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06-3410 (MFD5) CF-6R InstallationSo Cal HERS Raters 4840 Normandie Place La (Mesa, CA 91941-4545 Tel: 619-251-7982 Fax: 888-826-9536 Project: Brown Construction Vista Dune Palms La Quinta, CA RATERS WWW.SOCAL_HERS,COM Field Report No. 7 October 21, 2008 On October 21, 2008 So Cal HERS Raters conducted a site visit to the above project. The purpose of this visit was to observe the insulation installation and perform the Quality Insulation Installation / Thermal Bypass Checklist Inspection and identify any areas not passing. The following parties were present: Chris Gianunzio, Brown Construction, Inc. (BCI) Juan Gonzalez, So Cal HERS Raters (SCH) Kevin Rasmussen, So Cal HERS Raters (SCH) The following observations were made on the jobsite, and/or discussed in the jobsite trailer. ` Chris G. requested we come out and verify the insulation at the exterior walls on C building 3200 and look at the attics and lids in building 5200. The insulation we looked at passed the QII/TBC requirements. We also successfully verified building 3300 and verified the air barrier was aligned with the insulation behind the plumbing. For references, insulators and builders can learn more about California's Title-24 credit for High Quality Installation of Insulation by visiting the following websites: Videos http://www.buildingmedia.com/naima/videos.htmi Appendix RH httr)://www-energy.ca.gov/title24/2005standards/residential acm/2005 RES ACM APP RH.PDF Energy Star Thermal Bypass Checklist Guide Version 1.1 htto://www.energystar.gov/ia/partners/bldrs lenders raters/downloads/TBC Guide 062507 pdf This concludes field report 7 for Brown Construction, Inc. �c CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 7 of 8) CF-4R Project Title: La Quinta Dune Palms Quality Insulation Date: 1/20/2008 oject Address: 47-795 Dune Palms Rd. Bid# 5200 La Ouinta CA 92253 Builder Name: CVHC Builder or Installer Contact: Telephone: Permit or Plan No. CVHC 800-689-4663 06-3410 HERS Rater: Telephone: Sample Group No. Kevin Rasmussen CCNKR350475 619-251-7982 Not Sam led Certifying Signature: Date: Sample House No. 1/20/2008 Not Sam led Firm: HERS Provider: So Cal HERS Raters CHEERS& Street Address: City /State /Zip 4840 Normandie Place La Mesa, CA 91941 Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY HERS RATER COMPLIANCE STATEMENT This house was: ✓ ® Tested ✓ ❑ Approved as part of a sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with all applicable,r'equirements of the "High Quality Installation of Insulation" protocols as specified in the Residential ACM, Appendix RH and as checked on 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 rim joists or there may be no recessed can lights installed, etc.). ✓ ® REQUIREMENTS FOR "HIGH QUALITY INSTALLATION OF INSULATION" COMPLIANCE CREDIT ✓ ❑ The building is wood frame construction with wall stud cavities, ceilings, and roof assemblies insulated with mineral fiber or cellulose insulation in low-rise residential buildings. ✓ ® Description of insulation, (CF-6R, formerly IC-1) signed by the installer stating: insulation manufacturer's name, material identification, installed R-values, and for loose -fill insulation: minimum weight per square f foot and minimum inches. �` ✓ ® Installation Certificate, (CF-6R) signed by the installer certifying that the installation meets all applicable requirements as specified in the High Quality Insulation Installation Procedures ACM Appendix RH . ✓FLOOR ❑ ❑ 1 ® All floor joist cavity insulation installed to uniformly fit the cavity side -to -side and end -to -end YES No NA ® ❑ ❑ Insulation in contact with the subfloor or rim joists insulated YES No NA ❑ ❑ ® Insulation properly supported to avoid gaps, voids, and compression YES No NA ✓WALLS ® ❑ ❑ Wall stud cavity insulation uniformly fills the cavity side -to -side, top -to -bottom, and front -to -back YES No NA ® ❑ ❑ No Gaps YES No NA ® ❑ ❑ No voids over 3/4" deep or more than 10% of the batt surface area. YES No NA ® ❑ ❑ Hard to access wall stud cavities such as; corner channels, wall intersections, and behind YES No NA tub/shower enclosures insulated to proper R-Value ® ❑ ❑ Small spaces filled YES No NA ® ❑ ❑ Rim -joists insulated DES No I NA ® ❑ ElWall I stud cavities caulked or foamed to provide an air tight envelope. YES No NA CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 7 of 8) CF-4R Project Title: La Quinta Dune Palms Quality Insulation Date: 1/20/2008 3ject Address. 4.7.795 Dune Palms Rd. Bld# 5200 La Quinta, CA 92253 Builder Name: CVHC Builder or Installer Contact: Telephone: Permit or Plan No. CVHC 800-689-4663 06-3410 HERS Rater: Telephone: Sample Group No. Kevin Rasmussen CCNKR350475 619-251-7982 Not Sam led Certifying Signature: Date: Sample House No. 1/20/2008 Not Sampled Firm: HERS Provider: So Cal HERS Raters CHEERS R Street Address: City / State / Zip 4840 Normandie Place La Mesa CA 91941 Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY HERS RATER COMPLIANCE STATEMENT This house was: ✓ ® Tested ✓ ❑ Approved as part of a sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with all applicable requirements of the "High Quality Installation of Insulation" protocols as specified in the Residential ACM, Appendix RH and as checked on 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 rim joists or there may be no recessed can lights installed, etc.). ✓ ® REQUIREMENTS FOR "HIGH QUALITY INSTALLATION OF INSULATION" COMPLIANCE CREDIT ✓ ® The building is wood frame construction with wall stud cavities, ceilings, and roof assemblies insulated with mineral fiber or cellulose insulation in low-rise residential buildings. ✓ ® Description of insulation, (CF-611, formerly IC-1) signed by the installer stating: insulation manufacturer's name, material identification, installed R-values, and for loose -fill insulation: minimum weight per square foot and minimum inches. ✓ ® Installation Certificate, (CF-6R) signed by the installer certifying that the installation meets all applicable requirements as specified in the High Quality Insulation Installation Procedures (ACM, Appendix RH). ✓FLOOR ❑ ❑ 1 ® All floor joist cavity insulation installed to uniformly fit the cavity side -to -side and end -to -end YES No NA ® ❑ ❑ Insulation in contact with the subfloor or rim joists insulated YES No NA ❑ ❑ ® Insulation properly supported to avoid gaps, voids, and compression YES No NA ✓WALLS ® ❑ ❑ Wall stud cavity insulation uniformly fills the cavity side -to -side, top -to -bottom, and front -to -back YES No NA ® ❑ ❑ No Gaps YES No NA ® ❑ ❑ No voids over 3/4" deep or more than 10% of the batt surface area. YES No NA ® ❑ ❑ Hard to access wall stud cavities such as; corner channels, wall intersections, and behind YES No NA tub/shower enclosures insulated to proper R-Value ® ❑ ❑ Small spaces filled YES No NA ® ❑ ❑ Rim -joists insulated ES No NA ® LY ❑ El Wall stud cavities caulked or foamed to provide an air tight envelope. ES No NA CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 8 of 8 CF-4R )ject Address 47-795 Dune Palms Rd. Bid# 5200 La Quinta, CA 92253 Builders Name CVHC v'Roo /Ceilling Pre ® ❑ ❑ All draft stops in place to form a continuous ceiling and wall air barrier. YES No NA ® ❑ ❑ All drops covered with hard covers YES No NA ® ❑ ❑ All draft stops and hard covers caulked or foamed to provide an air tight envelope YES No NA ® ❑ ❑ All recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between YES No NA the housing and the ceiling ® ❑ ❑ Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics YES No NA ❑ ❑ ® Eave vents prepared for blown insulation - maintain net free -ventilation area YES No NA ❑ ❑ ® Knee walls insulated or prepared for blown insulation YES No NA ❑ ❑ ® Area under equipment platforms and cat -walks insulated or accessible for blown insulation YES No NA ❑ ❑ ® Attic rulers installed YES No NA Zoo /Ceiling Batts ® ❑ ❑ No Gaps YES No NA ® ❑ ❑ No voids over 3/4 in. deep or more than 10% of the batt surface area. YES No NA ® ❑ ❑ Insulation in contact with the air -barrier YES I No NA ® ❑ ❑ Recessed light fixtures covered YES No NA ❑ ❑ ® Net free -ventilation area maintained at eave vents YES No NA v/Roo /Ceiling Loose Fill ® ❑ ❑ Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls. YES No NA ❑ ❑ ® Baffles installed at eaves vents or soffit vents - maintain net free -ventilation area of eave vent YES No NA ❑ ❑ ® Attic access insulated YES No NA ❑ ❑ ® Recessed light fixtures covered YES No NA ❑ ❑ ® Insulation at proper depth - insulation rulers visible and indicating proper depth and R-value YES No NA Loose -fill insulation meets or exceeds manufacturer's minimum weight and thickness requirements for the target R-value. Target R-value . Manufacturer's minimum required weight for the target R-value (pounds -per -square -foot). Manufacturer's ❑ ❑ ® minimum required thickness at time of installation . Manufacturer's minimum YES No NA required settled thickness . Note: To receive compliance credit the HERS rater shall verify that the manufacturer's minimum weight and thickness has been achieved for the target R-value. (CF-6R only) INSTALUTION CERTMCA.11 Site Address (Pw 1 of 121 CF-bp' Permit Number Installation certificates (CF-6R) are requited for each and every dwciling unit. When the installation of measures that require field verification and diagnostic testing is complete, the builder or the builder's subcontractor shall complete diagnostic testing and the procedures specified in this section. When the installation is complete, the builder or the builder's subcontractor shall complete the CF-611 (nsrallation Certificate), and keep it at the building site for review by the building depa-rment. The builder also shall provide a copy of the Installation Certificate to the HERS rater for any treasures requiring field verification and diagnostic testing, ver Section 10-103(a) WATER HEATING SYSTEMS - Heater Tvoe l��s CEC Certified Mfr Nsme & Model Number �� smrN Distribution Type (std. Point- of-Us4 etc) — If Recirculation, Control Tyve # of Identical svnenu E Rated Input (kW or Bt&hr)� Jr0 OQO 'rah; Volume (aallleas) TU lffficicnoy (EF, RE)' Strndby Loss M l� External Insulation fR-value �i —I 1 I 1 For small gas storage (rated input of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor (EF). For large gas storage - ater heaters (rated input of greater than 75,000 Btu/hr), list Recovery (RE), Thermal 1 fnciency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Thermal Efficiency and Rated Input, 2. R-12 externaI insulation is mandatory for storage water heaters with an energy factor of less than 0,55. Kitchen Piping: If indicated on the CFA R, all hot water piping ? 3/4 inches in diameter that runs from the hot water source to the kitcbm fixtures is insulated. Faucets & Shower Beads: All faucets and showerheads installed are certified to the Energy Commission, pursuant to Title 24, Part 6, Section 111. Central Water 'Heating in Buildings with Multiple Dwelling Units (required for prescriptive) ❑All hot water piping in main circulating loop is insulated to requirements of § 150G) ❑Central hot water systems serving six or fewer dwelling units which have (1) less than 25' of distribution piping outdoors; (2) zero distribution piping underground; (3) no recirculation pump; and (4) insulation on distribution piping that meets the requirements of Section 150a) ❑Central hot water systems serving more than 6 dwelling units - presence of either a time control or a time/temperature control f ❑ I, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF-1 R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance E, ffrcien:�, Regularions or Part 6), where applicable. Copies to; BUILDING DEPARTMENT, RTRS RATER (IF APPLICABLE) BUILDSNG OWKER AT OCCUPANCY INSTALLATION CERTIFICAU (rage X of 1Z) CFo Site Address ,,,�,,, XT - _ - ... . -... - 41 d Installation certif cafes (CF-fiR) are requn ed for each and everywelling unit. When the installation of measures that require field verification and diagnostic testing is complete, the builder or the builder's subcontractor shall complete diagnostic testing and the procedures specified in this section. When the installation is complete, the buuilder or the builder's subcontractor shall complete the CF-6R (Installation Certificate), and keep it at the building site for review by the building department. The builder also shall provide a copy of the Installation Certificate to the HERS rater for any measures requiring field verification and diagnostic testing, per Section I0-103(a). WATER HEATING SYSTEMS: Heater Tyoe CEC Certifiod MfrName Model Number Disnibation Type (Std, Point- of-Usc, etc) �TD If Recirculation, Control Type r of Idcatical svatrns Rand Inpat (kW or Bt%T )1(gallons Tank Volume Efrlcicncy (EF, RO Smndby Loss (%)Z External Insulation A-valua TN i i 1 For small gas storage (rated input of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor (EF), For large gas storage water heaters (rated input of greater than 75,000 Btulhr), list Recovery (RE), Thermal Efficiency, Standby Loss and Rated Input, For instantaneous gas water heaters, list Thermal Efficiency and stated Input. 2. R-12 external insulation is mandatory for- storage water heaters with an energy factor of less than 0. 5 8. Kitchen Piping: If indicated on the CF-1 R, all hot water piping ? 3/4 inches in diameter that runs from the hot water source to the kitchen fixtures is insulated. Faucets & Shower Heads: All faucets and showerheads installed. are cerdfied to the Energy Commission, pursuant to Title 24, Part 6, Section 111. Central Water Heating in Buildings with Multiple Dwelling Units (required for prescriptive) ❑All hot water piping in main circulating loop is insulated to requirements of § 1500) ❑Central hot water systems serving six or fewer dwelling units which have (1) less than 25' of distribution piping outdoors; (2) zero distribution piping; underground; (3) no recirculation pump; and (4) insulation on distribution piping that meets the requirements of Section 1500) :]Central hot water systems serving more than 6 dweIling units - presence of either a time control or a time/temptrdcure control ✓ Q I, the undersigned, verify that equipment listed above my signature is; 1) the actual equipment installed; 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF-IR) submitted for compliance with the 5nerg Ef ciency Standaras for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for mannfacturtd devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Copies to: BUILDING DEPARTMENT, iTERS KATER (rF APPLICABLE) BUILDING OV TTR AT OCCUPANCY INSTALLATION CERTIFICATE (Page 2 of 12) CF-69 Site Address Permit Number 47-795 Dune Palms Rd, La Quinta, Ca BLDG - 5200 1 06-3410 An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a).. FENESTRATION/GLAZING: Item I. Manufacturer/Brand Name (GROUP LIKE RODUCTS Pella/Impervia Product U-faclort (5 CF-IR value) - 31 Product SfiGCt , (<_CF-lR value)- 32 1t of Panes 2 Total Quantity of Like Product (O rionn Area Square Feet Exterior Shading Device or Overhang N/A Comments/Location/ Special Features 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. I5. 'l Use values from a fenestration product's NFRC label., For fenestration products without an NFRC label, use the default values from Section 116 of the Energy Efficiency Standards. ,1 Installed U-factor must be less than or equal to values from CF-I R. Installed SHGC must be less than or equal to values from CF-1 R, or a shading device (exterior or overhang) is installed as specified on the CF-I R. Alternatively, installed weighted average U-factors for the total fenestration area are less than or equal to values from CF-I R. Ifusing default table SHGC values from § 116 identify whether tinted or not. ✓ - 1, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual fenestration product installed; 2) is equivalent to or has a lower U-factor and lower SHGC than that specified in the certificate of compliance (Form CF-I R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable. Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner sJ i�� pq OR Window Distributor ll jj Pella Windows & Doors- HSC, Inc. Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co, Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Copies to: Building Department, HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms April 200.5 W o »_F-F- W ri--rep-S, Pr_f-lce n'STALLATION CERTIFICATE (Page 3 of 12) CF-6R Site Address t)vSQC- PALS Rb Permit Number o&- 34 ao An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section l 0-103(a). HVAC SYSTEMS: Heating Equipment Qis1I-v10 S �oO Equip Type (pkg. heat um) 1 RS'T CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency I (AFUE, etc.) (>_CF-1Rvalue) Duct Location (attic, etc.) Duct or Piping R-value Heating Load (Btu/hr) Heating Capacity (Btu/hr) FAN CotL_ 31CDXQ-C 1 HoIr PIT Ir- Wrsti,� 37epxc C 1 I�Pt�se- " Rr►o --1-2 700 Wpr) of. COI (_ 3(v Vi s 's B Vi ePT&- y8)4 Sa8 1 149 i o0 Cooling Equipment Equip Type (pkg. heat um t. omr-sef— CEC Certified Mfr. Name and Model Number # of Identical SystemsIRvalue) Efficiency t or EER) P—F- Duct Location (attic, etc.) Duct R-value Cooling Load (Bmft) Cooling Capacity (Btu/hr) Coot_ C.N L_Y =.1419CA1430A I i L4 -o plrIC R Li.-: L 30 C) E, acsawlcf:rLol&p 4 14. p " Axo 36 oao U�sT cA y%ep ) 14.0 `' R 8.0 L16000 1. > symbol reads greater than or equal to what is indicated on the CF-IR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ Edi I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF-1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature:QQ Date: S -173 -Oct Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2UUJ 1 INSTALLATION CERTIFICATE (PAGE 10 OF 12) CF-SR Si 'ress Permit Number 4 IUNE PALMS RD. BLD# 5200 06-3410 Insulation Installation Quality Certificate ✓ N Description of Insulation, (CF-6R, formely IC-1) signed by the installer stating: insulation manufacturer's name, material identification, installed R-values, and for loose -fill insulation: minimum weight per square foot and minimum inches ✓ 0 Installation meets all applicable requirements as specified in the High Quality Insulation Installation Procedures (ACM, Appendix RH) ✓ FLOOR 0 No 0 All floor joist cavity insulation installed to uniformly fit the cavity side -to -side and end -to -end El Yes E No 0 Insulation in contact with the subfloor or rim joists insulated Ps 16' 6 Insulation properly supported to avoid gaps, voids, and compression ✓ WALLS Yes o 6 Wall stud cavities caulked or foamed to provide an air tight envelope Pes R Wall stud cavity insualtion uniformly fills the cavity side -to -side, top -to -bottom, and front -to -back d 17es �o� Yoo IAA No gaps No voids over 3/4" deep or more than 10% of the batt surface area ❑ No ❑ NIA Hard to accesswall stud cavities such as; comer channels, wall intersections, and behind tub/shower enclosures insulated to proper R-Value AesO nn nn f�1A Small spaces filled Yes yIIA Rim joists insulated Ps Rol PA Loose fill wall insulation meets or exceeds manufacturer's minimum weight -per -square -foot requirement ✓ ROOF/CEILING PREPARATION YN es o All draft stops in place to form a continuous ceiling and wall air barrier es o n I —I All drops covered with hard covers es o All draft stops and hard covers caulked or foamed to provide an air tight envelope Ps ro n rl All recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between the housing and the ceiling es o Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics Pes o I� n Eave vents prepared for blown insulation - maintain net free -ventilation area YesYes PAKnee walls insulated or prepared for blown insualtion o 6 Area under equipment platforms and car -walks insulated or accessible for blow insulation Pes o Attic rulers installed Residental Compliance Forms April 2005 'STALLATION CERTIFICATE 1ye-795 DUNE PALMS RD. BLD# 5200 11 OF 12) CF-611 ✓ ROOF CEILING BATTS Yes No 0 No gaps Yes 00 El 0 No voids over 3/4" deep or more than 10% of the batt surface area le's I P 6 Insulation in contact with the air -barrier Rs Ao 6 Recessed light fixtures covered es No N/❑ A Net free -ventilation area maintained at eave vents ✓ ROOF/CEILING LOOSE -FILL Ps R 6 Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls Ps R 6 Baffles installed at eaves vents or soffit vents - maintain net free-ventilationa rea of eave vent Pes R R Attic access insulated Yes IF, 6 Recessed light fixtures covered Ye's I! IAA Insulation at proper depth - insualtion rulers visible and indicating proper depth and R-Value Yes No N/A Loose -fill insualtion meets or exceeds manufacturer's minimum weight and thickness requirements for the target R-value. Target R-value . Manufacturer's minimum required weight for the target R-value (pounds -per -square -foot). Manufacturer's minimum required thickness at time of installation . Manufacturer's minimum required settled thickness . Note: To receive compliance credit the HERS rater shall verify that the manufacturer's minimum weight and thickness has been achieved for the target R-value. (CF-6R only) DECLARATION ✓ N I hereby certify that the installation meets all applicable requirements as specified in the Insulation Installation Procedures Installing Subcontractor (Co. Name) OR General Contractor Co. N OR Owner MASCO CONTRACTOR SERVICES Si nature: ALla Date: -0 Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY Residental Compliance Forms April 2005 wry � Address I47-795 DUNE PALMS RD. BLD# 5200 12OF1 iit Numbei 410 CF-6R (County Subdivision: La Quinta Dune Palms IBuilding Number 5200 I Description of Insulation (Formerly IC-1) Form) 1 RAISED FLOOR Material N/A Thickness (inches) 2 SLAB FLOOR/PERIMETER Material N/A Thickness (inches) Perimeter Insulation Depth (Inches) 3 EXTERIOR WALL Frame Type WOOD 2 X 6 A. Cavity Insulation Material FIBER GLASS INSULATION Thicness (inches) 5.5 INCHES B. Exterior Foam Sheathing Material Thicness (inches) FOUNDATION WALL Material N/A Thickness (inches) Brand Name Thermal Resistance (R-value) Brand Name Thermal Resistance (R-value) Brand Name CERTAINTEED Thermal Resistance (R-value) Brand Name Thermal Resistance (R-value) Brand Name Thermal Resistance (R-value) 5 CEILING Batt or Blanket Type BATT Brand Name CERTAINTEED Thickness (inches) 12 INCHES Thermal Resistance (R-value) Loose Fill Type Brand Contactor's min installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) R-21 R-38 6 ROOF Material N/A Brand Name Thickness (inches) Thermal Resistance (R-value) DECLARATION ✓ 0 1 hereby certify that the abouve 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 #s (if applicable) 3,5 Signature Date z j / i V Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor MASCO CONTRACTOR SERVICES Item #s (if applicable) SignatuiLe Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor #s Signature Date Installing Subcontractor (Co. Name) OR (Il applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Residental Compliance Forms April 2005