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BRES2015-0280c&'T 4aw 06 78-495 CALLE TAMPICO VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: License No.: AEC382 Drell O Contractorf!: % L�1 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).: (_) 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.). (_) 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.). (_) I am exempt under Sec. _ . B.&P.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 Na Lender's Add Llc. No.: AEC382 WORKER'S COMPENSATION DECLARATION 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 Df th rk for which this permit is issued. t I have and will maintain workers' compensation insurance, as required by Section 3 00 of the Labor Code, for the performance of the work for which this permit s issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy Number: 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 3700 of the Labor Code, I shall forthwith comply with those provisions. If Date: 2 Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above 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 upon the above -/mentioned property for inspection purposes. Dat` Signature (Applicant or Agent C :PaCe.�,Z7 10/21%2015 Application Number: ORES2015-0280 Owner: Property Address: 51208 MARBELLA CT CT RONALD PERILMAN APN: 777320013 4335 VAN NUYS BLV NO 342�� Application Description: IWATA RESIDENCE TRACT 31349 SHERMAN OAKS, CA 92253 Property Zoning: Application Valuation: $40,000.00 Applicant: Contractor: j SOUTHWEST CONCEPTS NED NICOL CONSTRUCTION COMPANY ` 11 p��=-��-� 78115 CALLE ESTADO #105 67851 OCOTILLO TRAIL LA QUINTA, CA 92253 DESERT HOT SPRINGS, CA 92241 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: License No.: AEC382 Drell O Contractorf!: % L�1 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).: (_) 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.). (_) 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.). (_) I am exempt under Sec. _ . B.&P.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 Na Lender's Add Llc. No.: AEC382 WORKER'S COMPENSATION DECLARATION 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 Df th rk for which this permit is issued. t I have and will maintain workers' compensation insurance, as required by Section 3 00 of the Labor Code, for the performance of the work for which this permit s issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy Number: 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 3700 of the Labor Code, I shall forthwith comply with those provisions. If Date: 2 Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above 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 upon the above -/mentioned property for inspection purposes. Dat` Signature (Applicant or Agent C FINANCIAL • /• DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY, AMOUNT PAID PAID DATE ADDITION, FIRST 100 SF PC 101-0000-42600 0 $171.14 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ADDITION: $291.97 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL HEATER 101-0000-42402 0 $49.42 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL HEATER PC 101-0000-42600 0 $24.18 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $73.60 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION' ACCOUNT QTY AMOUNT PAID - PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $36.26 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $21.75 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for REMODEL: $223.34 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $5.20 $0.00 PAID BY METHOD RECEIPT# CHECK# CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $5.20 $0.00 • .:• • •i Description: IWATA RESIDENCE TRACT 31349 Type: BUILDING, RESIDENTIAL Subtype: ADDITION Status: APPROVED -CONDITIONS Applied: 7/24/2015 AZA Approved: Parcel No: 777320013 Site Address: 51208 MARBELLA CT CT LA QUINTA,CA 92253 Subdivision: TR 31349 Block: Lot: 43 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $40,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NOTE Details: 27 SF CLOSET ADDITION TO LIVING AREA AT FRONT ENTRY. REMODEL EXISTING REAR COVERED PATIO TO ELIMINATE MIDDLE COLUMN, ADD TWO WALL GAS HEATERS, ADD TWO RETRACTABLE AWNINGS, NEW GAS PIPING TO HEATERS. 2013 CODES. Printed: Wednesday, October 21, 2015 10:00:17 AM 1 of 4 irSY57FMS CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE BURT HANADA 8/10/2015 8/17/2015 FORWARD STRUCTURAL REVIEW PKG TO BURT UPON RETURN FROM YOUNG ENGINEERING. PLAN CHECK PICKED UP PHILIP JUAREZ 8/19/2015 8/19/2015 NICK NIETO 760-564-4707 PICKED UP PLANS. PLAN CHECK SENT TO KAY HENSEL 7/24/2015 7/24/2015 5TRUC TO YOUNG - DUE BACK 8/7/2015 OUTSIDE PC PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 8/20/2015 8/20/2015 RECEIVED TELEPHONE CALL BURT HANADA 8/17/2015 8/17/2015 LEFT A VOICEMAIL FOR STEVE NIETO THAT CORRECTIONS ARE READY FOR PICK UP. CONDITIONS _F_ - CONDITION DATE DATEDATE CONTACT STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED Printed: Wednesday, October 21, 2015 10:00:17 AM 1 of 4 irSY57FMS (READY TO ISSUE CHECKLIST I BURT HANADA I 9/2/2015I I I PENDING I I CONTACTS NAME TYPE NAME ADDRESS( CITY STATE ZIP PHONE FAX EMAIL APPLICANT SOUTHWEST CONCEPTS 78115 CALLE ESTADO #105 LA QUINTA CA 92253 ARCHITECT SOUTHWEST ARCHITECTS 78115 CALLE ESTADO #105 LA QUINTA CA 92253 - CONTRACTOR NICOL CONSTRUCTION COMPANY 67851 OCOTILLO TRAIL DESERT HOT SPRINGS CA 92241 OWNER RONALD PERILMAN 4335 VAN NUYS BLV NO 342 SHERMAN OAKS CA 92253 FINANCIAL• • • DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY ADDITION, FIRST 100 SF 101-0000-42400 0 $120.83 $0.00 ADDITION, FIRST 100 SF PC 101-0000-42600 0 $171.14 $0.00 Total Paid for ADDITION: $291.97 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0:00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 WALL HEATER 101-0000-42402 0 $49.42 $0.00 WALL HEATER PC 101-0000-42600 0 $24.18 $0.00 Total Paid for MECHANICAL: $73.60 $0.00 Printed: Wednesday, October 21, 2015 10:00:17 AM 2 of 4 Cm SYSTEMS INSPECTIONS i SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES T " i CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 OUTLETS PC Total Paid for PLUMBING FEES: $36.26 $0.00 REMODEL, EA 101-0000-42400 0 $21.75 $0.00 ADDITIONAL 500 SF REMODEL, EA 101-0000-42600 0 $17.40 $0.00 ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 REMODEL, FIRST 500 SF 101-0000-426000 $134.88 $0.00 PC Total Paid for REMODEL: $223.34 $0.00 SMI.- RESIDENTIAL 101-0000-20308 0 $5.20 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $5.20 $0.00 TOTALS:.:0 00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" BLD PARENT PROJECTS Printed: Wednesday, October 21, 2015 10:00:17 AM 3 of 4 OF sysreMs Permit Details PERMIT NUMBER City of La Quinta BRES2015=02§ " STRUCTURAL - 2 WK YOUNG 7/24/2015 8/7/2015 8/17/2015 READY FOR APPROVAL ENGINEERING Attachment Type CREATED OWNER - CONDITION PATHNAME SUBDIR NON-STRUCTURAL- BURT 8/20/2015 9/3/2015 9/2/2015, APPROVED- CONTRACTOR 1 2 WK HANADA KATHRYN SAMUELS 1ST REVIEW - STRUCTURAL TRANSMITTAL NEW CITY TRANSMITTAL BRES 2015-0280 (lst).pdf CONDITIONS REQUIRED Printed: Wednesday, October 21, 2015 10:00:17 AM 4 of 4 C SYSTEMS ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 8/17/2015 BURT HANADA 1ST SUBMITTAL CORRECTION LIST 51-208 MARBELLA CT. REMODEL ADDTN..docx 1 DOC 8/17/2015 KATHRYN SAMUELS 1ST REVIEW - STRUCTURAL TRANSMITTAL NEW CITY TRANSMITTAL BRES 2015-0280 (lst).pdf 0 Printed: Wednesday, October 21, 2015 10:00:17 AM 4 of 4 C SYSTEMS 51208 Marbella Ct BRES2015-0280 To: Attn: YOUNG ENGINEERING Truss Calculations Floor ElRevised Truss P.. V E S ❑ Soils Report 6 Revised Soils Report Letter of Transmittal City of La Quinta Today's Date: 8-17-15 78-495 Calle Tampico City Due Date: 8-7-15 . La Quinta, CA 92253 Project Address: 51-208 Marbella Ct. Kay Plan Check #: BRES 2015-0280 ❑ Redlined Structural Calcs Submittal: ❑ 15t' ❑ 4th Redlined Truss Calcs ® 2nd ❑ 5th ❑ ❑. 3rd ❑ Other: We are forwarding: Includes: # Of Copies: ® 1 ® 1 ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Descriptions: Includes: # Of Descriptions: Copies: Structural Plans Structural Calculations Revised Structural Plans Revised Struct. Calcs C ❑ Truss Calculations Floor ElRevised Truss and Roof ❑ Soils Report ❑ Revised Soils Report El Comment List/ ElApproved Structural Plans Responses Responses ❑ Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is approvable, pending the following: Provide a camber for the new glulam beam. Camber shall be 1.5x the dead load deflection. If you have any questions, please call. Time = 1 HR This Material Sent for: ❑ Your Files ® Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ BY: Kathryn Samuels Palm Desert Office: ® (760) 772-5107 Other: ❑ Fwd: MVCC HOA Architectural Application Subject: Fwd: MVCC HOA Architectural Application From: Bill <wliwata@aol.com> Date: 6/25/2015 6:59 AM To: Stephen Nieto <steve@swconcepts.com> CC: Ann <aeiwata@aol.com> We have approval and you can proceed with the city. Thanks. An Sent from my iPad Begin forwarded message: From: Cardinal Ambrose <Cardinal.Ambrose@albertmgt.com> Date: June 24, 2015 at 12:49:18 PM MDT ■ a 1 4n, F , m 0 JUL 2 4 2015 QUINTA COMMUNITY DE ELOP ®PMER9i To: Ann Iwata <aeiwata@aol.com>, William Iwata <wliwata@aol.com> Cc: Joe Gibbs <Joe.Gibbs@albertmgt.com>, "Karen Weaver " <karweav@gmail.com> Subject: MVCC HOA Architectural Application Hello Iwatas, I'm sorry that I didn't email you after the June 17th architectural meeting. Your application was approved and you are free to move forward with your project. I also emailed you about your former home but I believe I used another email address so it's doubtful that you received it. I spoke to the guards and they have that property noted not to call you. Please let me know if you need additional assistance. Regards, Cardinal Ambrose, CCAM, CMCA, AMS Albert Management, Inc. carclinal.ambrosePalbertmmcom P 760.346.9000 1 F 760.346.9997 <Image001.jpg> Print this email only when necessary and thank you for helping Albert Management, Inc. be environmentally responsible. This message contains confidential information and is intended only for the individual named. if you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. E-mail transmission cannot be guaranteed secure or error -free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. If verification is required please request a hard -copy version. Albert Management Inc., 41-865 Boardwalk, Suite 101, Palm Desert, CA USA, www.albertmgt.com 1 of 1 7/24/2015 11:12 AM STATE OF CALIFORNIA "-"Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 1 of 9) Project Name: lwata Addition I Date Prepared: 07/08/2015 This compliance document is only applicable to additions 300 or less, or additions that do not require HERS field verification for compliance. When HERS verification is required, a CFIR-ADD-01 shall first be registered with a HERS Provider Data Registry. Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ADD-02 and CF2R- ADD -02 Compliance Documents. Possible exemptions from dud leakage testing include: less than 40 ft of duds were added or replaced; or the existing dud system was insulated with asbestos; or the existing duct system was previously tested and passed by a HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CF1R-ADD-01 must be completed and registered with a HERS Provider Data Registry. Additions or alterations that utilize Closed Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having an R -value other than 5.8 per inch, or Open Cell Spray Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R -value of 3.6 per inch, shall complete and register a CFIR ADD -01 with a HERS Provider Data Registry. If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met. Temporary labels shall not be removed before verification by the building inspector. A. GENERAL INFORMATION 01 Project Name: Iwata Addition 02 Date Prepared: 07/08/2015 03 Project Location: 51208 Marbella Court 04 Building Front Orientation (deg): 270 05 CA City: La Quinta 06 Number of Dwelling Units with Additions: 1 07 Zip Code: 92253 08 Fuel Type: Gas 09 Climate Zone: 15 10 Total Conditioned Floor Area (fe) (Addition): 27 11 Building Type SFR 12 Slab Area (fe): 4,492 13 Project Scope: Small Closet Addition RECEIgot CITY OF LA QUINTA li V3101) BUILDING & SAFETY DEPT. APPROVED 4 2015 JUL 2 FOR CONSTRUCTION CIi1( ®F LA QUINTA I DATER, * 9Y &-' I rn C UN1'fY DEVEL®PMENi - CA Building Energy Efficiency Standards - 2013 Residential Compliance k s06c5 azoJanuary 2015 1 STATE OF CALIFORNIA Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification CEC-r-FIR-ADD-02-E (Revised 01/15) CALIFORNU CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 2 of 9) Project Name: Iwata Addition I Date Prepared: 07/08/2015 B. OPAQUE SURFACE DETAILS — Framed (Section 1S0.2(a)) 01 02 03 04 05 06 07 08 09 10 11 Tag/ID Assembly Type Frame Type Frame Depth (inches) Frame Spacing (inches) Proposed Required Comments Cavity R -value Continuous Insulation R -value LI -Factor Appendix JA4 Reference LI -Factor Table Cell Wall 2x6 5.5 16 R-21 R-21 151 C R-21 Roof 2x4 Varies 24 R-38 R-38 151 C R-38 CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 STATE OF CALIFORNIA Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification CEC-CFIR-ADD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification C (Page 3 of 9) Project Name: Iwata Addition Date Prepared: 07/08/2015 C. OPAQUE SURFACE DETAILS — Non -framed (Section 150.1(c)1) 01 02 03 04 05 06 07 08 09 10 11 Tag/ID Assembly Type Assembly Materials Thickness (inches) Proposed Required Comments Core Insulation R -value Continuous Insulation R -value LI -Factor Appendix JA4 Reference LI -Factor from I Package A Table Cell N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A D. OPAQUE SURFACE DETAILS— Mass Walls (Section 150.1(c)1) 01 02 03 04 05 06 07 08 09 10 11 Tag/ID Walls Above Grade Mass Type Mass Thickness (inches) Furring Strip Thickness (inches) Proposed Required Interior Insulation Exterior Insulation Appendix JA4 Reference Interior Insulation Exterior Insulation R -value LI -factor R -value U -factor Table Cell R -value LI -factor R -value LI -factor N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 STATE OF CALIFORNIA Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification is- CEC-CF1R-iDD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 4 of 9) Project Name: Iwata Addition I Date Prepared: 07/08/2015 E. SLAB INSULATION (Table 150.1-A) 01 02 03 04 05 06 Floor Type Proposed Required Comments Insulation R -value Insulation U -factor Insulation R -value Insulation LI -factor N/A N/A N/A N/A N/A • Heated slab floors require mandatory slab insulation (see Table 110.8-A). F. RADIANT BARRIER (Section 150.1(c)2 01 02 Radiant Barrier installed below the roof deck and on all gable end walls Comments N/A - EXISTING A radiant barrier is required (for Climate Zones 2-15) • Radiant barriers shall meet specific eligibility and installation criteria to receive energy credit for compliance with the Building Energy Efficiency Standards for low-rise residential buildings. Refer to RA4.2.1 • The emittance of the radiant barrier shall be less than or equal to 0.05 as tested in accordance with ASTM C1371 or ASTM E408. For Prescriptive Compliance the attic shall be ventilated to provide a minimum free ventilation area of not less than one square foot of vent area for each 300 ft2 of attic floor area with no less than 30 percent upper vents. Ridge vents or gable end vents are recommended to achieve the best performance. The material should be cut to allow for full airflow to the venting. CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 STATE OF CALIFORNIA Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification €' CEC=CF1R-ADD-02-E (Revised 01/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 5 of 9) Protect Name: Iwata Addition I Date Prepared: 07/08/2015 G. ROOFING PRODUCTS (COOL ROOF) (Section 150.1(c)11) 01 02 03 04 05 06 07 08 09 10 11 12 Mass Roof 251b/ft2 or Greater Roof Pitch Method of Compliance Product Type CRRC Product ID Number Proposed Required Initial Solar Reflectance Aged Solar Reflectance Thermal Emittance SRI (Optional) Aged Solar Reflectance Thermal Emittance SRI (Optional) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Calculated Maximum Calculated Maximum LI -factor SHGC Calculated Calculated based on Allowed ft based on Allowed ft2 Allowed % Allowed % N/A N/A N/A N/A N/A N/A N/A NOTES: • Any roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied coatings must comply with installation criteria from section 110.8(i)4. H. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(a)1) 01 02 1 03 04 05 06 07 08 Maximum Allowed Maximum Allowed Fenestration Area For All Orientations ft2 West -Facing Fenestration Area Only ft2 The Greater The Greater Maximum Maximum Addition Type ft2 Allowed Allowed Comments Maximum Maximum Calculated Maximum Calculated Maximum LI -factor SHGC Calculated Calculated based on Allowed ft based on Allowed ft2 Allowed % Allowed % N/A N/A N/A N/A N/A N/A N/A CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 STATE OF CALIFORNIA Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification CEC-CFIR-ADO-02-E (Revised 01/15) CALIFORNIA ENERGY CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification G (Page 6 of 9) Protect Name: Iwata Addition Date Prepared: 07/08/2015 I. FENESTRATION PROPOSED AREAS AND EFFICIENCIES 01 02 03 04 05 06 07 08 09 10 11 12 13 Tag/ID Fenestration Type Frame Type Dynamic Glazing Orientation N, S, W, E or Roof Number of Panes Proposed Fenestration 2 Area ft Proposed West Facing Fenestration Area ft2 Proposed U -factor Proposed SHGC Source Exterior Shading Device Combined SHGC from CF1R-ENV- 03 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 14 Total Proposed Fenestration Area 15 Maximum Allowed Fenestration Area 16 Compliance Statement Total Proposed Fenestration Area:5 Maximum Allowed Fenestration Area ❑ Yes ❑ No 17 Total Proposed West -Facing Fenestration Area 18 Maximum Allowed West -Facing Fenestration Area 19 Compliance Statement Total Proposed West -Facing Fenestration Area <_ Maximum Allowed West -Facing Fenestration Area ❑ Yes ❑ No 20 Proposed Fenestration U -factor 21 Required Fenestration LI -factor 22 Compliance Statement Proposed Fenestration U -factor 5 Required Fenestration U -factor ❑ Yes ❑ No 23 Proposed Fenestration SHGC 24 Required Fenestration SHGC 25 Compliance Statement Proposed Fenestration SHGC:5 Required Fenestration SHGC ❑ Yes ❑ No CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 STATE OF CALIFORNIA Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification r.crtr.caR-Annn9-F ipPvi d nlH9 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification C (Page 7 of 9) Project Name: Iwata Addition Date Prepared: 07/08/2015 J. SPACE CONDITIONING(SC) SYSTEMS - HEATING/COOLING (Prescriptive section 150.2(b). Alterations to Space Conditioning Systems shall be exempt from HERS verification requirements as prerequisite for use of the CF1R-ADD-02 and CF2R-ADD-02 Compliance Documents. If new space conditioning systems are installed or existing systems are altered and are not exempt from HERS verification, then a CF111-ADD-01 shall be completed and registered with a HERS Provider Data Registry. In each row below for each dwelling unit in the building, check the box that indicates the exemption from HERS verification compliance: ❑ a: space conditioning system was not altered; ❑ b: less than 40 ft of duds were added or replaced; ❑ c: (exempt from duct leakage testing) if: the existing dud system was insulated with asbestos; ❑ d: (exempt from duct leakage testing) if: the existing dud system was previously tested and passed by a HERS Rater. 01 02 03 04 Dwelling Unit Name SC System Identification or Name SC System Location or Area Served Exemption from HERS Verification N/A N/A N/A ❑ a ❑ b ❑ c ❑ d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 U 0 11 0 0 0 0 0 0 0 CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 STATE OF CALIFORNIA Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification CEC-CF1R-ADD-02-E Revised 01/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ADD-024 Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 8 of 9) Project Name: Iwata Addition _ Date Prepared: 07/08/.201 5 K. WATER HEATING SYSTEMS (Section 150.1(c)8) List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 Dwelling Unit Name Water Heating System Identification or Name Water Heating System Location or Area Served Water Heating System Type Water Heater Type p Water Heaters in System Water Heater Storage Volume (gal) Fuel Type Rated Input Type Rated Input Value Heating Efficiency Type Heating Efficiency Value Standby Loss (%) Exterior Insulation I R -Value Back -Up Solar Savings Fraction N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A CA Building Energy Efficiency Standards - 2013 Residential Compliance January2015 STATE OF CALIFORNIA Prescriptive Residential Additions 300 Ft2 or Less, or Additions That Do Not Require HERS Field Verification CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 9 of 9) Project Name: lWata Addition I Date Prepared: 07/08/2015 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author signature: Stephen R. Nieto Company: Signature Date: South West Concepts, Inc. Address: CEA/ HERS Certification Identification (if applicable): 78115 Calle Estado, Suite 105 City/State/Zip: Phone: La Quinta, CA 92253 1760-564-4707 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the informa io provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit ap lic ion. S. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued fo th building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included wi documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Stephen R. Nieto Company: Date Signed: South West Concepts, Inc. Address: License: 78115 Calle Estado, Suite 105 City/State/Zip: Phone: La Quinta, CA 92253 1760-564-4707 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 1 of 12) CFIR-ADD-02-E User Instructions NOTE: If more space is needed, print a duplicate page and fill in. Minimum requirements for prescriptive addition compliance can be found in Building Energy Efficiency Standards Section 150.2(a), and Table 150.1-A (Package A). Completing these forms will require that you have the Reference Appendices for the 2013 Building Energy Efficiency Standards (P400-2012-005), which contain the Joint Appendices used to determine climate zone and to complete the section for opaque surfaces. When the term CF1R is used it means the CF1R-ADD-02. Worksheets are identified by their entire name and subsequently by only the worksheet number, such as WS -02. Instructions for sections with column numbers and row numbers are given separately. If any part of the addition does not comply, prescriptive compliance fails, in which case the performance (or computer) compliance approach may be used in an attempt to achieve compliance. Only the new construction is required to meet the requirements specified in this documentation. If any alterations to the existing building are occurring, those are documented on one or more of the CF1R-ALT forms. A. GENERAL INFORMATION 1. Project Name: Identifying information, such as owner's name. 2. Date Prepared: Date of document preparation. 3. Project Location: Legal street address of property or other applicable identifying information. 4. Building Front Orientation: Building front orientation expressed in degrees, where North = 0, East = 90, South = 180, and West = 270. The standards (section 100.1) include the following additional details for determining orientation: • North is oriented to within 45 degrees of true north, including 45 degrees east of north; • East is oriented to within 45 degrees of true east, including 45 degrees south of east; • South is oriented to within 45 degrees of true south, including 45 degrees west of south; • West is oriented to within 45 degrees of true west, including 45 degrees north of west. 5. CA City: Legal city/town of property. . 6. Number of Dwelling Units with Additions: 1 for single-family,1 or more for multifamily. 7. Zip Code: 5 -digit zip code for the project location (used to determine climate zone). 8. Fuel Type: Natural Gas, Liquefied Propane Gas, or Electricity. NOTE: Prescriptive compliance only allows electricity if existing appliances are electric and natural gas is not available in the building. 9. Climate Zone: From Joint Appendix JA2.1.1. CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 2 of 12) 10. Total Conditioned Floor Area: Enter the new conditioned floor area, in ft2, as measured from the outside of exterior walls of the addition. 11. Building Type: Single Family (includes duplex), or Multi -Family (a building that shares common walls and common floors or ceilings). 12. Slab Area: Area of the first floor slab of the addition (if any) in W. 13. Project Scope: 300 ft2 or less, greater than 300 ft2 up to 400 ft2, greater than 400 ft2 up to 700 ft2, or greater than 700 ft2 up to 1000 ft2. B. OPAQUE SURFACE DETAILS - Framed Additions of 700 ft2 or less require only R-13 wall insulation. Unless otherwise noted, all other requirements of Package A are required when using prescriptive compliance. 1. Tag/ID: A label (if any) from the plans, such as A1.4 or wall. 2. Assembly Type: Roof, Ceiling, Wall, Floor Over Crawlspace, or Floor Over Exterior. 3. Frame Type: Wood or Metal. 4. Frame Depth: Nominal dimensions (in inches) of framing material such as 2x4 or 2x6. S. Frame Spacing: 16 or 24 (inches on center). 6. Proposed Cavity R -value: Insulation installed between framing members. NOTE: Wall U -factor required for all climate zones is 0.065. This U -factor can be met by wood framed 2x4 walls with R-13 cavity + RS continuous insulation (not interrupted by framing), R-15 cavity plus R-4 continuous insulation, or any combination of cavity and/or continuous insulation that results in a U -factor equal to or less than 0.065. Proposed Continuous Insulation: R -value of rigid or continuous insulation (not interrupted by framing). See Table 4.3.4. of the Reference Appendices for metal frame construction. 7. Proposed U -factor: The U -factor for the proposed assembly must be less than or equal to column 10 or have an attached Area Weighted Average Calculation Worksheet (CF1R-ENV-01-E) to show that a weighted U -factor for multiple assemblies will meet the maximum value in column 10. 8. Appendix JA4 Reference Table: Table number used to determine the R -value or U -factor (e.g., an attic assembly is 4.2.1). 9. Appendix JA4 Reference Cell: Cell number used to determine the R -value or U -factor (e.g., an R-38 ceiling with 24 -inch on center framing is A21). 10. Required U -factor: From Package A or from Section 150.2. Value required based on climate zone and assembly type. 11. Comments: Any notes regarding location, unique conditions, or attachments. CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 CERTIFICATE OF COMPLIANCE - USER INSTRUCTIONS CF111-ADD-024 Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 3 of 12) C. OPAQUE SURFACE DETAILS - Non -Framed 1. Tag/ID: A label (if any) from the plans, for example, A1.4 or wall. 2. Assembly Type: Roof, Wall. 3. Assembly Materials: SIP OSB, SIP I -Joist, see JA4 for guidance. 4. Thickness: Thickness in inches. 5. Proposed Core Insulation R -value: Insulation installed within the materials or on the inside. See Joint Appendix JA4 for guidance. 6. Proposed Continuous Insulation R -value: Insulation installed on the exterior. See Joint Appendix JA4 for guidance. 7. Proposed U -factor: Proposed U -factor from JA4 or CFiR-ENV-01-E. Must be less than or equal to column 10. 8. Appendix JA4 Reference Table: Table number used to determine the R -value or U -factor (e.g., a SIP wall is 4.3.2). 9. Appendix JA4 Reference Cell: Cell number used to determine the R -value or U -factor (e.g., a 4.5 -inch thick OSB wall with R-18 core insulation and no continuous insulation is A5). 10. Required U -factor from Package A: Based on assembly type and climate zone. 11. Comments: Any notes regarding location, unique conditions, or attachments. D. OPAQUE SURFACE DETAILS - Mass Walls 1. Tag/ID: A label (if any) from the plans, for example, A1.4 or wall. 2. Walls Above Grade: Yes or No. 3. Mass Type: ICF, Masonry. See JA4 for guidance. 4. Mass Thickness: Thickness (in inches) of mass. 5. Furring Strip Thickness: If furring strips are required to meet the wall R -value or U -factor shown in columns 10 & 11, indicate the thickness of the furring strip (in inches). See Table 4.3.14 of Joint Appendix 4. 6. Proposed Interior Insulation R -value or U -factor: Enter either the R -value or U -factor of proposed insulation on the inside surface of the mass wall. See column 10 for the required insulation value for the wall type selected. See JA4 for guidance. Use the same descriptor (R - value or U -factor) throughout Table D. 7. Proposed Exterior Insulation R -value or U -factor: Enter either the R -value or U -factor of proposed insulation on the outside surface of the mass wall. See column 11 for the required insulation value for the wall type selected. See JA4 for guidance. 8. Appendix JA4 Reference Table: Table number used to determine the R -value or U -factor (e.g., an ICF wall is 4.3.13). 9. Appendix JA4 Reference Cell: Cell number used to determine the R -value or U -factor (e.g., an 8 -inch thick ICF wall with 2 inches of EPS (R- 15.4) is A6). 10. Required Interior Insulation R -value or U -factor: The required R -value or.U-factor (whichever descriptor was selected in column 6) for interior insulation will be completed based on the Table 150.1-A requirements for the wall type. 11. Required Exterior Insulation R -value or U -factor: The required R -value or U -factor (whichever descriptor was selected in column 7) for exterior insulation will be completed based on the Table 150.1-A requirements for the wall type. CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 4 of 12) E. SLAB INSULATION Slab edge performance specifications and installation criteria are found in Sections 150.0(l) and 150.1(c)1D (Table 150.1-A). Requirements vary by climate zone and slab conditions. 1. Floor Type: Types include slab -on -grade or raised slab. • Slab -on -grade floors require slab edge insulation in climate zone 16 only. • Raised slab must be insulated to R8 in climate zones 1, 2, 11, 13, 14 and 16, R-4 in climate zones 12 and 15, and no insulation is required in climate zones 3-10. 2. Proposed Insulation R -value: When required, insulation can be specified by either R -value or U -factor (use the same descriptor throughout Table E). When specifying an R -value complete column 2. 3. Proposed Insulation U -Factor: When required, specify the U -factor of proposed insulation in column 3. 4. Required Insulation R -value: Specify the value required, which will vary by climate zone and type of slab. Values are from Table 150.1-A. 5. Required Insulation U -factor: Specify the value required, which will vary by climate zone and type of slab. Values are from Table 150.1-A. 6. Comments: Any notes regarding location, unique conditions, or attachments. NOTE: There is a mandatory slab edge insulation requirement for heated slab floors. Since mandatory requirements are not listed on the Certificate of Compliance, this is provided for information purposes only. The specific requirements are in Sections 110.8(8) and Table 110.8-A. F. RADIANT BARRIER 1. Radiant Barrier installed below the roof deck and on all gable end walls: Yes or No. Radiant barriers are required in climate zones 2-15. 2. Comments: Any notes regarding location, unique conditions, or attachments. NOTE: Radiant barrier performance specifications and installation criteria are found in Sections 110.80) and 150.1(c)2, and in Residential Appendix RA4.2.1. CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 5 of 12) G. ROOFING PRODUCTS (COOL ROOF) Roofing requirements are found in Section 110.8(1) and 150.1(c)11. Depending on the climate zone and roof slope, a cool roof (defined as a minimum aged solar reflectance and thermal emittance, or a minimum SRI) may be required by Package A. NOTE: Exceptions include (1) additions of 300 ft2 or less, (2) low -slope roofs (pitch 2:12 or less) in climate zones 1-12, 14 and 16; (3) steep slope roof (pitch greater than 2:12) in climate zones 1-9 and 16; (4) roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft2; and (5) any roof area covered by building integrated photovoltaic panels and solar thermal panels (the area of roof not covered by photovoltaic panels would still need to meet any applicable cool roof requirements). 1. Mass Roof 25 Ib/ft2 or Greater: Yes or No. Mass roofs are not required to have a cool roof even if the climate zone specifies minimum performance requirements. 2. Roof Pitch: Expressed as 4:12, for example, which means the roof rises 4 foot within a span of 12 feet. When roofs have multiple pitches the requirements are based on the pitch of 50% or more of the roof. 3. Method of Compliance: Indicate if the method of compliance is going to be based on Aged Solar Reflectance and Thermal Emittance or if it is going to be based on the Solar Reflectance Index (SRI). 4. Product Type: See Cool Roof Rating Council's directory. Generally product types include single -ply roof, wood shingles, asphalt roof, metal roof, tile roof. 5. CRRC Product ID Number: The CRRC Product ID Number is obtained from the Cool Roof Rating Council's Rated Product Directory at www.cooIroofs.org/products/results . Products are listed by manufacturer, brand, type of installation, roofing material, and color, as well as product performance. 6. Proposed Initial Solar Reflectance: Based on the product chosen from the Cool Roof Rating Council's Rated Product Directory. If using default assumption indicate NA since the Aged solar reflectance is available. 7. Proposed Aged Solar Reflectance: Value is from the Cool Roof Rating Council's Rated Product Directory. If the aged value is not available, calculate the Aged Solar Reflectance using the Solar Reflectance Index (SRI) Calculation worksheet located on the California Energy Commission website or the aging equation paged=(0.2+0[pinitia1-0.2], where pinitiai = the initial solar reflectance and soiling resistance R is listed by product type below. VALUES OF SOILING RESISTANCE R BY PRODUCT TYPE Product Type CRRC Product Category (3 Field -Applied Coating Field -Applied Coating 0.65 Other Not A Field -Applied Coating 0.70 CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 6 of 12) 8. Proposed Thermal Emittance: From the product specification default value. If using a calculated SRI, enter the Thermal Emittance used to calculate SRI. 9. Proposed SRI: It is optional to meet the SRI but if chosen to do so, use the Solar Reflectance Index (SRI) Calculation Worksheet found on the California Energy Commission website http://www.energV.ca.gov/title24/. 10. Required Aged Solar Reflectance: Based on climate zone and roof slope. 11. Required Thermal Emittance: Based on climate zone and roof slope. 12. Required SRI: Based on climate zone and roof slope. If the cool roofing requirements will be met by a liquid field applied coating, Section 110.8(i)4 requires the coating be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the manufacturer. H. FENESTRATION/GLAZING AREAS ALLOWED Fenestration areas are expressed in square feet, not square inches. The climate zone and size of the addition will affect the area of fenestration (also known as glazing) allowed. If limited to 20%, for example, this is calculated as Conditioned Floor Area (CFA) of the addition x 0.20 --total ft2 of fenestration allowed. For additions that are 1000 ft2 or less, but greater than 700 ft2, the limit of total fenestration is the greater of 175 ft2 or 20% of the CFA of the addition. For additions that are 700 ft2 or less, but greater than 400 ft2, the limit of total fenestration is the greater of 120 ft2 or 25% of the CFA of the addition. For additions that are 400 ft2 or less, the limit of total fenestration is the greater of 75 ft2 or 30% of the CFA of the addition. For additions that are 1000 ft2 or less, when west -facing fenestration is limited (in climate zones 2, 4, and 6-16), it is limited to either 70 ft2 (for additions greater than 700 ft2) or 60 ft2 (for additions that are 700 ft2 or less). 1. Addition Type ft2: Based on "Project Scope." The addition's area in square feet: 15400 ft2, >400 ft2 to 15700 ft2, or >700 ft2 to :51,000 ft2. (2. through 7.—These fields will be completed based on conditioned floor area of the addition and/or climate zone. The values in these fields will be entered into Section I.) Maximum allowed fenestration area for all orientations is ther eater of the values in columns 2 or 3: CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 7 of 12) 2. Maximum Calculated based on Allowed %: The addition's CFA multiplied by the allowed %. The maximum total fenestration area is 30% for additions up to 400 ft2, 25% for additions greater than 400 ft2 but no greater than 700 ft2, and 20% for additions greater than 700 ft2. 3. Maximum Calculated Allowed ft2: The maximum total fenestration area is 75 ft2 for additions up to 400 ft2, 120 ft2 for additions greater than 400 ft2 but no greater than 700 ft2, and 175 ft2 for additions greater than 700 ft2. Maximum allowed west -facing area is thera; eater of the values in columns 4 or 5: 4. Maximum Calculated based on Allowed %: The maximum west -facing fenestration area (in climate zones 2, 4, and 6-16) is 5% for additions greater than 700 ft2. 5. Maximum Calculated Allowed ft2: The maximum west -facing fenestration area (in climate zones 2, 4, and 6-16) is 60 ft2 for additions no greater than 700 ft2, and 70 ft2 for additions greater than 700 ft2. Addition CFA: 5 400 ftZ > 400 ftZ to 5 700 ftZ > 700 ft' to 5 1,000 ft' The Greater Of: The Greater Of: The Greater Of: Orientation Percentage Area (ft) Percentage Area (ftZ) Percentage Area (ft2) West -facing (CZs 2, 4, 6-16) - 60 - 60 - 70 All Orientations 1 30% 75 25% 120 20% 175 NOTE: West includes any vertical fenestration oriented to within 45 degrees of true west (in either direction), including 45 degrees north of west, any skylights oriented west, and skylights facing any direction with a pitch of less than 1:12. 6. Maximum Allowed U -factor: Maximum area -weighted average of 0.32 for all climate zones. 7. Maximum Allowed SHGC: Maximum area -weighted average of 0.25 for climate zones 2, 4, and 6-16; otherwise N/A. 8. Comments: Any notes regarding location, unique conditions, or attachments. CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 8 of 12) I. FENESTRATION PROPOSED AREAS AND EFFICIENCIES 1. Tag/ID: Provide a name or designator for each unique type of fenestration surface. This designator should be used consistently throughout the plan set (elevations, finish schedules, etc.) such as Window -1, Skylight -1, etc. to identify each surface. It should also be consistently used on the other forms in the compliance documentation. 2. Fenestration Type: Indicate the type of fenestration construction e.g., Fixed Window, Operable Window, Greenhouse/Garden Window, Curtain Wall/Storefront, or Glazed Doors. For Skylights use: Glass Curb Mounted, Glass Deck Mounted, or Plastic Curb Mounted. NOTE: Doors with glazing are counted in one of two ways. The entire area of a door with 50% or more glazing is considered fenestration. A door with less than 50% glazing can be considered as all fenestration, or can be calculated as the actual glass area with a 2 -inch (0.17 ft) frame all around. 3. Frame Type: Vinyl, Wood, Metal, Metal Thermal Break, Clad, Fiberglass, or None. 4. Dynamic Glazing: Indicate whether the fenestration has an integrated shading device, chromogenic glazing, or none for no dynamic glazing. Chromogenic glazing shall be considered separately from other fenestration types. 5. Orientation: Orientation can be North, East, South, West, Roof, or degrees. If documentation is for a building that may be built in any direction, in a climate zone that limits west -facing fenestration, complete this section assuming the side of the building with the most fenestration faces west. NOTE: West includes any vertical fenestration oriented to within 45 degrees of true west, excluding 45 degrees south of west; any skylights oriented west; and skylights facing any direction with a pitch of less than 1:12. 6. Number of Panes: Indicate the number of panes for each Tag/ID; is it a single, double, or triple pane window? Enter either: 1, 2, or 3 to represent the panes. 7. Proposed Fenestration Area ft2: The size of any windows, doors with glass, or skylights within the floor area of the addition (combine windows with the same characteristics). Indicate the area (in square feet) of each exterior fenestration type, including west -facing fenestration. 8. Proposed West Facing Fenestration Area ft2: In climate zones 2, 4, and 6-16, enter the size of any west -facing windows, doors with glass, or skylights within the floor area of the addition. Indicate the area (in square feet) of each exterior west -facing fenestration type separately. 9. Proposed U -factor: Enter (a) the NFRC U -factor based on the proposed brand and type of fenestration using National Fenestration Rating Council (www.nfrc.org) certified values, or (b) the default value from Table 110.6-A, or (c) the NA6.2 alternate default LI -factor (for non -rated site -built fenestration only). CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 9 of 12) If any products (other than the exceptions noted below) have a higher U -factor than 0.32, first complete a CF1R-ENV-02-E to calculate the area -weighted average U -factor, which must be 0.32 or less, and attach it to the MR -ADD -014 - NOTES: (1) An exception allows up to 3 ft2 of tubular skylights and up to 3 ft2 of glazing in a door without having to meet the maximum U -factor; this field can be N/A. For up to 16 ft2 of skylight area this value can be 0.5S or less. (2) Dynamic glazing is a glazing system that changes its performance U -factor and SHGC based on the physical environment. Dynamic glazing includes chromogenic glazing or integrated shading systems (this does not include internally or externally mounted shading devices). If using dynamic glazing, use the lowest tested U -factor and SHGC in Columns 9 and 10. 10. Proposed SHGC: In climate zones 2, 4, and 6-16, enter (a) the NFRC SHGC based on the proposed brand and type of fenestration using National Fenestration Rating Council (www.nfrc.org) certified values, or (b) the default value from Table 110.6-13, or (c) the NA6.3 alternate default SHGC (for non -rated site -built fenestration only). If any products (other than the exceptions noted below) have a higher SHGC than 0.25 in a climate zone with a maximum SHGC value, first complete a CFIR-ENV-02-E to calculate the area -weighted average SHGC, which must be 0.25 or less, and attach it to the CF1R-ADD-01-E. NOTES: An exception allows up to 3 ft2 of tubular skylights and up to 3 ft2 of glazing in a door without having to meet the maximum SHGC; this field can be N/A. For up to 16 ft2 of skylight area this value can be 0.30 or less. 11. Source: The source of the U -factor and SHGC data for the fenestration product—indicate whether NFRC, Tables 110.6-A and 110.6-13, or Equations NA6-1 and NA6-2. 12. Exterior Shading Device: If exterior shading devices are used to meet the SHGC requirement, indicate the type of device (from Table S-1 of CF1R-ENV-03-E Solar Heat Gain Coefficient Worksheet) and attach the MR -ENV -03-E. NOTES: An exterior shading device is not used for products with an NFRC rated U -factor and SHGC based on a factory integrated shading device. 13. Combined SHGC from CF1R-ENV-03: If exterior shading devices are combined with the SHGC value of the fenestration to meet the prescriptive SHGC requirements (as indicated in column I. 12), indicate the SHGC calculated on form CF1R-ENV-03 and attach the form for each window with an exterior shading device. CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 10 of 12) To determine compliance with allowable fenestration areas and efficiencies, complete rows 14-25. 14. Total Proposed Fenestration Area: The sum of column I. 7. 15. Maximum Allowed Fenestration Area: From section H., report the greater value of column 2 or 3. 16. Compliance Statement: Verify whether I. 14 is less than or equal to I. 15. Indicate Yes or No. If No, the project fails prescriptive compliance—specified fenestration areas must be reduced, or compliance may be attempted using the performance approach. 17. Total Proposed West -Facing Fenestration Area: The sum of column I. 8. 18. Maximum Allowed West -Facing Fenestration Area: From section H., report the greater value of column 4 or 5. 19. Compliance Statement: Verify whether I. 17 is less than or equal to I. 18. Indicate Yes or No. If No, the project fails prescriptive compliance—specified west -facing fenestration areas must be reduced, or compliance may be attempted using the performance approach. 20. Proposed Fenestration U -factor: If necessary, report the area -weighted average U -factor from the completed CF1R-ENV-02-E. Otherwise, report the largest value from column 1.9. 21. Required Fenestration U -factor: From section H., report the value of column 6. 22. Compliance Statement: Verify whether I. 20 is less than or equal to I. 21. Indicate Yes or No. If No, the project fails prescriptive compliance—specified fenestration U -factors must be reduced, or compliance may be attempted using the performance approach. 23. Proposed Fenestration SHGC: If necessary, report the area -weighted average SHGC from the completed CF1R-ENV-02-E. Otherwise, report the largest value from columns I. 10 and I. 13. 24. Required Fenestration SHGC: From section H., report the value of column 7. 25. Compliance Statement: Verify whether I. 23 is less than or equal to I. 24. Indicate Yes or No. If No, the project fails prescriptive compliance—specified fenestration SHGC must be reduced, or compliance may be attempted using the performance approach. J. SPACE CONDITIONING SYSTEMS - HEATING/COOLING If an existing space system will condition an addition, the prescriptive requirements do not apply to that system (Exception 4 to Section 150.2(a)). The enforcement agencies may require verification that the capacity of the existing heating system is adequate to meet the added load of the additional conditioned floor area. Since there is no health and safety code requirement to provide cooling, the enforcement agency will not ask for verification that the capacity of the existing system is adequate to meet the added load of the additional conditioned floor area. If a new system is installed complete a Certificate of Compliance for Alterations to Space Conditioning Systems (CF111-ALT-02). 1. Dwelling Unit Name: Name of dwelling unit or any other identifying name. 2. SC System Identification or Name: Name of the Space Condition (SC) System or any other identifying name. 3. SC System Location or Area Served: Zone, or area, served by the Space Conditioning (SC) System. 4. Exemption from HERS Verification: Section 150.2(b)1E CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS CF1R-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page it of 12) a. Space Conditioning (SC) System was not altered. b. Duct systems with less than 40 linear feet in unconditioned spaces as determined by visual inspection. c. Existing duct systems constructed, insulated or sealed with asbestos. d. Duct systems that have been documented to have been previously sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Reference Residential Appendix RA3.1 K. WATER HEATING SYSTEMS Water heating compliance for an addition is described in Section 150.2(a). When a water heater is added as part of an addition in a single dwelling, a gas or propane water heater, with a storage tank of 60 gallons maximum or instantaneous, can be used. Electric water heaters can only be used if gas or propane is not available and no recirculation pump can be used. 1. Dwelling Unit Name: Name of dwelling unit or any other identifying name. 2. Water Heating System Identification or Name: Name of the Water Heating System or any other identifying name. 3. Water Heating System Location or Area Served: Zone, or area, served by the Water Heating System. 4. Water Heating System Type: Domestic Hot Water (DHW), Hydronic, Combined Hydronic, or Central. DHW is for domestic hot water, hydronic is a water heating system used for space heating only; combined hydronic is when the water heater will provide both space conditioning and domestic hot water. S. Water Heater Type: For non -central systems only Small Storage or Small Instantaneous are allowed. For central systems pick from Large Storage, Small Storage, Heat Pump, Boiler, Large Instantaneous, Small Instantaneous, or Indirect. 6. Number of Water Heaters in System: In single-family and multi -family with water heaters in each dwelling unit the value is 1. For multi- family central systems serving multiple dwelling units enter the total number of water heaters. 7. Water Heater Storage Volume: Tank capacity in gallons. For individual water heaters for a dwelling unit this will be 60 gallons or less. If instantaneous, enter n/a. For multi -family central systems enter the total storage volume. 8. Fuel Type: Gas, Propane, or Electric (Only if natural gas is not available) 9. Rated Input Type: Enter the equipment input rating type, for gas or propane fired system units are Btuh, for electric fired system the units are kW. 10. Rated Input Value: Enter the numeric value of rated input. 11. Heating Efficiency Type: Energy Factor, AFUE, or Thermal Efficiency. From product literature or a California Energy Commission directory. 12. Heating Efficiency Value: Enter the value from product literature or a California Energy Commission directory 13. Standby Loss (%): Applies only to large storage water heaters. Enter n/a for small storage or instantaneous water heaters. 14. Exterior Insulation R -Value: Enter the R -value if exterior insulation on the storage tank is installed 15. Back -Up Solar Savings Fraction: If compliance requires a back-up solar system, indicate the solar contribution (e.g., 0.30). External calculations are required. CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS CF111-ADD-02-E Prescriptive Residential Additions 300 Ft or Less, or Additions That Do Not Require HERS Field Verification (Page 12 of 12) DOCUMENTATION DECLARATION STATEMENTS 1. The person who prepared the CF1R will sign and complete the fields for their name, company (if applicable), address, phone number, certification information (if applicable), date and signature. 2. The person who is assuming responsibility for the project being built to comply with Title 24, Part 6, will complete the fields for their name, company (if applicable), address, phone number, license number (if applicable), date and signature. REFERENCES 1. Water Heaters: Section 150.1(c) allows a limited number of conditions for water heating. If conditions other than these are proposed, the prescriptive compliance approach cannot be used: A. .150.1(c)8A one gas or propane storage water heater, up to 75,000 Btu/hour input (typically 50 gallons or less), with either no recirculating system or a demand recirculation system with manual controls. If the Energy Factor is less than or equal to the federal minimum, it must have an R-12 external wrap. See D. below. B. 150.1(c)8B one gas or propane instantaneous (tankless) water heater with an input of 200,000 Btu/hour or less, no storage tank, and either no recirculating system, or a demand recirculation system with manual controls. . C. 150.1(c)8C a central water -heating system that includes the following components (1) gas or propane water heaters; boilers or other water heating equipment, (2) a water heating recirculation loop that meets the requirements of Section 110.3(c)2 and Section 110.3(c)5 equipped with automatic controls for the recirculation pump based on measurement of hot water demand and hot water return temperature, and if more than 8 dwelling units, two recirculation loops each serving half of the building; (3) a solar water - heating system with a minimum solar savings fraction of 0.20 in climate zones 1 through 9 or a minimum solar savings fraction of 0.35 in climate zones 10 through 16 (installation criteria is in Reference Residential Appendix RA4). D. 150.1(c)8D if natural gas is not available, an electric -resistance storage, or instantaneous water heater with additional criteria that it be located inside the conditioned space, has no recirculation pumps, and has a solar water -heating system with a minimum solar savings fraction of 0.50 (installation criteria is in Reference Residential Appendix RA4) CA Building Energy Efficiency Standards - 2013 Residential Compliance January 2015