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0110-136 (SFD)r LICENSED CONTRACTOR DECLARATION I hereby affirm'under penalty of perjury that I am licensed under provisions of F�5 Chapter 9 (commencing with Section 7000) of Division 3 of the Business and cam: w Professionals Code, and my License is in full force and effect. O M License # Llc. Class, Exp. Date 1\ � � J /� � fjl� ,. c OZ r Date Signature of Contractor _ ff y CD pu: OWNER -BUILDER DECLARATION'Q Ha I hereby affirm under penalty of perjury that I am exempt from the Con MP ctor's N License Law for the following reason: Z ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business & Professionals Code).. ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ce) () I am exempt under Section , B&P.C. for this reason LO N Date Signature of Owner ON O d Z WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury ?one of the following declarations: HO () 1 have and will maintain a certificate of consent to self -insure for workers' >< W !I-- compensation, as provided for by Section 3700 of the Labor Code, for the D 23 � Q performance of the work for which this permit is issued. Q U ( ) I have and will maintain workers' compensation insurance, as required by Zi C Q Section 3700 of the Labor Code, for the performance of the work for which this i Z CarrierTt�,Y�'eipermit is issugd.. My workers' compensation insurance carrier & policy no. are: ,t Z Carrier am) Policy No. 1280940-t11 (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 provisionsof Section 3700 of the Labor Code, I shall forthwith comply with those provisions Date: -. / .- % Applicant `-- -y Warning: Failure to secure Workers' Compensationcoverage is unlawful and shall subject an employer to criminal penalties Ad 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 Ouinta, its officers, agents and employees., 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature (Owner/Agent)�4� p Date `PERMIT # BUILDING -PERMIT DATE VALUATION . LOT TRACT - Job SITE APN ADDRESS ,%,2-1765 GtA V.11a&�.R�fA ���Wa0 773 12,015 5 e OWNER CONTRACTOR / DESIGNER / EN &NEER e DAVID WNSIUUM PSP• ,CTFICTADES t`.'0'XFV12.0-ar10Y 17195 `.W,1AC)1\ T 1719 S Tkl.•�ttitlilW C-2ANSWE CA 920511# S 01--11FSE CA 92054 ' (76 )dE,7-0oo C:'k3UI 1.955 USE OF PERMIT dGL1_r FM -SLY DWEL%U40 , SOD - MAST%',, THIP SITA3efDAP1,.,'1. ,Pt?t'.MIT nt.)ES 140T TNC:IrUID& BWCK r1.C,4, Poolmm, op" Ii D '?fit.!• Y.APP[1.OAC11 TRACT CC7NBTRLCTION 1,421.00 OF f PORCHsr3 ATIO 36.00 5P' C'f&P,AGJYCAP,P0K'T 510,00 Wil s 5 I?T.1900D FzWe:R, 200.00 ice• a: .F s`3 COST Or, C01g9rrRVCn' _T Q�``�� jj �'.S j' �1•y�'�jJ{�Q1:'< $' r���•Hil �Y.1}'DYiI 'W ��i�4i'O.OU'•�aR��� 0,0J iO',tiXUC' ION PEE 101-000.418.000 11594.", l4'd.,,f N CHECK MtiE 101-OJO-439-318 $50.1h MWWWICAL FFZ, 101 -000-421-000 L,Ifl"P'1ZIC kL FZZ 101-000-42,0-000 Qt r9.4 3 1>L1,1MSDI01T:e 101.000,1419.000 S'STRONO MOTION IEE ..t.0 101 000.241-000 $s19? 0M011a0 VD12, 101.000-42.3-M 12.0.00 CbI~VZ1i0PEk1 IMPIXT FEE �1,�307.Oti PREWIN PLAN 101.000.441-315 U00.00 IMM .1DEPOWT 101-000-439-31 S •$23t?.00 sm=1`mi. {"C1ftYlC"l1UlJ'AND P1 RYd Cf;01C3Y430.4 ISM PRE -PAID 14 ' 5 4250.00 .. ® •' ' ® 1 1 8'.(C RM .Q•„.G'cC S DUEPOW ! ,17P C:P.'L➢ n f D 4.. . r. LAI RECEIPT •DAiE BY � DATE FINALED INSPECTOR i' • 1 � i � 1 � �-I r INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs f �� Underground Ducts Forms & Footings I Ducts Slab Grade f Return Air Steel 1 Roof Deck Q� •/� _ Combustion Air Exhaust Fans O.K. to Wrap j Framing F.A.U. Compressor Insulation ��. G Vents Fireplace P.L. i Grills Fireplace T.O. t Fans & Controls Party Wail Insulation I Condensate Lines Party Wall Firewall } . Exterior Lath Drywall - Int. Lath } �/ t I l Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs 1 Electric Bond Footings I Main Drain' Bond Beam 7 Approval to Cover i Equipment Location 1 Underground Electric } Underground Pibg. Test Final i Gas Piping PLUMBING APPROVALS Gas Test , Waste Lines/��/s _ _Electric Final Heater Final Water Piping } _ Plumbing Final Plumbing Top Out ] Equipment Enclosure Shower Pans 1 O.K. for Finish Plaster Sewer Lateral } Sewer Connection } _ !f/�j�6e' Pool Cover Encapsulation Gas Piping Gas Test Appliances I d 1 Final I COMMENTS: I Final } Utility Notice (Gas) I ELECTRICAL APPROVALS Temp. Power Pole 1 Underground Conduit; Rough Wiring } Law Voltage Wiring 1 Fixtures } Main Service I Sub Panels } Exterior Receptacles G.F.I. } Smoke Detectors Temp. Use of Power I 1 Final — �z" Utility Notice (Perm) } 4 �. -P.O. BOX 1504' ,; 78;;495 CALLE.TAMP Building ICO Address LA'QUINTA; CALIFORNIA Owner -� r : .r / ✓ / �.� // Mailing Address/Z j y City e— J Zip' 7T A ­ __ Zip State Lic. /� B Classif. BZ?,5 3� Arch., Engr., Designer Address Tel. APPLICATION ONLY BUILDING: TYPE'CONST. OCC. GRP. A.P. Number _ 73 312-D15' 6 Project Description # Zip State Size•" % 2 No. Stories Lic.'N Infrastructure New �1/ Add ❑ Alter 0 - City Zip State Driveway Enc. Lic.'N Infrastructure LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am Iicensed'under provisions of Chapter 9 (commencing-wlth Section 7000) of Division 3 of the Business and Professions Code, and -'my license is in full force and effect. - . SIGNATURE DATE' I hereby affirm that I have a certificate of consent to self -insure, or a certificate of OWNER -BUILDER DECLARATION I hereby affirm that I am. exempt from the Contractor's License Law for the following reason: (Sec. 7031i5,81usiness and Professions- Code: Any city orcounty, which requires a permit to construct, alter, improve, demolish, or repair, any structure,' prior fo'fts issuance also - Estimated VBIUatl011. y... requires the applicant for such permit to file a signed statement'that.he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9.fcommencing-with Section 7000)'of Division 3 of the Business and Professions Code, or that. he, is exempt therefrom, and the basis for thealleged exemption. Any, violation of Section 7031.5. by Any applicant for a permit subjects the applicant to a civil penaltyof not more than five hundred dollars'(a500). 1-' I, as owner of the property, 0r 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 IiWown employees, provided that such improvements are not intended or offered for Sale.: It, however,. the building or improvement is sold within one year of completion, the;'.owner-buflder will have the burden. o1 proving that he did not build or improve for the purpose of sale.) 11 1, as owner of the property, am exclusively contracting with licensed contractors to on• struct the project. (Sec. 7044, Business and Professions Code:.,Tfie Contrac(or's License. Law' does not apply to an owner of property who'builds or improves thereon, and'who contracts for ' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -, PERMIT Plan Chk. Dep. plan Chk. Bal. COnst. Mech. EIBCtrICal Plumbing . S.M.I. No. Dw. Units Repair ❑ Demolition ❑ AMOUNT ZSD - i I am exempt under Sec.Grading B. 8 P.C. for this reason Driveway Enc. Dale Owner Infrastructure WORKERS' COMPENSATION DECLARATION r I 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 1`1 Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS - WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one *hundred dollars ($100) valuation e 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. .I Data Owner NOTICE TO APPLICANT: !f, after making this Certificate of Exemption you should become ZONE:- BY: subject to the Workers' Compensation provisions of the. labor Code, -you must forthwith Comply with such p(ovisions or this permit shall be deemed revoked. - Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Name- ame Lender's Address Lender's FINAL DATE. - y INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days.: I certify that I have read this application and state that the above information is correct' I agree to - Issued by: Date Permit comply with all city and county ordinances and state laws relating to building - construction, and hereby authorize representatives'.of .this -city to enter the above- - mentioned property for inspection purposes. -Validated by: Signature of applicant Date Mailing Address :Validation: City, State, Zip WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING'DIVISION Notice: Document Cannot Be Duplicated Desert Sands Unified School District 47-950:116ne Palms Road' La' Quinta, CA -92253 .760=771-8515 CERTIFICATE OF COMPLIANCE Date 11/13/01 APIC## 773-312-015 No. 22675 Jurisdiction La Quinta Owner NameDavid Miller No. 52-765 Street Avenida Rubio City La Quinta zip, 92253 Tract # BLK 170 Lot # 2 Square Footage Type of Development Single -Family Residence Comments Permit # 0110-13 6 Log # Study Area 1.421 No. of Units 1 At the present time, the Desert .Sands Unified School'. District does notl..collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet;: detached accessory structure's 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 1,421 or $ 2,913.05 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 Fees Paid By CC / Capital Bank of North County -JR. Rodriguez Telephone Name'on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Annette Barlow Signature Payment Received $2,913.05 Check No. 084768 NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day. approval period in, which you mayprotest the fees or other payment identified above will begin to run from the date on which the building or installation permit for.this pioject is sssued or on which they are paid to the Districts) or to another public entity authorized to collect them on the Distnct('s)(s') behalf, whichever is:earlier. x 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 • ECRVE OCT' - 52001 RIC DISTRICT.- PLANNING,REVIEWFOR CITY OF LAOUNTA PLANNING DEPARTMENT Thi's form is to be used by staff for.-revieWof single ,mi.ly dwellings in the RC (Cove Residential) District O'er Sectio'n`,9.*510-.`090'6f t`kb Zoning -C.ode. ',Its' purpose is to determine: 1) that the,proposed house design does,-h:ot dupilic"ate the same -architectural style of any ilhiri-2 house w 0'0- fiaot-&f-th-e--;�fpp:rcant;—..and/or-..-2)- if; there is 6: need -for -the applicant tofile for Master Design Guidelines. Ifthe applicant does need to f,i,14:a 1\6ster bes.igQ, Guideline, please nq:dn&-Sbf 6ty, Department as part -of your correction transmitted this information to t ' he, Build PLA--I.S ZEC�� M list. please attach additional explanations as:nqcessary. /"(/o APPLICANT PACIFIC TRADES - SITE ADDRESS .52-765'Avenlda Rubio" APN 7-73 312 015 CASE No.: 2'001-563' 4y LEGAL: LOT 2 BLOCK 1'7,0 UNIT S.C.@V.L.Q. CHECK AND APPROVED BY: Wally,,JNe-sbit,'--,,-. DATE: Inform the assigned.Bu'ildihg plan checker ,,upon ,your assignment ment to this case. The CDD Executive Secretary maintijin&a log book to . track applicatiors..and assign case numbers. REQUIRED ITEM- Y N, COMMENTMORRECTION Verify legal and, AP N.iMormitioh Consistent with IVIDG on file (as .applicable MDG filing required (.5'filings- since 9/3/98) Architectural variety within -200'-feet...of the surrounding area,: Colors Y. Materibls Architedtu'r.al design jeptu , res 014MU412' MU TI Other ,Requirements: ' E3 Planning Comi O City Council ' �jisll(in Community Ili.0. V. D a Case. No. 12 —(-'al Exhibit, owith Condition I 01/12/01 14.-:1,30 FAX 17$06.049062 RECORDING A.*QYg�STED, BY; AND WHENcREOCRDED,MAIL-fPi6 tlie() AND, M JNLktS-0THERSF SHG�IIVWSE�OW. MiL TAX" tAti-MENT816; -Davi8 :,Rbis 'Miller 1710 51:; trdi6.*t 5. bizda�hiiai,, CA'90234 .. . ... ..... COMMONWEALTH TITLE - I � I SPACE AD6Vi`-THl8-iLl.Nl,3 FOR REOPRDS.R-S USE -di3 -P -il 2-015 'T4:6ha;im6�M- 6-46rtntor(s) olard GrantDeed A" -773 C�curnfaryxtrsnafsrtaxls 61161 value proo 3- Z -7 /0 i-COMPY10,66 fujj'vdWe-J6ssYiIUe 6f liens itrdvi'tu branGee rtsrnalrtin� at time of asjo,. srev" and FOR A VALUABLE CiONSIbERAtl ION-, racelpf of;which, Is hereby acknow;d1god, CAROL JOHNS- hereby GRANT.(S,! `%Vtt) ROSS '-MILL; tx,.al-M&r.rie'd' t as the rc-at p,roparly,,Intt.lel'Ci.y,'e3f laQu:Lr.-,a Of' Lot 2 of Plock T7 0' , b�,jt . Skhta rmelita at vdle Lx Quint- ::Per map reco.rd4d in. took. ?Age$ '6f .,map ,p cf Riverside. Cqun. S e 6ti§ ifiNe'ti. Zj'�,:' Signature of GmrW, CAROL JOHNS red 7� Of.;OausfBc4or y person(®) ..'zi, ��i . � I , & - &,4), 4kinst, 4T -ru m a M n d Me th*%heri t i6ftay executed !ha same fin, ,Ais'hedthgt� i6s)j, And that by hlAlh@r/1h:;r siatu th natrumant.lhe?Fstbafi(a), or the entity s Fv.pd, ex 4VITNESS!rnyhlnd and oTfia(al seal. MA10AX STATEMENTS 7'O, 4"0. 'd 1300 4 -1'0-�V' 4-00i, 'Z"'09S Certificate of Occupancy AW City of La Quinta Buildingand Safety Department This Cerdficatci'issued pursuant to the requirements of Section 109 of the Uniform Btj#ding Code, qqijifyioglhat, at the time ' o* issuance, this structure was in compliance with the various ordinances : f of'the City'kinguhi . reg, bd#dVn4'.construction or use. )For the following. BUILDING ADDRESS:- -52-765 AVENIDA RUBIO. Use. Classification: Occup ancy Group: .SFD ..R-3 Type of Construction: VN Owner of Building: DAVID MILLER Building Official Bldg. Permit No.: 011.0-1-36 Land Use. Zone: RC Address: 1719 S. TREMONT City:, OCEANSIDE, CA::.92054 , By: RICHARD KIRKLAND Date: 03-28-02 POST IN A CONSPICUOUS PLACE M M INSTALLATION CERTM, CATE _ (Page 1. of 8) CF -6R Site Address Permit Number An installation certificate is required to be 'Posted' at the building site or.made available for allAppropriate inspections.. (Ile information provided on this form :is required; however, use.of this.form to:piovide°the information is optional.) Ager. completion of fmal=inspection,`a,"copy most bepiovidedto`thetiutlding department (upon req`nest) and the building owner at. occupancy, per Section 14-103(b): HVAC SYSTEMS: Beating Equipment Equip. # of :Efficiency Duct Duct or Heating Heating .Type (pkg. CEC Catified Mfr Name Identical (AFUE, etc.)l I:ocation Piping: Land Capacity Cooling Equipment Equip. CEC Certified Compressor # of Efficiency Duet Cooling Cooling Type (pkg. Unit Mfr.Name and Identical (SEER; etc.)L I�cation Dud . Load : Capacity heat Ip1 Modes Number cmn-a (?CF-1R'valuel. (attic. etc -1 R -value Btultrcl (abAr) 1. > reads greater, than or equal to: I, the undersigned;`verify that equipment,, listed aboyeds' 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate ofc�iance (Form.CE-IR):submittedfor compliance with the Energy, Efficiency Siandards'for residential buildings, and 3) equipment that meets oT�gd;. eds the appropriate requirements for manufactured devices (from the Appliance Eliciency Regulations or Part 6)�' where applicable. Signature, Date Installing Subcontractor (Co.` Name) OR General Contractor (Co. Name) OR Owner WATER HEATING SYSTEMS: Distribution IFRecir- # of Rated= Tank Effr- _ External Heater CEC Certified Mfr Type (Std, xumon; .; Identical hqM (kW Volume ciencyt Standby? InsuIation Type Name 8r Model Number Point -of -Use) ...Control Type SysierB, .: - or Btaft) (gallonse) (EF. RE) loss(%) R-wh J 2 For=== gas stnragc (rated input, of less than i* cgaal.to 75,000 BhiAwI electric resisfaaee and beat p=W water heaters, list Energy Factor. For largs gas stoeage:witet tteatas (rated input ofViia- than 75,000 BaAwr list R000vey FAci=cy: Standly Lo= and Rated Input For betaateoeons gas water biaters,"tist Reco EfflOpacy aril Rated . 3. R-1 Z extaaal insulation is n>aaditoey for srarage water heitem with an eoagy factor of less than 0S8. Faucets & Shower Heads: All faucets and showerheads installed.are certified to the Commission, pursuant to Title 24, Part 6, Section 111. I, the undersigned, verify that equipment listed above my signatree i is::1);the actua1egaipment installed; 2) equivalent to or. more efficient tban that specified in the ceitificate;of oarn� (Form CRIR) submitted, for compliance with the Energy Efficiency Standards -for residuetial Niildiugs; aad 3}egmpment ibat,meets or:exceeds ttie,appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co -Name) OR Genesial Contractor.(Co. Name) OR Owner COPY TO: Building Deparomcnt = HERS. Provider:(if applicable) Building Owner at Occupancy .4auuary 4, 2001 INSTALLATION CERTMCATY' (Page 2.0 -8) CF -6R Site ddress 'Permit Number ~ FENESTRATION/GI,_A7nNG: - Total: Quantity. Product Product of i.e. Exterior Shading Exterior U-Facior"(Si 'of Product Squaie Device or ` CommeatsJLocation/ MauufactuMC Nra d Name CF -IR value)= CF -IR vahte)Z Penes'1.44 hnnoll Fed liveri,a.w Spec i Features (GROUP LACE PRODUCTS) r: 2. 3. 4. 5. — 6. 7. 9. 13. 14: — , ' Manufactured fenestration products use the values fivm'the product 1661. -Field fabricated.`fenesuation products use the default values from Section 116 of the Enetgy Efficiency Standards 2 Installed U -Factor must be less than or equal 6aifalu(s';fivm CF -1R Installed SHGC MuSt�be.less than or equal to values �.: from CF -11, or a shading device. (exterior or overhang) is installed as specified on the CF -4R_ Alternatively, installed weighted average less thawor equal to values,fr+om CF-iR I, the uadexsigned,. &ify that the.fenesnaaon%glaang 1i!sted"above my sigoaturm 1) is the actual fenesundon product installed; 2) is equivalent to or ties a lower I actor awl tower.SHGC. ttian thatspecs5edm'tlie certificate of compliance (Form CF-1R)submitbed fr$ chance wtth the Energy Stmrdo s f6r iesidt - buddmgs; and3) the product meets or exceeds. the MKOFieq: for ued de++eces-(£ltxt part 6), whale applicable. T Item #s Sighature, Date _ Installing Subcontractor (Co. Name)' OR (if applicable)Gtaerai Contracto%:(Co. Name) OR Owner OR Window`Distributor Item #s Signature 'DateInstalling Subconiai for (Co. Name) OR (if applicable) General Contract;; (Co. Name) OR Owner OR Window • Distributor Item #s. Signature, Date Installing Subiontiacwr (Co. Name) OR, (if applicable) Gem ,Contzactoi'(Co. Name) OR Owner OR:Wiadow Distributor . COPY TO: Building Department , HERS Provider (if applicable),. Building Owaec. at Occupancy` January 4, 2001 Pressurization Test Results"(CFM=@ 25 PA) Test Leakage (CFM) Fan Flow } . If Fan Flow is Calculated as 400 cin/Eon xmjrnbd of tons, oras 217 x Heating Capacity in 71 of Btu/hr, enter calculated value -here - If fan flow is messtued, enter measured value here Leakage Fraction =Test Leakage!( Measured o Calculated Fan'Fwo ) ._ Pass if leakage fraction 50.06 ❑ ❑ Pass . Fail ❑ ..For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testingwas completed: Duct Fan Pressurization atrouwin measured leakage.(CFM) CHECK AFTER FINISHING -WALL-.: Ell Yes : ❑ No - ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Vin, W Inspection of Duct Connections Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (TXV) . ❑ Yes ❑ No Thermostatic Expansion Valve (or Conm*sion approved: . equivalent). is installed and Access is provided for inspection ❑ ❑ `-� Yes is wpass' Pass Fail ❑ DUCT DESIGN 1 . ❑ Yes ❑ No ACCA Manual l) Design calculations have been completed, , Duct Design is on the plans -and dud im�,on matches . 2. ❑ Yes ❑. No _ . TXV-is installed or Fan d I flow hasbeen-verifief no TXV, - verified fan flow matches -design from CF-IP- Measured FIR.Measured Fan Flow = ❑ ❑ Yes for both 1, and 2 is a Pass Pass Fail ❑ I, the undersigned, verify that the above diagnostic ,test results and,the work I performed associated with the test(s) is in conformance with the requtrements.for compliance credit. [ ThetWIder shall provide the HERS provider a copy of the CF -6R signed by.the builder en>' loyees or sub -c iadors certifying that didpostic testing and,installation meet the.requirements for compliance credit.] Tests Signatuir, Date Installing Subeontrictor'(Co. Name) OR Performed- General Contki;W,,(Cb. Name) COPY TO:' Building Depaoment HERS Provider orf applicable)' " Building;0wmk at Occupancy,. January 4, 2001 ' ' r INSTALLATION CERTMCATE ....(Page 4 of 8) CF-6R Site Address Permit Number DUCT LOCATIOI`T ANID AREA=RE-DUCTIOI�T'DIAGNOSTICS ❑ DUCT 1N CONDITIONED SPACE, ❑ Yes. D No Duct m corid�oned space criteria matcf�es CF ❑ ❑ Yes is a Pass Pass Fail ❑ REDUCED. DUCT SURFACE AREA Measured'ductvxterior surface area in the follog;uncondttioned duct locations (square feet): Attics CravAspaces Basements Other (e-.g., garages, etc.) ❑ Yes ❑ No Duct surface area matches CF 1 R? ❑ ❑ Yes is a Pass Pass Fail ❑ I, the undersigned,' verify thai'the duct surfa area and duct locationsclaimed for duct,surface area reductions and duct nr location improvements Beyond those covered bydefaultas•su4"mptions match those on the:p'lans [The builder shall provide the HERS'.pr+ovider a copy of the.CF-6R signed by the builder: employees or sub-contractors certifying that diagnostic besting and installation meet the requirements for.cb*1Jiance credit.] Tests Signature; Date Installing Subcontractor (Co. Name) OR . Performed General Contractor'(Co. Name) COPY TO: Building,Departrnent HERS-Piovider (if applicable) .. . Building Owa .at 6upancy INST kLLAYnON CERTIFICATE (Page 5 of 8) CF-6R Site Address Permit; Number BUM"IDING ]ENVE OPE' LEAKAGIO-DIAGNOSTICS ❑ ENVELOPE:SEAUNG INFILTRATION;REDUCTION' Diagnostic Testing Results- Building Envelope Leakage (CFM'@ 50 -Pa) as measured by Rater 1. 0 -0, Is measured.envelope leakage less than.or equal to the requiredlevel Yes No from CF-1 R? l 2. ❑ ❑ Is:Mechanical Ventilation-shown as required •on the CF-1R? Yes No 2a. ❑ ❑ If Mechanical:Ventilation is required on.the.CF=1R (Yes in line 2); has Yes No R been installed?:;'.. 2b. ❑ ❑ Check this:box yes if:mechanical ventilation°is.required (Yes;in rine-2) Yes No and ventilation fan:w66 aiv' 'no greater,than'thown•on. CF=1R. Measured'Watts 3. ❑ ❑ Check this box yes if measures building=infatratiori (CFM'@ 50' Pa)`is Yes Nothan th ,bl IM Q`50'vaiues Mio m`forariSLA of 1.5&dn CF-IR (If this box is decked no, mechanical ventilation. is required.) 4. ❑ ❑ Check this:box.yes rf m btnldcng intiUra n (CFM.@:50 Pa) is Yes No Tess 1han.the CFM @ 50 vahres shown.for i ii"81A of.l. .5' . . CF-11R, mechanical ventilation.is uvslalted;andfiouse pressure is than maxis:5 Pascal wipi"alt.ext>aust fan's operating. ❑ ❑ Pass if: Pass Fail a.. Yes in line 1 and line1, or ' b. Yes; inline t;and:lin' 2' a,-and 2b, or c. Yes, inline Vand Yes in line 4. Otherwise fail. . l ❑ I, the underdVied,:verify:thattl bwlding.envelope-leakage . meets w requirements claimed for building leakage reduction: below default , ns'as used`for. hance:oa the CF -1R -This into assamptm camp certify thatthe above diagnostic test results and the work I'perfomaed'associated with the tests) >s in conformance with the recpiiz- - ntsf1or co Bance aedit [The budder shall provide tiie HERS providei a.copy of the C 4 signed by tare bum employees or . -sub,contactors certifying brat diagnostic testing and �llatioa zaeetthe n for compliance credit.], Test Performed Signature. Date Testing; Subcontiactorr(Co. Name) OR General Contractor.(Co. Name) COPY TO: Building Departiment ' H IMS Provider (if applicable) Building Owner at Occupancy January 4, 2001 INSTALLATION ATE. (Page 6 of .8) CF -6R Site Address Permit Number The following is an cxplanation of many of the a gat values required on this form; HVAC SYSTEMS < ' HeatingtUnipmentType mustbeone .ofthe:foll Furnace: Gas -(including -Liquefied Petroleum Gases); or oilfired central fumace & space heater, Boiler. Gas'or o&f ied•boiler PckgHeatPump: Packaged, ceriaal heat pump : P . S litI%atPump: Split.central:heat pump: .. : . RnomHmftmp: Room heat per LgPkgHeatPump Lazge pack d lieat puntp (?'65,000 Btull!"11 put) Electric: _ IlecMc, resistance Beating (fixed .HSPF = 3.413); radiant electric resistance (fixed HSPF = 3.55) Combineolydro: Reference water heater uu4erwater heating system's below CEC Certified Manafactnrer Name & Model;N from applicable Commeion approved appliance directory. # of Identical, Systems is for those systems with the, same efficiency, duct location, duct R=value and capacity. Efficiency from applicable Commission certified :appliace dueetoiy Duct (or Piping) Location is attic,:crawl space,'CVC crawl space, conditioned space, unconditioned space or none. Dad (or Piping) R -Value from Directory of Certified Iasalation Materials a�/or manufacpiici's data Heating/Cooling Load refer to' Commission<approved;load `calcnlation procedure. Heating/Cooling Capacity fpm the applicable Commission certifiedappliance directory..Note: location elevations over 2,000 ft above sea level require a derating of ouipiit capacity (refe ;to manufacturpes literature). C 'mina Fnnin.* T. SphaftCond: iSplit system air conditimw PckgAiiCond: Packaged air conditiom Sprit Heat Pimp: Split system heat pmmp PekgHeatPua>p: - Packaged heat PRIMP. RoomHeatPimV: Roo* heat put LgPkgHeaiP P: :large heat pu�nQ (>_ 65,000 Btu it eutput)_ Substitute EER for SEER when SEER is not available Roon AirCoad: = : Room air conditioner: Minimum SEER varies' I-SPirCondt Large packaged air conditioner ( 65,000 Btdhr orgput}. Substitute EER for SEER Whom SEER is not available EvaPDircet Direct evaporative cooling.system-.]wW.cowfiamce calculation purposes, fixed vahies: SEER=11':0, duct;location =.attic duct kodation.R-value = 42 Evapindm est Indirect evap' or ve cooling sYs&mL For compliance calculation pubes, fixed valoes:: SEER 13.0; ducat_a� ='attic; dima'iosnlation R -vat ie = 42 .........W �,.,•.•.••."•wu; y.wawauuun2pp"Uncu IORW-U uy Regi[ Ilwns, r44A)-YL-, Wy Jannary 4, 2001 INSTALLATIOMCERTWICA'TE �. ' . (Page* 7 of 8) CF -bit a�r`door with.n=, thin one square fool of glass Site Address Permit Number Slider, hinged, f tied , . The.followin is an ex lavation of man .of'the input values • :. ^ g P Y u►p required: oa this. form: .. ' Installed U -'Factor const be less thanor-egos(. to vahie from- CF*4 ; . ... WATER HEATING: SYSTEMS:'.: J R OR. Dis"6tion';-S - Ref to-' Manualfoi more details: Installed we gilled average U -Factor for the tatal;i anon area is less than Standard:: t Standard'- Supply pressure based syystem, no Pimps 'Installed -MGC most be less than or "'wvalue from CF -IR :. OR. Pipe Insulation: - pipe.Insulation on a11.3/4-inch:pipes - t - `valise from CF -IR . . POU/HWR:' r . Ponrt of Use/Hot Water Recovery Sj►" Auierior d eidtang, �g shading evice, ov or exterior device is installed consistent,with the CF,=IR, Req#c/NoControl:, itecircnlation loop �no Iitmis siinsca>:ea,s louvered , low sun angle, roll -down awning, Recim/TM2er:. Recirculation loop with a timer iii feet RecirclTemp Recitcailation loop with tenzpe ate cortin( Recircnime+Temp: Rechculatiou loop with a timer and temperature control RmircMemand: control =. . Water Heater Type *,` > Information Need -4. Factor Reno ,Energ,Y very'Efficieacy:.StaridbyLoss .. at I MIA Storage Gas, Oil or Electric Yes No No's' No Heat Pump Yes No Nb-' No Instantaneous Gas No Yes No No Instantaneous Electric Yes No No No Large Storage Gas No Yes Yes Yes Indirect Gas (Boiler) No Yes (AFU No . Yes k'ENESTRATION/GIAZiNG. = < .,' y Fenesrtafion: Window'ssliduig glass:doors; Freachrdoors,,skylights, garden windows, and a�r`door with.n=, thin one square fool of glass Operator Type: Slider, hinged, f tied , . U -Factor: ' Installed U -'Factor const be less thanor-egos(. to vahie from- CF*4 ; . ... R OR. Installed we gilled average U -Factor for the tatal;i anon area is less than .or. ob value tram CF 1R .. SHGC: ` 'Installed -MGC most be less than or "'wvalue from CF -IR :. OR. Installed weighted,SHGC for the total.fenestzation aces is less than or equal to `valise from CF -IR . . OR Auierior d eidtang, �g shading evice, ov or exterior device is installed consistent,with the CF,=IR, Shading Device: Include wben�the budding eomiplieduusmg anexterior: shading device woven siinsca>:ea,s louvered , low sun angle, roll -down awning, roll=down blinds or slals'(dn hst�bug scaeea� or an overhang (mclude depth - iii feet 4 January 4, 2401 INSTALLATION: CERTIIFICATE (Page: 8 of 8) CF -6R Site'Address Permit Number The following is an explanation of many'of the input values required on the Diagnostic portion of this form (page 3 of 6): TYPE OF CREDTT Refer to Residential Manual Chapters 4 and 5 for more derails: Reduced Duct Surface Area: ` Calculated as the.outside area of &e duct Areas muk be: hued and wi fied-by a BbE S- atei.°: Improved Duct Location Supply duct located in other than attic, as verified by location of registers (does not regune-II RS iaIt' e -verification). Catas"hie LeakaW Pressure pawtest readings rmat be less than -1 S•Pascal at a house pressure of 25 Pascal: TXV or Cotitttitsston Access cover requited t6 -facilitate veaificatim Eligibility. criteria for approved equivalent :.' Coiumission approved valen if required.to be met egui . t, . apphc�le,.is Infiltration Reduction: Infiltration' ismeasubDd,wdhout mechanzcal ventilation operating Mechanical; I ventilation is requned for,very tight house coustrurtion when credits for m5ltratt4n teductoa asmg djagstrc tesft" are being used for CVT 9gip :lam: y ti$i houses we'defined as those wid SLA of less than ;l;S 'The comp fiance documcetation (CF_ 1R) will contain the measured"t;FM target value .from a blower door testat 50 Pascal pressure AffE thai rep-sents this SLA 44.5.<A¢echanical ventilation is also required if the builder chooses 6 design the. bmldWg to use mechanical ventilation andclaims a ame it far ni5hraiion beloW an SLA of 3.0: The comply"dopmoentatzon (CE -1R) well watam the meamred.CFIVI target vatne.that ,represents l 3 A SLA.' �If the budder cies credit in a design for infiltration teduction that taint as SLA of 3.0'or higher, and the actual aieasiued SLA is I S' or greater,then; mechanipl vertilation is not regtpred If tele SI:A`in'this case were below 1.5, thea mitigation (such as mechanical veutrlation).wuu!&); rreqmre& INSULATI®N CERT][EICATE S. SLAB FLOOR/PERIMETER . Material. Thickness (inches)' - Perimeter Insulation Depth,(inches) 6. FOUNDATION WALL Brand Name:. t Thetmal,Resistance (R -Value) Material Brand Name Thickness (inches) . Thermal Resistance (R -Value) Declaration I hereby certify that the above insulation, was instal,ied in the building at the above location: in conformance with the current Energy Efficiency Standards for residentiaTgtiuildings (Title 24; Part 6; California_ Code of Regulations) as .indicated on the Certificate of Compliance, where applicable. Item #s Signature; Date" Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Item #s Signature ,,Date Installing -.Subcontractor (Co. Name) OR General` Contractor (Co. Name) OR Owner Item #s Signature, Date Iri talling-Subcontr-actor (Co. Name) OR - General Contractor, (Co: Name) OR Owner city Number and Street County Subdivision Lot Number Description of Installation 1. ROOF Material Brand Name Thickness (inches):.;Thirmal;Resistance(R-Value) .e 2. CEILING Batt or Blanket Type Brand Name h Thickness (inches) Thermal: Resistance (R -Value) Loose Fill Type' Brand. `. Contractor's min installed•weighd& lb Minimum thickness `inches Manufacturer's installed weight -per square foot to achieve Thermal Resistance (R=Value) 3. EXTERIOR WALL Frame Type A. Cavity Insulation Materia! Brand. Name . Thickness (inches) Thermal-Resistance'(R-Value) B . Exterior Foam Sheathing Material -Brand Name Thickness (inches) Thermal Resistance.(R-Va1ne) 4. RAISED FLOOR Material Brand- Name. Thickness (inches)ThermaEResistance (R -Value) S. SLAB FLOOR/PERIMETER . Material. Thickness (inches)' - Perimeter Insulation Depth,(inches) 6. FOUNDATION WALL Brand Name:. t Thetmal,Resistance (R -Value) Material Brand Name Thickness (inches) . Thermal Resistance (R -Value) Declaration I hereby certify that the above insulation, was instal,ied in the building at the above location: in conformance with the current Energy Efficiency Standards for residentiaTgtiuildings (Title 24; Part 6; California_ Code of Regulations) as .indicated on the Certificate of Compliance, where applicable. Item #s Signature; Date" Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Item #s Signature ,,Date Installing -.Subcontractor (Co. Name) OR General` Contractor (Co. Name) OR Owner Item #s Signature, Date Iri talling-Subcontr-actor (Co. Name) OR - General Contractor, (Co: Name) OR Owner j ¢v J`obuifiber: 091.4.01 .10:05 Date: 9/14/2001 The EnergyPro computer program has been used to;perforrn 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 2001 Building Energy Efficiency Standards. This program developedt*.Gabel,,Dodd/EnergySoft, LLC,.(415) 883-5900.' EriergyPro 3.1 By EnergySoft Job Number. 091401_f0:05 User Number: 5021 Certificate.ofCo'nlOHanre Residential. ;` (Pait 1. of 2) CF -1 R Plan S=1 New Residence. 9/14/2001 ProjectTitle Date. Project Address: Building Pennit # Energy Wnageme6fService .760=360-4631 Plan Check / Date Documentation Author: , Telephone. Computer Performance. 15 Field check /.Date Compliance Method, (Package or Computer)' ,Climate:Zone. . Enforaenient'Agency Use.Only . GENERAL INFORMATION Total'Condltioned Floor Area: 1,421 ft . Average Ceiling Height: ' 9.0 ft Total .Conditioned Slab Area: 1`42'1 ft2 Building Type. (check one,or:more) ' ©: Sing'le Family Detached ❑:Addition Single Family Attached ❑ Eidsting.,Building El Multi -Family ❑ E)astingPlus•Addition Front. Orientation: (East)_90.deg . Floor Construction Type: Slab Floor. Number of Dwelling Units: 1.00 Number of Stories: 1` ❑•Raised; Split Heat Pump 12-0 SEER Diirts in Attic ' •4 2. Sethack HVAC Spit HP System WATER HEATING SYSTEMS _ Rated Tank Energy Facts 1 External Water Heater Water Heater Distribution # in Input Cap. :or Reco`Very Standby Tank Insul°. System Name Type Type Syst. Btu/hr '(gal) . Efficiency Loss (%) R -Value . Standard Gas 50 gal or Less Small Gas: Standard 40 000 50 0.52 n/a 12 1 . For small gas storage (rated;inputs of less -than or equal to 75,000,121ituAir), electric resistance and heat pump water heaters;..listenergy factor. For large gas storage water heaters,(rated input of greater than 75;000 Btaft), fist 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 fists 4he building. features and. pe.rfomiance spec�cations .needed- to comply wi6TftIe 24; Parts 1 and 6 of the California Code of Regulations, and.the krmimstrative regulations to lrnplementthem. This cert tate has beensigried by the individual with overall design responsibility When this ceitificate of.compl?ance is submitted fora single building planto be built in muftiple orientations, any shading feature that is..* is` indicated in` the SpeciWFeatures/ . ern s section Designer or Owner (per Business & Professions Code),,-. Documentation'Author Name: Name: Jack LaFontaine Title/Firm: Leech Design:Group Title/Flm : Energy Management Service Address: P:o. Box 450'- Address: .41485 s S1:46t Unit C La Q ifita Ca: 92253 Bermu D es `CA 92201 Telephone: -76C/564-18 66 T Lic. #: (signature (date) (si n _ (date) Enforc ent Agency Name - Title/ irm: Address: Telephone: '�`(signaturefstamp),. k (date) kun.lfiiIJi;a�dd 111.i6* bill"401 -j Oe 6 &29 Run r.. • -. EnergyPro.3.1 By EnergySoff User. Number 6021: f'.:;," Job Number 091'401_10:05- E Page:4 of 16 5I Certificate of Compliance`•. Residen tial . .. - (Part 2 .of 2) CF. I R Plan 8=1 New Residence 9114/2001 Project Title �rJ, a ;; Date A HVAC SYSTEMS Note input Hydromcor Combined Hydromc data* under Water Heating System's, except' Design Heating Load. ' Distribution Heating Equipment , Minim t m 'Type and: f. Duct or Type (furnace, heat ` Efficiency SLocation - _, Pepingg Thermostat . °Location / pump,;etc.) (AF.UE)HSPFF)(ducts, attic; etc.) R;Valuex Type ., Comments c��i.t Hw_ Pump 8.00 HSPF I�i�rtc in Attic 42 Setback HVAC Split HP System - `r . 1 .R Cooling Equipment Minimum Duct "Location Type (air conditioner, Efficiency Location Duct '- Thermostat heat pump evap. cooling) (SEER) : (attic, etc:) R -Value Type ;Comments Split Heat Pump 12-0 SEER Diirts in Attic ' •4 2. Sethack HVAC Spit HP System WATER HEATING SYSTEMS _ Rated Tank Energy Facts 1 External Water Heater Water Heater Distribution # in Input Cap. :or Reco`Very Standby Tank Insul°. System Name Type Type Syst. Btu/hr '(gal) . Efficiency Loss (%) R -Value . Standard Gas 50 gal or Less Small Gas: Standard 40 000 50 0.52 n/a 12 1 . For small gas storage (rated;inputs of less -than or equal to 75,000,121ituAir), electric resistance and heat pump water heaters;..listenergy factor. For large gas storage water heaters,(rated input of greater than 75;000 Btaft), fist 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 fists 4he building. features and. pe.rfomiance spec�cations .needed- to comply wi6TftIe 24; Parts 1 and 6 of the California Code of Regulations, and.the krmimstrative regulations to lrnplementthem. This cert tate has beensigried by the individual with overall design responsibility When this ceitificate of.compl?ance is submitted fora single building planto be built in muftiple orientations, any shading feature that is..* is` indicated in` the SpeciWFeatures/ . ern s section Designer or Owner (per Business & Professions Code),,-. Documentation'Author Name: Name: Jack LaFontaine Title/Firm: Leech Design:Group Title/Flm : Energy Management Service Address: P:o. Box 450'- Address: .41485 s S1:46t Unit C La Q ifita Ca: 92253 Bermu D es `CA 92201 Telephone: -76C/564-18 66 T Lic. #: (signature (date) (si n _ (date) Enforc ent Agency Name - Title/ irm: Address: Telephone: '�`(signaturefstamp),. k (date) kun.lfiiIJi;a�dd 111.i6* bill"401 -j Oe 6 &29 Run r.. • -. EnergyPro.3.1 By EnergySoff User. Number 6021: f'.:;," Job Number 091'401_10:05- E Page:4 of 16 5I Certificate of Compliance::: Residential r;(Addendum) . CF -1 R Plan S-1 New Residence 9/14/2001 Project Title's . Date Special Features and. Mod'elin6,Assumptioris F . The local enforcement agency'shouid pay speciahattention to the items;specified m this checkiist These items require special written justification and�documentation andspecial verificationto be used with!.the performance approach' The local enforcement agency.detenrines the,adequacy of. tti .just fication, and may:reject a building or,design that otherwise complies based on the adequacy:of-the spe' ial'justification and documentation submitted. * Plan Field The DHW System "Standard Gas 50 gal or Less" Energy -Factor 0.525. An EF- Tbelow 0 58.requires an R-1y2'Extemal Blanket. The HVAC System "HVAC Split HP System" includes credit -for a Radiant Barrer installed per SecLon 8:13 of the Residential Manual. HERS Required Verification These features must be confiirmed'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 ofahese measures on a form CF -611 - Plan Field y. The HVAC System "HVAC Split HP System" includes'Refrigerant Charge and Airflow Credit (or a TXV).. A certified' HERS rater must provide.verifification of the TXV, or measure the Refrigerant Charge and Airflow. The HVAC System "HVAC Split HP -System" is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certified HERS Rater: tThe results of the diagnostic testing must be,reported on'a CF -6R Form. un.lni is i n Tim' =.09/ 4 01` 0.56:29 4,R n'Co e ` 1000490-189 Enerd^ 3.1 By EnergySoft Oser.Number. 5021 ' , Job:Number. 091401' 10:05 Page:5 of 16 Mandatory Measures. Ch"ecklst Residential MF -1R. NOTE: Lowrise residential buildings subject to the Standards rrA" nta ri these m asurev regardless of the compliance approach used. Items marked with an asterisk (' may be supers"d iiy more stnngeni compliance requirements listed on the.q"ficate;of Compliance. When this checklist is incorporated into t. the permit documents, the`featusres noted shall be considered by all;parties as minimum component specifications for the mandatory measures whether they are shown elsewhere in the documents'or on thischecklist only.. . DESCRIPTION ' Instructions. Check oririitial applicable bones or enterNlA if not applicable.' DESIGNER' ENFORCEMEN Building'Envelope Measures § 150(a): Minimum R-19 ceiling insulation°in wood,,frame assembly, or.equivalenf U,value. ` §150(b): Loo_se.fill insulation. manufacturer's 5labeled. R -Value. .§150(c): Minimum R-13 wall,insulation inwocd framed watts or equivalent U-vatue in metal frame walls (does,not apply to exterior mass walls): '§ 150(d): Minimum R-13 raised floor insulation.in framed floors. t §150(1'): Slab edge insulation -,water. absorption rate -<= 0.30/c; water vapor- transmission rate <=2.0 perm/inch. X §118: Insulation specified orinstalled meets insulation, quality.standards. and �cate.type and.form. X §116-17: Fenestration` Products, Extenorpoorsand Infilbation/6diltration Controls 1. Doors and windows between conditioned and; uncondfioned spaces'designedto hmrt air leakage.` 2. Fenestiation'prdducts.(ezcept field fabncated)'have label'wrlh certified U -Factor ,certified SHGC, and infiltration cert cation.. 3. Exterior doors and windows weatherstripped all' jourts"and�penetrations'caulked and sealed. pso(g): Vapor barriers mandatory in Climate•Zones' 14 and 16 only. §1500: Special:intiflretion barrier installed to complywhh Section 151 meets Commission quality standards. §150(e): Installation of Fueplaces Decorative Gas Appliances and Gas Logs.^ 1. Masonryand 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 . 5 Space Conditionin. g, .Vllater Heating an'd:Plumbing SysfemMeasures §110-13: HVAC equipment, water heaters, showerheads and faucets certified.bythe Commis'sionr• a §150(h): Heating and/or'000ling loads' calculated in accordance with ASHRAE,,SMACNA orACCA:, - X §1500: Setback thermostat on all applicable heating and/or cooling systems. 4 X §1500): Pipe and Tank Insulation a ' 1. Storage -gas, water heaters'with less ,than 0:58 energy factor shall.be extemally;wrapped with R;12. 2. First 5 feet of pipes closest to.water heater tank,, non recirculating systems, insulated (R-4 or -greater) S. Back-up tanks for solar system,>unfired storage tanks, or'other indirect hofwater tanks have R-12 external insulation or R-16 combined internal/external insulation":. .e1. I - 4. All buneii or.exposed piping insulated in: recirculating sections of hot water systems. 5. Cooling system:piping,below'S5 degrees*insulated. ; 6. Piping insulatirig'betweenheating source and indirect hot water tank t X '§150(m):.°Ducts andFans' 1. All ducts and plenums installed, sealed and insulated to meet -the requirements of:the 1998 CMC Sections 601; 603, 604 and Standard 6-3; ducts insulated to a minimum installed levelof R�42 oienclosed'in conditioned space: Openings shall be sealed with mastic;aape aerosol sealant oiother duct;•closure system that meets the•applicabfe requirements of UL181;'UL181A; or ULt81B.. Ir mastic or'tape is.used to,seal openings.greaterthanl)4 inch the combination,of mastic"and either mesh tape or tape shall be used. Building cavities shall not be used for conveying conditioned air'�Joints and seams. of duct systems and their components shad not besealed with Goth back rubber adhesWv duct tapes unless such tape is used in combination with mastic and drawbands. r t 2. Exhaust fans systems have back•draft or automatic dampers.;.. 3. Gravity ventilating systems serving,conditioned space have eitherautomatic;or readily accessible, manually`operated dampers 114: Pool and Spa Heating System&and Equipment 1. Certified with 78% thermal efficiency„on-off switch; weatherproof instructions, no electhc resistance heating, no pilot 2. System is installed with;atI ast 36” of pipe• belweeri filter andfieater for future solar; cover'for outdoor pools or spas. 3. Pool system has directional,intets and a circulationpump time Switch. ' X §115: Gas fired central fumaces pool`heaters, spa heaters or household cooking appliances have no continuou'slyburning pilot light (Exception: Non -electrical cooking appli_ances_with pilot < 150.BtWhr) Lighting Measures ' X §150(k)l: Luminaires for general lighting in kitchens shall, have lamps with an efficacy 40 lumensti 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. ' X 150(k)2: Rooms with a shower or bathtub must, either least one luminaire with lamps with 'an efficacy of 40 Iumenstwatt or greater switched at the entrance to thesoom or one of the alternative to this'.requirement.allowed.inSection 150(k)2.; and recessed ceiling fixtures are1C (insulation.cover):approve-d. EnergyPro 3.1 By FnMYSoft UserNumbers5021' Job Numtier. 091401_10:05 Page:6 of 16 ComputerMethod,Summary(Part 1 of 3) C -2R Plan §-1 New RPsidernce 9/14/2001 Project Title Date Project Address Building Permit # 760.=360=4631 Plan Check/Date Docum tation AutAor. Telephone Compliance Method?(Package'or Computer) Field. ChecklDate .-Climata;Zone Sou rce.Energy.Use=4. Standard Proposed Compliance (kBtu/sf-yr) Design Design: Margin Space Heating 4.02' ... 3.18 0:84 Space Cooling.,' '40.84. .34.13:. 6.71 Domestic Hot water 1.6:37 1- .37 0::00 -. Totals 61.23 {5.3:68'' ,, : , -7.:55;. . .B'UILDING COMPLIES GENERAL INFORMATION Conditioned Floor Area: '.1;42:1 Floor Construction Type: " 0 Slab -Floor Building Type: Single.Fam Detached ❑ Raised Floor Building Front Orientation: (East) 90 deg Number of Dwelling Units: 1.00 Total Conditioned Volume: 12,789 Number of Stories: 1 Slab Floor Area: 1,421 BUILDING ZONE INFORMATION ,# of Thermostat Vent Zone Name Floor Area ' Voldme Units Zone Type Type Hgt. Area HVAC: Spid HP Stam 1 421 J1 '789 ? 1 On rnnditinned Sethark _� _n/ Solar OPAQUE SURFACES Act. Gains Tuna Araa 1 1-Vnl Alm • Tilt .Y /; N Fe"rm 3 Reference Location/ Comments INTERIOR AND• EXTERIOR SHADING Window Overhang Left -Fin Right Fin # E)derior Shade'Type SHGC Hgt: Wd. Leri: Hgt. LEA. REiQ. Dist. Len. Hgt. Dist. Len. Hgt. 1 Bug Screen 0.76 „Y Computer .Method SuiWm!ary : s 0.76 —_ (Part"`2 of 3) C -2R Plan S-1 New Residence 0.76 _ 4 r 9/14/2001 Project Title r Bug Screen Date FENESTRATION SURFACES ;... U- Bug Screen Act. Glazing Type 'Tilt = Location/ # Type Area..Factor : �,SHGC Azm. Comments L Wkdow Front (East)- 0 0 0650_ 0:40 S0_ _go Dn6le_C1ear Defame Wholeiiouse 2 Window Front .. (East) ;•- 9.8 0.650 0.40 4.90 .90 Double Cle'ar'Defautt Whole House 3 Window. Left (South) 20.0, "` 0.650' 0:40- 180 W. Double Clear Defautt Whole House 4 Window Left (South) 1.6.0 ” 0.650.. 0:40 180 ' 90• Double.ClearDefautt Whole House 5 Window Left (South) 3s0 •'x.0:650 0,40 180 90 D6ub16Cle4rbefauft* . Whole'House 6 Window Rear (West) 20!0 . = 0:650 0 40 ..270: 90 Double Cleaebi autt . Whole House 1-- Window Rear `(West)_ 40:0 0.650. 8 Window Rear (West) 'A.0 0.650 OAQ `0.40 270. 90 SJ.dg_GIaaa Doors Defautt 270 •90 Double:Clear Default Whole House Whole House 6 Window Right (North) 3.0. 0,650 0.46—.0 ` 90 Double Clear Default_ Whole House 1Q Win -Right `(North) 9 0 ' :0 650 > 0.40 —2 90 Double Clear Def tt Whole House Window Right _(North)" 16 6 '0:650 0:40 0 . 90 Fr Door DP Clear Defauft� Whole House INTERIOR AND• EXTERIOR SHADING Window Overhang Left -Fin Right Fin # E)derior Shade'Type SHGC Hgt: Wd. Leri: Hgt. LEA. REiQ. 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 EnergyPm 3.1 By EnergySoft User Number. 5021 .. :` Job Nuinber. 091401_10:05 Page:8 of 16' Run Inidation`Time:: 6911410'1'10:56:29 Run Code: 1000490189• EnergyPro 3.1 By EnergySoft User Number. 5021 Job Number 091401: 10:05 Page"9 of 16 Computer Mehod Summary :: : _.. (Part 3 of 3) C -2R Plan S=1ANew Residence . 9/14/2001. - Project Title . i"s Date THERMAL MASS FOR HIGH MASS DESIGN Area. Thick. ;'Heat ", . ..Inside Location Type (sf) (in.),- •Cap. Cond. Forrm3 Reference. R=Val. Comments PERIMETER LOSSES - F2 Insulation Type Length Factor R=Val: ,,. Depth ,Location /:Comments Slab Perimeter 134° ' 0.76 _QyQ 0 Whole House Slah Perimeter .39 0.76 —D -Q _Q . Whole House t HVAC.SYSTEMS Heating Equipment Minimum Distribution Type . Type (fumace, heat 'zEfficiencyy and—`Location Duct Thermostat. Location / pump, etc.) (AFUE/HSPFxducts/attic, etc°) R -Value Type Comments. Split Heat Pump 8.00 HSPF . Ducts in Attic 4.2 Setback HVAC Split HP System 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 Split Heat Pump 12.0 SEER Ducts in Attic 4.2_ Setback HVAC Split HP System WATER HEATING SYSTEMS Rated' 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 (%) ESQ. Standard Gas 50 gal or Less Small Gas Standard 1 40.000 " 50 0.52 n/a 12 For small gas storage (rated input <= 75000}Btu/hr); electric resistance and beat 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. Run Inidation`Time:: 6911410'1'10:56:29 Run Code: 1000490189• EnergyPro 3.1 By EnergySoft User Number. 5021 Job Number 091401: 10:05 Page"9 of 16 Computer:IViethoci.S.urrimary, f (Addendum) C -2R Plan 5-:1 New Residence Y t_ 9/14/2001 Project Title Date .Special Features and 'dehng°Assumptions, F , . The local'enforcementagency should:payspecial attention to the items specrfied;m this checklists These items require special written, justification and documentation,:and special Venfcatronao be used Neth 4he performance approach:, The local. enfnrcprnent anRnr_v iietennin the adeariaeri: ef'the iustifiration and may reiect'a.huitdina'ordesigri that otherwise complies based,on the adequacy,of the special justrfication and;documentaUoh.J bmitted.'" Plan Field The DHW System "Standard Gas 50 gal or. Less" Energy Factor ;0:525 • An EF below 058'requires an.R 12 External Blanket. The HVAC System "HVAC. Split HP`System, includes credit for a RadiantBamer installed perSection 8:13 of the Resitlential Manual. HERS Required Verification ; These features must be confirmed andlor tested byya certified HERS rater under.the supervision'of a CEC'approved HE provider. The HERS rater must document the;field verification and diagnostic testing of. thesemeasures. onja form CF -6R. pian Field 1k. , t . The HVAC System "HVAC Split HP System" includes Refrigerant Charge and Airflow'Credit (or a TXV). A'certified HERS rater must provide verification of the TXV, or measure.theaRefrigerant Charge and•Airflow. The HVAC System "HVAC Split HP'System" isysing reduced duct'leakage to`comply and must have diagriostic.srfe testing of duct leakage performed by a certified HERS Rater. The results of the diiagrio§tic testing mustbe reported on a:CF-6R-Form. M urt Initiation Time ,�- 09%14/01. 10.56'.29 Run'.Cd e:---1000496,189.' EnergyPro 3.1 By EnergySoft User 146mber.5021Job Number. 091401_10:05 Pagel 0 of 18 i PROPOSED CONSTRUCTION ASSEMBLT ENV -3 PROJECT NAME , Plan S -1 -New Residence DATE. 9/14/200 COMPONENT DESCRIPTION �. ASSEMBLY. NAME. IRAA Wall w/1" EPS ASSEMBLY Floor' ,TYPE,,* (check one) X Wall W° Ceiling /Roof W to w FRAMINGMATERIAL >. O . Z FRAMING % 15 % Framing 15%(16" o.c. Wall) 12%(24" o.c. Walt) 10%(1,6" o.c. Floor/Cell.) SKETCH OF ASSEMBLY 7%(24" o.c. Floor/Coil.) R-VALLiE s.. FA B t'*HEAT, CAPACITY (Optional) HVAC SYSTEM HEATING#AND,COOLING•LOADS; SUMMARY PROJECT NAME Plan S-1 New Residence DATE 9/14/2001 SYSTEM NAME HVAC S lit HP --System FLOOR AREA .1 ,421 NGINEERING,CHECKS SYSTEM LOAD Number of Systems -.,6 COIL COOLING: PEAK .COIL HTG. PEAK §" 1 i Heating System: 952. 15,914 66 625 18,454 0 7 . 28,000 CFM ..Sensible Latent CFM Sensible Output per System . 28,000 Total,. Room: Loadsr Return Vented Lighting, Return>Air Ducts Return Fan Ventilation. `Supply Fan Supply Air Ducts' " Total Output`(Btuh) 28,000 Output (6tuh/sgft) 19.7 Cooling System Output per. System .28,200 Total Output (Btuh) 28,200 Total Output (Tons) 2.3 Total output (Btuh/sgft) 19'8. TOTAL SYSTEM ,LOAD ow (cfm/Ton) 425.5 96 923 o 0 0 0 0 0 " 0 0 796 923 17,505 66 20 300 Total Output (sgWTon) 604.7 Air S stem CFM per System ' ,1,000 Airflow (cfm) 1;000• Airflow (cfrNsgft) - 0`70 Airf1. l HVAC .E 'UIPMENTSELECTION '18:,304 7,485 18,415 YORK E4FH030/F2RP030 U;D&H' 3•'8 kW Supplemental, Electric - 12,969 • ,Total Adjusted $ystem Output 18,30 7,485 31,384 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK k ow (cfm/Ton) 425.5 Outside Air (%) Outside Air (cfm/sgft) 0.00 Aug 2 pm Jan 12 am Note: values above given at ARCconditions (EATING SYSTEM. PSYCHROMETRICS (Airstrearn:Temperatures.it Time -of Heating, Peak;0 cfm 26.0°F` 69.1°F „ 86.4°F 98.6°F -98.6°F ' '� �~ 0•..:�. .Supply Air Ducts Outside Air. , Heating Coil Aux Heat Co. `;Supply Fan 97.8 OF tl -1000 cfm ROOMS 70.0 OF � 69.1 °F •, I Return Air Ducts, rs COOLING SYSTEM PSYCHROMETRICS,� Airstream.Tem ' rattures at Time of..Coolin Peak 111.0/77.6°F 78.7/66.4°F r.. -61..6/60.5°F 61.6/60.5°F §V-.6 Supply Air Ducts Outside:Air 0 cfm Cooling, Coil . Supply Fan ; 62.3 / 60.8 OF ' 1000 cfm 54.2% R.H. ROOMS 0 78.7 / 66.4 ° F 78.0; 66.2 F Retum Air Ducts EnergyPro 3.1 By EnergySoft User Number. 5021 Job Number. 091401_10:05 Page:12 of 16 EnergyPro 3:1 By EneMgy ft. User Number. 5021 Job Number. 091401_10:05 Page: 13 of 16 ROOM HEATING P EAK; LOADS Project Title Date Plan'S-1 New -Residence` 19/14/2001 Room Information' f' t:Desi rYConditions: Room Name whole House rTime of Peak ' Jan 12 am Floor Area: 1,421 Outdoor:Dry,' Bulb, Temperature 26°F Indoor Dry Bulb Temperature _ 70°F Conduction Area 1.1 -Value AT of Btu/hr 1421.0 -Xs 0.0280. X 44.0 w 1751 fimefer = 173.0 ' X X 44.5 = 7,698 352.4 X 0.0885 X t, 44.0 = 1,372 36:6 x 0.3872 x .44.0 = 624 .029.6 - X 0.0565 X 44.0 = 2,393 104.8 X ~.0.6500 X 44.0 = 2,997 40.0 X 0:6500 x t 44.0 = 1,144 16.6 x 0.6500 x 44.0 = 475 X X X X _ x X _ X X' x x _ X X. _ x X x x = X X X X. _ X x X x = X X X X x x = x X. _ X X = X X X x X x = X X x x _ X X X X X' X xX t; X X X X. X X X _ x = X X rior surface to.anothermom. Pagt? Total: 18454 .Infiltration: r 1:00 .x i.osa x -' 1 a21 x 90o x o.00 160] x 0 = Q schedule. .. AITSensibie Area'. Cerling.Height. ACH AT Fraction a. TOTAL HOURLY HEAL LOSS FOR ROOM 18,454 EnergyPro 3.1 By EnergySoft User Number. 5021. Job Number. 091401_10:05. Page: 14 of 16 RESIDENTIAL ROOM .CO.OLINGtLOAD: SUMMARY. Plan S-1 'New Residence :... 9/14/2001 Project Title Date Room Name Whole House Design Indoor Dry Bulb`Temperature: 780F Design Outdoor Dry Bulb Temperature: 112oF Design Temperature Difference:. •. 340F Conduction - Area U -Value- = DETD 1 Btu/hr X- X; X .X4 Xl X • X 51.0 = = = = = = 2,029 30.6 954 30.6 434 30.6 1,664 34.0 2 316 34:0 884 34.01 367 X X 1. Design Equivalent Temperature Difference (DETD) " Page Total 8.649 . Items shown with an: asterisk.(') denote conduction through an interior surface to another room. `'8haded Unshaded Solar Gain Orientation Area SGF Area SGF . SC Bfu/hr Window 5040 XO HS (East).. . 1 + 1 + 1 + 1 +J 1 +. 1 + 1 - + .1 +- 1 ;+x . 1 + East Window 5040 XO HS Window 4040 XO HS Window 3010 XO HS South South (South). Window 5040 XO HS (Wes Sidg Glass Door 6068 (West) Window 4010 XO HS(West) 9-8 Window 3010 XO HS (North) ; Window 3030 XO HS North Sched. Internal Gain Frac. Area' Lights 1:00'X 1,421 x Occu ants 1.00 X .1,4211 x Receptacle. 1. X 1,4211 X Process 1.00 xx 1,421 X Infiltration: �chedulex s:xL Air Sensible. Area Fraction4. TOTAL HOURLY SENSIBLE HEAT GAIN FOR'R, ( 0.0 X X x x .X X x X X 1 + 1 + 1 + 1 +J 1 +. 1 + 1 - + .1 +- 1 ;+x . 1 + 20.0 X : X. X X X x x x x 73) X x x x X )x x x0.44 )XI 0.44 = = = = = = = = = 650 9-8 173) 0.44_ 319 (. 0"0 20.0 `32) 0.' 285 ( 0:0 32) 0. 228 ( O:O 32) 0.44 43 0.0 -2 '73 0.44 650 ( 0.0. .73) 0.44 1,300 { 0.0 .73).X 0.44 130 0.0.x =1 20 0.0 -15 0.44 60 t Page Total 3 685 `Hea`t.Gain ''' Btu/hr -•`0. Watts/sgft. x 3.41 =Btuh/Watt = 0 2' Btuh/oCC. / 333SCIft/occ. = 1 044 0. ,Watts/sgft x . 3.413 BtuhMatt = 2 425 0 Watts,lsgft x. 3.4i Btuh/Watt = 0 X. x /,60]._ ,Celling Height ACH DT QOM'` 15;914 Sched. Latent Gain 'F c. Area; . Heat•Gain Btu/hr Occupants X1.00 X 1 421 x 755 .Btuhlocc..'sgft/occ. = 661 Receptacle . 1.00 x 1 421 X. 0.000 Watts/sgft• X... 3:41 btuh/Watt =0 Process 1 oo.X 1 421 x, 0:000 Watts/sgft x 3.41 BtiuhlWaft = 0 x. Infiltration: I 1:00 x 477 x 1 42 x 9.00 :x 0.00 / 6�] Y 0.00000. _ --- chedule Air Latent=. Area-Celling;Height ACH DW Fraction EnergyPro 3.1 By EnergySoft User Numtier.. 5021 Job Number. 091401 10:05 Page:15 of 16 RESIDENTIALL ROOM.�COOLING LOAD SUMMARY Plan. -S-11 New Residence . 9/14/2001 .Project Title �.. K Date Room°Name Whole House Design Indoor Dry Bulb Temperature: 780E Design Outdoor Dry Bulb Temperature; 112oF Design Temperature Difference:. 349F Conduction Area 'UNMue DETD 1 Btu/hr 1. Design Equivalent Tern perature•Difference (DETD) Page Total 0 items shown with an asterisk (') denote conduction through an interior surface to another - room. Shaded Unshaded= Area - SGF Area SGIF SC Btu/hr 0.0 x :. 1 ',+ 16.6 X X15) X 0.44 = 111 x. + X)x x `. + xI)x )X = x + x.)X = X + X)X (� X + : x (.-:. X + x )x = (> x + x )X • x + x )x (H x + x )X _ Page Total 111 Sched., ' InternalGain -Frac• Area Heat -.Gain" Btu/hr tb " 1.00.x 1,421 X,- . 0. Watts/sgft x-.: 3.41 Btuh/Watt = 0 Occupants 1.00 x = 1,42-11 X 2 Btuh/oec.. / 333 sgft/occ. = 1 044 Receptacle 1.00 X 1 421 X 0:5 Watts/sgft - x<:. < 3.413, Btuh/Watt = 2,425 Process 1.00 x 1,421 x.. 0. Wattslsgftr x 3.41 BtuhlWatt. = 0 Infiltration: 1:.00 k ' x 14211X. x o.o0 16 01 _ —Schedule Air sensible Area Celling Helght ACH.,ZST Fraction Scheid. Latent Gain Frac. 'Area Heat Gain Btu/hr Occupants 1.00.x 1 421 x 155 Btuh/OCc,. / 33 ;Sgft/occ. = 661 Receptacle 1.00 x 1 421 x 0.000 Watts/sgft.. x 3.41 Btuh/Watt = 0 Process 1.00 x 1 421 x 0000 Wattslsgft x 3.41 ^ Btuh/Watt = 0 Infiltration: 1.001. .00 x 477 x 1 42 x r 9.00 x 60] chedule Air Latent Area Coiling Height ACH DW Fraction _ EnergyPro 3.1 --By EnergySoft User Number. 5021 Job Number 091401 10:05 Page:16 of 16