HomeMy WebLinkAbout2577 STATE ST; ; CB152713; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-18-2016 Residential Permit Permit No: CB152713
Building Inspection Request Line (760) 602-2725
Job Address:2577 STATE ST CBAD
Permit Type:RESDNTL Sub Type: CONDO Status: ISSUED
Parcel No:2030543415 Lot #:15 Applied: 08/20/2015
Valuation:$295,759.00 Constuction Type: 5B Entered By: JMA
Occupancy Group:Reference #: CT130005 Plan Approved: 02/18/2016
# Dwelling Units:1 Structure Type: MF5+Issued: 02/18/2016
Bedrooms:0 Bathrooms:0 Inspect Area: PY
Orig PC #: PC140037 Plan Check #: PC150047
Project Title:STATE ST. TOWNHOMES: PHS 5 C1
405 SF 1ST FLR COMMERCIAL/1,694 SF LIV/ 476 SF GAR/ 67 SF
BALCONY/ 585 SF ROOF DECK
Applicant:Owner:
TAYLOR MORRISON OF CA, LLC
STE 1450
100 SPECTRUM DR
IRVINE CA 92618-4935
949-341-1289
Building Permit $1,317.94 Meter Size FS1
Add.' Building Permit Fee $0.00 Add'I Recl. Water Con. Fee $0.00
Plan Check $922.56 Meter Fee $317.00
Add'I Plan Check Fee ($500.00)SDCWA Fee $4,800.00
Plan Check Discount $0.00 CFD Payoff Fee $0.00
Strong Motion Fee $38.45 PFF (3105540)$5,382.81
Park in Lieu Fee $6,190.00 PFF (4305540)$4,968.75
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)$0.00
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 $210.00
Renewal Fee $0.00 ELECTRICAL TOTAL $89.00
Add'I Renewal Fee $0.00 MECHANICAL TOTAL $65.38
Other Building Fee $0.00 Housing Impact Fee $0.00
HMP Fee $0.00 Housing InLieu Fee $0.00
Pot. Water Con. Fee $3,931.00 Housing Credit Fee $0.00
Meter Size FS1 Master Drainage Fee $0.00
Add'I Pot. Water Con. Fee $3.00 Sewer Fee $881.00
Red. Water Con. Fee $0.00 Additional Fees $202.00
Green Bldg Stands (SB1473) Fee $12.00 Fire Sprinkler Fees $0.00
Green Bldg Stands Plan Chk Fee $0.00
TOTAL PERMIT FEES $28,830.89
Total Fees:$28,830.89 Total Payments to Date:$28,830.89 Balance Due:$0.00
jr
FINAL APPROppttL
Inspector:/I Date:3 .E 19)-
1
Clearance:
NOTICE Please take approval of your coded indudes the "Inicositiok of fees dedications, reservations, or other exactions flu tefter collectively
referred to as 'fees/exactions.'cc have 93 dayslionthe date this permit was isaked to est imposition of these fees/exactions.If you protest them, you must
follow the protest procedures set forth in Government ilaie Section 66020(a), and file the and any other rvquired information with thetesty Manager for
processing in accordance with Carlsbad Municipal Cali.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 FURTI-ERNOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capaOty
changes, nor planning, zoning, gracing or other sirrila-application processing or service fees in connection with tlis project.NOR DOES IT APPLY to any
fees/exactions ofMich Youhaepreviously been given a NOTICE similar to this. or as to which the statute of limitations has Previously otherwise mired.
•••••••„,
,
•••'k!'-
.•PERMITINSPECTION HISTORY:REPORT (C131.02713)..
Permit Type:BLDG-Residential Application Date:08/20/2015 Owner:
Work Class:Condo Issue Date:02/18/2016 Subdivision:
Status Closed -Finaled Expiration Date:09/01/2017 Address:2577 State St
Carlsbad, CA 92008
IVR Number:708719
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
11/09/2016 11/09/2016 BLDG-15 000389-2016 Passed Paul York Complete
Roof/ReRoof (Patio)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
11/21/2016 11/21/2016 BLDG-13 Shear 002038-2016 Failed-Construction Paul York Reinspection Complete
Panels/HD (ok to Change Needed
wrap)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
11/28/2016 11/28/2016 BLDG-13 Shear 002922-2016 Failed Paul Burnette Reinspection Complete
Panels/HD (ok to
wrap)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
11/30/2016 11/30/2016 BLDG-13 Shear 003493-2016 Failed-Construction Paul York Reinspection Complete
Panels/HD (ok to Change Needed
wrap)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
12/01/2016 12/01/2016 BLDG-13 Shear 003755-2016 Passed Paul York Complete
Panels/HD (ok to
wrap)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
12/22/2016 12/21/2016 BLDG-84 Rough 006459-2016 Passed Paul York Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-14 No
Frame-Steel-Bolting-Welding
(Decks)
BLDG-24 Rough-Topout No
BLDG-34 Rough Electrical No
BLDG-44 No
Rough-Ducts-Dampers
01/04/2017 01/04/2017 BLDG-17 Interior 008119-2017 Passed Paul York Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-23 008118-2017 Passed Paul York Complete
Gas/Test/Repairs
March 28, 2017 Page 1 of 2
••
PERMIT INSPECTION HISTORY REPORT (CB152713)
Pi Diiit Type:BLDG-Residential Application Date:08/20/2015 Owner:
Work Class:Condo Issue Date:02/18/2016 Subdivision:
Status.Closed -Finaled Expiration Date:09/01/2017 Address:2577 State St
Carlsbad, CA 92008
IVR Number:708719
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
01/09/2017 01/09/2017 BLDG-18 Exterior 008800-2017 Passed Paul York Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
02/2312017 02/23/2017 BLDG-Electric Meter 014420-2017 Failed-Construction Paul York Reinspection Complete
Release Change Needed
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
03/01/2017 02/28/2017 BLDG-Electric Meter 014842-2017 Passed Paul York Complete
Release
Checklist !tern COMMENTS Passed
BLDG-Building Deficiency No
03/20/2017 BLDG-Fire Final 017243-2017 Scheduled Dominic Fieri Incomplete
Checklist Item COMMENTS Passed
FIRE-Building Final No
03/28/2017 03/28/2017 BLDG-Final 017923-2017 Passed Paul York Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
March 28, 2017 Page 2 of 2
Inspection List
Permit#:CB152713 Type:RESDNTL CONDO STATE ST. TOWNHOMES: PHS 5 C1
405 SF 1ST FLR COMMERCIAL/1,694 SF L
Date Inspection Item Inspector Act Comments
11/01/2016 17 Interior Lath/Drywall PY PA
10/27/2016 15 Roof/Reroof PD PA
10/11/2016 17 Interior Lath/Drywall PD PA
09/21/2016 17 Interior Lath/Drywall PY PA
08/29/2016 11 Ftg/Foundation/Piers PY AP
08/12/2016 21 Underground/Under Floor PY AP
08/11/2016 21 Underground/Under Floor PY AP
08/11/2016 22 Sewer/Water Service PY AP
Wednesday, March 29, 2017 Page 1 of 1
sirCillalintato lltint [(.4::et tint[:Vetter/a tg% revlit
IPSOumwE ............A. A. A..
Inspection & Testing,Inc.441 Commercial Way. La Habra. CA 90631 -6168
(56) 941 -2990 • (714) 526-8441
FAX 1562) 946-0026
December 12, 2016
Building Official
City of Carlsbad
Department of Building and Safety
1635 Faraday Ave
Carlsbad, California 92008
SPECIAL INSPECTOR'S FINAL PROJECT REPORT
Project Name:Seagrove Townhomes
Address:Tract #CT13-05,PH 5 Building 2
Owner:Taylor Morrison
Lot#Address Permit Lot#Address Permit
10 2557 State Street CB152706 14 2573 State Street CB152712
11 2561 State Street CB152709 15 2577 State Street CB152713
12 2565 State Street CB152710 16 2581 State Street CB152714
13 2569 State Street CB152711 17 2585 State Street CB152707
This is to certify that Southwest Inspection and Testing, Inc. was employed to perform special inspection
on the above mentioned project at the above address, which required continuous inspection per section
1701 of 2013 California Building Code.
Brett Aiblinger -Reinforced Concrete, Post Tensioned Concrete, ICC #0881693
Bruce Gordon -Reinforced Concrete, Post Tensioned Concrete, ICC #1133732
Larry E Robertson -Reinforced Concrete, Post Tensioned Concrete, ICC #5090690
Based upon special inspection and materials testing written reports of this work, it is our judgment that
the inspected work was performed to the best of our knowledge,in accordance with the approved plans,
specifications and applicable workmanship provision of the California Building Code.
------.
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7CA(47;0:112:4‘41.14
Sincerebi.Reviewed By:42<-'\-‘'y°0 (
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wcc\C.:J''E.''...\EXP 3...5/./ 7 r,Z)pr .S...........*'
.\*\\R.
:::CIV
.*.
Steven L.Go?ey Ian R.Waddell,P.E.Qf Ags.'._President Principal Engineer -
SLG/IRW:amc For inspection and testing only. no design responsibility
expressed or implied.
4\./.>CB152713 2577 STATE ST
.CITY OF STATE ST. TOWNHOMES: PHS 5 C1CARLSBADINSPECTION RECORD 405 SF 1ST FLR COMMERCIAL/1,694 SF LIV/ 476 SFBuilding Division GAR/ 67 SF BALCONY/ 585 SF ROOF DECK
INSPECTION RECORD CARD WITH APPROVED RESDNTL CONDO
PLANS MUST BE KEPT ON THE JOB Lot#:15 TAYLOR MORRISON OF CA, LLC
RI CALL BEFORE 3:30 pm FOR NEXT WORK DAY INSPECTION
0 FOR BUILDING INSPECTION CALL:760-602-2725 REcoRD copy
OR GO TO:.4. A..t •-•.•.f ••'....!..•AND CLICK ON
"Reg ,sAt..on"
DATE:.i If/
IF "Yt. S''Is CHECKED ITT.t OW THAT DIVISION'S APPROVAL IS REQUIRED t 'RE :R Tr.‘'t r.).-;I IN.A FINAL. BUILD/W.IN .PF CTION.
IF YOU HAVE ANY QUESTIONS PLEASE CALL THE APPLICAHL1 DIVISION'-;A I THE PHONE NUMBERS PROVIDED I i IOW.AFTER
ALL REQUIRED APPROVALS ARE.SIC NFL-)OFF --FAX TO 760 602 8560 EMAIL.
BRING IN A COPY OF THIS CARD TO.1635 FARADAY AVE.. CARLSBAD,CA 92008.BUILDING IN..I.E:(low.CAN PI_RFACIIED
AT 760-602-2700 BETWEEN 7'30 AM --8:00 AM TI-IF DAY OF YOUR INSPECTION.
NO YES Required Prior to Requesting Building Final If Checked YES Date Inspector Notesy-Planning/Landscape 760-944-8463 Allow 48 hours 3 •VI. t1 rvi.-
SS/
-cm6.1 (Engineering Inspections)760-438-3891 Call before 2 pm `17111
ZZeit')(Fire Prevention 760-602-4660 Allow 48 hours 3p-31
Type of Inspection •of Inspection
CODE tt BUILDING Illar 111111==.1 cow:1.*ELECTRICAL Date Inspector
#11 FOUNDATION %VI toitc 'Or.#31 0 ELECTRIC UNDERGROUND 0 UFER
#12 REINFORCED STEEL #34 ROUGH ELECTRIC..
#66 MASONRY PRE GROUT #33 0 ELECTRIC SERVICE 0 TEMPORARY
0 GROUT 0 WALL DRAINS #35 PHOTO VOLTAIC
#10 TILT PANELS #39 FINAL
#11 POUR STRIPS CODE #MECHANICAL
#11 COLUMN FOOTINGS #41 UNDERGROUND DUCTS &PIPING
#14 SUBFRAME 0 FLOOR 0 CEILING •#44 0 DUCT&PLENUM 0 REF. PIPING
#15 ROOF SHEATHING Pho I *#43 HEAT-AIR COND. SYSTEMS -
#13 EXT. SHEAR PANELS ..4 .:*.ii..e..#49 FINAL
#16 INSULATION Cool 0 COMBO INSPECTION
#18 EXTERIOR LATH 1 /17 #81 UNDERGROUND (11,12,21,31)
#17 INTERIOR LATH &DRYWALL j g Ai 7 ,'#82 DRYWALL,EXT LATH. GAS TES (17,18,23)
#51 POOL EXCA/STEEL/BOND/FENCE #83 ROOFSKATING,EXT SHEAR (13,15)
#55 PREPLASTER/FINAL #84 FRAME ROUGH COMBO (14,24,34,44)1-2-/.2 j iikep iii..e.'#19 FINAL #85 T-Bar (14,24,34,44)
CODE tt PLUMBING Date Ins .tor #89 FINAL OCCUPANCY (19,29,39,49)
#22 0 SEWER & BL/CO 0 P1,/C0 juilliprIAMIll F 1 R E Date Ins •-or
#21 UNDERGROUND OWASTE 0 %VTR ob -0
#24 TOP OUT 0 WASTE 0 wit A/S UNDERGROUND VISUAL
#27 TUB &SHOWER PAN A/S UNDERGROUND HYDRO
#23 )11(GASTEST 0 GAS PIPING iblija7 n A/S UNDERGROUND FLUSH
#25 WATER HEATER A/S OVERHEAD VISUAL V11.1:7..#28 SOLAR WATER A/S OVERHEAD HYDROSTATIC I ItIlL laoirt
#29 FINAL A/S FINAL 3 \'‘\).-7\44\
CODE 11 STORM WATER F/A ROUGH-IN
#600 PRE-CONSTRUCTION MEETING F/A FINAL
.%%•114-41.1'"
#603 FOLLOW UP INSPECTION FIXED EXTINGUISHING SYSTEM ROUGH-IN
305 NOTICE TO CLEAN FIXED EXTING SYSTEM HYDROSTATIC TEST
#607 WRITTEN WARNING FIXED EXTINGUISHING SYSTEM FINAL
#609 NOTICE OF VIOLATION MEDICAL GAS PRESSURE TEST
#610 VERBAL WARNING MEDICAL GAS FINAL
REV 10/2012 SEE BACK FOR SPECIAL NOTES
Development Services(City of CIRCUIT CARD Building Division
Carlsbad B -36 •.1635 Faraday Avenue '
.
760-602-2719
www.carlsbadca.gov
THIS CARD MUST BE FILLED OUT AND AVAILABLE AT THE SERVICE EQUIPMENT FOR THE ROUGH INSPECTION
Address:/Ls-11 %OA/c)t-ulik"Permit Number:
Owner:Phone:Area in Sq. Ft.
Contractor:Phone:
PANEL:A.LC.1 142 VOLTS 2 yo 0 po WIRE
BKR WIRE r WIRE BKRLOCATIONCKTMISCRECRECLTGMISC CKT LOCATIONSIZESIZETYPESIZETYPESIZE
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21 22
23 24
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25 26
27 28
29 30
31 32
33 34_.
35 36
37 38
39 1 40
.,
41 .42
MAIN:0 $e)0 AMP BRK/FUSE 0 MLO Computed Load AMPS
BUS:AMP See Calculation Worksheet on back
Service entrance or feederponductors:Branch circuits required:
A) Lighting Circuits 220 -3(b), 4(d)A) Size: No.ye B) Type:0 CU 0 AL B) Two Small Appliance Circuits 210 -11(e)
C) Insulation:D) Conduit Size:C) Laundry Circuit 220 -16(b)
Service ground/bond:D) Central Heating Equipment 422 -12
A) Size: No.VO B) Type:EirCU CI AL E) Bathroom 210 -52(d)
,C)Clamp location(s):
L UFER 250 -50(c)Remarks:0 Water Pipe 250 -104
0 Ground Rod 250 -52a
GFCI locations 210 -8,680 -70:I certify that all terminations have been torqued in accordance with manufacturer's
`CI Bathroom(s)10 Kitchen instructions and that the work shown on this circuit card represents the full extent of
-0 Garage(s)0Hydromassage Tub the work performed under this permit.
•1:3 Outdoors 0 a Owner
&CI Protected Circ. 210 -12 0 Contractor (e.--lei .--03 Bedroom(s)0 Signed c-.--Date / t -ly -W.
-..•
B-36 Page 1 of 2 Rev. 03/09
SINGLE FAMILY DWELLING
ELECTRICAL SERVICE LOAD CALCULATION
As an alternative method, the STANDARD METHOD
found in ARTICLE 220 of the National Electric Code, may be used
1.GENERAL LIGHTING LOADS
Dwelling sq. ft. x 3 VA =220-3(a)VA ,
Small appliance loads —220-16(a) 1500 VA x circuits =VA
Laundry load —220-16(b) 1500 VA x circuits ='VA •
General Lighting Total VA
2.COOKING EQUIPMENT LOADS -Nameplate Value
Range VA =VA
Cooktop VA =VA
Oven (s)VA =VA
Cooking Equipment Total VA
3.ELECTRIC DRYER 220-18 (Nameplate, 5000 VA minimum)
Dryer VA =Dryer Total VA
4.FIXED APPLIANCE LOADS 230-30 (b) (3)
Dishwasher =VA
Disposal =VA
Compactor =VA
Water Heater =VA
Hydromassage Bathtub =VA
Microwave Oven =VA
Built-in Vacuum =VA
VA
Fixed Appliance Total VA
5.OPTIONAL SUBTOTAL (Add all of the above totals)VA
•
6.APPLYING DEMAND FACTORS -TABLE 220-30
First 10,000 VA x 100% =10,000 VA
Optional Subtotal (from line 5) { Remaining VA x 40%=VA
7.HEATING OR AC LOAD —TABLE 220-30
Larger of the Heating or AC Load =VA
8.OPTIONAL LOADS TOTAL (Add totals from lines 6 and 7)=VA
9.MINIMUM SERVICE SIZE =Optional Loads Total =Ampere
240 Volt
(Please put total on front of card under Computed Load)
BLDG 2
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope —Insulation; Roofing; Fenestration (Page 1 of 3)
Site Address:Enforcement Agency:Permit Number:
LOT 1 5111101'STAVE STREET.CB152713
Ifmore than one person has responsibilityfor installation ofthe items on this certificate, each person shall prepare and sign a certificate
applicable to the portion ofconstructionforwhich they are responsible; alternatively, the person with chief responsibilityfor construction shall
prepare and sign this certificatefor the entire construction.Allapplicable Mandatory Measures with check boxes require to be checked to ensure
the mandatory measures have been met.
Description of Insulation
I.RAISED FLOOR
Material:Brand Name:
Thickness (inches):N/A Thermal Resistance (R-Value):
§150(d):Minimum R-I3 insulation in raised wood-frame floor or equivalent U-factor.
2.SLAB FLOOR/PERIMETER
Material:Brand Name:
Thickness (inches):N/A Thermal Resistance (R-Value):
Perimeter Insulation Depth (inches):
O §150(1): Water absorption rate for the insulation material alone without facings is no greater than 0.3%; water vapor permeance
rate is no greater than 2.0 perm/inch and shall be protected from physical damage and UV light deterioration.
3.EXTERIOR WALL
a.Insulation Type (e.x. Batt, Loose Fill, Spray Foam)
2X4 BATTS a.Thermal Resistance (R-Value):R-13
b..Insulation Type (e.x. Batt, Loose Fill, Spray Foam)
2X6 BATTS b.Thermal Resistance (R-Value):R-19
Brand:MANVILLE
Spray/Loose fill)Installed Actual Thickness Spray/Loose fill)
(inches):Contractor's min installed weight/ft2 lb
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
§150(c):Minimum R-13 insulation in wood-frame wall or equivalent U-factor.
Exterior Foam Sheathing (rigid Insulation)
Material:Brand Name:
Thickness (inches):N/A Thermal Resistance (R-Value):
4.FOUNDATION WALL
Material:Brand Name:
Thickness (inches):N/A Thermal Resistance (R-Value):
5.CEILING
Batt or Blanket Type:BATTS Brand Name:MANVILLE
Loose Fill Type:Thermal Resistance (R-Value):R-30
Spray Foam Type:Brand Name:
Installed Actual Thickness (inches):Contractor's min installed weight/ft2 lb
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value):0 §150(a): Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor.
6.ATTIC ROOF INSULATION AND/OR ATTIC RADIANT BARRIER
Material:Brand Name:
Material:N/A Brand Name:
Thickness (inches):Thermal Resistance (R-Value):
O §118(a):Insulation installed meets Standards for Insulating Material.
§150(g):Mandatory Vapor barrier installed in Climate Zones 14 or 16.
2008 Residential Compliance Forms August 2009
RI DG 9
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope —Insulation; Roofing; Fenestration (Page 2 of3)
Site Address:Enforcement Agency:Permit Number:
LOT 15-2577 STATE STREET CB152713
Description of Roofing Products
CRRC Product ID Manufacturer Product Roof Roof Product Initial Solar Aged Solar Thermal
Number'Information Brand/Model Type Area Slope Weight rReflectance Reflectance'Emittance
0'
1:13
I.The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
ww.coolroofsorg/products/search.php
2.The weight in lbs per square feet ofthe roofing product being installed
3 Check box ifthe Aged Reflectance is a calculated value using the equation below, footnote 4.
4.Ifthe aged reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the initial reflectance value from the
directory and use the equation (0.2+ 0.7(pounal -0.2) to obtain a calculated aged value.
CCHECK APPLICABLE BOX BELOW IFEXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENT:
O The roofarea covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from the above Cool
Roof criteria.
O Roof constructions that have thermal mass over the roof membrane with a weight ofat least 25 lb/ftl is exempted from the above Cool Roof
criteria.
To apply Liquid Field Applied Coatings, the coating must be applied with a minimum dry mil thickness of20 mils across the entire roofsurface and
meet minimum performance requirements listed in §1l8(.)3 and Table I18-C.Select the applicable coating
0 Aluminum-Pigmented Asphalt Roof Coating 1 Cement-Based Roof Coating I 0 Other
1 0 CRRC-1 Label Attached to CF-6R
(Note ifno CRRC-1 label is available, this compliance method cannot be used and another method is required to meet compliance).
FENESTRATION/GLAZING
Product #Total Quantity Add. Exterior comments/
Manufacturer/Brand Name U-Product of NFRC of Like Product Area Shading Dm Location/ Special
Item (GROUP LIKE RODUCTS)factor'_SHGC',Panes Certified"(Optional)ft2 or Overhang Features
2
3
4 N/A
5
6
7.
8.
I.Use valuesfrom afenestration product's NFRC Certified Label. For fenestration products without an NFRC label,use the default values from Section 116.Table
116-A and I 16-B ofthe 2008 Energy Efficiency Standards.
2.NFRC Label Certificates shall not be removed until the building inspector has verified the efficiency. Enter Yes or No.
O §116(a)I: Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
O §116(a)2 and 3: Actual fenestration products installed are equivalent to or have a lower U-factor and/or a lower SHGC than that specified on
the Certificate ofCompliance (Form CF-1R).
0 § I 16(2)4: Fenestration products (except field-fabricated windows) have a label listing the certified U-Factor, certified Solar Heat Gain
Coefficient (SHGC), and infiltration that meets the requirements of §10-111(a)
§117:Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed.
2008 Residential Compliance Forms August 2009
BLDG 2
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope —Insulation; Roofing; Fenestration (Page 3 of 3)
Site Address:Enforcement Agency:Permit Number:
LOT 15-2577 STATE STREET CB152713
DECLARATION STATEMENT
•I certify under penalty ofperjury, under the laws of the State of California, the information provided on this form is true and correct.
•I am eligible under Division 3 ofthe 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 reviewed a copy of the Certificate ofCompliance (CF-I R) 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 ofthis 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.
Company Name:(Installing Subcontractor or General Contractor or Builder/Owner)
ROCKWELL DRYWALL, INC.
Responsible Person's Name:Responsible Person's it3.atu;.
BUTCH INGRAM
CSLB License:Date Signed:Position With Comp.•y itl 14R
956154 1/10/2017 VP OF OPERATIONS
2008 Residential Compliance Forms August 2009