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SFD (0106-186)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions, -o( _C ''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 27/ B C-20 Date OWN ER-BUjLDER 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). ( ) .l, as owner of .the property, am exclusively. contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) 1 -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. �(y 1 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: Carrier Policy No. ST&TE FUND (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 L bor Code, I,shdll foJhwith comply wiftthose provisions. Date:6`111AIO ADDlicant Warning: Failure to'secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety"" for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify, & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize represental yes of this City to enter upon the above-mentioned property for..,inspection purposes. ,,,.,y _ f Signature (Owner/Agentlr�'__'A-µ' 3o - 1.. BUILDING PERMIT. PERMIT# DATE_ :'w�VA,LUATION LOT ()106-18fi TRACT iS�rl e".iII V?7 W0..'I0 RC1 ALK 206 JOB 93J `s/ �Rv/HQRG APN ADDRESS Ste! OWNER CONTRACTOR / DESIGNER / ENGINEER WAX DMUI)M...27° CGRP DOR DEVE4 W:PMFh f CORP "18.921as3: ANXIMBA —921 RMAWAT:JAY ESIK` iMO" D!f_A D►..ONES CA 92,261 BERMUDA.DUNIEZ CA 92261. -760)'60.8706, co"If , 1526 _ USE OF PERMIT atwull DWI rY DWI ING1, SM wMR141.1 DOES M`l'.1111C1..iME 1?001.::SPA OR MtTII;d+y,r• Y APPROACH ��.1.2$V WAIA,CITY iiTr'1ND.d RD TR&CT ti UNISTRUCTION 1,5:33.00 3 Q AP.A.GFX,'AR.P(X .T (SP) 5 aPill. ,WOOD FENCE 300.00 L•19 d 125100 TIP r� PLAN CHECK 1�'i I, i0'I-000N42�49--.;19 $124.31 VE& DEPOSIT 101-00-439.3 i s 42511.00 MECHANIC&I. WE 101-000-4121--000 $51% KI EC TRIC:VL, ME 101-000-.42i?-0C'lta. PLUMP. FEE 101.000-419.000 $110.7s = s'rwwi mO'17owi Ip z s RzSID 101-000-2,414000 $9.39 QEI.OWINO PF1 10I-000 bt?t3lw+ $2010 $1EVri.:f.-0111TIR, IlU PA(r FEE $l,907.d10 1✓RECI.SM PLAN 10=1-000-441--345 $100.00 �Oi��'12.13C:'i'l�hi'�I,. , ... 1f3Y.-taWC2�41�!••00f3 $fiSt�.iO N, Jk3,-IVOAL COI:, . 'CROX .ReND TIMI` C: WW"I:'. 7-- 1 ixas i"rmwpm) FIms 53,0'70.91 4,250.00 FJU18Ul J�KRWF rn v i?�: ROW 1 20 IVAY20.9x Clf,( C)F l.�'UUII\TA fliii;i�CE UEl'T I RECEIPT DATE( . / BY DATE FINALED INSPECTOR L.. --••r INSPECTION RECORD - OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backsrr,,% 1`�d -oi Underground Ducts Forms & Footings _� Ducts Slab Grade Return Air Steel _ _ Combustion Air Roof Deck 8�l - C`j ( Exhaust Fans O.K. to Wrap Framing ` r ✓� - - — 7 D / .� "� F.A.U. Compressor Insulation Q;�i . 0 J' Vents Fireplace P.L. ` Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath p %_ Final lZ: Final POOLS - SPAS BLOCKWALL A IPROVALS Steel Set Backs Footings _ 22 =0+ Electric Bond - Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric _ Underground Plbg. Test Final' Gas Piping PLUMBING PC ROVALS Gas Test Electric Final Waste Lines _ Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection 7=C_(_ p ( 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) rAATION Q4P.O. BOX 1504 A llding _ 78-495 CALLE TAMPICO dress .AlA. V,0 Q 12 v LA QUINTA, CALIFORNIA 92253 CITY OF EA CUINTA Owner FINANCE DEPT Mailing BUILDING: TYPE'CONST. \ h- !J OCC. GRP. Address ��. _ G?�a {� (11 kA LV A fY A.P. Number_ Legal Description Project Description S � � City lZip ealhodlo Tel. 4a —er 106 Contractor �► tv. 0 o � Address City ell CPQ_. 1�IJn��t C%!jl�+J--�°i! Tel. State Lic. City & Classif. Llrry ! t Lic. # Arch., Engr,T _ t Designer � ' n P f" P G OS 0 Address I Tel. City^ip n I State I / /n r 7 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (com ncing with Section 7000) of Division 3 @f theus'i 3s%nd Professionsr de, and `dice e is i II� �d effec..s SIGNATURE ./ .0 s / DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 703 1.5. Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to 'its issuance also requires the applicant for such permit to rile 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 thathe 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). f] 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. If, 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 or sale.) I I 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 does not apply to an owner or property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) 17 I am exempt under Sec. B. 8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company n Copy is filed with the city. O Certified copy is hereby furnished. 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.) 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. Date Owner NOTICE TO APPLICANT: If, after 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. fSec. 3097, Civil Code.) Lender's Name Lender's Address- This ddress 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 1 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 sof this city to enter the above. mentioned property for inspection purposes. Sq. Ft. No. No. Dw. Size S` 3 .S Stories Units Newy Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS AMOUNT 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 DATE INSPECTOR Issued by: Date Permit Validated by: Signature of applicant Date Mailing Address t Validation: City, State, Zip 't j WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION 71 - Notice: Notice: Document Cannot Be Duplicated Date 6/15/01 No. 22133 Desert Sands Unified School District 47-950 Dune Palms Road,, La Quinta, CA 92253 b 760-771-8515 CERTIFICATE OF COMPLIANCE Owner NameDGH Construction Corp. No. 51-930 City La Quinta APN# 773-184-009 Jurisdiction La Quinta Street Avenida Navarro Zip 92253 Tract # Lot # Permit # Log # Study Area Square Footage 1533 Type of Development Single Family Residence No. of Units 1 Comments At the present , time, the Desert Sands Unified School District does not collect fees, on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 2.05 X 1,533 or $ 3,142.65 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued A ', sr Fees Paid By CC -Palm Desert National Bank - David Heusinkveld`°76b-360:-8706-' a - ;Telephon'e 7Eb-360.-8706 • ' Name on the check �± _ By Dr. Doris Wilson w. Superintendent Fee collected /exemp d by Annette Barlow Payment Received $3,142.65 Check No. 082222 Signature 1. 40710E: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified tbove will begin to run from the date on which the building or installation permit for this project is sssued. or on which they are paid to the Districts) or to another public entity authorized to ;ollect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting t R> r>R`P 0 i!i EB First American itfe Com an - --p-- y AND WHEN RECORDED MAIL TO IDGH DEVELOPMENT CORP. P.O. BOX 2982 PALM DESERT, CA 92261 ®OC air 2®®1'—®7053® 81/08/2001. 88:88A Fee:f3.80 01190 1 of i Doe •T ,Tau Paid Recorded in Officfal-Records County ,of Riverside Gary L. Orso Assessor County Clerk & Recorder 11 IIl II ill 1111 II 11 i 11 i I1 l 111. I 1 Il 1 1 M S I U PAGE SIZE DA POOR NOCOR SMF N18C. L J L31.r0,q I10. 2UiUiti&39 - Fut _ Order FIRST ME 207 14839- A R. L COPY LANG REFUND NCNG E7{AAI G, FIRST AMERICAN TITLE COMPANY ORDER NO. 2178266 d 6 f 0 d Assessor's Parce o: �/ r' RANT DEED 773-184-009- THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAXIS $24.20 , _ 9 ? C) V n ❑ unincorporated area Q City of LA QUINTA f J Q computed on the full value of the interest or property conveyed, or is NA VCLrrp ❑ computed on the full value less the value of liens or encumbrances remaining at time of sale, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, TRACY RUTLEDGE and VERONICA L. RUTLEDGE, HUSBAND AND WIFE, AS JOINT TENANTS hereby GRANT(S) to DGH DEVELOPMENT CORPORATION, A CALIFORNIA'CORPORATION the following described real property in the City of LA QUINTA County of RIVERSIDE , State of California: LOT 16 IN BLOCK 121 OF SANTA CARMELITA AT VALE LA QUINTA, UNIT #12, -AS SHOWN BY MAP ON FILE IN BOOK 18, PAGES 79 AND 80 OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF RIVERSIDE COUNTY. Dated December 11, 2000 STATE OF COUNTY OF } SS. On 'f TRACY RUT "DGE (�C)� before me, a Notary Public in and for said County and State, personally appearedy ZG TRACY RUTLEDGE and VERONICA L. RUTLEDGE VERONICA L. RUT'LEDGE personally known to me ( • ;� � - auideaos►) to be the F)erson@ whose name ' ubscribed to the RO9!N HARDING, within instrument and acknodged to me that b®executed the same in thei authorized capacity Comrrll.s!„t x t`�i?"`77 P tY and that b y 8sic,Ltzer Notary Puhl:r: signatures on the nstrument the personpj or the entity upon be h aTF5f z +: which the oerso s acted; execuru ted the ins ment. R'vtt7c Count y WITNESS my hand an official seal..,....,,,;,;...,:.:.,,,m ,x ;...,:•.: a ...moo►.. ignature of Notary Date My Com n onrPOsJ =cn NOTAav sEn.l OP STAMP l;AIL TAX Sl-ATEMENTS ''O PA TY SHOWN ON FOLLOWING LINE: W NO PART1 SO SHOWN, MAIL AS DIRECTEC ABOVE Street Address Cit„ State & Zip .... !.53e/5FIba RC DISTRICT - PLANNING REVIEW FORM " This form is to be used by CDD staff for review;of single family dwellings in the RC (Cove Residential) District, in order to determine the applicability of compatibility issues or need to' require the filing of Master Design Guidelines by the applicant. It shall.be transmitted to the Building and Safety Department as your correction list.. Please attach additional explanations as necessary. ' a APPLICANT. DGH .Development Corp. SITE ADDRESS 51=930 Avenida Navarro APN 773 - 184 - 00.9 BIN NO.: ��J CASE NO.: 2001-439 - LEGAL: LOT.- - 16 BLOCK .121 UNIT 12 S.C.@V.L'.Q. CHECKED BY: Start Sawa DATE: Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive- Secretary maintains a log book to track applications and assign case numbers. REQUIRED ITEM Y N COMMENT/CORRECTION Compatibility Review Case logged and number assigned 4-.- \4 Verify legal and APN information Consistent with'MDG on file (as.applicable' , MDG filing required (5 filings since 9/3/98) ` Consistency with street/surrounding area: Colors Materials - Architecture Other Requirements: 0"V Co /F 7I Yhbtj F f (YOUNG -ENGINEERING SER VICES 4j` • Engineering •Architecture•Surveying• Building & Safety Services Letter of Transmittal To:y Date: (t lY' O Project: S 1?�/a�•�� eft. Attn: W.O.: Tel No.: Tract No.: We are forwarding: By Messenger By Mail Your Pickup No. of Copies Description: Comments: This Material Sent for: Your Files Per Your�Request Your Review Approval X Checking At the request of: Other By: Phone # n 47-159 Youngs Lane • Indio, CA 92201 • (760) 342-9214 •Bronz Young • Certificate of Occupancy City of La Quinta Building and SafetyDepartment-`eco -9w, This Certificate issued pursuant to the requirements .of Section 109 of the Uniform Building Code, certifying that, at the time' of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: 51-930 AVENIDA NAVARRO Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0106-187 Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RC Owner of Building: DGH DEVELOPMENT CORP Address: •78-921 RUNAWAY BAY City: BERMUDA DUNES CA 92261 _ By: KIRK KIRKLAND Date: 12-12-2001 B 'Id' Off' ui ing V, C3 POST IN A CONSPICUOUS PLACE �50 TITLE 24 REPORT Title 24 Report for: DGH Construction Corp. 51-930 Avenida Navarro: La. Quinta, CA Project Designer: Report Prepared By: Joan D. Hacker Insu-form Inc. 68255 Corta Road Cathedral City, CA 92234 (760) 324-0216 r Job Number: Date: 3/8/01 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 1998,Building Energy Efficiency Standards. This program developed by Gabel Dodd/EnergySoft, LLC (415) 883-5900. EnergyPro 2.1 ' By EnergySoft Job Number: User Number. 2655 TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Checklist 6 Form C -2R Computer Method Summary 7 HVAC System Heating and Cooling Loads Summary 11 Room Load Summary 12 EnergyPro 2.1 By En Certificate of Compliance: Residential (Part 1 of 2) CF -1 R DGH Construction Corp. 3/8/01 Project Title Date 51-930 Avenida Navarro La Quinta Project Address Building Permit # Irm-form Inc. (760) 324-0216 Plan Check / Date Documentation Author Telephone Computer Performance 15 Field Check / Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only . GENERAL INFORMATION Total Conditioned Floor Area: 1.533 fit Total Conditioned Slab Area: 1,533 f? Building Type: (check one or more) ® Single Family Detached (SFD) ❑ Addition Alone ❑ Single Family Attached (SFA) ❑ Existing Building ❑ Multi -Family ❑ Existing Plus Addition Front Orientation: (West) 270 deg. Floor Construction Type: ® Slab Floor Number of Dwelling Units: 1.00 Number of Stories: 1 ❑Raised Floor FENESTRATION Shading Devices Type Orientation Area Const. Interior Component Frame Assembly Location/Comments Type Type U -Value '(attic; garage, typical, etc.) Stab On Grade n/a T0.756 Covered Slab w/R-0.0 Perimeter Insulation Slab On Grade n/a 0.756 Exposed Slab w/R-0.0 Perimeter Insulation R-19 Wall (W.19.2x6.16) Wood 0.065 Exterior Wall Solid Wood Door None 0.387 Exterior Door R-30 Roof (R.30.2xl2.16) Wood 0.035 Exterior Roof FENESTRATION Shading Devices Type Orientation Area Labeled Fenestration Interior Exterior Overhang Side Fins SF U -Value SHGC roller blind, etc. shadescreen, etc. Yes / No Yes / No Front (West) 4.0 0.72 0.73 Drapery Bug Screen x❑ ❑ ❑ X❑ Front (West) 24.0 0.87 0.70 Drapery Bug Screen X❑ ❑ ❑ X❑ Left (North) 38.0 0.87 0.70 Drapery Bug Screen X❑ ❑ ❑ 0 Rear (East) 40.0 0.85 0.70 Drapery Bug ScreenX❑ ❑ ❑ X❑ Right (South) 40.0 0.85 0.70 Drapery Bug ScreenX❑ ❑ ❑ X❑ Right (South) 14.0 0.87. 0.70 Drapery Bug Screen 0 ❑ ❑ X❑ ❑ ❑ ❑ ❑ ❑❑ ❑❑. Q El F-1 ❑ ❑ ❑ ❑ ❑❑ El Run Initiation Time: 0310810122:15:16 Run C 984089716 EnergyPro 2.1 By EnergySoft User Number. 2655 Job Number. Pa e:3 of 12 Certificate of Compliance: Residential (Part 2 of 2) CF -1 R DGH Construction Corp. 3/8/01 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 PankagPd Heat Pump _ 7.0 HSPF Ducts in Attic 42 Setback Living 7one Cooling Equipment Minimum Duct Type (air conditioner, Efficiency . Location Duct Thermostat Location/ . heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type Comments Packaged Heat Pump 10.0 SEER Ducts in Attic 42 SPthack I iving7nnP WATER HEATING SYSTEMS Rated 1 Tank Energy Fact' 1 External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value A n Smith FS ,-40-222 Small Gas_ Standard 32.000 40 0.56 n/a 12 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. RFMAPWq 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 varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business & Professions Code) Documentation Author Name: Name: Joan D. Hacker Title/Firm: Title/Firm: Insu-form Inc. Address: Address: 68255 Corta Road Cathedral City, CA 92234 Telephone: Telephone: (760) 324-0216 Lic. #: 8 0 (signature) (date) (sign tur) • (date) Enforcement Agency Name: Title/Firm`. Address: Telephone: (signature/stamp) (date) Run Initiation Time* 03/08/01 22:15:16 Run Code: 984089716 EnergyPro 2.1 By EnergySoft User Number. 2655 Job Number. PageA of 12 Certificate of Compliance: Residential (Addendum) CFA R DGH Construction Corp 3/8/01 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 aaencv 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 FField The DHW System "A.O.Smith FSG -40-222" Energy Factor = 0.560. An EF below 0.58 requires an R-12 External Blanket. HIGH MASS Design(see C -2R) - Verify Thermal Mass: 1008 sqft Covered Slab Floor, 3.50" thick at Living Zone HIGH MASS Design(see C -2R) - Verify Thermal Mass: 525 sqft Exposed Slab Floor, 3.50" thick at Living Zone HERS Required Verification T�e�s se, -m- —,-a+ he confirmed andrnr rested by a certified HERS rater under the supervision of a CEC aooroved HERS provider. The HERS rater must document the Ciel verification and diagnostic testing of these measures on a form CF -6R. plan Field 4 Run Initiation -Time: 03/08/01 22:15:16 Run Code: 984089716 EnergyPro 2.1 By EnergySoft User Number. 2655 Job Number. Page :5 of 12 Mandatory Measures 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 binding minimum component specifications. DESCRIPTION instructions: Check or initial applicable boxes or enter NIA if not applicable. DESIGNER ENFORCEMEN Building Envelope Measures Minimum R-19 ceiling insulation in wood frame assembly, or equivalent U -value. § 150(b): Loose fill insulation manufacturers labeled R -value. I„I `§ 150(c): Minimum R-13 wall insulation in framed walls or equivalentU-value (does not apply to exterior mass walls). '§ 150(d): Minimum R-13 raised floor insulation in wood framed floors. § 150(1): Slab edge insulation - water absorption rate < 0.3%, water vapor transmission rete < 2.0 permfinch. 7 §118: Insulation specified or installed meets quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltretion Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Manufactured fenestration products labeled with certified U -value, SHGC, and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(8): 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 X❑ §110-13:"HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. X§150(i): Setback thermostat on all applicable heating and/or cooling systems. X§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. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined intemallextemal insulation, piping between heat source and tank insulated. 3.lnsulation on the first 5' of pipes closest to water heater tank, non -recirculating systems (R-4 or greater), buried or exposed piping in recirculating sections of hot water systems, cooling system piping below 55 deg F. X'§150(m): Ducts and Fans 1. All ducts and plenums constructed, installed, insulated, fastened, and sealed to comply with the ICBO 1997 UMC sections 601 603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirety within conditioned space. Openings shall be sealed with mastic, tape aerosol sealant or other duct closure system that meets the applicable requirements of UL181, UL181 S, or UL181 B and other applicable specified test for longevity given in 150(m). 2. Exhaust fans systems have back draft or automatic dampers. 3. Gravity ventilating systems servng conditioned space have either automatic or readily accessible, manually operated dampers. X❑ §114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof instructions, no pilot or electric resistance heating. 2. System is installed with at least 36" of pipe between filter and heater, cover for outdoor pools or spas. 3. Pool system has directional inlets and a circulation pump time switch. X] §115: Central Furnaces, pool heaters, spa heaters or household cooking appliances have no constant pilot light Lighting Measures §150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 Iumenstwatt 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. R 150(k)2: Rooms with a shower or bathtub must either have 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 150(k)2.; and recessed ceiling are IC (insulation cover) approved. EnergyPro 2.1 By EnergySoft User Number. 2655 Job Number. Page:6 of 12 Computer Method Summary (Part 1 of 3) C -2R nrH (' on -,tri ictinn r orp Project Title .i1-A'In Avenida Navarro La Quanta 3/8/01 Date Project Address Building Permit # Insu-form Inc (760) 324-0216 Documentation Author Telephone Plan Check/Date ('nmIputt-r 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 5.32 4.27 1.05 Space Cooling 45.58 43.74 1.84 Domestic Hot Water 15.53 14.49 1.04 Totals 66.43 62.50 3.93 GENERAL INFORMATION Conditioned Floor Area: 1,533 Floor Construction Type: 2] Slab Floor Building Type: Single Fam Detached F-1 Raised Floor Building Front Orientation: (West) 270 deg Number of Dwelling Units: 1.00 Total Conditioned Volume: 13,797 Number of Stories: 1 Slab Floor Area: 1,533 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area I iving 7nna 1 5'A3 11 797 1 no rnnrlitinnPd SPthark _2 n/a OPAQUE SURFACES Solar Act. Gains Type Area U -Val. Azm. Tilt Y / N Form 3 Reference Location / Comments Computer Method Summary 0.68 Bug Screen (Part 2 of 3) C -2R 2 Drapery 0.68 Bug Screen 0.76 4.0 6.0 2.0 0.1 2.0 2.0 DGH Construction Corp. 0.68 Bug Screen 0.76 4.0 4.0 2.0 0.1 2.0 2.0 4 Drapery 3/8/01 Project Title 0.76 20 30 20--0-1 700 -M 5 Drapery 0.68 Bug Date 0.76 _U 60 2.0 0.1 20 20 FENESTRATION SURFACES 0.68 Bug Screen 0.76 -,$ 6.0 -2-0 01 -U --2-0 - - - 7. Drapery 0.68 Bug Screen U -Value Act. Glazing Type Location/ # Type Area SHGC Azm. Tilt Comments Window Frnnt est) 4.0 -'-D= n 73 270 An r)nuhla Mt1 l Inrnntad nefaiflR t MnA 7nna 2 Window Front (West) 24.0- 0.870 0.70 270 90 Double Mtl Uncoated Default Living Zone 3 Window Left (North) 32.0 0.870 0.70 0 90 Double Mtl Uncoated Default Living Zone 4 Window Left (North) 6.0 0.870 0.70 0 90 Double Mtl Uncoated Default Living Zone 5 Window Rear (.East) 40.0 ` 0.850 0.70 90 90 Double MH Uncoated Default Living Zone 5 Window Right (South) - 40.0 0.850 0.70 180 90 Double Mtl Uncoated Default Living Zone L Window Right (South) - 14.0 0.870 0.70 180 90 Double MH Uncoated Default Living Zone INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Interior Shade Type SHGC Exterior Shade Tvpe SHGC Hgt. Wd. Len. Hgt. LEA REA Dist: Len. Hgt. Dist. Len. Hgt 1 Drapery 0.68 Bug Screen 0.76 4.0 1.0 2.0 0.1 2.0 2.0 2 Drapery 0.68 Bug Screen 0.76 4.0 6.0 2.0 0.1 2.0 2.0 3 Drapery 0.68 Bug Screen 0.76 4.0 4.0 2.0 0.1 2.0 2.0 4 Drapery 0.68 Bug Screen 0.76 20 30 20--0-1 700 -M 5 Drapery 0.68 Bug Screen 0.76 _U 60 2.0 0.1 20 20 6 Drapery 0.68 Bug Screen 0.76 -,$ 6.0 -2-0 01 -U --2-0 - - - 7. Drapery 0.68 Bug Screen 0.76 2.5 4.0 2.0 0.1 2.0 2.0 _ I EneravPro 2.1 By EneravSoft User Number. 2655 Job Number. Page:8 of 12 1 >' Computer Method Summary (Part 3 of 3) C -2R DGH Construction Corp. 3/8/01 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. Hea4meiaht IOQg 3 FO 98 0 9fl n/a 2 Living Zone / Slab on Grade Concrete. Heavyweight 525 3.50 28 0,98 n/a 0 Living Zone / Slab on Grade PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments Slab Perimeter 127 0.76 0.0 0 Living Zone Slab Perimeter 92 0.76 0.0 0 Living Zone HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Location pump, etc.) (AFUE/HSPF)(ducts/attic, etc.) R -Value Type Comments Packaged Heat Pump 7.0 HSPF Ducts in Attic 4.2 Setback Living Zone Hydronic Piping Pipe Pipe Insul. 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 Packaged Heat Pump 10.0 SEER Ducts in Attic 4.2 Setback Living Zone WATER HEATING SYSTEMS Rated l Tank Energy Facts 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency Loss (%) Ext. A.O.Smith FSG -40-222 Small Gas Standard 1 32.000 40 0.56 n/a 12 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. REMARKS Run Initiation Time: 0310810122:15:16 Run Code: 984089716 EnergyPro 2.1 By EnergySoft User Number. 2655 Job Number. Page:9 of 12 r Computer Method Summary. (Addendum) C2 -R DGH Construction Corp. " 3/8/01 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 3ased on the adequacy of the special justification and documentation submitted. Plan I Field The DHW System "A.O.Smith FSG -40-222" Energy Factor = 0.560. An EF below 0.58 requires an R-12 External Blanket. HIGH MASS Design(see C -2R) - Verify Thermal Mass: 1008 sqft Covered Slab Floor, 3.50" thick at Living Zone j HIGH MASS Design(see C -2R) - Verify Thermal Mass: 525 sgft Exposed Slab Floor, 3.50" thick at Living Zone 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 EnergyPm 2.1 By EnergySoft User Number. 2655 Job Number. Page: 10 of 12 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DGH Construction Corp.3/8/01 DATE SYSTEM NAME Livinq Zone FLOOR AREA 1,533 i Air System CFM per System 1,600 Airflow (cfm) 1,600 Airflow (cfm/sgft) 1.04 Airflow (cfm/Ton) 408.5 Outside Air (%) 0.0 Outside Air (cfm/sgft) 0.00 Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD CFM I Sensible! Latent I I CFM I Sensible I 1,556 27,209 3,36 854 33,134 0 0 0 1,360 1,657 0 0 0 0 0 0 0 1,360 1,657 29,9291 3 36 36 447 CARRIER 50HS-048-301- 30,699 12,249 31,240 10.0 kW Supplemental Electric 34,130 Total Adjusted System Output 30,699 12,2a9 65,370 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm IF Jan 12 am Note: values above given at ARI conditions EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26.0 OF 69.0 OF 69.0 OF 87.2 OF ■ 107.1 OF Outside Air'k 0 cfm 69.0 of Supply Fan Heating Coil Aux. Heat Coil 1600 cfm k Return Air Ducts `S Supply Air Ducts 106.2 of ROOMS 70.0 of COOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 111.0/77.4OF 78.8/66.4OF 78.8/66.4OF 60.9/59.8OF Supply Air Ducts Outside Air' 0 cfm Supply Fan Cooling Coil 61.7 / 60.1 of 1600 cfm 53.9% R.H. ROOMS 78.8/66.4 of 78.0 / 66.2 of 2.1 User Number. 2655 Return Air Ducts Job Number. tof12 ROOM LOAD SUMMARY PROJECT NAME DGH Construction Corp. DATE 3/8/01 SYSTEM NAME Living Zone FLOOR AREA 1,533 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME ROOM NAME Mult. CFM SENSIBLE LATENT CFM SENSIBLE LATENT CFM SENSIBLE LivingZone Living Zone 1 1,556 27,209 3,361 1,556 27,209 3,361 854 33,134 PAGE TOTAL 1 1,556 27,209 3,361 854 33,134 TOTAL 1 1,556 27,209 3,361 854 33,134 EnergyPro 2.1 By EnergySoft User Number. 2655 Job Number. Page: 12 of 12