MECH (13-0512)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000512
Property Address:
56370 MUIRFIELD VILLAGE
APN:
762-390-002- -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
5950
Applicant: Architect or Engineer:
d64t 4�
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/23/13
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C20 License o.: 489046
D`a5t!t 3 Contra�o� 44�"e4��i�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) 1, 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.).
(_ 1 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 Name:
Lender's Address:
LQPERMIT
Owner:
ROGER SWADISH
56370 MUIRFIELD
LA QUINTA, CA 92253
(617)448-0433
tGAPR
ESSERtAIR CONDITIONING &
235 2013
P.O. BOX 1636
CATHEDRAL CITY, CA 92235
CITY OF LAQIUINTA
(760) 324-0550
FINANCE DEPT.
Lic. No.: 489046
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
Cj issued.
y have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier CASTLEPOINT NTL Policy Number WSLTHPE90140303
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
37000 of the Labor Code, I shall forthwith comply with t se provisions.
2 3 /% 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 Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for in pection pur ses.
Date: 4_3 Signature (Applicant or Agent): 110,0
0
LQPERMIT
Application Number . . . . . 13-00000512
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 - 13SEER/78AFUE SPLIT
SYSTEM [2008 ENERGY] CARBON MONOXIDE
ALARM(S) TO -BE INSTALLED PRIOR TO FINAL
INSPECTION. 2010 CALIFORNIA BUILDING
CODES.
------------------------------------------7---------------------------------
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
Bin. #
Qty of La Qui nta
Building a Safety Division
P.O. Box 1504,•78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Z
Project Address: 5(p&M
�W d fJ C(V (I'
Owner's Name:. S�yad,\6h
A. P. Number.
Address:5u;7J-10 �k W KA CLd \410
Legal Description:
City, ST, Zip:1-
w.� C!�_q2 S3
Contactor �Sa R Q /AJC.
Telephone: LQ��
Address: 6'6-S 19AN k:;e 0) D A 00TE C.
Project Description:
City, ST, Z;p:CA-rHi=DAA�-- 0 C.A, g2�3 y
� n5� AIS Y) G� �-+ . 'Vyl � I+
Telephone:V/6,2 �1.. �` ''
��L� �i24 -Ossa >t' =' ;
State Lic. #: 6 City Lic. 9, a(a t'} `
Arch., Engr., Designer.
M 6 XY1. u
Address:
City, ST, Zip:
Telephone: y ,
.Y
State Lic. #:
wii »u
Name of Contact Person: /tI JCFIA�L
Construction Type: , Occupancy:
u .
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: rj�51C) . L)70
APPLICANT: DO NOT WRITE BELOW THIS LINE
N Submittal Req'd Rec'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit.
Truss Calcs.
Called Contact Pcrson
Plan Cheek Balance_
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
MechariiCAl
Grading plan
r' Review, ready for correctionsrhssue
Electrical
Subeontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
s^' 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
Prescriptive Certificate of Compliance: Residential CF -IR -ALT j
Residential Alterations age 1 of 5
Project Name: Climate Zone # # of Stories
Swadish, Roger 115 1
General Information
Site Address: 56370 Muirfield Village La Quinta CA 92253
Enforcement Agency: La Quinta, City of Date: 4/18/2013
Building Type p Single Family ❑ Multi Family
Circle the Front Orientation: N, E, S, ®, or degrees
Conditioned Floor Area (CFA): 1600
Project Type: [Z] Alterations []Envelope ❑Fenestration []Roof ❑ HVAC
�5�'l1 T��P 4 5�� 3
i
ID or T e anrd�Si2e factor Number- value R -Value
Replacement or Change Out []Duct Re lacement ❑ 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 ofa 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 floor assembly requires the installation of Component
Package- D insulation values in Table 151-C. Fill in Columns A — J.
Opaque Surface Details For the furred 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 Note Standard Values From JA4
Table
Framing Tbicycness, �, Framed Continuous
Tag/ Assembly Naivye [J[1Vlateriali; Spacing, - J 4 ;ible dVity In+sulatio
I:i k IZ k9- k•'�=
"FSA I"ie i I M� k� MI k�
JA4
Assembly
Proposed
Assembly
�5�'l1 T��P 4 5�� 3
i
ID or T e anrd�Si2e factor Number- value R -Value
8
Cell Value
U -factor
yor,yO-t�her3
�q
,+0. oft A 6 tw OR 6,ft. n*^ ?t 06 MI 4ft. {-A
A Am►.: Wk
Joint Appendix Table 4.3.5,4.3.6,4-3.7
Joint Appendix Table 4.3.13
v.2
a;
g
Note: For furred assemblies, [iccounting`for Continuous Insulation R -value, .see Page JA4-3 and Equation -4-1. For calculating fit red walls use the Mass and
Furring Construction table below-."
1. For Tag/ID indicate'the identification name thatimatches the building plans.
2. Indicate Assembly Nam or Roof/Ceili g;,.Wdlls, �Doors t"Indical
the type: Floors, Slabs; Crawl Space, and' el IDFrame type and Size: For
Wood, Metal, Metal Buildings, Mass, enter 2x4,,'Q 6, or etc,. see JA4 for other possible frame type assemblies.
m tubers
3. Enter the thickness for mass in inches or Spacing between framing een'te 76—"or=24—"OC; or Otherefo�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 fronii Table -151-B, C or D for each different assembly -Na ne-or-type.
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 Ont
A I B I C I D I E
F I G 1 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
v.2
a;
g
U m
o n m
y
Assembly j
e
c .a o ba d
o
> d
a�
Final
Mass
Name or ]A4 Table _
.
�, �`� o
0
?
Assemb�
Thickness'
Type2 Number'Q>
c x c
d j
U -factor
Comment
Registration Number: 313-A0015017A-000000000-0000 Registration Date/Time: 04/18/201313:20:07 KERS Provider: CBPCA
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 2 of 5
Project Name: Climate Zone # # of Stories
Swadish, Roger 115 1
1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
befound Reference Joint Appendix JA4.
2. This is the U -Factor based on the thickness of the assembly in inches.
3. The R -value of the insulation to be added on the interior or exterior of the assembly.
4. The Calculated R-Valueis the R -value of the f rred out section of the assembly.
-6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column
added to Column L Column K is the inverse from column J.
7. Insert the calculated U- actor value on to the Opaque Surface Details in Column J
FENESTRATION PROPOSED AREAS
❑ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in
Table 151-C. The Total Fenestration and West facing Area requirements are not applicable.
❑ Adding 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 50fe of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration
Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT
Orientation
'�7V � . f7" 1 I1 e+ a1 o Int '1"!111 5a
Fenestrati'oo'T-y_,bra-0nd Erameg Q ( orth�East,�' rl -.Pe sedAreai71 Maz=la JTM i% um NFRC or Default
(Window, Glass_Door or Skylight) �� .ESouth, West) , .ft) rU-factorz 3 SH(iC� :4 Values
I. Fenestration area is the area of total glazed product (i. e. glass plus frame). Ezceptiow"When a door is less,than-50'0 glass, the fenestration
area may be the glass area plus a "2 inch frame' around the. glass.
2. Enter value from Component Package DRequirem—entsin Table 151C. -
3. Actualfenestration products installed and as indicated in CF 6R -ENV Form shall be equivalent to or have a 1U- actor and/or a lower
.i P k 9 f
SHGC value than that specified on the CF -1 R ALT Form. u
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading.
5.I applicable at this stage enter "NFRC" for NFRC Ceri red windows or are CEC "De ault " values found in Table 116-A or B.
ALTERED FENESTRATION ALLOWED AREAS
(Complete if more than 50fta
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
-D + C
Total Fenestration Area
ft
20
>
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 orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas.
Registration Number: 313-A0015017A-000000000-0000 Registration DatelTime: 04/18/2013 13:20:07 HERS Provider: CBPCA
2008 Residential Compliance Forms
August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 3 of 5
Project Name: Climate Zone # # of Stories
Swadish, Roger 115 1
ROOFING PRODUCTS (COOL ROOFS) §1510912
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 §152(b)1H4 152(b)M4 or 152(b)]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(1) 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 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less
than 5lb1fe.
Alternatives to §152(b)lHi and §152(b)Hii, Steep -slope roof (pitch > 2.12)
❑ Insulation with a thermal resistance of at least 0.85 hrft2•°FBtu or at least a 3/4 inch air -space is added to the roof deck
over an attic; or
❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or
❑ In climate zones 10, 12 and 13, with I ft of free ventilation area of attic ventilation for every 150 ft 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
❑ Building has at least R-30 ceiling insulation; or
Ii ;' l :� ' y��{y
❑ Building has radiant barrierthe attic meeting the require ents of §151(f)2;Parlorma-mvcem
❑ Building has no ducf�in the attic or �
(OrU
U�1��re q
� u
❑ In climate zones 10� 1,.13-and.l4� R-3 aor_greater roof deck insulation above vented attic.
Exception to §152(b)lHiii, Low -slope roof (pitch <_+.." r ( r AsSovia
❑ Building has no ducts in the attic.,, _
Other Exceptions !`1
❑ Roofing area covered by building integrated; photovoltaic panels and solar thermal panels -are exempt from the below Cool Roof criteria
❑ Roof constructions that have thermal mass over the roof membrane with atvleast 25 IMF is xem tyfrom the below -Cool Roof criteria.
Note: If no CRRC-1 label is available„this ompliance mthod cannot be used, use the Performance Appioach to show compliance, otherwise,
Check the applicable-box'below if Exempt from�the Roofing Products "Cool Roof' Re uirement ^ 1
Roof Slope
Product Weight,
Product
Aged-Solai
Thermal
CRRC Product ID Number'
<-2:-12�__2:121
< Sld/ft > Slti/ft '
�T 2
�Reflectance"4`
Emit'
SRI
❑
❑
If
❑
❑—�
❑
❑
_�
❑
❑4..
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.gegiroots.ore/products/search nho
2. Indicate the type ofproduct is being usedfor the rooftop, i.e. single ply roof, asphalt roof, metal roof, etc.
3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation (0.2+0.7(pi„iliot — 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 http://www.enerev.cagov/title24/and enter the resulting value in the SRI Column above and attach atopy of
the SRI- Worksheet to the CF -IR.
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(i)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating
❑ Cement -Based Roof Coating
Other
Registration Number: 313-A0015017A-000000000-0000 Registration Date/Time: 04/18/2013 13:20:07 HERS Provider: CBPCA
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 4 of 5
Project Name: Climate Zone # # of Stories
Swadish, Roger 15 1
HVAC SYSTEMS - HEATING
List water heaters add. boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be
gas or propane fired, and may notexceed 50 gallons Hamot water pipe insulation from the DHW heater to the kitchen(F) and on all underground
Minimum Duct or Piping
Configuration
Heating Equipment
Efficiency Distribution 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
78 AFUE Ducted, SetBack
Split
Energy acF for or �
Insulation
T
1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.)
2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity
< 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception.
3. Refer to the HERS Verification section on Page 4 of the CF -I R -ALT Form for additional requirements and check applicable boxes.
4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.)
HVAC SYSTEMS - COOLING
Minimum
Efficiency Duct or Piping
Configuration
Cooling Equipment
(SEER/EER or Distribution Insulation Thermostat
(Central, Split,
Tyve and Capacity 1,2
COP) Type and Location R -Value Type
Space, Package or H dronic
AirConditioner, 48000 .n `
13 SEER Ducted,; FIR% Jr SetBack
Split
1. Indicate Cooling Type -(A/C Heatpump, Evap. Coolingl etc)
2. Refer to the HERSrveri ecation h Pae 4 o re u�rements-andbcheck a heable
f f�
section ttheF-%RALT orm br additional boxes.
�y � g, f +,. z, r � w 9� _ pp
3. Indicate Type or Location' Ducts,.H dronic in Floor,— Radiators, etc.
WATER HEATING -71 /---N
List water heaters add. boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be
gas or propane fired, and may notexceed 50 gallons Hamot water pipe insulation from the DHW heater to the kitchen(F) and on all underground
hot water pipes is required in all com onent acka es in all climate zones.-
Water Heater Type/Fuel
�/
Number
'—Tank
External Tank
Distribution y-
In
Energy acF for or �
Insulation
T
Standard, Recirculatin 2
( g)
System
Capacity (gal)
r
TherQ-Efficiency
R -Value s
1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc)
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do
not allow the installation of a recirculating water heating system for single dwelling units.
3. The external water heating tank 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 l 2 does not apply to roof alterations.
Slab Edge (Perimeter) Insulation C3 YES El NO
YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required
Heated Slab Insulation E3 YES B NO
YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Raised Slab Insulation Q YES A NO
YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required, in Climate Zones 12 & 15, R4 is required under component Package D.
Thermal Mass
To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach.
Registration Number: 313-AO015017A-000000000-0000 Registration Date/Time: 04/18/2013 13:20:07 HERS Provider: CBPCA
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 5 of 5
Project Name: Climate Zone # # of Stories -
Swadish, Roger 115 1
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERSMeasufes specified in this
checklist below. A completed and signed CF -41? 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.
G3 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)1Dii and the newly installed ducts are to be insulated per §151(f)l0.
❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
❑ YES 17 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 §I52(b)IDi.
❑ YES 13 NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler,
outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be
sealed per § 152(b)1 E.
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.
YES NO YES- I e ZoRes�,2� d 8-15,wh n the-existingrACg' q�uippmmenttiis replaced(including e replacement of the air
Calaan er ou�td r co�ndensr mg t�or a splitsy�ste�mx ASC or a pumpAW W
,�cw" T g o�rh�ea�tin�g, 1, or the furnace heat
—exchaner) a refrigerant charge measurement sh5ll'be verified per 152(b)] F.
Central Fan Integrated (CF] VentilationSys'''temand'Faa�WaDraw,]
The ventilation reuirements of §150 0 .do,not ap
_ply to existing residential homes.
Ducted Split Systems JAir Conditioners an'd'Heat Puinps: Airflow 'HERS'verificat of n required for this measure.
0 YES 0 NO YES: In Climate -Zones 10 through X15, when the existing space -condoning system (HVAC equipment and ducting) is
replaced, the airflow and fan watt draw shall'be veiified er 152(b)lErto meet the`requirements of 151(f)7B.
Documentation Author's Declaration Statemeni `-' 11� / �' ]
• I certify that this Certificate of Com" liance`documentation is accurate anil'com tete.
Name: Tim Esser
Signature: Tim Esser t `J
Company: Esser Air Conditining
Date. 4118/2013
Address:
36665 bankside Dr,Drive OFC,OFFICE
If Applicable 13 CEA or [3CEPE
(Certification #):
City/State/Zip: Cathedral City California 92234
Phone: 76024-0550
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: 4/18/2013
Address: 36665 bankside Dr,Drive OFC,OFFICE
License: 489046
City/State/Zip: Cathedral City California 92234
Phone: 760-324-0550
77ar assistance or auestions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300.
Registration Number: 313-A0015017A-000000000-0000 Registration Date/Time: 04/18/2013 13:20:07 HERSProvider: CBPCA
2008 Residential Compliance'Forms August 2009
L