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coLaaAoa l7rpnrtment of [.ncai Affair: STATE OF COLORADO Cover Sheet for Building Specifications, Reviews, and QA Manuals Name of Manufacturer: Manufacturer Address: Cavco-Goshen RECMV7 V23 Third Parw.. tsARFiE1-0 COl3N'fy r n Plant I. D. Number: 1902 Centure Drive Goshen, IN 46526 Manufacturer Contact Name and Contact Number: Manufacturer Contact Email address: Brent DeLaruelle brent.delaruelle@cavco.com (574) 533-7100 ext. 105 Third Party Inspection Agency (if not CDOH): Third Party Plan Review Agency (if applicable): NTA, Inc. Third Party Plan Review Approval Name/Number (if applicable): Factory Type: FB FBNR Document Type: New Plan Revision Model Name/No.: 2025-1064601 Tiny Homes HUD Homes Renewal 5361 MANUFACTURER CERTIFIES that only approved equipment and materials will be used and the installations shall be made in accordance with approved plans and applicable codes and provisions of the Colorado Division of Housing. Manufacturer agrees to in -plant inspection of units manufactured under the above plan approval. Application shall be made for and insignia affixed to each factory built unit that is subject to Colorado statutes and which is manufactured or is to be sold, offered for sale, or occupied in the state of Colorado. Sq. Footage Finished: 1680 Sq. Footage Unfinished: 1191 CDOH Approval Stamp Expiration Date 6/1/2026 State of Colorado Division of Housing Mar/18/2026 �F ^C r APPR VED QC Manual Snh.jeel to field inspeclkin CDOH Plan Approval Nu R-00073540C DIV. OF HOUSING, 1313 SHERMAN STREET, RM 320, DENVER, CO.80203 Contact Information: FB/FBNR Factory manufactured.pl ns�cn.us or Tiny Homes dola ti nvhomesgstatexa-u� co� cotvRADo Drpartmcni of Lvcai Affair:. 1IPage Model Number: 2025-1064601 Residential (IRC) Plan Submission Checklist A full plan setsubmission to the Colorado Division of Housing includes the following: (Electronic Plan Submissions Only) Submitted 4 Document T e p Plan Review Payment through Salesforce Plan Set Packa e Architectural Plan Set • Initialed and signed copy of the Plan Submission Checklist confirming applicable C7 documents have been included in the plan package. 1] • Index of submitted plan package o Can be a separate document or clearly denoted on cover page • Site location where structure is to be installed, and Local Authority Having' Jurisdiction, or designate the structure as lot model with design loads that are specific for the area the home can be installed, and a minimum setback distance 0 noted for fire separation requirements. If site location is known, a site plan and set back distances to lot lines or other structures is required to determine fire separation requirements for structure. If structure is to be set in a location where there is no local authority having jurisdiction or lot model, at a minimum, the design loads must comply with 8 CCR 1302-14, Rule 2.1. • Code Analysis o Design Codes p o Wind, and Snow Loads o Seismic and Wind Exposure category o Type of Fire suppression system if applicable (factory installed or on site) ■ If location is known, clearly denote on code analysis if the jurisdiction rep hire a fire suppression system. ■ List of items to be completed on site p o AC Form included that complies with 8 CCR 1302-14, Rules 1.2, 4.14.1.1, and C.R.S. 24-32-3311(1)(a.7) a Architectural plans with applicable details o Floor Plan for Each Level o Room Use Specification 0 o Window and Door Schedules o Elevations o Section Drawings (Full and at Stairs) 2 1 P a g e Fire Rated Assembly Details (If applicable) �• o Assemblies not exempt in section R302 to be fire rated or other sections in the code, need to have details showing compliance with section R302 of the IRC for separation of dwellings, fire separation distances, and/or floors. Must comply with the testing standards of either ASTM E119 or UL263 or ❑ section 703.3 of the IBC. o If section 722 of the IBC has been opted for compliance, the design must be approved through a Colorado Registered Fire Protection engineer. Structural Framing Plans • Components o Floor Assemblies o Wall Assemblies o Roof Assemblies o Ceiling Assemblies I] o Headers, Beams and Columns o Proposed Foundation o Braced Wall line details, and tie down equipment with locations that are not specifically addressed in approved installation manual. o Construction components exceeding section R301 of the IRC, shall have Tans stamped by a Colorado Registered Design Professional. MEP Plan Sheets 0 • Mechanical System Plans o Exhaust Locations o Whole home ventilations stems if installed Electrical System Plans Ci o Fixtures, load calculations, panel/circuit schedule with breaker and wire siring, symbols legend, etc. • Plumbing System Plans o Service water piping with piping location, insulation and size 7 o Fixture types and locations o Isometric for DWV, indicate pipe sizes • Gas System Plans ❑ o Gas Isometric with distances and BTU ratings of appliances it serves o Piping material and sizes, service pressure ratings Spec Set Package p Spy c Cover Sheet El �� Copy of the "AC" Inspection letter denoting the "AC" inspection items listed on the 1 submitted plans. Information from the date to site address on the first page must be filled in by the facto , except for the CDOH P A NO (DOH assigned). • Truss Details p o Engineered and stamped details by a State of Colorado professional designed per TPI 1 - 2014 per IRC 2018 o Include correct loading and windspeed/exposure, etc. • Energy Compliance o RESCHECK (signed) 0 Use appropriate version 2015 or 2012, 2009 based on local . 0 3 1 P a g e adoption) = Use the Colorado city where the building will be installed (If site location is not a selection on ResCheck, list exact location on Construction Site information box) If a ResCheck is omitted and the prescriptive method is opted for use, please clearly denote on plans a table showing the information depicted in the IECC, Section R103.2 and applicable information per 8 CCR 1302-14, Rule 2.7 • HVAC System Plans o Load calculations for equipment sizing (Manual J) (] o Equipment size listed and meets or exceeds load calculation with deration (Manual S) o Supply and return air sizing and plans (Manual D) o Site information must match information }provided on the ResCheck The Colorado Division of Housing plan review does not begin until the entire plan submission is received. Applicant must sign below acknowledging submittal checklist has been read and all applicable documents have been submitted for review and any changes to plans require plans to be resubmitted for review, and approved by DOH before construction. All DOH plans are subject to field inspection. Additional information not included in this general list may be requested by DOH plan reviewers to complete review. 12/01 /2025 Date: For additional plan review requirements, questions, or concerns, please reach out to our staff at manufactured.plans@state.co.us. COLORADO ' Department of Local Affairs Division of Housing J U LY 2023 "OC" (On -site Construction) Form Please read below before signing form. Please See Attached Document at bottom of form for Specific plan and Manufacturer information. To: The Local Authority Having Jurisdiction (LAHJ) or other DOH approved third party inspection agency. By signing this form, you confirm that you have received and reviewed this form, and acknowledge that the identified components below are required to complete the construction of this modular structure onsite within your jurisdiction. Building Official Responsibility Please check the box labeled "Accept" and initial to confirm that you will take responsibility for inspections of the "OC" Inspection Items on behalf of the DOH. You also acknowledge that it will be done to the DOH approved plans. If you would like to defer inspection of the "OC" Inspection Items back to the DOH, please check the box labeled "Defer Inspection". "ATTENTION* "On -site Construction" or "OC" means on -site construction or modification of the factory -built structure that directly relates to the durability, quality, and safety; that is completed at the installation "site" as defined by section 24-32-3302(33), C.R.S.; using components not installed at the manufacturer's location; and to complete the compliance of that structure as reflected in the Division of Housing approved plans. These items do not include the component(s) required for setting and securing the structure for its installation. Fire Safety Official Responsibility (if applicable) The DOH defers the requirement of any fire protection system for all modular IBC (Section 901.2) and IRC (Section R313) structures as follows: An automatic fire sprinkler system shall be installed in buildings (IBC) OR one and two family dwellings and townhouses (IRC) OR Tiny homes as required by the local jurisdiction where the structure or home will be set. Final tests required by this Section shall be approved by a certified inspector. The inspector must be either an employee of the fire department having jurisdiction or another qualified individual with prior approval of the Colorado Division of Fire Prevention Et Control. Wild Fire mitigation requirements will be deferred for (IBC) OR one and two family dwellings and townhouses (IRC) OR Tiny homes as required by the local jurisdiction where the structure or home will be set. Final inspections required by locals shall be approved by a certified inspector. The inspector must be either an employee of the fire department having jurisdiction or another qualified individual with prior approval of the Colorado Division of Fire Prevention Et Control. Governor Jared S. Polis I Rick M. Garcia, Executive Director I Alison George, Division Director off' mil= 1313 Sherman St., Room 320, Denver, CO 80203 P 303.864.7810 F 303.864.7857 TDD/TTY 303.864.7758 www.dola.colorado.gov: �a,���"� Strengthening Colorado CommunitiesEQUAL � •.. .1���� � OPPORTUNITY �" � UZ)^ COLORADO Department of Local Affairs Division of Housing JULY 2023 Please confirm if the LAHJ requires a fire protection system and/or wild fire mititgation for this modular structure. If so, please indicate if the inspection will be completed by a fire department (identify which one) or whether it will be completed by the Colorado Division of Fire Prevention E Control. Manufacturer Responsibility The registered manufacturer is responsible for manufacturing a structure that is compliant with our Administrative Rules (CCR 1302-14). If items in the factory have not been completed, only to be completed in the field, you are still responsible for ensuring they have been completed for compliance. Please sign below that you have received this letter and acknowledge the items listed are to complete compliance of the structure, and items are to be inspected and passed for compliance in order to meet Rule 1.13.1 and section 24-32-3311(4), Colorado Revised Statutes (C.R.S.). *ATTENTION* A DOH issued insignia (silver for residential or blue for nonresidential or pink for tiny homes or black for multi -family) certifying its construction cannot be affixed to the structure until all "OC" items are completed on site and pass inspection. The same applies to modular structures manufactured by a certified manufacturer. Acknowledge Receipt and Understanding Normal permits and fees for these site work inspections are to be per the local jurisdiction. State approved plans for Factory -Built Construction may be obtained from the Builder/Manufacturer. A copy of this completed form is included with the DOH approved plans and must be included with the installation instructions and shipped with the unit. If the completed form has been damaged or lost during shipping, the manufacturer or its representative can obtain a copy from the DOH. Before any inspection is scheduled at the on -site location or Installation Authorization (required for modular homes and multi -family structures) is issued by the DOH, this form will be required to be signed and dated by the Building Official, or Approved Third Party Agent, or Fire Safety Official (if applicable), and submitted to the DOH. The DOH approved OC form will be included with the approved spec file, with the DOH Plan Reviewer signature below and their plan approval stamp on the page(s) with the OC listed items to be completed at the site location. That approved OC form should be submitted to the appropriate parties described in this form and submitted back to the DOH before any inspection is scheduled at the onsite location or Installation Authorization (required for modular homes and multi -family structures) is issued. DOH Plan Reviewer Name DAVE LARKIN H PLan Reviewer'% Contact email: dave.larkin@state.co.us APPROVED C By diarkin at 10: 94 am, Mar 18, 2026 Governor Jared S. Polis I Rick M. Garcia, Executive Director I Alison George, Division Director ems N, r 1313 Sherman St., Room 320, Denver, CO 80203 P 303.864.7810 F 303.864.7857 TDD/TTY 303.864.7758 www.doLa.coLorado.gov q� Strengthening Colorado Communities i* EQUAL HOUSING 1876 �r' OPPORTUNITY °ja�,r C4O U - .. 02,0 C©LORADO Department of Local Affairs Division of Housing Building Department Representitive Printed Name Building Department Representitive Signature Title Date 4; f2 ' ZC 11 Accept Defer Inspection If applicable: Fire Safety Official Printed Name._ Fire Safety Official Signature Contact email: JULY 2023 Contact email: aru - y<.O. GOO Is a fire protection system required? (check one) Required If required, the inspection is to be performed by (check one): Fire Department: (NAME) OR Colorado Division of Fire Prevention if Control Manufacturer's Authorized Quality Assurance Representative Printed Name Ken Brower_ Date Not Required Manufacturer's Authorized Quality Assurance Representative Signature Ken A. Brown. Date 01 /09/2025 Contact email: ken. brower@cavco.com If the inspection has been deferred and the manufacturer elects to utilize an Approved Third Party Agency to inspect the "OC" items on behalf of DOH, please sign and date below. Approved Third Party Agent Printed Name Mike Faller Approved Third Party Agent Signature '' tk,& 97a&w, Date 01/09/2025 Contact email: mfaller@icc-nta.org Governor Jared S. Polis I Rick M. Garcia, Executive Director I Alison George, Division Director'''t??r• !r 1313 Sherman St., Room 320, Denver, CO 80203 P 303.864.7810 F 303.864.7857 TDD/TTY 303.864.7758 www.dola.cotorado.gov Strengthening Colorado Communities �,`.• ' "~ POLA COLORADO Department of Local Affairs Division of Housing Verify Inspection(s) Completed JULY 2023 Once you have completed all of your assigned inspections identified in this form and they have passed for compliance, please sign and date below. Building Department Representitive Printed Name Building Department Representitive Signature Date Contact email: Or Approved Third Party Agent Printed Name Approved Third Party Agent Signature Date Contact email: Fire Protection Systems (if applicable) Fire Safety Official Printed Name Fire Safety Official Signature. Contact email: Date Please direct questions to manufactured. lans@state.co.us Governor Jared S. Polis I Rick M. Garcia, Executive Director I Alison George, Division Director Og..c V � � 1313 Sherman St., Room 320, Denver, CO 80203 P 303.864.7810 F 303.864.7857 TDD/TTY 303.864.7758 www.dola.colorado.gov Fsr, Strengthening Colorado Communities 3 3 EQUAL HOUSING OPPORTUNITY COLORADO Department of Local Affairs A C40. Division of Housing JULY 2023 The following is based on information provided to the Division of Housing (DOH) and may be modified based on the actual findings of the field inspection. DATE: 11 /17/2025 MANUFACTURER: Cavco-Goshen CONTACT: Brent DeLaruelle MODEL NO.: 2025-1064601 INSPECTION REQUIREMENTS: Check on site: "OC" Inspection Items Stairs & Railings (1st to 2nd floor only) Roof peak closure components Collar tie Gable end wall installation Dormer kit installation Components and connectors for HVAC systems Below Floor Plumbing installation Support Posts Thermal Envelope Completion Blower Door Test Basement Electrical/Mechanical Cape Electrical/Mechanical Island Receptacles ID NO.: 5361 PHONE NO.: 574-533-7100 Ext. 105 DOH P/A NO.: Governor Jared S. Polis I Rick M. Garcia, Executive Director I Alison George, Division DirectorO �1p 1313 Sherman St., Room 320, Denver, CO 80203 P 303.864,7810 F 303.864.7857 TDD/TTY 303.864.7758 www.dota.colorado.gov "r Strengthening Colorado Communities EQUAL HOUSING �- OPPORTUNITY� CHAPTER 7 - FURNACE / DUCT SYSTEM & WATER HEATER INSTALLATION 7.1.9 Un-insulated Floor APPROVED BY NIP, 02112(2025 a;�:fc:•al !his deri.•mar�g Cu s na a :h�rize ar A�P��Y2 37j' CP.'Y:3:^,'1 tk' :SP.VIA:I,^,M1S 1f�3f :A2. .�J i..i-'AL cf 8^, :✓:col= ;E761 a�x`. RETURN AIR CUT OUT IN FLOOR DECKING WITH GRILLE. CUT OUT TO BE BETWEEN FLOOR JOISTS - (SEE NOTE-5) i INSULATION COVERAGE N TO EXTEND AT LEAST 2W BELOW GRADE ON WALL -- Figure 65 - Un-Insulated Floor TYP. PARTITION WALL IF R.A. FLOOR CUT OUT OCCURS WITHIN A WALL CAVITY, THE WALL BOTTOM PLATE AND DECKING MUST BE OPEN TO THE CRAWL AREA AND A GRILL INSTALLED ON THE WALL PANEL IN THE SAME STUD BAY AS CUT OUT. (SEE NOTE-5) (SEE NOTES) 4x10 SUPPLY LISTER IN DUCT INSULATION APPLICATION FOR HOMES ON CRAWL SPACE USING THE PERIMETER FOUNDATION INSULATION METHOD. (REFER TO IRC CHAPTERS 4 AND 11 FOR UNDER FLOOR VENTILATION) : Where floor above the crawl space is un-insulated, insulation shall be installed on the crawl space walls. When the crawispace is not ventilated to the outside air, this type of installation must first be approved by local officials. The following is a summary of the required steps to provide proper thermal protection. Eliminate all ventilation openings in the perimeter foundation stem walls. 2. The exposed earth in all crawl space foundations shall be covered with a continuous vapor retarder having a a maximum rating of 0.1 perm. 3. Insulate the rim joist around the perimeter of the home with R-19 batt insulation. 4. Insulate the perimeter foundation walls. The minimum required insulation will vary according to the site conditions. Refer to the Rescheck analysis included with the approved plan package provided with the home to determine the minimum required perimeter wall insulation. See Figure 65 above for minimum insulation coverage below grade. 5. Install heating register(s) and return air grille to condition the crawlspace area. Generally, (1) 4x10 register for supply air and (1) 4x10 grille for return air is adequate to accommodate conditioning of the air in the crawl space, unless home is IDcated in areas with extreme temperatures. Locate the supply and return air openings as remote from each other as possible to allow circulation of air across the entire crawl space area. Consult your local official for requirements and/or other acceptable methods to condition the space when floor is not insulated. 6. Inspect and protect water lines that could be subject to freezing. 7. Provide proper drainage for crawl space and foundation system as applicable per local codes. Page 40 RWeed 6/7/13 .Job rn,ss Truss Type Qri ply Commodore (G30C9F) 117028 CCE02728 HINGED ATTIC 1 1 30' wide 9/12 cape Oc�i n ATM 203 u'P Industries Inc., Grand Rapids, MI 49525. Andrew Muisiner 8.730 a Jan 4 202A MiTek Industries, Inc. Fri Jun 7 11:00:09 2024 Page 1 of va 2 4.9 15A.7 15-0-7 -9 Copyright02024 UFP Industries, Inc. All Rights Reserved Collar Detail APPROVED BY N � U2:it >.�wo.ni o! a�z o�.�mem exs nc, 9.00 12 Opt. 0-10-12 0 112kl4l s (one face) \\ a 2 7 9 10 5 1 Optional 1-4-0 Cantilever 21 19 20 23 2x4 \\ 2x4 // 8 q� SMH18E y" 12 11 -4-0 I at Opt. 0-10-12 REACTIONS (lb/size) 2 = 1806/0-&8 (min. 0.2.1 ' 1 t 17 = a56f0.14 {min. 0.1�} t411$ a Mill 0 14 = 163aOOs-e(nin.0-2-1 Max Ho {opt. 141 13 5x10 II 2 = a22(Lc 10) d 2x6 (one face)// d Max Uplift 15 z = .277(LC 12) B1 B1 (y/ 17 = 29(LC 13) IS 26 2524 2728 29 16 p 14 253(LC 13) Max G= rav 17 z leas(Lc 20) 7 7 2E3 17 = 926(LC 19) 7.5.12 75-12 7-0-[ 1 14 1 ss t{Lc 21) SPACING-:2-0-0 SPACING-:1-4-0 SPACING- 2-0-0 LOADING (psf) LOADING (psf) Plate Grip DOL 1.15 TCLL 40.0 TCLL 60.1 Lumber DOL 1.15 (Ground Snow=52.0) (Ground Snow=78.0) Rep Stress Incr YES TCDL 10.0 TCDL 15.0 Code IBC20211TPI2014 BCLL 0.0 ' BCLL 0.0 ' BCDL 10.0 BCf7L 15.0 LUMBER - TOP CHORD 2x6 SP No.2 or 2x6 SPF No.2'Except T2: 2x8 SP No.2 or 2x8 SPF No.2, T3: 2x4 SP No.2 or 2x4 SPF No.2 BOT CHORD 200 SP No.1 or 2x10 SPF No.2 WEBS 2x3 SP No.2 or 2x3 SPF Stud *Except* W3: 2x4 SP No.2 or 2x4 SPF No.2, W2: 2x6 SP No.2 or 2x6 SPF No.2 CSI. DEFL. in (loc) I/deft L/d PLATES GRIP TC 0.84 Vert(LL) -0.3517-18 >508 240 MT20 1971144 BC 0.90 Vert(CT) -0.4617-18 >389 180 MT16HS 1971144 WB 0.56 Horz(CT) 0.02 14 File n/a Matrix-R Attic -0.3517-18 520 360 Weight: 228lb FT=O% BRACING - TOP CHORD Structural wood sheathing directly applied or 5-3-0 oc purlins. BOT CHORD Rigid ceiling directly applied or 6-0-11 oc bracing. JOINTS 1 Brace at Jt(s):19, 20 REACTIONS. (lb/size) 2=1715/0-5-8 (min. 0-2-12), 17=460/03-0 (min. 0-1-8),14=1715/0-5-8 (min. 0-2-12) Max Horz 2=-322(LC 10) Max Uplift2=-261(LC 12), 17=-29(LC 12),14=-263(LC 13) Max Grav 2=1749(LC 20), 17=935(LC 19),14=1751(LC 21) FORCES. (lb) - Maximum Compression/Maximum Tension TOP CHORD 1-2=0/31, 23=-17211250, 3-0=•14781263, 4.21=-14491297, 5-21=-13321322, 5-22=558/57, 6-22=-094I60, 6-7=383f76, 7-8=-409/80, 8-9=-415178, 9-10=393176, 10-11=-568/57, 11-23=.1330/320,12-23=-1453/295,12-13=-1475/261,13-14=-1721/248,14-15=0131 BOT CHORD 2-18=-113/1248, 18-26=-11011247, 24-26=-110/1247, 24-25=-11011247,17-25=-11011247,17-27=-11011247, 27-28=.110/1247, 28-29=-110/1247, 16-29=-110/1247,14-16=-110/1246 WEBS 12.16=435/233,7-19=-4131559,9-20=-011/560,4-18=-4381233,5-19=-12431401,19-20=-9631337,11-20=-1250/400 REQUIRED FIELD JOINT CONNECTIONS -Maximum Compression (lb)/ Maximum Tension (lb)1 Maximum Shear (lb)I Maximum Moment (lb -in) 5=1244/401114410, 6=464r73148410, 7=487/559185/0, 8=201/81116910, 9=495/560/84/0, 10=474I731487/0, 11=1250/4001144/0, 16=435/23310/0, 17=11011247/533/0,18=438/233/010 NOTES- 1) Dado: 0.1-8 length x 0-1-8 deep dado, 0-M to right edge from joint 17 on the bottom face. 2) Dado: 0-1-8 length x 0-1-8 deep dado, 0.0-0 to left edge from joint 17 an the bottom face. 3) Wind: ASCE 7-16; Vult=115mph (3-secand gust) Vasd--Jlmph @241n o.c.; TCDL=4,0psf; BCDL=4.Opsf; (Alt 141mph @161n o.e.; TCDL=6.Opsf; BCDL=6.Opsf); h=30ft; Cat. II; Exp C; Enclosed; MWFRS (envelope) gable end zone and C-C Exterior(2E) -M-1 to 2-4-1, Interior(1) 2-4-1 to 11-11-13, Exterior(2R) 11-11-13 to 18-M, Interior(1) 18-0-0 to 27-8-13, Exterior(2E) 27-8-13 to 30.8-15 zone;C-C for members and forces & MWFRS for reactions shown; Lumber DOL=1.60 plate grip DOL=1.60 4) TCLL: ASCE 7.16: Pg-52.0 psf; Ps=40.0 psf (Lum DOL=1.15 Plate DOL=1.15); Is=1.0; Rough Cat C; Partially Exp.; Ce=1.0; Cs=1.00; Ct--1.10 5) Roof design snow load has been reduced to account for slope. 6) Unbalanced snow loads have been considered for this design. 7) This truss has been designed for greater of min roof live load of 15.0 psf or 2.00 times flat roof load of 40.0 psf on overhangs nonconcun-en n r iCc� 8) All plates are MT20 plates unless otherwise indicated. 4�No V L ■■ 9) See HINGE PLATE DETAILS for plate placement ■■■■ 0" �+ 10) Provisions must be made to prevent lateral movement of hinged member(s) during transportation. 11) All member connections shall be provided by others for forces as indicated. ■ ■ �Q fl� �� W ■e �d additional 12) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. fit be 6 9�� . J i 13) ` This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-M wide will }` the bottom chord and any other members. 4 r ■ 3914 14) Ceiling dead load (5.0 pen on memher{s}. 4.5, 71-12, 5.19, 19-20, 11-20 15) Bottom chord live load (40.0 psf) and additional bottom chord dead load (0.0 psf) applied only to room. 17-18, 16-17 16) Provide mechanical corinectton (by others) of truss to bearing plate capable of withstanding 261 lb uplift at joint 2, 29 lb uplift at joint 17 an f � lb uplift atjoint 14. 17) Attic room checked for LI360 doffection. O ■ ■• 4v ■■ ■■ 18) This truss is designed in accordance with the 2021 IBC Sec 2306.1 and referenced standard ANSIrrP1 i � ` ■■■ ■■ ■■t■■ IGN 19) This truss is designed in accordance with the 2018 IBC Sec 2306.1 and referenced standard AN$IrrPf 1 before the building is into ser S5''v� �{ E� L 20) Take precaution to keep the chords in plane, any bending or twisting of the hinge plate must be repaired put 21) The fteld4nstalled members are an integral part of the truss design. Retain a design professional to specify final field Connections and temi 4 supports. All field -installed members must be properly fastened prior to applying any loading to the truss. This design anticipates the final 6/10/2024 position. 22) Based on: CCE02723. Changes: IBC 2021. NE ®WARNING -Verity design parameters and READ NOTES PHONEndustries(616)-364-6161 GRAND RAPIDS, MI 4 525 Truss shall not be cut or modified without approval of the truss design engineer. This component has only been designed for the loads noted on this drawing. Construction and lifting forces have not been considered. The builder is responsible for lifting methods and system design. Builder responsibilities are defined under TP11. This design is based only upon parameters shown, and is for an individual building component to be installed and loaded vertically. Applicability of design parameters and proper incorporation of component is responsibility of building designer- not truss designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibility of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding TN fabrication, quality control, storage, delivery, erection and bracing, consult BCSI 1-06 from the Wood Truss Council of America and Truss Plate Institute Recommendation available from WTCA, 6300 Enterprise LN, Madison, WI 53719 J:\support\MilekSupp\templates\ufp.tpe APPROVED BY UFR IND[jSTRIFS �T'n� Job Truss MFG' Customer 117028 CCE02728 218 COMMODORE KEVIN W, CO z FREEMAN z �� • 17' 'W P`. �� pF Mrph ■ * : W. FREEMAN r • ENGINEER m : No. '�u►tt►11 � 1 I IN�����" �I R O p Ois T E4-. /tom% 'Q NO. �. PE CZW2 038a` STATE OF ��``f"SS�ONAL���C,��`�`• 1 hetelby certify thcl this plan, speci- fication, or repon was prepared by me or under my direct supervision and lhsat f an a duly Licensed Pro- fessio tal Englnoar under the laws of ttro Slato of Minnesota. PRINT NAME: ISTUART WALTER SIGNATURE; ,r.• - _'" //.// DATE: 6/10/2024 LIC # 47774 rJOHN �,t crvr'OWATKA P� OF Nee ,• SC 0 At S�. ' . KEVIN W. FREEMAN •v : E-34389 : C� p. .0 ,`►►gtillrrlr►►►■► 00 SIROW,■■/yff • 0 . - ENS ' •���'s `►►►►►rtterr41110 + SOFO VIN FREEMAN E-65329 .:Q - p►rrtu►rr►p SLEY p2l*, J� ■O� S T �'4''�i�`. u • rE 0�� •��= VIR +&/0NAF UFP Factory Built 2801 East Beltline, NE Grand R.a.pids, MI 49525-9736 (616) 364-61.61 ufpi.conl . KEVIN W. - • FREEMAN If_[�[=•:..........•• 1, iS/ONAi t►►� 0 r4TAN4 • : KEVIN • • G CC (_ 178E : ►r" .� c�� �CENSEp.;�,t� ;ONAL o 'l .:J�N A 0 co 72 - DOENS Q•N •. `OXO NAL V�100 E n R '1Ro:06996 L '_ �1"yO M ►M NJ :J r. U q W O IL n n a o N rq u N O O O O H N J w L. 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Length of Full Height Sheathing (3.5:1) = 12.001 ft Length of Full Height Sheathing (2:1) = 10.3869 ft Co (3.5:1) = 1 from table in IBC Co (2:1) = 1 from table in IBC Total Force (wind) = 7139 Ibs Total Force (seismic) *1.4 = 3676 Ibs Load Taken to Shear Wall Segments = 595 plf <__ Uplift Force at End of Wall = 5056 Ibs Top Sidewali - Bracing #3 Perforated or Segmented: Wall length when perforated = Wall Height = Height of Tallest Opening = Height Ratio = Length of Full Height Sheathing (3.5:1) _ Length of Full Height Sheathing (2:1) _ Percent Full Height Sheathing (3.5:1) _ Percent Full Height Sheathing (2:1) _ Co (3.5:1) _ Co (2:1) _ P 76 ft 8.5 ft 6.85 ft 0.80588 58.186 ft 57.8523 ft 77% 76% 0.69 from table in IBC 0.69 from table in IBC Total Force (wind) = 3428 Ibs Total Force (seismic) "1.4 = 5327 Ibs Load Taken to Shear Wall Segments = 92 plf Uplift Force at End of Wall = 559 Ibs Bottom Sidewall - Bracinq #4 Perforated or Segmented: Wall length when perforated = Wall Height = Height of Tallest Opening = Height Ratio = Length of Full Height Sheathing (3.5:1) _ Length of Full Height Sheathing (2:1) _ Percent Full Height Sheathing (3.5:1) _ Percent Full Height Sheathing (2:1) _ Co (3.5:1) _ Ca (2:1) _ P 76 ft 8.5 ft 6.85 ft 0.80588 50.104 ft 49.1215 ft 66% 65% 0.63 from table in IBC 0.63 from table in IBC Total Force (wind) = 3755 Ibs Total Force (seismic) *1.4 = 5834 Ibs Load Taken to Shear Wall Segments = 119 plf Uplift Force at End of Wall = 721 Ibs Wind Load Determination Worksheet MWF Low-rise building Method 2 ASCE 7-16 Nominal Wind Speed = 89 mph Roof Slope = Ultimate Wind Speed = 115 mph Exposure = C Mean Roof Height = 20 ft a = 9.5 Kd = 0.85 zg = 900 ft K, = 1 KZ = 0.90 qh = 15.51 psf 1= 1 GCP; _ Building Class = Enclosed Building * Gcp; cancels -out on total building calcs Load A - End Lane of Wall 1 E = 0.69 4E = -0.48 A = 18.15 psf Load C - Interior Zone of Wall 1 = 0.56 4 = -0.37 C = 14.43 psf Load B - End Zone of Roof 2E = 0.27 3E = -0.53 Horz 2E load = 2.51 Horz 3E load = -4.93 Load D - End Zone of Roof 2 = 0.21 3 = -0.43 Horz 2E load = 1.95 Horz 3E load = -4.00 APPROVED BY I 0"� NPI 02/12,17026 Appmval of this document doss not ass horize or approve any devialio€t or dzvtations front the requirements of applicable State Laws. 9 /12 36.870 0.18 -0.18 GCPf = 1.17 GCPf = 0.93 2E load = 4.19 3E load = -8.22 B = 12.41 psf 2E load = 3.26 3E load = -6.67 D = 9.93 psf One Story Shear Wall Design 2025-1064601 - MAIN Summary of Forces Shear Walls Brace wall PLF-Load CONSTRUCTION Left endwall - Segmented 476 7/16 in sheathing One Side with .131 pd nail (studs at 16" o/c) at 4 in o/c edge spacing Right endwall - Segmented 595 7/16 in sheathing One Side with .131 pd nail (studs at 16" o/c) at 3 in o/c edge spacing Top sidewall - Perforated 92 7/16 in sheathing One Side with 15 gauge staple at 6 in o/c edge spacing Bottom sidewall - Perforated 119 7/16 in sheathing One Side with 15 gauge staple at 6 in o/c edge spacing Overturning Forces Racking Load Left endwall - 4.0 Kips Racking load right endwall - 5.1 Kips Racking Load top sidewall - 0.6 Kips Racking Load bottom sidewall - 0.7 Kips Total Shear Force to Endwalls = 7.1 Kps Total Shear Force to Sidewalls = 2.4 Kips Bottom #4 Roof Diaphragm 7/16 in sheathing with 15 gauge staple at 4 in o/c edge spacing Blocking only required at 8 ft from each endwall APPROVED BY IN P1 0211` 12/2026 Approval of this document does not awhorize or approve any deviator or deviations from the requirements of appiicaWe State LaA-s_ Shear Wall Design 2025-1064601 - MAIN Left Shearwall Shearwall Required Design = 476 plf Thickness of Sheathing = 7/16 " Fastener = .131 pd nail (studs at 16" o/c) Edge Spacing of Fastener = 4 in o/c Species of Framing = SPF Sheathing on Both sides? One Side Use 7/16 in sheathing One Side with .131 pd nail (studs at 16" o/c) at 4 in o/c edge spacing Sheathing Capacity = 489.44 plf Shear Wall OK Right Shearwall Shearwall Required Design = 595 plf Thickness of Sheathing = 7/16 " Fastener = .131 pd nail (studs at 16" o/c) Edge Spacing of Fastener = 3 in o/c Species of Framing = SPF Sheathing on Both sides? One Side Use 7/16 in sheathing One Side with .131 pd nail (studs at 16" o/c) at 3 in o/c edge spacing Sheathing Capacity = 631.12 plf Shear Wall OK Top Shearwall Shearwall Required Design = 92 plf Thickness of Sheathing = 7/16 " Fastener = 15 gauge staple Edge Spacing of Fastener = 6 in o/c Species of Framing = SPF Sheathing on Both sides? One Side Use 7/16 in sheathing One Side with 15 gauge staple at 6 in o/c edge spacing Sheathing Capacity = 195.16 plf Shear Wall OK Bottom Shearwall Shearwall Required Design = 119 plf Thickness of Sheathing = 7/16 " Fastener = 15 gauge staple Edge Spacing of Fastener = 6 in o/c Species of Framing = SPF Sheathing on Both sides? One Side Use 7/16 in sheathing One Side with 15 gauge staple at 6 in o/c edge spacing Sheathing Capacity = 195.16 plf Shear Wall OK APPROVED BY 7N rri 02/12/2026 Approval of this doourrient does not ,auftrize or approve any deviasan or deviations frorn the requirements of appticzble State LaAes. APPROVED BY 02/12/2026 Roof Diaphragm Design 2025-1064601 - MAIN IN r14 Appromal of this dn-curnent does not authorize or Roof Diaphragm approve any deviat�.on or deviations from the Top of BC of truss sheathed?' No requirements of appticable State La�Afs. Diaphragm Required Design = 238 plf Thickness of Sheathing = 7/16 " Fastener = 15 gauge staple Edge Spacing of Fastener3,4,5 = 4 in o/c Species of Framing6 = SPF Use 7/16 in sheathing with 15 gauge staple at 4 in o/c edge spacing Sheathing Capacity = 269.78 plf Shear Wall OK Blocking only required at 8 ft from each endwall 1. Design assumes 19/32" min sheathing of at least 1/2 of BC of trusses with .131 pd nails at 6" o/c 2. Load increased by 1.4 if seismic loads control to compensate for 1.4 increase in diaphragm panel 3. Nail spacing at other panel edges to be as follows 6" o/c if edge spacing is 6" o/c 6" o/c if edge spacing is 4" o/c 3" o/c if edge spacing is 2" o/c 4. Framing at adjoining panel edges shall be 3" nominal or wider & nails be staggard where nails are spaced 2" o/c 5. Roof sheathing is blocked unless stated unblocked 6. Diaphragm panels are reduced by 0.82 for SPF lumber 7. Per tables in ESR-1539 9REScheck*Web T°' Compliance Certificate Project Information Project Title: Energy Code: Location: Construction Type: Project Type: Project Sub Type: Conditioned Floor Area: Glazing Area: Climate Zone: Project No: All Electric: Is Renewable: Has Battery: Has Charger: Has Heat Pump Construction Site: 1711 Cr331 Silt , Colorado 81650 Project Notes: Energy Credits Owner/Agent: Frantz KOPPER CREEK BUILDING, LLC. 2025-1064601 2021 IECC Garfield, Colorado Single Family New Construction None 1680 ft2 7% 5b (8499 HDD) 1826337 false false false false false Designer/Contractor: Cavco-Goshen 1902 Century Drive Goshen, IN 46528 Description Credits More Efficient HVAC Equipment Option - R408.2.2 1.0 Required: 1 Proposed: 1 APPROVED BY IN P, 02i 12I202h Approval of this document does not autthorize or approve any deviation or deviation-s from the requirements of applicable State Lavn. Report Title: 2025-1064601 Report Date: 2/10/26, 9:30 AM 1 of 13 Envelope Assemblies Gross Area Prop- Req. Assembly or Cavity Cont. U- U- Prop. Req. Perimeter R-Value R Value Factor/ Factor/ UA UA F-Factor F-Factor Ceiling 1: Flat Ceiling or Scissor 1140 60.0 0.0 0.024 0.024 27 27 Truss Ceiling 2 [Between knee walls]: 1140 30.0 0.0 0.035 0.024 40 27 Flat Ceiling or Scissor Truss Crawl 1: Solid Concrete or 688 19.0 15.0 0.030 0.055 15 28 Masonry Wall height: 4.00 Depth below grade: 0.00 Insulation depth: 4.00' Wall Rwalls]: Wood Frame, 16" 278 21.0 0.0 0.057 0.045 15 12 O.C. Orientation: Right side Door - Hinged - Exterior - 6 Panel 22 0.160 0.320 4 7 - Fire Rated {Qty 11: Solid Orientation: Right side Wall [1walls]: Wood Frame, 16" 278 21.0 0.0 0.057 0.045 15 12 O.C. Orientation: Left side APPROVED BY ogo Window - Lippert SH 2430 {Qty 7 Uyr� F77g 0.260 0.320 2 2 11: Vinyl Frame:Double Pane N PI with Low-E Orientation: Left side Window- Lippert TR-4410{Qty 4 "°''a° 5'-�`' 0.220 0.320 1 1 11: Vinyl Frame:Double Pane with Low-E Orientation: Left side Wall Rwalls]: Wood Frame, 16" 519 21.0 0.0 0.057 0.045 27 21 O.C. Orientation: Back Window - MI SH 2430 {Qty 11: 7 0.260 0.320 2 2 Vinyl Frame:Double Pane with Low-E Orientation: Back Window - Lippert TR-3210 {Qty 3 0.220 0.320 1 1 11: Vinyl Frame:Double Pane with Low-E Orientation: Back Door - Sliding Patio {Qty 11: 40 0.230 0.320 9 13 Orientation: Back Wall Rwalls]: Wood Frame, 16" 519 21.0 0.0 0.057 0.045 22 17 O.C. Orientation: Front Window - Lippert SH 3060 {Qty 74 0.260 0.320 19 24 41: Vinyl Frame:Double Pane with Low-E Orientation: Front Window - (2) Lippert SH 3060 36 0.260 0.320 9 12 {Qty 11: Vinyl Frame:Double Pane with Low-E Orientation: Front Door - Hinged - Exterior - 22 0.230 0.320 5 7 Craftsman - 3 Lite {Qty 11: Orientation: Front Wall [Cape Close Off Kit]: Wood 200 21.0 0.0 0.057 0.045 10 8 Frame, 16" o.c. Orientation: Unspecified Attic Door: Solid 18 0.240 0.320 4 6 Orientation: Unspecified Compliance: Passes using UA trade-off Report Title: 2025-1064601 Report Date: 2/10/26, 9:30 AM 2 of 13 Camplianee: 0.0% Better Than Code Max UA: 227 Your UA: 227 The % Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum -code home. Slab -on -grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck. Each slab -on -grade assembly in the specified climate zone must meet the minimum energy code insulation R-value and depth requirements. Compliance Statement The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2021 IECC requirements in REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Yael Soto - Drafter 02/10/2026 Name - Title Signature Date 02/12/2026 Approval of this document does not aa,:hofl2e or approve any devWon or deviations from the requirements of applicable State Laws. Report Title: 2025-1064601 Report Date: 2/10/26, 9:30 AM 3 of 13 IZInspection Checklist Energy Code: 2021 IECC Requirements: 0% were addressed directly in the RESCheCk software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Pre-Inspection/Plan Review Section Plans Field # Verified Verified I & Req.ID Pre-Inspection/Plan Review value Value Complies? Comments/Assumptions 103.1. Construction drawings and C Complies 103.2 [PR1]1 documentation demonstrate energy code compliance for the U Does Not building envelope. Thermal Comply envelope and energy on (—I Not compliance path represented construction documents. servable 1� Not /applicable 103.1, Construction drawings and Complies 10 403.8 documentation demonstrate energy code compliance for Does Not [PR3]1 lighting and mechanical omply 1 systems. Systems serving Not multiple dwelling units must servable demonstrate compliance with the IECC Commercial Provisions, j iI Not Applicable 403.7 p is sized perACCAnINanuail 5 ent Btuibrg Heating: ❑Does [PR3j7 based on loads calculated per Not Does 1Vet comply ACCA Manual I orothermethods by Nat approved the code official. Cooling: Btu !� Cooling: Btu�mr 91servable i ] Q) Not pplicable Additional Comments/Assumptions: 1 1 1 High Impact (Tier 1) 1 2 Medium Impact (Tier 2) 1 3 1 Low Impact (Tier 3) Approval of this document dress nVI aufarize or approve any fdevIaLon or deviations from the r—culrerrierrts of applicable State Lam-,_ Report Title: 2025-1064601 Report Date: 2/10/26, 9:30 AM 4 of 13 Foundation Inspection section Plans Field # Verified Verified 6, Req.ID Foundation Inspection Value Value complies? CommentslAssumptions 303.2.1 A protective covering is ❑ Complies { [F41117 installed to protect exposed exterior insulation and extends Does Not a minimum of 6 in. below grade. + ompiy PNot servable PNot licable 403.9 Snow and ice -melting system ❑ Complies i [FD12F controls installed to shut off Does Not system when pavement temperature > 50F and no Imply precipitation. Not servable Not pplicable 303.2 Unvented crawl space wall ❑ Compiles [F0811 insulation installed per manufacturer's instructions. Does Not ompiy Not servable Not pplicable 402.2.10 Unvented crawl space wall insulation R-value. R f`-1 k 1 R I� i 1 ❑Complies See the Envelope Assemblies ta61e for [FO711 R= R= Does Net amply values Not servable jj��'�� Not i applicable 402.2.10 Unvented crawl space ❑ Complies (Foglt continuous vapor retarder installed over exposed earth, Does Not ompiy joints overlapped by 6 in, and sealed, extending at least 6 in, j- j Not up and attached to the wall. servable Not pplicable 402.2.10 [F01011 Unvented trawl space wall insulation depth of burial or In, in. ❑ Complies See the Envelope Assemblies table for distance from top of wall. Does Not ompiy values Not servable Not pplicable Additional Comments/Assumptions: 1 1 High Impact (Tier l) 1 2 Medium Impact (Tier 2) 3 1 Low Impact (Tier 3) APPROVED BY ONO2i 12l2026 Approval of this documenl does not a%Ahoriae or approve any devlaevnor asviallons 4= the ra-uiremerttsof appi,abWtSlatoLaws. Report Title: 2025-1064601 Report Date: 2/10/26, 9:30 AM 5 of 13 Framing / Rough -In Inspection Section Plans Field a Framing ! Rdugh-In Verified Verified & RegJD Inspectiaw Value Value Complies? Comments/Assumptions 402.1, Door U-factor. U� U f�l [] Complies Seethe Envelope Assemblies tat}1e for 402.1, �I Does Not values [FR111 amply nn Not observable Not 1111 �ppl cable 402.1, Glazing U-factor (area -weighted i� 'l�l j U� Compl'es See the Envelope Assemblies table for 402.3.1, 402.3.3. average). Does Not values 402.5 'amply [FR2]1 Not servable PNot plicable 402.4.1.1 Air barrier and thermal barrier Complies [FR23]1 installed per manufacturer's j� Does Not instructions. [ omply Not servable PpNot plicable 402.4.3 Fenestration that is not site built Complies [FR2011 is listed and labeled as meeting Does Not AAMA /WDMA/CSA 1011].S.2/A440 or has infiltration amply rates per NFRC 400 that do not Not exceed Code limits. servable Not pplicable 402.4.5 IC -rated recessed lighting G Complies [FR16F Fixtures sealed atDoes housing/interior finish and Not labeled to indicate 52.0 cfm amply leakage at 75 Pa. 0 Not servable Not pplicable 403.3.1 Supply and return ducts in atticsComplies I insulated >= R-8 where duct is [FR12]1 >= 3 inches in diameter and Does Not >= R-6 where < 3 inches. amply Not servable Not pplicable 403.3.4 [FR1311 Ducts, air handlers and filter boxes are sealed with ❑ Complies jointslseams compliariLL with Does Not 1 International Mechanical Code amply or International Residential j—j Not Code, as applicable. servable i f1 Not Y Applicable 403.3.7' Building cavities are not used as Complies [FR1513 ducts or plenums. Does Not amply Not servable APPROVED BY ON A 02/ 12.'2026 Apor—i a this do —At don. not so-ndmze or fp6^h a M7 CeiMeen nr de altrn� ftn the main "m dg aXCW : 8mto uni Report Title: 2025-1064601 A Not pplicable Report Date: 2/10/26, 9:30 AM 6 of 13 Section Plans Field df Framing / Rough -In Verified Verified 4 ft"JD Inspection Value Value complies? Comments/Assumptions 403.4 HVAC pipin conveying fluids �F R� p� C Complies "tom [FA17]2 above 105 or chilled fluids below 55 °F are insulated to >_ Does NotR- � 3. Comply Not servable (� Not pplicable i 402.4.6 Electrical and communication ❑ Complies [FR29]3 boxes installed in the thermal boundary of the envelope [ Does Not sealed to limit air leakage Comply between conditioned and r Not unconditioned spaces. 6�servable QNot pplicable 403.4.1 Protection of insulation on HVAC ❑ Complies [FR24]1 piping. I Does Not Comply Not servable Not pplicable 403.5.2 Hot water pipes are insulated to R R ❑ Complies (FR1812 2:R-3• f` Does Not Comply Not 6servable ��Not pplicable 403.6 Automatic or gravity dampers ❑ Complies [FR19]2 are installed on all outdoor air Does Not intakes and exhausts for mechanical ventilation systems. omply Not 61ser servable � Not applicable ` 403.6.1 Ventilation systems in climate Complies [FR30]2 zones 7 & 8 shall utilize heat or Does Not energy recovery omply [� Not Wservable O Not i Applicable i 1303.1.3 U-factors of fenestration Complies [FR4]1 products are determined in accordance with the NFRC test ❑DeS Not procedure or taken from the .mply default table. Not servable Not pplicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 1 2 1 Medium Impact (Tier 2) 1 3 1 Low Impact (Tier 3) APPROVED BY IN 7A pV12CU20 A_p, ai o? ahis 9(:.^.—"d-o w[!(1' 11c A3:iCnS Lem :htl �enu:rem=Ms of 2PP1i=*:_' Stan La Report Date: 2/10/26, 9:30 AM 7 of 13 Report Title: 2025-1064601 Insulation Inspection Section # Plans verified Field Verified & Reg.1D Insuiatlan Inspection Value Value Complies? Comments/Assumptions 303.1 All installed insulation is labeled OComplies [1N1311 or the installed R-values Does Not provided. amply Not servable PpNot plicable 402.1. Wall insulation R-value. If this is 1h R � R Complies See the Envelope Assemblies table far 402.2.5. 402.2.6 a mass wall with at least of the wall insulation on the wall Wood 0 Wood Does Not values [IN3]1 exterior, the exterior insulation requirement applies (FR10). 0 Mass O Mass amply Not Qservable Steel DSteel Not pplicable 303.2 Wall insulation is installed per Complies [IN411 manufacturer's Instructions. ❑Does Not Comply Not servable I Oj�j Not pplicable Additional Comments/Assumptions: 1 1 High Impact (Tier 1) 2 Medium Impact (Tier 2) 3 Law Impact (Tier 3) APPROVED BY 02..112i2026 Approval of this doa n snt does not au-Mrize or approve any deviation or deviations from the requimments of applicable Mate Laws_ Report Title: 2025-1064601 Report Date: 2/10/26, 9:30 AM 8 of 13 Final Inspection Provisions Section Plans Field fr Verified Verified & Req.10 Final Inspection Provisions value Value Complies? Comments/Assumptions 303.1.1.1. Ceiling insulation installed per Complies 303.2 manufacturer's instructions. Does Not [FI2]1 Blown insulation marked every Comply 300 ft', Not servable pNot ppIicable 303.3 Manufacturer manuals for ❑ Complies [1`I1613 mechanical and water heating ' systems have been provided. s Not Does Comply Not bservable ONot p" plicable 403.2 Hot water boilers supplying heat through one- or two -pipe ❑ Complies C [Fl26P heating systems Does Not automatic utdoor setback omply control to lower boiler water Not temperature based on outdoor servable temperature, indoor temperature orwater [—I Not temperature sensing. pplicable 403.3.4.1 Air handier leakage designated I by manufacturer at <=2% of �j Complies [FI24]1 design air flow. Does Not 1 omply RNot observable Not Applicable 403.3.5 Ducts are pressure tested in l� G Complies [F]27]1 accordance with ANEI/RESNET/ICC 380 or cfm/100 ft2 cfm/100 ft2 Does Not RIM ASTME1554 to determine air ply leakage with either, Rough -in leakage Not test: Total measured with a pressure differential of 0.1 inch w.g, across the system servable (� Not APPROVED BY including the manufacturer's handler if Applicable 00NOO air enclosure installed at time of test. rP Postconstruction test: Total leakage measured with a pressuredifferential of 0.1 inch w.g, across the entire system including the manufacturer's air handier enclosure, i 1 403.3.6 Duct tightness test result of ft2 the Complies [FI4]1 <=4 cW100 across system or < = 3 cfm1100 ft2 cfm/100 ft2 cfm/100 ft2 Does Not without air handler Ca25 Pa. omply Duct tightness e= 8 cfm1100 ft2 for ducts thermal Not within envelope. For rough -in tests. verification may need to occur servable Not during Framing Inspection. Applicable 403.5.1 Circulating service hot water C Complies j [F111]2 systems have automatic or accessible manual controls. Does Not i CCo"mply ,, Not Mservable Not pplicable 404.1 100% of permanent fixtures C) Complies [FI611 have high efficacy lamps. �j Does Not I3ly jP-M Obseorvable Not pplicable Report Title: 2025-1064601 Report Date: 2/10/26, 9:30 AM 9 of 13 Section Plans Field # Verified Verified & Req.ID Final Inspection Provisions Value Value Complies? Comments/Assumptions 403.5.1.1 Heated water circulation ❑ Complies [FI28]2 systems have a circulation Does Not pump. The system return pipe .Imply is a dedicated return pipe or a cold water supply pipe, Gravity Not APPROVED BY and thermos -syphon circulation servable 00or ON systems are not present. Controls for circulating hot (; Not 0'--%1- 2 0 water system pumps start the Applicable 14 pump with signal for hot water demand within the occupancy. Controls automatically turn off ;r" , "_° 1° ,," 4 "` the pump when water is in d Yweo s 11�i circulation loop is at set -point temperature and no demand for hat water exists. 404.2 Permanent interior lighting C] Complies [FI36]3 shall be controlled with either a ( Does Not dimmer, occupancy sensor or Comply other control built into the fixture. Not servable Not Applicable 404.3 Exterior lighting >= 30 watts shall have the following Complies [FI3713 controls: manual on/off switch Does Not with automatic shut-off, Comply automatic shut-off in daylight hours, and controls that [�JJ' Not Observable override automatic shutoff that returns to automatic control Not within 24 hours. pplicable 403.5.1.1.1 Demand recirculation water j EJ1 Complies [FI32]2 systems have automatic I Does Not controls to start pump when hot water Is requested. .Imply Not servable Not pp]icable 403.5.1.2 Electric heat traces stems D Complies [F129]2 comply with IEEE 515.1 or UL 515. Controls automatically Does Not adjust the energy input to the Comply heat tracing to maintain the C Not desired water temperature in Observable the piping, n Not pplicable 403.5.3 Drain water heat recovery Complies (FI31}� units tested in accordance with CSA 1355.1. Potable water -side I Does Not loss drain .Imply pressure of water heat < 3 for Not recovery units psi individual to [ units connected one or two showers. Potable Observable Not water -side pressure loss of drain water heat recovery units pplicable < 2 psi for individual units. connected to three or more showers. i 401.3 Compliance certlficate posted ❑ Complies [F17]2 I with buiIding specifications and compliance path and results. Does Not .Imply 6Not servable Not Applicable !r 1403.6.2 All mechanical ventilation CComplies [F12512 system fans not part of tested Does Not and listed HVAC equipment .Imply meet efficacy and air flow limits per Table R403.6.2. [—,, Not b5 servable Not Applicable roa Report Title: 2025-1064601 Report Date: 2/10/26, 9:30 AM 10 of 13 Section Plans Field # Verified Verified Gina! 1"cnn tiAn Fl a ivtAnc Value vatun Complies? Comments/Assumptions .� ..may.., - --- ... .- --•--- ---------- - 403.6.3 Mechanical ventilation systems C Complies [FI33]2 tested and verliied to meet the Does Not minimum flow rates required by Section R403.6. omply WNot bIservable PNot licable 404.1.1 Exterior lighting for multifamily C Complies [FI3513 buildings shall comply with Does Not Section C405.4. omply Not 6I servable UNot plicable 404.1.2 Fuel gas Iightinq systems have 0 Complies [FI2313 no continuous pilot light. Does Not amply j—j Not servable Not pplicable 408.2.2 Efficiency HVAC Package: Complies APPROVED eY i [FI3913 Efficiencies >= 95 AFUE gas furnace, 16 SEER air (� Does Not conditioner, 10 HSPF/16 SEER Comply zo_c heat pump or 3.5.COP ground Not source heat pump. servable Notes:.. Ppplicable - -. 402.1, Ceiling insulation R-value. R i� l�l R� C Complies See the Envelope Assemblies table for 402.2.1. 402.2.2. E] Wood Wood Does Not omply values 402.2.6 [1`I1]1 [j Steel Steel (�i Not Observable PA Not pplicable 1 462.2.3 Vented attics with air Complies [F122]2 permeable insulation include [ Does Not baffle adjacent to soffit and Comply eave vents that extends over insulation. Not servable i Not Applicable 402.2.4 Attic access hatch and door R f� L J R i�l 1�1 [j Complies [FI311 insulation >_R-value of the ` Does Not adjacent assembly. omply I Not servable Not Applicable ' 402.4.1.3 Blower door test @ 50 t. ACH 50 = ACH 50 — ❑ Complies [FI17]1 <=5.0 ach in Climate Zones 1- Does Not 2, and <=3.0 ach in Climate Pi Zones 3-8. Not servable Not Applicable ' 402.4.4 Where open combustion air C Complies [FI29]2 ducts provide combustion air to fuel Does Not open combustion omply burning appliances, the appliances and combustion air Not opening are located outside servable the building thermal envelope or enclosed in a room, isolated Not from inside the thermal Applicable envelope. Such rooms are t�edieu dliu u Report Title: 2025-1064601 Report Date: 2/10/26, 9:30 AM 11 of 13 Section # & Rep.ID Plans Verified Final inspection Provisions Value Field Verified Value complies? commentslAssumptions 403� Programmable thermostats Cj Complies Ihlgl: installed for control of primary Does Not heating and cooling systems omply and initially set by manufacturer to code Not specifications. servable PANot wicable Additional Comments/Assumptions: 1 1 High Impact (Tier 1) 1 2 1 Medium Impact (7ier 2) 3 i Low Impact (Tier 3) Approval of this document hoes not aulraorize or approve any delfia.on or deviations from the requirements of applicable L:ale Laws_ Report Title: 2025-1064601 Report Date: 2/10/26, 9:30 AM 12 of 13 C�(j 021 I ECC Energy Efficiency Certificate Insulation Above -Grade Wall 21.00 Below -Grade Wall 34.00 Floor 0.00 Ceiling / Roof 60.00 Ductwork (unconditioned spaces): Glass & Door Rating U-Factor SHGC Window 0.26 0.22 Door 0.23 Skylight 0.00 Cooling ,Heating & Heating System: Cooling System: Water Heater: SIgnature Name: Date: Comments: APPROVED BY 02/12/2026 Approval of this document does not authorize or approve any deviation or deviatlons from the requrrernerts of applicable State LaE,vs_ Report Title: 2025-1064601 Report Date: 2/10/26, 9:30 AM 13 of 13 Z W J O O W Lr¢ Zr ti O z ¢ wU)O u1 Wo< Li�LL z 0 (no m~� o zr ~ZJ 3' Y x Qw (n M 0 ro wcn QWc 0, aQ ULLJ z mtr wJ v J SOD Z T F O= co W Q m w Z 0¢¢o J� z F LLI � ronm zO a UOz ❑ O O LL Qw W¢ w¢ ¢oO Cw U W �n W W Z J w a a¢ U)0 `�ti� eu z� �a v w CA J Cn �t z 0 j i t�7 N U 3: w z \ J O " a M it 0 w LL fir0 w �O y = w 1 ih 3 " J } 0 w J¢ �,0 o W z W F r WU) >`g m ¢ LL 20 �i w 5 0 LL 0= u5 te n' .a m~WOO J' J O W F ~ JIf zWW zR 1=O MFLL � x OZYLL S F- W ¢00 U) ¢ IL �wOo mHw-JX ¢ L ca a =ma - za-zw WJ_ WwOoo 0 cc O H Q �craZLU ci n '-'-'z W a O Q 2LLI�OD d Ln(o v F-= 0 fr w�LLLL LL (L}W W�OLL DW N T WWO9 LL w J�❑O Z� ZDO�F W?�m�3 z o�¢ W ¢ 2 O ¢WZO¢ z L) FW DO w _ _ 2 x z o�z� 0 �Z� F-j-ZW 0- o� c, °W°F-L) � N F- C/) Z W¢ a 0 W ¢ J W CO O Z 0 ¢- Q U CC w0 2, W ~ O0¢Z F T N 000 N¢ Ow Oz '¢ z C7¢ 00 O oV� (n �ZOCQ cq w=M~0 6e o Z Z0(..)� J m¢— Q U O F_OF ¢Z W LL UL �wx LL U - - - W ,Z W w^ N O O 0 C!1 C)WLL J O m rn^ N LUp¢F- a^o r N MLL rG a OQW m N = z g <, Q F Z m N W — U1 0 (A w (n inf0 � fA O ` LL CL d LL Z CL (7 J W ~ d J = W J (n (n UA CA UL Q OZ Z<U) ¢CL a FEL z W W F W J p O O O N ? 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