:)'. 2....10 ./.h If "YES" is c iio.,,l‘t (11.(.1..v that 0h t ..o15 appro 0 f t.,toc o 1 !riot to toipi( c,trril f I .11-itoithrw 1 .;'..I..,t1or)5 please call ;l1O oppitt aid(kli.i..orli5 at to i .lo.tidIrtl)ers provul((I li<r >.Altar all .((pro I...G ..i.to 760-60.S 0.0 t t)i ill to hitiqm-4)((thin i ul.1.c led p.Or bro.r I?1 .",)1".A f tht-c .cccc .i ql I NO YES Required Prior to Requesting Building Final if Checked YES Date Inspector Notes IIIIIPlanning/Landscape 760-944-8463 Allow 48 hours Z..11.1 •VI 1"-1ilse IIIICM&I (Engineering Inspections(760-438-3891 Call before 2 pm uffliaremNIFire Prevention 760-6024660 Allow 48 hours IMMO Ail"IIIIIIIIIIIIIIIIIII1.1111IIIIIIIIIIIIIII Type of Inspection Type of inspection cone It BUILDING Date inspector cone a ELECTRICAL Date Inspector #11 FOUNDATION #31 0 ELECTRIC UNDERGROUND 0 UFER #12 REINFORCED STEEL q /a/16 Nit- #34 ROUGH ELECTRIC #66 MASONRY PRE GROUT #33 ELECTRIC SERVICE 0 TEMPORARY 1 -21-Ii W CST („)0 GROUT 0 WALL DRAINS #35 PHOTO VOLTAIC, #10 TILT PANELS #39 FINAL #11 POUR STRIPS c00% n MECHANICAL #11 COLUMN FOOTINGS #41 UNDERGROUND DUCTS &PIPING #14 SUBFRAME 0 FLOOR 0 CEILING #44 0 DUCT &PLENUM El REF. PIPING #15 ROOF SHEATHING 0.47^46 lr-#43 HEAT-AIR COND. SYSTEMS #13 EXT. SHEAR PANELS 1-is --III'#49 FINAL #16 INSULATION CoDE B COMBO INSPECTION #18 EXTERIOR LATH #81 UNDERGROUND (11,12,21,31) #17 INTERIOR LATH &DRYWALL #82 DRYWALL,EXT LATH, GAS TES (17,18,23)12.-/-/6 .7'.`"/writ #51 POOL EXCA/STEEL/BOND/FENCE #83 ROOF SHEATING, EXTSHEAR (13,16) #55 PREPLASTER/FINAL #84 FRAME ROUGH COMBO (14,24,34,44)it-.23-46 Alec #1.9 FINAL _#85 T-Bar (14,24,34,44) Date Ins ector #89 FINAL OCCUPANCY (19,29,39,49) #22 0 SEWER & BL/CO 0 PL/C0 Date Ins ector #21 UNDERGROUND OWASTE 0 WTR . #24 TOP OUT 0 WASTE owrR A/S UNDERGROUND VISUAL i #27 TUB &SHOWER PAN A/S UNDERGROUND HYDRO 1 #23 0 GAS TEST 0 GAS PIPING A/S UNDERGROUND FLUSH ,•' #25 WATER HEATER A/S OVERHEAD VISUAL i sig _/..r,...,,#28 SOLAR WATER A/S OVERHEAD HYDROSTATIC #29 FINAL A/S FINAL ii 16\\1 foxim con.#STORM WATER F/A ROUGH-IN #600 PRE-CONSTRUCTION MEETING F/A FINAL 11603 FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH-IN (1/605 NOTICE TO CLEAN FIXED WING SYSTEM HYDROSTATIC TEST i #607 WRITTEN WARNING FIXED EXTINGUISHING SYSTEM FINAL t #609 NOTICE OF VIOLATION MEDICAL GAS PRESSURE TEST _ #610 VERBAL WARNING MEDICAL GAS FINAL REV 10/2012 SEE SACK FOR SPECIAL NOT ES -,Agr 1-67 "Mr RESIDENTIAL GREEN BUILDING CODE Development ServicesCity of STANDARDS MANDATORY 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. R.A1 Onrin 4 of 9 ••"- 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 coolir3 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:o9t.o63 Wei-CLS /001147 S Plan Check Number:'PC 0atz Print Name:51141 4/3 Signed: License Number:CO D 354 Date:al3 6-51 Page 2 of 2 Rev.11/15 , 2 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:CB163171 Carlsbad Dwelling Address:2653 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 Company:Energy Inspectors Date Signed: O1T 9)?21 12:28:11Address:CEA/ HERS Certification Identification (if 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, orsystem performance diagnostic resultsthat require HERS verification identified on this Certificate of Verification comply with ihe applicable reObirements 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. S.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) 217-00815 Not tested HERS Rater Information HERS Rater Company Name:Energy Inspectors Responsible Rater Name:Responsible Rater Signature: Daniel Granback a7/1aNecoisResponsible Rater Certification Number w/this HERS Provider:Date Signed: CC2004061 2017-02-21 12:42:44 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-N0163340D-M2000026A-M20A Registration Date/Time:2017-02-21 12:42:44 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-02-21 11:45:46 2013 Residential Compliance Schema Version: 0.52SDD 4 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:CB163171 Carlsbad Dwelling Address:2653 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 ,.epre.e.vP6d4f.av Company:Energy Inspectors Date Signed:2017 02 21 12:28:11Address:CEA/ HERS Certification Identification (ir appiicanie): 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 wfio 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 requirementi 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) 217-00815 Not tested HERS Rater Information HERS Rater Company Name:Energy Inspectors Responsible Rater Name:Responsible Rater Signature: Daniel Granback glViaNtcuidack Responsible Rater Certification Number w/this HERS Provider:Date Signed: CC2004061 2017-02-21 12:42:44 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 ofthe information. Registration Number: 215-N0163340D-M2300026A-M23A Registration Date/Time:2017-02-21 12:42:44 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-02-21 11:51:36 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:C8163171 Carlsbad Dwelling Address:2653 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 ,"-eeega/Peci.ain4 Company:Energy Inspectors Date Signed:017 02 2112:28:11Address: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 perjurt under the laws of the State of California: 1.The information provided onthis Certificate of Compliance is true arid 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) 217-00815 Not tested HERS Rater Information HERS Rater Company Name:Energy Inspectors Responsible Rater Name:Responsible Rater Signature: Daniel Granback g),(2///ieeNecozgad Responsible Rater Certification Number w/this HERS Provider:Date Signed: •CC2004061 2017-02-21 12:42:44 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-N0163340D-M2200026A-M22A Registration Date/Time:2017-02-21 12:42:44 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-02-21 11:56:22 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:C8163171 Carlsbad Dwelling Address:2653 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 ,eepreitmerPeelair.4. Company:Energy Inspectors Date Signed:017 Q2 21 12:28:-11•Address: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 performancediagnostic 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) 217-00815 Not tested HERS Rater Information HERS Rater Company Name:Energy Inspectors Responsible Rater Name:Responsible Rater Signature: Daniel Granback IC//121:eeNt da Responsible Rater Certification Number w/this HERS Provider:Date Signed: CC2004061 2017-02-21 12:42:44 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 accuracyof the information. Registration Number: 215-N0163340D-M2700025A-M27A Registration Date/Time:2017-02-21 12:42:44 HERS Provider:CaICERTS CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.008 Report Generated: 2017-02-21 12:01:36 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:2653 Wadsworth Street Carlsbad CA,92010 Builder Name:Toll Brothers, Inc.-Southern CA Builder Contact:na Telephone:999-999-9999 Plan Number:Toll140 Plan 1 Standard Sample Group Number:217-00815 Sample House Number:1017931 HERS Rater:Daniel Granback Telephone:702-365-8080 Certifying Signature:060ieeNtc02.sack Date:2017-02 -21 12:02:00 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. 1a) Radiant Barrier Required:N/A 1b) 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