13-0510 (MECH)44520 Marguerite Ct
13-0510
P.O. BOX 1504
78-495 CALLE TAMPICO.
LA QUINTA, CALIFORNIA 92253
4
BUILDING & SAFETY. DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS.(760) 777-7153
LICENSED CONTRACTOR'S DECLARATION
hereby affirm underpenalty of perjury that l 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. -
License Class: C20 ense No.: 489046
/
' Da Contra/ ct or.:
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.).
Data: 0•.ene':
Lender's Name:
Lender's Address:
LQPERMIT
------------------
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 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 C TLEPOINT 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
i/
3,70 of the Labor Co I shall fort with comply w' those provisions.
'Date: 3Applicant: 0 f '
WARNING: F ILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1.. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit'issued as a result of this application,
2. :,n; pumnit is>uad as a result or this ap!A,:,tf0r. beC011Ia$ null anJ void it work is not commenced
..........80 day: iron: d. cf issae.. s r` soh n., c,:.sn:.^, of •..n•k L, t SO d:t s ,i1!
of this count to en er77upon the above-mentioned property fol /ispee5tio
Dat/ Z f 5ignature (Applicant or Ag/
4/23/13
Application Number:
13-00000510
Owner:
Property Address:
44520 MARGURITE CT
BETH MINELLI
APN:
604-252-036-56 -24208 -
44520 MARGUERITE CT
Application description:
MECHANICAL
LA QUINTA, CA 92253Property
F"M
Zoning:
LOW DENSITY RESIDENTIAL
(916)791-0864
Application valuation:
7275
Contractor:
Applicant: ' `
Architect or Engineer:
ESSER .AIR CONDITIONING
& HTG
P.O. BOX 1636
p 1K
CATHEDRAL CITY, CA
(760)324-0550
92235
\
Lic. No.: 489046
\
V
,
LICENSED CONTRACTOR'S DECLARATION
hereby affirm underpenalty of perjury that l 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. -
License Class: C20 ense No.: 489046
/
' Da Contra/ ct or.:
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.).
Data: 0•.ene':
Lender's Name:
Lender's Address:
LQPERMIT
------------------
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 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 C TLEPOINT 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
i/
3,70 of the Labor Co I shall fort with comply w' those provisions.
'Date: 3Applicant: 0 f '
WARNING: F ILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1.. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit'issued as a result of this application,
2. :,n; pumnit is>uad as a result or this ap!A,:,tf0r. beC011Ia$ null anJ void it work is not commenced
..........80 day: iron: d. cf issae.. s r` soh n., c,:.sn:.^, of •..n•k L, t SO d:t s ,i1!
of this count to en er77upon the above-mentioned property fol /ispee5tio
Dat/ Z f 5ignature (Applicant or Ag/
LQPERMIT
Application Number . . . 13-00000510
Permit . . . •MECHANICAL
Additional desc .
Permit Fee 40.50 Plan Check Fee
10.13
Issue Date . . . . Valuation
0
Expiration Date .. 10/20/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 9.0000 EA MECH FURNACE <=100K
9.00
1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU
16.50
- --- ------------------------------------
Special Notes and Comments
HVAC CHANGE OUT - 16SEER/80 AFUE SPLIT
SYSTEM [2008 ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2010.CALIFORNIA BUILDING
CODES.-
ODES.-
---------------------- ------------ 7 -------------------------------------------
---------------7------------------------------------------
Other
Other Fees . . . . . BLDG STDS ADMIN (SB1473) _
1.00
Fee summary Charged Paid Credited .-.Due
.
- ---------- ---------- ---------- ----------
Permit Fee Total 40.50 .00 .00
40.50
Plan Check Total 10.13 .00 .00
10.13 .
Other Fee Total 1.00 .00 .00
1.00
Grand Total 51.63 .00 .00
51.63
LQPERMIT
Bin. #
City of La Quinta
Bullding U Safety Division
P.O. Box 1504,78-495 Calle Tamplco
14.Quinta, CA 92253 • (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: f'a WXA-e-CzuOwner's
Name:.
A. P. Number.
Address: —i" i'J2 ) Ra (je—i! k' CAL&
Legal Description:
City, ST, Zip: L QwC(k - . ! t-TG3
Contractor:
' E
R//UC.
Teleh I '
p one: ke-
Addrcssj-6,Cj5 8AN Ht ,/ `g Q R S'TE C
Project Description:
City, ST, zip:cA-rHrDAA - Cray , y
I ns u,l I { 1 5-tDA s I1 t 1e V►'I
Telephone:-/C,-C'^,.32 --0575,Gi `! 'n>
State Lic. # : 6 City Lic. C pt6q
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
_
State Lic. #:q;
Name of Contact Person: MICH,LI L EGFR
Construction Type: _ Occupancy:
Pro )Repair
jest type (circle one): New Add'n Alter Demo
Sq. Ft : # Stories:
#Univ:
Telephone # of Contact Person: &D c.. --05 0
Estimated Value of Project: a? J
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd 'Rec'd TRACMG PERMrF FEES
PI?n Sets
Plan Cheep submitted
Item Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit.
Truss Cates.
Called Contact Person
Plan Check Balance.
Mile24 Cates.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
r' Review, ready for correctionsfissue
Electrical
Subeontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.
H.O.A. Approval
Plans resubmitted
Gradlag
IN HOUSE:-
''' Review; ready for corrections/issuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Tdtal Permit Fees
i
Prescriptive Certificate of Compliance: Residential - - CF -IR -ALT
Residential Alterations - age I of 5
Project Name: Climate Zone # # of Stories
Minelli, Beth 115 '` 1
• _ a
General Information - " • •
Site Address: 44520 Marguerite La Quinta CA 92253
Enforcement Agency: La Quinta, City of
.Date: 4/10/2013
Building Type 0 Single Family 0 Multi Family .
Circle the Front Orientation: N, E,Q W, or degrees '
Conditioned Floor Area (CFA): 2000
Project Type: ElAlterations ❑Envelope ❑Fenestration [I Roof HVAC
Framed ' Continuous
IA4lTab1` - avtty , n 0 afib,
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 ofan entire .wall, ceiling, or floorassembly requires the installation of Component
Package- D insulation values in Table 151-C. Fill in Columns A -J •
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. .
A B I C D E
F G' I .H I I• J
Proposed See NO2e Standard
Values From JA4
Table
Tag/ Assembly aine
Framing Thickness _
fMate islj ` t, Sp ng, -
1et'' dfacito 4
Framed ' Continuous
IA4lTab1` - avtty , n 0 afib,
JA4 Proposed
Assembly Assembly
ID' or T eS ''
anA 1 or OOther3
Num rs i= alue ' RR ta ue' `
Cell ValuO U-factor9
Joint Appendix Table 4.3.13 .
- . 'l drnIt
wA+,r.
oa
a N
Assembly j
o $ -Z
Note: For furred assemblies, dee g for -76tih n R -value, seeRage•J A4-3 and Equ tOnN-, 1 Aalculating furred walls use the Mass and
tinuous
Furring Construction sable below. 1
1. For Tag/ID indicate`the identification' name thatl matches the building plans. %
2. Indicate Assembly Name Roof/Ceili gaWalls, 4nd -Indiea the
the or type: Floors, Slabs„Crawl Space, Doors e4 t Frame type and Size: For
Wood, Metal, Metal Buildings, Mass, enter 2x4;l-2x6, or etc see JA4 for other possible frame typeAsemblies.
3.. Enter the thickness for mass in inches or Spac ng betw'e fr` ming 1-91- ebers enter; 76` -or -24=0C or 01herrfor other 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 Table115l -B, C or D for each dierent bssembly-Name-or-typ e.
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 B C D I E
F G I H 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 4.3.5 4.3.6 4.3.7
Joint Appendix Table 4.3.13 .
oa
a N
Assembly j
o $ -Z
F `o 3 'e6 > 7
Final '
Mass
Name or ]A4 Table '
m m
^ y`; E
E o . = m m
t> v >
Assembl Y
Thickness'
Type' Number' ¢ >
= x c 0.
e o ¢ >
U -factor'
Comment
Registration Number: 313-A0014945A-000000000-0000 Registration Date/Time.: 04/10/2013 10:29:51 HERS Provider: CBPCA
2008 Residential Compliance Forms • r August 2009
' 4_
Prescriptive Certificate of Compliance: Residential {' CF -1R -ALT
Residential Alterations age 2 of 5
Project Name: Climate Zone # # of Stories.
Minelli, Beth 15 ` 1
Mass and Furring Strips Construction(footnotes) _
1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
e found Reference Joint Appendix JA4. r •
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. a '
. 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 J44. The equation is the inverse of Column
added to Column I. 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 Din
Table 151-C. The Total Fenestration and West facing Area requirements are not applicable.
❑ Adding 50ft2 or less of window area — Newly installed windows shall meet the. U -Factor and SHGC Value requirements of Component
Package D in Table 151-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
•• ®# Onenahon
W it p +t'u ;, .. ,t
Fenestrae owzy-pe and E'ramee I'' ( orth '.E ropsedArea imu n Mazirrtum 'NFRC or Default
(Window,SO
Glass -Door -or Skylight) , South, West) ,fez) ,U-factotz s $IIGC,z ,4 Values
1. Fenestration area is the area of total glazed product"(i.e. glass plus frame). Exception. *When`a door is less tharr50% glass, the fenestration
area may be the glass area plus a "2 inch frame'4Laround the glass.
2. Enter value from Component Package D Requirements in Talble /51 C
3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have 066wer factor and/or a lower
SHGC value than that specified on the CF -IR ALT Form. l
4. Submit a completed WS -31? Form if a reduced SHGC is calculated with exterior shading.
5.1fapplicable 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 50ftZ
offenestration is added)
. A'•
B
C
D
E
F
G
Allowed
Existing
Fenestration
Total Area
CFA of Entire'
% of
Fenestration
Area
Fenestration
Allowed
Proposed Areal
Dwelling
CFA
Area
Removed
Area Added
A x B)
(E -D) + C
Total Fenestration Area
W)
.20
r i
West Fenestration Area
• (Required In
05
_
>
CZ's 2,4&7-15)—
-
1. 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 ore ual to the Total Allowed Area or BOTH the Total and West Fenestration Areas.
Registration Number: Registration Date/Time: U4/ 1 U/ZU i 3 -i U'Ztl:S-'. HERSProvider: L;bF'l.A
2008 Residential Compliance Forms ► August 2009
Prescriptive Certificate of Compliance: Residential CF=1R`ALT
Residential Alterations Page 3 of 5
Project Name: Climate Zone # # of Stories
Minelli, Beth 115 1 F
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000 ft , whichever is
less, the new roofing area must meet the roofing product "Cool Roof' requirements of §752(6)1 Hi, 152(b)1Hii, or 152(6)1 Hiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If any
one of the alternatives or, exception below is checked, the Aged Solar Reflectance and Thermal Emittance 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.] through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less
than 5lb/ft . ^
Alternatives to §152(b)l Hi and §152(b)Hii; Steep -slope roof (pitch > 2:12) r ;
❑ Insulation with a thermal resistance of at least 0.85 hr•flZ•°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(010; or -
❑ In climate zones 10, 12 and 13, with 1 ft of free ventilation area of attic ventilation for every 150 112 of attic floor area, and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge, or •. ' 4
❑ Building has at least R-30 ceiling insulation; or
❑ Building has radiant barrierrW' the attic meeting the require ents of §151(1)2;-o f
❑ Building has n duc sC° inM i'e'a't# c or jj :p, ' y p
❑ In climate zones 10, L1, 13-and,14 R-3 or,greater roof deck insulation alio a vented attic.
Exception to §152(b)1"Hiii, Low -slope roof (pitc%! «: 2
n,r 1 'i
❑ Building has no ducts,,in the attic. X
Other Exceptionsd"
❑ Roofing
area covered by buildi ng,integrl ted; phofovol aic panels and solar thermal panels.are exempt from the below Cool Roof criteria.
❑ Roof constructions that have.thermal mass over the roof membrane with atyleast 25 lb/,lir is exem t -from the,below-Cool Roof criteria
Note: If no CRRC-1 labe, I vailablftFiiscompliance m6thod cannot be used, use the P6 rformance Approach to show compliance, otherwise,
"Cool
Check theapplicable box below`tf Exem t fromtithe Roofing Products Roof' Re uirement
Roof Slope
Product Weigh
Product'`ged-Solar'
Thermal
CRRC Product ID Number <_-2-:-12' >_2 -121
< 519/W,>:_516 *
,T eZ
Reflectance3'4'`
Emiltance
SRIS
' ❑
❑
-❑.
❑
04
❑
❑ •
❑
❑
❑4
i
❑
❑
❑
❑
❑4
❑
❑
❑
❑•
❑4
/. The CRRC Product 1D Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.orQ/products/searchphp
2. Indicate the type of product 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 some
directory and use the equation (0.2+0.7(p;,,;j;at — 0.2) to obtain a calculated aged value. Where pis 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 hth2.-IAvww.energv.ca.gov/title24/and 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
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating
TO Cement -Based Roof Coating •
❑ Other
Registration Number: 313-A0014945A-000000000-0000 -Registration Date/Time: 04/10/201310:29:51 HERS Provider.' CBPCA
2008 Residential Compliance Forms August 2009
1
Prescriptive Certificate of Com liance: Residential CF -IR -ALT
Residential Alterations age 4 of 5)'
Project Name: Climate Zone # # of Stories
Minelli, Beth 15 1
HVAC SYSTEMS - HEATING
List water heaters atikbboilers for both domestic hot water` (DHW) heaters and hydropic space heating. Individual dwelling DHW heaters must be
gas or propane fired, and -may -not -exceed SO gallons. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground
all
Minimum Duct or Piping Configuration
Heating Equipment
Efficiency , Distribution 't Insulation Thermostat (Central, Split, '
Type and Capacity' .2.3
AFUE or HSPF Type and Location R -Value Type Space, Package or H dronic)
Furnace, 44000
80 AFUE Ducted, SetBack ;'Split
Distrib
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 Btulhr electric heating is controlled by a time -limiting device not exceeding 3dminutes). See §151(6)3 exception.
3. Refer to the HERS Verification section on Page 4 of the CF -/R -ALT Form for additional requirements and check applicable boxes.
4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) ,
HVAC SYSTEMS - COOLING
S stem
Capacity al
tY(g )
Minimum +
R-Value3
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, 60w000
5 SEER SetBack Split16.ceDuce;,. P&A
-
1. Indicate Cooling Type -(A/C; Heat<pump, Evap. cooling etc) * _ p,
2. Refer to the HERS erifrcat Page 4 Q A Form 6rLadditio
section' on of the ,I.R T -nal require-me nts-anZl ch ak applicable boxes.
3. Indicate Type or Location Duc1s,..H dronic in Floor—Radiators, etc.
I I 1 W v V NP -1- ter,, •-4
WATER HEATING'- _ _-`-7 /__N /-N 1 /'_ -
List water heaters atikbboilers for both domestic hot water` (DHW) heaters and hydropic space heating. Individual dwelling DHW heaters must be
gas or propane fired, and -may -not -exceed SO gallons. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground
all
hot water pipes is required in allcom onent aekn es -in climate zones-" -
Water Heater Type/Fuel
ut o Type
Number
*Enerfor
External Tank
Distrib
In
-T
or
Insulation
Type'
(Standard Recirculatin )2
Recirculating)2
S stem
Capacity al
tY(g )
; Thermal-Efficienc Y.
R-Value3
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. '
6)
3. The external water heating tank and i es 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 'usti ication and documentation and special verification.
NEW ROOF ASSEMBLY - Radiant Barrier ,
The radiant barrier requirement of § 15] (02 does not apply to roof alterations. ' • '
Slab Edge (Perimeter) Insulation ❑ YES 0 NO
YES: In Climate Zone 16 in Component Packages D; R-7 insulation is required +' ,
Heated Slab Insulation, E3 YES ONO -
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 I
YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12.& 15, R-4 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-A0014945A-000000000-0000 Registration Date/Time: 04/10/2013 10:29:51 HERS Provider: CBPCA
2008 Residential Compliance Forms August 2009
escriptive Certificate of Compliance: Residential - CF -IR -AI
sidential Alterations f age 5 of
>ject Name: Climate Zone # # of Stories
elli, Beth 15 1
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERSMeasures specified in this
checklist below. A completed and signed CF4R 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)1 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)1 Di.
❑ YES El 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 §I52(b)IE.
13 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. '
0 YES ®NO ES: Ia Climate Zoonnes ;2 and 88-11 5 . r ,th existing HV jc uipment is replaced (including the replacement of the air
,.e iw r•, v.w .rr;.
Handler °outdoc r,eo'nh6 an.9 QW M1a 0lyt ryas M A/C o 'ra` pump, ' o ng or eWttn g 1, or the furnace heat
IY W W ' ! ' W W Y.'1FiSN -
_exchaner) a refri erant char a measurement shall be verified r t;52(b)I F.
Central Fan Integrated(CFI) V entilatioa`sys, tgm` ,.aria r, ai Wa D mw , i `,i 1
The ventilation re uirements of §150(9),do!not apply to existiwn residential homes.
Ducted Split Systems -JAir Conditioners add'Heat Pumps: Airflow `HERS verifrcat o •is required for this measure.
E YES 0 NO YES: In Climate -Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
u
re laced, the aitrflow and fan watt draw shalltbe verified per § 152(b)1 C -i' meet,theTe —uirements of § 151(f)7B.
Documentation Author's Declaration Statement
• I cern that this Certificate of Com lianceydocumentation is accurate and com tete. j
Name: Tim Esser
I
Signature: Tim Esser.
I
4,
Company: Esser Air Conditining
Die' 4/ 013
Address:
36665 bankside Dr,Drive OFC,OFFICE
If Applicable 13 CEA or [3CEPE
(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: 4/10/2013
-, f
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. I-800-772-3300.
Registration Number: 313-A0014945A-000000000-0000 Registration Date/Time. 04/10/2013 10:29:51 yERS Provider: CBPCA
2008 Residential Compliance Forms August 2009
f