HomeMy WebLinkAbout2676 WADSWORTH ST; ; CB161471; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-19-2016 Residential Permit Permit No: CB161471
Job Address:
Building Inspection Request Line (760) 602-2725
2676 WADSWORTH ST CBAD
Permit Type:
Parcel No:
Valuation:
RESDNTL Sub Type: SFD
20819321 00 Lot #: 243
$479,444.00 Constuction Type: 58
Status: ISSUED
Applied: 0411512016
Entered By: SLE
Occupancy Group:
# Dwelling Units: 1
4
Reference #: CT130003
Structure Type: SFD
Bathrooms: 4.5
Plan Approved: 0511912016
Issued: 0511912016
Bedrooms: Inspect Area:
Orig PC#: PC150042
THE VISTAS: PHASE 31 PLAN 2
Plan Check#: PC160023
Project Title:
3,051 SF LIV I 471 SF GARAGE 162 SF PORCH I 204 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
$1,975.06
$0.00
$1,382.54
($500.00)
($110.60)
$62.33
$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
$20.00
$0.00
Total Fees: $27,835.73 Total Payments to Date:
Inspector: /fljJ/-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 (31 04193)
License Tax (4304193)
Traffic Impact Fee (3105541)
Traffic Impact Fee (4305541)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnLieu Fee
Hou~ing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
Fire Sprinkler Fees
TOTAL PERMIT FEES
$27,835.73 Balance Due:
Clearance:
FS1
$0.00
$356.00
$4,963.00
$1,710.27
$8,725.88
$0.00
$0.00
$0.00
$2,690.00
$0.00
$0.00
$315.00
$89.00
$120.25
$0.00
$0.00
$0.00
$0.00
$2,103.00
$0.00
$0.00
$27,835.73
$0.00
NCJTlCE: Aease take NCJTlCE thGt ~ r:i yrur prqed includes the "lrrpooitioo" ri fees, dedications, reservatkns, or cther exactions hereafter oolledively
referred to as "fees'em:tioos." You have 00 days fran the date this ~t v-a3 issued to prdest irrpositioo ri these fees'exadioos. If yru prdest them, yru rrust
fdlo.vthe prdest ~sa forth in GMlrrYrent Code Sedioo eroal(a), am file the prdest and anycther req.ir-00 irfurratioowth the Otylv1crlagerfor
[JOCllSSirg in ~wth Ca1sbal lvlrid!B Code Sedioo 3.32.030. Failtretotirrelyfdlo.vthat puarl.rev.ill ta-anysul:lseq.Jent legal <:dim to attock,
review, sa aside, 'vtid, or arnJ their irrpositioo.
You ere herei:Jy R..RTl-ER NCJTlAED that yrur rig,! to prdest the specified fees'em:tions DCES i'OT APPLY to mer and SRMer oonnedioo fees am ~ty
dalges, nor plcrrirg, zcrirg, gcdrg or cther sirrilcr ~icatioo [JOCllSSirg or se!Vice fees in oonnedioo wth this prqed. tm DCES IT APPLY to any
• 0 • 0 • • • 0 •
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-19-2016
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW160212
Job Address:
Permit Type:
2676 WADSWORTH ST CBAD
SWPPP Status:
Parcel No: 2081932100 Lot#: 243 Applied:
Reference #:
CB#:
Project Title:
Applicant:
TOLL BROTHERS
STE 200
CT130003
CB161471
THE VISTAS: PHASE 3/ PLAN 2
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 llpi{t' CLEARANCE __ _
SIGNATURE RdfiL --------
$0.00
Inspection List
CB161471 RESDNTL SFD THE VISTAS: PHASE 3 / PLAN 2
Date Inspection Item Inspector Act Comments
3,051 SF LIV / 471 SF GARAGE / 62 SF PO
Permit#: Type:
82 Drywall/Ext Lath/Gas Test AEK AP09/20/2016
84 Rough Combo AEK AP09/09/2016
84 Rough Combo AEK NR09/08/2016
16 Insulation AEK AP09/07/2016 PRELIM INS AT INTERIOR ROOF SHEAR
13 Shear Panels/HD's AEK AP09/02/2016
21 Underground/Under Floor PB AP08/17/2016
22 Sewer/Water Service PB AP08/17/2016
15 Roof/Reroof PB AP08/16/2016
15 Roof/Reroof PB CA08/15/2016
11 Ftg/Foundation/Piers PB AP06/22/2016
21 Underground/Under Floor PB AP06/14/2016
Friday, December 16, 2016 Page 1 of 1
PERMIT INSPECTION HISTORY REPORT (CB161471)
BLDG-Residential 04/15/2016Application Date:Permit Type:Owner:RANCHO COSTERA LLC -
INACTIVE
Subdivision:Single Family Detached 05/19/2016Work Class:Issue Date:
2676 Wadsworth St
Carlsbad, CA
Address:Issued - Active 03/20/2017Expiration Date:Status:
IVR Number: 713831
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual
Start Date
11/04/2016 BLDG-Electric Meter
Release
002182-2016 Passed Andy Krogh Complete
BLDG-Gas Meter
Release
002184-2016 Passed Andy Krogh Complete
11/23/2016 11/23/2016 BLDG-Final
Inspection
002722-2016 Failed Andy Krogh Reinspection Complete
COMMENTS PassedChecklist Item
BLDG-Plumbing Final Complete installation of fixtures No
BLDG-Mechanical Final Strap csst lines in attic No
BLDG-Structural Final Yes
BLDG-Electrical Final Open neutrals all baths, label main panel No
11/28/2016 11/28/2016 BLDG-Final
Inspection
002958-2016 Passed Andy Krogh Complete
COMMENTS PassedChecklist Item
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
December 16, 2016 Page 1 of 1
«~it> ~ CITY OF
CARLSBAD
Huilding Division INSPECTION RECORD
lNSPECTION RECORD CARD WITH APPROVED
PLANS MUST BE KEPT ON THE JOB
0 CALL BEFORE 3:30pm FOR NEXT WORI( DAY INSPECTION
0 FOR BUILDING INSPECTION CALL: 760-602-2725
OR GO TO: www.Carlsbadca.gov/Building AND CLICI( ON
"Request Inspection"
DATE: -1
#28 SOLAR WATER
#29 FINAL
conn STORM WATER
PRE-CONSTRUCTION MEETING
REV 10/2012
C8161471 2676 WADSWORTH ST
THE VISTAS: PHASE 3/ PLAN 2
3,051 SF LIV I 471 SF GARAGE /132 SF PORCH /204 SF
CA ROOM
RESDNTL
Lot#: 243
SFD
TOLL BROTHERS INC
RECORD C:QPV
SEE BACK FOR SPECIAL NOTES
Ccityof
Carlsbad
RESIDENTIAL GREEN
BUILDING CODE
STANDARDS MANDATORY
MEASURES
CERTIFICATION
CHECKLIST
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
B-51
This form, signed and complet~, and all receipts for the ~Cycled materials shall be
submitted to the Building Inspector prior to Final Inspection.
Site Development --Mandatol'Y_
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 gen_erated at the site is diverted to recycle or (X)
salvage. Recycled material receipts from approved recyclers must be attached to this form.
4.408.2 Where a local jurisdiction does noi' 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 l\lli~intenance 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.
Pollutant Control
4.504.1 Duct openings and other related air distribution component openings shall be covered (X)
during construction.
4.504.2.1 Adhesive, sealants and caulks shall be compliant with VOC and other toxic compound (X)
limits. (X)
4.504.2.2 Paints, stains and other coatings shall be compliant with VOC limits. (X)
4.504.2.3 Aerosol paints and coatings shall be compliant with product weighted MIR limits for
ROC and other toxic compounds. ' (X)
4.504.2.4 Documentation shall be provided to verify that compliant VOC limit finish materials
have been used. (X)
4.504.3 Carpet and carpet systems shall be compliant with VOC limits.
4.504.4 50 percent of floor area receiving resilient flooring shall comply with VOC-emission limits (X)
defined in the Collaborative for High Performance Schools (CHPS) Low-emitting Materials List or
be certified under the Resilient Floor Covering Institute (RFCI) FloorScore program. (X)
4.504.5 Particleboard, medium density fiberboard (MDF) and hardwood plywood used in interior
finish systems shall comply with low formaldehyde emission standards.
Interior Moisture Control
4.505.2 Vapor retarder and capillary break is installed at slab on grade foundations. (X)
4.505.3 Moisture content of building materials used in wall and floor framing is checked before (X)
enclosure.
Indoor Air Quality and Exhaust
4.506.1 Exhaust fans which terminate outside the building are provided in every bathroom. (X)
Environmental Comfort
4.507.1 Whole house exhaust fans shall have insulated louvers or covers which close when the (X)
fan is off. Covers or louvers shall have a minimum insulation value of R-4.2.
4.507.2 Duct systems are sized, designed, and equipment is selected using the following
methods: (X)
1. Establish heat loss and heat gain values according to ACCA Manual J or equivalent.
2. Size duct systems according to ACCA 29-D (Manual D) or equivalent
3. Select heating and cooling equipment according to ACCA 36-S (Manual S) or eq_uivalent.
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: cJ&, 7' 4J..ac1 ~ aJar i6. s.-A Plan Check Number: PC.. \t.-0!). \1.
Print Name: ~~ ~5 Signed: ~
License Number: {o 11 3~ ; Date: /1 f Ho ~ \~
8-51 Page 2 of 2 Rev. 11/15
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: CB161471
Carlsbad
Dwelling Address: 2676 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: /JV"L>~ "'~~~ Lorena Pichardo
Company: Energy Inspectors Date Signed: ')(111':_11_17 11·(\(\·1Q
Address: CEA/ HERS Certification Identification (ifappflcable):
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: qyr/Y) /), '/?;~ac/.v Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1711:19:05
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-N0163346D-M2000042A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-17 11:19:05 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2016-11-17 10:44:42
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: CB161471
Carlsbad
Dwelling Address: 2676 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: /J!V"-Lorena Pichardo -·~~
Company: Energy Inspectors Date Signed: ')(11C:: 11 17 11·1"11"1·10
Address: CEA/ HERS Certification Identification (if appiTcable):
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:
q;mJ2tR.f r-0umiac/u Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1711:19:05
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-N0163346D-M2000043A-M20A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-17 11:19:05 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2016-11-17 10:44:45
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: CB161471
Carlsbad
Dwelling Address: 2676 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: /JV'A Lorena Pichardo -·~~
Company: Energy Inspectors Date Signed: ')(111':_11_17 11·(\(\·1Q
Address: CEA/ HERS Certification Identification (if appflcable):
2570 South Miller Lane
City/State/Zip: Las Vegas NV 89117 Phone: 702-365-8080
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sections of the Certificate(s) of Installation (CF2R) signed and submitted by the person(s) responsible for the
construction or installation conforms to the requirements specified on the Certificate(s) of Compliance (CF1R) approved by the enforcement agency.
5. I will ensure that a registered copy of this Certificate of Verification shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of
Verification is required to be included with the documentation the builder provides to the building owner at occupancy.
Builder Or Installer Information As Shown On The Certificate Of Installation
Company Name (Installing Subcontractor, General Contractor, or Builder/Owner): AIREFORCE HEATING & AIR INC
Responsible Builder or Installer Name: CSLB License:
Michelle Sanchez
HERS Provider Data Registry Information
Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable)
216-05891 Not tested
HERS Rater Information
HERS Rater Company Name: Energy Inspectors
Responsible Rater Name: Responsible Rater Signature:
q)r/Yl 'nv'/!;~adu Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1711:19:05
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-N0163346D-M2300042A-M23A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-17 11:19:05 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2016-11-17 10:45:27
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: CB161471
Carlsbad
Dwelling Address: 2676 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: ')("\1 ~ 11 17 11 ·f"'lf"'l·1 Q
Address: CEA/ HERS Certification Identification (ff appflcable):
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: ~("'""·"' ~h rr/YJ,&zch Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1711:19:05
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: 21S-N0163346D-M2300043A-M23A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-17 11:19:05 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-11-17 10:4S:30
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: CB161471
Carlsbad
Dwelling Address: 2676 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-'"'A-A-~~ Lorena Pichardo
Company: Energy Inspectors Date Signed: ')(\1~_11.17 11·1'\I'\·1Q
Address: CEA/ HERS Certification Identification (irappflcable):
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. 1 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:
q)O/I?Jef r.(}~ach Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1711:19:05
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-N0163346D-M2200042A-M22A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-1711:19:05 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2016-11-17 10:45:06
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: CB161471
Carlsbad
Dwelling Address: 2676 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"" A. Lorena Pichardo h.~~
Company: Energy Inspectors Date Signed: ')f11t:::: 11 17 11·1111·1Q
Address: CEA/ HERS Certification Identification (ifappflcable):
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. 1 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/YJ nv'l?;~ac/.v Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1711:19:05
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-N01633460-M2200043A-M22A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-17 11 :19:05 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2016-11-17 10:45:09
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: CB161471
Carlsbad
Dwelling Address: 2676 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: /JC)PA.A.~~ Lorena Pichardo
Company: Energy Inspectors Date Signed: ')f'\~C:: ~~ ~7 ~~·f'lf'l·~O
Address: CEA/ HERS Certification Identification (if appncable):
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 (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~ ·/1/J r-{}~ar;A Daniel Granback
Responsible Rater Certification Number w/ this HERS Provider: Date Signed:
CC2004061 2016-11-1711:19:05
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-N0163346D-M2700041A-M27 A
CA Building Energy Efficiency Standards
2013 Residential Compliance
Registration Date/Time: 2016-11-17 11:19:05 HERS Provider: CaiCERTS
Report Version: 2013 Rev 1.008
Schema Version: 0.52SDD
Report Generated: 2016-11-17 10:45:44
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING Additional Energy Features
Additional Energy Feature Verification (Page 1 of 1)
Project Address: 2676 Wadsworth Street Carlsbad CA. 9201 0 Builder Name: Toll Brothers, Inc.-Southern CA
Builder Contact: na Telephone: 999-999-9999
Plan Number: Toll144 Plan 21 Sample Group Number: 216-05891 I Sample House Number: 1017863
HERS Rater: Daniel Granback Telephone: 702-365-8080
Certifying Signature: q)mmd§~d Date: 2016-11-1711:19:05
Firm: Energy Inspectors HERS Provider: CaiCERTS inc.
Street Address: 2570 South Miller Lane City/State/Zip: Las Vegas I NV I 89117
HERS measure was verified using the methodology defined for the untested features included
in a sample group.
This measure passes through its relationship with the actual one tested and passed.
Therefore no data is included on this Certificate of Verification.
1 a) Radiant Barrier Required:
1 b) Was the Radiant Barrier installed?
2) Opaque Surfaces:
3) Glazing (Window) Values:
4) HVAC Efficiency:
5) Verify Water Heater Efficiency:
N/A
N/A
N/A
N/A
N/A
N/A