MECH (13-0415)54200 Avenida Madero
13-0415
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-4,tii W
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number:
13-00000415
Property Address:
54200 AVENIDA MADERO
APN:
774-193-010-15' -000000-
Application description:
MECHANICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
8150
Pjpflli nt: Architect or Engineer:
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
censeClass: C20License No.: 4Q8046
Date: 5 Contractor: 6.24,
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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 1 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.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I 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:
LQPERMIT
5/13
Owner: D A
MORRIONE JIM
54200 AVENIDA MADERO
LA QUINTA, CA 92253 APR 052013
(310)710-2598
CITY OF LAOWNYe j(
Contractor:
ESSER AIR CONDITIONING & HTG
P.O. BOX 1636
CATHEDRAL CITY, CA 92235
(760)324-0550
Lic. No.: 489046
------------------
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 CASTLEPOINT NTL Policy Number WSLTHPE90140303
_ 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,
and agree that, if I should become subject to the workers' compensation provisions of Section
37000 the Labor Code, IIshall forthwithcomply with t ose provisions.
Date: "1 S Applicant: / L!' /1'' / /l L
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the 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 above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby auth rize representatives
of this county to enter upon the above-mentioned property for iPP spectic puuurposes.
Date: LI 5 Signature (Applicant or Agent): '&.,41 kt4l
Application Number.
Permit . . .
Additional desc .
Permit Fee
Issue Date . . . .
Expiration Date . .
. . . . . 13-00000415
MECHANICAL
33.00 Plan Check Fee . .
Valuation . . .
10/02/13
8.25
0
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
----------------------------------------------------------------------------
Special Notes
and Comments
INSTALL NEW 3
1/2 TON SPLIT
2010
CODES
15 SEER .
----------------------------------------------------------------------------
Other Fees .
. . . . . . .
. BLDG STDS•ADMIN (SB1473)
1.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total 33.00
Plan Check Total 8.25
Other Fee Total 1.00
Grand Total 42.25
LQPERMIT
.00 .00 33.00
.00 .00 8.25
.00 .00 1.00
.00 .00 42.25
Bin.# Cl / Of LA QuinIC
Building 8L Safety lli won
Pe+init # P.O. Box 1504, 78-495 Cafe Tamplco
La.Qulnta, CA 92253 -:(760) 777-7012
Building Permit -Application and Tracking Sheet
Project Address: t5H Owner's Mame:. I yn
A. P.N.umber.
Address: 61.}200 hojiffLA Hadtxz
Legal Description:
City, ST, Zip: La,0W vtot- 9.7-Z63
Contractor: S i R R
/ /UC .
,`- ;asat:
Telephone: D 36
Address: 6'C,-5 19AN ks/ (}fie 0A
617-E C.
Project Description:
City,ST,Zip:CA?HFDRA - C17 -r -.A, 92 3
qhs Y tv'). b' 1ztrY1
Tele hone:•/CZ? :j2
/B, %
City Lic. M.
t. s
State Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
P
State Lic. #:
Name of Contact Person:.1/f /CRAEL
c
• .
»F
ZSF_R
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft: # Stories: # Units:
Telephone # of Contact Person:moi'
-c7ec
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
N Submittal Req'd Recd TRACIGNG PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
S"ctueai Calci.
Reviewed, ready for corrections
Plan Check Deposit.
Truss Cities.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'' Review, ready for correctionslissue
Electrical
Subcontactor List
Called ContactPersonPlumbing
Grant Deed
Plans picked up
&M.L
H.O.A. Approval
Plans resubmitted
Grading
In ROUSE:-
s^' Review; ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 1 of 5
Project Name: Climate Zone # # of Stories
Morrione, Jim 115 1
General Information
Site Address: 54200 Avenida Madero La Quinta CA 92253
Enforcement Agency: La Quinta, City of
Date: 4/4/2013
Building Type 0 Single Family ❑ Multi Family
Circle the Front Orientation:®, E, S, W, or degrees
Conditioned Floor Area (CFA): 1200
Project Type: Q Alterations ❑ Envelope ❑ Fenestration ❑ Roof ❑ HVAC
IDs or T"'s"f`
Replacement or Change Out ❑ Duct Replacement []Water Heater
NOTE: This form is not to be used for Newly Constructed Buildings or Additions
Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
❑ Opening of framed cavity alone- Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the
mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A -C and enter mandatory insulation value in Column H.
❑ Replacement of entire assembly- Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Package- D insulation values in Table 151-C. Fill in Columns A -J.
Opaque Surface DetailS For the furred rtioned of Mass Walls see Furring Strips Construction Table below.
A B I C D E F G I H I-]--- T -i
Proposed s" NO" Standard Values From JA4
Table
Framing s
Tag/ Assembly Name i Mat6 'al;
l Mat
Thickness,
t Spacing, U J 4iTabI
v Framed Continuous
d, asrulatibn,
JA4 Proposed
Assembly Assembly
IDs or T"'s"f`
oar Od►er3 ictw Num&rs'
`R=fame" • Va"tue1"'
Cell Value8 U -facto?
Id j .
e $ rr .ep i .++ ►r
A r% 0%
mow. • '
*1 i +art it YV it 'il IL " W AJ
y `1i o z:X ..0 `V,,& A til l ti
; -.e a >t
O
!✓ v
Assembly v
c Uoo v > e,
Note: For furred assemblies, dccounting for`Co?&nuous insulation R -value, see P. age JA4-3 and Equatron'4-4 For'calculatin-efurred walls use the Mass and
table
FurringConduction below. j r
1. For Tag/ID indicate'theidentffwatioA name thatImatches the building plans. ^^-
2. Indicate the Assembly Name or type: Ro j9Ceilit g, Wdlls, Floors, Slabs C awl Space, Doors A d e1- c hdicat` a the4Fram'
etype and Size: For
Wood, Metal, Metal Buildings, Mass, en?er oretc;t see JA4 for other possible frame type- sserh-blies
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 -Lor 24 -'OC: or Othertfo aU) ther assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc....
4. Based on the Climate Zone; enter the Standard U factor from Table -1151-B, C or D for each deren 1sseb1YW4)e_,6r_Jpe.
5. Enter the Table number that closely resembles the proposed assembly.
6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ".
7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0".
8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J
9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply.
Furring Strips Construction Table for Mass Walls Onl
A I B I C I D I E
F I C I H I I J I K
L
M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint Appendix Table 43.5, 4.3.6, 4.3.7
Joint Appendix Table 43.13
N
T C
O
!✓ v
Assembly v
c Uoo v > e,
Final
Mass
Name or JA4 Table +
r
> >UNumber
Assemb
y'
Thickness'
T >
c x c o
-factorld 7
Comment
Registration Number: 313-A0014883A-000000000-0000 Registration Date/Time: 04/04/201306:38:17 HERS Provider: CBPCA
2008 Residential Compliance Forms
August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 2 of 5
Project Name: Climate Zone # # of Stories
Morrione, Jim 115 1
Construction
1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
found Reference Joint Appendix JA4.
2. This is the U -Factor based on the thickness of the assembly in inches.
3. The R -value of the insulation to be added on the interior or exterior of the assembly.
4. The Calculated R- Value is the R -value of the furred out section of the assembly.
-6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column
added to Column 1. Column K is the inverse from column J
7. Insert the calculated U- actor value on to the Opaque Surface Details in Column J
FENESTRATION PROPOSED AREAS
❑ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in
Table 151-C The Total Fenestration and West facing Area requirements are not applicable.
❑ Adding 50fe or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component
Package D in Table ISI -C.
❑ Adding more than 50ft2 of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration
Area requirements of Component Package D in Table 151-C Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT
Orientation
FenestraficnTypead Fra e i "c rhEa t) psedAt a"ax
i m NFRC or Default
(Window, GlassJ)oor'orS 1i ht .$outh, West) .ft) FLJ4aCtW' SI-IGCn ° Value5
tractors Assn ;Aaxw
9 i r r \10#.
/. Fenestration area is the area of 1ota1 gloried product'(ia ~glass plus frame). Exception: `WheWh door pis less than S01% glas the fenestration
area may be the glass area plus a `2 inch fraihi Y 6d *- glass. ~ '
2. Enter value from Component Package D Requirements in Table ISI EC.
3. Actual fenestration products installed and as indicated in CF 6R ENV Form shall be equivalent to or,hcrve a Lowe Ufactor and/or a lower
SHGC value than that specified on the CF -I R ALT Form. LLI i
4. Submit a completed WS -31? Form if a reduced SHGC is calculated with exterior shading.
5. l(applicable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default " valuesfound in Table 116-A or B.
ALTERED FENESTRATION ALLOWED AREAS
(Complete if more than 50 t offenestradon is added)
A
B
C
D
E
.F
G
Allowed
Existing
Fenestration
Total Area
CFA of Entire
% of
Fenestration
Area
Fenestration
Allowed
Proposed Areae
Dwelling
CFA
Area
Removed
Area Added
A x B)
(E -D) + C
Total Fenestration Area
.20
>
West Fenestration Area
(Required In
.05
>
CZ's 2,4&7-15
l. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12.
2. West facing glazing area removed cannot be "counted" twice. " In order to distribute the west glazing area removed to the other orientations,
input the west glazing area removed in the Total Fenestration Area row, column D.
3. Include the Proposed Area of the West facing fenestration in both Area columns below.
4. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas.
Registration Number.- 313-A0014883A-000000000-0000 Registration Date%1 ime. 04/04/201306:38:17 HERSProvider.- CBPCA
2008 Residential Compliance Forms
August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 3 of 5
Project Name: Climate Zone # # of Stories
Morrione, Jim 115 1
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
When the area of exterior roof surface to be replaced exceeds more than 50.1. of the existing roof area, or more than 1,000f?, whichever is
less, the new roofing area must meet the roofing product "Cool Roof' requirentents of §152(b)1 Hi, 152(b) M4 or 152(b)1Hiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product. "Cool Roof' requirements. Note: /Jany
one of the alternatives or exception below is checked the Aged Solar Reflectance and Thermal Emittanee requirements for roofing products in
§118(i) are not applicable. Do not fill table below.
❑ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch.
❑Cool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less
than 51b/ft 2.
Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 1:12)
❑ Insulation with a thermal resistance of at least 0.85 hrftz•°F/Btu or at least a 3/4 inch air -space is added to the roof deck
over an attic; or
❑ Existing ducts in the attic are insulated and sealed according to § 151(f)10; or
❑ In climate zones 10, 12 and 13, with I If of free ventilation area of attic ventilation for every 150 f{z of attic floor area, and
where at least 30 percent of the fire ventilation area is within 2 feet vertical distance of the roof ridge; or
❑ Building has at least R-30 ceiling insulation; or
❑ Building has radiant barrier attiic meeting t he `ire ents gf §151(02
i:n the
❑ Building has no-duci9 ne&.1o`t i o "
s an e
❑In climate zones 10`JJ1and.'4'R-3 orgneatfr roof deck insulation above vented attic
.Association
°
Exception to§152(b)1TIiii,Lowloperoof(pitch a 2 actors
❑ Building has no ducts jrr a
Other Exceptions
❑ Roofing area covered by buildin&integrraxted; photovoltaic panels and solar thermal panels are ex t from the below Cool Roof criteria.
O Roof constructions that havc,thermal mass over the membrane with arleast 25 lb/ftis exem t•fmm the,below•Gool Roof criteria.
Note: If no CRRC-1 label is available,, Ahis bompliance m6thod carmot be used, use the Performance Approach to show compliance, otherwise,
Check the applicable box- below if Exempt from the Roofin Products "Cool Roor_ke uirement.--.4___/ ~ 1
Rogf Slope
Produd Weight.
.Product,'.Aged
Sol "'`
Thermal
CRRC Product ID Number'
!--<_. 2:d2-->_2-A2 ?
< •51b%WZ-!_,51Wf
:,; T Z•
Reflectance
4`
Emi6nce
SRI
EA
❑
❑
a
❑
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
I. The CRRC Product ID Number can be obiatnedfrom the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.org/produc&search.nha
2. Indicate the type ofproduct is being used for the rooftop, i.e. single ply roof, asphalt roof, metal roof, etc.
3. if the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation (0.2+0.7(pin;nut — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box if the Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI- Worksheet at http://www.enervy.ca gavltitle241and enter the resulting value in the SRI Column above and attach acopy of
the SRI- Worksheet to the CF -I R
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
commended by the coatings manufacturer and meet minimum performance requirements listed in § i 18(i)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating
Cement-Based Roof Coating
TO
Other
Registration Number: 313-A0014883A-000000000-0000 Registration Date/Time: 04/04/2013 06:38:17 HERS Provider: CBPCA
2008 Residential Compliance Forms
August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 4 of 5
Project Name: Climate Zone # # of Stories
Morrione, Jim 115 1 '
HVAC SYSTEMS - HEATING
List water heaters and.,boders for both :d6mestic host wate) (DH99 heaters and h)idronie pace heating. Individual dwelling, )HW heaters must be
gas or propane fired, add -may -not -exceed 50 gallons. Hot water pipe insulation from•the DHW healer to the kitchen($) and on all underground
Minimum Duct or Piping Configuration
Heating Equipment
Efficiency Distribution Insulation Thermostat (Central, Split,
Type and Capacity 12,3
AFUE or HSPF Type and Location R -Value Type Space, Package or H dronic
HeatPump, 33000
8 HSPF Ducted, SetBack Split
Distriibbution
2 '
1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.)
2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity
< 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception.
3. Refer to the HERS verification section on Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes.
4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc)
HVAC SYSTEMS - COOLING
System
Capacity al
(gal)
Minimum -
t R -Value a
Efficiency Duct or Piping Configuration
Cooling Equipment
(SEER/EER or Distribution Insulation Thermostat (Central, Split,
Type and Capacity' .2
COP) Type and Location; R -Value Type Space, Package or H dronic
AirConditioner, 36_000
, 15 SEER Ducted„ VA%0. SetBack Split
Fadi
-"'amu n I a lZU1101"pier10 m (;1410PA
1. Indicate Cooling Type -(A/ ,- leat pump, cAvap" ooling, etc .
2. Refer to the HERS reri caaionn section o t Pae 4 o the I R LT " 4 p
f► f It
J g ornr fbr add qu ble boxes.
,. _ Q ItioM re' _ireYnents.andcheck
3. Indicate T or Location (Ducts„li dromic in F,!loor,_Radiators, etc.
I i I I.., 611' N/ - 1
WATER HEATING'`
List water heaters and.,boders for both :d6mestic host wate) (DH99 heaters and h)idronie pace heating. Individual dwelling, )HW heaters must be
gas or propane fired, add -may -not -exceed 50 gallons. Hot water pipe insulation from•the DHW healer to the kitchen($) and on all underground
hot water pipes is required in oll com neat ka es•in all climate zones.- i
Water Heater Type/Fuel
yY
Type
,
"` 'Tank'"
Energy ';Factor
External Tank
Distriibbution
2 '
Number I>
or
.
Insulation
111
T
Standard, Recirculatin
( g)
System
Capacity al
(gal)
Thermal Effic i
t R -Value a
1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc)
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do
not allow the installation of a recirculating water heating system for single dwelling units.
3. The external water heating tank andpipes shall be insulated to meet the requirements o 150 ' .
SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below.
These items may require written justi kation and documentation and special verification.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier requirement of ¢ 151 2 does not apply to roof alterations.
Slab Edge (Perimeter) Insulation [3 YES 0 NO
YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required
Heated Slab Insulation E3 YES 0 NO
YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Raised Slab Insulation Q YES 0 NO
YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R4 is required under component Package D.
Thermal Mass
To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach.
Registration Number: 313-A0014883A-000000000-0000 Registration Date/Time: 04/04/2013 06:38:17 HERS Provider: CBPCA
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 5 of 5
Project Name: Climate Zone # # of Stories
Morrione, Jim 15 •1
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
0 YES ❑ NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space, the ducts are to be sealed per § 152(b) l Dii and the newly installed ducts are to be insulated per §151(f)10.
❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
❑ YES 0 NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per § 152(b) I Di.
❑ YES 0 NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler,
outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be
sealed per § 152(b)1 E.
0 EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Refrigerant Charge -Split System HERS verification is required for this measure.
M YES 11 NO,*YES: Inklimate Zones,2 and 8715, wheil lthe•existing HVA.- uipment is replaced (including the replacement of the air
NO.
ahs tdlernord o'" i, "wco""►dens g t o a'sdp t stem A C o 'er' Yiep , co olrng heattn Al, or the furnace heat
exchanger) a refti erant charge measurement shalll be. verified r ,1,52(b)I F.
Central Fan Integrated (CFn`Ve' tilation Syst >LnwYiia"ran dew ASSOCtaxion
The ventilation requuements of 1,5 . o .d'o not ply to existing residential homes.
Ducted Split Systems -lAir Conditioners addHeat Pimps: Airflow "HERS er fcatfi n• required for this measure.
YES NO YES: In Clim te:Zonfess 10 ttirough.l 5, when the existing space-condtttonmg system (HVAC equipment and ducting) is
laced, the airflow and fan watt draw shall be verified per § 152 b 1616 meet the _ uiiemeats of § 151(f)7B.
Documentation Author's Declaratioq Staten ne = '' } ., /' _ .,,..• '`
• I certify that this Certificate of Com} (iaoce documentation is accurate,and corn tete. ,:
Name: Tim EsserSignature:
. a
Ti m Esser
S
Company: Esser Air Conditining
Date' 4/4/2013
Address: 36665 bankside Dr,Drive OFC,OFFICE
If Applicable ®CEA or ®CEPE
(Certification #):
City/State/Zip: Cathedral City California 92234
Phone: 760-324-0550
Responsible Building Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Name: Tim Esser
Signature:
Tim Esser
Company: Esser Air Conditining
Date: 4/4/2013
Address: 36665 bankside Dr,Drive OFC,OFFICE
License: 489046
City/State/Zip:
Cathedral City California 92234
Phone:
760-324-0550
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300.
Registration Number: 313-A0014883A-000000000-0000 Registration Date/Time: 04/04/2013 06:38:17 HERS Provider: CBPCA
2008 Residential Compliance Forms August 2009