0106-008 (SFD)LICENSED CONTRACTOR DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of
i;,Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. DatYe,',
/rl
f
Datd,4 ignature of Contractor ��' ^�
d "�P^'4.,M4wr�yn,wwn �. ...�irn..wriw.wr:<�Wv". �Nurv•!NYnNxe4Ww.a..rMfsrnKw�Y ;wYWq.e!'W
` OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
-( ) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044, Business & Professionals Code).
( ) I, as owner'of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044,` Business & Professionals
Code). a -
() I am exempt under Section " B&P.C: for this reason
Date Signature of Owner
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 & policy no. are:
Carrier Policy.No. $ .
(This'section need not be completed if the permit valuation is for $100.00 or less).
,) I certify that in the performance of the work for which this permit is issued,
I shall not; employ any person in any manner so as to become subject to the
workerscompensation laws of California, a and agree that if -,I should become
subject t6the workers' compensation provi§ions of Section 3700 of the Labor
Code, l,shall forthwith comply with Lhipsi;p�o sions. a �'' ai
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety_,
for a permit subject to the conditions and restrictions set forth on liis
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned propeity.'f0 inspection purposes, -
Signature (Owner/Age y, r insp - �T'= � Date
BUILDING PERMIT PERMIT#
DATE ICS, ,l VALUATION LOT TRACT
$1- 34 % 6 X-7 X1X 7'19 TJ 2 45
JOB SITE I '-"lI APN S
OWNER ICONTRACTOR
47750 ADAY13 ST #2.2� 78-555 SAC,,1);ARC R01AD
%:,,A Q UTR. -.A. CA 0225:3 T.,A QtiOTTA. CA 922$
k160)564-7620 C -But,
USE OF PERMIT
31-M •, PERIYJ;7'it 11'CM', N- 01' 1340,032, BLOCK WALL, -P0016. & 73.RIV- ''.� Y
A„PPROA.CK '
TRACT CONSTRUCTION 7,109.04 sP
PORC;HIPATIO 29&(110 C?
5 PT. *WO0D ' 1r1X 200, 00 Lig
Nwb:aXMI) OMIT OF CO116'VI7tkUM1 10A
IM,,840 )
01011ETRUCT1+011 Fps?
101-000-4184WO
$946,00
PLAN CHECK YPIZ
$ 711.",.95
F�£�xl�y+DyEAPOgMw�°wC4
�y�1
•3350.00
rf1
6V.,;14;[SFbt'il{dad .d•XX
116q)g1�C�/Q�O��•g3
�
101 "14ti61'i�GI�"'ir�S:G
s1,V5.00
1'119CI`CZ;1IC&I. flu,
'101-(100-42:(1*000
$152,38
1Jd.E?MBIN10 F.1%,
101 4000.41.E-000
$IS'/.25
STRONO MOTION PYR - RFSJD
101.000.741.000
115108
0)LhDrk4Q YS?B
101-140-423-M
M.00
]l')L''+ �`LCiPER IMPACT FEE,
$1,007.00
PKirr,1S?, PLAIN
101-000-441-345
$100.00
LESS IRE-VAID nX8 4110;'00
FER
It=�% crli'IVi t I -,f;
A
�y
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
I INSPECTOR
- BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings,
Slab Grade
�/�
Ducts
Return Air
Steel
Roof Deck
O.K. to Wrap
�%� O/
89/� S�
Combustion Air
Exhaust Fans
F.A.U. •
Framing/S.
Insulation
o, sr
g! - /
Compressor
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Q
Final
Final
POOLS - SPAS
BLOCKWALL
APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg, Test
Final
Gas Piping
PLUMBING APPROVALS
_
Waste Lines /�/Q�
Gas Test
Electric Final
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Sewer Connection
���/
Pool Cover
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
t
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors v
Temp. Use of Power
Final
Utility Notice (Perm)
.r .- .✓ T.,.-►.r-�'S,�.�.:..-.-��.-fes-"`...-.:.,�...-'-*/'k•%�V.'4y---•-'�-rs4 ...�;;;;:i;w.ywYv".�„r'o'+. ,�,,.:x'''" r...r�v--v-r.e-.,-�.r � ...�,a..�,..�^•�! ..- , ��,.,,. :. ....�`L 'l
1J
P.O. BOX 1504 APPLICATION ONLY
Building //�� '' ,,`` 78-495 CALLE TAMPICO
Address �% t(] V ( LA QUINTA, CALIFORNIA 92253 I"
Owner
' } BUILDING: TYPE'CONST. OCC. GRP.
Mailing ( `%
Address � "', lim c, < 'q) A.P. Number �� 1 oQ 1
City Zip Tel.
(,, , (,( r(�7�1Pp-x(�°^ Legal Description
Contractor Pro act Descri tion
r_ .n lZip _ _ Tel.
State Lic. City
& Classif. ' Lic. #
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 o1 the Business and Professions Code, and my license is in full force and
eitecI.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior to Its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Divis,on 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for thealleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
I: I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bulsness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale.)
111.
as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
I'! I am Exempt under Sec. B. & P.C. for this reason
Date Owner _
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3900, labor Code.)
Policy No. Company
n Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 0 the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work. for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: U, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above.
mentioned property for inspection purposes.
Signature of a0plicant Date
Mailing Address
City, State, Zip
Sq. Ft. '111/�LNo.
Size V / Stories
Ne ❑ Add ❑ Alter ❑
Lstlmaieo valuation
No. Dw.
Units
Repair ❑ Demolition ❑
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop.,Line
Side Street Setback from Center Line
FINAL DATE
Issued by:_
Validated by:
Validation:
Side Setback from Property Line
WHITE = FINANCE YELLOW = APPLICANT PINK =
CITY OF LA QUINTA
FINANCE DEPT
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
CERTIFICATE OF COMPLIANCE
Date 6/14/01 APN # 774-293-027
No. 22114 Jurisdiction La Quinta
Owner NameRandy Bills Permit # 0106-008
No, 54-865 Street Avenida Obregon
City La Quinta
Tract # BLK279U25 Lot # 6&7
Type of Development Single Family Residence
Comments
Log #
Zip 92253 Study Area
Square Footage 2569
No. of Units 1
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 or replacement mobilehomes. It
has been determined the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Government Code 53080 in the amount of
2.05 X 2,569 or $ 5,266.45
the property listed above and that buildings �
permits and/or Certificates of Occupancy for this square footage in this proposed project may now.'be issued
w
Fees Paid By cc/East West Bank/Legacy Homes - Sharon
Bills Telepone 554-7820
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Juanita Green
Payment Received $5,266.45
Check No. Check/Cash
Signature
NOTICE: Pursuant of qambly Bill 3081 (CHAP 549, STATS. 1996) this will serve 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 sssued or on which they are paid to the District(s) or to another public entity authorized to
collect them on the District('s)(s') behalf, whichever is earlier.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
$PifsOUEb"9�0 ®1P' .
RE/MAX Regl Estate Consultants/Escrow
Division
AND WHEN RECORDED MAIL TO:
AND MAIL TAX STATEMENT TO:
Randy Bills
LJ750 P 44M5
L4 6u06 I CA 97,zs3
Order No. 33006439
Escrow No. 01 -00007 -ST
Parcel No. 7747293-027
11'� e-iool 5-
DOC a 2001-177336
04/26/2001 08:00A Fee:12.00
Page 1 of 3 Doc T Tex Paid -
Recorded in Official Records
County of Riverside
Gary L. Orso
Assessor, County Clerk 6 Recorder
rA
S
U
PAGE S12E
DA
PO/OR
NO�:OR
&.AF
, misc.
A
R
COPY
LONG
REFUND
NCHC
EXAM
GRANT
DEED
'THE UNDERSIGNED GRANTOR(S) DECLARE(S) THAT DOCOMENTARY TRANSFER TAXIS $64.90 and CITY $
X computed on full value of property conveyed, or
computed on full value less liens or encumbrances remaining at the time of sale.
unincorporated area: La Quinta and I
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, -
Joseph F. Martin and Mary E. Martin, husband and wife as joint tenants
-
hereby GRANTS to Randy and Sharon Bills , Husband and Wife as Joint Tenants
the following described real
Bill in the County of Riverside, State of California:
Lot 6 and 7, Block 279, Unit 25, Santa Carmelita at Vale La Quinta, as per map recorded in Book 19, pages 50 and 51 of Maps, in the
Office of the County Recorder of Riverside County.,,r
i�IJ.�U t tJ UULYE11POi
Date 3/5/01
STATE OF CALIFORNIA )
) S.S.
COUNTY OF og fi f4 CYC)
Mary E. Martin
On , before me, the undersigned, a Notary Public in and for said County and State, personally appeared Joseph F.
Martin and-ilhsdti: *personally known to me (or proved to me on the basis of satisfactory evidence) to be the
person(s) whose name(s Is subscribed to the within instru ent and acknowledged to me that' executed
the same ii( (hed tz> ie authorized capacity(ies), and that byl hry�+ fl"ignature(s) on the instrument the person(s), or
the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
MOSES KAHNG
Signature COMM. #1210547 e
NOTARY PUBLIC . CALIFORNIA b
ORANGE COUNTY m
My Comm. Expires Mar. 10. 2003
RC DISTRICT - PLANNING REVIEW FORM
This form is to be used by CDD staff for review of single family dwellings in the RC (Cove
Residential). District -per Section 9.50.090 of the Zoning Code. Its purpose is to determine:
1) that the proposed house design . does not duplicate the same architectural style of any
house within 200 feet of the applicant, and/or 2) if there is a need for the applicant to file for
Master Design Guidelines. If'the applicant does need to file a Master Design Guideline, please
transmitted this information to the Building and Safety Department as part of your correction
list. Please attach additional explanations as necessary.
APPLICANT Legacy Homes
SITE ADDRESS .54 -865 -Avenida Obregon
APN 774 - 293 - 027 CASE NO.:' 2001-512
LEGAL: LOT BLOCK UNIT S.C.@V.L.Q.
CHECK AND APPROVED BY: Fr _d,';Rakpr DATE:
Inform the assigned Building plan checker upon your assignment to this case. The CDD
Executive Secretary maintains a log book to track applications and assign case numbers.
REQUIRED ITEM
Y
N
COMMENT/CORRECTION
Verify legal and APN information
Consistent with MDG on file (as
applicable
MDG filing required '(5'filings since
9/3/98)
PP
416
ED OM UNITY DEVELOPMENT DEPT
t
Architectural variety within 200 feet of
Architectural
the surrounding area:
Colors
Materials
Architectural design features
Other Requirements: `
T '
CITY OF LA QUINTA SUB --CON .I RACTOR LIST
yhksr Foam slid -11 be . saea! or. tare is est'JOB AD.
MIT - --- -- --
�'ie 13 l!nspectiior�!P—ad-01 ail t ~nets` t3rtiy per�`ons appearing on this list or their employees are authmizid to worm
on thus job. Any changes to this list must be approved by the Building Division pnor to eorritY encernent of work.. Failure to comply will resent in a stoppage of :rv,4k artcffor the voidance
c. f hijildii►g permct- For each applicable trade, an information re uesied belaw must be c "' ted b applicant. "On File" is not art acceptable r onse.
l— —
r
� rade ............. . .:•
it' -
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:.....:..:.
L_ ,
Corrm hww Name Q3ssWk*Akm License Mond er ExQ. irate Carrier Name, Pefty fNrunLer Esp. Date License Ntunber, ' tom. Dace
✓ [e.s. A, D, C -W txxxxrtz► bvi/x /xml te.g, Std:Faswd. calCamPl EForarai Y ) ixxhaJrrsl ti:tucx? Qexfxxfxx)
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Certificate of Occupancy
City of La Quinta
Building and Safety Department �`EOF
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS: 54-865 AVENIDA OBREGON
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0106-008
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RC
Owner of Building: RANDY & SHARON BILLS
Building Official
Address: 47750 ADAMS ST #228
City: LA QUINTA CA 92253
By: KIRK KIRKLAND
Date: 12-12-2001
POST IN A CONSPICUOUS PLACE
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R
Project Title.......... Bills Residence Date..05/21/01 15:50:02
Project Address........ Avenida Obre on *******
#' - V-.' La Quinta, CA g *v5.10*
''Documentation Author... Carole Christensen ******* Bui ing Permit
Carole Christensen
47-596 Lake Canyon Drive P an C ec Date
Aguanga, CA 92536
800-735-8152 FielTT ecDate
Climate Zone........... 15
Compliance Method...... MICROPAS5 v5.10 for 1998 Standards by F.narr+rnmr, T-
MICROPAS5 v5.10 File-BILL2569 Wth-CTZ15S92 Program -FORM CF -1R
User#-MP1017 User -Carole Christensen Run-F80.AC12D4R13Falc.38 Std
GENERAL INFORMATION
Conditioned Floor Area..... 2569 sf
Building Type .............. Single Family Detached
Construction Type ......... New
Building Front Orientation. Front Facing 90 deg (E)
Number of Dwelling Units... 1
Number of Stories.......... 1
Floor Construction Type.... Slab On Grade
Glazing Percentage......... 16.4 t of floor area
Average Glazing U -value.... 0.76 Btu/hr-sf-F
Average Glazing SHGC....... 0.69
Average Ceiling Height..... 10 ft
BUILDING SHELL INSULATION
Component
Frame
Cavity
Sheathing Total Assembly
Type
Type
R -value
R -value R -value U -value
Location/Comments
Wall
Wood
R-13
R-4.61 R-17.61 0.060
front, left, back
Wall
Wood
R-13
R-0 R-13 0.086
right
to garage
Roof
Wood
R-11
R-27 R-38 0.025
flat
Door-
n/a
R-0
R-n/a R-0 0.330
solid wood
S1abEdge
n/a
R-0
R-n/a F2=0.720
to outside
S1abEdge
Wall
n/a
R-0
R=n/a F2=0.500
to garage
Wood
R-0
R-0. R-0 0.386
FENESTRATION
Orientation
Area
(sf)
U- Interior
Value SHGC Shading
Exterior
Shading
Over -
hang/
Fins
Window
Front
(E)
20.0
0.720 0.670 Standard,
Standard
Yes
Window
Front
(E)
20.0
0.720 0.670 Standard
Standard
Yes
Door
Window
Left
Left
(S)
(S)
33.3
25.0
0.850 0.700 Standard
0.720 0.670 Standard
Standard
None
Window
Left
(S)
4.0
0.570 0.700 Standard
Standard
Standard
None
None
Window
Left
(S)
4.0
0.570 0.700 Standard
Standard
None
Door
Window
Left
Left
(S)
(S)
17.0
15.0
0.850 0.700 Standard
Standard
None
Window
Back
(W)
25.0
0.720 0.670 Standard
0.720 0.670 Standard.
Standard
Standard
None
Door
Back
(W)
33.3
0.850 0.700 Standard
B1dShade
None
None
Window
Back
(W)
20.0
0.720 0.670 Standard
B1dShade
None
Window
Right (N)
20.0
0.720 0.670 Standard
B1dShade
None
II
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R
v'j
Project Title.......... Bills Residence nat-P nc;/?i/ni ,S.czn.nv)
MICROPAS5 v5.10 File-BILL2569 Wth-CTZ15S92 Program -FORM CF -1R
User#-MP1017 User -Carole Christensen Run-F80.AC12D4R13Falc.38 Std
FENESTRATION
Standard Slab 1597
Standard Slab 972
HVAC SYSTEMS
Minimum
Duct
Equipment Type
Efficiency
Location
Furnace
0.800 AFUE
Over -
HPPackage
12.00 SEER
Attic
Area
U-
Attic
Interior
Exterior
hang/
Orientation
Setback
(sf)
Value
SHGC
Shading
Shading
Fins
Skylight
Horz
4.0
0.940
0.730
None
None
None
Skylight
Horz
4.0
0.940
0.730
None
None
None
Skylight
Horz
4.0
0.940
0.730
None
None
None
Skylight
Horz
16.0
0.940
0.730
None
None
None
Window
Back
(W)
14.0
0.570
0.700
Standard
B1dShade
None
Window
Back
(W)
14.0
0.570
0.700
Standard
B1dShade
None
Door
Back
(W)
33.3
0.850
0.700
Standard
B1dShade
None
Window
Back
(W)
25.0
0.720
0.670
Standard
B1dShade
None
Window
Right
(N)
16.0
0.720
0.670
Standard
Standard
None
Window
Right
(N)
25.0
0.720
0.670
Standard
Standard
None
Window
Right
(N)
25.0
0.720
0.670
Standard
Standard
None
Skylight
Horz
4.0
0.940
0.730
None
None
None
SLAB SURFACES
Area
Slab Type
(sf)
Standard Slab 1597
Standard Slab 972
HVAC SYSTEMS
Duct
Minimum
Duct
Equipment Type
Efficiency
Location
Furnace
0.800 AFUE
Attic
HPPackage
12.00 SEER
Attic
Furnace
0.800 AFUE
Attic
HPPackage
10.00 SEER
Attic
Duct
Tested Duct
ACOA
Thermostat
R -value
Leakage
Manual
D Type
R-4.2
No
No
Setback
R-4.2
No
No
Setback
R-4.2
No
No
Setback
R-4.2
No
No
Setback
WATER HEATING SYSTEMS
Tank Type Heater Type Distribution Type
Water Heater to meet minimum CEC Standards
Number Tank
in Energy Size
System Factor (gal)
SPECIAL FEATURES AND MODELING ASSUMPTIONS
External
Insulation
R -value
*** Items in this section should be documented on the plans, ***
*** installed to manufacturer and CEC specifications, and ***
*** verified during plan check and field inspection. ***
This building incorporates a Zonally Controlled HVAC System.
This building incorporates non-standard Fenestration Shading.
CERTIFICATE OF
COMPLIANCE: RESIDENTIAL
Page 3
CF -1R
Project Title.......... Bills Residence
Date..05/21/01
15:50:02
MICROPAS5 v5.10 File-BILL2569 Wth-CTZ15S92 Program -FORM CF -1R
User#-MP1017 User -Carole Christensen Run-F80.AC12D4R13Falc.38 Std
REMARKS
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
specifications needed to comply with Title -24, Parts 1 and 6 of the
California Code of Regulations, and the administrative regulations to
implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is
submitted for a single building plan to be built in multiple orientations,
any shading feature that is varied is indicated in the Special Features
Modeling Assumptions section.
DESIGNER or OWNER DOCUMENTATION AUTHOR
Name.... Randy Bills Name.... Carole Christensen
Company. Owner/Builder Company. Carole Christensen
Address. 47750 Adams St,, #228 Address. 47-596 Lake Canyon Drive
La Quinta, Ca 92253 Aguanga, CA 92536
Phone... (760) 546-7820 Phone... 800-735-8152
License.
Signed.. Signed.. '
ate ate
ENFORCEMENT AGENCY
Name.... certified Energy Analyst
Title...
Agency.. Ca,,Ae Christensen,. CEPE
r r R 98-99-239
Phone... rr
CA5EC
Signed..
ate California Association of Building Fnergy Consultants
MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 1 of 2) MF -1R
Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used.
Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of
Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as
minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents
or on this checklist only.
Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable.
DESCRIPTION
DESIGNER
ENFORCEMENT
Building Envelope Measures:
• § 150(a): Minimum R-19 ceiling insulation.
§ 150(b): Loose fill insulation manufacturer's labeled R -Value.
• §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -Factor in metal frame walls
/
does not apply to exterior mass walls).
V
• § 150(d): Minimum R-13 raised floor insulation in framed floors.
§150(1): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate
✓
no greater than 2.0perm/inch.
§ 118: Insulation specified or installed meets insulation quality standards. Indicate type and form.
§ 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls
I. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
2. Fenestration products (except field -fabricated) have label with certified U -Factor, certified Solar Heat
Gain Coefficient (SHGC), and infiltration certification.
3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§ 150(0: Special infiltration barrier installed to comply with § 151 meets Commission quality standards.
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
I. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
✓
2. No continuous burning gas pilot lights allowed.
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heater's, showerheads and faucets certified by the Commission.
✓
§ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACOA.
✓
§ 150(i): Setback thermostat on all applicable heating and/or cooling systems.
✓
§ 1500): Pipe and tank insulation
1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with
insulation having an installed thermal resistance of R-12 or greater.
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater)
3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12
external insulation or R-16 combined intemal/extemal insulation.
4. All buried or exposed piping insulated in recirculating sections of hot water systems.
5. Cooling system piping below 55• F insulated.
6. Piping insulated between heating source and indirect hot water tank.
January 4, 2001
MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 2 of 2) MF -1R
Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used.
Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of
Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as
minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents
or on this checklist only.
Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable.
DESCRIPTION
DESIGNER
ENFORCEMENT
Space Conditioning, Water Heating and Plumbing System Measures: (continued)
• § 150(m): Ducts and Fans
1. All ducts and plenums installed, sealed and insulated to meet the requirement of the 1998 CMC Sections
601, 603, 604, and Standard 6-3; ducts insulated to a minimum installed level.of R4.2 or enclosed entirely
in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure
system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B. 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.
Building cavities shall not be used for conveying conditioned air. 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 drawbands.
2. Exhaust fan systems have back draft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
/
manual) operated dampers.
v
§ 114: Pool and Spa Heating Systems and Equipment.
I. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no
electric resistance heating and no pilot light.
2. System is installed with:
a. At least 36" of pipe between filter and heater for future solar heating.
b. Cover for outdoor pools or outdoor spas..
3. Pool system has directional inlets and a circulation pump time switch.
§ 115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no
continuously buminp pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btwbr
Lighting Measures:
§150(k)l.: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt
or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a
readily accessible lighting control panel at an entrance to the kitchen.
§ 150(k)2.: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an
efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this
requirement allowed in § 150(k)2.; and recessed ceiling fixtures are IC insulation cover approved.
f�
January 4, 2001