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HomeMy WebLinkAbout3620 CORTE CLARO; ; CB143467; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-02-2015 Residential Permit Permit No: CB143467 Building Inspection Request Line (760) 602-2725 Job Address: 3620 CORTE CLARO CBAD Permit Type: RESDNTL Sub Type: SFD Status: ISSUED Parcel No: 2230611000 Lot #: 8 Applied: 12/10/2014 Valuation: $537,114.00 Constuction Type: 5B Entered By: JMA Occupancy Group: Reference #: CT020017 Plan Approved: 04/02/2015 # Dwelling Units: 1 Structure Type: SFD Issued: 04/02/2015 Bedrooms: 3 Bathrooms: 2.5 Inspect Area: PY Orig PC #: PC130066 Plan Check #: PC140065 Project Title: BLACKSTONE RANCH:PHS.2 PLN 1 BR 3570 SF LV / 720 SF GAR / 607 SF PATIO Applicant: Owner: CWV LA COSTA 49 LLC/MARY NETTLES CWV LA COSTA 49 LLC STE 110 SUITE 110 5927 PRIESTLY DR 5927 PRIESTLY DR. CARLSBAD CA 92008-8800 CARLSBAD CA 92008 7Fn-0 760-918-2829 Building Permit $2,151.26 Meter Size Add'I Building Permit Fee $0.00 Add'I Recl. Water Con. Fee $0.00 Plan Check $1,505.88 Meter Fee $0.00 Add'1 Plan Check Fee ($500.00) SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $3,254.26 Strong Motion Fee $69.82 PFF (3105540) $9,775.47 Park in Lieu Fee $5,728.00 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) $2,630.00 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 $236.00 Renewal Fee $0.00 ELECTRICAL TOTAL $143.00 Add'I Renewal Fee $0.00 MECHANICAL TOTAL $116.55 Other Building Fee $0.00 Housing Impact Fee $0.00 HMP Fee $0.00 Housing InLieu Fee $0.00 Pot. Water Con. Fee $0.00 Housing Credit Fee $0.00 Meter Size Master Drainage Fee $0.00 Add'I Pot. Water Con. Fee $0.00 Sewer Fee $0.00 Recl. Water Con. Fee $0.00 Additional Fees $0.00 Green Bldg Stands (SB1473) Fee $20.00 Fire Sprinkler Fees $0.00 Green Bldg Stands Plan Chk Fee $0.00 TOTAL PERMIT FEES $25,130.24 Total Fees: $25,130.24 Total Payments to Date: $25,130.24 Balance Due, $0.00 FINAL AP VA� Inspector: Date: Clearance: NOTICE: Please take NOTIct tha pproval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Yof have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any ............. _ ...,......A 04-02-2015 Job Address: Permit Type: Parcel No: Reference #: C B#: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW 140431 3620 CORTE CLARO CBAD SWPPP 2230611000 CB143467 BLACKSTONE RANCH-PHS.2 Applicant: CWV LA COSTA 49 LLC STE 110 5927 PRIESTLY DR CARLSBAD CA 92008-8800 760-918-6768 Emergency Contact: JOHN HOOPER 760-275-6282 Status: ISSUED Lot #: 8 Applied: 12/10/2014 Entered By: JMA Issued: 04/02/2015 Inspect Area: PY Tier: 1 Priority: M Owner: SWPPP Plan Check $0.00 SWPPP Inspections $224.00 Additional Fees $0.00 TOTAL PERMIT FEES $224.00 Total Fees: $224.00 Total Payments To Date: $224.00 Balance Due: $0.00 F IN 4 . a _ _. Pr LJI F 12_L/. _ �5 SIGNATURE. _ Inspection List Permit#: CB143467 Type: RESDNTL SFD Date Inspection Item 11/06/2015 89 Final Combo 09/10/2015 39 Final Electrical 08/26/2015 82 Drywall/Ext Lath/Gas Test 08/17/2015 84 Rough Combo 08/03/2015 13 Shear Panels/HD's 07/17/201515 Roof/Reroof 06/01/201511 Ftg/Foundation/Piers Inspector Act PY AP PY PA PY AP PY AP PY AP PY AP PY AP BLACKSTONE RANCH:PHS.2 PLN 1BR 3570 SF LV / 720 SF GAR / 607 SF PATIO Comments Monday, December 21, 2015 Page 1 of 1 11� CITY " - , CARLSBAD IMPECTION RECORE Building Division R) INSPECTION RECORD CARD WITH APPROVED OkNS MUST BE KEPT ON THE JOB R1 V.ALL BEFORE 3:30 Um FOR NEXT WORK DAY INSPECTION 0 FOR BUILDING INSPECTION cALL_. 760-602-2725 OR GO TO: mnAow.CarIgbadca.9oy41uIldjn9 AND CLICK ON - Request Inspection" DATE: el. '7. / r ?0*1 CB143467 3620 CORTE CLARO BLACKSTONE RANCH-PHS.2 PLN 1BR 3570 SF LV / 720 SF GAR / 607 SF PATIO RESDNTL SFD I Lot#, 8 CWV LA COSTA 49 LLC/MARY NETTLES No YES Required Prior to Requesting Building Final If Chocked YES Daft Inspector Planning/Landscape 760-944-8463 Allow 48 hours CM&I (Engineering Inspections) 760-438-3891 Can before 2 pm 01S. Fire Prevention 760-6024660 Allow 48 hours Woe of Inspection Type of Inspecdon l Coor a BUILDING #11 FOUNDATION to Inspector pate Inspector #31 0 ELECTRIC UNDERGROUND 0 UFEIt #12 REINFORCED UM #34 ROUGH ELECTRIC #66 MASONRY PRE GROUT #33 0 ELECTRIC SERVICE 13 TEMPORARY 0 GROUT 0 WALL DRAINS #35 PHOTO VOLTAIC TILT PANELS #39 FINAL #11 POUR STRIPS "l UNDERGROUND DUCTS & PIPING #11 COLUMN FOOTINGS #14 SUDFRAME 0 FLOOR 13 CEILING #" ODUCT&PLENUM OREF. PIPING #15 ROOF SHEATNING lh 7/1,iS'_ 01 #43 HEAT -AIR COND. SYSTIMIS #13 EXT. SHEAR PANELS #49 FINAL #16 INSULATION #81 UNDERGROUND (11,12,21,31) #18 0=10R LATH #17 INTERIOR LATH & DRYWALL #92 DRYWALLW LATH, GAS M (17,18,23) #51 POOL EXCA/SMWBOND/FENCE #93 ROOF SHEATING, IXr SHEAR (13,161 #SS PREPLASTER/FINAL #84 FRAME ROUGH COMBO (14,24,34,44) *1.9 FINAL #ss T-Bw(14,24,111,44) ��Wfzzlgjtgmm #22 0 SEWER & BL/C0 0 PL/CO Data Inspector 089 FINAL OCCUPANCY (19,29,39,49) Data Inspector 11111112 IIN #21 UNDERGROUND 13WASM 0 WM #24 TOP OUT C2 WASTE 0 Will. A/S UNDERGROUND VISUAL #27 TUB & SHOW PAN A/S UNDERGROUND HYDRO #23 13 GAS TEST 0 "S PIPING A/S UNDERGROUND FLUSH #25 WATER HEATER A/S OVERHEAD VISUAL #28 SOLAR WATER A/S OVERHEAD HYDROSTATIC _5 -/J— #29 FINAL A/S FINAL #600 Piimimucnioi MEETING F/A ROUGH -ON F/A FINAL I FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH -IN - ,rwS NOTICE CLEAN FIXED OMNO SYSTEM HYDROSTATIC TEST #607 WRffMN WARNING I= EXTINGUISHING SYSTEM FINAL #609 NOnCEOFVIOLATION MEDIMOASPRL"URETFEST #610 VERBAL WARNING MEDICAL OAS FINAL PtFV 1012012 SEE BACK FOA SPECIAL NOTES Citv of Carlsbad CIRCUIT CARD B-36 peviplo ment Services, Building Division 1635 Faraday Avenue 760-602-2719 www.carisbadca.gov n r an n"� nWn eve1T eat PAT TUP m VICP Pn 1PMPNT FOR THR ROUGH INSPECTION Address: Permit Number: Owner: Phone: Area in Sq. Ft. Contractor: Phone: PANEL:---- A.T.C. `BKR _ VOLTS 0 WIRE LOCATION CKT SIZE WIRE MISC REC REC LTG MISC WIRE BKR SIZE CKT LOCATION SIZE I TYPE SIZE TYPF. 1� 2 k 3 n- 4 F 5 / 2— t /ZCIA ZPQ 6 C"O G 7 Z-t-� a . "Div. 9. l S- l 1 t t 2 10 r- 11 12 ' } 13 Zc7 t 7- I / 'c7�7 14 �} 15 (:,A/ 16 O� '. 17 Zc; N` yC7 18 1 19 ZD ,Z 5 20 j 21 -2eye 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41/; 42 MAIN: ElG 0 AMP BRK/FUSE ❑ MLO Computed Load AMPS BUS: AMP See Calculation Worksheet on beck Service entrance or feeder conductors: A Size: No. B Type: ❑ CU ❑ AL fS required: Branch Lightcircuing Circuits 220 -11(e 4(d) A) ) yp Two Small B) Two Small Appliance Circuits 210 -11(e) C) Insulation: D) Conduit Size: C) Laundry Circuit 220 -16(b) Service ground/bond, /0 D) Central Heating Equipment 422 -12 A) Size: No. _ B) Type: L CU ❑ AL E) Bathroom 210 - 52(d) CC)��Iemp location(s): B"UFER 250 - 50(c) Remarks: O Water Pipe 250 -104 ❑ Ground Rod 250 - 52 ' W+rs S GFCI locations 210 - 8,680 - 70: �chen 1 certify that all terminations have been torqued in accordance with manufacturer's the full 1- athroom(s) instructions and that the work shown on this circuit card represents extent of 2?19'arage(s) OHydromassage Tub the work performed under this permit. Ri-Outdoors ❑ ❑ Owner AFCj P�ected Circ. 210 -12 ❑ Contractomfyx LTBedroom(s) O Signed,J 12 Dater'- B-36 Page 1 of 2 Rev. 03/09 ON Of Carlsbad CIRCUIT CARD B-36 gtvei�apment Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov nnnn T.RT reT nR TYTT:nnTM n Tin eve 7T aR117 AT T14PQR12VIr1FRr1111PMRNT FOR THF.ROIJOH INSPECTION Address: Permit Number: Owner: Phone: Area in Sq. Ft. Contractor: Phone: PANEL; yBKR _ A.I.C. Zy VOLTS P1 WIRE LOCATION CKT SIZE WIRE MISC REC REC LTG MISC WIRE BKR SIZE CKT LOCATION SIZE TYPE SIZE TYPE. 1 / / 2 3 Z4) 4 h. M-60, 5 7,0I 12-- / 6 PA. is r 7 0 /O CAA1 1S 8 dr 9. A) 7 is 10 L sD A 11 C,tt CO / 12 p t7 13 NO �S 14 S e v 15 VO CA4 16 17 L/D 3 18 LN Dy 19 1 / 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 - 35 36 37 38 39 40 41 42 MAIN: ❑ AMP BRK/FUSE ❑ MLO Computed Load AMPS BUS: AMP See Calculation Worksheet on back Service entrance or feeder conductors: Branch circuits required: A) Lighting Circuits 20 —114(d) A) Size: No. B) Type: ❑ CU ❑ AL B) Two Small Appliance Circuits 210 -11(e) C Insulation: D Conduit Size: C) Laundry Circuit 220 -16(b) Service ground/bond, O ���� D) Central Heating Equipment 422 - 12 A) Size: No. -�_ B) Type: IJGU ❑ AL E) Bathroom 210 - 52(d) C_) gC�aamp location(s): 9KJFER 250 - 50(c) Remarks: O Water Pipe 250 - 104 ❑ Ground Rod 250 - 52 [I?' A'a t GFCI locations 210 - 8, 680 - 70: 1 certify that all terminations have been torqued /n accordance with manufacturer's �throom(s) V Kitchan instructions and that the work shown on this circuit card represents the full extent of Czarage(s) ❑Hydromassage Tub the work performed under this permit. Itdoors O ❑ Owner AFCI P Contractor C�droom(s) ❑ Signed C1g4.g,4sz Date - S- B-36 Page 1 of 2 Rev. 03/09 AO i' Of. City of Carlsbad CIRCUIT CARD B-36 NO ,C eveiopment Services_ Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov TU!Q r Ann r A rCT nc cir r Fn nT IT Awn AVAILABLE AT THE SER VIr'E RnHIPMF.NT FOR THE ROUGH INSPECTION Address: Permit Number: Owner: Phone: Area in Sq. Ft. Contractor: Phone: PANEL:----- _ _ _ A.I.C. `BKR _VOLTS 0 WIRE LOCATION CKT SIZE WIRE MISC REC REC LTG MISC WIRE BKR SIZE CKT LOCATION SIZE TYPE SIZE TYPE Z- 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 - 35 36 37 36 39 40 41 42 MAIN: ❑ Cv AMP BRK/FUSE ❑ MLO BUS: AMP Service entrance or feeder conductors: A) Size: No. B j Type: e: ❑ CU ❑ AL C) Insulation: D) Conduit Size: Service ground/bond, / A) Size: No. -B) Type: L1d'CU ❑ AL C) 9�1Iaamp location(s): NIJFER 250 - 50(c) ❑ Water Pipe 250 - 104 L� G�ou d Rod 250 - 52 GFCI loc bons 21 - 8, 680 - 70: _� � throom(s) Plkitchen Garages) ❑Hydromassage Tub fl3�utdoors ❑ AFCI Pr cted Circ. 210- 12 M48edroom(s) Computed Load AMPS See Calculation Workshset on back Branch circuits required: A) Lighting Circuits 220 -11(e 4(d) Bj Two Small Appliance Circuits 210 - 11() C) Laundry Circuit 220 -16(b) D) Central Heating Equipment 422 -12 E) Bathroom 210 - 52(d) / ' Remarks: FU 1 certify that all terminations have been torqued in accordance with manufacturer's instructions and that the work shown on this circuit card represents the full extent of the work performed under this permit. ❑ Owner ❑ Contract r ❑ Signed Date - B-36 Page 1 of 2 Rev. 03109 T 03 Insulation, L.P. - Escondido (874) 2061 Aldergrove Ave. Escondido, CA 92029 Insulation Certificate Insulation is installed in the structure described below as follows: Work Area Item Installed Sq Feet Caulk and Seal exterior doors, windows and sill plates to meet Title 24 Hilti CF812 Window & Door Pro Foam 3,446 Interior Wall R-11 15.25" x 105" - Unfaced - Batts 0 Exterior Walls and Rim Joists R-13 15" x 106" - Unfaced - EooBatts 400 Party Wall (One Layer) R-13 15' x 106" - Unfaced - EcoBatts 0 Garage walls R-13 15.25" x 105" - Unfaced - Batts 0 Between Floor area R-19 19.25" x 48" - Unfaced - Batts 0 Exterior Walls and Rim Joists R-19 15.25" x 94" - Unfaced - EcoBatts 1,786 Garage ceiling with living area above R-1915.25" x 94" - Unfaced - EcoBatts 0 Knee Walls R-19 15.25" x 94" - Unfaced - EcoBatts 41 Overhangs/Cantilevered Areas R-19 15.25" x 94" - Unfaced - EcoBatts 32 Attic Area - Batts R-30 24" x 48" - Unfaced - Cert6Pr0 - Batts 3,446 *Frberglass blow has no settling factor for R-values Job Name: La Costa 49 Release 2 Lot No.: 8 Job Address: 3620 Corte Claro Carlsbad, CA 92010 Insulation By: — d�—� Date Completed: 8/12/2015 INSTALLATION CERTIFICATE CF-6R-ENV-2i-HERS .Quality Insulation Installation n - Fraini g Stage Checklist (page 1 of 2 Site Address: , Enforcement Agency . Permit NY.mber: 3620 Corte Claro, Lot 8, Carlsbad, CA. 92010 Quality Insulation Installation QM Framing Stage Checklist Air barrier and preparation for insulation vefifteatlon inspection must be done at framing stage before insulation is installed. If there are any "No" answers rows not filled out or signatures missing then this is not valid form and cannot be accepted by the building department or HERS rater. 1f spray foam is used, then an air barrier is not required and NA would be checked. Q11 credit not allowed if any steel tam i or structural framigg that are in the walls o a conditioned space *".FLOOR AIR BARRIER ❑ ❑ ® All gaps in the raised floor to unconditioned space or to outside larger than 1/8" filled with foam or Yes No NA caulk. A if SPF) D Yes D No 0 NA All openings on a second floor including under a tub where the drain penetrates the floor are sealed ✓WALLS AIR BARRIER © ❑ ❑ All gaps in wall exterior sheathing to unconditioned space or to outside larger than 1/8" filled with Yes No NA foam or caulk. A if SPF © ❑ ❑ No gaps in sheathing against the garage, attic, or covered patio. All gaps larger than 1/8" filled with Yes No NA foam or caulk. A if SPF) M ❑ ❑ Ail gaps in Rim joists in interior -and exterior walls to the outside including holes drilled for electrical Yes No NA and plumbing lgler than 1/8" filled with foam or caulk. A if SPF D ❑ Rope caulk, foam gasket, or caulking bead around the entire sole plate of the home No NA tYeg ❑❑All a s around the windows arecaulked or foamed (stuffing with fiberglass not acceptable) gaps No NA ✓ ATTIC INSPECTION ❑ [3 ® Attic rulers appropriate to the material installed evenly throughout the attic to verify depth. Yes I No NA NA if SPF or bats ❑ ❑ © Attic area (sgft) T 250 = minimum number of rulers installed. Must round up. Yes No NA Number of rulers actuary installed WA if SPF or batt 1:3 M © ALL rulers visible from attic access. (NA if SPF or batt) Yes No NA D D ® I Eave vents baffles installed at all eave vents to prevent air movement under or into insulation. Yes No NA NA if SPF ❑ ❑ © Area of cave vent baffle is the same or larger than the net free -ventilation area of the cave vent. (NA Yes L No NA I if SPF) ✓ CEILING AIR BARRIER © ❑ ® All draft stops in place to form a continuous ceiling air barrier no gaps larger than 1/8". (NA if SPF) Yes No NA ❑ ❑ © All drops covered with hard covers. Gaps around or in the hard cover larger than 118" filled with Yes No NA foam or caulk. (NA if SPF). © D All recessed light fixtures in non conditioned space are IC rated and air tight (Al)Yes I No [aD Y All recessed light fixtures are sealed with a gasket or caulk between the housing and the ceiling Yes No ® ❑ '' Openings around flue shafts fully sealed with solid blocking or flashing and any remaining gaps Yes Na sealed with fire -rated caulk or sealant. M Piping shaft openings fully sealed and caulked Yes Ms lNol, Penetrations from wiring in interior walls, electrical boxes, fire alarms etc. sealed with caulk or sealant El All duct chases, fireplace chases, and double walls sealed air tight at the ceiling level. All gaps into shafts larger Yes than IX'filled with foam or caulk. Special attention paid to ducts entering shafts from ceiting. Registration Number: Registration DatelTtme_ HERS Provider., 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-ENV-2I-HERS -Quallity Insulation Installation 11- Framing,Stage Checldist ftge 2 of 2 Site Address: Tsnforcement Agency: Permit Number: 3620 Corte Claro, Lot 8, Carlsbad, CA. 92010 ✓ GARAGE /CEILING AIR BARRIER FOR TWO STORIES no conditioned space over 0 © © I Air barrier installed at joists in garage to house transition (between floors). No gaps larger than 1/8" Yes No NA allowed. Use of SPF satisfies the requirement to seal the gaps. ✓ GARAGE /CEILING AIR BARRIER FOR TWO STORIES conditioned Mace overgame) l3 17 m If insulation is to be installed at subfloor then subfloor has no gaps over 1/8". Air barrier installed at Yes No NA joists in garage to house transition (between floors). Use of SPF satisfies the requirement to seal the Raps. 0 O © If insulation is to be installed at ceiling of garage then ceiling and joists to the outside have no gaps Yes No NA over 1/8". A if SPF or no conditioned space over garage.) DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • All rows in this document have been checked and all answers are yes or NA • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulatlons, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CR--1R) form approved by the enforcement agency that Identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-IR that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate 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 signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (installing Subcontractor or General Contractor or Builder/Owner) OJ Insulation, L.P. Responsible Person's Name: Responsibl on's Signature: Tom Berry CSLB License: Date Signed: Position With ompany cri e 888804 19/3/15 Branch Manager Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-ENV-22-HERS Quality Insulation Installation I - Insulation Stapte Checklist (Page 1 of 3 Site Address: Enforcement Agency: Permit Number: 620 Corte Claro, Lot 8, Carlsbad, CA. 92010 Overview — In order for ban and blown in insulation to work correctly the insulation must fill the wall cavity and touch the air barrier with no gaps or voids. Ceiling and raised floor ball and blown in insulation must not be compressed and have no gaps or voids. QII credit not allowed if any steel framing or structural framing that are in the wails of a conditioned space. Insulation Sta a Checklist ✓FLOOR INSULATION ❑ ❑ 0 All floor joist cavity insulation installed to uniformly fit the cavity side -to -side and end -to -end. (NA if floors siab Yes No NA on grade). ❑ Yes C] No 0 NA Insulation in full contact with the subfloor, NO gaps. (NA if floors are slab on grade). ❑ Yes ❑ No 0 NA Insulation in contact with air barrier on all five sides. (ends, sides, back). NA if floors are slab on grade. ❑ Yes 0 No 0 NA Batts cut to fit around wiring and plumbing, or split (delaminated). (NA if loose fill, SPF, or slab on grade). ❑ Yes ❑ No 0 NA Batt insulation has continuous support. (NA if loose fill, SPF, or slab on grade). ❑ ❑ © SPF (Spray Polyurethane Foam Medium Density) insulation the average thickness is equal to or greater than that Yes No NA listed on the CF-1R and the minimum thickness shall be no more than 1/2 inch less than the required thickness for the R-value. A for other forms of insulation). © Yes ❑ No Insulation R-value same or greater than listed on the CF-1R. ❑ Yes ❑ No © NA SPF insulation properly adhered to avoid gaps and provide an air seal (NA for. other forms of insulation). ❑ ❑ © For SPF list the required floor cavity R-value from CF-1R, R- Yes No NA List tested average depth of insulation (inches) _ X 5.8 (Itvaluernch for medium density SPF) _ (R.value). This is the installed R-value and must be equal to or greater than listed on CF-111 (NA for other forms of insulation). ✓ WALL INSULATION © ❑ ❑ Standard depth cavities insulation fills cavity and touches air barrier on all six sides. (NA if SPF used and meets Yes No 1 NA the required It -value). © ❑ ❑ All double walls and bump -outs, the insulation fills the cavity or additional air barrier installed so that the Yes No NA insulation fills the cavity. Insulation touches all six sides. A if SPF used and meets the required R-value). ® ❑ Behind tub/shower, walls under stairs, and fireplace, insulation touches air barrier on five sides. Not required to Yes No fill the space. Cavity required to be air tight. r❑ Yes ❑ No ❑ NA BATTS, not a single void/depression deeper than'/." in ANY stud bay. (NA if loose fill or SPF) 12 ❑ ❑ BATTS, voids/depressions less than 314" allowed as long as the area is not greater than 10% of the surface area Yes No NA for each stud ba . A if loose fill or SPF). ❑ Yes ❑ No © NA Loose Fill no gaps or voids of any depth allowed. (NA if batts or SPF). 0 Yes ❑ No ® NA SPF insulation properly adhered to avoid gaps and provide an air seal (NA for other forms of insulation). © ❑ Any gaps between studs or insulation Iarger than 1/8" must be filled with insulation or foam. Yes No ® Yes ❑ No All Rim joists to the outside insulated. © 0 Special attention must be paid to corner channels, wall intersections, and behind tub/shower enclosures Yes No insulated to mer R-Value. M ❑ ❑ All skylight shafts and attic kneewalls insulated with minimum R-19. Yes No NA ® ❑ I C3 Insulation in fall contact with drywall or wall finishes of skylight shafts and attic kneewalls. Yes No NA Registration Number: Registration DatelTime: HERS Provider: 2008,Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-ENV-22-HERS Quality Insulation Installation Il. - Insulation Stage Checklist (Palte 2 of 3 Site Address: Enforcement Agency: 7—Permit Number: 620 Corte Claro, Lot 8, Carlsbad, CA. 92010 © Yes ❑ No Wall insulation same or better than what is listed on the CF 1R. ❑ ❑ © SPF list the required wall cavity R-value from CF 1R, R- List tested average depth of Yes No NA insulation (inch) X 5.8 (R-value/inch for medium density SPF) _ (R-value) This is the _ installed R-value and must be equal to or greater than listed on CF-1R (NA for other forms of insulation 0 ❑ is SPF (Spray Polyurethane Foam Medium Density) Insulation the average thickness is equal to or greater than that Yes No NA listed on the CF-111 and the minimum thickness shall be no more than % inch less than the required thickness for the R-value. A for other forms of insulation ✓ CEILING INSULATION © Yes ❑ No BATI79 there must not be a single gap/void/depression deeper than'/s". (NA if loose fill or SPF). la ❑ BATTS voids/depressions less than 3/4" allowed as long as the area is not greater than 10% of the surface area Yes No for each stud bay. (NA if loose fill or SPF). ❑ Yes ❑ No © NA NO gaps or voids allowed for loose fill and SPF. (NA if batts). © ❑ All ceiling insulation installed to uniformly fit the cavity side -to -side and end -to -end. Yes No © Yes ❑ No Insulation in full contact with the ceiling, NO gaps. © Yes I ❑ No Insulation in contact with air barrier on all five sides. © ❑ 11 Batts cut to fit around wiring and plumbing, or split (delaminated). (NA for loose fill or SPF). Yes No NA © 0 ❑ Batts taller than the trusses must expand so that they touch each other over the trusses. (NA for loose fill or Yes 1 No I NA SPIN. a Yes ❑ No 0 NA SPF insulation properly adhered to avoid gaps and provide an air seat (NA for other forms of insulation) ❑ ❑ © insulation fully fills cavity below any plywood platform or cat -walk. If SPF used then minimum Yes No NA 3 inches. NA if no platforms or cat -walks ®s 3 No Attic access gasketed 12 ❑ Attic access insulated with rigid foam or bast insulation using adhesive or mechanical fastener. Yes No I R-value same as ceiling R-value listed on CF 1R © ❑ Recessed light fixtures covered full depth with insulation. If SPF used then other forms of insulation used to Yes No cover or enclosed in a box fabricated from 1/2-inch plywood,18 a sheet metal 1/4-inch hard board or drywall ® ❑ Roof insulation same or better than what is listed on the CF-1R Yes No ❑ ❑ Q noose Fill Insulation at proper depth — insulation rulers visible and indicating proper depth and R-value for Yes No NA I blown in insulation. A for Batts or SPF). 0 0 0 Loose Fill Insulation uniformly covers the entire ceiling (or roof) area from outside of all exterior walls. (NA Yes No NA I for baits or SPF). Loose -fill insulation meets or exceeds manufacturer's minimum weight and thickness requirements for the target © R-value. Target R-value. Manufacturer's minimum required weight for the target R-value (pounds -per -square - ❑ C] foot). Manufacturer's minimum required thickness at time of installation. Manufacturer's minimum required Yes No NA settled thickness. Note: To receive compliance credit the HERS rater shall verify that the manufacturer's minimum weight and thickness has been achieved for the target R-value. (NA for batts or SPF). Registration Number., Registration Date/Time. HERS Provider: 2008 Residential Compliance Forms Marcli 2010 INSTALLATION CERTIFICATE CIF-6R-ENV-22 HERS Quality Insulation Installation QIID - Insulation Stage Checklist (Page 3 of 3 Site Address: Enforcement Agency: Permit Number: 3620 Corte Claro, Lot 8, Carlsbad, CA. 92010 ❑ ❑ M SPF list the required ceiling cavity R value from CF-1R, R- _ List tested average depth of insulations Yes No NA in X 5.8R - R this is the installed R-value and must be equal to or greater than listed on Cl -IR (NA for other forms of insulation D C1 © SPF insulation must be covered with other forms of insulation or enclosed in a box fabricated from r/a inch Yes No NA plywood,18 gauge metal,'/a inch hard board or drywall. The exterior of the box may then be insulated with SPF. D ❑ M SPF insulation the average thickness is equal to or greater than that listed on the CF 1R and the minimum Yes No 1 NA thickness shall be no more than'/z inch less than the required thickness for the R-value. (NA for other forms of insulation ✓ GARAGE ROOF/CEILING INSULATION FOR TWO STORIES no conditioned space over ara ❑ 13 ® Insulation installed at joists against the air barrier in the garage to house transition. All wall insulation Yes No NA re uirements above must be met. (NA if conditioned space over garage). ✓ GARAGE ROOF/CEILING INSULATION FOR TWO STORIES conditioned space over ara e ❑ ® If insulation is to be installed at subfloor then the insulation must also be installed at joists against the air barrier in the garage to house transition. All ceiling and wall insulation requirements above must be met. (NA if no Yes No NA conditioned space over garage). ❑ ❑ ® If insulation is to be installed at ceiling of garage then the joists to the outside must be insulated and all the Yes No NA insulation requirements listed above must be met. (NA if no conditioned space over arage). DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I have read the High Quality Insulation Installation Procedures (Residential Appendix, RA3.5), understand these procedures, and understand that there are additional requirements than must be met than those listed on this CF-6R. • All rows in this document have been checked and all answers are yes or NA • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will be checking the installation and that if such checking identifies defects. I am required to take corrective action at my expense. If the installation is part of a sample group for HERS verification, and the installation faits to meet the requirements of such quality assurance checking, additional cheekinjoesting and repair of other installations in the HERS sample group will be required at my expense. I understand that the HERS provider, and Energy Commission representatives will also be performing checks of the installation on jobs not tested by the HERS rater. • I reviewed a copy of the Certificate of Compliance (CF-IR) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-IR that apply to the installation have been met. • i will ensure that a completed, signed copy of this Installation Certificate 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 signed copy of this Installation Certificate is required to be Included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives and on October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) OJ Insulation Responsible Person's Name: Responsible n% Signature: Tom Berry CSLB License 888804 Date Signed: 9/3/15 Position With Company (Title): Bra Manager Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms March 2010