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10-0374 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO ' LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000374 Property Address: 81460 NATIONAL DR APN: 767-570-010- - - Application description: •RESIDENTIAL REMODEL—RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15863 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: -7 <. LIENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that am licensed under provisions of"Chapter 9 (commencing with Section 7000) of Division 3 of the eusines nd Professionals Code, and my License is in full force and effect. �.icense lass: B C10 Liceri&gNo.: 746198 ' Date: Z`�l(lConuactor. 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 1$500).: 1—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law -does 'not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed _ pursuant to the Contractors' State License Law.). (_) 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: LQPERAIIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-1453 Date: 5/13/.10 Owner: E. BARRY & COOK ISLANDS TRUST C/O HOWARD WISNICKI 601 19TH ST. SANTA MONICA, CA 90402 • Contractor: A & M CONSTRUCTION P.O. BOX 366 LA QUINTA, CA 92247 (760)564-4832 Lic. No.: 746198 D U `)JUN 22 2010 WORKER'S COMPENSATIO DECLARATiOM �F�Ii I hereby affirm under penalty of perjury one of the following declarat Fii�Qi�^ wtV��.Nra� I have and will maintain a certificate of consent to self -insure for wor er SP provided for by Section 3700 of the Labor Code, for the performance of the work for which t 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 STATE FUND Policy Number 497-0000854-09 _ 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 s to become subject to the workers' compensation laws of California, and agree that, if I sho ecome subject to the workers' compensation provisions of Section / ''JJ1,(/37��10770 of the Labor Co Al shall forthwith -comply with those provisions. Dat' Zl��lll(pplicant: 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 r IMPORTANT Application is hereby made to the Director of Building and Safety for 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 d state that the above information is correct. I agree to comply with all city and county ordinances and state I relating to building construction, and hereby authorize representatives �f this coouu�.nntty to enter upon the abov ioned property for ins action purposes. /Da1��" �OV Signature (Apptic for Agent I LQPERMIT Application Number . ... . . 10-00000374 ------Structure Information 235 SF PATIO CONV TO LIV. ----- Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type . . . . . DWELLG/LODGING/CONG <=10 Other struct info . ---------------------------------------------------------------------------- . . . CODE EDITION 2007/08 ENERGY Permit . . BUILDING PERMIT Additional desc 235 SF CONV. TO LIVING AREA" Permit Fee 171.00. Plan Check Fee 111.15 Issue Date . . . Valuation . . . . 15863 Expiration Date 11/09/10 Qty Unit Charge Per Extension BASE FEE 45.00 14.00 9.0000 THOU BLDG 2,001-25,000 126.00 Permit ELECT - ADD/ALT/REM Additional desc . Permit Fee 23.23 Plan Check Fee 5.81 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/09/10 . Qty Unit Charge' Per Extension BASE FEE 15.00 235.00 .0350 ---------------------------------------------------------------------------- ELEC NEW RES - 1 OR 2 FAMILY 8.23 Permit MECHANICAL Additional desc . Permit Fee . . . . .30.50 Plan Check Fee 7.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/09/10 Qty Unit Charge Per Extension BASE .FEE 15.00 1.00 9.0000 EA MECH B/C <=3HP/1OOK BTU 9.00 1.00 6.5000 EA MECH AH <=10K CFM 6.50 Permit . . . PLUMBING Additional desc . Permit Fee 21.00 Plan Check Fee 5.25 Issue Date Valuation 0 Expiration Date 11/09/10 Qty Unit Charge Per Extension LQPERMIT LQPEPART Application Number. . . . . . 10-00000374 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 Special Notes and Comments CONVERT AND ENCLOSE EXISTING 2ND FLOOR OBSERVATION DECK OF 235 SF TO LIVING AREA. 2007 CODES / 2008 ENERGY. -------------------------------------------------.--------------------------- Other Fees . . . . ... . . . BLDG STDS ADMIN (SB1473) .1.00 ENERGY REVIEW FEE 11.12 STRONG MOTION (SMI) - RES 1.59 Fee summary Charged Paid Credited Due Permit Fee Total 245.73 .00 .00 245.73 Plan Check Total 129.84 .00 .00 129.84 Other Fee Total 13.71 .00 .00 13.71 Grand Total. 389.28" .00 .00 389.28' LQPEPART /y Bin # City of La Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La QuInta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ' L Project Address: $%"�/� �D�a Owner's Name: mac" 4 W l,$ ✓� k i A. P. Number: - 5-7o - O I U Address: S' - v City, ST, Zip: La. au,'A fc-L. C (L 2 Telephone: Legal Description: Contractor: Address: Project Description: C i C l' a e n n ✓�ie�y /O/l City. ST, Zip: �7// Telephone: (7! o �� q State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone:w. y• > Construction Type: Occupancy: State Lic. #: Project type (circle one): Now Add�n Alter Repair Demo Sq. Ft.: 23 # Stories: Z #Units: Name of Contact Person: She �. �� Telephone # of Contact Person: (74 5 q- D `7 Estimated Value of Project: APPLICANT: # Submittal Req'd Recd Plan Sets DO NOT WRITE BELOW THIS LINE TRACMG PERMIT FEES Plan Check submitted 1-+ 0.� Item Amount Structural Cales. Reviewed, ready for corrections Plan Cheek Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Cala. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2'! Review, ready for cerrcctio ue / ! Zj Electrical Subcontactor List Called Contact Person 7 ` Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3" Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees 1. F Total Permit Fees Viz. - v-er�r.Q ©� �N Y 1c - l�fwwl 9 3 A 4 C. -Ow S4W4 -'n ; 5 • � e �' . y f '1. t r t'.�j w��._„�� . �.. :..t a H � :� r t t ♦- � ';,C MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT:'CHECK #: _ _ INITIALS: ' -%X-oachella Valley Unified School District M i This Box For District Use Only. 83-733 Avenue 55, Thermal, CA 92274 ` '' DEVELOPER FEES PAID (760) 398-5909 — Fax (760) 398-1224 , AREA: .' - . a AMOUNT LEVELONEAMOuNT: LEVELTWOAMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT:'CHECK #: _ _ INITIALS: CERTIFICATE OF COMPLIANCE •, (California Education Code 17620)rr •. gyp; 1 Project Name: Begg Norman Course - PGA West A a . { Date: June 21, 2010 Owner's Name: . Howard Wisnicki - Phone No. 760-564-4832 Project Address: 81-460 National Drive Project Description: Conversion of Observation Deck to Living Area ` APN: 767-570-010 i Trac,C #: Lot #'s:' f t Type of Development: Residential 1 iXX -,,Commercial - Industrial * Total Square Feet of Building Area: 235 Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes'diis statement under penalty of perjury and further represents that he/she is authorizeZtos* onbehalf of the owner/developer. Dated: June 21, 2010 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT, HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: ' (CIRCLE ONE) f Education Code Gov. Code Project ' Agreement Existing Not Subject to Fee 17620 65995 Approval :Prior to 1/1/87 Requirement Note: Pursuant to AB -181, any room additions of 500 square Number of Sq.Ft. 235 sq. ft. feet or less on existing dwelling units are exempt from Amount per Sq.Ft. $ 0.00 developer fees. !Pursuant to AB -181, any mobile home bei g. Amount Collected $ 0.00 ' hrelocated or replaced within our school district is exemp r from developer fees. Building Permit Application Completed: -Yes/No ' By: Jamie T. Brown, Asst. Supt., Business Services Certificate issued by: Laurie Howard, Secretary HISignature:[J-_R/' 44f,) -,'L0 NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES- Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law; this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees 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 a 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. M V:chnydocs'devlecs/cellificate olcolnphance tonin tabiesTO USE.doc 1/16/03 T Jun 10 2010 12:02PM SoftScript' 310-526-8497 xp.'2 P v QST, .FAIRWAYS ASSOCIATION June k8, 2010 W. ffodvard Wisnic d 2444 Wilshire Blvd. Ste, 280 Santa Monica, CA 90403 Re: Architectural Applicalon Approval — 81-460 )national Dr., 1'. QUIRta CA 92253 Dear Mr. Wisnicki: The Architectural Committee hm reviewed your application submitted for the enclosure of your existing Observation deck. I am pleased to inform you the Architectural Committee has approved your application as submitted. Enclosed is FAlibit C — the Compliance Review Request form. Please complete that enclosed form and return it by mail or fax to the address below so the Architectural file curl be closed out. If you have any questions, please contact Joe Gibbs, Operations Manager at 760-776-5100 Ext. 345. Sincerely, For the Archdiectrrral Cbmtittee PGA WEST FairwqysAssoeiatlon JS aid, PCAM ss ciatio ager Enct: Exhibit C — Compliance Review Request form cc: Lot Fide Architectural Committee Southwest Concepts — Mr, Stephen R. Nieto Post Office Box 1690 • La Quinta, Caiiforaia 92247 . Phone (760) 776-5100 9 Fax (760) 776-5111 LEGACY REPORT. ER -5437 Reissued August 1, 2007 �► TM ICC Evaluation Service, Inc. Business,Regional Office a 5360 Workman Mill Road, Whittier, California 90601 ■ (562) 6990543 Regional Office a 900 Montclair Road, Suite A, Birmingham, Alabama 35213 ■ (205) 599-9800 WWw.ICc-eS.Ora Regional Office ■ 4051 West Rossmoor Road, Country Club Hills, Illinois 60478 a (708) 799-2305 Legacy report on the 1997 Uniform Building CodeTM' DIVISION: 07—THERMAL AND MOISTURE PROTECTION Section: 07210—Building Insulation ULTRAFITDS AND ASURE R LOOSE -FILL GLASS FIBER INSULATION GUARDIAN FIBERGLASS, INC. 1000 EAST NORTH STREET ALBION, MICHIGAN 49224 1.0 SUBJECT UltraFitDS and Asure R Loose -fill Glass Fiber Insulation. 2.0 DESCRIPTION 2.1 General: The UltraFitDS and Asure R loose -fill glass fiber insulation is composed of a water -activated adhesive and inorganic fibers made from glass. The insulation is noncombustible in accordance with Section 215 of the 1997 Uniform Building Code"m (UBC) and may be used in any type of building construction. The insulation is installed in walls using a pneumatic conveying (blowing) machine. This machine mixes the material with water and transports the insulation into the building using pneumatic hoses, placing the loose pieces of insulation into their final position. The installed density ranges from 1.8 to 2.0 pcf (28.8 to 32.0 kg/m2). The thermal resistance, R, is 14.35 °F•h•ft2/Btu (2.53°K•m2/W) at 75°F (23.9°C), for a 3.5 -inch (89 mm) applied thickness. The UltraFitDS and Asure R loose -fill glass fiber insulation has a flame -spread index of 25 or less, and a smoke - developed rating of 50 or less, when tested in accordance with UBC Standard 8-1. 2.2 Installation: Installation must be in accordance with the manufacturer's instructions and this report. UltraFitDS and Asure R loose -fill glass fiber insulation must be applied to framed walls where one side has wall covering installed. The surfaces must be clean and free of loose paint, rust, oil and grease, and without any other conditions that would prevent adhesion of the insulation to the substrate. Blocking must be placed around lighting fixtures, motors, fans, blowers, heaters, flues, chimneys, fireplaces and other heat - producing devices, to provide proper clearances as noted in this report. All openings that may allow insulation to escape must also be blocked. Wall cavities must be filled one at a time, working from bottom to top. The insulation may be scrubbed as necessary to fit in the cavity. Vapor retarders may be installed only after the installed product achieves a moisture content of 15 percent or less. Application is limited to walls that enclose the insulation with wall covering. Exposed applications and horizontal applications are not permitted. 2.3 Identification: Each package of UltraFitDS and Asure R loose -fill glass fiber insulation covered by this report bears the following information: 1. The name and address of Guardian Fiberglass, Inc. 2. The flame -spread index and smoke -developed rating. 3. The type and category. 4. The net weight (per bag) of the insulation. 5. The Guardian Fiberglass, Inc., recommendations for minimum thickness and maximum coverages. 6. The Guardian Fiberglass, Inc., recommended maximum coverage chart based on the manufacturer's design density. 3.0 EVIDENCE SUBMITTED - Reports of tests in accordance with UBC Standard 2-1, UBC Standard 8-1 and ASTM C 518. 4.0 FINDINGS The UltraFitDS and Asure R loose -fill glass fiber insulation described in this report complies with the 1997 Uniform Building Code'rm, subject to the following conditions: l 4.1 The UltraFitDS and Asure R loose -fill glass fiber insulation is installed in accordance with this report, and with the manufacturer's written installation instructions imprinted on each bag of the material. 4.2 The material is not installed within 3 inches (76 mm) of recessed light fixtures, unless the fixture is rated and labeled for insulation contact (IC). 4.3 Clearances around metal fluesi chimneys, equipment and other components is maintained in accordance with - the appliance manufacturer's recommendations or listings for contact with noncombustible materials. Clearances round masonry chimneys or masonry enclosing a flue are a minimum of 2 inches (51 mm). ICC -ES legacy reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, Inc., express or implied, as to any finding or other matter in this report, or as to any product covered by the report. '4M Copyright © 2007 Page 1 of 2 Page 2 of 2 ER -5437 Before its placement, the installer of the UltraFitDS and Asure R loose -fill glass fiber insulation verifies the clearances required forall items that contact the insulation. 4.4 Attic vent openings are not blocked by the application of the UltraFitDS and Asure R loose -fill glass fiber insulation. 4.5 The installer provides to the building official a signed and dated statement describing the insulation installed, and including thickness; coverage area; R -value; and number of bags used, or pounds installed. This report is subject to re-examination in two years. BUILDING ENERGY ANALYSIS REPORT PROJECT: Wisnitki Residence 81-460-NationalsDrive - La Quinta, CA Project Designer: Southwest Design Concepts 78-115 Calle Estado La Quinta, CA 92253, Report Prepared by: Joan D. Hacker Insu-form, Inc. 77-810 Las Montana Road, Suite 210 Palm Desert, Ca 92211 ' 760-345-1352 C I TY OF LA _ QUINTA BUILDING & SAFETY DEPT APPROVED FOR CONSTRUCTION Job Number: DA FE <o BY Awk ak �o' 357 Date: . 2 g 2010 4/28/2010 �I By; The Energ'Pro comp am has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California E e Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. TABLE OF CONTENTS Cover Page - Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Summary HVAC System Heating and Cooling Loads Summary EnergyPro 5.0 by EnergySoft Job Number: ID: User Number. 2655 1 2 3 8 11 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF-1 R Project Name Wisnitki Residence Building Type m Single Family ® Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 4/28/2010 Project Address 81-460 National Drive La Quinta California Energy Climate Zone CA Climate Zone 15 Area Total Cond. Floorddition 235 A 235 # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes El No HERS Measures -- If Yes, A CF-4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity Features see Part 2 of 5 Status Roof Wood Framed Attic R-38 235 New Wall Wood Framed R-21 381 New Floor Wood Framed w/o Crawl Space R-19 235 New FENESTRATION U- Orientation Area Factor Exterior SHGC Overhang Sidefins Shades Status Front (SW) 33.4 0.590 0.45 0.6 none Bug Screen - New Left (NW) 13.3 0.590 0.45 0.6 none Bug Screen New Left (NK9 13.3 0.590 0.45 a6 none Bug Screen New Rear (NE) 40.0 0.590 0.45 0.6 none Bug Screen New Right (SE) 3.3 0.590 0.45 0.6 none Bug Screen New HVAC SYSTEMS City. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Room Heat Pump 5.95 COP Room PTAC without Si( 13.0 EER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R-Value Status Observation Room Ductless / with Fan Ductless n/a n/a New WATER HEATING Ot . Type Gallons Min. Eff Distribution Status Ener Pro 5.0 by Ener Soft User Number: 2655 RunCode: 2010-04-28T16:34:4 /D: Pa e 3 of 11 PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R Project Name Wisnitki Residence Building Type ® Single Family ® Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 4/28/2010 SPECIAL FEATURES INSPECTION CHECKLIST The 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 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. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. Ener Pro 5.0 by Ener Soft User Number. 2655 RunCode: 2010-04-28T16:34:4 ID: Page 4 of 11 PERFORMANCE CERTIFICATE: Residential Part 3 of 5 CF -1 R Project Name Building Type m Single Family m Addition Alone Date Wisnitki Residence ❑ Multi Family ❑ Existing+ Addition/Alteration 4/28/2010 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 2.41 5.37 -2.96 Space Cooling 138.17 122.16 16.01 Fans 26.93 38.42 -11.49 Domestic Hot Water 0.00 0.00 0.00' Pumps 0.00 0.00 0.00 Totals 167.50 165.94 1.56 Percent Better Than Standard: 0.9% BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (SK9 225 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 0.40 (S K9 120 33 Fuel Available at Site: Natural Gas (NKK 122 27 Raised Floor Area: 235 (NE) 120 40 Slab on Grade Area: o (SE) 122 3 Average Ceiling Height: 8.0 Roof 235 0 Fenestration Average U -Factor. 0.59 TOTAL: 103 Average SHGC: 0.45 Fenestration/CFA Ratio: 44.0% REMARKS STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of Regulations. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company Insu-form, Inc. 4/28/2010 Address 77-810 Las Montana Road, Suite 210 Name Joan D. Hacker Cit /State/Zi Palm Desert, Ca 92211 Phone 760-345-1352 Signed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and recognizes that compliance using duct design, duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. ` Designer or Owner (per Business & Professions Code) Company Southwest Design Concepts , Address 78-115 Calle Estado Name Stephen Nieto City/State/Zip La Quinta, CA 92253, Phone Signed License # Date Ener Pro 5.0 by Ener Soft User Number. 2655 RunCode: 2010-04-28T16:34:4 /D: Page 5 of 11 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name Wisnitki Residence Building Type m Single Family m Addition Alone ❑ Multi Family [3Existing+ Addition/Alteration Date 4/28/2010 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix T e Area Factor Cavit Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Roof 235 0.025 R-38 225 0 New 4.2.1-A21 Observation Room Wall 87 0.069 R-21 225 90 New 4.3.1-A6 Observation Room Wall 95 0.069 R-21 315 90 New 4.3.1-A6 Observation Room Wall 80 0.069 R-21 45 90 New 4.3.1-A6 Observation Room Wall 119 0.069 R-21 135 90 1 New 4.3.1-A6 Observation Room Floor 235 0.048 R-19 0 180 New 4.4.2-A4 Observation Room FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC Azm Status Glazing Type Location/Comments 1 Window 16.7 0.590 NFRC 0.45 NFRC 225 New IWC 6200 Alum/Low-E Observation Room 2 Window 16.7 0.590 NFRC 0.45 NFRC 225 New IWC 6200 Alum/Low-E Observation Room 3 Window 13.3 0.590 NFRC 0.45 NFRC 315 New IWC 6200A1um/Low-E Observation Room 4 Window 13.3 0.590 NFRC 0.45 NFRC 315 New IWC 6200 Alum/Low-E Observation Room 5 Window 40.0 0.590 NFRC 0.45 NFRC 45 New IWC 6200 Alum/Low-E Observation Room 6 Ifflndow 3.3 0.590 NFRC 0.45 NFRC 135 New IWC 6200 Alum/Low-E Observation Room (1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window ID Exterior Shade Type SHGC Hot Wd Ove hanq Left Fin Len I H t LExt I RExt Dist Len Ri ht Fin Hot Dist Len Hot 1 Bug Screen 0.76 6.8 2.5 0.61 0.1 0.6 0.6 2 Bug Screen 0.76 3.4 5.0 0.61 0.1 0.6 0.6 3 Bug Screen 0.76 3.4 4.0 0.6 0.1 0.6 0.6 4 Bug Screen 0.76 3.4 4.0 0.6 a 1 0.6 0.6 5 Bug Screen 0.76 6.8 6.0 0.6 0.1 0.6 0.6 6 Bug Screen 0.76 3.4 1.0 0.6 a 1 0.6 0.6 Ener Pro 5.0 by Ener Soft User Number: 2655 RunCode: 2010-04-28T16:34:4 ID: Page 6 of 11 CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5 CF-1 R Project Name Wisnitki Residence Building Type ® Single Family ® Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1412812010 BUILDING ZONE INFORMATION System Name Zone Name Floor Area ft New Existing Altered Removed Volume Year Built Observation Room Observation Room 235 1,880 Totals 235 0 0 0 HVAC SYSTEMS System Name Qty. Heatin Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status Observation Room 1 Room Heat Pump 5.95 COP Room PTAC without Sidi 13.0 EER Setback New HVAC DISTRIBUTION System Name Heating Duct Cooling Duct Location R-Value Ducts Tested? Status Observation Room Ductless/ with Fan Ductless n/a n/a ❑ New WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input (Btu h) Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status CEC Standard MULTI-FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control E 2 E w o- Hot Water Piping Length ft c 0 \ •rt v 0 Q — System Name Pipe Length Pipe Diameter Insul. Thick. Ot . HP Plenum Outside Buried ❑ ❑ ❑ ❑ Ener Pro 5.0 by Ener Soft User Number: 2655 RunCode: 2010-04-28T16:34:4 /D: Pae 7 of 11 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Wisnitki Residence Date 4/28/2010 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (`) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)1: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all 'oints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the installation of a Cool Roof is specified on the CFA R Form. • *§150(a): Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. §150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§150(c): Minimum R-13 insulation in wood -frame wall orequivalent U -factor. *§150(d): Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor. §150(f): Air retarding wrap is tested labeled and installed according to ASTM E1677-95(2000) when specified on the CF -1R Form. 150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance _ rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)113: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113 c 5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA. 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §150(j)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §150(j)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. §1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes are insulated per Standards Table 150-13. §150(j)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. 150 3A: Insulation is protected from damage, including that due to sunlight, moisture equipment maintenance and wind. §1 500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. { 150 ' 4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.0 by EnergySofl User Number: 2655 RunCode: 2010-04-28716:34:41 ID: Page 8 of 11 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date Wisnitki Residence 4/28/2010 §150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D: 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 draw bands. 150(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. §150(m)10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines or uilt-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or ro rammed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low eff icacy luminaire asspecified by §150(k)2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 f12 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. EnergyPro 5.0 by EnergySoR User Number: 2655 RunCode: 2010-04-28716:34:41 /D: Page 9 of 11 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Wisnitki Residence 4/28/2010 §150(k)11: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual - on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with §150 k 11. §150(k)l2: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)l3 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five wafts of power as determined according to §130(d). §150(k)l5: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131 134, and 146. §150(k)l6: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. EnergyPro 5.0 by EnergySoft User Number: 2655 RunCode: 2010-04-28T16:34:41 /D: Page 10 of 11 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Wisnitki Residence Date 4/28/2010 System Name Observation Room Floor Area 235 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL COOLING CFM Sensible Total Room Loads 201 8,419 Return Vented Lighting 0 Return Air Ducts 0 Return Fan 0 Ventilation 0 0 Supply Fan 0 Supply Air Ducts 0 TOTAL SYSTEM LOAD 8,419 PEAK COIL HTG. PEAK Heating System Latent CFM Sensible Output per System 15,000 924 163 5,075 Total Output Btuh 15,000 Output Btuh/s ft 63.8 0 Cooling System 0 Output per System 16,200 0 0 0 Total Output Btuh 16,200 924 0 Total Output ons 1.4 0 Total Output Btuh/s ft 68.9 Total Output s ft/Ton 174.1 5,075 Air System CFM per System 300 HVAC EQUIPMENT SELECTION Airflow cfm 300 Mitsubishi Electronics ASU9RL 12,589 0 9,369 Airflow cfm/s ft 1.28 Airflow cfmfron 222.2 9,369 I Jan 1 AM Outside Air % 0-0% Total Adjusted System Output 12,589 (Adjusted for Peak Design conditions) 1 TIME OF SYSTEM PEAK 0 Aug 3 PM Outside Air cfm/s ft 0.00 Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heatin Peak 26 OF 70 OF Outside Air 0 cfm Supply Fan 300 cfm 70 OF 70 OF 99 OF Heating Coil 99 IF ROOM 70 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 112/78°F 78/56°F 78/56°F 39/37°F o Outside Air c 0 cfm Supply Fan Cooling Coil 39 / 37 IF 300 cfm 23.9% � yROOM Jfl 78/56°F 78/56°F EnergyPro 5.0 by EnergySoR User Number: 2655 RunCode: 2010-04-28T16:34:41 ID:' Page 11 of 11