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SFD-14-545
1 C TAMPIGO IA QUINTA, CALIFORNIA 92253 Application Number: SFD-14-545 Property Address: 53285 AVENIDA RUBIO APN: 774072013 Application Description: Property Zoning: n Q Application Valuation: $0.00 11� Applicant: HIGH DESERT HOMES - HI 30520 RANCHO CA ROAD TEMECULA, CA 92591 c&hw °& 4Qwr rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT FEB 1.8 2015 COMMUNICIT YTY DEVELOPMENT 0 J 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 Professions Code, and my License is in full force and eqect. License Class: _ License No.: q,?q Date: 2•Ci-701101 Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: Gi VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/18/2015 Owner: HIGH DESERT HOMES - HERITAGE C 30520 RANCHO CA ROAD TEMECULA, CA 92591 Contractor: CALIFORNIA CONSTRUCTION 30520 RANCHO CA ROAD TEMECULA, CA 92591 (951)805-1036 LIC. No.: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 700 of the Labor Code, I shall forthwith comply with (those provisions. Date: Z I p Z0� I Applic J WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION,'DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above• mentioned property for inspection purposes. Date?' �`�' ��S Signature (Applicant or AgentL FINANCIAL INFORMATION "i AMOUNT' ' PAID PAID DATE ' - DESCRIPTION ' : , -',.ACCOUNT PTY. BLDG PC 25001-200K 10160003428200 $900.00 $900.00 5/1/14 PAID BY a-- �' = ` 'METHOD ; RECEIPT # 4 CHECK # CLTD BY Total Paid for BLDG PC 25001-20OK: $900.00 $900.00 DESCRIP,TION : -''ACCOUNT _ "',QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $6.00 $0.00 7. PAID BY; ; -' METHOD 3 ' s: RECEIPT # CHECK # CLTD BY . Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $6.00 $0.00 DESCRIPTION; ACCOUNT ",' QTY ` -AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 PAID BY "' 'a `' ""' 'METHOD ,;" s'' '-= RECEIPT # — CHECK # ' ' CLTD BY DESCRIPTION"_ ^ ACCOUNT QTY .' AMOUNT' -PAID _ PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID.BY . } METHOD :' RECEIPT # CHECK # CLTD BY • DESCRIPTION d ACCOUNT QTY AMOUNT- PAID ' PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 Y 4 PAID BY ` METHOD-„ " RECEIPT # y 'CHECK # CLTD BY. '.. DESCRIPTION ACCOUNT+ QTY' AMOUNT . PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 PAID BY '- _ ` METHOD, RECEIPT #,- CHECK # CLTD BY DESCRIPTION x- ACCOUNT . *. QTY, ``'F 'AMOUNT:: PAID' PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $0.00 BY , Y n' • "i "' METHOD , ° RECEIPT # CHECK # CLTD BY DESCRIPTION m ' '" '' _ •' ' a —ACCOUNT, ,. QTY ; AMOUNT . °PAID PAID DATE. DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 PAID BY f r °_ r: METHOD`= RECEIPT# CHECK# CLTD BY r' 'DESCRIPTION o . = r•f ACCOUNT, ,CITY AMOUNT;,, „_ PAID, PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 PAID BY - ' ,' 1� METHODx r ., , RECEIPT # CHECK # CLTD BY DESCRIPTION' *ACCOUNT ' ;'" QTY AMOUNT - PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 ".. `PAID BY, r, ," ' t METHOD'` RECEIPT # .` CHECK # CLTD BY Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 DESCRIP TIONy = :ACCOUNT QTY: AMOUNT PAID 'PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $24.66 $0.00 PAID BY METHOD ., RECEIPT # 'CHECK # • . 'CLTD BY DESCRIPTION ACCOUNT T,"' "QTY; ',"'AMOUNT ,. PAID`' PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $10.16 $0.00 PAID BY, METHOD RECEIPT # • t. CHECK # CLTD BY ;DESCRIPTION - ACCOUNT QTY AMOUNT. 'PAID PAID DATE RESIDENTIAL, FIRST 1,000SF .101-0000-42403 0 $145.03 $0.00 ' PAID BY ` • "` METHOD RECEIPT # `CHECK # CLTD BY DESCRIPTION :. ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $0.00 PAID BY-=, • METHOD'. RECEIPT # CHECK # CLTD BY. Total Paid for ELECTRICAL - NEW CONSTRUCTION: $227.71 $0.00 j .. DESCRIPTION • ,ACCOUNT t; QTY AMOUNT ' PAID ° PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $143.00 $0.00 ` PAID BY METHOD _ " RECEIPT # ' CHECK # .. , CLTD BY - Total Paid forGRADING: $143.00 $0.00 ,DESCRIPTION '' ' , j ACCOUNT.'' '" QTY z•'AMOUNT ' 'PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $0.00 PAID BY` '' ; METHOD RECEIPT'# CHECK #: CLTD BY DESCRIPTION•' 'y ACCOUNT QTY AMOUNT +" PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $0.00 • r` • PAID BY',, tMETHOD rRECEIPT # CHECK #, CLTD BY DESCRIPTION ACCOUNT ,' 'QTYAMOUNT `PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 z' PAID,BY METHOD x ' RECEIPT # " CHECK # CLTD BY `DESCRIPTION ." '' ACCOUNT,,' ° 'QTY, ;` AMOUNT PAID.r, `ll, PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $0.00 PAID BY " ,' • :METHOD RECEIPT # : CHECK # •. CLTD BY ., DESCRIPTION ACCOUNT QTY.. AMOUNT ' .,ti PAID! PAID DATE FURNACE 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD 'RECEIPT # CHECK # CLTD BY , .DESCRIPTION :; _:' y'ACCOUNT , ,° QTY 'AMOUNT }PAID PAID DATE FURNACE PC 101-0000-42600 0 $24.17 $0.00 ',PAID BY -.i-,,' , ;- 4,; ; METHOD '-" , , '. RECEIPT # ' " CHECK # • CLTD BY' DESCRIPTION.' ' F ` r , , ACCOUNT ' QTY AMOUNT : •: PAID PAID DATE VENT FAN 101-0000-42402 0 $36.27 $0.00 ,PAID BY , . METHOD ' " r 4 ;RECEIPT#'+ CHECK # . ` CLTD BY ,DESCRIPTION ' -ACCOUNT QTY • `' AMOUNT r ,, ' PAID _ PAID DATE VENT FAN PC 101-0000-42600 0 $14.49 $0.00 } PAID BY METHOD 'RECEIPT#` CHECK# CLTD BY Total Paid for MECHANICAL: $188.54 $0.00 DESCRIPTION ` ° - , ACCOUNT ; - QTY AMOUNT. PAID ' PAID DATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $537.00 $0.00 :. PAID BY - METHOD. RECEIPtT # CHECK # .. CLTD BY s Total Paid forMULTI-SPECIES RESIDENTIAL $537.00 $0.00 DESCRIPTION'' "ACCOUNT.'' QTY. ' AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $528.19 $0.00 PAID BY METHOD : RECEIPT # • CHECK # CLTD BY' Total Paid forNEW CONSTRUCTION PERMIT: $528.19 $0.00 ' DESCRIPTION^ . _, ACCOUNT `' QTY' '" , AMOUNT ' PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $157.31 $0.00 ,PAID BY ;: METHOD ;, RECEIPT# • CHECK # 'CLTD BY Total Paid forNEW CONSTRUCTION PLAN CHECK: $157.31 $0.00 `,'DESCRIPTION -- . ACCOUNT ' ,"` CZTY .'AMOUNT -PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 :• PAID BY , : '`>METHOD RECEIPT #� CHECK #_ CLTD BY 'DESCRIPTION ACCOUNT ... � _ �• QTY AMOUNT . ' PAID , ' PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $0.00 i' PAIDBY „ i ",y METHOD Y .., .,, .;` RECEIPT,# -' -. CHECK # CLTD BY ' _DESCRIPTION ', ` " " _ ., r . ' ACCOUNT , _ QTY AMOUNTL•' PAID,. ,. PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 ,.- PAID BY x . METHOD` .. r' %' RCEIPT # ' ; •. CHECK # , , ,...., _CLTD BY, f DESCRIPTION' s `:ACCOUNT'S', M, QTYI AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 'PAID BY :, .,NIETHOD.:� �F, • ;r.. # RECEIPT �,' CHECK # CLTD BY DESCRIPTION `,� ., r� .. ' .`"ACCOUNT QTY' `' _ AMOUNT..' PAID . `PAID DATE FIXTURE/TRAP 101-0000-42401 0 $145.08 $0.00 4 ... PAID BY ' F', - � r Ni., . METHOD RECEIPT #_ CHECK # CLTD BY .. ','DESCRIPTION. Y' ACCOUNT QTY AMOUNT '' " PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $145.08 $0.00 PAID BY METHOD RECEIPT# CHECK # CLTD BY DESCRIPTION ACCOUNT- QTY AMOUNT PAID : PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 PAID BY f METHOD ' ' RECEIPT # CHECK # CLTD BY DESCRIPTION° ' . "' " ", ACCOUNT QTY AMOUNT : PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY :.;. METHOD RECEIPT # ', CHECK # CLTD BY DESCRIPTION ACCOUNT . QTY; ..AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 .PAID BY ..-'METHOD ;.'' RECEIPT #,. G CHECK # CLTD BY T DESCRIPTION' °?ACCOUNT '' QTY- AMOUNT~:' PAID-,: 'PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAID BY "METHOD '" '' ` ' RECEIPT #' CHECK #: CLTD BY 'DESCRIPTION ` .� , ACCOUNT QTY,: AMOUNT h PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 Y PAID BY! x METHOD .' RECEIP..T # ;` 't CHECK # -` CLTD BY. DESCRIPTION ACCOUNT, , QTY , , AMOUNT 'a, . • PAID' PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600, 0 $12.09 $0.00 PAID BY ;y METHOD RECEIPT #,,CHECK # . `.. ' CLTD BY Total Paid for PLUMBING FEES: $411.04 $0.00 •DESCRIPTION s' i ` ACCOUNT` QTY„ AMOUNT::, '•' , PAID. PAID DATE SMI - RESIDENTIAL • 101-0000-20308 0 $17.50 $0.00 PAID BY ,� - cMETHOD �,r' RECEIPT # "' CHECK #. CLTDiBY-� 4 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $17.50 $0.00 DESCRIPTION s yrs'` �Y' ACCOUNT '"� IQTY AMOUNT° t'r� !. syPAID'' { PAIf)'DATE y tee+"t ��... •'.' _ - SINGLE'FAMILY DETACHED 224-0000-20320 0 $1,837.44 $0.00 METHOD z RECEIPT# ',� '.•CIiECK #. s CLTD BY Y{ , E Total Paid forTUMF - RESIDENTIAL: '$1,837.44 .$0.00 TOTALS:;, •00 00 4 r i Y . f 4 Description: Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED -CONDITIONS Applied: 5/1/2014 FAMILY DETACHED - Approved: 11/6/2014 AAL Parcel No: 774072013 Site Address: 53285 AVENIDA RUBIO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 184 Lot: 2 Issued: UNIT 18 Lot Sq Ft: Building Sq Ft: Zoning: Finaled: T Valuation: $134,632.00 Occupancy Type: Construction Type: Expired: 2/18/2015 BHA No. Buildings: No. Stories: No. Unites: Details: NEW SFD. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALL,_FIREPIT, BBQ, WATER FEATURES. THIS HOME IS FIRE SPRINKLED PER 2013 CRC CODES. EXTENSION GRANTED UNTIL 2/18/2015 TO PURCHASE PERMIT. IF PERMIT IS NOT PURCHASE, PLAN CHECK FEES AND 2013 ENERGY PLANS ARE REQUIRED FOR ANY EXTENSION BEYOND 2/18/2015. ADDITIONAL CHRONOLOGY CIiRONOLOGY,TYPE a. STAFF,NAME - ACTION:DATE ;-:-COMPLETION DATE .f- `t NOTES': y PLANS HAVE EXPIRED APPLICANT NEEDS TO SUBMIT EXTENSION LETTER AND UPDATE TITLE 24's PER JJ. ALSO IF NOTE PHILIP JUAREZ. 1/29/2015 1/29/2015 GOING OWNER BUILDER NEEDS TO SUBMIT OWNER BUILDER FORM AND SUBLIST. " SCHOOU FEE LETTER GIVEN TO BRAD PETTERSON & AMOUNT NOTE PHILIP JUAREZ 2/6/2015 2/6/2015 OF PERMIT. PLAN CHECK PICKED UP STEPHANIE KHATAMI 9/18/2014 9/18/2014 2ND PLAN CHECK PICKED UP. GARRET HODSON. RESUBMITTAL KAY HENSEL 11/3/2014 11/3/2014 LEFT MESSAGE FOR HIGH DESERT HOMES THAT PLANS ARE TELEPHONE CALL ARMEN ALTOUNIAN 11/6/2014 11/6/2014 _ APPROVED AND READY FOR PICK UP. CONDITIONS Printed: Wednesday, February 18, 2015 12:06:17 PM , 1 of 6 CR srsrEMS OF Printed: Wednesday, February 18, 2015 12:06:17 PM 2 of 6 CRMAJIF Uw SYSTEMS FINANCIAL INFORMATION _4AMOUNTJ TV -T Tb - IRECEIPT'i. -,PAID B .DESCRIPTION ACCOUNT-"�---5'��% �'QTYA M Y"� PAID DATE ' E „METHOD' � BLDG PC 25001-200K 10160003428200 $900.00 $900.00 5/1/14 Total Paid for BLDG PC 25001-200K: $900.00 $900.00 BSAS S61473 FEE 101-0000-20306 -20306 T 0 $6.00 F $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION .$6.00 $0.00 BSA: DIF - CIVIC CENTER 252-0000-43200 -0 $942.00. $0.00 DIF - COMMUNITY 254-0000-43200 0 $129.00 $0.00 CENTERS DIF - FIRE PROTECTION, -257-0000-43200 0 $433.00 $0.00 DIF -LIBRARIES 253-0000-43200 0 $344.00 .$0.00 DIF - PARK 256-0000-43200 0 $40.00 $0.00 MAINTENANCE DIF - PARKS/REC* 251-0000-43200 0 $2,048.00 $0.00 DIF -STREET 255-0000-43200 .0 $116.00 $0.00 MAINTENANCE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 Printed: Wednesday, February 18, 2015 12:06:17 PM 2 of 6 CRMAJIF Uw SYSTEMS OFMF Printed: Wednesday, February 18, 2015 12:06:17 PM 3 of 6 CREW SYSTEMS 7, 7 77 yemA ',CLT DESCRIPTION'-_ ACCOUNT T'-,- FAI92� PAID DATE' �RECEIPT#� CHECK #'. BY .Z _7 -RESIDENTIAL, EA 101-6000-42403 0 $24.66 $0.00 ADDITION 1,000SF, RESIDENTIAL, EA - 101-0000-42600 0 $10.16 .$0.00 ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,0005E RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 1,000SF, PC Total Paid forELECTRICAL - NEW CONSTRUCTION: $227.71 $0.00 RESIDENTIAL FINISH 101-0000-42600 0 $143.00. $0.00 I GRADING PC . . -Total Paid forGRADING: $143.00 $0.00 CONPENSER/COMPRES . 101-0006-42402 0 $36.26 $0.00, SOR CONDENSER/COMPRES 101-0000-42600 0 $24.17 .$0.00 S611 PC EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 EXHAUST HOOD PC 101-0000-42600 0 $4.83 .$0.00 FURNACE 101-0000-42402 0 $36.26 $0.00 FURNACE PC 101-0000-42600 0 $24.17 $0.00 VENT FAN 101-0000-42402 1 0 1 $36.27 $0.00 1 1 VENT FAN PC 101-0000-42600 1 0 $14.49 $0.00 Total Paid for MECHANICAL: $188.54 $0.00 MULTI -SPECIES 101-0000-20310 0 $537.00 $0.00 RESIDENTIAL 0-8 UNITS Total Paid forMULTI-SPECIES RESIDENTIAL $537.00 $0.00 Printed: Wednesday, February 18, 2015 12:06:17 PM 3 of 6 CREW SYSTEMS Printed: Wednesday, February 1lZO1512:O6:17PK4 ' ' 4cf6 ' - -ROW SYSTEMS IN ACCOUNT A. QTY -AMOUNT PAID' PAID DATE RECEIPT# ;,-CHECK#,.' METHOD -;',IPAIDBNEW CONSTRUCTION 101 -0000-42400 0 $528.16PERMIT $0.00Total Paid forNEW CONSTRUCTION PERMIT: $528.19 $0.00NEW CONSTRUCTION 101-0000-42600 T 0 $157.31Total $0.00PLAN Paid forNEW CONSTRUCTION PLAN CHECK: $1S7.31 $0.00B'ACKFLOW DEVICE 101-0000-42401 0- .$12.09 $0.00BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 �0.00BUILDING SEWER 101-0000-42401 0 $12.09 $0.00BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00FIXTURE/TRAP 101-0000-42401 0 $14S.08 $0.00FIXTURE/TRAP PC 101-0000-42600 0 $14S.08 $0.00GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00OUTLETS -GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00OUTLETS PC IWATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00WATER HEATER/VENT 101-0000-42600 $7.25 $0.00PCWATER SYSTEM 101-0000-42401 0 $12.09 $0.00WATER SYSTEM 101-0000-42600 0 $12.09 $0.00INST/ALT/REP PCTotal Paid forPLUMBING FEES: $411.04 $0.00SMI -RESIDENTIAL 101-0000-20308 0 $17.50 $0.00Total Paid forSTRONG MOTION INSTRUMENTATION SMk $17.50 $0.00 Printed: Wednesday, February 1lZO1512:O6:17PK4 ' ' 4cf6 ' - -ROW SYSTEMS ',DESCRIPTION' {e ACCOUNT ` ;'QTY - `•AMOUNT M PAID" PAID DATERECEIPT *s.. # CHECK #`.` -METHOD PAID BY fCLTD` LL _ Attachment:Type x `" CREATED y -;DESCRIPTION . PATHNANIE ` : SUB6111 ETRAKIT.ENABLED y SINGLE FAMILY 224-0000-20320 0 $1,837.44 $0.00 4 -STATUS 2/6/2015 BURT HANADA : `REVIEVN TYPE FiEVIEWERi SENT DATE. DETACHED ` " „ '+ _ "•NOTES , 4 t _ , EXTENSION.pdf c .DATE .'. Total Paid forTUMF - RESIDENTIAL: $1,837.44 .$0.00 - TOTALS: $900.00 INSPECTIONS Printed: Wednesday, February 18, 2015 12:06:17 PM 5 of 6 CR SYSTEMS PROJECTSPARENT ATTACHMENTS Attachment:Type x `" CREATED '' OWNER -;DESCRIPTION . PATHNANIE ` : SUB6111 ETRAKIT.ENABLED REVIEWS SFD-14-545, 546 - SFD-14-545, 546 - 4 -STATUS 2/6/2015 BURT HANADA : `REVIEVN TYPE FiEVIEWERi SENT DATE. DUE DATE ` " „ '+ _ "•NOTES , 4 t _ , EXTENSION.pdf c .DATE .'. ,, , , GRANT DEED 774 -072 - DOC 2/17/2015 STEPHANIE KHATAMI 013-151900 AVENIDA 013-151900 AVENIDA Structural and T-24 Approved N/S return for 0 RUBIO RUBIO.pdf corrections Renaldo from Burrtec verified Waste plan valid NON-STRUCTURAL 8/13/2014 9/16/2014 9/16/2014 "REVISIONS REQUIRED HARTUNG with 11 tons recycled concrete. TH 9/30/14 _ Will resubmit signed plan STRUCTURAL PREVIOUSLY APPROVED. WE HAVE NON-STRUCTURAL TOM 11/3/2014 11/17/2014 11/6/2014 APPROVED CALCS & ENERGY. NEW PLAN SETS SUBMITTED HARTIING FOR BOTH HOUSES.. - Printed: Wednesday, February 18, 2015 12:06:17 PM 5 of 6 CR SYSTEMS ATTACHMENTS Attachment:Type x `" CREATED '' OWNER -;DESCRIPTION . PATHNANIE ` : SUB6111 ETRAKIT.ENABLED SFD-14-545, 546 - SFD-14-545, 546 - DOC 2/6/2015 BURT HANADA APPLICATION APPLICATION 1 EXTENSION.pdf EXTENSION.pdf GRANT DEED 774-072- GRANT DEED 774 -072 - DOC 2/17/2015 STEPHANIE KHATAMI 013-151900 AVENIDA 013-151900 AVENIDA 0 RUBIO RUBIO.pdf Printed: Wednesday, February 18, 2015 12:06:17 PM 5 of 6 CR SYSTEMS PJ 14- z7 -115r Building Address 10 `205 Owner Mailing Address Contractor Address I Tatf 4 4 a" P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO I/pA NLA QUINTA, CALIFORNIA 92253 G UILDING: TYPE CONST. OCC. GP. AR �- go *li Date 2/12/15 No. 31708 Owner High Desert Homes Address City Zip Tract # Type Single Family Residence CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit # No. of Units Q BERMUDA DUNES r V) RANCHO MIRAGE d INDIAN WELLS PALM DESERT ,y LA QUINTA tf'�Q INDIO y� 0 774-072-013 La Quinta r r Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 53285 AVenida Rubio 2103 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Certs #31707 & 31708 used for chk totaling $14,132.16. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. 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 $3.36 X 2,103 S.F. or $7,066.08 have been paid for 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/Amiercan West Bank - Brad Peterson By Dr. Gary Rutherford Superintendent Fee collected /exem Signature Bank Name/Recipient of Certificate Shdro C. Check No. 232453 Telephone Funding Residential F r, s r Payment Recd , ,. 'Gv2r/Under , $7,066.08 r, NOTICE: Pursuant to Government Code Section 66020(d)(1), this kill s rve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date onI h the building or installation permit for this project 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 District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accou i CEI V E® FEB 13 2015 c°MMUNr►yLA o r4 MENT TIROVER.RSIDEE RECORDING REQUESTED BY Ticor Title Company of California AND WHEN RECORDED MAIL TO: High Desert Homes, et al - 30520 Rancho California Rd. Ste. 107146 Temecula, CA 92591 ORDER NO.: 21.7462-1135 ESCROW NO.: ii02]?462-035 SVl 1114- p u -v15- THE UNDERSIGNED GRANTOR(s) DECLARE(s) 13unincorporated area X the City of La Quinta DOC .# 2014-0079086 03/03/2014 08:00 AM Fees: $18.00 Page 1 of 2 Doc T Tax Paid Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder **This'document was electronically submitted to the County of Riverside for recording— Receipted by: LCWEATHERS ABOVE THIS LIKE FOR RECORDER GRANT DEED Documentary Transfer Tax is $66.00 X computed on full value of interest or property conveyed, or 0 full value less value of liens or encumbrances remaining at the time of sale Parcel No. 774-072-013-1 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Gerardo Delgado, a Married Man as his Sole and Separate Property, who acquired title as Gerardo Delgado, an unmarried man hereby GRANT(s) to High Desert Homes, .a California General Partnership and Heritage Capital Group, a California Corporation, as joint tenants the following real property in the City of La Quinta County of Riverside, State of California: SEE EXHIBIT ``A" ATTACHED HERETO AND MADE A PART HEREOF Dated: January 30, 2014 Gerar elgado STATE OF CALIFORNIA COUNTY OF I K) S A tZjL } SS: On>r 1 G l before me; _14'i fel -� : F�(�(cSrN-• M/f.n. a Notary Public, Orsoially appeared Q -� who proved to me on the basis of satisfactory evidence to be the person(] )whose name(o islam subscribed to the within instrument and acknowledged to me that he/ska4my executed the same in his/hea4keir authorized capacity(i") and that by his/U&4heir signatureQ)on the instrument the persono, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature "I KAREN S. FLORES Commission # 1899090 z a -a Notary Public - California z ze.� i'r ? Los Angeles County My Comm. Ex.riires Aug 12. 2014 oRnNTOEE RECORDING REQUESTED BY LQ Estate Company, LLC AND WHEN RECORDED MAIL DOCUMENT AND TAX STATEMENT TO: NAME LQ Estate Company, LLC STREET 160 W. Foothill, Suite 105-44 ADDRESS CITY, STATE & Corona, CA 92882 ZIP CODE ' TITLE ORDER NO. ESCROW NO. DOC # 2015-0058501 02/11/2015 02:47P Fee:21.00 Page I of 3 Recorded in Official Records County of Riverside Peter Aldana Assessor, County Clerk 8 Recorder IIIIIII IIIIIII IIII IIIIII IIIIII ��� II IIIIIII III VIII IIII IIII :' 50 S R U PAGE SIZE DA MISC LONG RFD COPY M A L 465 426 OR NCOR SMF NCHG EXAM T: '- CTY UNI A' C SPACE ABOVE THIS LINE FOR RECORDER'S USE ONLY GR/�1NT DEED The undersigned grantor(s)declare(s) TRA: 020-015 DOCUMENTARY TRANSFER TAX $ r,lu computed on full value of property conveyed, or APN: 774-072-013-1 ❑ computed on full value less liens and encumbrances�remaining at time of sale. 13 Unincorporated Area City of La Q6"Ra . FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, I (We) High Desert Homes, a California General Partnership and. Heritage Capital Group, a California Corporation, as joint tenants (NAME OF GRANTOR(S)) hereby remise, release and grant to LQ Estate Company, LLC (NAME OF GRANTEE(S)) the following described real property in the City of La Qulnta County of Riverside State of California (Insert Legal Description) fr SEE EXHIBIT "A" ATTACHED HERETO AND -MADE PART HEREOFa�rss' DATED: L - V — 26 STATE OF CALIFORNIA COUNTY OF } k 61qt•tF e;u"09-4-7 On before me,' personally appeared (here insert name and title of the officer) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (SEAL) Jce MAIL TAX STATEMENT AS DIRECTED ABOVE EXHIBIT "A" Lot 2 in Block 184 of Unit No. 18, Santa Carmelita, at Vale La Quinta, as shown by Map on file in Book 10, Pages 30 and 31 of Maps, Riverside County Records. For APN/Parcel ID(s): 774-072-013-1 ACKNOWLEDGMENT A notary public or other officer completing.this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Cal" ornia County of �kf%"O(e, On Tf e6 2A) 11 before me, j2.1"t C.Q 1 QR (here insert name bnd title of the fficer) personally appeared w roved to me on the basis of satisfactory evidence to be the person(s) whose name. i re subscribed to the withi instrument and acknowledged * to me that he/sh e ted. the same in his/. e' authorized capacity(ies), and that by his/heVhe _signature(s),,on_ the' instrum _ e person(s), or the entity upon behalf of. whi_ person(s) acted, executed the instrument. , v e ed of bei ni ad MUM Ziff I certify under PENALTY OF PERJURY iYnlrei�aCalifornia that the foregoing paragraph is true an C%VR�t„uveni gniouolot arts 0111193 VC1919 t 1 11 Y'r y, LSnilxienoo bt-40ts need aad 8mm zirtt d3idw WITNESS m a Ina i, eal. tins mins ,slut s sd of asgsq • y na slit no Tanis o YgoO 1391100 rJ CN ®3 �+m ni bwos1 to Signature v r al) >/ .Q -vsbio:)eR • 41 3 VY 103 • A a RLENE MONROY �C���i ��S��Q. 6ineotilaD las s�ssl2 ,r ielsetK OMIT. #1986274 n 'r7 vw� No ary Public -California -i m ERSIDE COUNTY A M. Exp. Jul. 27, 2016 s sd o► test ni ed tzum noitsoi.ifl O .,yq03 0313iTS30" COACHELLA VALLEY WATER DISTRICT �IRt P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 r INVOICE, Date: 4/6/2015 SUBJECT: SANTA CARMELITA, 53285 AVENIDA RUBIO, LA QUINTA, LOT 2, LID 687342 LQ ESTATE+COMPANY, LLC Project: 15-6214 30520 RANCHO CA RD #107146 Project Date: 3/25/2015 Amount Due: $13,501.98 TEMECULA,'CA 92591 GEO: 06-06-12-3 i ! Planner: RUBEN MONTIEL. ' TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH 1 ' REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK ------------------------------------ 4�< z .• �- . s� q 8111- i 1.00 DV 3/4" MTR 8x 1" SRVC- RES - 35 $3,600.00 $3,600.00 1.00 FB WSBFC $370700 $3,707.00 1.00 FF SCC -COLLECTION $2;415.00 $2,415.00 1.00 FJ SCC -TREATMENT $2,436.00 $2,436.00 0.11 SI SIWSC FEES $12,218.00 $13,501.9$ •4 •• PAID$ - 1 Development Services Department r : `• .. S' APR 01 2015 .. ' Coachella Valley Water District , 1 75-515 Hovlay Lane East Palm Desert, CA 92211 C� c�r r x SUBJECT:SANTA CARMELITA, 53285 AVENIDA RUBIO, LA QUINTA, LOT 2, LID 687342 �( COACHELLA VALLEY WATERlDISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 r Pagel x e 1 • . BUILDING ENERGY ANALYSIS REPORT PROJECT: RUBIO RESIDENCE -53285 AVENIDA RUBIO LA QUINTA, CA 92253 , Project Designer: HIGH DESERT HOMES 30520 RANCHO CALIFORNIA ROAD TEMECULA, CA 92591 951 805 1036 4. Report Prepared by: KAY. THOMAS ' T&K Engineering ' 30535 AVENIDA BUENA SUERTE TEMECULA, CA 92591 951 6990436 TKENERGY@YAHoo.COM AUG' Job Number: 3 2014 n Submittal Prior to 7-1-14 C®NN� w�® QUIN, OpAreft Date: 8/4/2014 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. • �' This program developed by EnergySoft, LLC — www.energysoft.com. En;rgypro 5.1 b Ene Soft User Number: 3089 RunCode: 2014-08-04T10:27:38 ID: Plan Submittal Prior tc I TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Summary. 8 HVAC System Heating and Cooling Loads Summary 11 • n r k EnergyPro S.1 by EnergySoft Job Number. 10: Pian Submittal Prior to 7-1-14 User Number. 3089 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name RUBIO RESIDENCE Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 8/4/2014 Project Address 53285 AVENIDA RUBIO LA QUINTA California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 2,103 Addition n/a # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ® Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavi Features see Part 2 of 5 Status Roof Wood Framed Attic R-30 2,103 Radiant Barrier New Wall Wood Framed R-15 1,287 New Door Opaque Door None 24 New Slab Unheated Slab -on -Grade None 2,103 Perim = 172' New FENESTRATION U- Exterior Orientation Area Factor SHGC Overhang Sidefins Shades Status Left (S) 47.0 0.350 0.25 none none LSA Sunscreen New Rear (W) 130.0 0.350 0.25 none none LSA Sunscreen New Right (N) 60.0 0.350 0.25 none none LSA Sunscreen New CITY OF LA QUINTA BUILDING & SAFETY DEPT- APPRONIRD FOR CON DATE HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status 5 TON HVAC Ducted Ducted Attic, Ceiling Ins, vented 6.0 New WATER HEATING (fit . Type Gallons Min. Eff Distribution Status 1 Instant Gas 0 0.94 Kitchen Pipe Ins New EnerqyPro 5.1 by EnergySoft User Number: 3089 RunCode: 201408-04710:27:38 ID: Plan Submittal Prior tc Page 3 of 11 PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R Project Name RUBIO RESIDENCE Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 8/4/2014 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HIGH MASS Design - Verify Thermal Mass: 603.0 R' Exposed Slab Floor, 4.000" thick at ENTIRE AREA HIGH MASS Design -Verify Thermal Mass. 1,500.0 ft2 Covered Slab Floor, 4.000" thick at ENTIRE AREA The Roof R-30 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4.2.2. The Roof R-30 Roof Attic Concrete Tile (101i/so Roofing requires verification. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. The Cooling System 5 TON SPLIT HVAC includes credit for a 10.8 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System 5 TON HVAC incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. Compliance credit for quality installation of insulation has been used. HERS field verification is required. The HVAC System 5 TON HVAC incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. Y r EnemyPro 5.1 by EnemySoft User Number: 3089 RunCode: 2014-08.04T10:27:38 ID. Plan Submittal Prior tc Pace 4 of 11 PERFORMANCE CERTIFICATE: Residential Part 3 of 5 CF -1 R Project Name Building Type m Single Family ❑ Addition Alone Date RUBIO RESIDENCE ❑ Multi Family ❑ Existing+ Addition/Alteration 8/4/2014 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2 r Space Heating 297 4.54 -1.57 Space Cooling 46.68 47.39 -0.71 Fans 9.44 11.99 -2.55 Domestic Hot Water 20.45 12.47 7.98 Pumps 0.00 0.00 0.00 Totals 79.54 76.40 3.15 Percent Better Than Standard: 4.0% BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (E) 90 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (E) 360 0 Fuel Available at Site: Propane (S) 414 47 Raised Floor Area: 0 (►N) 360 130 Slab on Grade Area: 2,103 (N) 414 60 Average Ceiling Height: 9.0 Roof 2,103 0 Fenestration Average U -Factor: 0.35 TOTAL: 237 Average SHGC: 0.25 Fenestration/CFA Ratio: 11.3 REMARKS STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of Regulations. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company T&K Engineering 8/4/2014 Address 30535 AVENIDA BUENA SUERTE Name KAY THOMAS City/State/ZipCity/State/Zip TEMECULA, CA 92591 Phone 951 699 0436 Signed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and recognizes that compliance using duct design, duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Company HIGH DESERT HOMES Address 30520 RANCHO CALIFORNIA ROAD Name City/State/Zip TEMECULA, CA 92591 Phone 951 805 1036 Signed License # Date EnerovPro 5.1 by Ene iySoft User Number. 3089 RunCode: 2014-08-04T10:27:38 ID: Plan Submittal Prior tc Pace 5 of 11 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5) CF -1 R Project Name RUBIO RESIDENCE Building Type 0 Single Family 0 Multi Family 0 Addition Alone 0 Existing+ Addition/Alteration Date 8/4/2014 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Roof 2,103 0.031 R-30 0 22 New 4.2.1-A20 ENTIRE AREA Wall 336 0.095 R-15 90 90 New 4.3.1A4 ENTIREAREA Door 24 1.450 None 90 90 New 4.5.1 -Al ENTIRE AREA Wall 367 0.095 R-15 180 90 New 4.3.1 A4 ENTIREAREA Wall 230 0.095 R-15 270 90 New 4.3.1-A4 ENTIRE AREA Wall 354 0.095 R-15 0 90 New 4.3.1 A4 ENTIREAREA Slab 603 0.730 None 0 180 New 4.4.7-A I ENTIRE AREA Slab 1,500 0.730 None 0 180 New 4.4.7-A1 ENTIRE AREA FENESTRATION SURFACE DETAILS ID Type Area LI -Factor' SHGCz Azm Status Glazing Type Location/Comments 1 Window 47.0 0.350 NFRC 0.25 NFRC 180 New Milgard Classic ENTIRE AREA 2 Window 130.0 0.350 NFRC 0.25 NFRC 270 New Milgard Classic ENTIRE AREA 3 Window 60.0 0.350 NFRC 0.25 NFRC 0 New Milgard Classic ENTIRE AREA (1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC T 116-8 = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window ID Exterior Shade T H e SHGC t Wd Ove hang Len Hgt LExt RExt Left Fin Right Fin Dist Len H t Dist Len I Hot 1 LSA Sunscreen 0.13 2 LSA Sunscreen 0.13 3 LSA Sunscreen 0.13 EnergyPro 5.1 by EnergySoft User Number- 3089 RunCode: 2014-08-04T10:27:38 1D: Plan Submittal Prior h Page 6 of 11 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name RUBIO RESIDENCE Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 8/4/2014 BUILDING ZONE INFORMATION S stem Name Floor Area Zone Name New Existinq Altered Removed Volume Year Built 5 TON HVAC ENTIRE AREA 2,103 18,927 Totals I Z 1031 01 01 0 HVAC SYSTEMS System Name Qty. Heatin Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status 5 TON HVAC 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION S stem.Name Duct Heating Coolina Duct Location R -Value Ducts Tested? Status 5 TON HVAC Ducted Ducted Attic, Ceiling Ins, vented 6.0 ® New 13 13 WATER HEATING SYSTEMS S stem Name Qty- Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status RINNAI RC98HPI 1 Instant Gas Kitchen Pipe Ins 199,000 0 0.94 n/a n/a New MULTI -FAMILY, WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft 0 _ o i� ¢ — System Name Pipe Length Pipe Diameter Insul. Thick. Qty. FHP Plenum Outside Buried 13 EnergyPro 5.1 by EnergySoft User Number. • 3089 RunCode: 2014-08-04710:27:38 ID: Plan Submittal Prior tc Page 7 of 11 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name RUBIO RESIDENCE Date 8/4/2014 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (') below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified LI -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the installation of a Cool Roof is specified on the CF -1 R Form. *§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent Ll -factor. §150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§1 50 c : Minimum R-13 insulation in wood -frame wall orequivalent LI -factor. *§1 50 d : Minimum R-13 insulation in raised wood -frame floor or equivalent U -factor. §150(0: Air retarding wrap is tested labeled and installed according to ASTM El677-95 2000 when specified on the CF -1 R Form. 150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible operable, and tight -fitting damper and or a combustion -air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building,are prohibited. Space Conditionin ; Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heafing recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve backflow prevention, pumpisolation valve and recirculation loop connection requirements of §113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. §150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA. 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §1 500)1A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §1500)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. §1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes are insulated per Standards Table 150-13. §1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. 150(i)3A: Insulation is protected from damage, including that due to sunlight, moisture equipment maintenance and wind. §1 500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. 150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySoft User Number.- 3089 RunCode: 2014-08-04T10:27:38 ID: Plan Submittal Prior Page 8 of 11 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date RUBIO RESIDENCE 8/4/2014 §150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch the combination of mastic and either mesh or tape shall be used §150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 150(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 150 m 10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 . Residential Lighting Measures: §150(k)l : High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. §150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 112 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. EnergyPro5.1 by EnergySoft User Number. • 3089 RunCode: 2014-08-04710:27:38 ID: Plan Submittal Prior Page 9 of 11 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date RUBIO RESIDENCE 8/4/2014 §150(k)l0: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual - on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with §150 k 11. §150(k)l2: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150(k)l3: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)l3 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION. 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)l4: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to § 130(d). §150(k)l5: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131 134, and 146. §150(k)l6: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. EnergyPro 5.1 by EnergySoft User Number. 3089 RunCode: 2014-08.04T10:27:38 ID: Plan Submittal Prior Page 10 of 11 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name RUBIO RESIDENCE Date 8/4/2014 System Name 5 TON HVAC Floor Area 2,103 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 942 Return Vented Lighting Return Air Ducts Return Fan Ventilation 150 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output perSystem 93,150 18,449 2,815 659 24,082 Total Output Btuh 93,150 0 Output Btuh/s ft 44.3 1,259 1,389 Cooling System 0 0 Output perSystem 64,000 5,972 2,9171 150 6,920 Total Output Btuh 64,000 0 1,259 1 26,939 5,733 0 Total Output Tons 5.3 1,389 Total Output Btuh/s ft 30.4 Total Output s ftfTon 394.3 33,780 Air System CFM perS stem 2,000 HVAC EQUIPMENT SELECTION Airflow cfm 2,000 5 TON SPLIT HVAC 55,166 0 93,150 Airflow cfm/s ft 0.95 Airflow cfm/Ton 375.0 Outside Air % 7.5% Total Adjusted System Output 55,166 0 93,150 (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK Aug 3 PM Jan 1 AM Outside Air cfm/s ft 0.07 Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26 OF Outside Air 150 cfm 69 OF 66 OF 105 OF 105 OF Heating Coil Supply Fan ° 2,000 cfm 104 F ROOM 70 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 112/78°F Outside Air 150 cfm 75/62°F 77/63°F 55/54°F 55/54°F U I NTA B Y DEP . Cooling Coil Supply Fan APPROVED 56 / 54 OF 2,000 cfm v Q FOR COTE/1UC DATEBY 4/61 °F _— EnergyPro 5.1 by EnergySoft User Number: 3089 RunCode: 2014-08-04710:27:38 ID: Plan Submittal Prior tc Page 11 of 11 ICC -ES Evaluation Report ESR -2316* www.icc-es.org 1 (800) 423-6587 1 (562) 699-0543 DIVISION: 10 00 OO—SPECIALTIES Section: 10 31 00—Manufactured Fireplaces REPORT HOLDER: tv EARTHCORE INDUSTRIES, L�1 J�\k 6899 PHILLIPS INDUSTRIAL SOUL_ � i�D JACKSONVILLE, FLORIDA 32256 (904) 363-3417 www.isokern.net vN EVALUATION SUBJECT: eAM� ISOKERN STANDARD MODELS 36 -INCH, 42 -INCH AND 46 -INCH FIREPLACE AND DM CHIMNEY SYSTEMS; ISOKERN MAGNUM FIREPLACE SERIES MODELS 28, 36, 42, 48, 60 AND 72; ISOKERN FIREPLACE WITH FIRE - LITE APPLICATION; MODELS VF -36, VF -42, AND VF -46 UNVENTED GAS APPLIANCE ENCLOSURES; AND MODELS IBV -36, AND IBV -46 VENTED GAS APPLIANCE ENCLOSURES 1.0 EVALUATION SCOPE Compliance with the following codes: ■ 2012, 2009 and 2006 International Building Code® (IBC) ■ 2012, 2009 and 2006 International Residential Code® (IRC) ■ 2012, 2009 and 2006 International Mechanical Code® (IMC) 1�'�/ �� /� n RTA ■ 2012, 2009 and 20061 /.tei�alion1IJ��b+l1JJ RTA (IFGC) I BUILDING & SAFETY DEPT. Properties evaluated: APPROVED � C] D (�i®\ / D ■ Fire resistance FOR CONSTRUCTION ■ Seismic resistance 2.0 USES ,rT l"C(kBY The Isokem fireplaces are wood -burning of_gas_bumi� fireplaces that are constructed in the field using prefabricated cementitious blocks. 3.0 DESCRIPTION 3.1 Solid -fuel -burning Fireplaces: Isokern Standard Models 36 -Inch, 42 -Inch, and 46 -Inch with DM Chimney; and Magnum Fireplace Series Models 28, 36, 42, 48, 60 and 72 with DM54 Chimney: Isokem fireplaces and DM54 chimney systems are modular refractory units designed for field assembly. The units consist of interlocking precast parts that are fitted together in the field using a premixed mortar called Reissued October 1, 2013 This report is subject to renewal October 1, 2014. A Subsidiary of the International Code Council® Earthcore mortar, supplied with the units, to form a solid - fuel -burning fireplace and chimney system. The refractory parts are manufactured using a proprietary mixture of volcanic pumice aggregate and aluminate cement. The firebox, smoke dome and chimney outer casing are manufactured with medium -density material, and the flue liner with high-density material. High-temperature refractory firebricks, a minimum of 11/8 inches (28.6 mm) thick, are provided to line the interior of the firebox. The firebox is available in sizes noted in Table 2. See Figures through 5 for further details. 3.2 Fire -Lite Systems: 3.2.1 General: The Fire -Lite systems consist of Standard Models 36 -inch, 42 -inch, and 46 -inch fireplaces and Magnum Series Models 28 -inch, 36 -inch, 42 -inch 48 -inch, 60 -inch and 72 -inch fireplaces, described in Section 3.1, and a factory -built chimney. All conditions of fireplace manufacture and installation noted in Section 3.1 apply, except as noted in Section 3.2.2. 3.2.2 Factory -built Chimney: A listed and labeled factory -built chimney is used with the fireplaces, subject to the following requirements: 1. The factory -built chimney is listed by an approved agency for compliance with the requirements of UL 103 for continuous use at 1000°F (537°C) and intermittent use at 1700°F (927°C). 2. The factory -built chimney is for use only with an open combustion chamber and must be marked "Residential Type and Building Heating Appliance Chimney." 3. The chimney is either solid -pack insulated, a combination of insulation and air space, or noninsulated, completely thermal siphoning, double- wall air-cooled. 4. Listed chimney liners conforming to the 1700`F (927°C) requirements of UL 1777, ULC S635, or ULC S640 may be used. 5. Chimneys and chimney liners must be installed and terminated in accordance with the manufacturer's installation instructions and under the terms of the manufacturer's listing for use with open-faced, masonry fireplaces. 6. A minimum 2 -inch (51 mm) clearance to combustible construction and 3 -inch (76 mm) clearance to insulation is maintained. As an alternative, a listed and labeled Security Chimneys International (Lennox) FTF-13 factory -built chimney may be used with the fireplaces, subject to the following requirements: 'Revised December 2013 ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed M- as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC express or implied, as `i ' to any finding or other matter in this report, or as to any product covered by the report. u slk rmaua Copyright © 2013 Page 1 of 9 ESR -2316 I Most Widely Accepted and Trusted Page 2 of 9 1. The factory -built chimney must be installed and terminated in accordance with the report holder's installation instructions and under the terms of the report holder's listing for the fireplaces. 2. A minimum 2 -inch (51 mm) clearance to combustible construction and insulation is maintained. 3.3 Models VF -36, VF -42, and VF -46 Unvented Gas Appliance Firebox Enclosures: The enclosures consist of materials similar to those used for the Isokern solid -fuel -burning fireplaces. The enclosures are recognized as complying with ANSI Z21.91 and are for use with unvented decorative gas logs listed and labeled as complying with ANSI Z21.11.2, and having a maximum heat input of 40,000 Btu/h (11 700 W). The gas logs must be factory -equipped with a listed oxygen - depletion safety shutoff system (ODS) and must comply with 2012 and 2009 IFGC Section 621.6 and 2006 IFGC Section 620.6 (2012, 2009 and 2006 IRC Section G2445.6). The enclosure must only be installed within a room that has a primary source of heat, and use of the units is prohibited in locations defined in IRC Section G2406.2 and IFGC Sections 303.3 and 621.4. Combustion air must be provided in accordance with IRC Section M1702 and IFGC Section 621.5. The room in which the units are installed must have a free-air volume equal to or greater than 50 cubic feet per 1000 Btu/h (4.8 m3/kW) of the aggregate input rating of all appliances within the room. The base, sides, rear and top of the firebox consist of preformed refractory components that interlock together to form the enclosure. Assembly of the firebox is as described in Section 4.3 of this report, except that a 1/2 -inch -wide (12.7 mm) mortar joint is used; and 11/e -inch -thick (28.6 mm) (minimum) refractory firebrick, conforming to ASTM C1261, is used to line the hearth, side walls and back wall. The unit must be anchored in accordance with IRC Section M1307.2 and IFGC Section 301.12. The firebox is illustrated and dimensions are noted in Figure 2. The firebox may be installed on combustible construction when installed as described in Section 4.3, and at zero clearance to combustible construction on sides, back and top. Minimum clearances are 151/2 inches (394 mm) to side walls, 42 inches (1067 mm) to ceilings and 12 inches (305 mm) to combustible mantles. 3.4 Models IBV -36, and IBV -46 Vented Gas Fireplaces: 3.4.1 General: Vented gas-fired fireplace models IBV -36 and IBV -46, with dimensions and weights as described in Figure 5, comply with ANSI Z21.50 and are for connection to listed Type B gas vents as described in Section 3.4.2. 3.4.2 Gas Vent: The gas vent system consists of a nominally 10 -inch -diameter (254 mm), Type B gas vent complying with Chapter 8 of the IMC and Chapter 5 of the IFGC and Chapter 24 of the IRC. 3.5 Factory -built Chimney: The firebox units, described in this report, may be used in conjunction with factory -built chimneys listed and labeled as complying with UL103, and must be used with one in Seismic Design Categories C, D, E, and F. The factory - built chimneys must comply with Type HT requirements of UL 103 and be marked "Type HT" and "Residential Type and Building Heating Appliances." As an alternative, a listed and labeled Security Chimneys International (Lennox) FTF-13 factory -built chimney may be used with the fireplaces. The chimneys are limited to a maximum height of 80 feet (24380 mm) and a minimum height of 14 feet (4270 mm); except that where offsets are used, the minimum height is 17 feet (5180 mm). The maximum number of offsets is two. 3.6 Grout and Mortar: Grout used in construction of the fireplace unit is Quickcrete Concrete Mix #1001, 4000 psi concrete mix or equivalent. Mortar used with the fireplace unit is Earthcore mortar. 4.0 DESIGN AND INSTALLATION 4.1 General: The fireplaces must be installed in accordance with this report, the manufacturer's instructions and the applicable code. A copy of the manufacturer's published instructions must be available at the jobsite at all times during installation. The fireplaces are not recognized for use with doors. 4.2 Design: Installation is limited to Seismic Design Categories A and B, except that when installation is in accordance with Section 4.3 of this report, the fireplaces may be installed in Seismic Design Categories C, D, E and F, provided the seismic design factors are limited to the values noted in Table 1. The seismic design must be in accordance with Sections 15.3.2 (1) and 13.3, 13.4, 13.5 and 13.6 of ASCE 7. Fireplace systems used in Seismic Design Categories C, D, E, and F are limited to those incorporating listed and labeled factory -built chimneys. Structural design calculations and construction plans prepared by a licensed design professional are required to determine the requirements for the fireplace foundation and anchorage of the fireplace to the foundation. When installation is on wood floor construction, the licensed design professional must determine the requirements for support and anchorage for the combined gravity and seismic loading. The applicability of the seismic design parameters in Table 1, for Seismic Design Categories C, D, E and F, must be verified with due consideration of the flexibility of anchorage and supports. In addition, the calculated long-term deflection of the wood members supporting the fireplace must not exceed the values shown in IBC Table 1604.3 for floor members. Under the IRC, an engineered design must be provided in accordance with IRC Section R301.1.3. 4.3 Installation: 4.3.1 General: A noncombustible foundation, adequate to support all required loads, is necessary and must be approved by the building inspector. Fire -Lite Series and Models IBV -36 and IBV -46 Vented Gas fireplaces and Models VF -36, VF -42 and VF -46 may be installed on combustible systems. For combustible supporting systems, installation of a 3 -inch -thick (76 mm) Earthcore base plate is required before placement of the firebox hearth components. The Fire -Lite system firebox is assembled following the manufacturer's published instructions. For Seismic Design Categories C, D, E and F, anchorage of the fireplace unit to the foundation or supporting floor must be designed as described in Section 4.2. Units are assembled on the foundation by installing the base plate, firebox wall sections, damper assembly and smoke dome. Earthcore Mortar is mixed with water until smooth and without dry spots, and is then poured into the supplied Earthcore application bag and applied to one adjoining component face of each joint. A 1/2 -inch -wide (12.7 mm) line of mortar is applied 1/2 inch (12.7 mm) from all edges of the face with two longitudinal lines between. Mortar must be exposed at the joints when components are joined, and the excess must be smoothed out. The firebox hearth, side walls and back wall are then lined with approved refractory bricks a minimum of 11/8 inches (28.6 mm) thick, except for the Magnum Models 60 and 72, which require minimum ESR -2316 I Most Widely Accepted and Trusted Page 3 of 9 4 -inch -thick (101.6 mm) approved refractory bricks, complying with ASTM C27 or ASTM C1261, at the side walls using a refractory mortar, complying with ASTM C199, recommended by Earthcore Industries, LLC. 4.3.2 Clearances: Minimum clearance from the fireplace opening to side walls is 26 inches (660 mm). Sheathing and trim must be kept at least 8 inches (203 mm) from the opening. Combustible mantles must be at least 14 inches (356 mm) above the opening. A noncombustible hearth extension is necessary and must extend a minimum of 20 inches (508 mm) in front and 12 inches (305 mm) beyond each side of the fireplace opening. For the Magnum Series Models 60 and 72, minimum clearance from the fireplace opening to side walls is 48 inches (305 mm). Sheathing and trim must be kept at least 9 inches (228 mm) from the opening. Combustible mantles must be at least 38 inches (965 mm) above the opening. A noncombustible hearth extension is necessary and must extend a minimum of 33 inches (838 mm) in front of and 12 inches (305 mm) beyond each side of the fireplace opening. 4.3.3 DM54 Chimney Systems: The DM54 chimney system must be supported from the top plate of the smoke dome. The chimney is assembled starting with a 6 -inch - high (152 mm) liner that offsets the joints in the octagonal inner Earthcore liner from those in the square outer chimney casing. The mortar mix is applied in all joints as previously described. The outer chimney blocks have provisions for installation of reinforcing bars. Chimneys may include offsets with a maximum horizontal distance of 6 feet (1829 mm) which is 24 offset blocks in sequence. The offset blocks are supplied by Earthcore Industries, LLC. The fourth and sixth offset blocks and every third block thereafter must be supported by a concrete block support wall. Where required by the code official, details of the support wall construction must be provided. The portion of the chimney exposed to the exterior must be covered with weather protection material such as exterior plaster or brick veneer, in accordance with the applicable code. Terminations must comply with IBC Section 2113.9 and IRC Section R1003.9. Where required by the code official, an approved spark arrester complying with 2012 IBC Section 2113.9.2 or 2009 and 2006 IBC Section 2113.9.1 must be used. Under the 2012 IBC and IRC, a chimney cap must be installed in accordance with IBC Section 2113.9.1 and IRC Section R1'003.9.1. For installations with vertical chimneys, the fireplace and chimney may be installed with zero clearance to combustibles, except that the Magnum series units require a minimum 11/2 -inch (38 mm) clearance on the sides and back of the firebox and smoke chamber. When offset blocks are used, the system must be installed with minimum 11/2 -inch (38 mm) clearance on the sides and back of the firebox and smoke chamber, and with zero clearance on the top; the chimney is installed at zero clearance to combustibles. Except as noted in this section for clearances to combustibles, chimney fireblocking must be in accordance with IBC Section 2113.20 and IRC Section R1003.19. 4.3.4 Gas Vent Installation: Gas vents are installed through a 10 -inch -diameter (254 mm) hole cut into the top plate of the fireplace enclosure, centered from each edge. The Isokem Anchor Plate/Downdraft Diverter component is placed over the hole using either a bed of Earthcore mortar, or an approved ceramic blanket gasket. The Anchor Plate/Downdraft Diverter hood component is then secured to the top plate using masonry screws. The Type B gas vent must be connected to the Anchor Plate/Downdraft Diverter component and installed in accordance with the vent manufacturer's instructions. 4.3.5 Unvented Gas Appliance Firebox Enclosures: Models VF -36, VF -42 and VF -46 unvented gas appliance firebox enclosures must be installed in accordance with IFGC Section 621, IRC Section G2445 and the manufacturer's published installation instructions. 4.3.6 Vented Gas Fireplaces: Models IBV -36 and IBV -46 vented gas fireplaces must be installed in accordance with IFGC Section 604, IRC Section G2434 and the manufacturer's published installation instructions. 5.0 CONDITION OF USE The Isokern fireplaces and chimney systems described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 The fireplaces must be installed in accordance with this report, the manufacturer's published installation instructions and the applicable code. In the event of a conflict between this report and the manufacturer's instructions, this report governs. 5.2 Structural design and calculations from a registered design professional must be provided to the code official to justify the supporting structure for all applicable loads, including gravity, wind and earthquake loading, and applicable load combinations per IBC Section 1605. 5.3 An analysis shall be provided to the code official establishing that the seismic conditions for the installation site do not exceed the specified seismic limitations. 5.4 The fireplaces must not be installed with doors. 5.5 Compliance with the fireplace air leakage provisions found in 2012 International Energy Conservation Code® (IECC) Section R402.4.2 and Table R402.4.1.1; 2012 IRC Section N1102.4.2 and Table N1102.4.1.1; 2009 IECC Section 402.4.3; and 2009 IRC Section N1102.4.3, are outside the scope of this report. 5.6 The wood -fired fireplaces and unvented gas-fired units are manufactured in Chesapeake, Virginia, under a quality control program with inspections by Intertek Testing Services NA, Inc. (AA -647). The IBV vented gas-fired fireplaces are manufactured in Chesapeake, Virginia, under a quality control program with inspections by PFS Corporation (AA -652). 6.0 EVIDENCE SUBMITTED Data in accordance with the ICC -ES Acceptance Criteria for Field -constructed Fireplace Systems Using Prefabricated Blocks (AC375), dated February 2012. 7.0 IDENTIFICATION The components of the fireplace and chimney are supplied to the jobsite on shrink-wrapped pallets bearing a label with the Earthcore Industries, LLC, name and address; the product name; the address of the manufacturing plant and the evaluation report number (ESR -2316). A permanent label must be attached to the fireplace and to the vented or unvented enclosure, bearing the Earthcore Industries, LLC, name; the product name; the manufacturing location; the date of manufacture and the serial number; the clearances to combustibles; other information required by UL 127; the inspection agency name (Intertek Testing Services NA, Inc. for wood -fired fireplaces and unvented gas appliance firebox enclosure models VF -36, VF -42 and VF -46; or PFS Corporation for vented gas fireplace models IBV -36 and IBV -46); and the evaluation report number (ESR -2316). ` ESR -2316 I Most Widely Accepted and Trusted Page 4 of 9 TABLE 1—SEISMIC DESIGN FACTORS FOR SEISMIC DESIGN CATEGORIES C, D, E AND F FACTOR VALUE Amplification Factor, ap 1.0 Component response modification factor, Rp 3.0 Z/h factor, where Z is the height in structure of point of attachment with respect to the base; and h is the average roof height of structure with respect to the base 0.65 Spectral response acceleration parameter, Sos 2.0 Weight, W, (lbs) See Figure 1 Fundamental period of fireplace unit, T. 0.35 For SI: 1 foot = 305 mm; 1 l = 4.45 N. TABLE 2—ISOKERN FIREPLACE DIMENSIONS MODEL OVERALL SIZE (inches) FIREBOX OPENING SIZE (inches), Width x Height HEARTH EXTENSION SIZE (inches), Width x Depth CHIMNEY MINIMUM SIZE (inches), I.D. INSTALLED HEIGHT, FIREPLACE AND CHIMNEY DM SYSTEM (feet) Width Depth Height Minimum Maximum 36 -Inch 43 25'/4 63'/, 37 x 32 58 x 20 123/4 18 80 42 -Inch 49 251/, 63'/4 42 x 32 64 x 20 123/4 18 80 46 -Inch 53 25/, 63'/4 47 x 32 68 x 20 123/4 18 80 IBV36 43 25'/, 71 37 x 32 58 x 20 10 15 46 IBV42 49 25'/, 79 42 x 32 64 x 20 10 15 46 IBV46 53 25'/4 71 47 x 32 68 x 20 10 15 46 VF - 36 43 25'/4 38 36 x 31'/2 N/A N/A N/A N/A VF - 42 49 25'/4 38 43 x 31'/2 N/A N/A N/A N/A VF - 46 53 25'/4 38 47 x 311/2 N/A N/A N/A N/A Mag - 28 35'/2 28 60'/4 31 x 28'/2 57/2 x 20 12 18 80 Mag - 36 43 28 693/4 381/2 x 38 60'/2 x 20 123/4 18 80 Mag - 42 48'/2 28 693/4 44'/2 x 38 6'/2 x 20 123/4 18 80 Mag - 48 53 28 693/4 48'/2 x 38 70'/2 x 20 123/, 18 80 Mag - 60 73'/2 28 853/4 69'/2 x 38 91 x 33 123/4 18 80 Mag - 72 851/2 28 853/4 811/4 x 38 101'/, x 33 123/4 18 80 For SI: 1 foot = 305 mm; 1 l = 4.45 N. ESR -2316 I Most Widely Accepted and Trusted Page 5 of 9 o� I A_, v�sa� 9il'WER' MODEL A 8 C' D E F G I I MINIMUMFRAMING' WEIGHT 36 43" 2S11/44 631/4' M1/2' 361/8" 21 U4' 33' 201/4' S' (46'W)x(6S'H)x(263/4'D) 126S lbs 42 49" 2S 1/4' 631/4' 311R'' 4318' 33114' 33' 201/4` S' (S2'W)x(6S'H)x(263/4'D) 132S lbs 46 53' 25 1/4'' 631/4' 3.11/2' 471/8' 371%4' 43' 201/4' S' 0'-W)x(6S'H1x(263/4'D) 14SOlbs For Fire -Lite Units —Add 4 inches to C and to minimum framing height H. Topflate Medium. Part No. Model Qty M77 36 1. M17 42 t E 43/4 Top Plate - Large. PariNo. Model Qty M81 46 1. FIGURE 1—STANDARD SERIES DIMENSIONS 4.3/4' ESR -2316 I Most Widely Accepted and Trusted Page 6 of 9 1 Side View Model 36" 42' 46' FronKView Plan View A N L A MINIMUMfRAMING FronKView Plan View A 8 c MINIMUMfRAMING WEIGHT 43` 361/8' 7.71./4' 43'Wx371/2"Hx251/4'D 715 lbs, 49' 431/8' 331/4" 49-W x 371/2'H x 251/4'D 820 lbs 53' 471/8' 371/4' 53'W x 371/2H x 251/4'D 880 lbs See -Thru Models s Model A 8 36' 43" 3T 42' 49" 43' 46° 53` 47' A c c S3' 59' 63' FIGURE 2—UNVENTED GAS-FIRED SERIES DIMENSIONS . ` ESR -2316 I Most Widely Accepted and Trusted Page 7 of 9 n _PT •';f �o0etmm9sr31ti+ree (1) .i0!�s� For Fire -Lite Units – Add 4 inches to C and to minimum framing height H. FM FVMRACE CWWNlf11 PART FVMP 4CE CUk% ffr NO.. SM NO- Sx_. 1Qt 361v raw .T• 3S V., V SOW 31 t 3t• 193'r 22.V4' 381tl161'V2"amlao w4ts v t1 21• 69W 41• 5333• 27tw 33• K'Ylr71Nt241/:p Limts 47 49' 2v 6914• 4r ait? 331k'- soft zr 69Nr 417. 431C• 37tjw 43" 561Wx3t1SIMV70 I 160Dbs •';f �o0etmm9sr31ti+ree (1) .i0!�s� For Fire -Lite Units – Add 4 inches to C and to minimum framing height H. FM FVMRACE CWWNlf11 PART FVMP 4CE CUk% ffr NO.. SM NO- Sx_. 1Qt 361v 1 AM 4nv t' TOPPtA7F e'' TWPSA7ctAFM FIGURE 3—MAGNUM 28, 36, 42 AND 48 SERIES DIMENSIONS �1. 43W ESR -2316 I Most Widely Accepted and Trusted Page 8 of 9 H 0 L T D. Right Section, ic A Front Elevation K —F Top Plan View Plan Section Model . A B c b E F G- H I i K M N .0 -'.60..". 73.1/2" 28, 85.114* 417 69.' 571/4" 5512` 25 %7:4 314" T 8' 141/4-11- 55117 ,72" 851/2 "'28"' 85,3/4" 41' Al i147. -l§§,31465 1/24 25 Y.* 4 314" T, Br 141/4. 11" 65 1 fr V Mnim.um framinq Weight 7611T W.x 67 11T H x:29147 25W.Ibc. 8812` W x 67 1/2.':H x.29W 4900 lbs. Part Fireplace Quanithy. ,NO- stre: M77 fi0 W 2. M77 h1w' - i -I-- � TOP PLATE t FIGURE 4—MAGNUM 60 AND 72 SERIES DIMENSIONS ESR -2316 I Most Widely Accepted and Trusted Page 9 of 9 G SideYiew I 1� Fron'tView. Plan. View! Model A c D -:E F: G 14 1 Minimum . Framing' wei ht 36* 431 2 5V4!. it 1/4- 1 41 : 31 V2* ]iH 361/8' 27.14' 21�6'f20Y4-15PI43-wx.71-1/4-Hx263/4"D 11500lbs. 46 53* 251/41 _ 71 1/4 311/2-] 471/8- 1 37-1/4' 1 32.-I�oy�.-15-153-Wx7.1,.I'/4"Hx26%31/4-DII700lbs. — *Toadiievehei.ghtdimension ".D"iritable .above; a.I00"(8.31'miriim m flue.hei�ght With 101.13.18 -Vent is s required 36' 43' 2i14*1 813w 1 *41' 1 361/8- 1 271/4. j211A.*j20Y4'j.5-j4r'Wx8T3WH I x36 3/4* D 1650 tbs. 46!- 534 251/4 813/4' 042* 47178"• RAW, 32- 1 20%j v 1 Srw.81 3/4Hx263/4*0 1850 tbs. 'To achieve,height d . imensionfWin table above, a 9'minimumfue height with 1-0*1 D. 8 -Vent is required 36- 43 251/4 '521/2' 361/8' 21:1/4* .211A. 20W .5' 43'wx021/4Hx26:3/4*D 1800 tbs. 461P .53. BW 921/4''521./2" 1 47 1*/8- 371./9" A* 3211 2044"'5' S3'1Nx921W1) HX263/4� 2000 1 bs. OT6 achieve- height dirfiensidh*13" imtable.above;-a 12'minirriurri.flUO heightwith 1071D. &-Vent is required FIGURE 5—VENTED IBV SERIES DIMENSIONS