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HomeMy WebLinkAbout1425 YOURELL AVE; ; CBR2018-1533; PermitPERMIT REPORT (äty of Carlsbad Print Date: 04/23/2020 Permit No: CBR2018-1533 Job Address: 1425 Yourell Ave Permit Type: BLDG-Residential Work Class: Addition Status: Closed - Expired Parcel No: 1560525100 Applied: 06/27/2018 Valuation: $ 343,993.25 Lot U: Issued: 11/07/2018 Occupancy Group: Project #: PermitFinal U Dwelling Units: Construction Type Close Out: Bedrooms: Inspector: PBurn Bathrooms: Orig. Plan Check U: Final Plan Check U: Inspection: Project Title: Description: ROPER: 1,497 SF ADDITION II REMODEL 1,503 SF// 151 SF BALCONY //462 SF DECK Owner: COOWNER BRIDGET & JIM HARPER 1425 Yourell Ave CARLSBAD, CA 92008 FEE AMOUNT BUILDING PERMIT FEE ($2000+) $1,492.20 BUILDING PLAN CHECK FEE (BLDG) $1,044.54 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL $66.00 GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION $170.00 MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL $92.00 PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL $182.00 5B1473 GREEN BUILDING STATE STANDARDS FEE $14.00 STRONG MOTION-RESIDENTIAL $44.72 SWPPP INSPECTION FEE TIER 1 - Medium BLDG $246.00 SWPPP PLAN REVIEW FEE TIER 1 - MEDIUM - $56.00 Total Fees: $ 3,407.46 Total Payments To Date : $ 3,407.46 Balance Due: $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 '-t .•z• IGNA1URE_-1 DATE S Building Division 1635 Faraday Avenue, Carlsbad CA 92008-73141 760-602-2700 1 760-602-8560 f I www.carlsbadca.gov Page 1 of 1 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 1LANNING IENGINEERING BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD ' Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 City of CdrIsbad. Ph: 760-602-2719 Fax: 760-602-8558 email: buildingcarlsbadca.gov www.cailsbadca.gov Plan Check No. (3 0 t23 Est. Value 7TjI.j3,g3. 5 Plan Ck. Deposit Date /a /2.74 JOB ADDRESS I SUITE#/SPACE#/UNIT# I I APN jç(Q-Ocz.-( - CT/PROJECT It LOT It PHAS I ITS # BEDROOMS It BATHROO 11 !_ TENANT BUSINESS NAME CONSTR. TYPE v 13 0CC. GROUP iz. DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 4-r'r 2-%47'5F 004;80 Pools tc,i t-4US &'Eb3 F _ too rr4+411 PtQ . . I I 5 F 91>(I) i AIR CoNDmONI( EXISTING USE I PROPOSED USE - I 6 - 5 IRAGE (Sfl k;) PATIOS (S I 145'1 I DECKS (S I FIREPE YES ?NOD YESNOI FIRE SPRINKLERS NOtX APPLICANT NAME Prtnary Contact Alz PROPERTY ONER NAME Q6' J 4- ADDRESS IM-3 MkY' 1 -(O( f() ADDRESS j41( Aye- CITY STATE ZIP Q CITY STATE ZIP PHONE i/oo Z1 1 FAX PHONE IFAX i/go ' I EMAIL EMAIL R M1 C-a---- DESIGN PROFESSIONAL CONTRACTOR BUS. N4r, E T'4A*-_u ,Q26Mt) ADDRESS DDRESS P05 k', CITY STATE ZIP CITY STATE ZIP ~A14 7,076 PHONE FAX PHO FAX EMAIL EMAIL ISTATE UC .# STATE UC.# CLASS ICOY BUS. U4 ®aia 170®1 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [1 I have and will maintain w ers' compe lion, as required by Section 3700 of the Labor Code, for the pert ance of the work for which this it is issued. My workers compen ion in uran er and policy number are: Insurance C2?ti 1V6 fcA'_) (22 poiicy'J'4 &~' 7 gôh, Expiration Date _ / This section need not be completed if the permit is for one hundred dollars ($100) or less. / [J Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coy gels unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided to ion 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE 4~4 - 0 AGENT DATE /CS/ "Z 3//53? ®c!z)()Q(e)oc®@rD 000, I hereby affirm that lam exempt from Contractor's License Law for the followin is ason: [] I, as owner of the property or my employees with wages as their sole co tiori, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply loan owner of property who builds or imjo thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within on. completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 01 I, as owner of the property, am exclusively contracting jtli't(nsed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and con for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section siness and Professions Code for this reason: 1. I personally plan to provide th ajor labor and materials for construction of the proposed properly improvement -]Yes DNo 2.1 (have! have not) sign n application for a building permit for the proposed work. I have contracted w e following person (firm) to provide the proposed construction (include name address! phone / contractors' license number): I plan to provide ortions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name! address phone contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address! phone! type of work): PROPERTY OWNER SIGNATURE []AGENT DATE (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, arso requires nne applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ( —j $500}). (®17@ 7W03 60G100() 90 ®OYO QWO(!®O)@ I20098 ®flY Is the applicant or future building occupant required to submit 4 business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?-4 rJ Yes D No Is the applicant or future building occupant require([o obtain a permit from the air pollution control district or air quality management district? DYes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. (®(!)(17O®1) ()®O(J@ (XS2 I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address O€Jni7 O(POO®(Z) IceitifjthatI have read the applicatlon and state thatthe above Information iscormc.tandthatthe information on the plans is accurate. I agree tocomplywtth all Cityordinancesand State laws relatingto bulldingconstniction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Official under the p ions of this Code shall exptreby limitation and become null and void if the building or work authorized by such permit ia not commenced within l8o days from the date of such permit orifthe building orworkauth b permit is suspended or abandoned atany time afterthe work is commenced for a period of l8O days (Section 106.4.4 Uniform Building Code). ..APPUCANVS SIGNATURE ,(A,, DATE (0,7,3 ,16 January 09, 2020 CCity of Carlsbad BRIDGET & JIM HARPER 1425 YOURELL AVE CARLSBAD, CA 92008 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: BLDG-Residential, Addition -- -_ - - PERMIT NUMBER: CBR20184533 ISSUE DATE:, 11/07/2018 ADDRESS: 1425YoureII Ave Carlsbad, Ca 92008-1052 Our records indicate that your building permit will expire by limitation of time on 03/30/2020. 18.04.030 Section 105.5 amended - pir.ation: Every permit issued by the Building Official under the provisions of this code shalt expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 calendar days from the date of such permit, or if the building or' work authorized by such permit is stopped at any time after the work is commenced for a period of 180 calendar days, or if the, building or work authorized by such permit exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 calendar days of the' date of permit issuance Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has'not exceeded one year. In order to renew action on a permit after expiration, the permittee shalt pay a new permit fee. Any permittee holding an unexpired permit may apply for an extension of time within which work. may commence under that pe.rmitwhen the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. Please check below indicating your intentions and return this letter to us. 0 Project abandoned. A new permit will be obtained priorto commencing work. 0 Permit 180 day extension request, with written explanation including phone numberand email address. Request will not beconsidered without explanation 0 Renewal permit requested. If the project has been completed and only a final inspection, is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Division at 760-602--2700. Community & Economic Development Building Division 1 1635 Faraday Avenue, Carlsbad, CA 92008-7314 1 760-602-2700 1 760-602-8560 f I www.carlsbadca.gov April 16, 2019 city of Carlsbad BRIDGET & JIM HARPER 1425 YOURELL AVE CARLSBAD, CA 92008 PERMIT NUMBER: CBR20181533 ISSUE DATE: 11/07/2018 RE: BUILDING PERMIT EXPIRATION ADDRESS: 1425 Yourell Ave PERMIT TYPE: BLDG-Residential, Addition Carlsbad, Ca 92008-1052 Our records indicate that your building permit will expire by limitation of time on 06j25/2019- 18.04.030 Section 105.5 amended - Expiration: Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 calendar days from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 calendar days, or if the building or work authorized by such permit exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the. Building official within 180 calendar days of the date of permit issuance Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half theamount required for a new permit for such.work, and provided that no changes have been made or will be made in the original, plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under that permitwhen the permittee is unable to commence work within the time period.required by this section for good and satisfactory reasons. Please check below indicating your intentions and return this letter to us. 0 Project abandoned. A new permit will be obtained prior to commencing work. 0 Permit 180 day extension request, with written explanation including phone number and email address Request will not be considered without explanation 0 Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Division at760-602-2700. Community & Economic Development Building Division 1 1635 Faraday Avenue, Carlsbad, CA 92008-7314 1 760-602-2700 1 760-602-8560 f I wwwcarlsbadCagov Permit Type: BLDG-Residential Application Date: 06/27/2018 Owner: COOWNER. BRIDGET & JIM HARPER Work Class: Addition Issue Date: 11/07/2018 Subdivision: SHANGRILA TRACT Status: Closed -Expired Expiration Date: 03/30/2020 Address: 1425 Yourell Ave Carlsbad, CA 92008 IVR Number: 12181 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready. Contractor has pick up list. No BLDG-14 9/16/19, see card for pick up Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 09/24/2019 09/24/2019 BLDG-16 Insulation 105203-2019. Passed Peter Dreibelbis Checklist Item COMMENTS Passed BLDG-Building Deficiency No 10/02/2019 1610212019 BLDG-82 Drywall, 106156-2019 Passed Tony Alvarado Exterior Lath, Gas Test, Hot Mop Checklist Item COMMENTS Passed BLDG-17 Interior Lath-Drywall Yes BLDG-18 Exterior Lath and Yes Drywall . BLDG-23 Gas-Test-Repairs . Yes Complete Complete April 23, 2020 Page 20f2 Permit Type: BLDG-Residential Application Date: 06/27/2018 Owner: COOWNER BRIDGET & JIM HARPER Work Class: Addition Issue Date: 11/07/2018 Subdivision: SHANGRILA TRACT Status: Closed - Expired Expiration Date: 03130/2020 Address: 1425 YourelLAve Carlsbad, CA 92008 IVR Number: 12181 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 11/13/2018 11/13/2018 BLDG-11 075649-2018 Passed Paul Burnette Complete Foundation/Ftg/Pier s (Rebar) Checklist Item COMMENTS Passed BLDG-Building Deficiency . No BLDG-12 Steel/Bond 075648-2018 Passed Paul Burnette Complete Beam . Checklist Item COMMENTS . Passed BLDG-Building Deficiency No. 12/27/2018 12/27/2018 BLDG-15 080048-2018 Passed Paul Burnette . Complete Roof/ReRoof (Patio) Checklist Item COMMENTS Passed BLDG-Building Deficiency . No 06/05/2019 06/05/2019 BLDG-13 Shear 093825.2019 Failed Paul Burnette Reinspection Complete Panels/HD (Ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency . No 07/17/2019 07/17/2019 BLDG-33 Service 097785-2019 Passed Michael Collins Complete Change/Upgrade Checklist Item COMMENTS Passed BLDG-Building Deficiency EMR called in to Kim. Yes 08/21/2019 08/21/2019 BLDG-13 Shear 101420-2019 Passed Paul Burnetté Complete • Panels/HD (ok to wrap) • Checklist Item COMMENTS Passed BLDG-Building Deficiency • Yes BLDG-15 101421-2019 Cancelled Paul Burnette Reinspection Complete Roof/ReRoof (Patio) Checklist Item COMMENTS Passed BLDG-Building Deficiency ' , No 09/10/2019 09/10/2019 BLDG-84 Rough 103611-2019 ,Failed Michael Collins Reinspection Complete Combo(14,24,34,44)' • Checklist Item COMMENTS Passed • BLDG-Building Deficiency Not ready. Contractor has pick up list. No 09/16/2019 09/16/2019 BLDG-84 Rough 104215-2019 Passed Michael Collins' Complete Combo(14,24,34,44) April 23, 2020 . ' Page 1 of 2 EsGil A SAFEbui1tCompany DATE: AUG. 13, 2018 U APPLICANT U JURIS. JURISDICTION: CARLSBAD PLAN CHECK #.: CBR2018-1533 SET: II PROJECT ADDRESS: 1425 YOURELL AVENUE PROJECT NAME: SFR (2-STORY ADDITION & REMODEL) FOR HARPER The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: EsGil staff did not advise the applicant that the plan check has been completed. EsGil staff did advise the applicant that the plan check has been completed. Person contacted: ARLEN R9R,1ER Date contacted,,? (bf ) Mail Telepho e Fax In Person LII REMARKS: Telephone #: 760-522-3997 Email: arlenroper(ägmail.com By: ALl SADRE, S.E. Enclosures: EsGil 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576 EsGil A SAFEbuiIt Company DATE: JULY 09, 2018 JURISDICTION: CARLSBAD APPLICANT JURIS. PLAN CHECK #.: CBR2018-1533 PROJECT ADDRESS: 1425 YOURELL AVENUE SET: I PROJECT NAME: SFR (2-STORY ADDITION & REMODEL) FOR HARPER El The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. El The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. El The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: El EsGil staff did not advise the applicant that the plan check has been completed. EsGil staff did advise the applicant that the plan check has been completed. Person contacted: ARLEN ROPER SZ / C7 11 Fax In Person El REMARKS: Telephone #: 760-522-3997 Email: arlenroper(qmail.com By: ALT SADRE, S.E. Enclosures: EsGil 6/28 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 CARLSBAD CBR2018-1533 JULY 09, 2018 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK#.: CBR2018-1533 JURISDICTION: CARLSBAD PROJECT ADDRESS: 1425 YOURELL AVENUE FLOOR AREA: ADDITION = 1,497 STORIES: TWO REMODEL = 1,503; EXISTING GARAGE = 432 (NO CHANGE) DECK = 462; PATIO = 151 HEIGHT: 24' REMARKS: DATE PLANS RECEIVED BY DATE PLANS RECEIVED BY JURISDICTION: 6/28 ESGIL CORPORATION: 6/28 DATE INITIAL PLAN REVIEW PLAN REVIEWER: ALl SADRE, S.E. COMPLETED: JULY 09, 2018 FOREWORD (PLEASE READ): This plan review is limited to the technical requirements contained in the California version of the International Residential Code, International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinance by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Present California law mandates that construction comply with the 2016 edition of the California Code of Regulations (Title 24), which adopts the following model codes: 2015 IRC, 2015 IBC, 2015 UPC, 2015 UMC and 2014 NEC. The above regulations apply, regardless of the code editions adopted by ordinance. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2015 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked-up list when you submit the revised plans. CARLSBAD CBR20 18-1533 JULY 09, 2018 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: CARLSBAD PLAN CHECK #.: CBR2018-1533 PREPARED BY: ALl SADRE, S.E. DATE: JULY 09, 2018 BUILDING ADDRESS: 1425 YOURELL AVENUE BUILDING OCCUPANCY: R3/U; V-B BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) LIVING ADD 1497 REMODEL 1503 PATIO 151 DECK 462 Air Conditioning Fire Sprinklers TOTAL VALUE 343,993 Jurisdiction Code ICB I 1997 UBC Building Permit Fee V 1997 UBC Plan Check Fee V Type of Review: i Complete Review 0 Structural Only C] Repetitive Fee Repeats O Other Hourly Hr. @ * EsGil Fee I $850.591 Comments: Sheet 1 of 1 CARLSBAD CBR2018-1533 JULY 09, 2018 PLANS Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring TWO corrected set of plans and calculations/reports to EsGil, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil is complete. FIRE PROTECTION 2. Please indicate on the plans whether the existing residence has a fire sprinkler system installed. If so, then provide a note stating that any additions/alterations will be provided with an automatic residential fire sprinkler system. Sec. R313.2. 3. Clarify two Sheets Al. 1 and add Sheets S6, S7 & S8, on the Sheet Index. 4. Where is the door from BR #1, closet door to exterior, as per Sheet A4. 1, on floor plans? STRUCTURAL 5. The City Policy requires a soils report for this project. Please revise the information on Sheet Si to reflect the soils report info. 6. Specify on structural specifications sheet the soil classification, the soils expansion index &the design bearing capacity. Sec. 107.2 & 1603.1.6. 7. Note on the foundation plan that "Prior to the contractor requesting a Building Department foundation inspection, the soils engineer shall advise the building official in writing that: The building pad was prepared in accordance with the soils report, The utility trenches have been properly backfilled and compacted, and C) The foundation excavations comply with the intent of the soils report." 8. Provide a letter from the soils engineer confirming that the foundation/ grading plan and specifications have been reviewed and that it has been determined that the recommendations in the soil report are properly incorporated into the plans. 9. The SW #1, on gridline "D", as per Sheet S3, should be #2, as per calculations. 10. Where is detail 37/S7, as called out on S3, near grid pointF-4? II. Where is detail 38/S6, as ref. on S3, by grid point 7-E.5? CARLSBAD CBR2018-1533 JULY 09, 2018 12. Requirements in Seismic Design Category D. 1I?fl1 The structures assigned to SDC D should satisfy the following requirements, in addition to the requirements for SDC C: (ASCE 7-10, Sec. 12.3): Show how the irregularities are addressed on olansicaic's. I.e.. show FB-2. FB-9 are designed for 25% force increase & supports are adequate for load combinations, per Sec. 12.3.3.4. Prohibited Horizontal and Vertical Irregularities for Seismic Design Categories D through F. Structures assigned to Seismic Design Category E or F having horizontal irregularity Type lb of Table 12.3-1 or vertical irregularities Type ib, 5a, or 5b of Table 12.3-2 shall not be permitted. Structures assigned to Seismic Design Category D having vertical irregularity Type 5b of Table 12.3-2 shall not be permitted, except when subject to the limitations of Section 12.3.3.2. Plan or Vertical Irregularities. For structures having a plan structural irregularity of Type I a, I b, 2, 3, or 4 of ASCE 7-10, Table 12.3-1 (as shown in Fig. 10.7) or vertical irregularity Type 4 of Table 12.3-2, the design forces determined from Section 12.8.1 need to be increased 25 percent for the following connections: 1) diaphragms to vertical elements, 2) diaphragms to collectors & 3) collectors to vertical elements. (Sec. 12.3.3.4). Re-entrant corner a. Torsional irregularity b. Re-entrant corners c. Diaphragm discontinuity Discontinuity in vertical elements of lateral-force-resisting system d. Out-of-plane offsets Figure 10.7 Examples of Plan Irregularities 1 -4 MISCELLANEOUS 13. To speed up the review process, note on this list where each correction item has been addressed on plans! caic's. The jurisdiction has contracted with EsGil, located at 9320 Chesapeake Dr., #208, S.D., CA 92123; Tel: 858/560-1468, to perform the plan review for your project. If you have any questions regarding these items, please contact ALl SADRE, S.E. at EsGil. Thank you. S W" Geotechnical Exploration, Inc. SOIL AND FOUNDATION ENGINEERING Q GROUNDWATER @ ENGINEERING GEOLOGY IPiwi,iiLIjt Jim and Bridget Harper 1425 Yourell Avenue Carlsbad, CA 92008 Subject: Foundation Plan Review Harper Residence Addition and Deck 1425 You rell Avenue Carlsbad, California Job No. 18-11951 RECEIVED AUG 032018 Dear Mr. and Mrs. Harper: CITY OF CARLSBAD As requested and as required by the City of Carlsbad reviewer, the revised foundation structural plans prepared by Simply Strong Engineering, dated July 27, 2018, for the proposed residence addition and deck, at the subject address. The plans were reviewed from a geotechnical engineering viewpoint. After suggested corrections were made, we have found the reviewed structural foundation plans to be in general accordance with our recommendations presented in our Limited Soil Investigation and Soil Bearing Value Evaluation, for the subject project, dated July 26, 2018. A copy of the soils report and this letter shall be provided to the general contractor and pertinent contractors involved with soil preparation and foundation construction for implementation of our recommendations. Thank you for the opportunity to be of service. If you have any questions regarding this letter, please contact our office. Reference to our Job No.18-11951 will help expedite a response to your inquiry. Respectfully submitted, GEOTECHNICAL EXPLORATION, INC. In A.Browning C.F.G. 26151P.G. 9012 br Projt Geologist /ONAL o JONATHAN A. Q 47 BROWNING No. 261 CERTIFIED • ENGINEERING tA GEOLOGIST rV \V1 NOF CAL'." 7420 TRADE STREETO SAN DIEGO, CA. 921210 (858) 549-7222 0 FAX: (858) 549-1604 0 EMAIL: geotechlgei-sd.com SPIN' Geotechnica-1 Exploration, Inc. SOIL AND FOUNDATION ENGINEERING 0 GROUNDWATER 0 ENGINEERING GEOLOGY 26 July 2018 Jim and Bridget Harper Job No. 18-11951 1425 Yourell Avenue Carlsbad, CA 92008 Subject: Limited Soil Investigation and Bearing Value Evaluation Harper Residence Addition and Deck 1425 Yourell Avenue Carlsbad, California Dear Mr. and Mrs. Harper: In accordance with your request, a representative of Geotechnical Exploration, Inc. has visited the subject site and performed an evaluation of the soil conditions in the area of the proposed new one and two story addition in the rear (southwest) yard of the residence. It is our understanding that the proposed addition and deck will be founded on new conventional continuous footings and/or new spread footings with raised wood floors. As part of our investigation, we observed and evaluated the shallow soil conditions at five locations on the southwest side of the existing residence. In addition, we reviewed the foundation plans and calculations to confirm they are prepared in accordance with the recommendations included in this report. The structural plans were prepared by Simply Strong Engineering, dated June 8, 2018. After suggested corrections, we found the plans to be in accordance with our recommendations. The field work, conducted on July 18, 2018, consisted of excavating five hand- auger borings in the area of the proposed addition and deck. The excavations 7420 TRADE STREETO SAN DIEGO, CA. 921210 (858) 549-7222 0 FAX: (858) 549-1604 0 EMAIL: geotech@gei-sd.com Harper Residence Addition Job No. 18-11951 Carlsbad, California Page 2 revealed that the building site is underlain by approximately 6 inches of loose to medium dense, silty sand fill/topsoil over medium dense to dense, silty sand formational materials. The on-site soils are considered to have a very low expansion potential with an Expansion Index of less than 20. Based upon our observation of the existing soils, it is our opinion, that the new loads from the proposed one and two story addition can be founded on new continuous perimeter and/or spread footings founded into the existing medium dense to dense formational soils. Any loose surface soils in the proposed building pad areas should be properly compacted as part of site preparation under any new slab areas. The new fill shOuld be compacted to at least 90 percent of Maximum Dry Density. However, the new footings for the addition and deck will be the only excavation for the project. It is our opinion that the existing medium dense to dense formational soils will provide adequate bearing strength for the proposed new one and two story loads. New footings have been designed for an allowable soil bearing capacity of 2,000 pounds per square foot (psf) founded in the existing formational soils. We do recommend that the new footings and slabs contain at least a nominal amount of reinforcing steel to reduce the separation of cracks should they occur. The static allowable soil bearing capacity may be increased one-third for structural design including seismic or wind loads. New footings should have a minimum depth of 18 inches and a width of at least 15 inches, founded in the medium dense to dense formational soils. A minimum of steel for continuous footings should include at least four No. 4 bars continuous, with two bars 3 inches from the bottom of the footing. Harper Residence Addition Job No. 18-11951 Carlsbad, California Page 3 Site-specific seismic design criteria to calculate the base shear needed for the design of the residential addition are presented in the following table. The design criteria was obtained from the California Building Code (CBC) 2016 edition, and is based on the distance to the closest active fault and soil profile classification. The proposed additions should be designed in accordance with Section 1613 of the 2016 CBC, which incorporates by reference the ASCE 7-10 for seismic design and the following parameters should be utilized. We have determined the mapped spectral acceleration values for the site based on a latitude of 33.1733 degrees and longitude of 117.3418 degrees, utilizing a program titled "Design Maps and Tools," provided by the USGS, which provides a solution for ASCE 7-10 (Section 1613 of the 2016 CBC) utilizing digitized files for the Spectral Acceleration maps. In addition, we have assigned a Site Classification of D. The response parameters for design are presented in the following table. The design spectrum acceleration vs. Period T is attached. TABLE I Mapped Spectral Acceleration Values and Design Parameters Ss Is, I Fa I Fv I Sms Smi I SdS I Sd1 1.131g I 0.434g 11.048 11.566 1 1.185g I 0.680g 10.7909 1 0.453g The liquefaction of saturated sands during earthquakes can be a major cause of damage to buildings. Liquefaction is the process by which soils are transformed into a viscous fluid that will flow as a liquid when unconfined. It .1 • Harper Residence Addition Job No. 18-11951 Carlsbad, California Page 4 occurs primarily in loose, saturated sands and silts when they are sufficiently shaken by an earthquake. On this site, the risk of liquefaction of foundation materials due to seismic shaking is considered to be remote due to the relatively shallow, medium dense to dense nature of the natural-ground material and the lack of a shallow static groundwater surface under the site. No soil liquefaction or soil strength loss is anticipated to occur due to a seismic event. Any new concrete slabs on-grade (on properly compacted fill or dense formational soils) should be a minimum of 4 inches actual thickness and be reinforced with at least No. 3 steel bars on 18-inch centers, in both directions, placed at mid-height in the slab. The interior slab should be underlain by a 15-mil vapor barrier (15-mil StegoWrap) placed directly on properly compacted subgrade. The sand base may be waived. We recommend that isolation joints and sawcuts be incorporated to at least one-fourth the thickness of the slab in any slab designs. The joints and cuts, if properly placed, should reduce the potential for and help control floor slab cracking. In no case, however, should control joints be spaced farther than 20 feet apart, or the width of the slab. Control joints should be placed within 12 hours after concrete placement as soon as concrete sets and no raveling of aggregate occurs. The active earth pressure (to be utilized in the design of cantilever, non- restrained walls) should be based on an Equivalent Fluid Weight of 38 pounds per cubic foot (pcf) for level backfill only and 52 pcf for sloping backfill if on- site soils are used. Additional loads applied within the potential failure block ;1. Harper Residence Addition Job No. 18-11951 Carlsbad, California Page 5 should be added to the active soil earth pressure by multiplying the vertical surcharge load by a 0.37 lateral earth pressure coefficient. For restrained wall conditions, we recommend an equivalent fluid weight of 56 pcf. Surcharge loads may be converted to lateral pressures by multiplying by a factor of 0.47. Should seismic soil increment be required, the unrestrained walls with level backfill should be designed for a triangular pressure of 14 pcf, in addition to the regular static loading, with zero pressure at the top and the maximum pressure at the bottom of the wall. The passive earth pressure of the encountered formational soils (to be used for design of shallow foundations and footings to resist the lateral forces) should be based on an Equivalent Fluid Weight of 275 pcf. This passive earth pressure should only be considered valid for design if the ground adjacent to the foundation structure is essentially level for a distance of at least three times the total depth of the foundation and is properly compacted or dense natural soil. An allowable Coefficient of Friction of 0.40 times the dead load may be used between the bearing soils and concrete foundations, walls or floor slabs. Adequate measures should be taken to properly finish-grade the site after the new addition and other improvements are in place. Drainage waters from this site and adjacent properties are to be directed away from perimeter foundations, floor slabs, and footings, onto the natural drainage direction for this area or into properly designed and approved drainage facilities. Proper subsurface and surface drainage will help minimize the potential for waters to seek the level of the bearing soils under the foundations, footings, and floor slabs. Failure to observe this recommendation could result in undermining, Harper Residence Addition Job No. 18-11951 Carlsbad, California Page 6 differential settlement of the building foundation or other improvements on the site, or moisture-related problems. It is not within the scope of our services to provide quality control oversight for surface or subsurface drainage construction or retaining wall sealing and base of wall drain construction. It is the responsibility of the contractor and/or their retained construction inspection service provider to provide proper surface and subsurface drainage. Due to the possible build-up of groundwater (derived primarily from rainfall and irrigation), excess moisture is a common problem in below-grade structures or behind retaining walls that may be planned. These problems are generally in the form of water seepage through walls, mineral staining, mildew growth and high humidity. In order to minimize the potential for moisture-related problems to develop, proper cross ventilation and water- proofing must be provided for below-ground areas, in crawl spaces, and the backfill side of all structure retaining walls must be adequately waterproofed and drained. Proper subdrains and free-draining backwall material (such as gravel or geocomposite drains such as Miradrain 6000 or equivalent) should be installed behind all retaining walls on the subject project in addition to wall waterproofing. Geotechnical Exploration, Inc. will assume no liability for damage to structures that is attributable to poor drainage. Planter areas and planter boxes should be sloped to drain away from the foundations, footings, and floor slabs. Planter boxes should be constructed with a closed bottom and a subsurface drain, installed in gravel, with the , ,- .I Harper Residence Addition Job No. 18-11951 Carlsbad, California Page 7 direction of subsurface and surface flow away from the foundations, footings, and floor slabs, to an adequate drainage facility. The finish grade around the addition should drain away from the perimeter walls to help reduce or prevent water accumulation. Exterior slabs or rigid improvements should also be built on properly compacted soils and be provided with concrete shrinkage reinforcement and adequately spaced joints. Geotechnical Exploration, Inc. recommends that we be asked to verify the actual soil conditions revealed in footing excavations prior to form and steel reinforcement placement. Should you have any questions regarding this matter, please contact our office. Reference to our Job No. 18-11951 will help to expedite a response to your inquiries. Respectfully submitted, 37. Heiser EXPLORATION, INC. -4PE!Ame A. =Cerro's. Senior Project Geologist R.C.E. 34422/G.E. 2007 Senior Geotechnical Engineer N. ( GE 002007 *\EXP 5/3 //7J rA CAL Sn Marcos Escondido' U ZIJSGS Design Maps Summary Report User-Specified Input Report Title 1425 Yourell Avenue, Carlsbad, CA Wed July 25, 2018 21:49:41 UTC Building Code Reference Document ASCE 7-10 Standard (which utilizes USGS hazard data available in 2008) Site Coordinates 33.17330N, 117.3418°W Site Soil Classification Site Class D - "Stiff Soil" Risk Category 1/11/111 A - - C fl - f , t4kMI1l 4' Vista Oceanside \\4 ; 1sbad 11cUeIic P I Siur Au1ci USGS-Provided Output S = 1.131 g 5MS = 1.185 g 5DS = 0.790 g S1 = 0.434 g SMS = 0.680 g S01 = 0.453 9 For information on how the SS and Si values above have been calculated from probabilistic (risk-targeted) and deterministic ground motions in the direction of maximum horizontal response, please return to the application and select the "2009 NEHRP" building code reference document. NICE Response Spectrum Design Response Spectrum Pcrlod, T istc, IkrIwI. I 4sv) For PGA,, TL, C, and CR1 values, please view the detailed repgj. Although this information is a product of the U.S. Geological Survey, we provide no warranty, expressed or implied, as to the accuracy of the data contained therein. This tool is not a substitute for technical subject-matter knowledge. OWNER'S CERTIFICATE: I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXJMUM EXTENT PRACTICABLE TO AVOID THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO AVOID THE EXPOSURE OF STORM WATER TO CONSTRUC110N RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES, COMPLY NTH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION AC11V111E5 UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED DATE STORM WATER COMPLIANCE FORM TIER I CONSTRUCTION SWPPP 2;c- 1l3T3 BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Control Sediment Control BMPs Tracking Non-Storm Water Waste Management and Materials BMPs Control BMPs Management BMPs Pollution Control BMPs .2 .2 — - • - - U, E . .2 . Best Management Practice* k 0' £ E ()CD rn - (BMP) Description — - .' , UJ 2 E a) C CD E 0 0 a, Lo -ga) - 0 - a) - - E - 0 a) 0 0)0 '- 0 - ._ 2 a) a) _ o 0- -'-' - 0' -v 0 ,. 0' 0 0 0' Q 0 o Q) 0 0 t _ 2 -.-- = 0 a) -C 0 0 -.- 0 1. - 0 .-' . 0 0 0 0 -- -- o 0 .. > 0 C 0 - a) --' 0 0 -- 0 0 -- = 0 = 0 0 NJ 0 0 C C 0 0 C) 0 I-. Lii C Cl) Cl) Cl) L) Li C) (n :> Cl) C/) 0- U) £ (/) C (L O 0 0- > C) (1) Cl) (I) C) (I) M M M C) CASQA Designation — r- 00 0) n * Lo to N- CO C'-J ) N- CO T 04 ? i ? W UJ LLLLIJL'J CI)V)C/,V) Construction Activity I-i-i Lii LU Lii (/) Cl) C/) C/) C/) (/) C/) C/) I Grading/SoilDisturbance - Trenching/Excavation — — — -- — — — — — — — — - Stockpiling — —. — — — — — — — — — — — Drilling/Boring — — — — -- -- — — — — — — - Concrete/AsphaltSawcutting — — -- — — -- — — — — — — — Concrete Flatwork - Paving — — -- — — — — — — — — — — - Conduit/PipeInstallation — — — — — — — — — — — — — Stucco/MortarWork — — -- -- -- — — — — — — — — — Waste Disposal - Staging/Lay Down Area — — ---- — — — — — — — — — — Equipment Maintenance and Fueling — — — — -- -- -- — — — — — — — — Substance Use/Storage _Hazardous -- - Dewatering — — -- — — -- — — — — — — — — SiteAccessAcrossDirt -- -- - Other(list): — — — — — -- — — — — — — - — Instructions: Check the box to the left of all applicable construction activity (first column) expected to occur during construction. Located along the top of the BMP Table is a list of BMP's with it's corresponding California Stormwater Quality Association (CASQA) designation number. Choose one or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project. PROJECT INFORMATION Site Address:/ /( Assessor's Parcel Number: Emergen ,,/1 Na e 24 Hour Phone:Q_ Construction Threat to Storm Water Quality (Check Box) E MEDIUM El LOW STORM WATER POLLUTION PREVENTION NOTES ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN IS EMINENT. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY INSPECTOR AFTER EACH RUN—OFF PRODUCING RAINFALL. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTiON BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY REGULATIONS. E-29 Page 1 of 1 REV 11/17 (fty of Carlsbad CERTIFICATION DFSCHOOL FEES PAID - This form must be completed by the City, the applicant,ad hea ropaeschooI districts and returned to the City prior to issuing a building permit. The City will not issue any'bujlding .r)ij j]Jjiut a completed school fee form. Project No. & Name: OCT 03 2018 C CARLSBAD Plan Check No.: CBR2018-1533 i . - fliVI.'I1)N Project Address: 1425 YOURELL AVE Assessor's Parcel No.: 1560525100 Project Applicant: COOWNER BRIDGET & JIM HARPER (Owner Name) Residential Square Feet: New/Additions: 1,497 Second Dwelling Unit: Commercial Square Feet: New/Additions: City Certification: City of Carlsbad Building Division Date: 06/27/2018 Certification of Applicant/Owners. The person executing this declaration ("Owner") certifies under penalty of perjury that (1) the information provided above is correct and true to the best of the Owner's knowledge, and that the Owner will file an amended certification of payment and pay the additional fee if Owner requests an increase in the number of dwelling units or square footage after the building permit is issued or if the initial determination of units or square footage is found to be incorrect, and that (2) the Owner is the owner/developer of the above described project(s), or that the person executing this declaration is authorized to sign on behalf of the Owner. Carlsbad Unified School District 6225 El Camino Real Carlsbad CA 92009 Phone: (760) 331-5000 EJ Encinitas Union School District 101 South Rancho Santa Fe Rd Encinitas, CA 92024 Phone: (760) 944-4300 xli 66 LLJ San Dieguito Union H.S. District 684 Requeza Dr. Encinitas, CA 92024 Phone: (760) 753-6491 Ext 5514 (By Appt. Only) L 71 San Marcos Unified Sch District 255 Pico Ave Ste. 100 San Marcos, CA 92069 Phone: (760) 290-2649 Contact: Katherine Marcelja - (By Appt.only) Vista Unified School District 1234 Arcadia Drive Vista CA 92083 Phone: (760) 726-2170 x2222 SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school district(s)) THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED. The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder, or owner has satisfied the obligation for school facilities. This is to certify that the applicant listed on page 1 has paid all amounts or completed other applicable school mitigation determined by the School District. The City may issue building permits for this project. Signature of Authorized School District Officials (q &V\ Title: Date: Name of School District CARLSBAD UNIFIED SCHOOL DISTRICT 5220 EL CAMINO REAL CARLSBAD, CA 92009 Building Division 1635 Faraday Avenue I Carlsbad, CA 92008 760-602-2719 I 760-602-8558 fax building@carlsbadca.gov INSTALLATION CERTIFICATE (Page 12 of 12) CF-6R Site Address /'f7h oure// i4ve. C411416d' 64, '1Zoo Permit Number County Subdivision Lot Number Description of Insulation (Formerly IC-1 Form) RAISED FLOOR Material c1'4I64 9 44 Thickness (inches) Coy 1' SLAB FLOORJPERIMETER Material Thickness (inches) Perimeter Insulation Depth (inches) EXTERIOR WALL Brand Name Thermal Resistance (R-Value) it 19 Brand Name Tlermal Resistance (R-Value) Frame Type 'l((o WCJOC?, Cavity Insulation Material '(1 MID, 6c Thickness (inches) Co Exterior Foam Sheathing Material Thickness (inches) Brand Name A(i Thermal Resistance (R-Value) RI Cl Brand Name Thermal Resistance (R-Value) 4 FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R-Value) CEILING Batt or Blanket Type .Qo4-15 Brand Name (.c . A Thickness (inches) (ps Thermal Resistance (R-Value) ThCl Loose Fill Type - Brand Contractor's min installed weight/ft' lb Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) ROOF Material 1oer _______________ Thickness (inches) I &' Declaration Brand Name C.'+ouyi_"Sd Thermal Resistance (R-Value) '23 p V 0 I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. Item gs (if applicable) Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor CA I (_Tt44Uf+.'o,_ Item #s / Signat._— Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcoiitractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Residential Compliance Forms April 2005