10-0581 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: _
10.-00000581
Property Address:
1-56005 RIVIERA .
APN:
762-021-012- - -
Application description:
REMODEL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
25000
O
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner: iIDl
HARVEY GOLDMAN c/o yllljjjJJJ
CITY BREAD CO LTD lu,
232 JARVIS AVE
WINNIPEG, MB R3YlY-' I
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 Busines nd Professionals Code, and my License is in full force and effect.
License Class: B License No.: 594043
ate: tractor:
O ER -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 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
1 _ 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, Business and Professions Code: The .
Contractors' State License Law does notapply to an owner of property who builds or improves thereon,
and who does the workhimself 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 1, 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
r —r-ty Cahn huildr nr imprmrnr therenn . and whn rnntrarts fnr the nrniprts with a rnntrartnrlSl lirnnsed
pursuant to the Contractors' State License Law.).
(_ 1 1 am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY .
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address: 0/14
LQPERMIT
VOICE (760)'777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
CITY OF LA
MAINT
10/01/10
s
1
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.
P(I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 0026211-2008
I certify that, in the AORKER
of the work for which this permit is issued. I shall not employ any
person in any mbecome subject to the workers' compensation laws of California,
and agree that, iome subje t to the workers' compensation provisions of Section
3700 of the Laball forth t comply with those provisions.
date: I� ��I�% cant:
WARNING: FAILURE TO SECUROMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT -
IMPORTANT -Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 , Each ggr$on ygon 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 apphdatiort,
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 thea ve information is correct. I agree to comply with all
city and county ordinances ands [e laws relating to buildi g onstrudtion, d hereby authorize representatives
of this countytoenter upon above-mentioned propert for inspe ion poses.
Bate: ,nature (Applicant or Agentl:
Contractor:
Architect or Engineer:
7C' S CONSTRUCTION &
48236 VISTA DE NOPAL
LA QUINTA, CA 92253
(760)564-5811
1I
Lic. No.: 594043
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 Busines nd Professionals Code, and my License is in full force and effect.
License Class: B License No.: 594043
ate: tractor:
O ER -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 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
1 _ 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, Business and Professions Code: The .
Contractors' State License Law does notapply to an owner of property who builds or improves thereon,
and who does the workhimself 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 1, 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
r —r-ty Cahn huildr nr imprmrnr therenn . and whn rnntrarts fnr the nrniprts with a rnntrartnrlSl lirnnsed
pursuant to the Contractors' State License Law.).
(_ 1 1 am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY .
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address: 0/14
LQPERMIT
VOICE (760)'777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
CITY OF LA
MAINT
10/01/10
s
1
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.
P(I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 0026211-2008
I certify that, in the AORKER
of the work for which this permit is issued. I shall not employ any
person in any mbecome subject to the workers' compensation laws of California,
and agree that, iome subje t to the workers' compensation provisions of Section
3700 of the Laball forth t comply with those provisions.
date: I� ��I�% cant:
WARNING: FAILURE TO SECUROMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT -
IMPORTANT -Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 , Each ggr$on ygon 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 apphdatiort,
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 thea ve information is correct. I agree to comply with all
city and county ordinances ands [e laws relating to buildi g onstrudtion, d hereby authorize representatives
of this countytoenter upon above-mentioned propert for inspe ion poses.
Bate: ,nature (Applicant or Agentl:
Application Number . . 10-00000581
------ Structure Information EXIST.. 2899 SF SFD 264 SF PATIO
-----
Construction Type . . . . . TYPE V, UNPROTECTED
Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10
Other struct info . . . . . CODE EDITION 2007 /08 ENERGY
# BEDROOMS
.00
Permit . . . BUILDING PERMIT
Additional desc REAR PATIO REMODEL& REP. WDWS
Permit Fee 252.00 Plan Check Fee
163.80
Issue Date Valuation . . .
. 25000
Expiration Date 2/28/11
Qty Unit Charge Per `
Extension
BASE FEE
45.00
23.00 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
207.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee, 24.00 Plan Check Fee
6.00
Issue Date Valuation . . .
. 0
Expiration Date 2/28/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
12.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
9.00
----------------------------------------------------------------------------
Special Notes and Comments
REMODEL EXISTING 264SF REAR PATIO TO
DELETE MIDDLE COLUMN PER ENGINEERED
PLANS. REPLACE TWO SL. GL DOORS; ADD 1
81X8' FG WDW AT SOUTH ELEV OF 2899 SF
SFD. TYPE V -B CONSTR. R-3 OCCUPANCY.
2007 CODES. 2008 ENERGY.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
16.38
STRONG MOTION (SMI) - RES
2.50
Fee summary. Charged Paid Credited
----------------- ---------- ---------- ----------
Due
--- -
Permit Fee Total 276.00 .00 .00
276.00
Plan Check Total 169.80 .00 .00
169.80
Other Fee Total 19.88 .00 .00
19.88
Grand Total 465.68 .00 .00
'465.68
LQPERMIT
ZA
City of La Quinta
Buliding a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # I
0 � 0
l/
Project Address: cV, . Ve a el ✓lEyeJ4
Owner's Name:
A. P. Number: it�iZ. 021 • (>/Z S�
Address: !E;&&-eps i✓lG�—vr4
Legal Description: LJIfrr 14 it 0M &7;
City, ST, Zip: CQ cillt2A-lm r 6A. 3
Contractor: % . / ('C'�/1 • Z�� "1a,
.: ;�.�..�:. '•. '� �i:>"""
Telephone: �( a� 25;<x>>....: .
Project Description:,�pl
Address: �QQ
V.S�+Q S
City, ST, Zip:
Telephone:
'
It '�'�1.4,x•..
'
State Lie. # :
City Lie. #;
Arch., Engr., Designer 'r-�&00Gr���
Address: F0. Qt��p
City, ST, Zip: 1.At-A
Telephone: 7& p • tet", 8±�
' ••� ^"
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Addf n Alter Repair Demo
Name of Contact Person—'1� (�
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person: 7�vp .� /O —
Estimated Value of Project: —2� 6 a e
APPLICANT: DO NOT WRITE. BELOW THIS LINE
H Submittal Req'd Rec'd IjItp � i l 1� PERMIT FEES
CKIIVG„
Plan Sets Pian Check snbmi it uJ I II
Item Amount
Structural Calcs.
NI �In(e j 1+
Reviewed, ready r co ctions / Plan Che -:k Deposit
Truss Cala.
Called Contact Person 7 / 'Plan Check: Balance
X 6-) „
Title 24 Calcs.
a
Plans picked up_ jConstruction
Flood plain plan
/ w
Pians resubmitted -I Mechanical
Grading plan
2" Review, ready for correction�ssue 1l Electrics.)
Subcontactor List
Called Contact Person (� Plumbing
Grant Deed
Plans picked up S S.M.I.
H.O.A. Approval
Plans resubmitted Grading
tN HOUSE:-
3" Review, ready for correction issue � � Developer Impact Fee
Planning Approval
Called Contact Person ( A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
JV
i
Total rermit Fees
•
s� 3 A13; f
Fi l lmoreRi ley
f
CY M. FIEN
Direct Tel (204) 957-8348
Direct Fax (204) 954-0348
cyfien@fillmoreriley.com
July 22, 2O1 O LEGAL ASSISTANT
Deb Beyko
Tel(204)957-8378
` dbeyko@fillmoreriley.com
Our File Number: 242156-2/CMF
FRDOCS_1887308.1
Skip Lench
P.O. Box 450 e
La Quinta, CA .
USA 92247
Dear Sir:
Re: The City Bread Co. Ltd.
We are the solicitors for The City Bread Co. Ltd. We can confirm to you that Mr. Harvey
Goldman is the President and sole Director of this company. As such, under the By -Laws
of the company, he has authority to sign documents for the company as its President.
Yours truly,
FILLMO RILL LLP
Per:
CY M. EN
CMF/dab
Fillmore Riley LLP 1700-360 Main Street, Winnipeg,
. BARRISTERS, SOLICITORS AND TRADE -MARK AGENTS TEL (204) 956 2970 FAX (204) 95
BUILDING ENERGY ANALYSIS REPORT
PROJECT:
Goldman Residence
56-005 Riviera
La Quinta, CA
Project Designer:
a' 1 Com-
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
GATE � ZD(a BY� n1port
Prepared by:
�81 Joan D. Hacker
Insu-form, Inc.
77-810 Las Montana Road, Suite 210
Palm Desert, Ca 92211
7 CE52
IVED
JUL 2 7 2010
BY:
Job Number:
Date:
7/26/2010
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. Tiis program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Buildingi Energy Efficiency Standards.
This program developed by EnergySoft, LLC — www.energysoft.com.
EnergyPro 50 by EnergySoft User Number: 2655 RunCode: 2010-07-26T13:47.1 /D:
TABLE OF CONTENTS'
Cover Page 1
Table of Contents 2
Form CF -1 R Certificate of Compliance tr 3
Form MF -1 R Mandatory Measures Summary 10
HVAC System Heating and Cooling Loads Summary 13
EnergyPro 5.0 by EnergySoft Job Number. ID: User Number: 2655
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name
Goldman Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family ® Existing+ Addition,Alteration
Date
7/26/2010
Project Address
56-005 Riviera La Quinta
California Energy Climate Zone
CA Climate Zone 15
Total Cond. Floor Area
2,899
Addition
0
# of Stories
1
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes ❑ No HERS Measures --If Yes, A CF -4R must be provided per Part 2. of 5 of this form.
❑ Yes ❑ No Special Features --If Yes, see Part 2 of 5 of this form for details.
INSULATION
Construction Type
Area Special
Cavity (ft) Features see Part 2 of 5 Status
Wall Wood Framed
R-11 1,846 Existing
Roof Wood Framed Attic
R-19 2,899 Existing
Slab Unheated Slab -on -Grade
None 2,899 Perim = 203' Existing
FENESTRATION
Orientation Area(ft)
U- Exterior
Factor SHGC Overhang Sidefins Shades Status
Front (E) 6.0
0.710 0.73 2.0 none Bug Screen
Existing
Front (E) 33.4
0.710 0.73 2.0 none Bug Screen
Existing
Front (E) 10.5
0.710 0.73 2.0 none Bug Screen
Existing
Front (E) 48.0
0.710 0.73 2.0 none Bug Screen
Existing
Front (E) 21.0
1.190 0.83 2.0 none Bug Screen
Existing
Front (E) 53.4
0.710 0.73 2.0 none Bug Screen
Existing
Left (S) 48.0
0.710 0.73 2.0 none Bug Screen
Existing
Left (S) 48.0
0.710 0.73 2.0 none Bug Screen
Existing
Left (S) 64.0
0.500 0.36 2.0 none Bug Screen
New
Right (N) 66.7
0.710 0.73 2.0 none Bug Screen
Existing
Right (N) 32.0
0.710 0.73 2.0 none Bug Screen
Existing
HVAC SYSTEMS
Qty. Heating
Min. Eff Cooling Min. Eff Thermostat Status
2 Central Furnace
75% AFUE Split Air Conditioner 12.0 SEER Setback
Existing
HVAC DISTRIBUTION Duct
Location Heating Cooling Duct Location R -Value Status
Living Zone Ducted
Ducted Attic, Ceiling Ins, vented 4.2
Existing
WATER HEATING
Qty. Type
Gallons Min. Eff Distribution Status
EnergyPro 5.0 by EnergySoft User Number: 2655 Run Code: 2010-07-26T13:47:1 ID:
Page 3 of 13
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name
Goldman Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family m Existing+ Addition,Alteration
Date
7/26/2010
Project Address
56-005 Riviera La Quinta
California Energy Climate Zone
CA Climate Zone 15
Total Cond. Floor Area
2,899
Addition
0
# of Stories
1
FIELD INSPECTION ENERGY CHECKLIST
O Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form.
❑ Yes ❑ No Special Features --If Yes, see Part 2 of 5 of this form for details
INSULATION Area Special
Construction Type Cavity (ft) Features see Part 2 of 5 Status
FENESTRATION U- Exterior
Orientation Area(ft) Factor SHGC Overhang Sidefins Shades Status
Right (N) 33.4 0.710 0.73 2.0 none Bug Screen Existing
Right (N) 16.0 0.710 0.73 2.0 none Bug Screen Existing
Rear (W 72.0 0.710 0.73 2.0 none Bug Screen Existing
Rear (M 96.0 0.500 0.36 2.0 none Bug Screen Altered
Rear (W) 96.0 0.500 0.36 2.0 none Bug Screen New
Rear (1/10 24.0 0.710 0.73 2.0 none Bug Screen Existing
Rear (W) 16.0 0.710 0.73 2.0 none Bug Screen Existing
HVAC SYSTEMS
Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status
HVAC DISTRIBUTION Cuct
Location Heating Cooling Duct Location R -Value Status
WATER HEATING
Qty. Type Gallons Min. Eff Distribution Status
EnergyPro 5.0 by EnergySoft User Number: 2655 RunCode: 2010-07-26T13:47:1 0:
Page 4 of 13
PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF-1 R
Project Name
Goldman Residence
Building Type la Single Family ❑ Addition Alone
❑ Multi Family m Existing+ Addition/Alteration
Date
7/26/2010
SPECIAL FEATURES INSPECTION CHECKLIST
The enforcement agency should pay special attention to the items specified in this checklist. These items rsquire 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 Furnace Exist has an AFUE less than the Vintage Defaults. Field verification is required.
HIGH MASS Design - Verify Thermal Mass: 1,399.0 ftZ Covered Slab Floor, 3.500" thick at Existing Living
HIGH MASS Design - Verify Thermal Mass: 1,500.0 ft2 Exposed Slab Floor, 3.500" thick at Existing Living
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-4R form for each of the measures listed below for final to be given.
EnergyPro 5.0 by EnerqySoft User Number: 2655 Run Code: 2010-07-26T13:47:1 ID: Page 5 of 13
PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R
Project Name
Building Type m Single Family ❑ Addition Alone
Date
Goldman Residence
❑ Multi Family m Existing+ Addition/Alteration
7/26/2010
ANNUAL ENERGY USE SUMMARY
Standard Proposed Margin
TDV kBtu/ft2- r
Space Heating 9.64 6.99 2.65
Space Cooling 194.77 188.58 6.19
Fans 41.76 40.21 1.55
Domestic Hot Water 14.10 14.10 0.00
Pumps 0.00 0.00 0.00
Totals 260.27 249.87 10.39
Percent Better Than Standard: 4.0
BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation: (E) 90 deg Ext. Walls/Roof Wall ArEa Area
Number of Dwelling Units: 1.00 (E) 530 172
Fuel Available at Site: Natural Gas (S) 680 160
Raised Floor Area: 0 (IM 800 304
Slab on Grade Area: 2,899 (N) 620 148
Average Ceiling Height: 9.0 Roof .11899 0
Fenestration Average U -Factor: 0.65 TOTAL: 784
Average SHGC: 0.61 Fenestration/CFA Ratio: 27.1
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 Insu-form, Inc.
7262010
Address 77-810 Las Montana Road, Suite 210 Name Joan D. Hacker -
City/State/ZipCity/State/Zip Palm Desert, Ca 92211 Phone 760-345-1352 Si Date
The individual with overall design responsibility hereby certifies that the proposed buildirig 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 env c. sealing require
installer testing and certification and field verification by an approved HERS rater.
Designer (peer Business & Professions Code)
JornOwner
Company /(i tK-r1J QJ 0 f0c.
Address NameQ.����// .
� 4r�G
City/State/Zip`� Phonee S • gned License # Date
4A 4pi 'v&' -107 ;PL
Z
EnerqvPro 5.0 by EnerqySoft User Number: 2655 Run Code: 2010-07-26T13:47:1 ID: Pae 6 of 13
CERTIFICATE OF COMPLIANCE:
Residential (Part 4 of 5) CF -1 R
Project Name
Goldman Residence
Building Type O Single Family ❑ Addition Alone
❑ Multi Family m Existing+ Additicn/Alteration
Date
1712612010
OPAQUE SURFACE DETAILS
Surface
Type Area
U- Insulation
Factor Cavity Exterior Frame Interior Frame Azm
Joint Appendix
Tilt Status 4 Location/Comments
Wall
358
0.110 R-11
90
90 Existing4.3.1-A2
ExistingLiving
Wall
520
0.110 R-11
180
90 Existing4.3.1-A2
ExistingLiving
Wall
472
0.110 R-11
0
90 Existing 4.3.1-A2
Existing Living
Roof
2,899
0.049 R-19
90
0 Existing 4.2.1-A4
Existing Living
Slab
1,399
0.730 None
0
180 Existing 4.4.7-A1
Existing Living
Wall
260
0.110 R-11
270
90 Removec 4.3.1-A2
Existing Living
Wall
496
0.110 R-11
270
90 Existing 4.3.1-A2
Existing Living
Wall
280
0.110 R-11
0
90 Removec 4.3.1-A2
Existing Living
Slab
1,500
0.730 None
0
180 Existing 4.4.7-A1
Existing Living
FENESTRATION SURFACE DETAILS
ID
Type
Area LI -Factor'
SHGC2
Azm Status Glazing Type
Location/Comments
1
Window
6.0 0.710 Default
0.73 Default
90 Existing
Double Metal Clear
JExisting Living
2
Window
33.4 0.710 Default
0.73 Default
90 Existing
Double Metal Clear
)Existing Living
3
Window
10.5 0.710 Default
0.73 Default
90 Existing
Double Metal Clear
'Existing Living
4
Window
48.0 0.710 Default
0.73 Default
90 Existing
Double Metal Clear
Existing Living
5
Window
21.0 1.190 Default
0.83 Default
90 Existing
Single Metal Clear
Existing Living
6
Window
53.4 0.710 Default
0.73 Default
90 Existing
Double Metal Clear
Existing Living
7
Window
48.0 0.710 Default
0.73 Default
180 Existing
Double Metal Clear
Existing Living
8
Window
48.0 0.710 Default
0.73 Default
180 Existing
Double Metal Clear
Existing Living
9
Window
64.0 0.500 NFRC
0.36 NFRC
180 New
IWC 6200 Alumkow-E
Existing Living
10
Window
66.7 0.710 Default
0.73 Default
0 Existing
Double Metal Clear
Existing Living
11
Window
32.0 0.710 Default
0.73 Default
0 Existing
Double Metal Clear
Existing Living
12
Window
33.4 0.710 Default
0.73 Default
0 Existing
Double Metal Clear
Existing Living
13
Window
16.0 0.710 Default
0.73 1 Default
0 Existing
Double Metal Clear
Existing Living
14
JWndow 1
72.0 0.710 Default
0.73 Default
270 Existing
Double Metal Clear
Existing Living
15
JWndow J
96.0 0.500 NFRC
1 0.36 1 NFRC
270 Altered
IWC 6200 Alum/Low-E
Existing Living
16
JExisting I
0.710 Default
1 0.73 1 Default
I
Double Metal Clear
pre -altered for above
(1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value
2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Exterior Shade Type SHGC
Window
H t F Wd
Ove hanq Left Fin
Len H t I LExt I RExt Dist Len
Right Fin
H. t Dist Len H t
1
Bug Screen
0.76
6.0 1.0
2.0 0.11
2.0 2.0
2
Bug Screen
0.76
6.8 5.0
2.0 0.1
2.0 2.0
3
Bug Screen
0.76
3.0 3.5
2.0 0.1
2.0 2.0
4
Bug Screen
0.76
8.0 6.0
2.0 0.1
2.0 2.0
5
Bug Screen
0.76
3.5 6.0
2.0 0.1
2.0 2.0
6
Bug Screen
0.76
6.8 8.0
2.0 0.1
2.0 2.0
7
Bug Screen
0.76
8.0 6.0
2.0 0.1
2.0 2.0
8
Bug Screen
0.76
8.0 6.0
2.0 0.1
2.0 2.0
9
Bug Screen
0.76
8.0 8.0
2.0 0.1
2.0 2.0
10
Bug Screen
0.76
6.8 10.0
2.0 0.1
2.0 2.0
11
Bug Screen
0.76
4.0 8.0
2.0 0.1
2.0 2.0
12
Bug Screen
0.76
6.8 5.0
2.0 0.1
2.0 2.0
13
Bug Screen
0.76
4.0 4.0
2.0 0.1
2.0 2.0
14
Bug Screen0.76
8.0 9.0
2.0 0.1
2.0 2.0
15
Bu Screen
0.76
8.01 12.0
2.0 0.1
2.0 2.0
16
JBug Screen
0.76
8.01 12.0
2.0 0.1 '
2.0 2.0
EnergyPro
5.0 by EnergySoft User Number. 2655
Run Code: 2010-07-26T13:47:1 /D:
Page 7 of 13
CERTIFICATE OF COMPLIANCE:
Residential (Part 4 of 5) CF -1 R
Project Name
Goldman Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family m Existing+ Additicn/Alteration
Date
7/26/2010
OPAQUE SURFACE DETAILS
Surface U-
Type Area Factor
Insulation Joint Appendi;:
Cavity Exterior Frame Interior Frame Azm Tilt Status 4
Location/Comments
FENESTRATION SURFACE DETAILS
ID Type Area
LI -Factor' SHGC
Azm Status Glazing Type
Location/Comments
17 Window 64.0
0.710 Default 0.73 Default
270 Removed Double Metal Clear Existing
Living
18 Window 96.0
0.500 NFRC 0.36 NFRC
270 New IWC 6200 Alum/Low-E Existing
Living
19 Window 24.0
0.710 Default 0.73 Default
270 Existing Double Metal Clear Existing
Living
20 Window 16.0
0.710 Default 0.73 Default
270 Existing Double Metal Clear Existing
Living
e
1
(1) U -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 H t Wd
Ove hanq Left Fin
Len H t I LExt RExt Dist Len H t
Ri ht Fin
Dist Len H t
17 Bug Screen
0.76 8.0 8.0
2.0 0.11 2.0 2.0
18 Bug Screen
0.76 8.0 12.0
2.0 0.1 2.0 2.0
19 Bug Screen
0.76 2.0 12.0
2.0 0.1 2.0 2.0
20 Bug Screen
0.76 4.0 4.0
2.0 0.1 2.0 2.0
EnerqyPro 5.0 by EnergySoft
User Number.- 2655
Run Code: 2010-07-26T13:47:1 ID:
Page 8 of 13
CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R
Project Name
Goldman Residence
Building Type
m Single Family ❑ Addition Alone
❑ Multi Family m Existing+Addition/Alteration
Date
7/26/2010
BUILDING ZONE INFORMATION
System Name
Zone Name New
Floor Area
Existina Altered Removed Volume Year Built
Living Zone Existing Living
2,899
26,091 1985
Totals
01 2,899 0 0
HVAC SYSTEMS
System Name Qty. Heating Type Min. Eff.
Cooling Type Min. Eff. Thermostat Type Status
Living Zone
2 Central Furnace 75% AFUE Split Air Conditioner 12.0 SEER Setbaca
Existing
HVAC DISTRIBUTION
System Name
Heating Cooling
Duct
Duct Location R -Value
Ducts
Tested? Status
Living Zone Ducted Ducted Attic, Ceiling Ins, vented 4.2
❑ Existing
WATER HEATING SYSTEMS
S stem Name
Qty-
Type
Distribution
Rated
Input
Btuh
Tank
Cap.
al
Energy
Factor
or RE
Standby
Lcss or
Pilot
Ext.
Tank
Insul. R-
Value
Status
Standard Gas 50 gal or Le
1
Small Gas
No Pipe Insulation
40,000
50
0.53
n/a
n/a
Existing
MULTI -FAMILY WATER
HEATING
DETAILS
HYDRONIC
HEATING SYSTEM
PIPING
Control
E(ft
7_
E
w CL
Hot Water Piping Length
o
=
12
0
Q —
System Name
Pipe
Length
Pipe
Diameter
Insul.
Thick.
Qt. HP
Plenum Outside Buried
❑
❑
❑
❑
EnemyPro 5.0 by EnemySoft
User Number. 2655 RunCode: 2010-07-26T13:47:1 /D:
Page 9 of 13
MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R
Project Name
Goldman Residence
Date
1 7/26/2010
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 Sumnary 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 'eaka e.
§116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, --ertified 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): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include an CF -613 Form.
§118(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 U -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 E1677-95 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 0.30"; water vapor permeance
rate is no greater than 2.0 permAnch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
150 a 1A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire o eni ig 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 S.
§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 .
§150(j)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)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or ether 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-B.
§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(1)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.
EnergyPro5.0 by EnergySoft User Number: 2655 Run Code: 2010-07-26T13:47:18 ID: Page 10 of 13
MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R
Project Name
Date
Goldman Residence
7/26/2010
§150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requrements 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 JL 723. If mastic or tape is
used to seal openings reater than 1/4 inch the combination of mastic and either mesh or tae shall be use
§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 ane 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 rut;her 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 ti -e Appliance Efficiency
Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with derating 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 EIlow 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 -3xhaust fan shall contain
only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a une-voltage socket or line -
voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §133(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 s,lall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units. 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; anc 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.
EnergyPro5.0 by EnergySoft User Number: 2655 Run Code: 2010-07-26713:47:18 /D: Page 11 of 13
MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R
Project Name
Date
Goldman Residence
7/26/2010
§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)l2: 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 Exceptionl to §150(k)l3 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)l4: 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)l5: 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 5.0 by EnergySoft User Number: 2655 RunCode: 2010-07-26T13:47:18 /D: Page 12 of 13
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
Goldman Residence
Date
7/26/2010
System Name
Living Zone
Floor Area
2,899
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
2
Total Room Loads
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COIL
CFM
3,118
o
COOLING PEAK COIL HTG.
PEAK
Heating System
Sensible
Latent CFM
Sensible
Output perSystem 71,000
62,074
2,848 1,180
52,286
Total Output Btuh 142,000
0
Output Btuh/s ft 49.0
6,920
4,551
Cooling System
01
0
Output perSystem 48,000
0
0 0
0
Total Output Btuh 96,000
0
6,920
1 75,913 2,848
0
Total Output ons 8.0
4,551
Total Output Btuh/s ft 33.1
Total Output s ft/Ton 362.4
61,388
Air System
CFM perSystem
1,500
HVAC EQUIPMENT SELECTION
Airflow cfm
3,000
Exist
72,496 11,968
142,000
Airflow cfm/s ft
1.03
Airflow cfmffon
375.0
Outside Air %
0-0%
Total Adjusted System Output
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK
72,496 11,968
Aug 3 PM
142,000
Jan 1 AM
Outside Air cfm/s ft 0.00
Note: values above given at ARI conditions J
HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak)
26 OF 69 OF
Outside Air AV-
0 cfm Supply Fan
3,000 cfm
69 OF
69 OF 113 OF
a
Heating Coil
_
PO -71 ITw
112 ,F
ROOM
70 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak
112 178 OF 80 164 OF 80 / 64 OF 57 156 OF
Outside Air
0 cfm Supply Fan Cooling Coil
3,000 cm
80/64°F-
a
59 / 57 OF
. ... .....- , R,
45.9% ROOM
78x64'IF
EnergyPro5.0 by EnergySoft
User Number. 2655 Run Code: 2010-07-26T13:47:18 /D: Page 13 of 13