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SFD (0106-263)LICENSED CONTRACTOR 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 # Lic. Class Exp. Date gate 4 " x Signature of Contractor-- ✓ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct. the project (Sec. 7044, Business & Professionals Code). () I am exempt under Section B&P.C. for this reason Date . Signature of Owner WORKER'S COMPENSATION. DECLARATION I hereby affirm under penalty of . perjury one .of the following declarations: ( ) I have and will maintain a certificate, of. consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �(t°) 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 & policy no. are: Carver - ST ATE FUNO Policy No. (This section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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. Date: .xf !� Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set Iorth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize representatives of this City to enter upon theabove-mentionedproperty for inspection purposes. „Signature (Owner/Agent) /!k'- / u• Datej° •� BUILDING PERMIT PERMIT# DATE VALUATION LOT TRACT JOB SITE A PN ADDRESS - 11t'. O111~i'� AIN NUN TAKE 761.480-M39 OWNER CONTRACTOR/DESIGNER/ENGINEER s JUNA. & 'f?�2xa-, lit? £.J' &A D.9Xii,1aA AO. E:RKERPb1 SES ?5,1-J Q V.1,A CORM, 8190 :i MINTMIN WM LANE D [1l E Cry, 92"3 LA01D�t�6'X CA 922S3. (760)-491-3300 09,01 1888 USE OF PERMIT SI'Ca`LF-1 YAWLY aw1=ING 3E') -PERMIT ' 1` GES NOT I NCDNDF, 81=91VA1-1_WP00i1DT NT?,VliAY APPROACH MACMACT C1vRSTRUC ION c174210D 3 t�f'�D:ruFIFf�'e1'd'1� U9.00 Sty CONVITFa.tll;'p'10N M4 9 101_K10.41$1 000 sllofj6,yo PJ,AV C"H90K D 3.01-a090>439-3 3 .£s $964, so ITF—DEP0,81T 101-000-439--318 423100 MirC,KA:fi11£',.A&, f, FE, 101--000-421- ' 000 2:itt. Ts 101-000-420-000 PlIUM011401� �',D~ 101-000-419-000� .0.0 0 01-y'dry "F.q ,�000 W1f.3 S 6OWy x/tp4y "FZRS10 101-0-00- OPLAD:31140 FEE 101-000-423..000 $i#1.00 O'EV i.£.43?MR DPu1PA101,f D+E;.1; 3t,�tf'f,0f! .„• AR'i• 9N PUBUC PL. S i- i SET 7C►1-t�£:€} i s3-fJOf9 $�9. f! j 1 `$i-WrAL 4;( mn n.4 A�vg4:)FY:.F:hq +;1maw. $4,,34 1,2_3 r u± AUG - 8 2001 l x.9193 PRE -PAID 4250,00 / RECEIPT' DATE BY DAJE IN INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Q=U_( _ Underground Ducts Forms & Footings _� Ducts Slab Grade O j Return Air Steel Combustion Air Roof Deck �Q 3=v ( Exhaust Fans O.K. to Wrap l , F.A.U. Framing t! ' Compressor Insulation _ ( - Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath /7_ - ( c1l Drywall - Int. Lath ZE1ZECJI Final Final oz POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Waste Lines _ Electric Final Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final _ `�— Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power " Final Utility Notice (Perm) J_3 r ,r- 7,t4&JP. ,. •, r 7,k-2111 l P.O. BOX 1504 78-495 CALLE TAMPICO Address LA OUINTA, CALIFORNIA 92 253 1/W �t- iflip It ez_ IJWtyl Mailing Address �C—t City 1_ . G Zip Pl?„�153 Tel. 1 §_(_:14 — 131'7 Contractor I1 i(ac' M ►(Z ,� 17i� ,'�� ���! • rV f Address 'r -I - i� S r /i/ ///t/ I // // U ie. G /L City Zip Tel. 5_ 300 State Lic. & Classif. (rG 0%7 S City Lic. # Arch., Engr., Designer(,411(11( 13 12 Address 7/ Tel /( / City Zip State Lic. # ' LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that 1 am licensed under Drgvi@ons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ful rforce 41hd effect. `. r /. pg;z ,SGNATUR -Y r / i' v (r., i,,'l DATE OWNEf(-BUILDqA,01EC RATION I hereby affirm that'I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,136sine and Professions Code: Any city or county which requires a permit to construct, alter, prove, demolish, or repair any structure, prior to 'its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). l; 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. IL however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) IA I, as owner of the property, am exclusively'contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law doesnot apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) 17 1 am exempt under Sec. B. & P.C. for this reason Date Owner r WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a cegUie copy thereof. (Sec. 380arLabor Policy No. Company n Copy is filed with the city. ❑ Certified -copy is here yfurnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) 1 certify that in the performance of thg 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. Date Owner NOTICE TO APPLICANT: If, alter making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of adplicant Date Mailing Address City, Slate, Zip WHITE = FINANCE APPLICATION ONLY BUILDING: TYPE'CCOON/ST. y !//✓gip OCC. GRP. 1 A.P. Number / Legal Description L 01 � ROtGj 2&-7rpcf Project Description Sq. Ft. eJ5 Size ``I J New ❑ No. No. Dw. Stories Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DAT Issued by: Validated by: f �✓ Validation: 9 2001 YELLOW = APPLICANT CiC OF LA CE DEPT A PINK BUILDING DIVf� Coachella Valley Un'— 1 School District P.O. Box 847,. Thei, teal, CA 92274 (760) 399-5137, Ext. 235 This Box For District Use Onl DEVELOPER FEES PAID AREA: AMOUNT: RCPT aF cK Ik CASH: INITIALS: DATE: CERTIFICATE OF COMPLIANCE (California Education Code 1.7620) Project Name: Date: July 16, 2001 Owner's Name: Jim & Marie Krumm Phone No. 391-5300 Project Address: R1 -R40 Mo intain View I anP, i a Quinta, f'A 92253 Project Description: Si.n91 P 11 i nq (1 APN: Type of Residential ' XX. Feet of Building Area: 37112 Lot Vs: Industrial Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: / r D Signature: **www,►wwwwwwwwwwwwwwwwwww•,►wwwwww•,r•w..s•,►ww•.ww.w.••.w.:w•......,r...w. SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov.. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Note: Number of Sq.Ft. 3742 Amount per Sq.FC $ 3-34 Amount Collected $ 19,498-2a Building Permit Application Completed: Yes/No By: Foch "Tut" Pensis Assistant Superintendent Administrative Services Administrator in Charge t n Certificate issued by: Marce 1 a Va 1 dP7 Signature: Facilities Clerk Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1,1997, requires that this District provid a w sten notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 904day period t rotes he imposition of these Fees and (2) the amount of the fees. Therefore, In accordance with section 66020 of the Government code and other applicable aw, this Notice shall serve to advise you that the 90 -day protest period In regard to such Fen or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees Imposed is as herein set forth, whether payable at this time or in whole or In part prior to issuance of ra Certificate of Occupancy. As In the latter. the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, If a building permit his not been Issued for the project that Is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. Rev. 09/27/99 W.101L nno.F- MCMT : 7G0 15G00SZ9 - P..O1 THE ESTILTES 1LT LA QxnNTA HOMEOWNERS A990CUL7110Pt Avail Property Management P.O. Box 1032. Palm Desert, CA 92261-1032 (760) 668-8717 August 7, 2001 James & Marie Krumm 79-110 Via Corta 1ItEµ► LA - La Quinta, CA 92253 RE- 81-840 Mnuntain,rvnvP.-PJT$9T� -Dear Mr & Mrs Krumm: Your building plana for the construction of your house at the above referenced address were reviewed by. the Architectural Committee. The Com"tteo appravad thu pl4i►w 4m hul -nittod. . All necessary City permits must be obtained prior to the start of oonotruation. No dobrir -or materials may ha loft afnrArl in thA street at the end of the work day. All trash must be picked up on a continual basis each day, and the lot rnust . be watered ort a regular basis as needed. , The $1,000 building deposit will be waived; however, should your contractor violate any of the rules of • the HOJL during this constntction pPrinrl, the disposit may be'; required. Sincerely, 6 ("am Andarcon Peoject Manager V4 F7 TITLE 24 REPORT �`. Title 24 Report for: Mr. &.Mrs. Krumrn , 81-840 Mountain View Lane La Quinta, CA Project Designer: f Report Prepared By: Joan D. Hacker Insu-Form Inc. 68255 Costa Road Cathedral City, CA 92234 • 476q,,,324-0216 Ile q L CITY OF LA QUINTA Job'Number: BUILDING &SAFETY DEPT',' APPROVED FORCONSTRUCTION Date: DArEr. 0 P,Ot BY „ 6/4/01 Off -$Icr The EnergyPro computer program has been used to perform the calculations summarized in this compliance report.. .This program has approvdand is authorized by the California, Energy Commission for use with both the Residential and Nonresidential 2001 Building. Energy Efficiency Standards. This program developed by Gabel Dodd/EnergySoft, LLC (415) 883-5906'.i EnergyPro 3.0 By EnergySoft Job Number: User Number: 2665 TABLE OF CONTENTS Certificate of Compliance: Residential (Part 1 of 2) CF -1 R Mr. & Mrs. Krumm Fenestration 6/4/01 Project Title Date �81-840 Mountain View Lane La Qtainta s U -Factor Project Address Type Building Permit # - Insu-Form Inc. (760) 324-0216 Plan Check I Date ' Documentation Author Telephone 0.028 Computer Performance 15 Field Check / Date Compliance Method (Package or Computer)' Climate Zone Enforcement Agency Use Only Exterior Roof R-21 Wall (W.21.2x6.16) Wood GENERAL INFORMATION Exterior Wall Solid Wood Door Total Conditioned Floor Area:, 3-742 ft2 Average Ceiling Height: 10.0 ft . Total Conditioned Slab Area: 3-742e n/a Building Type: Covered Slab w/R-0.0 Perimeter Insulation t (check one or more) 0.756. Exposed Slab w/R-0:0 Perimeter Insulation © Single Family Detached ❑ Addition - Single Family Attached ❑ Existing Building Front ' ❑ Multi -Family . ❑ Existing Plus Addition 0.57 Front Orientation: (Southwest) 225 deg • Floor Construction Type:' ® Slab Floor Number of Dwelling Units: 1.00 ❑X❑ Number of Stories: 1 ❑ Raised door BUILDING SHELL INSULATION Orientation Area Fenestration Exterior Const. Component p - Frame 'Assembly s U -Factor Location/Comments Type Type U -Value (attic, garage, typical, etc.). R-38 Roof (R.38.2x14.16) Wood 0.028 Exterior Roof _ R-30 Roof(R.30.2x12.16) Wood 0.035 Exterior Roof R-21 Wall (W.21.2x6.16) Wood 0.059 Exterior Wall Solid Wood Door Wood 0.387 Exterior Door ' Slab On Grade n/a 0.756 Covered Slab w/R-0.0 Perimeter Insulation Slab On Grade n/a 0.756. Exposed Slab w/R-0:0 Perimeter Insulation Bug Screen ❑ ❑ �" Front (West) 45.0 0.57 -ENESTRATION bnacling uevlces Type Orientation Area Fenestration Exterior Overhang Side Fins SF s U -Factor SHGC Shading Yes / No Yes / No Front (Southwest) 183.5 0.57 ' 0.67 Bug Screen 0 El X❑ Front (Southwest) 30.0 0.60 0.65 Bug Screen X❑ ❑ ❑ X❑ Front (Southwest) 1860 0.55'- 0.65 Bug Screen ❑ ❑ �" Front (West) 45.0 0.57 0.67 Bug Screen '0 ❑ ❑X❑ Left (Northwest) 55.0 0.57 0.67 Buq Screen X❑ ❑ ❑ X❑ Left (Northwest) 30.0 0.60 0.65 Bug Screen X❑El El El" Rear (Northeast) 72.0 0.60 0.65 Bug Screen i X❑ ❑ E] X❑ Rear (Northeast) 98.0 0.55 " 0.65 Bug Screen X❑ ❑ ❑ X❑ Rear (Northeast) 4.0 ' >7-0.57` 0.67 Bug Screen X❑ ❑ ❑ X❑ Rear (East) 48.0 .0.55 0.65 Bug Screen X❑ ❑ ❑ X❑ Rear (East) 15.0 0.57 0.67 Bug Screen X❑ ❑ ❑ X❑ Right (Southeast) 65.5 0.57 0.67 Bug Screen X❑ ❑ ❑ X❑ Run Initiation Time: 06 04101 13:31:28 Rum Code: 991667888 Ene Pro 3:0 B Ener Soft User Number: 2655 Job Number: Pa e:3 of 12 Certificate of Compliance:. Residential -(Part. 1 of 2) CF -1 R Mr. & Mrs. Krumm 6/4/01 Project Title ❑ ❑ 117 Date 81=840 Mountain View Lane -La Quinta Project Address • Building Permit # Insu-Form Inc. (760) 324-0216 Plan Check I Date Documentation Author Telephone Computer. Performance 15 Field check I Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only +GENERAL INFORMATION ❑❑ ❑❑ Total Conditioned Floor Area: 3,742 f? Average Ceiling Height: 10.0 ft ` Total Conditioned Slab Area: 3,742 ft2 • . Ener Pro 3.0 -PyEnerqySoft User Number: 2655 Job Number: Building Type (check one'or more) Single Family Detached `. ❑ Addition ❑ :Single Family Attached ❑ Existing Building ❑' MUlti-Family ❑ Existing Plus Addition Front Orientation: (Southwest) 225 dei ,Floor Construction Type: Slab Floor . Number of Dwelling Units: 1.00 Number of Stories: 1 ❑ Raised Floor OVILVIIYV JfIGLL IIYJVLMI IVIY Const. Component Frame Assembly Location/Comments Type Type U -Value (attic, garage, typical, etc.) FENESTRATION Shading Devices Type Orientation Area ' Fenestration, Exterior SF U -Factor SHGC Shading Overhang Side Fins Yes / No Yes / No Right (South) 45.0 0.57. 0.67 Bug Screen X❑ ❑ ❑ RI .. ❑ ❑ ❑ ❑ s ❑ ❑ 117 EJ 1:1 ❑❑ ❑'❑ ❑ ❑ • F] F1 F1 1-1 i❑, 1:1: El . ❑❑❑❑ El 1:1 1:1 F] ❑❑ ❑❑ Run.lnitiatiori Time: 06104/01 13:31:28 Run Code: 991657888 Ener Pro 3.0 -PyEnerqySoft User Number: 2655 Job Number: Pa e:4 of 12 i • • Certificate of Compliance: Residential (Part 2 of 2) CF -1 R Mr. & Mrs.. Krumm 6/4/01 Project Title Date HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location / pump, etc.) (AFUE/HSPF)(ducts, attic, etc.) R -Value Type Comments Cantral Furnarp 80% AFUE Ducts in Attic 4-2 Setback Res HVAC Cooling Equipment Minimum ' Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type Comments Split Air'Conditioner 13.5 SEER Ductsin Attic 42 Setback Res HVAC WATER HEATING SYSTEMS Rated 1 Tank Energy Fact! 1 External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standbyy Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss ( 0) R -Value AO SMITH WATER Small Gas Recirc/Time+Temp 2- 40,000 50 0.65 n/a n/a PRODUCTS FGSE-50-230E 1 For small gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. REMARKS COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is variiO is indicated in the Special Features/Remarks section. Designer or O r Business & Professions Code) Documentation Author Name: _ Name: Joan D. Hacker Title/Firm: Title/Firm: Insu-Foml Inc. Address: Address: 68255 Corta Ro Cathedral City, Telephone: L '11 V Telephone: (760) 324-0216 ad CA 92234 (signature) (date) (signal e ' (date) Enforcement Agency Name: Title/Firm: Address: Telephone: (signature/stamp) (date) Code*Run Initiation T*mee 06104101 13@31*28 Run EnergyPro 3.0 By EnergySoft User Number. 2655 Job Number: Page:5 of 12 Certificate of .Compliance: Residential, (Addendum) CFA R Mr. & Mrs. Krumm 6/4/01 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the.adequacy of the special justification and documentation submitted. Plan . Field . HIGH MASS Design(see C -2R) - Verify Thermal Mass: 1312 sgft Covered Slab floor, 3.50" thick at Whole'House HIGH MASS Design(see C -2R) -Verify Thermal Mass: 2430 sqft Exposed Slab Floor, 3:50" thick -at Whole House 5 HERS Required Verification These features must be confirmed and/or tested byy a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on aform CF -6R. Plan Field The HVAC System "Res HVAC' includes a Thermostatic Expansion Valve (TXV). An access door or removable panel must be provided, and a certified HERS rater must visually,verify the installation of the TXV. • ti. Run Initiation Time: -06/04/01 13:31:28 Run Code: 991657888 EnergyPro 3.0 By EnergySoft User Number. 2655 Job Number: Page:6 of 12 Run Initiation Time: -06/04/01 13:31:28 Run Code: 991657888 EnergyPro 3.0 By EnergySoft User Number. 2655 Job Number: Page:6 of 12 Mandatoriv Measure'g Checklist: Residential MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component specifications for the mandatory measures whether they - are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMEN Building Envelope Measures '§ 150(.): Minimum R-19 ceiling insulation in wood frame assembly, or equivalent U -value. ❑ § 150(b): Loose fill insulation manufacturer's labeled R -Value. .§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). FX '§ 1S0(d): Minimum R-13 raised floor insulation in framed floors. ❑ § 150(1): Slab edge insulation - water absorption rate <= 0.36/0, water vapor transmission rate <= 2.0 permfinch. ❑X • §118: Insulation specified or installed meets insulation quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2.- Fenestration products (except field fabricated) have label with certified LI -Factor, certified SHGC, and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ §150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. ❑ §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have closable doors, outside air intake with damper and control, and flue damper and control; 2. No continuous burning gas pilots allowed. ` Space Conditioning, Water Heating and Plumbing System Measures §110-13: HVAC equipment, water heaters, showerheids and faucets certified by the Commission. §150(h): Heating and/or cooling loads calculated in accordance with ASH RAE, SMAC NA or ACCA. §150(1):. Setback thermostat on all applicable heating and/or cooling systems. §1500): Pipe and Tank Insulation 1. Storage gas water heaters with less than 0.58 energy factor shall be externally wrapped with R-12. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5: Cooling system piping below 55 degrees F. insulated. 6. Piping insulating between heating source and indirect hot water tank. a '§150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of -the 1998 CMC Sections 601, 603, 604 and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed in conditioned space. Openings shall be sealed with mastic, tape aerosol sealant or other duct- closure system that meets the applicable requirements of UL181, UL181A, or UL181 B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh tape or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fans systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof instructions, no electric resistance heating, no pilot. 2. System is installed with at least 36" of pipe between filter and heater for future solar, cover for outdoor pools or spas. 3. Pool system has directional inlets and a circulation pump time switch. §115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) Lighting Measures ❑ §150(k)l: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. ❑ 150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. EnergyPro 3.0 By EnergySoft User Number: 2655 Job Number. Page:7 of 12 • .• Computer Method Summary (Part 1 of 3) C -2R Mr R MrS.lUumm Project Title 6/4/01 Date 81-840 Mountain View Lane La Cuinta Project Address Building Permit # Insu-Form Inc- (760) 324-0216 Documentation Author Telephone Plan Check/Date Computer Performance Compliance Method (Package or Computer) 15 Climate Zone Field Check/Date Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 12.98 10.61 2.37 Space Cooling 52.02 54.60 -2.58 Domestic Hot Water 7.61 7.39 0.23 Totals 72.61 72.60 0.01 NERAL INFORMATION Conditioned Floor Area: 3,742 Floor Construction Type: FX� Slab Floor Building Type: Single Fam Detached Raised Floor Building Front Orientation: (Southwest) 225 deg Number of Dwelling Units: 1.00 Total Conditioned Volume: 37,420 Number of Stories: 1 Slab Floor Area: 3,742 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area Rps HVAC 3 742 37 420 1 nn Cnnditinned SPthark n/a Solar OPAQUE SURFACES Act. Gains Type Area U -Val. Azm. Tilt Y / N/ N Form 3 Reference Location / Comments Rnnf2„ 1199 0.028 225 92 Ipl I—I R-38 Roof (R.38 -2x14.16) Whole House Roof 823 0-035 —0 0 ®❑ R-30 Roof(R 302x12-16) Whnle Hnuse Wall 380 0-059 925 90 ❑ R-21 Wall 021 2x6-16) Whnle Hnuse Wall 45 0-059 270 go ❑ R-21 Wall (D -21-2x6-16) Whole House Wall 155 0-059 315 _90 ❑ R-21 Wall (W -21-2x6-16) Whole House Wall 706 0-059 45 An ❑ R-21 Wall (W 212x6-16) Whnle Hnuse Wall 73 0-059 90 _9Q ❑ R-21 Wall (W -21-2x6-16) Whole House Dnnr 44 0-387 90 go ❑ Solid Wood Door Whole House Wall 684 0-059 135 gn EX El R-21 Wall (W 212x6-16) Whnle Hnuse Wall 45 0-059 180 _An ®❑ R-21 W211 6N 21 2x6-161 WhniP Hnuse ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ F1 F1 F1 F1 ❑❑ 1-1 F-1 H H Run Initiation Time: 06104/0113:31:28 Run Code: 991657888 EnergyPro 3.0 By Energysoft User Number. 2655 Job Number: Page:8 of 12 0 • Computer Method Summary (Part 2 of 3) C -2R Mr. & Mrs. Krumm 6/4/01 Project Title Date FENESTRATION SURFACES # Type Area - U- Factor SHGC Act. Azm. Glazing Type Tilt Location/ Comments .y Window Front (, outhwest) 126.0 0 570 0 67 925 _g_Q. Douhle NonMtl Clear Default Whole House 2 Window Front (Southwest) 30.0 0.600 0.65 225 90 Double NonMtl Clear Default Whole House 3 Window Front (Southwest) 50.0 0.550 0.65 225 90 Double NonMtl Clear Default Whole House 4 Window Front (Southwest) 12.5 0.570 0.67 225 90 Double NonMt1 Clear Default Whole House 5 Window Front (Southwest) 40.0 0.550 0.65 225 90 Double NonMt1 Clear Default Whole House 6 Window Front (Southwest) 96.0 0.550 0.65 225 90 Double NonMtl Clear Default Whole House L Window Front (Southwest) 45.0 0,570 0.67 225 90 Double NonMtl Clear Default Whole House 8 Window Front (West) 45.0 0.570 0.67 270 90 Double NonMtl Clear Default Whole House 5 Window Left(Northwest) 45.0 0.570 0.67 315 90 Double NonMt1 Clear Default Whole House JD Window Left (Northwest) 10.0 0.570 0.67 315 90 Double NonMtl Clear Default Whole House 1 Window Left (Northwest) 30.0 0.600 0.65 315 90 Double NonMtl Clear Default Whole House 12 Window Rear (Northeast) 72.0 0.600 0.65 45 ' 90 Double NonMtl Clear Default Whole House -Ja Window Rear ( ortheast) 48.0 0.550 0.65 45_ 90 Double NonMtl Clear Default Whole House 14 Window Rear (Northeast) 50.0 0.550 0.65 45 90 Double NonMtl Clear Default Whole House 15 Window Rear (Northeast) 4.0 0.570 0.67 45 90 Double NonMtl Clear Default Whole House 16 Window Rear (East) 48.0 0.550 0.65 90 90 Double NonMtl Clear Default Whole House 17 Window Rear (East) 15.0 0.570 0.67 90 90 Double NonMt1 Clear Default Whole House 18 Window Right (Southeast) 30.0 0.570 0.67 135 90 Double NonMt1 Clear Default Whole House J,Q Window Right (Southeast) 4.0 0.570 0.67 135 90 Double NonMt1 Clear Default Whole House 20 Window Right (Southeast) 4.0 0.570 0.67 135 90 Double NonMt1 Clear Default Whole House 21 Window Right (Southeast) 15.0 0.570 0.67 135 90 Double NonMtl Clear Default Whole House 22 Window Right (Southeast) 12.5 0.570 0.67 135 90 Double NonMtl Clear Default Whole House 23 Window Right (South) 45.0 0.570 0.67 180 90 Double NonMtl Clear Default Whole House INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. REA Dist. Len. Hgt. Dist. Len. Hgt. 1 Bug Screen 0.76 7.0 3.0 3.0 0.1 3.0 3.0 2 Bug Screen 0.76 6.0 5.0 3.0 0.1 3.0 3.0 3 Bug Screen 0.76 10.0 2.5 6.0 0.1 6.0 6.0 4 Bug Screen 0.76 5.0 2.5 3.0 0.1 3.0 3 Q _ 5 Bug Screen 0.76 8.0 5.0 3.0 0.1 3.0 3.0 6 Bug Screen 0.76 8.0 12.0 3.0 0. 30 --U 7 Bug Screen 0.76 5.0 3.0 3.0 0.1 3.0 3.0 8 Bug Screen 0.76 5.0 3.0 3.0 0.1 3.0 3.0 9 Bug Screen 0.76 5.0 3.0 3.0 0.1 3.0 3.0 10 Bug Screen 0.76 5.0 2.0 3.0 0.1 3.0 3.0 Ti Bug Screen 0.76 6.0 5.0 3.0 0.1 3.0 3.0 12 Bug Screen 0.76 6.0 6.0 3.0 0.1 3.0 3.0 _ _ 13 Bug Screen 0.76 8.0 6.0 3.0 0.1 3.0 3.0 14 Bug Screen 0.76 10.0 2.5 10.0 0.1 10.0 10.0 15 Bug Screen 0.76 2.0 2.0 3.0 0.1 3.0 3.0 16 Bug Screen 0.76 8.0 6.0 8.0 0.1 8.0 8.0 17 Bug Screen 0.76 5.0 3.0 3.0 0.1 3.0 3.0 18 Bug'Screen 0.76 5.0 3.0 3.0 0.1 3.0 3.0 19 Bug Screen 0.76 2.0 2.0 3.0 0.1 3.0 3.0 _ 20 Bug Screen 0.76 2.0 1.0 3.0 0.1 3.0 3.0 Ti Bug Screen 0.76 5.0 3.0 3.0 0.1 3.0 3.0 22 Bug Screen 0.76 5.0 2.5 3.0 0.1 3.0 3.0 23 Bug Screen 0.76 5.0 3.0 3.0 0.1 3.0 3.0 EnerovPro 3.0 By EnemySoft User Number: 2655 Job Number: Page:9 of 12 1 Computer Method Summary (Part,3 of 3) C -2R Mr. & Mrs. Krumm 6/4/01 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside, Location. Type (sf) (in.) Cap. Cond. Form 3 Reference R -Val. Comments Concrete, HeaWyeight 1312 14 50 7A O AR n/a 2 Whole House /Slab on Grade Concrete. Heavyweight 2,430 3_50 �8 0.98 n/a 0 Whole House / Slab on Grade PERIMETER LOSSES F2 Insulation Type Length Factor R -Val Depth Location / Comments Slab Perimeter 710 0_78 0.0 0 Whole House Slab Perimeter 915 0.76 --0-Q 0 Whole House x HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Type Location/. Comments pump, etc.) (AFUE/HSPF)(ducts/attic, etc.) R -Value Central Furnace 80%AFUE Ducts in Attic 4.2 Setback Res HVAC 'Pipe Pipe Insul. Hydronic Piping System Name Length Diameter Thick. Cooling Equipment- Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location heat pump, evap. cooling)(SEER) (attic, etc) R-Value Type Comments Sniit Air Conditioner 13.5 SEER Ducts in Attic - 4.2 Setback Res HVAC WATER'HEATING SYSTEMS Rated Tank Energy Fact! 1 Tank lnsul. Water Heater Water Heater Distribution # in Input Cap. or Recovery- Standby RValue System Name Type Type Syst. (Btu/hr) (gal), 'Efficiency Loss (%) Ext. A O SMITH WATER PRODUCTS Small Gas Recircrrime+Temp 40,000 50 0.65 n/a - n/a 1 For small gas storage (rated input —,75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input >.75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby. Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. r Computer Method Summary (Addendum) C2 -R Mr: & Mrs. Krl.imm -6/4/01 Project Title• Date Special Features and Modeling Assumptions - i The local enforcement agency should pay special attention to the items specified in this checklist. These items require special based on the adequacy of the special•justification and documentation submitted. Plan Field HIGH MASS Design(see C -2R)'- Verify Thermal Mass: 1312 sqft Covered Slab Floor, 3.50" thick atWhole House HIGH MASS Design(see C -2R) - Verify Thermal Mass: 2430 sgft Exposed Slab Floor, 3.50" thick at Whole House HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R: Plan Field The HVAC System "Res HVAC" includes a Thermostatic Expansion Valve (TXV). An*access door or removable panel must be _ provided, and a cert ified HERS rater. must visually verify the installation of the TXV. Run Initiation Time: 06/04/01 13:31:28. Run Code: 991657888 EnergyPro 3.0 By EnergySoftUser Number: 2655 Job Number: Page: 11 of 12 Run Initiation Time: 06/04/01 13:31:28. Run Code: 991657888 EnergyPro 3.0 By EnergySoftUser Number: 2655 Job Number: Page: 11 of 12 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Mr. & Mrs. Krumm 6/4/01 SYSTEM NAME FLOOR AREA Res HVAC 3,742 Note: values above given at ARI conditions EATING SYSTEM PSYCHROMETRICS 26.0 OF 69.1 OF 69.1 OF Outside Air 0 cfm 69.1 of Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM I Sensible Latent CFM I Sensible 3,254 79,64 -1,110 3,219 119,882 0 3,982 5,994 0 0 0 0 0 0 0 0 0 3,982 5,994 87 605 -1 110 131.871 CARRIER 38TXA0483" 105,941 10,874 153,000 Total Adjusted System Output 105,94 10,874 153,000 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am 105.0 of Supply Fan Heating Coil 6165 cfm M PSYCHROM Supply Air Ducts 104.1 of ROOMS 70.0 of Return Air Ducts I 115.0 / 73.5 of 78.6 / 62.3 of 78.6 / 62.3 of. 55.0 / 53.6 of r - �1 _ � Outside Air 0 cfm 78.6/62.3 of Supply Fan Cooling Coil 6165 cfm h _ Return Air Ducts `i Supply Air Ducts 55.6 / 53.8 of 40.7% R.H. ROOMS 78.0/62.1OF I EnerovPro 3.0 By Enemvsoft User Number: 2655 Job Number: Page: 12 of 12