04-5074 (AR)• Cid. - .' �------"-_'-__._ ; Tdf
BUILDING'&'SAFEMDEPARTMENT .
1 iY' O 0111fTt; ,i Y..
i)BY(]i� '1504 i. ;r"
Es�A_= - (.760)' 777-7012
<7 x`7$-495 CALLE TAMP.IC.O " •:
OF , . ` << y FAX (760) 777-7:011'
LA QUINTA, CALIFORNIA 92M,Y INSPECTION REQUESTS.'(760).777-71.53
BUILDING PERMIT" .. :..'
Application"NumberL_0,4_=.0-0005074 _ #" Date. �%28/04
Pro ert. Address' _ `5,23,34_AVENIDA_RUB.IO'•
P Y _
APN 773 253.-'024-20-jOQ0000-
App.l';ication- description ` ...� �"%ADD'ITION!; RESIDENTIAL
Property. Zoning : : , . COVES.. RES IDENT:IAL ° F r '
Appl:icat dn..'valuat:ion
iTF' ..
Owner' w wi Contractor:,
—. _ - — — — — — — « . • S : - YJ t lM'wLt++' .��-r•+r wx.. �;----------------------
LARRY-''
'7+ - - — — — — — — -
LARRY ' BARAJAS cr ; $ M ATLANTAS
52� 334 A�IENIDA' RUBIO r,�� 11:05,SAVENIDA��IILLP:
LA QUINTA : CA 922:53 a _� •k rLA QU.INTA LL CP; 92253. :
t ., ' , i i .4 ��. �7�i '.'Y * FY •. '777,--137,60) 777, 1312,"
� WCC �� STATE FUND
..=..rr r WC �1769921.20.04 06/01/05
CS
r-LB 79974.1 09./.30/05
' .. -' .eft" * .. '•St Sig .rCC'C F. B�-�
-- --- --` -- - Structure�iInformationk i -- ------------------
Construction*
--- ----
Construction Type. . ,F ~TYPE:V,,7. NON RATED
-:
Occuparicy•Type DWELLG%LODGING%GONG
Flood Zone ; . NON AO`; FLOOD ZONE r `}
Other=struct.info CODE EDITION ` 2001 CBC -
m#.. •BEDROOMS (;.>� _.
4:00.
' .. FI�RE_.SPRI•NKLERS.... : NO ' ..
NUMBER�'OF, L]NLTS. -. l •'0�0.
FIRST=,:FLOOR SQ:.FTG;-.. .. 1972.00
Permit
Additional desc
Permit Fee 685.00. r Plan Check Fee 445.25 .
Issue. "Date >�,�. Valuation �� 112.799--
C a
`. Qty Unit` .Charge' .. Pe•r.," R f� , j Extension
BASE FEE' 639.50
'13. 0.0.3',5000-.THOU. BLDG 100; :0-Ol 500-,,.000, < 45-.50
Permit' .MECHANICAL
Additional desc r ..._: * •'
Permit Fee 52 50. Plan Check Fee 13.13
I'ssUe.•,Date �s- r r �} Valuati.on 0
Qty Unit Charge Per : -h ,�' ; Extension
;.BASE<'FEE �+ 15.00
1. 00. 9.,. 0.0.0.0..EA.:*-MECH'.FURNACE' <=10OK 9... 0'0
• T +-
P.O. Box 1504 VOICE -(:760) 777=701-2
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUiNTA, CALIFORNIA 92253 INSPECTIONS (760)-777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Olyk-SyDate:
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
.'Code, and my License is in full force and effect.
License Class License No.
Date Contractor
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 ils 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 Contractors' 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 cf,n1 penalty of not more than five hundred dollars ($500).):
U 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 or through his or her own employees, provided that the'improvemen s are not intended or offered for sale. If, however; the building or improvement Is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors to constrict 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.).
U I am exempt under Sec. -.B.& P.C. for this reason
WORKERS' 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. .
_ 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 Policy Number
I certify that, in the performance of the work for which this�pdnnit Is Issued, I shall not employ any person In any manner so as to become subject to the workers•
compensation laws of Calilfomia; and agree that, N 1 should become subject to the workers, compensation provisions of Section 3700 of the Labor Code, l shall
forthwith comply with those provisions.
ZZ
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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
1 hereby affirm under penalty of perjury that there Is a construction lending agency for the.perfomrance of the work for which this permit Is issued (Sec. 3097, Civ. C.).
Lenders Name
Lenders Address /moi
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application.
1. Each person upon whose.behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit
Issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its
officers, agents and employees for any act or omission related to the work being performed under or following Issuance of this perm.
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 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 of this county to enter upon the above-mentioned property for inspection purposes.
a �! LZ ignature (Applicant or Agent):
Page
2
Application Number
.04700005,074 Date
7/28/04
Qty Unit Charge.
:Per
Extension.
1.00 9.000.0
EA
MECH B:/C..<z--3HP/100K BTU
9.00
3.00 6.'5000
EA
MECH EXHAUST -HOOD".
19.50
Permit . . r`ELEC-NEW .RESIDENTIAL
Additional desc
Permit Fee
84."02, Plan Check Fee
21.01
Issue.Date .. . . .
Valuation . . . .
0
Qty Unit Charge
Per.
:'
Extension
BASE FEE
15.00
1972.00 .0350
ELEC NEW RES -•1 OR 2 FAMILY
69.02'
Permit PLUMBING
W
Additional desc
Permit Fee
103:5'0:-
Plan Check Fee'.
25.88
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge.
Per
Extension
BASE FEE
15.00
10.00 6. 0000
EA-
PLB.:.FIXTURE .
60.00
1.00 15.00,00
EA
PLB`4BUILDING.SEWER
15.00
1.00 7.500.0.
EA
P.,'LB..WATER HEATER/VENT;
7.50
1.00 3.000.0
EA
PLB WATER INST/ALT/REF
3.00
1.00 3.0000"EA
.'PLB.'•GAS PIPE 1-4 OUTLETS
.3.00
------------------------------------------------------------------------------
Permit GRADING PERMIT
Additional desc
Permit Fee
'15.00
Plan Check Fee
.00
Issue Date
Valuation
0
Qty Unit Charge
Per
Extension
BASE FEE
115.00
"
Special. Notes and,Comments
1972 S.F ADDITION TO'`:HOUSE
Other Fees . . .
.
. . ART I'N PUBLIC:';PLACES-RES
.00
.DIF COMMUNITY"CENTERS-RES
97.00
DIF•CIVIC CENTER - RES
366.00
ENERGY REVIEW *FEE
44.53
z•
Page
3
Application Number
04-000050:74 Date
7/28/04
Other Fees
----------------
DIF FIRE -,PROTECTION -RES
97.00
GRADING- PLAN' CHECK ,FEE
.00
DIF LIBRARIES :7 RES
225.00
DIF:'PARK'MAINT FAC - RES
5.00
DfiF PARKS/REC'- RES
502:00
STRONG.. MOTION' (SMI) - RES
11.27
DIF ,STREET MAINT FAC -RES
15..00
DIF. TRANSPORTATION`- RES
1098.00
Fee summary
Charged:
Paid Credited
Due
Permit.Fee.Total
940.02
00 00
940.02
Plan 'Check Total
505.27.
.00 .'00
505.27
Other Fee Total
24,6.0x:8,0.
:00 .00
2460.80
Grand Total
3906.0-9
...00 .00
3906..09
if
Y.
1 'a► '
Bin a,��•� City of La Q uj. nta
Building ex Safety Division
Permit # P.O. Box f SO4, 78.495 Cilie Tampico
La Quinta, CA 922S3 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: Z ,tJ I Owner's Name- �ZKv
A. P. Number %-7 ZC�'?� ._ O2 _ 3 Address Z 3 3 ¢ (j Chi v
Legal Description of Q 01 2-
R% l , i GI �' 2� Cin•. ST. Zip L, �S
Contractor—--�i�s FTciephone
c
Address XProJw Descnption.
t7( Tt o 4.,)� -
Cit) ST. Zip
Telephnr
State L.c — - Li; ` Lic a , 0
Arch.. Em" t )s: •ne• 1 i 7_ G G
Address-
4_S?� �oi?rtOl/� /��j� •
City. S1 br. PAQ
P57 ONO Conmction Type: Occupancy
-M -
Strte Jc T Project type (circle one), New ndd'n Atter Rcpatr Demo
P{ • � r..� t Peron. i '
Sq Ft `.L 1 Z b Stones l a units
I
tact Person: �,(� -,7-7S 4 ( o surnated Value of Prosect 0 00
APPUCANT: DO NOT WRITE BELOW THIS LINE
Req'd Rec'd TRACKING PERMIT F'E L
•�j " '� ';'= -t p� Plan Check submitted 11! 7 Iteta Aaooat
S' ;L ' A Ccles. Reviewed. ready for corrections (041" Plan Cheek Deposit
Called Contact Person ��yy Plan Check Balance
C:.►ts ,�}f, Plans J)itked up (Qj tiv Construction
Li ua pfao Pleas -7l
resubmitted Mechanical
y
C T_dncr. Rine 2" Revita. ready for correctie issue �Z� Electrical
Subcootnctor List Called Contact Person Plumbing
Groat Deed Plans picked up S.!►t.l.
N.O.A. Approves
Plans resubmitted
Grading
IN HOUSE:-
"' Revic%. ready for correcttons/issue
Developer impact Fee
Plaotaa3 Approval
Called Contact Person
A.I.P.P.
Pub. W les. APpr
Date of permit issue
School Fees
ni w../•
Total Permit Fees
a-- r- aY
w r '
CERTIFICATE OF COMPLIANCE J��Fs�
Desert Sands Unifed,School, District �� �o
,z o
47950 Dlune. PaImS Road., Q BERMUDA DUNES r'
rn RANCHO MIRAGE O
Date 10/22/04 La Qullnta'CA 92253 INDIAN WELLS
�. PALM DESERT ,y
No. 26567 (760)77 1-851 5 QUINTA J�Q INDIOIO y�
O
Owner Lary Barajas APN # 773-253-024
Address 52334 Avenida Rubio Jurisdiction La Quinta
City La Quinta Zip 92253 Permit'#
Tract # Study.Area
Type Residential Addition No:=of-Units 1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 52334 Avenida Rubio
Unit 2
Unit- 3
Unit 4
Unit 5
Comments
1972 Unit 6
Unit 7
Unit 8
Unit 9
Unit'10
At the present time, the Desert Sands Unified School District does not collect fees, on garages/carports, covered patiosmwalkways, residential additions under 5
00 square feet, detached accessory structures (spaces. that do not contain-facili ies!forliving, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that 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
Education. Code Section 17620 and Government Code 65995;Et Seq.
in the amount of $244 X 19972 S.F. or $4,417.28 have been paid: for the property listed; above and.that
building permits and16r Certificates of Occupancy, for this square footage in this: proposed project may now be issued.
Fees Paid By OC/WashingtonMutual Bank Evelyn Barajas Check No., 818117441
Name ;on the check Telephone
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collecte /exe t by SAron CGllvrey Payment Recd 50:00
/� / n
$4,417.28 Over/Under
NOTICE: Pursuant to Government Code Sec 0(d)(1), this'will serve to notify you that -the 9"qy approval pedod,.in which you may protest the fees o
r other payment identified above will begin to run from the date on which the: building or installation permit for'th'S!propect is issued, or from the date on which
those amounts are paid to the District(s).or to another public entity authorized to collect them on the Districts) behalf, whichever is earlier.
.NOTICE: This Document NOT VALID. if Duplicated
Embossed Original - Buildingbepartment/Applicant Copy - Applicant/Receipt Copy -,Accounting
Bin
..
.gid-C►tyof La Quinta .t
" Building a Safety Division
Permit #
P.O. Box 1,504i'.79,749-5 Calle-Tampico
ao914 ysp7�
La 0uinta,'CA 92253. (76.0)777=7012
,(�
is
Building Permit Application: and Tracking Sheet .
,Project Address:
Owner s Namc ,� 4 r r .
A. P: Number:
a Cc S
Legal Description:
Address:
City, ST, -Zip:' `
C'
Contractor:
- ...; ..
TeleP hone: >
City, ST, Zip:
Telephone:
p h
>::»>:'.::>::::::.
. •
State Lic. # ;
City Lica#:
.
Arch., Engr.; Designer:
Address:
City, ST, Zip:
Telephone:
'C`:
on ��
stru '
ch 0 nTy
Type:
StateSae L't
tc. #•
Occu P a nc �•
-
...
Project ct Pe ci r cl
cone Neww Ad ' n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:.
•Estiniated Value of Project: .
APPLICANT: DO N.OfMRITE BELOW THIS LINE-
_
#
Submittal -
Req d
• Recd
TRACKING
Plan Sets
PERMIT FEES
Plan Check submitted
1
Item `'
Structural Calcs.
Reviewed, readjyfo�cir'rections
r
Plan
Amount
•
T ss'C�Ics.
'
Check Deposit
�
Called Contact Person
Title 2'4 Calcs:
Plan Check Balance
Plans picked'up '
°
Construction
Flood plain plan
Plans resubmitted'
Mechanical
•
Grading plan
,
2 . Re�ieN, ready for correct' nshssue .
2o'�
'Elecirical
Subcontactor List
Called.Contact Person `
Grant Deed
Clumbing
Plans picked up.
SNLL `
{{.O.A. Approval
L'lans resubmitted '
INROUSE:-
,,a; Revien ready for correction' Vissue
Grading
'
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr'
Date of'permit-issuc
A.LC.P.
School Fees
i
Total Permit Fees e
TITLE 24-'REP0,14"T
Title 24 Report for:
Mr. La ' rry Para'ja-s.
52334 Rubi'o..
La Quinta, CA 92253
Project Designer:
Felipe, Fribooso
44525.'Portbla ave.
-PaImID0 e 'rt" , CA:92260
760-831-gobg
Report Pro
P pared,13y:
FREGbSO DESIGN
Luz �r'egoso.
44525 Avenue Portola
"Palm Desert, CA,92260
(780)��8.87"9009
Job NUmber:
L1003
Date:.
5120./04
CITY OF LA QUINTA
. BUILDING & SAFEW ®PT.APpROVE
FOR CONSTRUCTION
The EnergyPro computer, program has been used to perform, the calculations sumMarizedin this compliance report. ;this program has approval and is
authorized by the California Energy Commission for useWth both the Residential and Nonresidential 2001 Building Energy Efficiency Standards.
This program developed by Ene'rgySoft, LLC (415) 883-5900.
EnergyPro 3.1 By EnergySoft Job Number: L1003 User Number: 5982
Certificate ofCompliance: Residential (Part 1 of 2) CF -1 R
Mr. Larry Barajas 5/26/04
Project Title Date
52334.Rubio La Quinta
Project -Address Building Permit #
Luz Fregoso (760) 837-9009 Plan Check / Date
Documentation Author Telephone
Computer Performance 15 1 Field Check / Date
Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area: 1,972 ft2 Average Ceiling Height: 9.0 ft
Total Conditioned Slab Area: 1,972 ft2
Building Type:
(check one or more)
X❑ Single Family Detached ❑ Addition
❑ Single Family Attached ❑ 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
Component
Type
Frame
Type
Const.
Assembly
U=Value
Location/Comments
(attic, garage, typical, etc.)
R-38 Roof (R.38.2x4 (1)
Wood
0.028
Exterior Roof
Slab On Grade
n/a
0.756
Exposed Slab w/R-0.0 Perimeter Insulation
Slab On Grade
n/a
0.756
Covered Slab w/R-0.0 Perimeter Insulation
R-13 Wall (W.13.2x4.16)
Wood
0.088
Exterior Will
Solid Wood Door
Wood
0.387
Exterior Door
FENESTRATION
Shadinq Devices
Type
Orientation
Area
Fenestration
Exterior
Overhang Side Fins
SF
U -Factor.
SHGC
Shading
Yes / No
Yes / No
Front
(West)
105.0
0.65
0.40
Bug Screen
❑ x❑
❑ x❑
Rear
(East)
48.0
0.65
0A0
Bug Screen
❑ Q
❑X❑
Left
(North)
45.0
0.65
0.40
Bug Screen
❑ X❑
❑ X❑
Right
(South)
78.0
0.65
0.40
Bug Screen
❑ X❑
❑ X❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
D
El F1
El 1:1
El
1:1 El
❑❑
Run Initiation -Time: 05/20/0411:09:24 Run Code: 1085076564
Ener
Pro 3.1 By Ener Soft
User Number: 5982
Job'Number: L1003
Pa e:3 of 12
Certificate of Compliance: Residential (Parf2 of 2) CF -1 R
Mr. Larry Barajas 5/26/04
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
CPntral Furnace 78% AFUE Ducts in Attic 42 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 15.5 SEER
Ducts in Attic
42
Setback
Res HVAC
WATER HEATING SYSTEMS
Rated 1
Tank
Energy Facts 1 External
Water Heater Water Heater
Distribution
# in Input
Cap.
or Recovery Stand byy Tank Insul.
System Name Type
Type
Syst. Btu/hr
(gal)
Efficiency Loss (.) R -Value
Standard Gas 50 gal or Less Small Gas Standard
0 40,000
50
0.53 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.
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. The undersigned recognize that compliance, using duct sealing and TXV's requires installer testing and certification
and field verification by an approved HERS rater.
Designer or Owner (per Business & Professions Code) Documentation Author
Name
Title/Firm: Felipe Fregoso
Address: 44525 Portola ave.
Palm Desert, CA 92260
Telephone: 760-837-9009
Lic. #:
u. S -ZZ.
(signature (,- ate
Enforcement Agency
Name:
Title/Firm:
Address:
Telephone:
Name: FREGOSO DESIGN
Title/Firm: Luz Fregoso
Address: 44525 Avenue Portola
Palm Desert, CA 92260
Telephone: (760) 837-9009
igna re) (date)
EneravPro 3.1 BvEneravSoft User Number: 5982 Job Number: L1003 PaaeA of 12 1
Certificate of Compliance: Residential (Addendum) CF -1 R
Mr. Larry Barajas 5/26/04
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 aciencv determines the adequacy of the justification, and may.rejecta building or design that otherwise complies
based on the adequacy of the special justification'and documentation.submitted. Plan Field
The DHW System "Standard Gas 50 gal or Less" Energy Factor.= 0.530. An EF below 0.58 requires an R-12 External Blanket.
HIGH MASS Design(see C -2R) -Verify Thermal Mass: 1614 sqft Exposed Slab Floor, 3.50" thick at 1st Floor
HIGH MASS Design(see C -2R) - Verify Thermal Mass: 358,sgft Covered Slab Floor, 3.50" thick at 1st Floor
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
Run -Initiation Time: 06/20/041;1:09- 24.,Run Code: 1085076564
EnergyPro 3.1 By EnergySoft User Number: 5982 Job Number. 1_1003 Page:5 of 12
Mandatory Measures Checklist: Residential (Page 1 of 2) 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 performance 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 NIA if not applicable.
DESIGNER
ENFORCEMENT
Building Envelope Measures
❑X '§150(.): Minimum R-19 ceiling insulation.
§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
❑X not apply to exterior mass walls).
' § 150(d): Minimum R-13 raised floor insulation in framed Floors or equivalent.
§150(1): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no
❑
greater than 2.0 perm/inch.
§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 U -factor, certified Solar Heat Gain
Coefficient (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:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. 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, showerheads and faucets certified by the Commission.
❑X §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA.
§150(1): Setback thermostat on all applicable heating and/or cooling systems.
§ 1500): Pipe and Tank Insulation
JAI
1. Storage gas water heaters rated with an Energy Factor less than 0.56 must be externally wrapped with
insulation having an installed thermal resistance of R-12 or greater.
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R4 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.
EnergyPro 3.1 By EnergySoft User Number: 5982 Job Number: L1003 Page:6 of 12
Mandatory. Measures 'C,hecklist: Residential (Page 2 of 2) 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 performance 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
ENFORCEMENT
Space Conditioning, Water Heating.and Plumbing System Measures: (continued)
o'§ 150(m): Ducts and Fans
1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998•CNIC Sections 601,
603, 604 and Standard 6-3; ducts insulated to a minimum installed level of R74.2 or enclosed entirely 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 or tape shall be used. Building cavities shall not
be used for conveying conditioned air. Joints and seams oUduct systems and their components shall not be
sealed with Goth back rubber adhesive duct tapes unless such tape is used in combination with mastic and
drawbands.
2. 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 tie 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.
3. Joints and seams of duct systems and their components shall not be sealed with Goth back rubber adhesive
duct tapes unless such a tape is used in combination with mastic and drawbands.
4. Exhaust fan systems have back draft or automatic dampers.
5. Gravity ventilation systems serving conditioned space have eitherautomatic or readily accessible, manually
operated dampers.
6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture,
equipment maintenance, and wind but -not limited to the following: Insulation exposed to weather shall be suitable
for outdoor service e.g., protected by aluminum, sheet metal; painted canvas, or plastic cover. 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.
❑ § 114: Pool and Spa Heating Systems and Equipment
1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance
heating, and 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.
a. At least 36" of pipe between filter and heater for future solar heating.
b. Cover for outdoor pools or outdoor spas.
3. Pool system has directional inlets and a circulation pump time switch.
RI§115: Gas fired central furnaces, pooFheaters, spa heaters or household cooking appliances have no
continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr)
❑ §118 (f): Cool Roof material meet specified criteria
Lighting Measures
❑ §150(k)1: 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 covei) approved.
3.1 By EnergySoft User Number: 5992 Job Number: L1003 Page:7 of 12
Computer Method
Summary
-0-028-
0_22_Wall-
(Part 1 of 3) C -2R
_M.r._Laccy_B.ar_ajas
61.
0_0.88_
_2Z0_
5/_26/_04
Project Title
523.34LB.ubio-La-0-u inta
3.9
_0_.0.8.8.
-90--9.0-
90.
Date
Project Address
1.01.
0 088
0
Building Permit #
_Luz F1e.q.oso
22.
-0-GN
(760)B37=9009
Telephone
Plan Check/Date
Documents ion Author
6.8.
_0_0.8.8.
9.0.
90_
Com.puter_Rerformance
98
_00.8.8_
15
Field Check/Date
Compliance Method (Package or Computer)
_____74_
Climate Zone
90
Source Energy Use
Standard
Proposed
Compliance
0.
-0--90-
(kBtu/sf-yr)
Design
Design
Margin
-90--90-
90__90_Wall-
Space Heating
2.70
.2.70
0.00
1.8.0.
Space Cooling
35.25
41.75
-6.50
1.80
Domestic Hot Water
13.15
0.00
13.15
1.8.0.
Totals
51.10
44.45
6.66
-27-0.90_
Percent better
13.0%
Total Conditioned Floor Area: 1;972 ft2 Floor Construction Type: ❑ Raised Floor 1X Slab Floor
Building Type: Single Fam Detached
Building Front Orientation: (West) 270 deg Total Fenestration Area: 14.0%
Number of Dwelling Units: 1.00 Total Conditioned Volume: 17,744 ft 3
Number of Stories: 1 Total Conditioned Slab'Area: 1,972 ft 2
BUILDING ZONE INFORMATION # of Thermostat Vent
Zone Name Floor Area Volume Units Zone Type Type Hgt. Area
.Res_HY9C 1,97217.74_4 x_0.0_ Conditioned- -Setback- 2 _n/a
OPAQUE SURFACES Act.
Type Area U -Fac. Azm. Tilt
Roof
1..97.2.
-0-028-
0_22_Wall-
61.
0_0.88_
_2Z0_
90_
Wall_
3.9
_0_.0.8.8.
-90--9.0-
90.
90_Wall-
-Wall-
1.01.
0 088
0
90
Wall-
22.
-0-GN
4.5
90
Wall_
6.8.
_0_0.8.8.
9.0.
90_
Wall-
98
_00.8.8_
-0--90
Wall_
_____74_
0 088
90
90
Wall_
10.3.
-0..0.8.8_
0.
-0--90-
90_Wall-
-Wall-
1.8.9_
_0_.0.8.8_
-90--90-
90__90_Wall-
-Wall-
28.6_
0.08.8_
1.8.0.
90
.Door
2.4_
-0.3.87-
1.80
90
.D.00r
24_
-0..387_
1.8.0.
90_
Wall-
5.0_
-O-Q88-
-27-0.90_
Wall_
4.3_
_0.0.88_
180_
9.0_
Wall_
26.
_0_0.8.8_
_2Z0_
90_
Solar
Gains
Y / N Form 3 Reference Location / Comments
R38_Roof_(R.3.8 2x4_(1)
R_t311_WaIL(W.13_2x4.16)
.EL-13_W.al _(W 1.3_2x_416.)
.R=13_W a l I_(..W_J_3.2x4 16)
.R=1 -3_W a l I_(.W .13.2x4.16)
_R13_W al L(W_.13.2x4_16.)
_R_1.3_Wall_(.W 13 2x_4.16.)
.R1.3_WaIL(W _-3..2x_4-t6)
.R=J_3_W.aIL(W t3_2x4 1.6.)
_R_1.3_W a I L(_W1.3_ 2x4_t6.)
.R_t3_Wall_(.W 13.2x4..16)
Solid_Wood_Doo.r
Solid Wo - Do9r
R_ _1.3_WaIL(.W_ _1.3.2x4.16.)
R1.3_W_a I L(W .1.3.2x4.1.6.)
.R_1.3_W.all_(.W 1.3-2x4..1.6.)
-Eloor-Zone
_F�o.oLZone
_EIoonZone
_Jo.onZone
_Floor_Zone
Run Initiation Time: 05120/04 11:09:24 Run Code: 1085076564
EnergvPro 3.1 By Enerqysoft User Number: 5982 Job Number: L1003 Page:8 of 12
Computer Method Summary (Part 2 of 3) C -2R
Mr. Larry Barajas 5/26/04
Project Title Date
FENESTRATION SURFACES
# Type
Area
U=
Factor
SHGC
Act.
Azm.
Glazing Type
Tilt
Location/
Comments
1_
Window_Fsont (West).
15_0
_0.650
0..4.0_
-2.7.0_
_9.0. DefaultDBL-Ean.e
_F_loorlone
2
Window FrontWest _
20.0
0.650
0.40
270
.90 Default DBL Pane
Floor Zone
3
Window Front (West)_
15.0
0.650
0.40
270
90 Default DBL Pane
Floor Zone
4
Window Rear East_
16.0
0:650
0.40
90
90 ,Default DBL Pane
Floor Zone
5
Window Left (North)
16.0
0.650
0.40
0
90. Default DBL Pane
Floor Zone
6
Window Rear (East)_
16.0
0.650
0.40
90
90 Default DBL Pane
Floor Zone
L
Window Left (Llolth).
24.0
-0.650
0.40_
0_
9Q Default DBL Pane-Roor
Zone
8
Window Rear East)
16.0
0:650
0.40
90
90 -Default DBL Pane
Floor Zone
9
Window Left (Nodtl)
•5.0
--"5k
0.40
0
9Q Default DBL Pane
Floor Zone
1.0
Window Right (-outh)
122.0
�,50
0_4Q
1$�
9Q Dmf ul Dune
E ho -o L Zone
1
Window Right (South)
6.0
0.650
0.40
180
90 Default DBL Pahe
Floor Zone
12
Window Right (South)
20.0
0.650
0.40
180
90 Default•DBLPane
Floor Zone
1.3
Window -Right -(South)
-2.0-0-
-0-65-0-
Q4Q
180_
90: Qefau.ILDBLLEane
_Eloor_Zone
14
Window Front West)_
40.0
0.650
0.40
270
90 Default DBL Pane
Floor Zone
15
Window Right South
. 20.0
0.650
0.40
180
90 Default -DBL Pane
Floor Zone
16
Window Front (West)_
15.0
0.650
0.40
270
90 Default DBL Pane
Floor Zone
INTERIOR AND EXTERIOR SHADING
Window
Overhang
Left Fin
Right Fin
#
Exterior Shade Type
SHGC
Hgt.
Wd.
Len. Hgt. LEk REA. Dist. Len.
Hgt. Dist. Len. Hgt.
1
Bug Screen
0.76
2
Bug Screen
0.76
3
Bug Screen
0.76
4
Bug Screen
0.76
5
Bug Screen
0.76
6
Bug Screen
0.76
7
Bug Screen
0.76
8
Bug Screen
0.76
9
Bug Screen
0.76
10
Bug Screen
0.76
11
Bug Screen
0.76
12
Bug Screen
0.76
13
Bug Screen
0.76
14
Bug Screen
076
15
Bug Screen
0.76
16
Bug Screen
0.76
EnergyPro 3.1 By EnergySoft User Number: 5982 Job Number: L1003 Paae:9 of 12 1
Computer Methto.d:Summary (Part 3 of 3) C -2R
Mr. Larry Barajas 5/26/04
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
Concrote.-Hesn_vywejght 1;6 4 _3..50 _28. _0_98. n/a 0. _EloocZone-1 S.lab_on-Grade
Concrete, Heavyweight 358 3_50 28 0_98 n/a 2 Floor Zone / Slab on Grade
PERIMETER LOSSES
F2 Insulation
Type Length Factor R -Val. Depth Location / Comments
Slab P rim ter 141 -0-76, --0-0 0 Floor Zone
Slab_P_erimete.r 24_ _0.1-6.. —0-0. 0. _Eloo.r_Zo.ne
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
QenttaIFurr ace
78'LAo FIDE D-ucts i0 Attic
4 Setdeck -R-e-s HVAC
Hydronic Piping Pipe
Pipe Insul.
System Name Length Diameter Thick.
Cooling Equipment
Minimum Duct
Type (air conditioner,
Efficiency
Duct Thermostat Location /
heat pump, evap. cooling)
.Location
(SEER) (attic, etc)
R -Value Type Comments
Spit Air Gonditioner
16`S EER purls i0 A_ttic
Sgtb-a -k Res HVAC
WATER HEATING SYSTEMS
Ratedl TankEnergy 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.
Standard Gas 50 gal or Less
Small -Gas Standard
0 40-040 50 0_53 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.
Computer Method Summary (Addendum) 2-2R
Mr. Larry Barajas 5/26/04
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. I Plan Field
The DHW System "Standard Gas 50 gal or Less" Energy Factor = 0.530. An EF below 0.58 requires an R-12 External Blanket.
HIGH MASS Design(see C -2R) -Verify Thermal Mass: 1614 sqft Exposed Slab Floor, 3.50" thick at 1st Floor
HIGH MASS Design(see C -2R) - Verify Thermal Mass: 358 sqft Covered Slab Floor, 3.50" thick at 1st Floor
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
EnergyPro 3.1 By EnergySoft User Number: 5982 Job Number: L1003 Page:11 of 12 1
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
PROJECT NAME DATE
Mr. Larry Barajas 5/26/04
SYSTEM NAME FLOOR AREA
Res HVAC 1,972
ENGINEERING CHECKS 11SYSTEM LOAD
Number of Systems
1
Heating System
Output per System
0
Total Output (Btuh)
0
Output (Btuh/sgft)
0.0
Cooling System
Output per System
59,500
Total Output (Btuh)
59,500
Total Output (Tons)
5.0
Total Output (Btuh/sgft)
30.2
Total Output (sgft/Ton)
397.6
Air System
CFM per System
0
Airflow (cfm)
0
Airflow (cfm/sgft)
0.00
Airflow (cfm/Ton)
0.0
Outside Air (%)
0.0
Outside Air (cfm/sgft)
0.00
Note: values above given at ARI
JEATING SYSTEM PSYCHI
26.0 of
Outside Air
0 cfm
75.0 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 Sensiblel
Latent
CFM
I Sensible
1,263
33,599
-940
1,018
32,516
0
1,680
1,626
0
0
0
0
0
0
0
0
0
1,680
1,626
36,9591 -940
YORK H4TS060S06 47,692 2,552
Total Adjusted System Output a7,692 2,552
(Adjusted for Peak Design Conditions)
75.0 of rM 105.0 of
Heating Coil
TIME OF SYSTEM PEAK I Aug 2 pm
�, Return Air Ducts 4
0
01
Jan 12 am
Supply Air Ducts
105.0 of
ROOMS
75.0 of
1000LING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Coolina Peak)
15.0 / 73.5 of 80.0 / 62.8 of . 55.0 / 53.6 of
Outside Air
0 cfm
80.0/62.8 of
Cooling Coil
Return Air Ducts
Supply Air Ducts
55.0 / 53.6 of
38.2% R.H. ROOMS
80.0/62.8OF
EnergyPro 3.1 By EnergySoft User Number: 5982 Job Number: L1003 Page: 12 of 12