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GREEN BUILDING RESIDENTIAL CERTIFICATION CHECKLIST AT FINAL INSPECTION As contractor/architect/owner/engineer, I certify that the following green building code requirements have been incorporated into the new residential building at authorized by building permit # Surface drainage. Indoor water use fixtures are in compliance with Item 1 on Green Building Code Mandatory Residential Requirements document. water use in compliance with the and openings in the building envelope have been sealed in compliance with the ___________Construction Waste Reduction, Disposal and Recycling report verified. copy of the Operational and Maintenance Manual required by the has been placed at the site and has or will be transferred to the owner. ___________Fireplace compliance with emissions verified to comply with 4.503.1 and AQMD 445. openings and mechanical equipment protection during construction was verified. ___________Adhesives, sealants, caulks, paints, coatings, aerosol paints, carpet systems, resilient flooring systems, and composite wood products used at the site are in compliance with the concrete slab (if applicable) for the project has been installed with capillary break per plans. moisture content of the floor and wall framing did not exceed 19 percent when the building framing was enclosed. room containing a bathtub, shower or tub/shower combination has been provided with an approved mechanical exhaust fan with humidistat and/or signage according to the whole house exhaust fan if installed is in compliance with R-4.2 insulation when off per heating and air-conditioning system is in compliance with the plans and the I have reviewed all of the above items and the Mandatory Measures incorporated into the plans and find this project in compliance with the CAL Green Code. Signature Date Printed Name Phone # E-mail