HomeMy WebLinkAbout2664 WADSWORTH ST; ; CB161468; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-19-2016 Residential Permit Permit No: CB161468
Building Inspection Request Line (760) 602-2725
Job Address: 2664 WADSWORTH ST CBAD
Permit Type:
Parcel No:
Valuation:
RESDNTL Sub Type: SFD
2081931800 Lot #: 240
$522,538.00 Constuction Type: 58
Status: ISSUED
Applied: 0411512016
Entered By: SLE
Occupancy Group:
# Dwelling Units: 1
5
Reference #: CT130003
Structure Type: SFD
Bathrooms: 5.5
Plan Approved: 0511912016
Issued: 0511912016
Bedrooms: Inspect Area:
Orig PC#: PC150042
THE VISTAS: PHASE 31 PLAN 3
Plan Check#: PC160023
Project Title:
3,352 SF LIV I 425 SF GARAGE I 280 SF CA ROOM
Applicant:
TOLL BROTHERS INC
725 W TOWN AND COUNTRY 200
ORANGE CA 92868
760-720-5485
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park in Lieu Fee
Park Fee
LFM Fee
Bridge Fee
Other Bridge Fee
BTD #2 Fee
BTD #3 Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
HMP Fee
Pot. Water Con. Fee
Meter Size
Add'l Pot. Water Con. Fee
Reel. Water Con. Fee
Green Bldg Stands (SB1473) Fee
Green Bldg Stands Plan Chk Fee
$2,106.26
$0.00
$1,474.38
($500.00)
($117.95)
$67.93
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$3,934.00
FS1
$0.00
$0.00
$21.00
$0.00
Total Fees: $28,883.16 Total Payments to Date:
Inspector: Date:
Owner:
RANCHO COSTERA LLC
STE 200
725 W TOWN AND COUNTRY RD
ORANGE CA 92868-4723
Meter Size
Add'l Reel. Water Con. Fee
Meter Fee
SDCWA Fee
CFD Payoff Fee
PFF (3105540)
PFF (4305540)
License Tax (3104193)
License Tax (4304193)
Traffic Impact Fee (31 05541)
Traffic Impact Fee (4305541)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnlieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
Fire Sprinkler Fees
TOTAL PERMIT FEES
$28,883.16 Balance Due:
Clearance:
FS1
$0.00
$356.00
$4,963.00
$1,710.27
$9,510.19
$0.00
$0.00
$0.00
$2,690.00
$0.00
$0.00
$339.00
$89.00
$137.08
$0.00
$0.00
$0.00
$0.00
$2,103.00
$0.00
$0.00
$28,883.16
$0.00
NOTICE: Please ta<e NOTICE Ita BRJtN81 r:J }'WI' ~ed includes the "I . 'af ct fees, dErlcaliCJlS, reservalia1s, or d:her exaiioos here!tter ooledively
referred to as "fees'exa]irns." Yw have 00 days fn:rn the date this pemit v.es iSSLed to prctest ii'T'JX)Sitim r:J these fees'exaiirns. If }OJ prctest them, }OJ rrust
fdiONthe prctest porecires set forth in Go.ternTert Ccxle Sedim60020(a), crd file the prctest crd fro/ d:her reqlired irtarratim \\ith the 0ty fvtregerfor
l:fOO!SSirg in acxxrda'loowth Catstm M.l'lid!B CcxleSedim3.32.030. Faih . .retotirrelyfdiONthat iJOOrl,rewll Ia" aT)'~ legal cd:imtoattock,
review, set aside, \odd, or anJI their i~tion.
Yw ae hereiJf Fl.RTl-ER NOTIRED that }OJr rigi to prctest the specified fees'ex;:dioos exES NOT JIPPI... Y to v.eter crd ~ CXl'Y19dim fees and ~ty
dla"ges, nor panrg, zmrg, IJ'Bdrg or d:her sinila-apr:iicaliml:fOO!SSirg or ser.Aoo fees in CXl'Y19dim wth this ~ed. ~exES IT .APPI... Y to fro/ . . . . . 'I o . t . . . .
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-19-2016
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW160209
Job Address:
Permit Type:
2664 WADSWORTH ST CBAD
SWPPP Status:
Parcel No: 2081931800 Lot#: 240 Applied:
Reference #:
CB#:
Project Title:
Applicant:
TOLL BROTHERS
STE 200
CT130003
CB161468
THE VISTAS: PHASE 3/ PLAN 3
725 W. TOWN AND COUNTRY RD
ORANGE CA 92868
760-877-9885
Emergency Contact:
GREG DEACON
760-637-9083
SWPPP Plan Check
SWPPP Inspections
Additional Fees
TOTAL PERMIT FEES
Entered By:
Issued:
Inspect Area:
Owner:
RANCHO COSTERA LLC
STE 200
Tier:
Priority:
725 W TOWN AND COUNTRY RD
ORANGE CA 92868-4723
ISSUED
04/28/2016
SLE
05/19/2016
1
L
$0.00
$59.00
$0.00
$59.00
Total Fees: $59.00 Total Payments To Date: $59.00 Balance Due:
FINAL APPROVAL
DATE ~~~ o/fb ClEARANCE:...----
SIGN.~TI1R~ ~---·--·--
$0.00
Inspection List
CB161468 RESDNTL SFD THE VISTAS: PHASE 3 / PLAN 3
Date Inspection Item Inspector Act Comments
3,352 SF LIV / 425 SF GARAGE / 280 SF C
Permit#: Type:
27 Shower Pan/Roman Tubs AEK AP09/15/2016
82 Drywall/Ext Lath/Gas Test AEK AP09/13/2016
82 Drywall/Ext Lath/Gas Test AEK NR09/12/2016
84 Rough Combo AEK AP09/02/2016
84 Rough Combo PB NR09/01/2016
13 Shear Panels/HD's PB AP08/24/2016
21 Underground/Under Floor PB AP08/17/2016
22 Sewer/Water Service PB AP08/17/2016
22 Sewer/Water Service PB CA08/15/2016
15 Roof/Reroof AEK AP08/11/2016
15 Roof/Reroof PB NR08/09/2016
11 Ftg/Foundation/Piers PB AP06/20/2016
11 Ftg/Foundation/Piers PB NR06/17/2016
21 Underground/Under Floor PB AP06/13/2016
Monday, November 21, 2016 Page 1 of 1
PERMIT INSPECTION HISTORY REPORT (CB161468)
BLDG-Residential 04/15/2016Application Date:Permit Type:Owner:RANCHO COSTERA LLC
Subdivision:Single Family Detached 05/19/2016Work Class:Issue Date:
2664 Wadsworth St
Carlsbad, CA
Address:Issued - Active 03/14/2017Expiration Date:Status:
IVR Number: 713828
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual
Start Date
11/16/2016 11/16/2016 BLDG-Final
Inspection
001406-2016 Passed Andy Krogh Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Strutural Final Yes
BLDG-Electrical Final Yes
November 21, 2016 Page 1 of 1
((~> ~ CITY OF
CARLSBAD
. Bt~ilding Division INSPECTION RECORD
iNSPECTION RECORD CARD WITH APPROVED
PLANS MUST BE ICEPT ON THE JOB
0 CALL BEFORE 3:30pm FOR NEXT WORK DAY INSPECTION
0 FOR BUILDING INSPECTION CALL: 760·602-2725
OR GO TO: www.Carlsbadca.gov/Building AND CLICIC ON
"Request Inspection"
DATE: Cf-f
COD!t# STORMWATER
#600 PRE-CONSTRUCTION MEETING
REV 10/2012
CB161468 2664 WADSWORTH ST
THE VISTAS: PHASE 3/ PLAN 3
3,352 SF .LIV I 425 SF GARAGE /280 SF CA ROOM
RESONTL SFO .
Lot#: 240 TOLL BROTHERS INC
RECORD COPY
SEE BACK FOR SPECIAL NOTES
Pro1ect Name: ~\1t(~5nl'\ ~V"\rh
Location:
\J.J Q\JS IIJOt \n St
Client:
'1 o \ \ P,f'J"\~r s
Soil Enginee~: \ \ 1 -~.;. \ 1"\CA11"'f
Observation/Testing of:
(circle one)
.""' (_)
-Project No.: Date:1 1 \-;-;o1.:;-t a 5 ns,, lP
Report No.:
Author: ' 1
"' .. \hLt Vi<:...tO\""-11 ~o\'\(\ t\\JJS~A
Day: (circle one)
M T t[JT F S S
Superintendent: Contractor: Foreman:
(h( ;.,A~"'n tl.OMMa
Geologist: O..o.~~tA VJJ\a.'N..( 1
~r: (circle one)
i(:)Unn» Overcast Other: Rainy
) .._) -
Mass Grading Precise Grading Postgrading Other: Pt(l;-J0+vr~±ivn
Equipment Working:
_Dozer
_Scraper
_ Backhoe/Trackhoe
_ Rubber Tire Tractor
_ Steel Wheel Tractor
Water Truck
DAILY FIELD REPORT
__ Loader
__ Sheeps Foot Roller
__ Grid Roller
__ Trench Compactor
Technician 3 H
Hours LO
Today's Estimated Yardage:
Note: Yardage estimate based upon information by others.
Equipment working based upon limited observation.
Information not to be used for payment purposes.
\ ' I I
Page of
Received by: LGC VALLEY, INC.
Print: Geotechnical Consulting
White -File Copy Yellow-Client Copy Pink-Field Copy Gold -Client/Agency Copy
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: CB161468
Carlsbad
Dwelling Address: 2664 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: 'Jn~c:: ~~ ~7 ~n-J::O·A7
Address: CEA/ HERS Certification Identification (if" 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 results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable)
216-05891 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: cJJr/Y) 'nl/ _-61Jnmlfac/i Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1711:18:21
Digitally signed by CaiCERTS. 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-N0163347D-M2000022A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-17 11:18:21 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2016-11-17 10:44:34
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: CB161468
Carlsbad
Dwelling Address: 2664 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: A Lorena Pichardo ~~
company: Energy Inspectors Date Signed: '){)1 a ~ ~ ~ 7 1{)·1:;0·A 7
Address: CEA/ HERS Certification Identification (if applicable):
2570 South Miller Lane
City/State/Zip: Las Vegas NV 89117 Phone: 702-365-8080
Responsible Person's Declaration statement
1 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)
216-05891 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature:
g)r"" ·n, r.-(}~ach Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1711:18:21
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163347D-M2000023A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-17 11:18:21 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-11-17 10:44:38
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: CB161468
Carlsbad
Dwelling Address: 2664 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: h Lorena Pichardo ~~
Company: Energy Inspectors Date Signed: '1n1.::: 11 171n·&:::O·A7
Address: CEA/ HERS Certification Identification (if 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 results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable)
216-05891 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature:
flJr!Yl n. '/?;~ac/v Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1711:18:21
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163347D-M2300022A-M23A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-1711:18:21 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2016-11-17 10:45:21
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: CB161468
Carlsbad
Dwelling Address: 2664 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: ")(11~ 11 17 11"1·1':0·117
Address: 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 results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable)
216-05891 Not tested
HERS Rater Information
HERS Rater company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: g)~r{j~acA Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-17 11:18:21
Digitally signed by CaiCERTS. 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-N0163347D-M2300023A-M23A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-1711:18:21 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-11-17 10:45:24
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: CB161468
Carlsbad
Dwelling Address: 2664 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: 'Jil~a ~~ ~7 ~_n.~:n.A7
Address: CEA/ HERS Certification Identification (if 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 results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable)
216-05891 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature:
~r/Y) n, -f!;,a;ndacA Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1711:18:21
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163347D-M2200022A-M22A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-1711:18:21 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2016-11-17 10:44:58
' .
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: CB161468
Carlsbad
Dwelling Address: 2664 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: A Lorena Pichardo --~~
company: Energy Inspectors Date Signed: ?nH~_11.17 1n-~:;a·A7
Address: CEA/ HERS Certification Identification (if 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 results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R} signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CFlR) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name {Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable)
216-05891 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: ~r~n n. c-{}~ach Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1711:18:21
Digitally signed by CaiCERTS. 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-N0163347D-M2200023A-M22A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-1711:18:21 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2016-11-17 10:45:02
' .
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: CB161468
Carlsbad
Dwelling Address: 2664 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: A --~~ Lorena Pichardo
Company: Energy Inspectors Date Signed: 'JnH:_11_17 1_n·I';O·A7
Address: CEA/ HERS Certification Identification (irapprtcable):
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 (CFlR) approved by the enforcement agency.
5. 1 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)
216-05891 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature: g)a/~Zief i?;~acA Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1711:18:21
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-N0163347D-M2700021A-M27 A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-1711:18:21 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2016-11-17 10:45:41
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING Additional Energy Features
Additional Energy Feature Verification (Page 1 of 1)
Project Address: 2664 Wadsworth Street Carlsbad CA. 92010 Builder Name: Toll Brothers, Inc.-Southern CA
Builder Contact: na Telephone: 999-999-9999
Plan Number: Toll145 Plan 3 Standard I Sample Group Number: 216-05891 I Sample House Number: 1017863
HERS Rater: Daniel Granback Telephone: 702-365-8080
Certifying Signature: 00//lid!}~m:A Date: 2016-11-1711:18:21
Firm: Energy Inspectors HERS Provider: CaiCERTS inc.
Street Address: 2570 South Miller Lane City/State/Zip: Las Vegas I NV I 89117
L__ -
HERS measure was verified using the methodology defined for the untested features included
in a sample group.
This measure passes through its relationship with the actual one tested and passed.
Therefore no data is included on this Certificate of Verification.
1 a) Radiant Barrier Required:
1 b) Was the Radiant Barrier installed?
2) Opaque Surfaces:
3) Glazing (Window) Values:
4} HVAC Efficiency:
5) Verify Water Heater Efficiency:
NIA
NIA
NIA
NIA
NIA
NIA