06-0272 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00000272
53680 AVENIDA MONTEZUMA
774-101-008-15 -000000-
ADDITION - RESIDENTIAL
COVE RESIDENTIAL
27456
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 1
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in
License Class: 13 License No.:. 855557
Date:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 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
a pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
( I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
lid 1 I, as owner of the property, am eirwrely 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, appd who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License%Law.). �f A
(_ 1 I am exempt under Sec. , B.&P.C. r thi/reason/
/e:
I hereby affirm under penalty of perjury that tKere 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:
LQPERMIT
Owner:
HERNANDEZ MICHAEL
53680 AVENIDA MONTEZUMA
LA QUINTA, CA 92253
Contractor:
ANGLES CONSRUCTION
45175 PANORAMA DRIVE
PALM DESERT, CA 92260
(760)568-6064
Lic. No.: 855557
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/14/06
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 0002290030801
410 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any mMshouldecome
meWkers'
ers' co pensation laws of California,
nd agree that, ubjcompe ation pr visions of Section
`�, / 700 of the Lahwe pr isions.
✓ / U �icDate:WARN G: FAILURE TO SECUMPEGE IS UNLA UL, 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 Director of Building and Safety 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 abov ?information is orre . I agree tp comply Avith all
city and co my o dinances and state laws relating to building nstru ion, d ere y authoriz represe fives
of this cou ty to fn upon upon the above-mentioned proper fo nspe ion p rpo as
D / vature (Applicant or Agent):
Application Number . . . . . 06-0.0000272
Permit . . . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
271.50' Plan Check Fee
176.48
Issue Date
Valuation . . . .
27456
'Expiration Date
9/10/06
Qty Unit Charge
Per
Extension
BASE FEE
252.00
3.00 6.5000
---------------------------------------------7------------------------------
THOU BLDG 25,001-50,000
19.50
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
31.80 Plan Check Fee
7.95
Issue Date . . . .
Valuation . . . .
0
Expiration Date
9/10/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
480.00 .0350
--------------------'--------------------------------------------------------
ELEC NEW RES - 1 OR 2 FAMILY
16.80
Permit . . . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
46.00 Plan Check Fee
11.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date
9/10/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
2.00 6.5000
----------------------------------------------------------------------------
EA MECH VENT FAN
13.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
63.00 Plan Check Fee
15.75
Issue Date . . . .
Valuation . . . .
0
Expiration Date
9/10/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
7.00 6.0000
EA PLB FIXTURE
42.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
480 sq. ft. ADDITION.WITH REROOF
LQPERI%IIT
Application Number . . . . . 06-00000272
-----------------------
Special Notes and
-----------
Comments .
---------------
-------------
--------------
COMPLETE HOUSE.March 14, 2006
7:38:01
AM jjohnson
----------------------------------------------------'-----------------------
Other Fees . . .
. . . . .
ENERGY REVIEW
FEE
17.65
STRONG MOTION
(SMI) - RES
2.74
Fee summary
-----------------
Charged
----------
Paid
--------------------
Credited
----------
Due
Permit Fee Total
412.30
.00
.00
412.30
Plan Check Total
211.68
.00
.00
211.68
Other Fee Total
20.39
.00
.00
20.39
Grand Total
644.37
.00
.00
644.37
LQPERAIIT
P.O. BOX 1504 APPLICATION ONLY
Buildingv 78 495 CALLE TAMPICO
Address. l (V"' NTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC. GRP.
Mailing'2�
Address �� . (oft � � t �,��. P. VM A.Number / 6
City Zi Tel._ Legal Description
�2H
Contractor Project Description A,r2
Address
City
Zip
Tel.
S q• Ft. � No. No. Dw.
Size tories units
State Lic.
& Classif.
City
Lic. # 7
J
Arch., Engr.,
Des�I ped t/' 1� %..r en "s
New ❑ Add Alter ❑ Repair ❑ Demolition ❑
PERMIT AMOUNT
ddress Tel. .•
l"15 irM� • fin" T 4 `'
❑ 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 Profes-
sions 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 im-
provement 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).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct
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)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Const.
Zip State
Lic. #
Electrical
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm 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.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business 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
Division 3 of the Business and Professions Code, or that he 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).
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
❑ 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 Profes-
sions 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 im-
provement 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).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct
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)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Date Owner
Infrastructure
WORKER'S 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. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
TOTAL
REMARKS
(This section need not be completed if the permit is for one hundred dollars (3100) 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 Workers' Compensation Laws of
California.
Date Owner
NOTICE TO APPLICANT. If, 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.
ZONE: BY:
Minimum Setback Distances:
CONSTRUCTION LENDING AGENCY
Front Setback from Center Line
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.)
Rear Setback from Rear Prop.Line
Lender's Name
Lender's Address
This is a buildingSide
permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
Side Street Setback from Center Line
Setback from Property Line
p y
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.
FINAL DATE INSPECTOR
Issued by: Date Permit
Signature of applicant Date
Mailing Address
Validated by:
Validation:
City, State, Zip
WHITE = BUILDING DEPARTMENT YELLOW
= APPLICANT PINK = FINANCE
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. 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 480 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 - Michael Hernandez Check No.
Name on the check Telephone 771.6067
Funding Exempt
By Dr. Doris Wilson
Superintendent
Fee collected =/?
, Payment Recd I�p.pp
Over/Under
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), flis will serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to rud4ro , the dat 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 if Duplicated
Embossed Original- Building Department/Applicant Copy - Applicant/Receipt Copy -Accounting
orufv
CERTIFICATE OF COMPLIANCE
Sc�
Desert
Sands Unified School District
�. 70
47950 Dune Palms Road
BERMUDADUNES /1i1
Date
3/14/06
La Quinta, CA 9225)
N RANCHO MIRAGE
INDIAN WELLS �r
No.
28237
(760) 771-8515v�
�i. PALM DESERT
LA QUINTA
J'3Q.INDIO
.vJ
Owner
Michael Hernandez
APN #
774-101-008
Address
53-680 Avenida Montezuma
Jurisdiction
La Quinta
City
La Quinta Zip 92253
Permit #
Tract #
Study Area
Type
Residential Addition
No. of Units
1
Lot # No. Street
S.F. Lot # No.
Street S.F.
Unit 1
53680 Avenida Montezuma 480 Unit 6
Unit 2
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. 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 480 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 - Michael Hernandez Check No.
Name on the check Telephone 771.6067
Funding Exempt
By Dr. Doris Wilson
Superintendent
Fee collected =/?
, Payment Recd I�p.pp
Over/Under
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), flis will serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to rud4ro , the dat 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 if Duplicated
Embossed Original- Building Department/Applicant Copy - Applicant/Receipt Copy -Accounting
I TITLE 24 REPORT . I
Title 24 Report for:
MR. MICHAEL ANGELO HERNANDEZ
53-680 AVENIDA MON
T
LA QUINTA, ACITY OF to QUINTA
BUILDING & SAFETY DEPT -
APP
PT-
APPRO ETON
FOR CO
DA
Project Desig - .
GABRIEL LUJAN & ASSOCIATES
45-175 PANORAMA DR. STE. A
PALM DESERT, CA 92260
760-578-8545
Report Prepared By:
ADRIANA GIL
Adriana Gil
74-854 Velie Way Ste. #8
Palm Desert, CA 92260
(760) 404-7917
Job Number:
ADY349-0106
Date:
5/30/2006
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC - www.energysoft.com.
EnergyPro 4.1 by EnergySoft Job Number: ADY349-0106 User Number: 5553
I TABLE OF CONTENTS
Cover Page
Table of Contents
Form CF -1 R Certificate of Compliance
Form MF -1 R Mandatory Measures Summary
HVAC System Heating and Cooling Loads Summary
1
2
3
7
9
EnergyPro 4.1 by EnergySoft Job Number: ADY349-0106 User Number: 5553
Certificate Of Compliance: Residential (Part 1 of 4) CF -1 R
_MR--M.1_CHAELANG.ELO_H.ERNAN.DEZ
Total Conditioned Floor Area:
576
5130/2006
Project Title
Existing Floor Area:
n/a
Date
_5.3-6-8-0_AV_EN.I.DA-M-0 N_T_EZ.0 MA-LA_Q-UIN TA
Raised Floor Area:
0
Project Address
Natural Gas
Slab on Grade Area:
Building Permit #
A_ d.r_iana Gil
4,608
(760) 404-7917
1.8
Documentation Author
Wood_
Telephone
Plan Check/Date
_En.ecgP_r_o
Compli ce Method
0__9.0
15
Climate Zone
Wall_
Field Check/Date
1.51.
TDV Energ Use Standard
Proposed
Compliance
(kBtu/sf-yrf Design
Design
Margin
_0.098-
Space Heating 0.61
0.12
0.49
Space Cooling 70.99
68.22
2.77
Fans 10.73
11.88
-1.16
Domestic Hot Water 0.00
0.00
0.00
Pumps 0.00
0.00
0.00
Totals 82.33
80.23
2.10
Building Type
Standard:
[X-] Single Family
❑ Multi Family
Building Front Orientation:
Fuel Type:
2.
❑ Addition
Total Conditioned Floor Area:
576
ft2
❑ Existing + Add/Alt
Existing Floor Area:
n/a
ft2
(N) 0 deg
Raised Floor Area:
0
ft2
Natural Gas
Slab on Grade Area:
576
ft2
Fenestration:
.01_A1.8
Average Ceiling Height:
Area: 114 ft2 Avg. U:
0.47
Number of Dwelling Units:
Ratio: 19.8% Avg. SHGC:
0.46
Number of Stories:
BUILDING ZONE INFORMATION
Azm.
# of Thermostat
Zone Name Floor Area
Volume
Units Zone Type Type
.HVAC_Split_S.ystem 5.7.6
4,608
1...00_ Conditioned--Setback-
OPAQUE SURFACES
.01_A1.8
Insulation
Act.
-0.9=A21
Type
Frame
Area
U -Fac.
Cay. Cont.
Azm.
Tilt
Roof
Wood_
5.7.6-
_0.025-
_R=38_ _R=0..0_
0_
1.8
Wall_
Wood_
3.9_
0.0.9.8_
_R_1.3_ _R=0.0_
0__9.0
Wall_
Wood_
1.51.
_0..0.9.8_
_R_1.3_ _R=0..0_
_9.0__9.0
Wall_
Wood_1_4.0-
_0.098-
-R_1.3- _R=0_0_
1.80__90
8.0 ft
1.00
1
Vent
Hgt. Area
-2 -n/a
Gains Condition
Y / N Status JA IV Reference Location / Comments
New
.01_A1.8
House
New
-0.9=A21
House
New
-0.9=A29
House
New
.09=A21
House
EnergyPro 4.1 by EnergySoft User Number: 5553 Job Number: ADY349-0106 Pape:3 of 9
Certificate Of Compliance:
Residential
(Part
2 of 4) CF -1 R
MR. MICHAEL ANGELO HERNANDEZ
Project Title
5/30/2006
Date
FENESTRATION SURFACES
# Type Area
LI -Factor' SHGCZ
True
Azm. Tilt
Cond.
Stat. Glazing Type
Location/
Comments
_'L Window F_ront_(N)_ -5.3.3_ _0.._4.70-NF_RC__0.4.6
2 Window Left (E_ 12.5
-NFRC.
0.470 NFRC 0_46 NFRC
0_ _9.0- New DEFAULT DBLP_ANE
90 90 New DEFAULT DBL PANE
-House
House
3 Window Left (g)_ 12.5
0.470 NFRC 0_46 NFRC
90 90 New
DEFAULT DBL PANE
House
4 Window Left Q_ 16.0
0.470 NFRC 0_46 NFRC
90 90 New
DEFAULT DBL PANE
House
5 Window Rear (S) 16.0
0.470 NFRC 0_46 NFRC
180 90 New
DEFAULT DBL PANE
House
6 Window Rear (S)_ 4.0
0.470 NFRC 0_46 NFRC
180 90 New
DEFAULT DBL PANE
House
1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 116B
INTERIOR AND EXTERIOR SHADING
Window
Overhang
Left Fin Right Fin
# Exterior Shade Type
SHGC
Hgt.
Wd.
Len.
Hgt.
LExt.
REA Dist. Len. Hgt. Dist. Len. Hgt
1 Bug Screen
0.76
6.7
8.0
2.0
0.1
2.0
2.0
2 Bug Screen
0.76
5.0
2.5
2.0
0.1
2.0
2.0
3 Bug Screen
0.76
5.0
2.5
2.0
0.1
2.0
2.0
4 Bug Screen
0.76
4.0
4.0
2.0
0 1
2.0
2.0
5 Bug Screen
0.76
4.0
4.0
2.0
0.1
2.0
2.0
6 Bug Screen
0.76
2.0
2.0
2.0
0.
2.0
2.0
THERMAL MASS FOR HIGH MASS DESIGN
Area Thick.Heat Inside Condition Location/
Type (sf) (in.) Cap. Cond. R -Val. JA IV Reference Status Comments
Concrete, Heavyweight 576 3.50 28 0_98 0 26-A1 New House / Slab on Grade
PERIMETER LOSSES Insulation Condition Location/
Type Length R -Val. Location JA IV Reference Status Comments
Slab Perimeter 64 None No Insulation 26-A1 New House
EnergyPro 4.1 by EnergySeft User Number: 5553 Job Number: ADY349-0106 Page:4 of 9
Certificate Of Compliance : Residential (Part 3 of 4) CF -1 R
MR. MICHAEL ANGELO HERNANDEZ
Project Title
5/30/2006
Date
HVAC SYSTEMS
Location
Heating Minimum
Type Eff
Cooling
Type
Minimum Condition
Eff Status
Thermostat
Type
HVAC Split System
Central Furnace 80% AFUE
Split Air Conditioner
13.0 SEER New
Setback
HVAC DISTRIBUTION
Location
Heating Cooling
Duct
Location
Duct Condition
R -Value Status
Ducts
Tested?
HVAC Split System Ducted Ducted Attic 4.2 New No
Hydronic Piping Pipe Pipe Insul.
System Name Length Diameter Thick.
WATER HEATING SYSTEMS RatedTank Energy Standby' Tank Insul.
Water Heater # in Input Cap. Condition Factor Loss R -Value
System Name Type Distribution Syst. (Btu/hr) (gal) Status or RE' (%) Ext.
Multi -Family Central Water Heating Details
Hot Water Pump Hot Water Piping Length (ft) Add 1/2"
Control # HP Type In Plenum Outside Buried Insulation
1 For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor.
For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and 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.
The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality,
and building envelope sealing require installer testing and certification and field verification by an approved HERS rater.
Designer or Owner (per Business & Professions Code)
Name:
Title/Firm: GABRIEL LUJAN & ASSOCIATES
Address: 45-175 PANORAMA DR. STE. A
PALM DESERT, CA 92260
Telephone: 760-578-8545
Lic. #:
(signature) (date)
Enforcement Agency
Name:
Title/Firm:
Address:
Telephone:
Documentation Author
Name: ADRIANA GIL
Title/Firm: Adriana Gil
Address: 74-854 Velie Way Ste. #8
Palm Desert, CA 92260
Teleph Q; (7� 404-7917
® li
(sign cure) (date)
(signature/stamp) (date)
I EnergyPro 4.1 by EnergySoft User Number: 5553 Job Number: ADY349-0106 Paae: 5 of 9 1
Certificate Of Compliance : Residential (Part 4 of 4) CF -1 R
MR. MICHAEL ANGELO HERNANDEZ 5/30/2006
Project Title Date
Special Features and Modeling Assumptions
The local enforcement agency should.pay special attention to the items specified in this checklist. These items require special
written justification and documentation, and special verification to be used with the performance approach. The local enforcement
agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the
.�cY-y.�F.— P1 JYJYIIbaYVll p11Y YW-11C11w11U11 . UUIIIILLUU. Plan Field
The Roof "R-38 Roof (R.38.2x4.24)" includes credit for a Radiant Barrier installed per Section 3.3.3 of the Residential Manual.
HIGH MASS Design - Verify Thermal Mass: 576 sqft Exposed Slab Floor, 3.50" thick at House
HERS Required Verification
Items in this section require field testing and/or verification by a certified home energy rater under the supervision of a CEC-
ap roved HERS rovider..in ('9:1'a d t t' Al 'f'
p p g pprove es mg an or ver kation methods and must be reported on the CF -4R
installation certificate.
Plan
Field
The HVAC System "HVAC Split System " incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic
Expansion Valve.
The Cooling System "York H1 RD018S06" includes credit for a 11.5 EER Condenser. A certified HERS rater must field verify the
installation of the correct Condenser.
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Mandatory Measures Summary: Residential (Page 1 of 2) ' MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent
compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (') below. 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.
DESCRIPTION Instructions: Check or initial applicable boxes when completed or check N/A if not ENFORCE -
applicable. N/A DESIGNER MENT
Building Envelope Measures
§ 150(a):
Minimum R-19 in wood ceiling insulation or equivalent U -factor in metal frame ceiling.
❑ 1
❑X
❑
§ 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
❑
❑X
❑
❑
apply to exterior mass walls).
❑
❑X
❑
§ 150(d):
Minimum R-13 raised floor insulation in framed floors or equivalent U -factor.
❑
❑
❑
§ 150(e):
Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
❑
insulation or R-16 internal insulation and indicated on the exterior of the tank showing the R -value.
1. Masonry and factory -built fireplaces have:
3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness:
a. closable metal or glass door covering the entire opening of the firebox
❑
❑X
❑
length of recirculating sections of hot water pipes shall be insulated to Table 1508.
b. outside air intake with damper and control, flue damper and control
❑
❑X
❑
❑
2. No continuous burning gas pilot lights allowed.
❑
❑X
❑
§ 150(f):
Air retarding wrap installed to comply witf§ 151 meets requirements specified in the ACM Residential Manual.
❑
❑X
❑
§ 150(g):
Vapor barriers mandatory in Climate Zones 14 and 16 only.
❑
❑X
❑
§ 150(1):
Slab edge insulation - water absorption rate for the insulation alone without facings no greater than 0.3%, water vapor
❑
❑
❑
permeance rate no greater than 2.0 perm/inch.
§ 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and
El
N
El
CF -6R Form:
§ 116-17:
Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls.
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
❑
❑X
❑
2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain
Coefficient (SHGC), and infiltration certification.
❑
0
❑
3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. -
❑
❑X
❑
Space Conditioning, Water Heating and Plumbing System Measures
§ 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission.
❑
❑X
❑
§ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA.
❑
❑X
❑
§ 150(i): Setback thermostat on all applicable heating and/or cooling systems.
❑
❑X
❑
§ 1500): Water system pipe and tank insulation and cooling systems line insulation.
❑
❑X
❑
1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with
❑
❑X
❑
insulation having an installed thermal resistance of R-12 or greater.
❑
❑
❑
2. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external
❑
❑X
❑
insulation or R-16 internal insulation and indicated on the exterior of the tank showing the R -value.
3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness:
1. 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 shall be insulated to Table 1508.
2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source
❑
❑
❑
and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A.
4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A.
❑
❑
❑
5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment
❑
❑
❑
maintenance, and wind.
6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed
❑
❑X
❑
entirely in conditioned space.
7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation.
❑
❑
❑
EnergyPro 4.1 by EnergySoft User Number: 5553 Job Number: ADY349-0106
Page:7 of 9
Mandatory Measures Summary: Residential (Page 2 of 2) MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent
compliance requirements from the Certificate of Compliance supercede the items marked with an asterisk (") below. 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.
DESCRIPTION Instructions: Check or initial applicable boxes when completed or check NIA if not ENFORCE -
applicable. N/A DESIGNER MENT
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 requirements of the CMC Sections 601, 602, 603, 604, ❑ ❑X ❑
605, and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minumum 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 181A, 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.
2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than
❑
❑X
❑
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.
❑
❑
❑
3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive
❑
❑X
❑
duct tapes unless such tape is used in combination with mastic and draw bands.
❑
❑
❑
4. Exhaust fan systems have back draft or automatic dampers.
❑
R
❑
5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating
❑
Q
❑
dampers.
❑
❑
❑
6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment
❑
X❑
❑
maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water
❑
❑X
❑
retardant and provides shielding from solar radiation that can cause degradation of the material.
7. Flexible ducts cannot have porous inner cores.
❑
❑X
❑
§ 114: Pool and Spa Heating Systems and Equipment
1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the
❑
❑
❑
heater, 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 fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously
❑
❑X
❑
burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr)
§ 118 (i): Cool Roof material meets specified criteria
❑
❑
❑
Lighting Measures
§ 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table
❑
❑X
❑
150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are
electric and have an output frequency no less than 20 kHz.
§ 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C,
❑
❑X
❑
luminaire has factory installed HID ballast.
§ 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined
❑
X❑
❑
in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires,
provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires.
§ 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires.
❑
x❑
❑
OR are controlled by an occupant sensor(s) certfied to comply with Section 119(d).
§ 150(k)4: Permanently installed luminaires located other than in kichens, bathrooms, garages, laundry rooms, and utility rooms
shall be high efficacy luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR are
❑
❑X
❑
controlled by an occupant sensor that complies with Section 1� 9(d) that does not turn on automatically or have an
always on option.
§ 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are
❑
❑X
❑
certified to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals.
§ 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the ❑ ❑X ❑
same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other Article
680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d).
§ 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147. ❑ ❑ ❑
Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Section 130, 131, and 146.
§ 150(k)8: 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 OR are controlled by occupant sensor(s) certified to comply with Section
119(d).
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1HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
PROJECT NAME DATE
MR. MICHAEL ANGELO HERNANDEZ 5/30/2006
--1
SYSTEM NAME FLOOR AREA
HVAC Split System 576
HECKS
Number of Systems I
L 1=1
Heating System
Output per System 64,000
Total Output (Btuh) 64,000
Output (Btuh/sgft) 111.1
Cooling System
Output per System
20,400
Total Output (Btuh)
20,400
Total Output (Tons)
1.,7
Total Output (Btuh/sgft)
35.4
Total Output (sgft/Ton)
338.8
Air System
CFM per System
800
Airflow (cfm)
800
Airflow (cfm/sgft)
1.39
Airflow (cfm/Ton)
470.6
Outside Air (%)
0.0
Outside Air (cfm/sqft)
0.00
Note: values above given at ARI conditions
Total Room Loads
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COIL COOLING PEAKCOIL
HTG. PEAK
CFM
Sensible
Latent
CFM
Sensible
1,363
11,047
1,557
123
9,503
0
1,718
1,219
0
0
0
0
0
0
0
0
0
1,718
11219
14,482 1,557
York H1RD018S06 9,920 10,214
Total Adjusted System Output g g2o 10,214
(Adjusted for Peak Design Conditions)
TIME OF SYSTEM PEAK Aug 2 pm
64,000
64,000
Jan 12 am
EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak
24.0 of 68.5 of 68.5 of 145.6 of
O Supply Air Ducts 7
Outside Air
0 cfm 144.1 of
Supply Fan Heating Coil
800 cfm ROOMS
68.5 of 70.0 of
Return Air Ducts I
DOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak
109.9 / 77.2 of 78.1 / 70.1 of 78.1 / 70.7 of 66.1 / 66.0 of
O Supply Air Ducts
Outside Air
0 cfm Supply Fan Cooling Coil 68.2 / 66.6 of
800 cfm 72.9% R.H. ROOMS
78.1/70.1 of 76.0 / 69.5 of
Return Air Ducts -S4
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