05-3776 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tity/ - 4 4 Q"
BUILD
Application Number: 05-00003776
Property Address: 52955 AVENIDA RAMIREZ
APN: 1773-322-999-1 -33415
Application description: DWELLING SINGLE FAMILY DETACHED
Prooertv Zoning: COVE RESIDENTIAL
Application valuation: 119117
Applicant:
Architect or Engineer:
13WILIDING
eo
C=
N
0'
•--1
0
Lic. No.: -----------------
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - -
LICENSED
--------------'
—---—-------------------------------—-------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that Iam licensed r provisions Ch pter 9 (commencing with
1 Section 7000) of.Division 3 of the fess d "Ofessi als Code, and Lic se is in full force and effect.
License Class: B -C13 License No.: 3 81
Date: (_ Contraaor: ,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason ISec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she 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 1$5001.:
1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will -do the work, and
the structure is not intended or offered for sale ISec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
-` and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold 'within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.)
(. ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 I I am exempt under Sec. , B.&P.C. for'this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the .
work for which this permit is issued (Sec: 3097, Civ. C.).
Lender's Name:
{
Lender's Address:
LQPERMIT
DEP RTMENT
IR IT
Owner:
CORONEL LUCANO S
51324 CALLE.TAMAZULA
LA QUINTA, CA 92253
Contractor:
CORONEL CONSTRUCTION
P.O. BOX 389
LA QUINTA, CA 92247
(760)564-4604
Lic. No..: 634981
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/23/05
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
_ I have and will maintairi workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are: -
Carrier STATE FUND Policy Number 174445305
I certify that, in the performance of the work for which this is issued, I shall not employ any
person in any man r so as to become s to thew rkers' mpensation laws of California,
and agree that, if s uld bec me sub]e to the the s' co pensation provisions of Section
0 3(700 of the Labo C e, I sh forthwi h comply with o provisions.
Date: ``—� a v Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAG�UN FUL, 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 FOR IN
SECTION 3706 -OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed -under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state IJFa the above inforT.' is correct I a ree to comply with all
city and county ordinances and state laws relating b ilding onstrund hereby orize representatives
of this countty to enter upon the above-mentioned p p y fo inspectrposes.
Date: �-1 0 Signature (Applicant or Agent
LQPERMIT
.Application Number
. . . 05-00003776,
Permit
BUILDING PERMIT
Additional desc .
`
Permit Fee709.50
'•
Plan Check Fee
•461.18
Issue Date . . . .
Valuation . . . .
119117
Expiration Date..
6/21/06
Qty Unit Charge
Per
Extension
BASE'FEE.
'639.50
20.00 3.5000
----------------------------------------------------------------------------
THOU BLDG
100,001-500,000
70..00
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . .
106.73
Plan Check Fee
26.68
Issue'Date
Valuation
0 .
Expiration Date
.6/-21/06
Qty "Unit Charge
Per
Extension
BASE
FEE
15.00 .
1918.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
67.13
480.00 .0200
ELEC
GARAGE OR NON=RESIDENTIAL
9.60
1.00 15.0000
EA ELEC
TEMPORARY'POWER POLE
-----------------
15.00
Permit . . .
GRADING PERMIT.
Additional desc .
Permit Fee . . . .
�. 15.00,
Plan Check Fee
.00
Issue Date
Valuation . . . .
0
Expiration Date).
6/21/06
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE -
FEE
15.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
59.00
P1an.Check Fee
14:75
Issue Date
Valuation. .
0
Expiration Date
6/21/06
Qty Unit Charge
Per
Extension
BASE
FEE
.15.00
1.00 9.0000
EA MECH
FURNACE <=100K
9.00
1.00 9.0000
EA MECH
B/C <=3HP/100K BTU
9.00
3.00 6.5000
EA MECH
VENT FAN
19.50
1.00 6.5000
=----------=----------------------------------------------------------------
EA MECH
EXHAUST HOOD
.6.50
Application Number 05-00003776
Permit PLUMBING
Additional desc .
Permit Fee . . . .
123.00.. Plan Check Fee
30.75
Issue Date . . . .
Valuation .. . .
. 0
Expiration Date
6/21/06
J
Qty Unit Charge
Per
Extension
BASE FEE
15.00
9.00.. 6_0000
EA _ _ , _ PLB. -FIXTURE .-- - _. -
54.00
1.00 15.0000
EA PLB BUILDING SEWER.
15.00
1.00 7.5000
EA PLB WATER. HEATER/VENT
7.50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00•
1.00 9•:0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
6.00 .7500
EA PLB GAS PIPE >=5
4.50
1.00 15.0000`.EA
PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes and Comments
1918 sq. ft. sfd this
permit does note
include pool & spa block walls or
driveway approach.December 12, 2005
7:37:04 AM jjohnson
----------------------------------------------------------------------------
Other Fees . . . . .
. . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
46.12
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT •FAC - RES
22.00
DIF PARKS/REC - RES
892.00
COVE PRECISE PLAN FEE
100.00
STRONG MOTION (SMI) - RES
11.91
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
Due.
Permit Fee Total
- - ----- ----------
1013.23 .00 .00
1013.23
Plan Check Total
533.36 250.00 .00
283.36
Other Fee Total
3874.03 .00 .00
3874.03
Grand Total
5420.62 250.00 .00
5170.62
LQPERMIT
Building :J .� - ?5-9 Clue.
Address
P.O. BOX 1504 APPd T&_0N5
78-495 CALLE TAMPICO
QUINTA, CALIFORNIA 92253
IjW M 1 I., -ASt1'���'L�
State Lic. l�4cl 75 1 B City
& Classif. Lic. #
BUILDING: TYPE CONST. O.C. /GARP.
A.P. Number 7-13
L._
Legal Description v t Y Of- 10
Project Description
Sq. Ft. 4� j%1 No. I No. Dw.
Size , �V Stories Units
Hrcn., tngr., New
Designer
Address Tel.
wrnk raw, k+odp J -OW 1,50 -�wjvj -I'
1QU�ttt� rf}— I—�3 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (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 also
requires the 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 (commencing 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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does not apply to an owner of property who builds
or improves 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 im-
provement is sold within one year of completion, the owner -builder will have the burden of
proving that he did not build or improve for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct
the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves thereon, and who contracts for such
projects with a contractor(s) licensed pursuant to the Contractor's License Law)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner A 101
WORKER'S COMPENS 1 N DECLAR�ION /
hereby affirm that I have a certificate of n nt to self -'n re, aMficate Worker's
Compensation Insurance, or a certified co th (93c. o'r
Policy No. Compan
❑ Copy is filed with the city. ❑ Certified co is ereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less).
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 Workers' Compensation Laws of
California.
Date Owner
NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work
for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
- This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
Demolition O
BUT -4=1169M MYRRH
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep. �—
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
1161
e
AUG 25
1
L U!1
HII
TOTAL
REMARKS "118TA
ANCr-
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback f-om Center Line
Side Setback from PrDperty Line
FINAL DATE
Issued by:
Validated by:—
Validation:
YELLOW = APPLICANT
INSP'=CTOR
Date
PINK = FINANC=
CERTIFICATE OF COMPLIANCE v�n�sc
Desert Sands Unified School District zo�C*� o
47950 Dune Palms Road BERMUDA DUNES r
Cr RANCHO MIRAGE
Date 1/18/06 La Quinta, CA 92253 INDIAN WELLS
d PALM DESERT
No. 28039 (760) 771-8515 v? LA INDIQ O 1.�y
�Qy7
e
Owner Coronel Enterprises APN # 773-322-021
Address Jurisdiction La Quinta
City Zip Permit #
Tract # Study Area
Type . Single Family Residence No. of Units 1"
Lot # No. Street S.F.
Unit 1 52955 Avenida Ramirez 1918 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
Lot # No. Street S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/wakways, residential °adddions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooldng, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the followiN] reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.24 X 1,918 S.F. or $4,296.32 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By CC/Rabobarik - Ish Coronel Check No. 366879
Name on. the check Telephone 564.4604
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by y 0.oMcGily ePa ment Recd �.
$4,296.32 Ove" J6'd
;^ r .
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District(s) behalf, whichever is earlier. -
NOTICE: This Document'NOT VALID if Duplicated
Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy - Accounting
' J7i l'.
RC DISTRICT: PLANNING .REVIEW FORM
This form is to be used by CDD. staff for review of. single family dwellings.- in the RC (Cove
Residential) District per Section 9.50.090 -of the Zoning Code. Its purpose.is to determine: 1)
that the proposed housing design does not duplicate -the same- architectural style of any house
within 200 feet of the applicant; .and/or 2) if. there is a need for the applicant to file for Master
Design Guidelines: If the applicant does need to file '.a Master'.Design Guideline; please transmit
this information to the Building and Safety Department as part of your correction list. Please
attach additional explanations as necessary.
APPLICANT:
SITE ADDRESS: o�
APN 7 7 ✓ CASE NO.:� .
LEGAL: LOT BLOCK s . UNIT do S.C:C V.L.Q.
CHECK AND APPROVED.BY: DATE:
Inform the assigned Building plan. checker upon your assignment to this case. The CDD
Executive Secretary maintains a log book to track applications. and assign case numbers.
REQUIRED ITEM.
Y
N
COMMENT/CORRECTION
Verify legal and APN information
✓
.Consistent- with.M.DG .on file (as
applicable)
MDG filing required (5 filings
since 9/3/98)
Architectural variety within 200....
feet of the surrounding area:
APPROVED BY COMMUNITY DEVELOPMENT DEPARI
BY DATE a 5
EXHIBIT
CASE N0. C- lj
Architectural design features .
ftfvi
Other Requirements: :
20,_m" 101-0^ iA as gym' -m'
sEreecK-�
sEreaac
]24'- m•
m' 10000• e
N N
`Q pF OltQ
n I
s I •
�x 1A
I
4
JI
_ I
a ; 8 k
g 1 1 1its m
ie
I
�u 1—. ----------------------------------- —mN
pll sEianrx 4 �0 0° SETBACK
CITY OF LA QUINTA - PUBLIC WORKS/ENGINEERING DEPARTMENT
GREEN SHEET (PUBLIC WORKS CLEARANCE) FOR BUILDING .PERMITS
Form updated & effective 8/25/2005
Please. DO NOT submit the Green. Sheet (Public Works Clearance) Packet to the Public
Works/Engineering Department until ALL requirements listed below are complete. Incomplete
applications -or applications which cannot be processed will be returned to Applicant. Green Sheet
approvals will be forwarded to the Building Department directly by Public Works..
Date: Developer: C --"Nr, 'N
Tract No.: Tract Name: Lot No.(s): O
Address(s): c.,:) -`1y
The following are the requirements for Public Works Clearance to authorize issuance of a building
permit from the Building/Safety Department.
CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4 AND #5 BELOW.
TRACT HOMES: PROVIDE ITEMS #1, #2, #3, #4 (AS APPLICABLE) AND #6 BELOW.
COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3 AND #5 BELOW.
1. Attach Pad Elevation Certificates in compliance with the approved design elevation for
pbuilding pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must
be current (within 6 months of current date). If a precise grading plan creates the pad for .
approval, please withhold green sheet submittal until a Pad Elevation_ Certificate can be
provided.
2. Attach geotechnicalcertification of grading plan compliance.
3. Attach recorded final map showing proposed building locations- are legal lots.
4. Attach a completed <1 acre per lot or infill project Fugitive Dust Contro-.°project information
form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set
reference number or hard copy plan. PM1.0 plans for commercial and residential developments
(beyond 1 lot) are submitted separately with grading plans and. are subject to additional
.requirements.
5. Attach an approved precise grading plan. for the building location(s i. AO flood zone
developments will require an approved floodplain development plan.
6. Attach an approved rough grading plan for the building location(s).
I have reviewed and confirmed the requirements listed above as presented and find the improvements
to be sufficiently complete for construction of the proposed building(s)/strucftze(s) on the subject
.lot(s). Pursuant to my dings, the ab o project may be released for building permit issuance.
1
Recommended by: Dated: 0 (o
Declined for approval for reason(s) as follow(s), please correct and resubmit:
TAPWDEPTISTAFF\Goble\Green Sheet PW Release\050824GREEN SHEET COVER.doc
MAIC729-2006 07:03 AM
P.01
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 7 of 8 CF4R
Project Address
i7
All floor joist cavity insulation installed to uniformly frt the cavity side-to-side and end-to-end
Builder Name
BU�5w ContactTelephone
NA
Insulation in contact with the subfloor or rim joists insulated
Plan Number
HERS Ratan
Df'
Telephone
Sample Grow Number
CC= Signom
O
No
Dpu,
Sample House Number
L. J:!
13
NA
HERS Provider
Street Address; 7
^ e G) ✓ , /
NA
City/statcrraip:
COPION to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was: ✓,Tested ✓ O Approved as part of sample testing, but was not tested
As the HERS rater providing diagooftio testing and field verification, I certify That the house identified on this form complies
with ell applicable requirement of the "High Quality Installation of Insulation" protocols as specified in the Residential
ACM, Appendix RH and as checked an this form. Note that to PASS and receive compliance credit, NONE of the BOXES
below may be checked "No" and the first three boxes also must be checked, Check "NA" only if the item is not part of the
design of the building (i.e., single story buildings do not have rimlolfts or there may be no recomed can lights installed, etcj.
✓ RI, REQUIREMENTS FOR ".HIGH QUALITY INSTALLATION OF INSULATION" COMPLIANCE CREDIT
✓ The building is wood fbamo construction with wall stud cavities. ceilings, and roof assemblies insulaned with
mineral fiber or celhdoae insulation in low -rife residential buildings.
✓ Description of insulation, (CF -6A, formerly 1C-1) signed by the installer stating: insulation ms's
natno, material ideatification. installed R -values, and for loose-fltl insulation: minimum weight per square
��foot and minimum inches.
✓ JdAnstallation Certificate, (CF -61t) Biped by the installer certifying that the installation treats all
applicable requirements as specified in the High Qualhy Insulation Installation Prooedm=
(ACM, Appendix RH),
✓ FLOOB
Yes
0
No
[st
NA
All floor joist cavity insulation installed to uniformly frt the cavity side-to-side and end-to-end
Yea
No
NA
Insulation in contact with the subfloor or rim joists insulated
Yes
No
NA
Insulation properly supported to avoid gaps, voids, and compression
✓ WALLS
es
O
No
O
NA
wall stud cavity insulation uai
ih` forahly fills the cavity slde•to,�de, top -to -bottom, and !tinct -to -back
XL
Yes
M
No
13
NA
No f
Y
Yes
NA
No voids over %" or mon than 10°�fi girls batt sufboe area.
O
Hard to access wall stud cavities such as; comer channels, wall intersections, and behind tub/shower
Yee1710
NA
enclosures insulated to R -Value `
Yea
d
No
a
NA
Small s'P°00s fiu«f
a
Yee
No
XL
NA
Rio- insulated
j oasts
'Yes
D
No
NA . I
well stud cavities caulked of foamed to provide an air tight envelope
Residential Compliance Fonm
.4pril2005
MAR. -29-2006 07:04 AM
CERTIFICATE OF FIEL1l) `'ERMCATION & DIAGNOSTIC TESTING
Prgjeat Address
z
Ao e.Z1
Builder
r ROOF/CEILING PREPARATION
tee No NA
❑ All draft stops in place to :form a continuous ceiling and wall air boarder
P.02
8 of 8) CF4R
Yea
No
NA
Ald drops covered with herd covers
Yee
0
No
NA
All draft " and hand covers caulked or foamed to provide an air tight oraelope
Yes
O
No
0
NA
All recessed light fixtures 1C esti air fight (Al) rated and sealed with a gaslact or caulk betwoca
bousinit and the ccium
Y�
No
NA
Floor cavities on multi le-
Flp ftry baiWinge have air tight dreg stops to all adjoining attics
O
p
NA
Insulation- incontact with the sit`barrier
Yee
No
IN
EaYe vel prepared for blown insuladon - maintain net iie.ventilatum arca
Yes
No
NA
Knee walls hnsalated or'prepared for blown insulation
Yea
No
NA
Anon under equipment platforms and-cat_wallm insulated or seoessible for blown insulation
]
roe
O
No
NA
Attic rulers installed
Yee
No
NA
No gape
�_
❑
Yee
No .
NA
No voids over'/. in, deep or mono than 10% of the but surlbce area
0.
a
Yes
No
NA
Insulation- incontact with the sit`barrier
Yee
No
NA
Recessed fight fixtures covered
�
d
o
Yes
No
NA
Not dee-ventilation arae maintained at Cave vents
YeeiVo INA haealation onifuenhly Covers the entire Ceiling (or rOOO area ROM the outside of all exterior walls
Yee No NA wee installed at eaves vents or soffit vests - maintain net fta ventilation area of ewe vent
O 0
Yee No NA Attic acoesa insulated
13 Q a—
Yes No
NA Recessed light Axettrea covered
Yee No A insulation et proper depth - iaeulatiasl rukre visible and Indicating WOW depth and R -value
Loose -fill mineral fiber iastdatJon meets or exceeds men>steoturbu'e haihvihnum weight and thickness
O 13 requirement for the target R-vahm. Target R-vWw
Yes No NA
minimum l+equired weight for the target R -value .: hdeaulhctumr e
foot . le we t (pow ds -pe 4quare
Manufactot+efb minimum foot).
Maauihcnne's minimum required thiolmees required sealed thiat time of inataUmtion (room)
loose -fill ickness (inches). Number of days since
neulatlon was Installed (days). At the time of installation, the insulation
O OShall e d Vesta than or equal to the ma d"WW's miniamm initial insulation thickness. If the HERS
Yea No A eri
vly the insuledon at the time of inetellstion, and if the loose -fill insulation has been in
Place less thea seven days the thielm as shall be greater thorn the manufacturer's minimum acquired
thiolmess at the time of inatallatioet ler 1/2 inch to account for settling. if the insulation has been in
Place for seven days or longer the insulation thickmees shall be VWW than or equal to the
manufa to minimum Bottled thielmeres. Minimum thtcJmese
measured (inches).
Rsstder 1tal Compliawe Force
4HI2005