BRES2015-0037CALLE
4.4 Q"
VOICE (760) 777-7125
78-495 TAMPICO
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/6/2015
Application Number:
BAES2015-0037
Owner:
Property Address:
55518 OAK TREE B43
ANDREW FILLAT
APN:
775231017
55518 OAK TREE
Application Description:
FILLAT RESIDENCE PATIO ENCLOSURE 1345 SF
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$22,000.00
Applicant:Contractor:
AGIM RADOM Q LARRY COIA JR DBA 7 C'S CONSTR
D
76527 CALIFORNIA DR 48-236 VISTA DE NOPAL
PALM DESERT, CA 92211 MAY 0 6 2015 LA QUINTA, CA 92253
CITY 0Fl AQUINTA (760)564-5811
COMMUNITY DEVELOPMENT DEPARTMENT Llc. No.: 594043 .
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am ' ensed underprovisions of Chapter
9 (commencing with Section 7000) of DivisioptytheBlusJ ess and Professions Code,
and my License is in full force and effect.
�►/LLIicense Class: B License No.: 594043
K .Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds. or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.). '
(_) I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for,the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
(� I am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number: _
I certify that in the performanceof the w which this permit is. issued, I
shall hot employ any person in any manner so as o become subject to the workers'
compensation laws of California, and agree th , if.l should ecome subject to the
workers' compensation provisions of Section 700 of th apor Code, I shall forthwith
Fomply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' ISOVNSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official fora permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the a ve inf rmation is correct.
1 agree to comply with all city and county ordinances and ate laws relating to building
construction, and hereby authorize representatives of thi city toe tgfL, pon the above•
mentioned property for inspection purposes. ��
Date: _�_JD — Signature (Applicant or Agen
FINANCIAL INFORMATION
DESCRIPTION
r
ACCOUNT ,' ~ ; 7
QTY*
AMOUNT; ,
PAID
PAID.DATE
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0
$62.36
$0.00
METHOD-.,.' ``'
- RECEIPT #. -' ',
; .CHECK # •
CLTD BY
DtSCRiPTI Ni, _r
ACCOUNT . '��'
QTY*
AMOUNT ' ;
PAID'
-PAID DATE
ADDITION, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$17.40
$0.00
,. PAID BY
y METHOD'
RECEIPT #
CHECK #
`CLTD BY
.'.DESCRIPTION
.0 -ACCOUNT-," " ..
QTY
AMOUNT -
PAID
PAID DATE
ADDITION, FIRST 100 SF
101-0000-42400
0
$120.83
$0.00
AID BY
E q METHOD fi
,�, . a''RECEIPT #
CHECK #
CLTD BY,
DESCRIPTION `t, - i
ACCOUNT N�'
QTY
:: ' ,AMOUNT -
PAID ''
PAID DATE
ADDITION, FIRST 100 SF PC
101-0000-42600
0
$171.14
$0.00
=' PAID BY t
`.METHOD
`RECEIPT#'CHECK'#
CLTD BY
Total Paid forADDITION: $371.73 $0.00
� DESCRIPTION t
ACCOUNT'-;A-f.'
QTY
AMOUNT
PAID,
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY" "`
R
METHOD, » "'
RECEIPT:#
t, CHECK #:
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION } r a F ?� •.
"M` „4ACCOUNT �_
QTYi
s= ' 'AMOUNT ;'
PAID
PAID DATE'
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
$0.00
z PAID BY
METHOD �`
,a.. RECEIPT #
4; CHECK #,,
CLTD BY
DESCRIPTION ; ;
- ' ACCOUNT
QTY
,'AMOUNT
, PAID ` +
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600.
0
$47.86
$0.00
.zT ,kPAID BY•+� y" ' s r..
' `METHOD
k RECEIPT# i
r _'.CHECK# ;'
CLTD BY
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00
t DESCRIPTION '' u_ -
.. -~ACCOUNT;t. . „.'
QTY
�. AMOUNTr : ;-
�'.' }PAID 3"` " .
PAID DATE
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$12.09
$0.00
PAID BY 4 `;
r
YMETHOD� �;
°
'. RECEIPT# -
a., , z .::
`' CHECK#
CLTD BY
ACCOUNT _•`
QTY i
;' �_•> AMOUNT •
PAID
PAID. DATE
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$4.83
$0.00
PAID%BY'
METHOD ;,«;
�, , RECEIP,T;# '
CHECK# , �'
CLTD BY
Total Paid for MECHANICAL: $16.92 $0.00
A
K DES 777, 7CRIPTION k,' , '"n s, > x
777-7
�,r r?'A000.UNT `"` • d
Q
`i t ° AMOUNT r .,
7`�, is ' ;4" i�1. - «.t...]a 42
:1 u. �, .fi
ROOF DRAIN
101-0000-42401
0
$12.09
$0.00
PAID BY '�T��"``��2
`
P'' j +METHODS ` $
REGEIP,T.# �* a"
F +. CHECKA,
Y CLTD.BY;
a� -
t'DESCRIF710N 4`'
'.' `;ACCOUNT, +Y"' ' 'MATY'
';AMOUNT
`'"PAID
PAID DATE'
3.
, ,4'�
ROOF DRAIN PC.
101-0000-42600
0
$12.09
$0.00
,- .., -' f :. S. ".f "t
'zl PAIDBY
�. A `h s y: �3" �,
:;,� ,{r s,,.t
;RECEIRT#
j CHECK#�'
CLTD BY,
.4J -�
,METHOD 1
f_<<„
Total Paid forPLUMBING FEES: $24.18 $0.00
xcw4_DESCRIP,TION
SQTYs
AMOUNT <
`r-, -PAID`
P1.AID1 DATE
�, rK c n..A000UNT�z':
11
SMI - RESIDENTIAL
101-0000-20308
0
$2.86
$0.00
PAID'BYI4t; `im sF z6,%
F k�
; w�a* ; RECEIP.�T #* ;` h
, CHECK:#>
CITD BY"`
4`i
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $2.86 $0.00
TOTALS:.0• 00
0
Description: FILLAT RESIDENCE PATIO ENCLOSURE 1345 SF
CHRONOLOGY
CHROfdOLOGY TYPE " STAFF NAME, }ACTION DATE COMPLETION DATE y :� = NOTES +'712
`"�:
Type: BUILDING, RESIDENTIAL Subtype: ADDITION
Status: APPROVED
Applied: 2/4/2015 MFA
Approved: 3/13/2015 JJO
Parcel No: 775231017 Site Address: 55518 OAK TREE B43 LA QUINTA,CA 92253
Subdivision: TR 20717-2 SEE ASSR MB 769 PGS 3134 Block:
Lot: 8
Issued:
3536
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $22,000.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: ENCLOSE ATRUM AND ADD THREE SKYLIGHTS.
to Approved? =:
ADDITIONAL
CHRONOLOGY
CHROfdOLOGY TYPE " STAFF NAME, }ACTION DATE COMPLETION DATE y :� = NOTES +'712
`"�:
i. z
PLAN CHECK PICKED UP
STEPHANIE KHATAMI
2/18/2015
2/18/2015
VETON PICKED UP PLAN CHECK.
PLAN CHECK SUBMITTAL
MARY FASANO
2/4/2015
2/4/2015
RECEIVED
RESUBMITTAL RECEIVED AT FRONT COUNTER BY MARY.
RESUBMITTAL
KAY HENSEL
2/23/2015
2/23/2015
PROCESSED IN AND PUT AWAY
CALLED AGIM TO INFORM HIM PLANS ARE READY TO ISSUE.
TELEPHONE CALL
JIM JOHNSON
3/13/2015
3/13/2015
SCHOOL FEE EXEMPTION LETTER REQUIRED AND HOA
LETTER.
CONDITIONS
CONTACTS
f NAME TYPE' ; :�' NAME �- �' n ''ADDRESSI CITY "" STATE ZIP PHONE= FAX' 'EMAIL
f
APPLICANT AGIM RADOM 76527 CALIFORNIA DR PALM DESERT CA 92211
Printed: Wednesday, May 06, 2015 2:55:41 PM 1 of 3 CR .
SYSTEMS
Printed: Wednesday, May 06, 2015 2:55:41 PM 2of3 C91"w"YSTEMS
FINANCIAL
INFORMATION
DESCRIPTION.
'ACCOUNT"
QTY
AMOUNT.
PA16.1-1
�PAID DATE,
RECEIPT '#'
;CHECK #
METHOD
PAID*BY-
CLT6,
�A
7
BY
ADDITION, EA
.
0
$62.36
$0.00
ADDITIONAL 5 00 SF
.101-0000-42400
ADDITION, EA
101-0000-42600
0
$17.40
$0.00
ADDITIONAL 500 SF PC
ADDITION, FIRST 100 SF
101-0000-42400
0
$120.83
$0.00
ADDITION, FIRST 100 SF
101-0000-42600
$171.14
$0.00
PC
Total Paid forADDITION: $371.73 $0.00
BSAS SB1473 FEE
.101-.0000-20306 —FO
$.1.00
T- $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
RESIDENTIAL, FIRST
101-0000-42403
0
$145.03
$0.00
1,OOOSF
-
RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$0.00
1,000SF, PC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00
APPLIANCE
101-0000-42402
1-0000-42402
0
$12.09
$0.00
REPAIR/ALTERATION
APPLIANCE
101-000-0-42600
0
$4.83
$0.00
REPAIR/ALTERATION PC
Total Paid forMECHANICAL: $16.92 $0.00
ROOF DRAIN
101-0000-42401
0
$12.09
$0.00
Printed: Wednesday, May 06, 2015 2:55:41 PM 2of3 C91"w"YSTEMS
DESCRIPTION
ACCOUNT..;
Qw
AMOUNT-_
-:.PAID
kID DATE
,PAID
RI ECEIP�i'
.�`iCHECk-
HOD'.
METHOD
PAID BY
ICLTD
Y.
REVIEWER
DATE'
UE
I ; z
4,
.13
ROOF DRAIN PC
10.1-0000-42600
0
$12.09
$0.00
Total Paid forPLUMBING FEES: $24.18 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$2.86 _F7
$0.00
REVISIONS REQUIRED
SEE ATTACHED
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $2.86 $0.00
TOTALS: $609.58 $0.00
Sf4lb ,'jWSPECTION TYPE,;INSPECTOR '-�
rSehtliULED. COMPLETED I -'9MAkKS7'.,_ .4
z
ATE
FINAL"
BOND INFORMATION
Printed: Wednesday, May 06, 2015 2:55:41 PM 3 o 3
CRW"YSTEMS
PARENT PROJECTS
ARETUR
'-SENT Aft,
REVIEWS
NOTE
:REVIEW TYPE''
REVIEWER
DATE'
UE
1ST PLAN CHECK CORRECTION. STRUC CALCS WILL
NON-STRUCTURAL
JIM JOHNSON
2/4/2015
2/18/2015
2/18/2015
REVISIONS REQUIRED
SEE ATTACHED
BE REQUIRED
YOUNG
2/23/2015
3/9/2015
3/12/2015
APPROVED
APPROVED
NON-STRUCTURAL
ENGINEERING
BOND INFORMATION
Printed: Wednesday, May 06, 2015 2:55:41 PM 3 o 3
CRW"YSTEMS
��n/ I S M �J
Bin #
.0ty Of La Quin'ta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking. Sheet
Permit #
Project Address: S S_ I Q e
Owner's Name:
A. P. Number:
Address: O6 k Q
Legal Description:
City, ST, Zip: V1
Contractor:C '
T I h ne•
ee o P
Address: 3 J -9V R Mal
Project Description:
City, ST, Zip:
.Telephone: e one.•
P •S
-e
c�vr
State Lic. # :
City Lic. #c
�• P
Arch., Engr., Designer:(,&fkf'AA,IN/V�vc^�
l 6�
Address: 2
` )-/ .. l l ut�%l ~
City., ST, Zip:
Telephone:
U
:—�
on
structi on Type: aneY
Occupancy:
tate .
S Lic. #
Pcircle one w
• N e Add'n A r Re air Demo
roe ct h'Pe � Alter J ) P
Name of Contact Person:
j'1r I
Sq. Ft.:
#Stories:
# Units;
Telephone .# of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT.WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready forcorrectons/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
ern.#
LY
Of j d Qutnta
Building 8t Safety Division
P.O. Box 1504,78-495 Calle Tamptco
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: .9 -- $-l8 O/Ft 7 -R -&,C
Owner's Name:. 4,L,t7,LCu�i FfC C/1
A. P. Number. 7'75--Z3/- O(S- I
Address: $,j=S1B OAt 1�CE
Legal Description: COY'" $, T4 207'— 23 f! . /i- -cif
City, ST, Zip: LA Q v/,v � CCs : qzt r3
Contractor. C J COL( � C/C i (O 1J
Telephone: 4 "
Address: y 8- 236. V/ 7W OC ,CIO?. 4 e
Project Description:
City, $T, Zip: CjVU/,4 a% fu -r3
P� Tip C-zrCtoj ciL C -
Telephone: 760- 8V -U- I
c; ^ ... ;/
App Sky 4-14;H7—
%CiNTState
StateLic. #: ,S 9f/ O t(3
City Lic #;
Arch., Engr., Designer. flDL/ pefl4v LLC
Address: ( f'Z7 0/1LiFO�Li//t m�C .
City., ST, Zip: P 4L M Dcfe'-x T C4. 9 Z 2 f/
Telephone: 74�,V- q 9-2.541
State Lic. #:
Name of Coatact Person: AC &I )e,4p OLI/
Construction T ype:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: f 3 f # Stories: # Units:
Telephone # of Contact Person: 760 ` V'6 fZ:5
Estimated Value of Project: 22. 00 . • .
r
APPLICANT: DO NOT WRITE BELOW THIS UNE
9
Submittal
ReWd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
a
item Amours
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Trans Cates.
Called Contact Person
Pian Check Balance.
Title 24 Cales.
Plans picked up v l i . LU
(
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2i° Review, ready for corrections a
10
Electrical
Subcontactor List
Called Contact PersonPlumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review; ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
Ad.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
COW"� - Cis fii��. "PUU,vtt-
.....
A
Coachella Valley Unified School District . This Box For District use only
83-733 Avenue 55 Thermal, CA 92274 DEVELOPER FEES PAID
(760) 398=5909 — Fax (760) 398-1224
AREA: _
AMOUNT -
LEVEL ONE AMOUNT: -
- LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMM/MD. AMOUNT:
DATE:
- RECEIPT:
CHECK #:
MITIALS
CERTIFICATE OF COMPLIANCE
(California Education Code 1.7620)
Project Name: . PGA W b Date: May 5,.2015 .
Owner's Name: Andrew Fillat Phone No. 760-564-5811
Project Address: 55-518 Oak Tree, LaQuinta
Project Description: Addition
APN 775-23'1-015 Tract #: Lot #'s:
Type of Development: Residential XXi Commercial Industrial
Total Square Feet of Building Area: .135
Certification of Applicant/Owners:. The person signing certift tha the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is authorizefl to si n on behalf of the owner/developer.
Dated: May 5,2015: Signature: .
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE -P CT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code . Gov. Code Project .:: Agreement Existing Not Subject to Fee
17620 65995 Approval Prior to 1/1/87 _ Requirement
Note:
Number of Sq.Ft. 1.35 Pursuant to AB 181.any.room additions or enclosures of 500
sq. ft. or less are exempt from developer fees. Any mobile
Amount per, Sq.Ft. $0.00 homes beim relocated within the same school district's
Amount Collected $0.00 g'
jurisdiction are exempt from developer fees.
Building Permit Application Completed: Yes/No
By: Elsa F. Esqueda, Director. of Facilities and -Maintenance
Certificate issued by: ' Laurie Howard, Secretary Signature:C�
NOTICE OF 90 -DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with.section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to such Fees or the -validity thereof, commences with the payment of:the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time. or in whole or in part prior to issuance of a Certificate of Occupancy. .As in the latter, the 90 days.starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted.
MV:c/mydocs/devfees/certificate of compliance fonn updated 3-2007 11/20 10
i
OFFICE' IN
STATE OF CALIFORNIA P1
Prescriptive Residential Additions 300 Fe or Less, or Additions That Do Not Require HERS Field Verification
^EC-CFIR-ADD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
,CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 1 of 9)
Project Name: FILLAT RESIDENCE ADDITION - Date Prepared: 01/29/2015
This compliance document is only applicable to additions 300 ft or less, or additions that do not require HERS field verification for compliance. When HERS verification is required, a CFIR-ADD-01
shall first be registered with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ADD-02 and CF2R- ADD -02 Compliance Documents. Possible exemptions from duct
leakage testing include:' less than 40 ft of ducts were added or replaced; or the existing duct system was insulated with asbestos; or the existing duct system was previously tested and passed by a
HERS Rater.. If space conditioning systems are altered and are not exempt from HERS verification, then a CF1R-ADD-01 must be completed and registered with a HERS Provider Data Registry.
Additions or alterations that utilize Closed Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having an R -value other than 5.8 per inch, or Open Cell
Spray Polyurethane Foam (ocSPF) with a density of 0.4 to less than IS pounds per cubic foot having an R -value of 3.6 per inch, shall complete and register a CFIR ADD -01 with a HERS Provider Data
Registry. ,
If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are
responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met.
Temporary labels shall not be removed before verification by the building inspector.
A. GENERAL INFORMATION
01
Project Name:
FILLAT ADDITION
02
Date Prepared: BUILDING & OMEWCEPT
03
Project Location:
55518 OAK TREE
04
Building Front Orientation (d g): FO S
- 05
CA City:
LA QUINTA, CA
06
Number of Dwelling Units w h Additions: ONE
07
Zip Code:
92253
08
DATE -
Fuel Type: IvY
Total Conditioned Floor Area (ftz) (Addition): 108 .F.
09
Climate Zone:
15
30
11
Building Type
S.F.R.
12
Slab Area (ft): 108. S.F.
13
Project Scope:
300 FT OR LESS
-
OF LA QUINTA
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Fe or Less, or Additions That Do Not Require HERS Field Verification
'EC-CFIR-ADD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
,CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 2 of 9)
Project Name: FILLAT RESIDENCE ADDITION Date Prepared: 01/29/2015
B. OPAQUE SURFACE DETAILS — Framed (Section 150.2(a))
01
02
03
04
05
06 07 08 09
10
11
Tag/ID
Assembly Type
Frame Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Proposed
Required
Comments
Cavity
R -value
Continuous
Insulation
R -value
LI -Factor
Appendix JA4 Reference
LI -Factor
Table
Cell
WALL
WOOD
2X4
16" O.C.
R-13
N.A.
0.102
4.3.1
A-3
0.102
SEE EXCEP.6 150.2 (a)
ROOF
WOOD
2x12
24" O.C.
R-38
N.A.
0.028
4.2.2
A-19
0.028
R-38 HIGH DENSITY
UILDINGIN & -1
jAFETY DEPT
APPR
CA Building Energy Efficiency Standards - 2013 Residential Compliance
-- "'`IttUL:IION
DATE BY Janjary 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Fe or Less, or Additions That Do Not Require HERS Field Verification
CEC-CFIR-ADD-02-E (Revised 01/15) CALIFORNIA
0
CERTIFICATE OF COMPLIANCE CF111-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 3 of 9)
ProjeLIName: FILLAT RESIDENCE ADDITION Date Prepared: 01/29/2015
C. OPAQUE SURFACE DETAILS — Non -framed (Section 150.1(c)1)
01
02
03
04
05 06 07 08 09
10
11
Tag/ID
I Assembly Type
Assembly Materials
Thickness
(inches)
Proposed
Required
Comments
Core
Insulation
R -value
Continuous
Insulation
R -value
LI -Factor
Appendix JA4
Reference
LI -Factor from
Package A
Table
Cell
R -value
Ll -factor
Table
Cell
R -value LI -factor R -value
LI -factor
I-IING SAFETY
DEPT
PRO V E®
PFO'R
CON ITRUCT
ON
D. OPAQUE SURFACE DETAILS — Mass Walls (Section 150.1(c)1)
01
02
03
04
05
06 07 08 1 09
10 111
Tag/ID
Walls
Above
Grade
Mass Type
Mass
Thickness
(inches)
Furring Strip
Thickness
(inches)
Proposed
Required
Interior Insulation
Exterior Insulation
Appendix JA4
Reference
Interior Insulation Exterior Insulation
R -value
LI -factor
R -value
Ll -factor
Table
Cell
R -value LI -factor R -value
LI -factor
I-IING SAFETY
DEPT
PRO V E®
PFO'R
CON ITRUCT
ON
BY
Uhi �
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Fe or Less, or Additions That Do Not Require HERS Field Verification 4b
CEC-MR-ADD-02-E (Revised 01M) CALIFORNIA ENERGY COMMISSION —
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 4 of 9)
Project Name: FILLAT RESIDENCE ADDITION I
Date Prepared: 01/29/2015
E. SLAB INSULATION (Table 150.1-A)
01
02
03
04
05
06
Floor Type
Proposed
Required
Comments
Insulation
R -value
Insulation
U -factor
Insulation
R -value
Insulation
LI -factor
N.A
N.A
N.A
N.A
EXEMPT PACKAGE A ZONE 15
• Heated slab floors require mandatory slab insulation (see Table 110.8-A).
F. RADIANT BARRIER (Section 1511
01
02
Radiant Barrier installed below the roof deck and on all gable end walls
Comments
YES
A radiant barrier is required (for Climate Zones 2-15)
• Radiant barriers shall meet specific eligibility and installation criteria to receive energy credit for compliance with the Building Energy Efficiency Standards
for low-rise residential buildings. Refer to RA4.2.1
• The emittance of the radiant barrier shall be less than or equal to 0.05 as tested in accordance with ASTM 13 T
For Prescriptive Compliance the attic shall be ventilated to provide a minimum free ventilation area of not less than neIII II �r11VIIII �`er� 0 2 of
attic floor area.with no less than 30 percent upper vents. Ridge vents or gable end vents are recommended to achie a Web ftw � Ihe_ i I h uld
be cut to allow for full airflow to the venting. YDEPT
FOR CONSTRUCTION
CA Building Energy Efficiency Standards - 2013 Residential Compliance
2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Fe or Less, or Additions That Do Not Require. HERS Field Verification
CEC-CFIR-ADD-02-E Revised 01/15 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 5 of 9)
Project Name: FILLAT RESIDENCE ADDITION Date Prepared: 01/29/2015
G. ROOFING PRODUCTS (COOL ROOF) (Section 150.1(c)11)
01
02
03
04
05
06 07 08 1 09
10 11 12
Mass Roof
25lb/ft2 or
Greater
Roof Pitch
Method of
Compliance
Product
Type
CRRC Product ID
Number
Proposed
Required
Initial Solar
Reflectance
Aged Solar
Reflectance
Thermal
Emittance
SRI
(Optional)
Aged Solar
Reflectance
Thermal
Emittance
SRI
(Optional)
Maximum
Maximum
N.A.
Addition Type ftZ
Allowed
Allowed
Comments
Maximum
Maximum
Calculated
Maximum
Calculated
Maximum
LI -factor
SHGC
based on
Calculated
based on
Calculated
I �
Allowed ftZ
Allowed ftZ
OF
Allowed %
Allowed %
, ,
< 400 S.F.
32.4 S.F.
75 S.F.
5.4 S.F.
60 S.F
0.55
0.309
�7.
NOTES:
• Any roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings must comply with installation criteria from section 110.8(i)4.
H. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(a)1)
01
02 03
04 05
06
07
08
Maximum Allowed
Maximum Allowed
Fenestration Area For All Orientations ftZ
West -Facing Fenestration Area Only ftZ
The Greater
The Greater
Maximum
Maximum
Addition Type ftZ
Allowed
Allowed
Comments
Maximum
Maximum
Calculated
Maximum
Calculated
Maximum
LI -factor
SHGC
based on
Calculated
based on
Calculated
I �
Allowed ftZ
Allowed ftZ
OF
Allowed %
Allowed %
, ,
< 400 S.F.
32.4 S.F.
75 S.F.
5.4 S.F.
60 S.F
0.55
0.309
�7.
LJ
FOR CONSTRUC�ON
nares
CA Building Energy Efficiency Standards - 2013 Residential Compliance
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Fe or Less, or Additions That Do Not Require HERS Field Verification
CEC-CFIR-ADD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
-CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 6 of 9)
Protect Name: FILLAT RESIDENCE ADDITION Date Prepared: 01/29/2015
I. FENESTRATION PROPOSED AREAS AND EFFICIENCIES
01
02
03
04
05
06
07
08
09
10
11
12
13
Tag/ID
Fenestration Type
Frame Type
Dynamic
Glazing -
Orientation
N, SW, E
,
or Roof
Number of
Panes
Proposed
Fenestration
Area ftz
Proposed
West Facing
FenestratZon
Area ft
Proposed
U -factor
Proposed
SHGC
Source
Exterior
Shading
Device
Combined
SHGC from
CF1R-ENV-
03
SKYLIGHT
METAL
NO
W
2
14.1
14.1
0.42
0.23
NFRC
NO
N.A.
14
Total Proposed Fenestration Area
14.1 S.F.
15
Maximum Allowed Fenestration Area
75 S.F.
16
Compliance Statement
Total Proposed Fenestration Area 5 Maximum Allowed Fenestration Area
O Yes ❑ No
17
Total Proposed West -Facing Fenestration Area
14.1 S.F.
18
Maximum Allowed West -Facing Fenestration Area
60 S.F.
19
Compliance Statement
Total Proposed West -Facing Fenestration Area 5 Maximum Allowed West -Facing Fenestration Area
lil Yes ❑ No
20
Proposed Fenestration U -factor
21
Required Fenestration U -factor
22
Compliance Statement
Proposed Fenestration U -factor <_ Required Fenestration U -factor
"UIDING & SAI=ETV
r-)NeA
No
23
Proposed Fenestration SHGC
24
Required Fenestration SHGC
FOR
25
Compliance Statement
Proposed Fenestration SHGC15 Required Fenestration SHGC
Yes ❑ No
_ I uATE�_BY
-CA Building Energy Efficiency Standards - 2013 Residential Compliance 4,
ry 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Fe or Less, or Additions That Do Not Require HERS Field Verification -db
CEC-CFIR-ADD-02-E Revised 01/15 CALIFORNIA ENERGY COMMISSION —
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 7 of 9)
P,olettName: FILLAT RESIDENCE ADDITION I
Date Prepared: 01/29/2015
J. SPACE CONDITIONING(SC) SYSTEMS - HEATING/COOLING (Prescriptive section 150.2(b).
Alterations to Space Conditioning Systems shall be exempt from HERS verification requirements as prerequisite for use of the CF1R-ADD-02 and CF2R-ADD-02 Compliance Documents. If new space
'conditioning systems are installed or existing systems are altered and are not exempt from HERS verification, then a CF111-ADD-01 shall be completed and registered with a HERS Provider Data
Registry. In each row below for each dwelling unit in the building, check the box that indicates the exemption from HERS verification compliance:
❑ a: space conditioning system was not altered;
❑ b: less than 40 ft of ducts were added or replaced;
❑ c: (exempt from duct leakage testing) if: the existing duct system was insulated with asbestos;
❑ d: (exempt from duct leakage testing) if: the existing duct system was previously tested and passed by a HERS Rater.
01
02
03
04
Dwelling Unit Name
SC System Identification or Name
SC System Location or Area Served
Exemption from HERS Verification
EXISTING TO REMAIN
❑ a ❑ b ❑ c ❑ d
0 0 0 ❑d
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 13
11 0 0 0
13 0 0 0
0 13 0 0
0 0 0 `❑d
�❑y/a c❑b ❑c 0
1'� a ®I��
mi�&]
G 8h$AFEDl' DE'd
F54 CO ❑ d
CA Building Energy Efficiency Standards - 2013 Residential Compliance
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Fe or Less, or Additions That Do Not Require HERS Field Verification
'EC-CFIR-ADD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 8 of 9)
pruiectName: FILLAT RESIDENCE ADDITION I
Dateprepared: 01/29/2015
K. WATER HEATING SYSTEMS (Section 150.1(c)8)
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating.
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
Dwelling Unit
Name
Water Heating
System
Identification or
Name
Water Heating
System Location
or Area Served
Water
Heating
System
Type
Water
Heater
Type
# of
Water
Heaters
in System
Water
Heater
Storage
Volume
(gal)
Fuel Type
Rated
Input
Type
Rated
Input
Value
Heating
Efficiency
Type
Heating
Efficiency
Value
Standby
Loss I%)
Exterior
Insulation
R -Value
Back -Up
Solar
Savings
Fraction
EXISTING
TO REMAIN
LA FY
OF U�
0ULfjTA
& S
FETY DEPT
e
FOR
ON
QArE
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015
STATE OF CALIFORNIA
.. Prescriptive Residential Additions 300 Fe or Less, or Additions That Do Not Require HERS Field Verification 4b
CEC-CFIR-ADD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION —
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 9 of 9)
Project Name: FILLAT RESIDENCE ADDITION I
Date Prepared: 01/29/2015
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
ARMANDO CHAVEZ
Company:
Signature Date:
TITLE 24 OF THE'DESERT
01/29/2015
Address:
CEA/ HERS Certification Identification (if applicable):
44890 SEELEY DR.
City/State/Zip:
Phone:
LA QUINTA, CA 92253
1 760 278.1840
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 Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be 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 registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building
owner at occupancy.
Responsible Designer Name:
Responsible D signer Signature:
AGIM RADONI
Company :
Date Sig'"
RADONI DESIGN
GZ/[7`��//�
Address:
License:
76527 CALIFORNIA DR
N.A
City/State/Zip:
Phone:
PALM DESERT, CA 92211
1 760 969-2541
U I Y OF LA C�UIfVTq
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. BUIiDING
& SAFETY DEPT,
APPROVE®
FOR CONSTRUCTION
^.ATE
CA Building Energy Efficiency Standards - 2013 Residential Compliance
January 2015
14,
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Fe or Less, or Additions That Do Not Require HERS Field Verification
CEC-CFIR-ADD-02-E (Revised 01115) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification ' (Page 1 of 9)
Project Name: FILLAT RESIDENCE ADDITION - Date Prepared: 01/29/2015
This compliance document is only applicable to additions 300 ft" or less, or additions that do not require HERS field verification for compliance. When HERS verification is required, a CF1R-ADD701
shall first be registered with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ADD-01 and CF2R- ADD -02 Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40 ft of ducts were added or replaced; or the existing duct system was insulated with asbestos; or the existing duct system was previously tested and passed by a
HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-ADD-01 must be completed and registered with a HERS Provider Data Registry.
Additions or alterations that utilize Closed Cell Spray Polyurethane Foam (ccSPF) with a density of -1.5 to less than 2.5 pounds per cubic foot -having an R -value other than 5.8 per inch, or Open Cell
Spray Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R -value of 3.6 per inch, shall complete and register a CFIR ADD -01 with a HERS Provider Data
Registry.
If more than one person has responsibilityfor installation. of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are
responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met.
Temporary labels shall not be removed before verification by the building inspector.
A. GENERAL INFORMATION
01
Project Name:
FILLAT ADDITION
02
Date Prepared:
01/29/2015
03
Project Location:
55518 OAK TREE
04
Building Front Orientation (deg):
WEST
05
CA City:
LA QUINTA, CA
06
Number of Dwelling Units with Additions:
ONE
07.
Zip Code:
92253
08
Fuel Type:
NATURAL GAS
09
Climate Zone:
15
10
Total Conditioned Floor Area (ft) (Addition):
108 S.F.
11
Building Type
S.F.R.
12
Slab Area (ft):
108. S.F.
13
Project Scope:
-300 FT OR LESS
CA Building Energy Efficiency Standards - 2013 Residential Compliance
CITY OF LA----
UINTA
BUILDING & SAFETY DEPT
APPROVEDPr.
FOR CONSTRUCTION
ry 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Fe or Less, or Additions That Do Not Require HERS Field Verification db
CEC-CFIR-ADD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION —
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 2 of 9)
Project Name: FILLAT RESIDENCE ADDITION I
Date Prepared: 01/29/2015
B. OPAQUE SURFACE DETAILS — Framed (Section 150.2(a))
01
02
03
04
05
06 07 08 1 09
10
11
Tag/ID
Assembly Type
Frame Type
Frame
Depth
(inches)
FrameContinuous
Spacing
(inches)
Proposed
Required
Comments
Cavity
R -value
Insulation
R -value
LI -Factor
Appendix 1A4 Reference
LI -Factor
Table
Cell
WALL
WOOD
2X4
16" O.C.
R-13
N.A.
0.102
4.3.1
A-3
0.102
SEE EXCEP.6 150.2 (a)
ROOF
WOOD
2x12
24" O.C.
R-38
N.A.
0.028
4.2.2
A-19
0.028
R-38 HIGH DENSITY
CITY OF
LA QUANTA
mr3l:ieVED.
SAFETY DEPTA
FOR C014STRUCTION
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification db
EC -CFI R -ADD -02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION —
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 3 of 9)
Project Name: FILLAT RESIDENCE ADDITION I
Date Prepared: 01/29/2015
C. OPAQUE SURFACE DETAILS — Non -framed (Section 150.1(c)1)
01
02
03
04
05 06 07 08 09
10
11
Tag/ID
I Assembly Type
Assembly Materials
Thickness
(inches)
Proposed
Required
Comments
Core
Insulation
R -value
Continuous
Insulation
R -value
LI -Factor
Appendix JA4
Reference
U -Factor from
Package
Table
Cell
Table
Cell R -value Ll -factor R -value LI -factor
BUILDING & SAFETY DEFT.
A'HPROVED
413
D. OPAQUE SURFACE DETAILS — Mass Walls (Section 150.1(c)1)
01
02
03
04
•05
06 07 08 1 09 10 11
Tag/ID
Walls
Above
Grade
I Mass Type
Mass
Thickness
(inches)
Furring Strip
Thickness
(inches)
Proposed
Required
Interior Insulation
Exterior Insulation
Appendix JA4 Interior Insulation Exterior Insulation
Reference
R -value
LI -factor
R -value
LI -factor
Table
Cell R -value Ll -factor R -value LI -factor
BUILDING & SAFETY DEFT.
A'HPROVED
413
I UH I t BY
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Fe or Less, or Additions That Do Not Require HERS Field Verification Ab
CEC-CFIR-ADD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 4 of 9)
Project Name: FILLAT RESIDENCE ADDITION I
Date Prepared: 01/29/2015
E. SLAB INSULATION (Table 150.1-A)
01
02
03
04
05
06
Floor Type
Proposed
Required
Comments
Insulation
R -value
Insulation
LI -factor
Insulation
R -value
Insulation
U -factor
N.A
N.A
N.A.
N.A
EXEMPT PACKAGE A ZONE 15
• Heated slab floors require mandatory slab insulation (see Table 110.8-A).
F. RADIANT BARRIER (Section 150.1(c)2
01
02
Radiant Barrier installed below the roof deck and on all gable end walls
Comments
YES
A radiant barrier is required (for Climate Zones 2-15)
• Radiant barriers shall meet specific eligibility and installation criteria to receive energy credit for compliance with the Building Energy Efficiency Standards
for low-rise residential buildings. Refer to RA4.2.1
3 r P f A i�n
For Prescriptive Compliance the attic shall be ventilated to provide a minimum free ventilation area of not lessf ,0 o v t UYf r/�c 300 ft2 of
• The emittance of the radiant barrier shall be less than or equal to 0.05 as tested in accordance with AffachUtWN't
attic floor area with no less than 30 percent upper vents. Ridge vents or gable end vents are recommended to eMdn@c .[3"te lal should
be cut to allow for full airflow, to the venting. A
DATE
CA Building Energy Efficiency Standards - 2013 Residential Compliance
FOR CONSTRUCTION
January 2015
STATE OF CALIFORNIA
Prescriptive Residdential Additions 300 Fe or Less, or Additions That Do Not Require HERS Field Verifi01/15) cation
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification
Pr°jectName: FILLAT RESIDENCE ADDITION Date Prepared: 01/29/2015
MISSION 0.
CF1R-ADD-02-E
(Page 5 of 9)
G. ROOFING PRODUCTS (COOL ROOF) (Section 150.1(c)11)
01
02
03
04
05
06 07 1 08 1 09
10 1 11 12
Mass Roof
25lb/ft2 or
Greater
Roof Pitch
Method of
Compliance
Product
Type
CRRC Product ID
Number
Proposed
Required
Initial Solar
Reflectance
Aged Solar
Reflectance
Thermal
Emittance
SRI
(Optional)
Aged Solar
Reflectance
Thermal
Emittance
SRI
(Optional)
N.A.
t
NOTES:
• Any roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings must comply with installation criteria from section 110.8(i)4.
H. FENESTRATION/GLAZING AREAS ALLOWED (Secti
01 02 03
Maximum Allowed
Fenestration Area For All Orientations ftZ
The Greater
Addition Type ftZ Maximum Maximum
Calculated Calculated
based on . Allowed ft2
Allowed
< 400 S.F. 32.4 S.F. 75 S.F.
n 150.2(a)1)
04 05
Maximum Allowed
West -Facing Fenestration Area Only ftZ
The Greater
Maximum
Maximum
Calculated
Calculated
based on
AAllowed ft
Allowed %
5.4 S.F. 60 S.F
CA Building Energy Efficiency Standards - 2013 Residential Compliance
06 1 07 1 08
Maximum Maximum.
Allowed Allowed Comments
LI -factor SHGC
0.55 10.30
CITY
OF LA QUINTA
BUILDI
AllS&FpCTjY1®g.?TSK
FOR CONSTRUCTION
DATE BY
ary 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Ftp or Less, or Additions That Do Not Require HERS Field Verification
CEC-CFIR-ADD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 6 of 9)
Project Name: FILLAT RESIDENCE ADDITION I
Date Prepared: 01/29/2015
I. FENESTRATION PROPOSED AREAS AND EFFICIENCIES
01
02
03
04
05
06
07
08
09
10
11
12
13
Tag/ID
-
Fenestration Type
Frame Type
Dynamic
Glazing
Orientation
N, S, W, E
or Roof
Number of
Panes
Proposed
Fenestration
2
Area ft
Proposed
West Facing
Fenestration
Area ftz
Proposed
U -factor
Proposed
SHGC
Source
Exterior
Shading
Device
Combined
SHGC from
CFIR-ENV-
03
SKYLIGHT
METAL
NO
W
2
14.1
14.1
0.42
0.23
NFRC
NO
N.A.
14
Total Proposed Fenestration Area
14.1 S.F.
15
Maximum Allowed Fenestration Area
75 S.F.
16
Compliance Statement
Total Proposed Fenestration Area 5 Maximum Allowed Fenestration Area
O Yes ❑ No
17
Total Proposed West -Facing Fenestration Area
14.1 S.F.
18
Maximum Allowed West -Facing Fenestration Area
60 S.F.
19
Compliance Statement
Total Proposed West -Facing Fenestration Area 5 Maximum Allowed West -Facing Fenestration Area
RlYes ❑ No
20
Proposed Fenestration U -factor
G 1 TY 0 Li
Q(j"gp U 1 N
TA
21
Required Fenestration U -factor
IF
22
Compliance Statement
Proposed Fenestration LI -factor <_ Required Fenestration U -factor `
`❑ No
23
Proposed Fenestration SHGC
APPRDYED
24
Required Fenestration SHGC
25
Compliance Statement
Proposed Fenestration SHGC <_ Required Fenestration SHGC
O Yes ❑ o
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 4015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Fe or Less, or Additions That Do Not Require HERS Field. Verification
CEC-CF1 R -ADD -02-E Revised 01115 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 7 of 9)
Project Name: FILLAT RESIDENCE ADDITION Date Prepared: 01/29/2015
J. SPACE CONDITIONING(SC) SYSTEMS - HEATING/COOLING (Prescriptive section 150.2(b).
Alterations to Space Conditioning Systems shall be exempt from HERS verification requirements as prerequisite for use of the CF1R-ADD-02 and CF2R-ADD-02 Compliance Documents. If new space
conditioning systems are installed or existing systems are altered and are not exempt from HERS verification, then a CF1R-ADD-01 shall be completed and registered with a HERS Provider Data
Registry. In each row below for each dwelling unit in the building, check the box that indicates the exemption from HERS verification compliance:
❑ a: space conditioning system was not altered;
❑ b: less than 40 ft of ducts were added or replaced;
❑ c: (exempt from duct leakage testing) if: the existing duct system was insulated with asbestos;
❑ d: (exempt from duct leakage testing) if: the existing duct system was previously tested and passed by a HERS Rater.
01.
02
03
04
Dwelling Unit Name
SC System Identification or Name
SC System Location or Area Served
Exemption from HERS Verification
EXISTING TO REMAIN
❑ a ❑ b ❑ c ❑ d
0 0 0 0
0 0 0 0
0 0 0 ❑d
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
13 0 0 0
13 0 0 0
0 0
LAcQUINdTA
13a`- c T
0P0R GDNSTrE3 r,- irOd
DATE
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015
STATE OF CALIFORNIA
_ Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification la
'EC-CFIR-ADD-02-E (Revised 01/15)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 8 of 9)
ProjectName: FILLAT RESIDENCE ADDITION Date Prepared: 01/29/2015
K. WATER HEATING SYSTEMS (Section 150.1(c)8)
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating.
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
Dwelling Unit
Name
Water Heating
System
Identification or
Name
Water Healing
System Location
or Area Served
Water
Heating
System
Type
Water
Heater
Type
# of
Water
Heaters
in System
Water
Heater
Storage
Volume
(gal)
Fuel Type
Rated
Input
Type
Rated
Input
Value
Heating
Efficiency
Type
Heating
Efficiency
Value
Standby
Loss (%)
Exterior
Insulation
R -Value
Back -Up
Solar
Savings
Fraction
EXISTING
TO REMAIN
-
U I LLD I
G& SAFETY
D
EPT.
y
r %aP4%jTW%W1jT
t
I nATF BY
�.
CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015
STATE OF CALIFORNIA
Prescriptive Residential Additions 300 Ftp or Less, or Additions That Do Not Require HERS Field Verification
CEC-CF1 R -ADD -02-E Revised 01/15 _
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE r CF1R-ADD-02'-E
Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 9 of 9)
Prosect Name: FILLAT RESIDENCE ADDITION IDate Prepared: 01/29/2015
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: r
Documentation Author Signature:
ARMANDO CHAVEZ
Company:
Signature Date:
TITLE 24 OF THE DESERT
01/29/2015
Address:
CEA/ HERS Certification Identification (if applicable):
44890 SEELEY DR.
City/State/Zip:
Phone:
LA QUINTA, CA 92253
1 760 278.1840
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 Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be 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 registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building
owner at occupancy.
Responsible Designer Name:
Responsible D signer Signet, ure,
AGIM RADONI
��� ��Qj
Company:
Date Sign .
RADONI DESIGN
GZId i/�
Address:
License:
76527 CALIFORNIA DR
N.A
City/State/Zip:
Phone:
PALM DESERT, CA 92211
1 760 969-2541
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2013 Residential Compliance
CITY OF LA QUINTA
BUILDING & SAFETY DEPT,
APPRU'VE®
FOR CONSTRUCTION
DATE RY
January 2015