HomeMy WebLinkAboutX2021-2737 - Inspection Final Docs (6)
“Technical Services recommendations are provided solely for the information of the project designer, architect, engineer or contractor. It
is the responsibility of the project designer, architect, engineer and/or contractor to check local code requirements - prior to installation
of any CertainTeed product - to assure suitability and code compliance of any design or recommendation described above. CertainTeed is
not responsible for applications that do not meet jurisdictional code requirements.”
CertainTeed Corporation
20 Moores Road • Malvern, PA 19355 • USA • Tel: 610-893-6000 • www.certainteed.com
March 4, 2016
RE: ASTM Product Testing and Compliance with ICC Model Building Codes
To Whom It May Concern:
This is to certify that all CertainTeed Fiber Glass Commercial, AcoustaTherm, CertaPro, Residential and
Sustainable Building Insulations – including Basement Wall insulation – are manufactured to comply
with ASTM Standard Specification C 665. As stated in our Fiber Glass Insulation Products Submittal
Form, under ASTM C 665, unfaced insulations are Type I materials, Kraft faced insulations are Type II,
Class C, Category 1 materials, standard foil faced insulations are Type III, Class B, Category 1materials
and CertaPro FSK-25 foil faced insulations are Type III, Class A, Category 1 materials. None of
CertainTeed’s insulation products require ongoing maintenance after installation to deliver their stated
thermal performance, if proper installation procedures were followed and the material has not been
disturbed.
ASTM Designation E 119, Standard Test Methods for Fire Tests of Building Construction and Materials, is
used to determine the time fire resistance of composite assemblies and structural units that constitute
permanent integral parts of finished buildings. CertainTeed fiber glass building insulations are not
structural components of buildings and are, thus, not tested separately for timed fire resistance. They
are tested only as components of wall and floor assemblies of buildings. For that reason, those
insulations do not carry time fire resistance ratings.
CertainTeed fiber glass building insulations, exclusive of facings, pass the ASTM E 136 test and ASTM E
84 Standard Test Method for Surface Burning Characteristics of Building Materials Fire Hazard
Classification (FHC) ratings of 25/50 or less and are acceptable under all building codes in all types of
construction. Thus, these insulations are accepted by the Model Building Codes including the IRC, IECC
and IBC, as well as the legacy BOCA, ICBO and SBCCI building codes. Following is a definition of
Noncombustible Construction: Noncombustible Construction - Buildings in which walls, partitions,
structural elements, floors, ceilings, roofs and exits are of noncombustible materials and which require
higher fire resistance ratings than combustible construction (e.g. high rises, hospitals, nursing homes,
public assembly and mercantile buildings). Standard Kraft and foil insulation facings do not have FHC’s
of 25/50 or less and can be used only incombustible construction behind suitable finish materials. Low
flame spread facings such as FSK-25 are available and can be used in exposed applications in all types of
construction. This certification is based on periodic testing that occurs under the direction of our
Malvern, PA Innovation Center – a NVLAP* accredited laboratory.
“Technical Services recommendations are provided solely for the information of the project designer, architect, engineer or contractor. It
is the responsibility of the project designer, architect, engineer and/or contractor to check local code requirements - prior to installation
of any CertainTeed product - to assure suitability and code compliance of any design or recommendation described above. CertainTeed is
not responsible for applications that do not meet jurisdictional code requirements.”
CertainTeed Corporation
20 Moores Road • Malvern, PA 19355 • USA • Tel: 610-893-6000 • www.certainteed.com
Fiber glass building insulation has been produced and marketed within North America for over 40 years
and has been thoroughly tested and approved by the National Association of Home Builders Research
Center (NAHB-RC), the City of Los Angeles, Underwriters Laboratories and others. Because of this
extensive history, CertainTeed does not maintain a file of active ICC-ES test reports for our fiber glass
building insulation products and cites compliance with appropriate ASTM product performance and
testing standards.
If you need any additional information please do not hesitate to contact me.
Sincerely,
Elyse Inglese
Technical Marketing Manager
CertainTeed Insulation Group
Direct: 610-893-5367
Elyse.inglese@saint-gobain.com
INSULATION CERTIFICATE IC-1
Site Address Permit Number
Compliance Forms August 2001 A-36
Number and Street City County Subdivision Lot Number Description of Installation
1. ROOF
Material ___________________________ Brand Name ________________________________
Thickness (inches) ____________________ Thermal Resistance (R-Value) ___________________
2. CEILING
Batt or Blanket Type __________________ Brand Name ________________________________
Thickness (inches) ____________________ Thermal Resistance (R-Value) ___________________
Loose Fill Type ______________________ Brand _____________________________________
Contractor’s min installed weight/ft² _____lb Minimum thickness ______inches
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) _______________
3. EXTERIOR WALL
Frame Type _________________________
A. Cavity Insulation
Material _________________________ Brand Name ________________________________
Thickness (inches) _________________ Thermal Resistance (R-Value) ___________________
B . Exterior Foam Sheathing
Material _________________________ Brand Name ________________________________
Thickness (inches) _________________ Thermal Resistance (R-Value) ___________________
4. RAISED FLOOR
Material ____________________________ Brand Name ________________________________
Thickness (inches) ____________________ Thermal Resistance (R-Value) ___________________
5. SLAB FLOOR/PERIMETER
Material ____________________________ Brand Name ________________________________
Thickness (inches) ____________________ Thermal Resistance (R-Value) ___________________
Perimeter Insulation Depth (inches) ______
6. FOUNDATION WALL
Material ____________________________ Brand Name ________________________________
Thickness (inches) ____________________ Thermal Resistance (R-Value) ___________________
Declaration
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 #s Signature, Date Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner __________ ___________________________ _____________________________________
Item #s Signature, Date Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner __________ ___________________________ _____________________________________
Item #s Signature, Date Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
Metal
Fiberglass
6"
CertainTeed
19
Fiberglass
10"
CertainTeed
38
1&3 Cal Com Insulation Inc.
Clearwater Harbor Point Senior Living
101 Bayview Place Newport Beach, CA 92660
Orange County
1/30/2024
STATE OF CALIFORNIA
ENVELOPE
CEC-NRCI-ENV-01-E (Revised 01/20) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION NRCI-ENV-01-E
Envelope (Page 1 of 2)
Project Name: Enforcement Agency: Permit Number:
Project Address: City: Zip Code:
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020
GENERAL INFORMATION
DATE OF BUILDING PERMIT:
PERMIT #
BUILDING TYPE Nonresidential
High-Rise Residential
Hotel/Motel Guest Room
PHASE OF
CONSTRUCTION New Construction Addition Alteration Unconditioned
If more than one person has responsibility for building construction, each person shall prepare and sign an Installation Certificate
applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for
construction shall prepare and sign the Installation Certificate document(s) for the entire construction.
SCOPE OF RESPONSIBILITY
Enter the date of approval by enforcement agency of the Certificate of Compliance that provides
the specifications for the energy efficiency measures for the scope of responsibility for this
Installation Certificate.
Date:
In the table below identify all applicable construction documents that specify the requirements for the scope of
responsibility for this Installation Certificate.
Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc.
Date Approved By
the Enforcement
Agency
STATE OF CALIFORNIA
ENVELOPE
CEC-NRCI-ENV-01-E (Revised 01/20) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION NRCI-ENV-01-E
Envelope (Page 2 of 2)
Project Name: Enforcement Agency: Permit Number:
Project Address: City: Zip Code:
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
Documentation Author Company Name: Date Signed:
Address: CEA/HERS Certification Identification (If applicable):
City/State/Zip: Phone:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the
system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer),
otherwise I am an authorized representative of the responsible builder/installer.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this
Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements
given on the plans and specifications approved by the enforcement agency.
4. I reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements
for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements
that apply to the construction or installation have been met.
5. I will ensure that a completed signed copy of this Certificate of Installation 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
completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to
the building owner at occupancy.
Responsible Builder/Installer Name: Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Position With Company (Title):
Address: CSLB License:
City/State/Zip: Phone Date Signed:
CERTIFICATE OF INSTALLATION—USER INSTRUCTIONS NRCI-ENV-01-E
Envelope (Page 1 of 1)
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020