12-0446 (AR)P.O. BOX 1504
78-495 CALLE TAMPIC0
LA QUINTA, CALIFORNIA 92253
Tilif 4 4v QuMM
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
LQPERMIT
Date: 6/26/12
Application Number: 12-0 0 0 7044-6 -
Owner: .
Property Address: 5286"0`AVENIDA—OBREGON
MILLER, JAMIE T
AM: 713-315-025-6 -000000-
52860 AVENIDA OBREGON
" Application description: ADDITION - RESIDENTIAL
LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL,
'- Application valuation: 50000
..
p
Contractor:
• Applicant: Architect or Engineer.
'
DANTOR MARTINEZ CO T UCTJUN ti �0��
J�JI�
81057 AVENIDA'ROME
INDIO, .CA' •92201
�.� p •
77,
(760) 702' 6209 CITY �
' qulN%0
Lic, No.'. 926128 FINANCEDEF>T.
1A
- - LICENSED CONTRACTOR'SDECLARATION
WORKER'S COMPENSATION DECLARATION .'
.. I he�etiy affirm under penalty -of perjury that,„am hcensedunder provisions'of Chapter 9 (commencing with,
I hereby affirm undei penalty of peijuryone of the following declarations: -
section 7000) of Division 3 of the Bt iness and Professionals C6de,�and my License is in full force and effect.
_ I have and.wjll'maintain.a certificate of corisent to self- insure for workers' compensation'as,provided §'
License, Class: B- - _ ♦cense N 926128
'
- -for by Section _3700 of the Labor Codei,.for the performance of the work for which this permit is -
,.,
KDate: C��- Contractor.��.
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
LARATION
' O ER -BUILDER Atractor'g*
insurance carrier and policy number are: - -
I hereby affirm under penalty of perjury. that I am exempt from the State License Law for the
Carrier STATE NTL INS Policy Number .19609972011
following:reason (Sec. 7031.5,- Business.and Professions,Code: Any -city or.county that.requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any,
' construct, alter, improve, demolish;.or repair any structure, prior. to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California;—
' permit to file a signed statement.that he or she is licensed pursuant.to the provisions of the Contractor's State -
and agree that, if I.s a Id become sub' t to thew rkers'. compxi�^sation provisions of *Section'
License taw (Chaptei 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
- 3700 of the Labor I sha forthwiomplyith tho pfovisions.
'that he;or she is exempt therefrom and the basis for the alleged exemption.' Any violation of Section :7031 .5 by
'-
ie!_ i..
• any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Date: Applicant:
(_ 1 'I, as owner of the`property, or my employees, with wages as their sole compensation, will do the work; and
�'•COMPE CATION
- - _ the structure is not intended or•offered for sale (Sec. 7044, Business and Professions Code: -The
WARNING: FAILURE TO SECURE. RKE COVE E IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AWEMPLOYER TO CRIMINAL' PENALTIES A D CIVIL FINES UP TO'ONE HUNDRED THOUSAND
and who does the work himself' herself through his or her own employees, provided that the
DOLLARS (5100,000)- IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
oded.or.offered for sale; If, however, the building or improvement is sold within .
improvementsare not imen
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one: yeai of completion; the owner; builder. will have the burderc of proving that he or she did not. build or
- ..
.irnprove for the purpose of sale.).
- APPLICANT ACKNOWLEDGEMENT
1, as owner oi.tlieproperty; am exclusively contracting with licensed contractors to construct the, project (Sec.
IMPORTANT Application is hereby made to the Director of -Building and'Safety for a permit subject to the
' 7044, Business and Professions Code:. The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed-
1. .Each person upon whose behalf.this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason
the owner, and.the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
-
of La.Quirita, its officers, agents and -employees for any act oromission relatedtothe work being -
performed under or -following issuance of this permit.
Date: Owner:
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
CONSTRUCTION LENDING AGENCY -
permit to cancellation.
-I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit.is issued (Sec. 3097, Civ. C.).
city and county ordinances and, state laws relating to b i ing constructio ,and hereby utfiorize r msentail, es
of this county to enter upon the above-mentioned pro ert for in pection purposes. '
lender's Name:
.�
Date:kat`Signature (Applicant. or Agent,:
Lender's Address: '
LQPERMIT
Application Number .
. . . . 12-00000446
------ . Structure Information
465SF DWELLING/446SF GARAGE ADDITIONS
-----
other struct info . .
. . . CODE EDITION 2010
# BEDROOMS,
1.00
FLOOD ZONE NO
GARAGE SQ FTG
446.00
1ST.. FLOOR =SQUARE FOOTAGE •
4 6 SA 0
Permit
BUILDING PERMIT
Additional, desc .
Permit. Fee
414.50, Plan Check Fee
269.43
Issue�,Date•Valuation'
150000"`
' Expiration Date
12/23/12
Qty,, Unit Charge
Per
Extension
BASE FEE
252'.00
25 00;. 6,.'5000
THOU.._BLDG 25,001=`50,.000
162:50
:.Permit,.
ELECT._.ADD/ALT/REM
A
_• dditonal desc .
Petmit' Fee
" 40:20 Pian -Check Fee
10-.05
:. Issue'Date'
Valuation . . . .
0
Exg ratioft Date ...
,•12/23/12
:..Qty Unit Charge
Per
Extension
BASE. -FEE
15 ..00
- 465.00 G350
ELEC NEW RES - 1 OR•2 FAMILY
16.28
:446`:00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
8.92.,.:
Permit •. . .
GRADING PERMIT
Additional desc .
Permit Fee . .
15.00 Plan Check Fee
.00
' Issue Date,
Valuation . . . .
0'
.-Expiration Date
12/23/12
Qty.. Unit Charge
Per
Extension
BASE FEE
15.00
- Permit
MECHANICAL
Additional desc .
• Permit Fee :.
35.00• Plan Check Fee
8.75,
Issue Date . . . .
Valuation . . . .
0
Expiration Date
12/23/12
Qty Unit .Charge
Per
Extension
LQPERMIT
Application Number . . . . . 12-00000446
Permit . . . . . . MECHANICAL
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 4.5000 EA MECH VENT INST/ DUCT ALT
4.50
1.00 9.0000 EA MECH APPL REP/ALT/ADD
9.00
1.00 6.5000 EA MECH VENT FAN
----------------------------------------------------------------------------
6.50
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 42.00 Plan Check Fee
10.50
Issue Date Valuation . . . .
0
Expiration Date 12/23/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
4.00 6:0000 EA PLB FIXTURE
24.00
1.00 3.0000 EA PLB WATER INST/ALT/REP,
3.00
--------------------------------------- ------------------------------------
Special Notes and Comments
465SF MASTER BEDROOM AND'446SF TWO (2)
CAR GARAGE ADDITIONS/VB/RES-3/CLASS-A
[ENGINEERED] EXISTING SEPTIC SYSTEM
APPROVAL BY RIVCOEH. COMPACTION AND
PROPER'ABANDONED-CESSPOOL REMOVAL
VERIFICATION,BY SLADDEN ENGINEERING.
THIS PERMIT DOES NOT INCLUDE REMODELING
OF THE EXISTING DWELLING, DRIVEWAY
APPROACH OR BLOCK WALLS. 2010 CALIFORNIA
BUILDING CODES.
June 26, 2012 8:22:33 AM AORTEGA
----------------------------------------------------------------------------
Other Fees .. . . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
ENERGY REVIEW FEE
26.94
GRADING PLAN CHECK FEE
15.00
STRONG.MOTION (SMI) - RES
5.00
Fee summary Charged
Permit Fee.Total 546.70
Plan Check Total 298.73
Other Fee Total 48.94
Grand Total 894.37
LQPERMIT
Paid Credited Due
.00 .00 546.70
.00 .00 298.73
.00 .00 48.94
.00 .00 894.37
t
BIR.#
CI .OI�JVW
ButWtng`Bz Safety Division, :.. :; •
P.O• Box ,1.504, 78�495,.Catte Tampko
' ta.Qirhlta, CA 92253 - (7150)•777-70:12
Building Perrriii,Applrca ion and,rTracking Sheet
Permit #
lot*
Project Address: �2'—� (o Y
,`Owner's Nairie:.' OIwS.A e r
A. P. Number. TTAddress:
Legal Description:
;City, ST, .Zip:
Contractor a, h 4 -o -v- &tar. -1 ,,AA Z Cc," S Vr� iC; .
;Telephone:
Address:610 47 % A- V t1( G(A YQD vt,( r p.
Project Description:
City, ST, Zip:
l -e S
Telephone: %�o ZfG2--G2-o j.
i^.
State Lie. #: Ot 2 6 i 2 ejCity Lie, #;
Arch., Eng-, Designer
Address:
2
City., ST, Zip:
Telephone: r Construction Type: Occupancy:
State Lie. #: 3 Project type (c' a one): New Add'n Alter Repair Demo
Name of Contact Person: �M•1 Sq. Ft : .: yy
#Stories:
# Unity:
Telephone # of Contact Pea:''7. Q 7 O 2,- - 42-0 q Estimated Value of Project: q 0'a p
APPLICANT: MO, NOT, WRITI ,BELOW THIS` INE
N
Submittal
Plan Sets
Req'd
Reed
pZ. y
IgtACMG Y,7' P$IthIIFhEFS
.Plan Cheek submitted '7 , llltei.�Amount
Structural Calcs.
Reviewed, ready for corrections Pla1 Chedi Deposit_ .
Truss �1�•
Called Contact Person `. ' lea Chick. Balance _
Title 24 talcs.
Pians eked'uIm,1114
pl p Construction
Flood plain plan -
Plans resubmitted.. Mechanical„
Grading plan
2id Review; ready itorr ti Electrical
Subeoatactor I:ist
Called ContactPeison. b ;;; Plumbing
Grant Deed
Plans picked tip
H.O.A. Approval
Plans resubmitted.' :. 11i 1 ..nn� Grading
DH HOUSE:-
Y
Review; readyfor correedon aN boA4Mjpiyploper Impact Fee
Planning Approval
Called Contact Person AXP.P.
Pub. Wks. App
Date of.permit issue
School Fees
To Permit Fees 8 y. Li
7/,Z4 ---:P 21A *1"s/$ VI - :�� j ?ort • wz b1k 120t2
Rj
CERTIFICATE OF COMPLIANCE
Desert -.Sandi ' Unified SclhooDistrict
47950 Dune -PalnisRoad ¢ BERMUDAI)UNM
/�
'=}- C rn RANCHO MIRAGE ci
Date 6/25/12 La Quanta; Ca! 92153 . k�- INDIAN WELLS
y rs. PALM DESERT
No. 31315
( 760) 7714515 , N4 v> UA'OUINTA�'
INDIO y?
Owner Jamie Miller APN4 7737315-025
Address 52860 Avenida Obregon Jurisdiction LaQuinta
'City La Quinta Zip P..erniit`#
Tract # No of Units 1
Type Residential Addition
Lot # No. Street S.F. ti. Lot #.. ,NO. Street S.F.
Unit 1 52860 Avenida Obregon 465 Unit 6
Unit 2 `Unit 7
Unit 3
Unit 4
Unit 5
Comments
' :Unitl
Unit,9
Unit `1'0
At the present time, the Desert Sands Unified School District does not,colled fees op, garages/carports, covered patios/Walkways, residential additions under
500 square feet, detached accessory structures (spares that do' not contain facilities forliving sleeping cooking, eating;or,. sanitation) or replacement mobile
homes. It has been determined-tliat the�above-naih4owner is exempt from, paying school fees at thi§ ti!i 'due to.the`following reason:
Residential Addition 500. Sq :Feet or Less
EXEMPT
This -certifies that school facility. fees imposed_pursuant to
Education Code Section"17620 and Government'Code 65995;Et.Seq.
in the amount of $0.00 X 465 S F. or $0.00 have been. paid foeAhe propeity Iigted,above and that
building permits and/or -Certificates of Occupancy for. this squaie,footage in_thls proposed project may now be issued.
Fees Paid By Exempt - Jamie Miller , ' Check No.
Nam".n the -check '�
T`
elephone 760-771-4796
Funding:,Exempt .
BY Dr. Sharon- P. McGehee
Superintendent
Fee collected /exempted W Sharon
Signature
3ilvrey PaymentRecd_
:fiver/U6der
NOTICE: Pursuant to Government Code Sedion'66020(d)(1), is Fserve to'notify you,that the 90 lay approval penod':in.whIch you may protest,the fees
or other payment identified above will begin to run from theAate on which the building or installation pemiit_for this project is issued, or, from the.date on
which those amounts are paid to the District(s) orto`another public ent' y.authorized,to�.`collecf tfiem onahe-Distrid('s).`behaff, whichever is earlier:
4.
NOTICE: This Document NOT VALID`without embossed. seal,"
Embossed Original -.Building Department Applicant ;Copy = Applicant/Receipt Copy - Accounting
RECORDING REQUESTED, BY:
Orange Coast Title
AND WHEN RECORDED MAIL TO:
Jamie T. Miller
52860 Avenida Obregon
La Quinta, CA 92253
Order No.:
GRANT DEED
DOC. # 2012-0142008
03/28/2012 08:00 AM Fees: $25.00
Page 1 of 1 Doc T Tax Paid
Recorded in Official Records
County of Riverside
Larry W. Ward
Assessor, County Clerk & Recorder
"This document was electronically submitted
to the County of Riverside for recording—
Receipted by: MRUIZ
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX is $264.00.
[X] computed on full value of property conveyed, or
[ ] computed on full value less value of liens or encumbrances remaining at time of sale.
[ ] Unincorporated area [X] City of La Quinta AND
Ubt UN
D.: 1201
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
A& A Homes, LLC, a Limited Liability Company, Who acquired title as A.& A Homes, L.L.C.
hereby GRANT(s) to:
Jamie T. Miller an- unmarried woman
the real property in the City of La Quinta, County of Riverside, State of California, described as:
Lot 6 and the south half of Lot 5 in Block 173 of Santa Carmelita at Vale La Quinta, , Unit No. 17 as shown by
map on file in Book 19, Page 19. of Maps in the office of the County Recorder of Riverside County, California.
Also Known as: 52860 Avenida Obregon, La Quinta, CA 92253
AP#: 773-315-025-5
DATED March 13, 2012
STATE OF CALIFORNIA A & A Homes Limite ility Company
COUNTY OF Riverside
On March 21,
before me, Judith Rogers son, Managing member
A Notary Public in and for said. State personally appeared
James Fortson
who proved to me on the basis of satisfactoryevidence to be
the person(s) whose names) is/are subscribed to the within
instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies),
and that by his/her/their signature(s) on the instrument the
person(s), or the entityupon behalf of which the persons)
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State
of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
JUDITH ROGERS
Commission M 1942391
Z Notary Public - California =
Riverside County
My Comm. Expires Jul 24, 2015
(Signature , ��(V / (Seal)
MAIL T ST TEMENTS TO PARTY SH BELOW; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE:
TR/PW` `
Cot No
APN: ASSESSOR'S PARCEL-NUMBER
LAND USE APPLICATION �sr���.
L:'G� 1-� .:-
"j�.
ON#
IN#
LMS#
EHS #
DA 43
...
AGENT, CONTRACTOR ...
a� P (. �� ir1,,�:e, _
ADDRESS CITY/STATE /. ZIP T
�� .) 7 y�KtC a -lQo►n T'. t-6_
. TELEPHONE #'-'::
176 162J 2G
QOWNER"
ADDRESS ; 'CITY /STATE /ZIP '•,
TELEPHONE #. .
F-
JOB PROPERTY ADDRESSCITY /STATE / ZIP
Thomas Brothers:@ Map #
i
W
LOT-SIZE
WATER"AGENCY/WELL
USE.OF PERMIT
V. Vk �,4 T f vr-
* FINANCIAL RESPONSIBILITY
NOTE: Pertaining to Deposit-Based fee Payments - Fees placed on deposit are intended to pay -for System, review including approval and installation. The project owner
or applicant named in Section. B will be subject to billing requests for additional monies should fees deposited;to that point be insufficient. At finalapproval, the pr 'ect
owner or applicant named will receive a'-final statement and notice of any final.fees due or refunds due. (as applicable).-
pplicable):ROP
ROPFees: For Alternate Systems, renewable operating permit (ROP) fees will be due upon finalization of the project. ROP fees will be issued to the project owner or.
Z
.applicant.named in Section B.
H
_SEND ALL BILLING MATTERS TO THE CLIENT OR ENTITY LISTED BELOW:
L)
_
--R -RESPONSIBLE CLIENT/ ENTITY AME
WCn.
MAILING ADDRESS CITE STATE /ZIPELEP,
ONE #
Applicant Signatures
Date:.
57�Z3- Z
Below — For Office Use Only
CHECK BOX IF REQUIRED
If any. box is checked, this application shall be considered rejected until the information.is.provided and the fees paid. Re-submittals later than 90
..
days after date noted below may require repayment of fees.
U
. ❑ Holding Tank Agreements Required
❑ Floor Plan and/or Plumbing Layout Required
Z'-❑
O
Certificate of Existing.OWTS Required
❑ Special Feasibility Boring Report Required
F..
❑ WQCB Clearance Required
❑ Detailed Contour Plot Plan Reqwred (1 to 5 foot intervals)_
V
W
❑ Soils Percolation Report Required
N
PRE SITE INSPECTION REMARKS INITIALS & DATES
G NLA 1-6 %.Gu/ � W 1 f} � �i�(?�ari►� L yr 4 rr�t'
Soils Percolation / Boring report by.
Project #
Date
Type of System: ❑ New ❑Replacement ❑Existing
# Fixture units "
Septiclank Cap.
Soil Rate
❑Pump ❑ Addition ❑ ATU ❑Connect to Sewer
# Bdrms
Sq. Ft. Bottom Area
Total Linear Ft.
Sidewall allowance - ft Rock/ sq ft running foot.
Tested Depth
Maximum Trench Depth
Z
O
H
Install Lines ft long ft wide with min. inches rock below drain line, or ❑ Plastic Chambers
U
W
N
Leach Lines / bedspecial design for slope Applicable ❑ N/A ❑ Overburden Factor:
Pit Diameter
No. Pits
Pit below Inlet (BI)
Pit Total Depth
Max Allowable Depth
Well Review Approved by: (Signature)
CONSTRUCTION / INSTALLATION INITIALS & DATES
05/2 J;. .
ib :l£7 `, 7/.T1A9 'r1•r.r.er.:
, � . H V V V 4 J'J, 1 1 i i..l'•.ii i
Qin
DEH -SAN -122 Rev: 11/07 Distribution: WHITE - Office File; YELLOW — Applicant; PINK — Bldg. Dept.; GOLDENROD — Plans/Records
This.Application iso@ Approved ❑ Denied regarding the design of the OWTS as indicated on the accompanied plot plan using the requirements.sef_-
forth in Section D above. A building permit is necessary for the construction of the above designed system.
7;
No construction is permitted in the required reserved 100% Expansion area.''`
W
Z
(1) Septic tank must be 100' minimum from any. wells.
O
(2) Leach lines must be 100' minimum from any wells including expansion area.
~(3)
U
Sewer lines must be 50' minimum from any wells.
J
W
(4) Seepage pits must be 150' minimum from any wells including expansion areas.
,
EHS Signature:
Date:
f2
Environmental Resources Management Office Locations
EnGir nmental Health --ERM Division
Environmental Health — ERM Division
Environmental Health — ERM Division
Riverside Permit Assistance Center
Palm Desert Permit Assistance Center
South County Permit Assistance Center
4080 Lemon Street, 2nd Floor
38686 EI Cerrito Road
39493 Los Alamos
Riverside, CA 92501
Palm Desert, CA 92211
Murrieta, CA 92562
RIVERSIDE 951 955-8980
PALM DESERT 760 393-3390
MURRIETA 951 600-6180
Qin
DEH -SAN -122 Rev: 11/07 Distribution: WHITE - Office File; YELLOW — Applicant; PINK — Bldg. Dept.; GOLDENROD — Plans/Records
r � �
�a-v�tor
Martinez Construction
ya,,-. i7444d
License # 926128
Riverside County Environmental Health
47950 Arabia St # A
Indio, CA 92201
Re: Miller Proposed Addition
52-860 Avenida Obregon
La Quinta, Ca 92253
To Whom it May Concern
81057 Avenida Romero
Indio. Ca 92201.
Phone(760)762-6209
Fax 1760) 775-4097
,z
I am writing this letter in response to City of LQ request to hook up property noted
above to city sewer in lieu. of staying on existing Septic system in place. I am certifying
that although square footage will be added we are not installing any new water -or
waste lines.
Our Proposed addition includes a new. master bedroom and enlarging secondary bath
using all existing water and waste lines that were there prior to any work being done
If you should have any further questions with regards to this- matter,, please do riot
hesitate to call me at 760-702-6209
Thank You,
Daniel Martinez
Dantor Martinez Construction, Inc.
THIS APPROVAL GRANTED BY THE
DEPARTMENT OF ENVIRONMENTAL HEALTH
IS VALID FOR ONE (1) YEAR FROM
DATE OF APPROVAL
COUNTY OP AIVEA81 fie, HEALTH SERVICES AGENCY
DEPARTMENT OF ENVIRONMENTAL HEACTH
tA VED
�'` DATE:
0 on-si a reg:.: -_r.,,. ,g _.
v system herewith with(,ut clearance 'from the Water' Quality Control Board.
Water supply scry r.- ns'al,':ation must:be f. -)m en ap0r6vad sjurce..
All sewage dish s ":gin rr-_t conf rm w:;h rcgaira.ments of .current Uniform Plumbing'Code.
Any cutting, }r • - cx�:_,s: of fou, (4) fcet will nul"ify'swage disposal approval.
:.: ..
Approval has ; _::a .. from therl:Egional -Water Quality Control Board for installation of the sew-
age disposa system.
.is .is to certify that the riverside County Department`ofRublic Health approves for e6oeq, construction
installation the item(s) checked above.
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5
L7
Jry
I
R E C• E! V E D
,y�
APR 2 '1983
:�
tY'of 'La Qu+nta
.Ij
THI'8-- APPROVAL GRANTED BY THE
0 P'ARTNIEN•T OF PUKIC HEALTH
I a VALi)FOR OivE .., (1 YEA'i�
,...
FROM D#E •OP APPROVAL.
kiVERSIDE-COUNTY;•.®EPARTMENT OF PUBL'IC,;HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
z. ' �"• Sewage Disposal
Food Establishment
Trailer Park
Lyra%' -
hest S� Gel. Septic Tank .
Line
'�—
Motel, Apt., Hotel
Sq. Ft. of •Leadh
6 ". x io' Seepage Pit
v
Dwelling
Commercial Building
a,
Connection to Sewer ...
Swimrn.nc Pogl
Ix N t ' w,',r s ftening'
dev des may be di arged, into the individual sewage disposal
0 on-si a reg:.: -_r.,,. ,g _.
v system herewith with(,ut clearance 'from the Water' Quality Control Board.
Water supply scry r.- ns'al,':ation must:be f. -)m en ap0r6vad sjurce..
All sewage dish s ":gin rr-_t conf rm w:;h rcgaira.ments of .current Uniform Plumbing'Code.
Any cutting, }r • - cx�:_,s: of fou, (4) fcet will nul"ify'swage disposal approval.
:.: ..
Approval has ; _::a .. from therl:Egional -Water Quality Control Board for installation of the sew-
age disposa system.
.is .is to certify that the riverside County Department`ofRublic Health approves for e6oeq, construction
installation the item(s) checked above.
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5
Structural Plan Review Time =1.25 Hrs.
This Material Sent for:
❑ Your Files
❑ Your Review
❑ Checking
Other: ❑
By: John W. Thompson
Rancho Mirage Office: ® (760) 834-8860
Other: ❑
® Per Your Request
❑ Approval By
❑ At the request of:
71--:780 San :Jacinto Dr. Ste. E2, Rancho Miragp;..C& 92270 ph. (780) 834-8860 fax (760) 834-8861
Letter of Transmittal
To:
City of La Quinta Today's Date:
6-20-12
78-495 Calle Tampico City Due Date:
6-21-12
La Quinta, CA 92253 Project Address:
52-860 Avenida Obregon
Attn:
Kay Plan Check #:
12-446
Submittal: ❑ 1st
❑
4 t
❑ 2nd
❑
5th
® 3`d
❑
Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS)
❑ Your Pickup
Includes: # Of Descriptions: Includes:
# Of
Descriptions:
Copies:
Copies:
❑
Structural Plans
®
1
Revised Plans
❑
Structural Calculations
®
1
Revised Struct. Calcs
®
1 Truss Calcs w/Stamp
❑
Revised Truss w/Ltr.
❑
Soils Report Update
❑
Revised Soils Report
❑
Structural P/C Comments
❑
Approved Structural Plans
®
1 Redlined Structural Plans
❑
Approved Structural Calcs
❑
Redlined Structural Calcs
❑
Approved Truss Calcs
❑
Redlined Truss Calcs
❑
Approved Soils Report
❑
Redlined Soils Reports
❑
Other:
Comments: Structural content is approvable.
Structural Plan Review Time =1.25 Hrs.
This Material Sent for:
❑ Your Files
❑ Your Review
❑ Checking
Other: ❑
By: John W. Thompson
Rancho Mirage Office: ® (760) 834-8860
Other: ❑
® Per Your Request
❑ Approval By
❑ At the request of:
- JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211.
INSPECTIONS Phone: 760=275-5020 -. Fax:.760-327-8907.
..... _ INSPECTIONS
EPDXY. INSPECTION REPORT
Date:--�
Project Name: ``
Project No:
L4 LA
Project Address:. Comity:
.°�0a\1Qn�0.`D� Ori of
�rCA
ClientsS b-Contractor:
)WR4 K�+ C3 1 bA
General Contractor: Architect: Structural Engineer: '
Anchor Bolts Rebar
Epoxy Type: i MSon �� � � F
O
Epoxy Shelf l-ife: eD� acre p�� f
Hole Cleaning Method(s):�`owt�C�eQ
F] Other: 24
Other:
Unresolved Items:
[lone
See Below
Description of Work Inspected: S o W
e 4rQ(1CSL.
C✓) �\t
il
'�R� �f � fl: � B r�k e e e' 1 Qr�► n (�� i C s� Q�J ar��
� n (a.'� � 1 �t � a� o � � r c-a e /a.e o
e:, e?�•
� V
Work complies with written approval from Structural Engineer and ICC Evaluation Report #c%
I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans,.specifications _applicable building laws. Final report issued at project completion.
Inspector":
Sladden
Buena Park
(714) 523-0952
Engineering
Coachella Valley
(760) 863-0713
IIUNM Rp 1X%1 -11T-1?71 .1 ill, 11' aa
56830
Beaumont Hemet
845 7743 (951) 766-8777
Date S� 7— 7 / -2--
FIELDMEMO Job No.
R -40A- Client
Project Name
Site Address
Job Phone
1 F
Work Done
O6((VVez). too �-. 2„i ` � . Uri: o f/�r�
OA,104 tr
10/1 nell)1_0 A7) 011-4ja
Test Sum mary Footings Inspected un n hl *0 a h1 -p
Test
No.
Location
Elev.
Dry
Density
Moist
%
Relative
Compaction
Ref. Max
pcf
Moist
%
c.
0. A(6
0, MI) I/ i
0
Ro V*et
)-5
-3-
AAW ANIO
Ohmij J
I
Comments:
012M
t.14 6/z)
Ic
IA I i -AA 11 140&J7!dt -OV-
Kelkwll e bat//�,ts;f
-
n,
.J Ukd ./e,
-F-ield.Teeh., S_L-1per-.9rrAgent
4 -hour notice requested to schedule Field Technician. Thank you forthe opportunity to be of service.'
REV.08/10
t
`I
BUILDING ENERGY ANALYSIS REPORT
PROJECT:
Miller Residence
52-860 Avenida Obregon
La Quinta, Ca 92253
RECEIvED
JUN 14 2012
Project Designer:
0 ff M T 0 W ff
MAY 25 2012 IU
BY: I ey
Report Prepared by:
Santiago Lopez-Ocampo
P.O. Box 1018
La Quinta, Ca 92247
760.485.8927
Job Number:
Ig041212
Date:
5/25/2012
CITY O'ILA QUANTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE:►BY_
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and -Nonresidential 2008 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC — www.energysoft.com.
I EnergyPro 5.1 by EnergySoft User Number: 5732 RunCode: 2012-05-25706:27:55 ID: Ig041212
.TABLE OF CONTENTS
Cover Page
Table of Contents
Form CF -1 R Certificate of Compliance
Form MF -1 R Mandatory Measures Summary
HVAC System Heating and Cooling Loads Summary
1
2
3
10
13
EnergyPro 5.1 by EnergySoft Job Number: ID: Ig041212 User Number: 5732 1
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name
Miller Residence
Building Type O'Single Family ❑ Addition Alone
❑ Multi Family ® Existing+ Addition/Alteration
Date
5/25/2012
Project Address
52-860 Avenida Obregon La, Quinta
California Energy Climate Zone
CA Climate Zone 15
Total Cond. Floor Area
1,803
Addition
465
# of Stories
1
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes El No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form.
El Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION
Construction Type
Area Special
Cavit f12) Features see Part 2 of 5 Status
Slab Unheated Slab -on -Grade
None 1,338 Perim = 0' Existing
Wall Wood Framed
None 879 Existing
Door Opaque Door
None '20 Existing
Roof Wood Framed Attic
R-11 1,337 Existing
Slab Unheated Slab -on -Grade
None 465 Perim = 0' New
Wall Wood Framed
R-15 520 New
Roof Wood Framed Attic
R-38 435 Radiant Barrier New
FENESTRATION U- Exterior
Orientation Area(ft) Factor SHGC Overhang Sidef ins Shades Status
Right (S) 49.0 0.710
0.73 none none Bug Screen Removed
Right (S) 15.0 0.710
0.73 none none Bug Screen Existing
Rear (E) 32.6 0.710
0.73 none none Bug Screen Existing
Left (N) 40.0 0.710
0.73 none none Bug Screen Existing
Left (N) 4.0 0.710
0.73 none none Bug Screen Removed
Front (W) 32.0 0.710
0.73. none none Bug Screen Existing
Skylight 0.5 0.430
0.30 none none None New
Skylight 0.5 0.430
0.30 none none None New
Right (S) 4.0 0.510
0.66 none none Bug Screen New
Rear (E) 3.0 0.510
0.66 none none Bug Screen New
Left (N) 68.0 0.510
0.34 none none Bug Screen New
HVAC SYSTEMS
Ot . Heating Min. Eff
Cooling Min. Eff Thermostat Status
1 Electric 3.40 HSPF
Split Air Conditioner 12.0 SEER Setback Existing
HVAC DISTRIBUTION
Location Heating
Duct
Cooling Duct Location R -Value Status
HVAC System Ducted
Ducted Attic, Ceiling.lns, vented 6.0 Existing
WATER HEATING
Ot . Type Gallons Min. Eff Distribution Status
Ener Pro 5.1 by EnergySoft User Number. 5732
RunCode: 2012-05-25706:27:55 ID: 1q041212
Page 3 of 13
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name '
Miller Residence
Building Type 0 Single Family ❑ Addition Alone
❑ Multi Family 0 Existing+ Addition/Alteration
Date
5/25/2012
Project Address
52-860 Avenida Obregon La Quinta
California Energy Climate Zone
CA Climate Zone, 15
Total Cond. Floor Area
1,803
Addition
465
# of Stories
1
FIELD INSPECTION ENERGY CHECKLIST .
❑ Yes El No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form.
El Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION Area Special
Construction Type Cavity Features see Part 2 of 5 Status
FENESTRATION U- Exterior
Orientation Area(ft) Factor SHGC Overhang Sidefins Shades Status
Leff (N) 10.0 0.510 0.66 none none . Bug Screen New
Front (lM 8.0 0.510 0.66 none none Bug Screen New
Front (M 20.0 0.360 0.35 none none Bug Screen New
HVAC SYSTEMS
Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status
HVAC DISTRIBUTION Duct
Location Heating Cooling Duct Location R -Value Status
WATER HEATING
Qty. Type Gallons Min. Eff Distribution Status
Ener Pro 5.1 by EnergySoft User Number: 5732 RunCode: 2012-05-25706:27:55 ID: 1 041212
Page 4 of 13
PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R
Project Name
Miller Residence
Building Type ® Single Family ❑ Addition Alone
1 ❑ Multi Family 621 Existing+ Addition/Alteration
Date
5/25/2012
SPECIAL FEATURES INSPECTION CHECKLIST
The enforcement agency should pay special attention to the items specified in this checklist. These items require special written
justification and documentation, and special verification to be used with the performance approach. The enforcement agency
determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of
the special justification and documentation submitted.
The Existing Electric Heat Default FAU/AC 2006 and Later has an HSPF less than the Vintage Defaults. Field verification is required.
HIGH MASS Design - Verify Thermal Mass: 1,338.0 R2 Exposed Slab Floor, 3.500" thick at Existing
The Existing Wall RIMS, 37.66' x 8' has a U -Factor greater than the Vintage Defaults. Field verification is required.
The Existing Wall Re/E, 28.25' x 8' has a U -Factor greater than the Vintage Defaults. Field verification is required.
The Existing Wall Le/N, 30.41' x 8' has a U -Factor greater than the Vintage Defaults. Field verification is required.
The Existing Wall FdW, 31' x 8' has a LI -Factor greater than the Vintage Defaults. Field verification is required.
The Existing Roof Roof has a U -Factor greater than the Vintage Defaults. Field verification is required.
HIGH MASS Design - Verify Thermal Mass: 465.0 ft= Exposed Slab Floor, 4.000" thick at Addition
The Roof R-38 Roof Attic w/Radiant Barrier includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as
specified in Residential Appendix RA4.2.2.
HERS REQUIRED VERIFICATION
Items in this section require field testing and/or verification by a certified HERS Rater. The inspector. must receive a
completed CF -413 form for each of the measures listed below for final to be given.
EnergyPro 5.1 by EnerqySoft User Number. 5732 RunCode: 2012-05-25T06:27:55 ID: 1041212 Page 5 of 13
PERFORMANCE CERTIFICATE: Residential, (Part 3 of 5) CF -1 R
Project Name
Building Type 0 Single Family ❑ Addition Alone
Date
Miller Residence
❑ Multi Family 0 Existing+ Addition/Alteration
5/25/2012
ANNUAL ENERGY USE SUMMARY
Standard Proposed Margin
TDV kBtu/ft2- r
Space Heating 19.55 17.33 2.22
Space Cooling 142.35 136.93 5.42
Fans 30.12 28.84 1.27
Domestic Hot Water 27.55 27.55 0.00
Pumps 0.00 0.00 0.00
Totals 219.56 210.66 8.91
Percent Better Than Standard: 4.1%
BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation: (K9 270 deg Ext. Walls/Roof Wall Area Area
Number of Dwelling Units: 1.00 (►M 401 60
Fuel Available at Site: Natural Gas (N) 427 118
Raised Floor Area: 0 (E) 397 36
Slab on Grade Area: 1,803 (S) 427 19
Average Ceiling Height: 8.0 Roof 1,773 1
Fenestration Average U -Factor: 0.60 TOTAL: 234
Average SHGC: 0.58 Fenestration/CFA Ratio: 13.0%
REMARKS
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and specifications needed
to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the
Efficiency Standards of the California Code of Regulations.
The documentation author hereby certifies that the documentation is accurate and complete.
Documentation Author
Company Santiago Lopez-Ocampo
P.O.Box 1018 5/25/2012
Address Name
City/State/ZipCity/State/Zip La Quinta, Ca 92247 Phone 760.485.8927 Signed Date
The individual with overall design responsibility hereby certifies that the proposed building, design- represented in this set
of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and
with any other calculations submitted with this permit application, and recognizes that compliance using duct design,
duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require
installer testing and certification and field verification by an approved HERS rater.
Designer or Owner (per Business & Professions Code)
Company
5/ Address Z4I
Name
City/State/Zip Phone Signed License # ate
Ener Pro 5.1 by EnerqySoft User Number: 5732 RunCoile: 2012-05-25706:27:55 ID: 1q041212 Pa e 6 of 13
CERTIFICATE OF COMPLIANCE:
Residential
Part 4 of 5) CF -1 R
Project Name
Miller Residence
Building Type m Single Family 0 Addition Alone
❑ Multi Family 93 Existing+ Addition/Alteration
Date
1512512012
OPAQUE SURFACE DETAILS
Surface
Type Area
Ll- Insulation Joint Appendix
Factor CavityTExterior Frame Interior Frame Azm Tilt Status 4 Location/Comments
Slab
1,338
0.730 None
0
180 Existing 4.4.7-A1
Existing
Wall
286
0.356 None
180
90 Existing 4.3.1-A1
Existing
Wall
193
0.356 None
90
90 Existing 4.3.1-A1
Existing
Wall
203
0.356 None
1 0
90 1 Existing 4.3.1-A1
Existing
Door
17
0.500 None
0
90 Remove 4.5.1-A4
Existing
Wall
196
0.356 None
270
90 Existing 4.3.1-A1
Existing
Door
20
0.500 None
270
90 Existing 4.5.1-A4
Existing
Roof
1,337
0.079 R-11
0
0 Existing 4.2.1-A2
Existing
Slab
465
0.730 None
0
180 New 4.4.7-A1
Addition
Wall
121
0.095 R-15
180
90 New 4.3.1-A4
Addition
Wall
168
0.095 R-15
90
90 New 4.3.1-A4
Addition
Wall
105
0.095 R-15
0
90 New 4.3.1-A4
Addition
Wall
125
0.095 R-15
270
90 New 4.3.1-A4
Addition
Roof
1 435
0.025 R-38
0
16 New 4.2.1-A21
Addition
FENESTRATION SURFACE DETAILS
ID
Type
Area LI -Factor
SHGC
Azm Status
Glazing Type
Location/Comments
T Window
40.0 0.710 Default
0.73 Default
180 Removed
Double Metal Clear
Existing
er
Window
9.0 0.710 Default
0.73 Default
180 Removed
Double Metal Clear
Existing
Window
5.0 0.710 Default
0.73 Default
180 Existing
Double Metal Clear
Existing
Window
10.0 0.710 Default
0.73 Default
180 Existing
Double Metal Clear
Existing
Window
10.01 0.710 Default
0.73 Default
1 90 Existing
Double Metal Clear
Existing
Window
22.6 0.710 Default
0.73 Default
90 Existing
Double Metal Clear
Existing
Window
40.0 0.710 Default
0.73 Default
0 Existing
Double Metal Clear
Existing
8
Window
4.0 0.710 Default
0.73 Default
0 Removed
Double Metal Clear
Existing
Window
12.0 0.710 Default
0.73 Default
270 Existing
Double Metal Clear
Existing
Window
20.0 0.710 Default
0.73 1 Default
270 Existing
Double Metal Clear
Existing
Skylight
0.5 0.430 NFRC
0.30 NFRC
0 New
Solatube
Existing
Skylight
0.5 0.430 NFRC
0.30 NFRC
0 New
Solatube
Existing
Window
4.0 0.510 NFRC
0.66 NFRC
180 New
Pittsburgh Coming GB 12x12
Addition
W
Window
1.0 0.510 NFRC
0.66 NFRC
90 New
Pittsburgh Coming GB 12x12
Addition
indow
1.0 0.510 NFRC
0.66 NFRC
90 New
Pittsburgh Coming GB 12x12
Addition
Window
1.0 0.510 NFRC
0.66 NFRC90
New
Pittsburgh Coming GB 12x12
Addition
(1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value
2 SHGC Type: 116-13 = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Exterior Shade Type SHGC
Window
H t Wd
Ove hang Left Fin Right Fin
Len H t LExt RExt Dist Len Hclt Dist Len H t
1
Bug Screen
0.76
2
Bug Screen
0.76
3
Bug Screen
0.76
4
Bug Screen
0.76
5
Bug Screen
0.76
6
Bug Screen
0.76
7
Bug Screen
0.76
8
Bug Screen
0.76
9
Bug Screen
0.76
10
Bug Screen
0.76
11
None
1.00
12
None
1.00
13
Bug Screen
0.76
14
Bug Screen
0.76
15
Bug Screen
0.76
16
Bug Screen
0.76
Ener
Pro 5.1 by EnergySoft User Number: 5732 RunCode: 2012-05-25T06:27:55 ID: 1q041212
Page 7 of 13
CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R
Project Name
Miller Residence
Building Type O'Single,Family ❑ Addition Alone
❑ Multi Family m Existing+ Addition/Alteration
Date
5/25/2012
OPAQUE SURFACE DETAILS
Surface U-
Type Area Factor
Insulation Joint Appendix
Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments
FENESTRATION SURFACE DETAILS
ID Type Area
U -Factor SHGCz
Azm Status Glazing Type Location/Comments
Window 14.0
0.510 NFRC 0.34 NFRC 0 New General Aluminum Company Addition
Window 40.0
0.510 NFRC 0.34 NFRC 0 New General Aluminum Company Addition
Window 6.0
0.510 NFRC 0.66 NFRC 0 New Pittsburgh Coming GB 12x12 Addition
Window 14.0
0.510 NFRC 0.34 NFRC 0 New General Aluminum Company Addition
Window 4.01
0.510 NFRC 0.66 NFRC 0 New Pittsburgh Corning GB 12x12 Addition
.2,e Window 4.0
0.510 NFRC 0.66 NFRC 270 New Pittsburgh Coming GB 12x12 Addition
Window 4.0
0.510 NFRC 0.66 NFRC 270 New Pittsburgh Coming GB 12x12 Addition
Window 20.0
0.360 NFRC 0.35 NFRC 270 New Jeld-Wen, Steel Fr.Dr. Addition
(1) Ll -Factor Type:
2 SHGC Type:
116-A = Default Table from Standards, NFRC = Labeled Value
116-13 = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID Exterior Shade Type
Window
SHGC Hat FWd
Ove hang Left Fin Ri ht Fin
Len H t LExt RExt Dist Len H t Dist Len H t
17 Bug Screen
0.76
18 Bug Screen
0.76
19 Bug Screen
0.76
20 Bug Screen
0.76
21 Bug Screen
0.76
22 Bug Screen
0.76
23 Bug Screen
0.76
24 Bug Screen
0.76
EnergyPro 5.1 by Ener Soft
User Number: 5732
RunCode: 2012-05-25706:27:55 ID: 1 041212 Page 8 of 13
CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5)
CF -1 R
Project Name
Miller Residence
Building Type 0 Single Family ❑ Addition Alone
❑ Multi Family 2 Existing+ Addition/Alteration
Date
5/25/2012
BUILDING ZONE INFORMATION
System Name Zone Name
Floor Area
New Existing Altered'. Removed Volume
Year Built
HVAC System Existing
1,338
10,704 2000
Addition
465
3,720
Totals 1 4661 1,338 01 01
1
HVAC SYSTEMS
System Name Qty. Heating Type
Min. Eff. Co olind Type Min. Eff. Thermostat Type
Status
HVAC System 1 Electric
3.40 HSPF Split Air Conditioner 12:0 SEER Setback
Existing
HVAC DISTRIBUTION
System Name Heating
Duct
Coolin Duct Location R -Value
Ducts
Tested? Status
HVAC System Ducted
Ducted Attic, Ceiling Ins, vented 6.0
❑
Existing
WATER HEATING SYSTEMS
S stem Name
Qty.
Type
Distribution
Rated
Input
Btuh
Tank
Cap.
al
Energy
Factor
or RE*
Standby
Loss or
Pilot
Ext.
Tank
Insul. R-
Value
Status
A O Smith Water Products
1
Small Elec.
Kitchen Pipe Ins
15,359
50
0.91
n/a
n/a
Existing
MULTI -FAMILY WATER
HEATING
DETAILS
HYDRONIC
HEATING SYSTEM
PIPING
Control
Hot Water Piping Length'
(ft)
C
_ o
Q —
System Name
Pipe
Len th
Pipe
Diameter
Insul.
Thick.
Qty. HP
Plenum Outside Buried'
Ell
EnergyPro 5.1 by Ener Sof User Number., 5732
RunCode: 2012-05-25706:27:55 ID: 1041212
Page 9 of 13
MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R
Project Name
Miller Residence
Date
5/25/2012
NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of
the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF -
1 R -ALT Form) shall supersede the items marked with an asterisk (') below. This Mandatory Measures Summary shall be incorporated
into the permit documents, and the applicable features shall be considered by all parties as minimum component performance
specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R
Form with plans.
Building Envelope Measures:
§116(a 1: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor; certified Solar Heat Gain
Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a).
117: Exterior doors and windows are weather-stripped; all joints and penetrations are "caulked and sealed.
118(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form.
§1"18(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the
installation of a Cool Roof is specified on the CF -1 R Form.
*§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent Ll factor.
150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value.
*§1 50 c : Minimum R-13 insulation in wood -frame wall orequivalent U -factor.
*§1 50 d : Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor.
150(f): Air retarding wrap is tested, labeled, and installed according to ASTM El677-95 2000 when specified on the CF -1 R Form.
150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§150(1): Water absorption rate for slab edge insulation "material alone without facings is no greater than 0.3%; water vapor permeance
rate is no areater than 2.0perm/inch and shall be protected from physical dama a and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Lo 'Measures:
150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§150(e)l B: Masonry or factory -built fireplaces have a combustion outside air intake, which is.at least six square inches in area and is
equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device.
§150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the
outside of the building, are prohibited.
Space Conditioning, Water Heating and "Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads, faucets and "all other regulated appliances are certified by the Energy
Commission.
§113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release
valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5.
§115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances
(appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and
spa heaters.
150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA.
150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c).
§1500)1A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped
with insulation having an installed thermal resistance of R-12 or greater.
§1500)113: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water
tanks have R-12 external insulation or R-16 internal insulation where "the internal insulation R -value is indicated on the exterior of the
tank.
§1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of
recirculating sections of hot water pipes are insulated per Standards Table 150-13.
§1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot
water tank shall be insulated to Table 150-B and Equation 150-A.
§1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table
123-A.
150(j)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
§1500)3A: Insulation for chilled water piping and refrigerant suction lines includes a"vapor retardant or is enclosed entirely in
conditioned space.
150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
EnergyPro 5.1 by EnergySoft User Number. 5732 RunCode:.2012-05-25T06:27:55 ID: Ig041212 Page 10 of 13
MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R
Project Name
Date
Miller Residence
5/25/2012
§150(m)1: All air -distribution system ducts andplenums installed, are sealed and insulated to meet the requirements of CMC Sections
601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-
4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the
applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant.that meets the requirements of UL 723. If mastic or tape is
used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or, tape shall be used
§150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed
sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may
contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area
of the ducts.
§150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
unless such tape is used in combination with mastic and draw bands.
150(m)7: Exhaust fans stems have back draft or automatic dampers.
§150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
dampers.
§150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture,. equipment maintenance, and wind.
Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar
radiation that can cause degradation of the material.
150 m 10: Flexible ducts cannot have porous inner cores.
§150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air
Quality in Low -Rise Residential Buildings. Window operation is not a permissible'method.of providing the Whole Building Ventilation
required in Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency
Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and
shall not use electric resistance heating ora pilot light.
§114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe -between filter and heater, or dedicated suction
and return lines, or built-up connections for future solar heating.
114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have. a cover.
§114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or
programmed to run only during off-peak electric demand periods.
150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150
Residential Lighting Measures:
§150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat -Sink has an efficacy that is no lower than the efficacies
contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2.
150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d).
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than
20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain
only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line -
voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a
medium screw -base socket.
150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k).
150(k)7: All switching devices and controls shall meet the requirements of §150(k)7.
§150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwellingunits larger than 2,500 ft2 may be
exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a
manual -on occupant sensor.
§150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of
illuminated cabinet.
EnergyPro 5.1 by EnergySoft User Number. 5732 RunCode: 2012-05-25706:27:55 ID: 18041212 Page 11 of 13
MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF-1 R
Project Name
Date
Miller Residence
5/25/2012
§150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms
shall be high efficacy.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual-on
occupant sensor certified to comply with the applicable requirements of §119.
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual-on occupancy sensor.
§150(k)11: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms,
closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be
allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual-
on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less
than 1000 square feet located on a residential site is not required to comply with §150 k 11.
§150(k)12: Luminaires.recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters
Laboratories or other nationally recognized testing/rating laboratory; and have a label-that certifies the lumiunaire is airtight with air
leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between
the luminaire housing and ceiling.
§150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more
dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that
they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor,
and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management
control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor
luminaires used to comply with Exceptions to §150(k)13 may be controlled by a temporary override switch which bypasses the motion
sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed
luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not
�be high efficacy luminaires.
§150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw-base socket, and consume no
more than five watts of power as determined according to §130(d).
§150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable
requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable
requirements of Sections 130, 131, 134, and 146.
§150(k)16: Permanently installed lighting in the enclosed, non-dwelling spaces of low-rise residential buildings with four or more
dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided
that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119.
EnergyPro 5.1 by EnergySoR User Number: 5732 RunCode: 2012-05-25706:27:55 ID: Ig041212 Page 12 of 13
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
Miller Residence
Date
5/25/2012
System Name
HVAC System
Floor Area
1,803
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
1
COIL
CFM
Total Room Loads 1,821
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation o
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COOLING
PEAK
COIL HTG.
PEAK
Heating System
Sensible
Latent
CFM
Sensible
Output per System 0
34,878
2,387
831
31,077
Total Output Btuh 0
0
Output Btuh/s ft 0.0
2,380
1,793
Cooling System
0
0
Output per System 1
0
0
0
0
Total Output Btuh 1
0
2,380
39,638
2,387
0
Total Output Tons 0.0
1,793
Total Output (Btuh/s ft) 0.0
Total Output s ft/Ton 21,636,000.0
34,662
Air System
CFM per System
0
HVAC EQUIPMENT SELECTION
Airflow cfm
0
Default FAU/AC 2006 and Later
1
0
0
Airflow cfm/s ft
0.00
Airflow cfm/Ton
0.0
0
Jan 1 AM
Outside Air % 0.0%
Total Adjusted System Output 1
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK
0
Aug 3 PM
Outside Air cfm/s ft 0.00
I
Note: values above given at ARI conditions
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating
Peak)
26 OF
Outside Air
0 cfm
66 OF
66 OF 105 OF
Heating Coil
103 OF
ROOM
i
68 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak
112178 °F
Outside Air
0 cfm
77/63°F
14
77 / 63 OF 55 / 54 OF
i
Cooling Coil
57 / 55 OF
49.0% ROOM
75/62°F
EnergyPro 5.1 by EnergySoft User Number. 5732 RunCode: 2012-05-25706:27:55
ID: Ig041212 Page 13 of 13