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AR-13-1291Applicant: %n� o 9 ao�� Contractor: ALBERTO DAZA /1=z� p � GUTIERREZ MARTHA OWNER BLDR D P.O. BOX 5083 53733 AVENIDA OBREGON LA QUINTA, CA 92247 � '�� VOICE (760) 777-7125 78-415 CALLEfAMPICO FAX (760) 777-7011. LA QUINTA, CALIFORNIA 92253' COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT �'�: , ✓ Date: 3/9/2015 Application Number: AR -13-1291 Owner: Property Address: 53733 AVENIDA OBREGON GUTIERREZ MARTHA Y APN: 774114021 53733 AVENIDA OBREGON Application Description: 139 sq. ft. ATTACHED ADDITION ANSWEIR LA QUINTA, CA 92253 Property Zoning: Application Valuation: $0.00 MAR 0 9 2055 LA QUINTA, CA 99999 CITY OF LA QUINTA (760)625-4664 COMMUNITY DEVELOPMENT DEPARTMENT LIC. No.: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: License No.: 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 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 co pensation, 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 contractoro) licensed pursuant to the Contractors' State License Law.). (_)I am exempt under Sec. . B.&P.C.f • as ate: -945 -3 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 Na Lender's Add 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 polity number are: Carrier:_ Policy Number: _ - I certify that in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become ub' ct to the workers' compensation laws of California, and agree that, if I s ouf a me subject to the workers' compensation provisions of Section 37���t b Code, I shall forthwith comply with those provisions. / ,Dat�1 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 for a 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 above infor i s correct. I agree to comply with all city and county ordinances and state laws r ti o building construction, and hereby authorize representatives of this cit r the above• mentiiooneedd(%?perty for inspection purposes. . Date3J / - '3 Signature (Applicant or Agent): +.-DESCRIPTION .. "ACCOUNT AMOUNT, .' _ .PAID PAID;DATE` ADDITION, EA ADDITIONAL 500 SF 101-0000-42400 0 $62.36 $0.00 0 r, PAD r METHOD a RECEIPT+# CHECK # ; CLTD BY RECEIPT # CHECK #, ,'CLTD BY. DESCRIPTION w: a 'AC AMOUNT .: PAID PAID DATE, ADDITION, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 $0.00 0 -^ PAID BY METHOD s _ a _ RECEIPT # F� s CHECK # CLTD BY r ' .RECEIP..T #� r CHECK # ` CLTD BY "DESCRIPTION' w� ACCOUNT QTY AMOUNT' PAID. PAID DATE ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 101-0000-42402 PAID BY METHOD _ RECEIP.T # `F°rCHECK # CLTD BY ,: i ,METHOD ., RECEIPT # ;CHECK # - _ CLTD BY ,; DESCRIPTION ACCOUNT . : ._ ° 'QTY y~ `AMOUNT ' PAID x ; PAID:DATE' ADDITION, FIRST 100 SF PC 101-0000-42600. 0 $171.14 $0.00 ' j PAID BY .` METHOD' RECEIPT #t CHECK # ` CLTD BY, Total Paid forADDITION: $371.73 $0.00 DESCRIPTION, 't4 c ACCOUNT `: QTY z'; AMOUNT:...: PAID PAID:OATE HOURLY PLAN CHECK - YES 101-0000-42600 3.25 $227.50 $0.00 �� PAID BY .:.::� x a �, <; .METHOD RECEIPT # :u CHECK # , ' CLTD BY Total Paid forBLDG CITY STAFF - PER HOUR: $227.50 $0.00 DESCRIPTION �. ;ACCOUNT . .;:; QTY AMOUNTS, . PAID 'PAID,DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # , CHECK # , CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ;' ',; "ACCOUNT QTY r AMOUNTS:: - PAID PAID:DATE RESIDENTIAL, FIRST 1,000SF 101=0000-42403 0 $145.03 $0.00 PAID. BY - METHOD k RECEIPT # CHECK #, ,'CLTD BY. +DESCRIPTION ,P _ ACCOUNT.: QTY `' AMOUNT ;.; PAID ' PAID`DATE'' RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $0.00 s ' PAID j:.,:,METHOD-',, r ' .RECEIP..T #� r CHECK # ` CLTD BY Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00 DESCRIPTION .;ACCOUNT ' `': f ;`QTY AMOUNTa= PAID , PAID DATE' OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $36.26 $0.00 ;i� PAID BY .r `: ,: i ,METHOD ., RECEIPT # ;CHECK # - _ CLTD BY ,; DESCRIPTION` w_", r x% `q =QTY AMOUNT `F. ' PL11D't"" PAID;DATE y tACCOfJNT z , OTHER MECHANICAL EQUIPMENT PC- 101-0000-42600 0 $36.26 $0.00 A��n PAIDBY�� ,' + METHOD �'��%RECEIP.T# E CHECK#� CLTDBY, _ � r „ Total Paid forMECHANICAL: $72.52 $0.00 ` >D z. COAMOUNT AIDESCRIPTION,;� PAID DATE: SMI - RESIDENTIAL 101-0000-20308 0 $1.30 $0.00 `w PAID BY ­, METHOD a 'r= '' RECEIPT # x CHECK # CLTD BY „ { Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.30 $0.00 •4 $0.00 L , t Description: 139 sq. ft. ATTACHED ADDITION Type: BUILDING, RESIDENTIAL Subtype: ADDITION Status: PLAN CHECK Applied: 10/9/2013 Approved: 2/20/2014 Parcel No: 774114021 Site Address: 53733 AVENIDA OBREGON LA QUINTA,CA 92253 Subdivision: Block: Lot: Issued: Lot Sq Ft: Building Sq Ft: Zoning: Finaled: Valuation: $10,000.00 Occupancy Type: Construction Type: Expired:. No. Buildings: No. Stories: No. Unites: Details: 139 SF ADDITION TO EXISTING SFD. NEW DINING AREA AND SHOWER AT LEFT REAR OF BUILDING. 2010 CODES. DENISE POELTLER ENGINEER 33446. PERMIT APPLICATION EXTENSION GRANTED UNTIL MARCH 31, 2015. 3/3/2015 SPOKE WITH MARTHA GUTIERREZ - OWNER REGARDING • FINANCIAL INFORMATION Printed: Monday, March 09, 2015 4:28:39 PM 1 of 3. CB?WYSTEMS CHRONOLOGY CHRONOLOGY TYPE a ,STAFF NAME ACTION DATECOMPLETION DATE,, NOTES ` 6 y.° PUBLIC COUNTER VISIT BURT HANADA 3/2/2015 3/3/2015 SPOKE WITH MARTHA GUTIERREZ - OWNER REGARDING • EXTENSION OF APPLICATION TO 3/31/2015. CONDITIONS CONTACTS NAME TYPE ° `. ADDRESSI CITY STATE ZIP-. PHONE< ' m" FAX EMAIL APPLICANT ALBERTO DAZA P.O. BOX 5083 LA QUINTA CA 92247 (760)772-4411 CONTRACTOR GUTIERREZ MARTHA Y 'NOT ON FILE 99999 (760)772-4411 ENGINEER DENISE R. POELTLER INC. 77725 ENFIELD LANE, PALM DESERT CA 92211 (760)772-4411 DRPFLY@AOL.COM SUITE 130 OWNER GUTIERREZ MARTHA Y 'SNOT ON FILE 99999 (760)772-4411 FINANCIAL INFORMATION Printed: Monday, March 09, 2015 4:28:39 PM 1 of 3. CB?WYSTEMS .. .-,-'i .,^d T.:.;. ,w ` DESCRIPTIO N -' Vit.'" x �:.. :..• 'ACCOUNT > ` x :,,:_. .;,. QTY a AMOUNT t F G i i. :..77 PAID •;C:"`: PAID DATE i `.` RECEIPT # ;::.�.. .:f ^a CHECK # ,i sG 4'•.:};. METHOD L,r°- PAID BY CLTD y ADDITION, EA 101-0000-42400 0 $62.36 $0.00 ADDITIONAL 500 SF 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 0 $171.14 $0.00 PC Total Paid forADDITION: $371.73 $0.00 HOURLY PLAN CHECK - 101-0000-42600 F3.25 $227.50 $0.00 YES Total Paid for BLDG CITY STAFF - PER HOUR: $227.50 $0.00 _ BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING 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 OTHER MECHANICAL 101-0000-42402 0 $36.26 $0.00 EQUIPMENT OTHER MECHANICAL 101-0000-42600 0 $36.26 $0.00 EQUIPMENT PC Total Paid for MECHANICAL: $72.52 $0.00 SMI - RESIDENTIAL 101-0000-20308 7T70 $1.30 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMt $1.30 -$0.00 TOTALS:00 Printed: Monday, March 09, 2015 4:28:39 PM 2 of 3 sysrr•Ms PARENT PROJECTS �Fc /,�, f., Bin # La City of Qu/nta ob, 0 Building 8L Safety Division Cp Cj�, Permit.# P.O. Box 1504, 78-495 Calle Tampico MNjU La Quinta, CA 92253 - (760) 777-7012 QUlryr �ql q 1 I Building Permit Application and Tracking Sheet F<o PA ­ Project Address: aj?� tel` vn Owner's Name: A. P. Number: .�� Address: I fQ11�1 . ✓e Legal Description: City, ST, Zip: ✓ C Contractor Telephone: Address: Project Description: City, ST, Zip: 40 Telephone:;<r:: .....:;; .;>::.:•: f.;>::> State Lie. # : City Lie. #: Arch., Engr., Designer. Ila J Address: 0 t V City., ST, Zip: (� C4YP/r\ O Telephone: `''' >s '::`•Ez:> Construction Type: Occupancy: : State Lic.#::,..::.....:.....f..:,,.::>;::>.:.,. ;;;;:: Project type (circle one): New Add'n Alter Repair Demo .................. Name of Contact Person:Tbr 0 2� Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: / APPLICANT: DO NOT WRITE BELOW THIS LINE H Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount �i Structural Cates. Reviewed, ready or corrections (� `� Plan Check Deposit Truss Catcs. Called Contact Pc ISI Plan Check Balance, 2 Title Z4 Calcs. Plans picked up A Construction Flood plain plan Plans resubmitted L' Mechanical Grading plan 2"" Review, ready for correctio s/issue] Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 1rd Repiew, ready for corrrkrissbe IV Developer Impact Fee Pub. Wks. Appr Date of permit issue ffi 9 School Fees Date 2/24/14 No. 31989 Owner Gutierrez Address 53733 Avenida Obregon City La Quinta Zip Tract # Type Residential Addition CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 Lot # No. Street S.F. Unit 1 53733 Avenida Obregon 139 Unit 2 Unit 3 Unit 4 Unit 5 Comments APN # Jurisdiction Permit # No. of Units Lot # No. Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Q BERMUDA DUNES RANCHO MIRAGE �J INDIAN WELLS PALM DESERT y '%QQUINDIA LA QUINTA_ 4 774-114-021 La Quinta 1 Street S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time 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 139 S.F. or $0.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Exempt - Alberto Daza Check No.. Bank Name/Recipient of Certificate Telephone 760-285-3793 Funding Exempt By Dr. Gary Rutherford Superintendent Fee collected /exem by M ilvr Payment Recd4Ft0-00 75, = F r Signature P tf `" %' ` r 1'Tr�'.�.'y NOTICE: Pursua t to Government Code Section 66020(d)(1), will erve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760),777-7012 FAX (760) 777-7011 PROPERTY OWNER'S PACKAGE Disclosures & Forms for Owner -Builders Applying for Consirueiion Permits LW_. 1ATANT! NOTICE TO PROPERTY OWNER Dear: Property Owner Aa. application, fora building nutted in frame listing arse as the udder of the rty improvements specified at 7 3 \1. --qco We are providing you with an Owner -Builder Acknowledgment and Information -Verification form to make you aware of your, responsibilities and moble risk you may incur by having thispermit issued in: your name as the s ' Owner -Builder. We will not issue a budding permit until you -have read, initialed your understanding of esneh`provlsion, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute -this notice unless you, the property owner, obtain the prior approval of the permitting authority. D1RE=01YS: Read anti kidd edch staiemew below t©signify you liiiderstcrn or verify this information. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance -coverage for injuries to workers 'on my Property o2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility., %�g3. I understand as an "Owner -Builder' I am the responsible party, of record ogthe permit I understand that I may protect m If from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. qlpe I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on and contracts. %5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be, considered an "employer" under state and federal law. I understand if I am considered an "employer" under state.and federal law, I must register with the state and federal v gorament, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk 7. I understand under California Contractors' State_ License Law, an Owner -Builder who builds single-family residential s ctures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. w '"8: 1 understand as an Owner -Builder if I sell the property for which this permit is issued, [ cnay be he!d liable, for any financial or personal. injuries sustaiinedby any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. %-.19. I understand I may obtain more information regarding my obligations as an "employer" from the internal KcWnue ervice, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.csth.ca.gov for more information about licensed contractors. 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and 1ially nsible proposedO con�tructi activi at folio address: MA V ab -J tal 1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all app cable laws and requirements that govern Owner -Builders as well as employers. 12. I agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the information I have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who doesnot have a license,. die Contractors' State License Board :may be unable to as --.'You V" any finanew loss you may sustain as a result of a complaint Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property; you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you wdl be responsrltle for verifying whelbw or not those Contractors are properly licensed and the status of dwir woiken' conation insurance coverage. Before a building permit can be issued, this f,7 m must be completed and signed by the property owner and returned to the agency responsible for issrtfh. lYott: g.&e.A copy of tfrc property owner's driver'sAtensej farm nota ns or other venT adon acceptable to the ag_ required to be,pre"sented when the permit is issued to verify the property owner's signature. Signature of Property owner Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the exemtion of which I understand. is my personal responsibility, I hereby authorize -the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project Scope of Construction Project (or Description of Work): Project Location or Address: 53-73i��nNl Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note. A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required* to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: 77-682 Country Club Dr. Ste. B, Palm Desert, CA 92211, ph.: (760) 772-5107 fax (760) 345-7620 Letter of Transmittal To: City of La Quinta Today's Date: 2/18/14 78-495 Calle Tampico City Due Date: 2/18/14 La Quinta, CA 92253 Project Address: 53-733 Avenida Obregon Attn: Philip Plan Check #: 13-1291 Submittal: ® 1st 4 t This Material Sent for: ❑ 2nd ❑ 5th ® Per Your Request ® 3rd ❑ Other: ❑ We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: Descriptions: Includes: # Of Descriptions: Copies: ❑ Structural Plans ® 1 Revised Struct. Plans ❑ Structural Calculations ® 1 Revised Struct. Calcs ❑ Truss Calcs ❑• Revised Truss Calcs ❑ Soils Report ❑ Revised Soils Report ❑ Structural P/C Comments ❑ Approved Structural Plans ® 1 Redlined Structural Plans ❑ Approved Structural Calcs ® 1 Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is approvable If you have any questions please call. Structural Plan Review Time ='1.25 HR This Material Sent for: ❑ Your Files ® Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ By: John W. Thompson Rancho Mirage Office: ® (760) 772-5107 Other: ❑ O = rop� Prescriptive Certificate of Compliance: C1w-1R ADD Residential Additions (Page 1 of 5 Site Address: 53733 Avenida Obregon, La Quinta, Ca. 92253City Enforcement Agency: of La Quints 109/20/13 Date: Framing Material and Size Thickness, Spacing, U- JA4 Table or Other' factor° Numbers Framed Cavity R-value6 General Information Pro ect Name GU�ierreZ Residence Climate Zone # ICA Climate Zone 15 # of Stories Building Type Single Family 0 Multi Family Circle the Front Orientation --N, E, S, W or Degrees EAST Conditioned Floor Area of Addition (CFA): 139 Sq.ft. New Addition Size: Less than or equal to -TI 00 fe El Less than or equal to 1000 fe I Po not use this onn or additions greater than 1000 NOTE. For Alterations to an existing home, submit a completed CF -1R -ALT Form Exception:ExistingHYACsystems that are replaced or altered to serve the addition maybe included on the CF -IR ADD Foinc PRESCRIPTIVE ENVELOPE RE UMMIENTS FOR ADDITIONS For standard wood and assemblies meeting the Cavity R -value only. • For 100,112 additions; the Proposed values must be equal or greater than the Standard column orwheninc6cated when using Package D, "PkgD ". Enter values in the shadedProposed Columns. • For less than 1, 000 f i2 additions must comply with "Pkg D " requirements unless indicated in the Standard Column To meet 'Pkg D " minimum energy compliance re irements, see RCMAppendix B, Table 151-0 or 152 in the RCM. Enter values in the shaded Proosed Columns. Size of Addition 100 ft2or less Less than 1,000 ft2 Component Standard Proposed Comment Standard Proposed Comment Ceiling Insulation R-19 Minimum Pkg D R-38 Table.151-C Wall Insulation R-13 Minimum R-13 R-13 Minimum Floor Insulation R-13 Minimum Pkg D Table 151-C Fenestration U- U- factor SHGC I factor SHGC 0.40 Pkg D Enter Values From "FenestrationAddition 50 ft' > if Proposed — Areas" Page 2 of 5 U- factor U- SHGC factor SHGC Enter Values From ' "Fenestration Proposed Areas" Page 2 of 5 0.40 Pkg D 0.40 0.35 Maximum Glazing Area Alone' 139 Enter Values From `Addition Allowed Fenestration Areas" Page 3 of 5 For West-FacingC ft2 Orientation 2.3 0.5 Radiant Barrier N/A Pkg D Table 151-C Roofing N/A See Roofing Products Below Pkg D See Roofing Products Below OPAQUE SURFACE DETAILS For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B C D E F G I H I J Proposed bft Note Standard Values From JA4 Table Tag/ IDt Assembly Name or Tyve2 Framing Material and Size Thickness, Spacing, U- JA4 Table or Other' factor° Numbers Framed Cavity R-value6 Continuous JA4 Proposed Insulation Assembly Assembly R -Value Cell Values U -facto? ID1 WALL 2x4 16" 0.102 4.3.1-A3 R-13 0.102 i/ 3 0.102 ID2 ROOF/CEILING WOOD 24" 0.025 4.2.1-A21 R-38 0.025 21 0/025 ID3 SLAB CONCRETE NONE 0.730 4.4.7-A1 NONE NONE 1 0.730 ID4 DOOR WOOD NONE 0.500 4.5.1-A4 NONE NOE 4 0.500 Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculatin e t s. . Furring Construction table below. t Registration Number: Registration 2008 Residential Compliance Forms UI I i UI- LA UUIIv I A BUILDING & SAFETY0: c -T13 013 ®Y FOR CONS�It�(aJE LA Q10i,; '-'Cv-)F �� �, ,titENT Provider: March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 2 of 5) Site Address: Enforcement Agency. Date: 53733 Avenida Obregon, La Quinta, Ca. 92253City of La Quints 109/20/13 1. For TagAD indicate the identification name that matches the buil&ng plans. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate in column G the Frame material and Size: For Wooe( Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel, and etc.... 4. Based on the Climate Zone; enter the equivalent U factor found in JA4 Table based on the R -Value from Table 151-0 5. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ". 7. Enter the Continuous Insulation R -value for the proposed assembly, otherwise, enter "0 ". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J. 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply. FURRING STRIPS CONSTRUCTION TABLE FOR MASS WALLS ONLY A B C D E F I G I H I J I K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation indow, Glass Door or skylight) South, West) Walls From Reference in Furring Space from Reference SHGC1.3' ° Default Values Joint A ppendix Table 4.3.5,,0-6, 4.3.7 Joint Appendix Table 4.3.13 4.5 0.40 0.35 NFRC G-2 WINDOW NORTH 12 0.40 0.35 NFRC G-3 PAIR OF FRENCH DOORS Assembly � <0 6 .p o NFRC c d d °� Final Mass Name or JA4 Table .o a c Assembly Thickness I T Number' d > ° Q > U-factor6� Comment 1. Indicate the Mass Thickness from Reference Joint Appent8x JA. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls Floors, Slabs, Crawl Space, Doors and etc ... Indtcate the Frame type and Size: For Wood Metai Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies 3. Enter the Table number that closely resembles the proposed assembly. 4. Enter the row and column of the U factor value. 5. Enter the Effective R -value listed in the JA4 Table Number. 6. The Final Assembly is calculated by using Equation 4-1 or Equation 4-4 of the Reference Joint Appendix JA4. Enter the value in Column L. 7. Insert the Final Assembly U factor value back on to the Opaque Surface Details table in Column J. I FENESTRATION PROPOSED AREAS Fenestration Type and Frame (North, East; ProposedArea' Maximum Maximum NFRC or indow, Glass Door or skylight) South, West) (ft) U_faCtor2.3 SHGC1.3' ° Default Values G-1 WINDOW WEST 4.5 0.40 0.35 NFRC G-2 WINDOW NORTH 12 0.40 0.35 NFRC G-3 PAIR OF FRENCH DOORS WEST 33.33 0.40 0.35 NFRC Total 5U 1. Fenestration area is the area of total glazed product (i. e. glass plusframe). Exception: When a door is less than 50'0 glass, the fenestration area may be the glass area plus a "2 inch frame " around the glass. 2. Enter value from Component Package D Requirements in Table 151-0. 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower SHGC value than that specified on the Fenestration Proposed Area table above. 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with extertores adin`g� UNTA 5. Ifammlicable at this state enter 'NFRC" 1brNFRC Certified windows or CEC "D�lliul " values faun4in.Ta le,IL&A,or�B. Registration Number: 2008 Residential Compliance Forms Registration Date/Time, HERS Provider: DATE BY March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 3 of 5 Site Address: Enforcement Agency: Date: 53733 Avenida Obregon, La Quinta, Ca. 92253City of La Quinta 109/20/13 ADDITION ALLOWED FENESTRATION AREAS checked below, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(1) are not applicable. Do not fill A B C D E Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria F Roof constructions that have thermal mass over the roof membrane with at least 25 lb/fiz is exempt from the above Cool Roof criteria. CFA of Addition Allowed % Allowed Area Area Removed 2 Maximum Allowed Area Proposed Area 5 Aged Solar ft of CFA (A x B) ftC+D < 5lb/fO > 5lb/ft2 Type' (Table Above) Total Fenestration Area3 550 0.20 10 0 10 50 West Fenestration Area' 45 0.05 2,25 0 2.25 > — 50 (Required In CZ's 2, 4 & 7 -15 04 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. Glass removed to make way for the addition 3. For additions less than 1, 000 ft' the standards allows glazing removed during the remodel to be added to the glazing area allowance. The maximum allowed glazing area for the adhtion is the CFA x 20% + glass removed to make wary for the addition. 4. In climate zones 2, 4, 7-15, no more than S% of the CFA is allowed for west facing glazing plus west facing glass area removed to make wary for the addition. The maximum allowed west facing glazing area is the CFA x 5% + west facing glass removed to make wary for the addition. 5. To meet com liance, the Pro osed Area must be less than or equal to the Total Allowed Area orBOTH the Total and West Fenestration Areas ROOFING PRODUCTS (COOL ROOFS) §151(012 Check applicable box below if the roof addition is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the boxes are checked below, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(1) are not applicable. Do not fill table below. Roofing compliance Not Required in Climate Zones 1-12, 14, and 16 with a Low -Sloped. Less or 2:12 pitch. Q Roofing compliance Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped. Roofs pitch greater than 2:12 and product weight less than 5lb/ft2. B_ I Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria _, Roof constructions that have thermal mass over the roof membrane with at least 25 lb/fiz is exempt from the above Cool Roof criteria. Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, check e applicable box below if Exempt from the Roofing Products "Cool Roof' Requirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number' < 2:12 > 2:12 < 5lb/fO > 5lb/ft2 Type' Reflectance 3,4 Emittance SRI 0 1]4 E 04 1 E]4 El E34 0 LI 11 El []4 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www. coolroofs. orrt/nroducWsearoh. oha. 2. Indicate the type ofproduct is being used for the roof top, i.e. single ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool RoofRating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(pam„°t— 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at htto:11www.enemy, ca. Qav/wtle241 and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -IR. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in § 118(i)4. Select the applicable coating: Aluminum -Pigmented Asphalt Roof Coating Q Cement -Based Roof Coating—j-[3 Othe -% 1N f VI1 1 V1 v � •.•cam•• - -- - BUILDING & SAFETY DEPT. APPROVE FOR CONSTRUU i 1UN Registration Number: Registration Date/I'tme: I HERS Provider: 2008 Residential Compliance Forms March 2010 DATE ------ BY Prescriptive Certificate of Compliance: a CF -IR ADD Residential Additions (Page 4 of 5 Site Address: 53733 Avenida Obregon, La Quinta, Ca. 92253 Enforcement Agency: Date: 09/20/1 3 City of La Quinta HVAC SYSTEMS - HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be storage gas or propane fireg non -recirculating, and may not exceed 50 gallons. Ifno natural gas is connected to the building, an electric storage Duct or Configuration kitchens and on all undergroundhot water pipes is required in all component packa es in all climate zones. Minimum Distribution Piping (Central, Split, Heating Equipment Type and Capacity', Y, 3 Efficiency Type and Insulation Thermostat Space, Package or AFUE or HSPF Location" R -Value Type H dronic CENTRAL FURNACE AFUE DUCrEDATrICMUNGVENRA- R-8 SETBACK SPLIT AIR CONDITION Duct or Piping Insulation R -Value (Central, Split, Thermostat Space, Package or Type H dronic 1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i. e., if total capacity < 2 KW or 7, 000 BhAr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception. 3. Refer to the HERS Verification section on Pages 3 and 4 of the CF -IR -ADD Fonn for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, H dronic in Floor, Radiators, etc. HVAC SYSTEMS - COOLING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be storage gas or propane fireg non -recirculating, and may not exceed 50 gallons. Ifno natural gas is connected to the building, an electric storage DHW heater less than 50 gallons with an energy factor greater than 0.90 maybe used Hot water pipe insulation from the DHW heater to the kitchens and on all undergroundhot water pipes is required in all component packa es in all climate zones. Heated Slab Insulation []YES I Q NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards. Configuration Cooling Equipment Type and Capacity 1,2 Minimum Distribution Efficiency Type and SEER/EER or COP Location; Duct or Piping Insulation R -Value (Central, Split, Thermostat Space, Package or Type H dronic HVAC 13 SEER--r-ATTICCOUNGVENRAT R-8 SETBACK SPLIT AIR CONDITION Insulation Type' Standard, Recirculating z System 1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc). Thermal Efficiency R-Value3 2. Refer to the HERS Verification section on Pages 3 and 4 of the CF -JR -ADD Formfor additional requirements and check applicable boxes. 3. Indicate Type or Location(Ducts, H dronic in Floor, Radiators, etc. 1 50 WATER HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be storage gas or propane fireg non -recirculating, and may not exceed 50 gallons. Ifno natural gas is connected to the building, an electric storage DHW heater less than 50 gallons with an energy factor greater than 0.90 maybe used Hot water pipe insulation from the DHW heater to the kitchens and on all undergroundhot water pipes is required in all component packa es in all climate zones. Heated Slab Insulation []YES I Q NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation Q YES Q NO External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Type' Standard, Recirculating z System Capacity (gal) Thermal Efficiency R-Value3 STANDARD 50 GALLONS NO PIPE INSULATION 1 50 0.65 N/A 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The water heating tank acid i es shall be insulated to meet the requirements o 150 ' . SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written justification and documentation and special verification. Applicable special features shall be marked with a YES and be specified within the plans. Radiant Barrier (Root) AYES I n, NO I Required in Climate Zones 2, 4, and 8-15 for additions larger than 100 fe. Slab Edge (Perimeter) Insulation YES I rxj NO I In Climate Zone 16 under Component Package D, R-7 insulation is required. Heated Slab Insulation []YES I Q NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation Q YES Q NO In Climate Zones 1, 2, 11, 13,14 & 16 R-8 insulation is required, and�Clirmate ones 12 1�5 4nqfired under Component Package D. „ ,,, „ „t er, I tf i..J 1 1L -v � u ..� Thermal Mass - To obtain Compliance Credit for the installation of thermal mass, use the PerforwmanN a -4p rolichw, Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms DATE BY Mar 2010 Prescriptive Certificate of Compliance: CF -111 ADD Residential Additions(Page 5 of 5 Site Address: Enforcement Agency: Date: 53733 Avenida Obregon, La Quinta, Ca. 92253 City Of La Quinta 09/20/13 HERS VERIFICATION SUMMARY - The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF4R Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Se ling & Testing HERS verification is reuired or this measure. In all Climate Zones, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the addition []YES [@NO alone, the ducts are to be sealed and tested per §151(f)10. In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned OYES E]NO space to serve the addition, the ducts are to be sealed and tested per §152(b)1D. [] EXCEPTION: Existing duct systems that are extended which are constructed insulated or sealed with asbestos. In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, the ducts are to be sealed and tested per §I52(b)1E. []YES ONO [] EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. 0 EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. EXCEPTION: Existing ducts stems constructed insulated or sealed with asbestos. Ref " erant Cha e - S lit.S stem HERS verification is requiredfor this measure. []YES ONO In Climate Zones 2 and 8-15, if a newly ducted split A/C or heat pump is installed to serve the addition alone, a refrigerant charize measurement shall be verified per 151 7A. In Climate Zones 2 and 8-15, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor !�� DYES [DNO condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, a refri erant charge measurement shall be verified per § 152(b)IF. Central Fan Integrated Ventilation System — Airflow and Fan Watt Draw - do not apply for additions 1,000 ftp or less. Ducted Split S stems - Air Conditioners and Heat Pumps: Airflow and Fan Watt Draw HERS verification is required QYES ONO In Climate Zones 10 through 15, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the addition alone, the airflow and fan watt draw shall be verified per § 151 7B. EIYES NO In Climate Zones 10 through 15, if the existing space -conditioning system (HVAC equipment and ducting) is replaced and x will serve the addition, the airflow and fan watt draw shall be verified per 152 b 1F. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Name: Alberto Daza Signature: Company:Daz Date: 09/20/13 Address:P.O. Box 5083 If Applicable _! EA or ., EPE (Certification #): City/State/Zip:La Quinta, Ca. 92248 Phone: 760.285.3793 Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Alberto Daza Signature: Company:Daz Date: 09/20/13 Address: P.O. Box 5083 License: w "'IP- City/State/Zip:La Quinta, Ca. 92248 CA I y Ph°� 1. 1 -.A 93 For assistance or questions regarding the Energy Standards, contact the Enjrgy Houine--Fl -Y-s,Isvrrr. 1 IFps CO��RUCTION Registration Nwnber: Registration Date/Time: rove r: 2008 Residential Compliance Forms Mach 2010 DATE ------ BY ri STATE OF CALIFORNIA MANDATORY MEASURES SUMMARY: RESIDENTIAL CEG MF -1R Revised 06/09 CALIFORNIA ENERGY COMMISSION `a Mandatory Measures Summa MF -IR Residential (Page 1 of 3 Site Address: Enforcement Agency: Date: 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 -IR, CF -IR -ADD, or CF -JR -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 -IR Form with plans. DESCRIPTION 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 therequirements of § 10-111 (a). §117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the installation of a Cool Roof is specified on the CF -111 Form. *§150(a): Minimum R-19 insulation in wood -frame ceiling or equivalent U -factor. §150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§150(c): Minimum R-13 insulation in wood -frame wall or equivalent U -factor. *§150(d): Minimum R-13 insulation in raised wood -frame floor or equivalent U -factor. §150(0: Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95(2000) when specified on the CF -1R Form. § 150(g): 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 greater than 2.0perm/inch and shall be protected from physical damage and UV fight deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: §150(e)IA: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)1B: 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). §1506)IA: 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. §1506)lB: 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 intemal 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-B. § 1506)2: Cooling system piping (suction, chilled water, or brine lines),and pip iipg i "n�s I tled�etwn- s ur • c�' h t water tank shall be insulated to Table 150-B and Equation 150-A. I §1506)2: Pipe insulation for steam hydronic heating systems or hot water systems Slp�i; my� ,ee-- e _f"T le 123-A. 2008 Residential Compliance Forms J-% [— 1 t 'v v L__ v 11ugmi tavy FOR CONSTRUCTION DATE BY STATE OF CALIFORNIA MANDATORY MEASURES SUMMARY: RESIDENTIAL EC MF -1R (Revised 08/09) CALIFORNIA ENERGY COMMISSION 'o`Tj Mandatory Measures Summary MF -1R Residential (Page 2 of 3 Site Address: Enforcement Agency: Date: §I500)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. §1506)4• Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. Ducts and Fans Measures: §150(m)1: All air -distribution system ducts and plenums 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 R4.2 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 greater 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. § I50(m)7: Exhaust fan systems 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 ANS1/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)l : 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 or spas 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(p): Residential pool systems or equipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150(p). Residential Lighting Measures: §150(k)l: 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 as specified 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. §I50(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 therequirements of §150(k)7. § 150(k)8: A minimum of 50 percent of the total rated wattage of permanently ' Ied-Iightingiurkitchens siisflYbe a cac . EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 f or 00 whf _, fo d el Fg miAaQ 0 y be exempt from the 50% high efficacy requirement when: all low efficacy 1 ueis t e kitcller ar��Q ual o occupant sensor, dimmer, energymanement stem MCS , or a multi -s n rarrimiia�tle�cen-% s� an ndy installed 2008 Residential Compliance FormsOI August 2009 R CONSTRUCTION DATE BY STATE OF CALIFORNIA MANDATORY MEASURES SUMMARY: RESIDENTIAL __ CEC- MF -1R Revised 08/09 CALIFORNIA ENERGY COMMISSION Mandatory Measures Summa MF -1R Residential (Page 3 of 3 Site Address: Enforcement Agency: Date: 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. §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 occupant sensor. §150(k)ll: 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 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 testingtrating laboratory; and have a label that certifies the lumiunaiue 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 Exception 1 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 sensor(s) certified to comply with the applicable requirements of § 119. 2008 Residential Compliance Forms CITY OF LA QUINTA BUILDING & SAFETY DEPT, APPROVED FOR CONSTRI W'T►rv,e DATE BY August 2009