BRES2016-0169 Revision 1n = 1 i.8 i
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urat.in, nr
PERMlT #
PLAN LOCATION:
Project Address: '�1 $ �210 ITYW L-0,` k
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
51A { 61n r I L/
� r
Applicant Name:
Address: 11A - 0 �cQ{
City, ST, Zip: ARU;
Telephone: 2 $ 12
Email: 0 GD•
O � G
Valuation of Project $
Contractor Name: G� New SFD Construction:
Address: Conditioned Space SF
City, St, Zip Garage SF
Telephone: Patio/Porch SF
Email: Fire Sprinklers SF
State Lic: City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Bedrooms: Stories: # Units:
Telephone:
Email:
State Lic: City Bus Lic:
Property Owner's Name: J' f
New Commercial / Tenant Improvements:
Address: _
Total Building SF
City, ST, Zip ; . •
Construction Type: Occupancy:
Telephone:
Email: , ��
l L
/8495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
H ►-s
OFFICE USE ONLY
#
Submittal
Plan Sets
Req'd
Req'd
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
RECEIVED
DEC 19 2018
12ev 14; 10N #
�,�FSZol6- ofbq
ram,-
C'gUi D NQUINT DIVISION
I REVI CODE FOR
CpMpUANCE
QATE
ROOFM MATERIAL
R.TB SPRAY FOAM INSULATION
UNVENTILATED ATTIC
AIR SPACE
SHEATHING
CEILING / ROOF / INSULATION DETAIL
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
Mike Mendoza
,,,,Qc51gn Princlpal
2O2
GA 92Y 1 f
Cd IH. I {7,5-M M,1,5If.
I)Fpcc
FRAMING ftp)
JONES RESIDENCE
48720 SAN LUCAS STREET
LA QUINTS, CA 92263 10
Tnu ,ea�- �� }
�_ .. of California
82585 SHOWCASE PARKWAY
SUITE D104
INDIO, CA 92203
760-262-6400- PHONE
760-262-3501- FAX
WWW.TRUTEAM.COM
CSLB# 1034361
RE: LOT 59, SAN LUCAS ST., LA QUINTA, CA 92253
To Whom It May Concern,
TruTeam of CA has installed the following insulation listed below to a depth to match R-Value as
prescribed in the approved plan(s):
CA FLAT R-38 ICYNENE OPEN CELL SPRAY FOAM
EXT. WALL R-21 UHP BATTS
SOUND WALL R-21 UHP BATTS
GARAGE CA R-38 UNF BATTS
GARAGE EW R-21 UHP BATTS
Please feel free to contact our office at the number listed above should you have any questions or
concerns.
Best Regards,
Stephanie Aguilar
Operational Support Specialist
RECEIVED
DCC �% 0, 2018
>' ALA 2
E-UP ENT
44101.el-j
INSTALLATION CERTIFICATE CF-6R-ENV-01
-Envelope — Insulation; Roofing; Fenestration (Page 1 of 3)
Site Address: Enforcement Agency: Permit Number:
LOT 59, SAN LUCAS ST. LA QUINTA
If more than one person has responsibilityfor installation of the items on this certificate, each person shall prepare and sign a certificate
applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibilityfor construction shall
prepare and sign this certificate for the entire construction. All applicable Mandatory Measures with check boxes require to be checked to ensure
the mandatory measures have been met.
Description of Insulation
1. RAISED FLOOR
Material: Brand Name:
Thickness (inches): Thermal Resistance (R-Value):
❑ § 150(d): Minimum R-13 insulation in raised wood -frame floor or equivalent U-factor.
2. SLAB FLOOR/PERIMETER
Material: Brand Name:
Thickness (inches): Thermal Resistance (R-Value):
Perimeter Insulation Depth (inches):
❑ § 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)
BATT
b.. Insulation Type (e.x. Batt, Loose Fill, Spray Foam)
Brand: KNAUF
a. Thermal Resistance (R-Value): R-21
b. Thermal Resistance (R-Value):
Spray/Loose fill) Installed Actual Thickness Spray/Loose fill)
(inches): Contractor's min installed weight/ftz 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:
Thickness (inches)
4. FOUNDATION WALL
Material:
Thickness (inches):
5. CEILING
Brand Name:
Thermal Resistance (R-Value)
Brand Name:
Thermal Resistance (R-Value):
Batt or Blanket Type: Brand Name:
Loose Fill Type: Thermal Resistance (R-Value): R-38
Spray Foam Type: OPNE CELL Brand Name: ICYNENE
Installed Actual Thickness (inches):10.5" Contractor's min installed weight/ft'
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value):
❑ § 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: Brand Name:
Thickness (inches): Thermal Resistance (R-Value):
❑ § 118(a): Insulation installed meets Standards for Insulating Material.
❑ § 150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16.
lb
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-ENV-01
Envelope — Insulation; Room ; Fenestration (Page 2 of 3)
Site Address: Enforcement Agency: Permit Number:
iLOT 59, SAN LUCAS ST. LA QUINTA
—Description of R ofing Products
CRRC Product ID
Manufacturer
Product
Roof
Roof
Product
Initial Solar
Aged Solar
Thermal
Number'
Information
Brand/Model
Type
Area
Sloe
2
Weight
Reflectance
Reflectance'
Emittance
❑3
1:13
r-3
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council 's Rated Product Directory at
ww. coolroofs. org/products/search.php
2. The weight in lbs per square feet of the roofing product being installed.
3. Check box if the Aged Reflectance is a calculated value using the equation below, footnote 4.
4. If the 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(o;,,ir; — 0.2) to obtain a calculated aged value.
✓19CHECK APPLICABLEBOX BELOWIFEXEMPTFROM THE ROOFING PROD UCT "COOL ROOF "REQUIREMENT:
❑ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from the above Cool
Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 IbM2 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 of 20 mils across the entire roof surface and
meet minimum performance requirements listed in 118 3 and Table 118-C. Select the a ltcabte cmiin
0 Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating Other
✓ 0 CRRC-1 Label Attached to CF-6R
(Note if no CRRC-1 label is available, this compliance method cannot be used and another method is required to meet compliance).
FENESTRATION/GLAZING
Item
Manufacturer/Brand Name
GROUP LIKE RODUCTS)
Product
U-
factor'
Product
SHGC`
#
of
Panes
NFRC
Certified' Z((Optional)
Total Quantity
of Like Product
Area
ft2
Add. Exterior
Shading Dev.
or Overhang
Comments/
Location/ Special
Features
1
2
3
4
5
6
7.
8.
1. Use values from a fenestration product's NFRC Certified Label. For fenestration products without an NFRC label. use the default values from Section 116, Table
116-A and 116-B of the 2008 Energy Efficiency Standards.
2. NFRC Label Certificates shall not be renroiwd rtmd the building inspector has verified the efficiency. Enter Yes or No.
❑ § 116(a)1: Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
13 § 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 of Compliance (Form CF-1R).
❑ § 116(a)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)
13 § 117: Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-ENV-01
-Envelope — Insulation; Roofing; Fenestration (Page 3 of 3)
Site Address: Enforcement Agency: Permit Number:
LOT 59, SAN LUCAS ST. ILA QUINTA
DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative
of the person responsible for construction (responsible person).
• I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms
to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement
agency.
• I reviewed a copy of the Certificate of Compliance (CF-1R) form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF-1R that apply to the installation have been met.
• I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building
permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a
signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building
owner at occupancy.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
TRUTEAM OF CALIFORNIA, INC.
Responsible Person's Name:
Responsible Person's Signature:
STEPHANIE AGUILAR
STEPHANIE AGUILAR
CSLB License:
Date Signed:
Position With Company (Title):
1034361
19/21/18
Operations Support Specialist
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE
CF-6R-ENV-2I-HERS
Quality Insulation Installation (QII) - Framing Stage Checklist (Page 1 of 2)
Site Address: LOT 59, SAN LUCAS ST Enforcement Agency: LA QUINTA Permit Number:
Insulation Installation II Framing Stage Checklist
Air barrier and preparation for insulation verification inspection must be done atfi•aming stage before insulation is installed. If there are
any "No " answers rows not filled out or signatures missing then this is not valid form and cannot be accepted by the building department
or HERS rater. Ifspray foam is used, then an air barrier is not required and NA would be checked. QII credit not allowed if any steel
fryn&4g or structural -anij�that are in the %calls o a conditioned s Ace.
FLOOR AIR BARRIER
a i
t
t
All gaps in the raised floor to unconditioned space or to outside larger than 1/8" filled with foam or
caulk. (NA if SPF)
t
• 0
All openings on a second floor including under a tub where the drain penetrates the floor are sealed
WALLS AIR BARRIER
t 0�
ye4,
t
NO
I
NA
All gaps in wall exterior sheathing to unconditioned space or to outside larger than 1/8" filled with
foam or caulk. A if SPF
't 3
'Yemi
t
No
t
NA
No gaps in sheathing against the garage, attic, or covered patio. All gaps larger than 1/8" filled with
foam or caulk. A if SPF
d
Veq "_
All gaps in Rim joists in interior and exterior walls to the outside including holes drilled for electrical
and plumbing larger than 1/8" filled with foam or caulk. (NA if SPF)
t
Rope caulk, foam gasket, or caulking bead around the entire sole plate of the home
4D
f
No
t
NA
All gaps around the windows are caulked or foamed (stuffing with fiberglass not acceptable)
I
ATTIC INSPECTION
Yes
No
N ,
Attic rulers appropriate to the material installed evenly throughout the attic to verify depth.
(NA if SPF or batt)
t
'Yes
f
No
t
NA
Attic area s ft_ =
Number of rulers actually installed NA if SPF or batt
t ■ ,
ALL rulers visible from attic access. (NA if SPF or batt)
Yes
No
+
Eave vents baffles installed at all eave vents to prevent air movement under or into
insulation. (NA if SPF)
.t
Yes
t
No
S
NA
Area of eave vent baffle is the same or larger than the net free -ventilation area of the eave
vent. (NA if SPF)
CEILING
AIR BARRIER
Yes
No
t ■ �
All draft stops in place to form a continuous ceiling air barrier no gaps larger than 1/8". (NA if SPF)
t
'Yes
't
No
f
NA t
All drops covered with hard covers. Gaps around or in the hard cover larger than 1/8" filled with
foam or caulk. (NA if SPF).
0,
t
All recessed light fixtures in non -conditioned space are IC rated and air tight (AT)
No
All recessed light fixtures are sealed with a gasket or caulk between the housing and the ceiling
f
Openings around flue shafts fully sealed with solid blocking or flashing and any remaining gaps
sealed with fire -rated caulk or sealant.
t
Nn
Piping shaft openings fully sealed and caulked
.a.
t
No
Penetrations from wiring in interior walls, electrical boxl255es, fire alarms etc. sealed with caulk or sealant
All duct chases, fireplace chases, and double walls sealed air tight at the ceiling level. All gaps into shafts larger
than 1/8" filled with foam or caulk. Special attention paid to ducts entering shafts from ceiling.
Registration Number: Registration Date/Time: _ _ _ HERSProvider
2008Residential Compliance Forms March 2010
Quality Insulation Installation (QII) - Framing Stage Checklist
Site Address: LOT 59, SAN LUCAS ST Enforcement Agency: LA QUINTA
(Page 2 of 2)
Permit Number
GARAGE /CEILING AIR BARRIER FOR TWO STORIES (no conditioned space over garage)
f
Air barrier installed at joists in garage to house transition (between floors). No gaps larger than 1/8"
yes
allowed. Use of SPF satisfies the requirement to seal the gaps.
GARAGE /CEILING
AIR BARRIER FOR TWO STORIES conditioned space over. ara e)
If insulation is to be installed at subfloor then subfloor has no gaps over 1/8". Air barrier installed at
Yes
No
NA
joists in garage to house transition (between floors). Use of SPF satisfies the requirement to seal the
gaps.
If insulation is to be installed at ceiling of garage then ceiling and joists to the outside have no gaps
over 1/8". (NA if SPF or no conditioned space over garage.)
DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• All rows in this document have been checked and all answers are yes or NA
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
representative of the person responsible for construction (responsible person).
• I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation)
confomis to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am
required to take corrective action at my expense. I /understand that Energy Commission and HERS provider representatives will also
perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS
rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and
additional checking/testing of other installations in that HERS sample group will be performed at my expense.
• I reviewed a copy of the Certificate of Compliance (CF-1R) form approved by the enfomnntent agency that Wen[Ifws the specific
requirements for the installation. I certify that the requirements detailed on the CF-1R that apply to the installation have been met.
• I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building
permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the
building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for
multi ie orientation alternatives, ana bLginning Uctober L Lulu ror all tow -rise reslaentlat Dultain
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
TruTeam Of California INC.
Responsible Person's Name: Responsible Person's Signature:
Stephanie Aguilar $00an1e aq
.qullat
CSLB License: Date Signed: Position With Company (Title):
1034361 09/21/18 ACCT REP
Registration Number: Registration Date/Time.
2008 Residential Compliance Forms
HERS Provider:
March 2010
INSTALLATION CERTIFICATE CF-6R-ENV-22-HERS
Quality Insulation Installation (QH) - Framing Stage Checklist (Page 1 of 2)
Site Address: LOT 59, SAN LUCAS ST. Enforcement Agency: LA QUINTA Permit Number:
Overview - In order for batt and blown in insulation to work correctly the insulation must fill the wall cavity and touch the air barrier
with no gaps or voids. Ceiling and raised floor batt and blown in insulation must not be compressed and have no gaps or voids. Q11
credit not allowed if any steel framing or structural framing that are in the walls of a conditioned space.
Insulation Stage Checklist - FLOOR INSULATION
t
`
All floor joist cavity insulation installed to uniformly fit the cavity side -to -side and end -to -end. (NA if floors
slab on grade).
t
yrs
t
No
'to
NA
Insulation in full contact with the subfloor, NO gaps. (NA if floors are slab on grade).
t
t
t f
Insulation in contact with air barrier on all five sides. (ends, sides, back). NA if floors are slab on grade.
i
Batts cut to fit around wiring and plumbing, or split (delaminated). (NA if loose fill, SPF, or slab on grade).
,L
I
■
Batt insulation has continuous support. (NA if loose fill, SPF, or slab on grade).
-f
'Yes
,f
No
f 0
Nti
SPF (Spray Polyurethane Foam Medium Density) insulation the average thickness is equal to or greater than that
listed on the CF-1R and the minimum thickness shall be no more than 1/2 inch less than the required thickness
for the R-value. A for other forms of insulation).
i
,L
I
Insulation R-value same or greater than listed on the CF-1R.
t
SPF insulation properly adhered to avoid gaps and provide an air seal (NA for other forms of insulation).
Yes
No
h
For SPF list the required floor cavity R-value from CF-IR, R=
List tested average depth of insulation (inches) X 5.8 (R-value/inch for medium density SPF) _
(R-value). This is the installed R-value and must be equal to or greater than listed on CF-1R (NA for other fomrs
of insulation).
WALL INSULATION
It ■
't
t
Standard depth cavities insulation fills cavity and touches air barrier on all six sides. (NA if SPF used and
meets the required R-value).
t
It
f
All double walls and bump -outs, the insulation fills the cavity or additional air barrier installed so that the
insulation fills the cavity. Insulation touches all six sides. (NA if SPF used and meets the required R-
y * ,
Nn
Behind tub/shower, walls under stars, and fireplace, insulation touches air barrier on five sides. Not required to
fill the space. Cavity required to be air tight.
BATTS, not a single void/depression deeper than 34' in ANY stud bay. (NA if loose fill or SPF)
,t ■
t
,t
BATTS, voids/depressions less than 3/4" allowed as long as the area is not greater than 10% of the surface
area for each stud bay. (NA if loose fill or SPF).
'to .
Loose Fill no gaps or voids of any depth allowed. (NA if batts or SPF).
t+
SPF insulation properly adhered to avoid gaps and provide an air seal (NA for other forms of insulation).
�.'
Vas
'NJ
Any gaps between studs or insulation larger than 1/8" must be filled with insulation or foam.
t
All Rim joists to the outside insulated.
Yes
t
ND
Special attention must be paid to comer channels, wall intersections, and behind tub/shnwer enclosures
insulated to proper R-Value.
VP)
Vn
All skylight shafts and attic kneewalls insulated with minimum R-19.
to
es
t
INo
t
NA
Insulation in full contact with drywall or wall finishes of skylight shafts and attic kneewalls.
Registration Number: Registration Date/Time:
2008 Residential Compliance Forms
HERS Provider:
March 2010
INSTALLATION CERTIFICATE CF-6R-ENV-22-HERS
Site Address: LOT 59, SAN LUCAS ST. Enforcement Agency: LA QUINTA Permit Number:
r:
ye�
T
No
Wall insulation same or better than what is listed on the CF-1R.
.t
f
t r
SPF list the required wall cavity R-value from CF-1R, R-20_. List tested average depth of
Yes
No
NA
insulation (inch) X 5.8 (R-value/ nch for medium density SPF) = _ (R-value) This is the
installed R-value and must be equal to or greater than listed on CF-1R (NA for other forms of
insulation)
t
t
t r
SPF (Spray Polyurethane Foam Medium Density) insulation the average thickness is equal to or greater than that
Yes
No
NA
listed on the CF-1R and the minimum thickness shall be no more than 1/2 inch less than the required thickness
for the R-value. (NA for other fowls of insulation)
CEILING
INSULATION
Yes
r
BATTS there must not be a single gap/void/depression deeper than 3/4". (NA if loose fill or SPF).
t
-f
r
BATTS voids/depressions less than 3/4" allowed as long as the area is not greater than 10% of the surface
Yes
ISTO
area for each stud bay. (NA if loose fill or SPF).
t
t
NO gaps or voids allowed for loose fill and SPF. (NA if batts).
t r
t
All ceiling insulation installed to uniformly fit the cavity side -to -side and end -to -end.
f r
t
Insulation in full contact with the ceiling, NO gaps.
Insulation in contact with air barrier on all five sides.
t
Batts cut to fit around wiring and plumbing, or split (delaminated). (NA for loose fill or SPF).
r)
Batts taller than the trusses must expand so that they touch each other over the trusses. (NA for loose fill or
Yes
NA
SPF).
t
l
SPF insulation properly adhered to avoid gaps and provide an air seal (NA for other forms of insulation)
'Yt0
Vo
�•r
't
I
Insulation fully fills cavity below any plywood platform or cat -walk. If SPF used then
'T ..a
1No
NA
minimum 3 inches. (NA if no platforms or cat -walks)
r
Attic access gasketed
rr
f
Attic access insulated with rigid foam or batt insulation using adhesive or mechanical fastener.
Bs
No
R-value same as ceiling R-value listed on CF-lR
40
t
Recessed light fixtures covered full depth with insulation. If SPF used then other forms of insulation used to
es
No
cover or enclosed in a box fabricated from 1/2-inch plywood, 18 ga. sheet metal, 1/4-inch hard board or
Roof insulation same or better than what is listed on the CF-1R
t r
Loose Fill Insulation at proper depth — insulation rulers visible and indicating proper depth and R-value for
Yes
No
A
blown in insulation. (NA for batts or SPF).
•t
t
j r
Loose Fall Insulation uniformly covers the entire ceiling (or roof) area from outside of all exterior walls. (NA
Yes
No
H
for batts or SPF).
Loose -fill insulation meets or exceeds manufacturer's minimum weight and thickness requirements for the
NA
target R-value. Target R-value. Manufacturer's minimum required weight for the target R-value. R 38
(pounds -per -square foot)... Manufacturer's minimum required thickness at time of installation.
No
r
Manufacturer's minimum required settled thickness. Note: To receive compliance credit the HERS rater
Yes
shall verify that the manufacturer's minimum weight and thickness has been achieved for the target R-value.
(NA for batts or SPF).
Registration Number: Registration Date/Time: HERSProvider:
2008 Residential Compliance Forms
March 2010
INSTALLATION CERTIFICATE CF-6R-ENV-22-HERS
Site Address: LOT 59, SAN LUCAS ST. Enforcement Agency: LA QUINTA Permit Number:
SPF list the required ceiling cavity R-value from CF-1R, R- —List tested average depth of insulation-4—
Yei
]NO
NA
in X 5.8R = R this is the installed R-value and must be equal to or greater than listed on CF-1R (NA for
other forms of insulation)
0
SPF insulation must be covered with other forms of insulation or enclosed in a box fabricated from 1/2 inch
Yes
No
NA
plywood, 18 gauge metal, 1/4 inch hard board or drywall. The exterior of the box may then be insulated with
SPF.
.J
SPF insulation the average thickness is equal to or greater than that listed on the CF-1R and the minimum
Vej
Yes
No
No
FNAthickness
shall be no more than 1/2 inch less than the required thickness for the R-value. (NA for other fomis of
insulation
GARAGE ROOF/CEILING
INSULATION FOR TWO STORIES (no conditioned space over garage)
Lt
Insulation installed at joists against the air barrier in the garage to house transition. All wall insulation
Yes
requirements above must be met. (NA if conditioned space over garage).
GARAGE ROOF/CEILING
INSULATION FOR TWO STORIES(conditioned space over garage)
If insulation is to be installed at subfloor then the insulation must also be installed at joists against the air
Yes
No
M. l
barrier in the garage to house transition. All ceiling and wall insulation requirements above must be met. (NA if
no conditioned space over garage).
If insulation is to be installed at ceiling of garage then the joists to the outside must be insulated and all the
0)
insulation requirements listed above must be met. (NA if no conditioned space over garage).
DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• I have read the High Quality Insulation Installation Procedures (Residential Appendix, RA3.5), understand these procedures, and
understand that there are additional requirements than must be met than those listed on this CF-6R.
• All rows in this document have been checked and all answers are yes or NA
• 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
representative of the person responsible for construction (responsible person).
• I certify that the installed features, materials, cDmponerrtss, or manufactured devices identified on this certificate (the installation)
conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• I understand that a HERS rater will be checking the installation and that if such checking identifies defects, I am required to take
corrective action at my expense. If the installation is part of a sample group for HERS verification, and the installation fails to meet
the requirements of such quality assurance checking, additional checking/testing and repair of other installations in the HERS
sample group will be required at my expense. I understand that the HERS provider, and Energy Commission representatives will
also be performing checks of the installation on jobs not tested by the HERS rater.
• I reviewed a copy of the Certificate of Compliance (CF-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-1 R that apply to the installation have been met.
I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building
permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the
building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for
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Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
TruTeam of California INC.
Responsible Persons Name: Responsible Person's Signature:
Stephanie Aguilar Su�•'d=
CSLB License: 1034361 Date Signed: 9/21/18 1 Position With Company (Title):
Registration Number: Registration Date/Time:
2008 Residential Compliance Forms
HERS Provider:
March 2010