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0310-186 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date 682903 33 `' i f� ?'�'1.^,ti2r, DateXl- I Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot 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). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 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 & policy no. are: Carrier STATE FUND Policy No. 229- 0010"0 —2D03 (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' compensationFprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those/provisions. J r bate:/?', Applicant 4. Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person whose request and for whose benefit work is performed under or pursuantD any permit issued as a result of this applicaton agrees to, &shall, indemni & hold harmless the City of La Quinta, its officers, agents and employee 2. Any permit issued as a result of this application becomes null and void work is not commenced within 180 days from date of issuance of suc 'permit, or cessation of work for 180 days will subject permit to cancellatio I certify that I have read this application and state that the above information i correct.. I agree to comply with all City, and State laws relating to the building constrution, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. fi S'Iature (Owner/Agent) 'f -..c ;% Dat er��=+R' V. PERMIT PERMIT# /-BUILDING DATE VfLUATION 6.6 LOT? TRACT JOB SITE _ ADDRESS ."aStWAW4MA,UUJ7B-10 APN 774-113-004 OWNER CONTRACTOR/ DESIGNER/ ENGINEER $ THOA/lM Bur -0`W DATO) I, ADDi11K3TON P, O. DOX 134 41- 780 A°IUi.Nit~i'AGE r)R LAQUDTTA CA 922553 BI&P.MUDADYIR T'n CA 92201 C•HUt 3724 USE OF PERMIT Gg?dC31 7 FA14LY D'%NAL1WC3 '1498 SY. SYD PERNUT 13172.,3 NU :INCLUDE 81.�C.,CK: WA LI, PODU SP.A. OR, DRIYWA.Y AP POACH TILWT CONSTRUCTION lip PORCHB)A'>"ID so Vf Sit 0ARA'+; E110A"ORT 46Y,04 3P ES 'I'D4X1113) C0'S " Ealy G0N!y i'3 UC TION 9 11 1 IW .0 CONSTRUCTION ",Z .10.1.000-4 1�-000 $603.50 PLAN CHECK. FEE� 01-�)i1'ii -��9-;318 $501.70 FEEDEP031T 101.000-M-318 4250,00 il@F�C1 klltrl4t .w: 1011•-000-A21-000 ELECTRICAL FEE 101-000-420-000 $110.27 PLUM.EtW 3 FEL* 101.000.419-000 $118.00 2TPONGMOTION FEE -RF„OID 101-000-Z-41.000 $0,12 i�11 ADY140 I 101-000-4.23-000 $15.00 ]DEVE ,S3PER. IMPACT FRE. $4405.00 PRECISE PLNN $100.00 n �� tom', AL C�flI�B`T.RiTc:°`L'iCD1�i :�iw PI'm c1 CK, $3,915.G1�J 1 ,99 1:'Tt1?�I'.fMk '� . 4250:00 OCT 2 8 2003 rUrA3�. P �`I'3a S D'U U. NOW �+b�•L�a.fe� CITY OF LA QUINTA FINANCE DEPT. RECEIPT DATE k "� BY ', DAT INALE� INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs 011 Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel _ Combustion Air Roof Deck Exhaust Fans O.K. to Wrap !7 F.A.U. Framing Compressor Insulation v Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath j'/,;p Final Final BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines pv Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection — Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole _ Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors _ Temp. Use of Power Final Utility Notice (Perm) COMMENTS: Building Address 7 � �Re � Owner Mailing '••Add%%re%%ss�� Cites C' Contractor T4hf 4" P.O. BOX 1504 APPLICATION ONLY 76-495 CALLE TAMPICO I1 �� LA QUINTA, CALIFORNIA 92253 Address I A -2.0(i Alr%! A/ r -Z o4• I I e1.. as C,/41oJ'- )5ai state LIC • L;IIy & Classif, 7 Cis i I Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm 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 effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). !: I, as owner of the property, or my employees with wages as their sole compensation,4will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees• provided that such improvements are not intended or offered for sale. If, however, the building orimprovement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) FI I, as owner of the property, am exclusively contracting with licensed contractors to con. struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner 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.) i 7 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 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 n Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work. for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address 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 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. Signature of a0plicant Dale Mailing Address City, State, Zip LDING: TYPE'CONST. OCC. GRP. . Number 7741— //3 •- oo y al Description 5' AQ. Project Description Sq. Ft.No. Size (� No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ r Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway E Infrastructu V� OF TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION �� e Date 10/28/03 No. 25132 Owner Thomas Buffin Address P O Box 134 City La Quinta Zip 92253 CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # N111k O Q BERMUDA DUNES r N RANCHO MIRAGE INDIAN WELLS �. PALM DESERT y LAQUINTA 1,1101 0 l� 774-113-004 Jurisdiction La Quinta Permit # 0310-186 Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. ` Street S.F. Unit 1 21 53580 Avenida Rubio 1498 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Lot # No. Street S.F. 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 Irving, 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 $2.14 X 1,498 S.F. or $3,205.72 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/Valley Independent Bank - Alissa Aiton Check No. 297838 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Sharon 981G, joy e Payment Recd $0.00 $3,205.72 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve 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 on which 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 if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting MAY -24-2004 05:27 PM P. 02 CERTIFICATE OF FIELD 'VERIFICATION AND DIAGNOSTIC TESTING Project Title Date ProleG Aclawss Bulfder Name OF Street Address:.�i'4iifa) I C2 j: Copies to: Builder, HERS Provider Plan Number Sample Group Number Sample House Number HERSProvider: Citylstatelzip: Lq J9LJInT 6,45' Rxz53 HERS RATER COMPLIANCE STATEMENT The house was: ZTested M Approved as part of sample testing,, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form coy with the diagnostic tested compliance requirements as checked on this form. Distribution system is Fully ducted (i.e., does not use building cavities as plenums or platform retufns in Ileu Of ducts) Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leeks at duct connections. KMINtMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here 7lJ v If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) _ ?5 y 7# Check Box for Pass or Fail (Pass=6% or less) ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is Installed and Access is provided for Inspection ❑ Yes is a pass Pass Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 0 Yes 0 No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1 R and design on plan, 2, ❑ Yes D No TXV is installed or Fan flow has been verified. If no TXV, t y verified fan flow matches design from CF -1 R. Measured Fan Flow 13 D Yes for both i and 2 is a Pass Pass Fail Certificate of Occu anc y 0 V, QUA& OF Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance With the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 53-580 "ENIDA RUBIO Use classification: SINGLE FAMILY DWELLING Building Permit No.: 0310-186 Occupancy Group: R3 Type of Construction: VN Land Use Zone: IRC Owner of Building: THOMAS BUFFIN Address: P.O. BOX 134 City, ST, ZIP: LA QUINTA, CA 92263 A By: KIRK KIRKLAND Date: MAY 25, 2004 Building Official POST IN A CONSPICUOUS PLACE TITLE 24 REPORT Title 24 Report for: Thomas Buffin Breeze Adobe - All Orientations La Quinta, CA Project Designer: L Report Prepared By: Joan D. Hacker Insu-form, Inc. 68-255 Corta Road Cathedral City, CA 92234 (760) 324-2046 Job Number: Date: 9/24/2003 CITY OF LA QUINTA ` BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE—L2:.' �7O S By -A T O f4:zc 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 2001 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC (415) 883-5900. EnergyPro 3.1 By EnergySoft Job Number. User Number. 2655 TABLE OF CONTENTS Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Checklist Form C -2R Computer Method Summary HVAC System Heating and Cooling Loads Summary Room Load Summary 1, 2 3 6 8 12 13 EnergyPro 3.1 By EnergySoft Job Number. User Number. 2655 Certificate of Compliance: Residential (Part 1 of 2) CF -1R Thomas Buffin 9/24/2003 Project Title Date Breeze Adobe - All Orientations La Quinta Project Address Building Permit # Insu-form, Inc. (760) 324-2046 Plan Check I Date Documentation Author Telephone Computer Performance' 15 Field Check I Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 1,498 ft2 Average Ceiling Height: 9.0 ft Total Conditioned Slab Area: 1,498 ft2 Building Type: (check one or more) © Single Family Detached ❑ Addition ❑ Single Family Attached ❑ Existing Building ❑ Multi -Family ❑ Existing Plus Addition Front Orientation: All Four Orientations Floor Construction Type: ® Slab Floor Number of Dwelling Units: 1.00 Number of Stories: 1 ❑ Raised Floor Const. Component Frame Assembly Location/Comments Tvoe Tvae U Value (attic, garage, typical, etc. Slab On Grade n/a 0.756 Covered Slab w/R-0.0 Perimeter Insulation Slab On Grade n/a 0.756 Exposed Slab w/R-0.0 Perimeter Insulation R-13 Wall w/1" EPS Wood 0.059 Exterior Wall Solid Wood Door None 0.387 Exterior Door R-38 Roof (R.38.2x14.16) Wood 0.028 Exterior Roof FENESTRATION Shading Devices Type Orientation Area Fenestration Exterior Overhang Side Fins SF U -Factor SHGC Shading Yes / No Yes/ No Front 40.0 0.85 0.70 ' Bug Screen X❑11 ❑ x❑ Left 36.0 0.75 0.62 Bug Screen a 1:10 o Rear 9.0 0.61 0.63 Bug Screen a ❑ ❑ Rear 80.0 0.85 0.70 Bug Screen x❑ ❑ ❑ x❑ Rear 16.0 0.75 0.62 Bug Screen X❑ ❑ ❑X❑ Right 24.0 0.75 0.62 Bug Screen x❑ ❑ ❑ x❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ El El El El El F] El ❑ ❑ ❑ ❑ Run Initiationi •012 15:24.0 Code: 1064442247 EnegyPro 3.1 By EneWSoft User Number. 2655 Job Number. Pa e:3 of 13 Certificate of Compliance: Residential. (Part 2 of 2) CF -1 R Thomas Buffin ' 912412003 - Project Title Date HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location / pump, etc.) (AFUE/HSPF) (ducts, attic, etc.) R -Value Type Comments C:pntral Furnace 80% AFUE Ducts in Attic 4-2 Setback Living Zone Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type Comments Split Air Conditioner 12-0 SEER Ducts in Attic 49 Setback Living Znnp WATER HEATING SYSTEMS Rated 1 Tank Energy Facts 1 External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value A O SMITH P -50- 6 mall Gas Pine Insulation I- 40.000 _so 0.62 n/a n/a 1 For small gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor' For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. REMARKS r v/ 9 V a P%I GIYICIr 1 This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognize that compliance using duct sealing and TXV's requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Documentation Author Name: Name: Joan D: Hacker Title/Firm: Title/Firm: msu-form.lnc. Address: Address: 68-255 Corta Road Cathedral City, CA 92234 Telephone: Telephone: (760) 324-2046 Lic. #: (signature) (date) (sign ur) date Enforcement Agency ' Name: r Title/Firm: Address: Telephone: IEnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. PageA of 13 Certificate of Compliance: Residential (Addendum) CFA R Thomas Buffin 9/24/2003 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies 7a5eu on ine adequacy Oi ine special Jusimcauon and oocumemauon suDmniea. PlanField HIGH MASS Design(see G-211) - Verify Thermal Mass: 918 sgft Covered Slab Floor. 3.50" thick at Living I HIGH MASS Design(see C -2R) - Verify Thermal Mass: 580 sgft Exposed Slab Floor. 3.50" thick at Living HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS I1U•wwe. 1 nC OLW1 111Wi L UWUU111011L \11C 11CM YC111nAUV11 CUM UlaailU504 105U11W UI i11C5C 111C45UFW5 Un a LORA Hr -OR. The HVAC System "Living Zone" is using reduced dud leakage to comply and must have diagnostic site testing c performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -6R Form. EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. rte' Pace:5 of 13 1 Mandatory. Measures Checklist: Residential (Page 1 of 2) MFA R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere In the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable DESIGNER ENFORCEMENT Building Envelope Measures 4150(a): Minimum R-19 ceiling insulation. E] 6150(b): Loose fill insulation manufacturer's labeled R -Value. Q.§150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). ❑'§150(d): Minimum R-13 raised floor insulation in framed floors or equivalent 1500): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no E]§ greater than 2.0 pemcinch. 0 §118: Insulation specified or installed meets insulation quality standards. Indicate type and form. ®§116-17: Fenestration Products, Exterior Doors and Infiltration/ExIiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ §150(f): Special infiltration banter installed to comply with Section 151 meets Commission quality standards. ❑ § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control Z No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures a§110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. 6150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. § 150(): Setback thermostat on all applicable heating and/or cooling systems. ❑X § 1500): Pipe and Tank Insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with Insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined intemal/extemal insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55 degrees F. insulated. 6. Piping insulating between heating source and indirect hot water tank. EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. 4P,age:6 of 13 Mandatory. Measures Checklist: Residential (Page 2 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere In the documents or on this checklist only. DESCRIPTION Instructions: Check or Initial applicable boxes or enter NIA K not applicable. DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) X❑ I150(m): Ducts and Fans 1. All duds and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and Standard 63; duds insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape Is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of dud systems and their components shall not be sealed with doth back rubber adhesive dud tapes unless such tape is used in combination with mastic and drawbands. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, dud board or flexible dud shall not be used for conveying conditioned air. Building cavities and support platforms may contain duds. Duds Installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the duds. 3. Joints and seams of dud systems and their components shall not be sealed with cloth back rubber adhesive dud tapes unless such a tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilation systems serving conditioned space have eitherautomatk or readily accessible, manually operated dampers. 6. Protection of Insulation. Insulation shall be protected from damage. Including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas; or plastic cover. Cellular foam Insulation shall be protected as above or painted with a coaling that is water retardant and provides shielding from solar radiation that can cause degradation of the material ❑ § 114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating Instructions, no electric resistance heating, and no pilot 2. System is installed with at least 36' of pipe between filter and heater for future solar, cover for outdoor pools or spas. a. At least 36' of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional Inlets and a circulation pump time switch. FX] §115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot IIghL (Exception: Non -electrical cooking appliances with pilot < 150 Btullu) ❑ §118 (f): Cool Roof material meet specified criteria Lighting Measures ® §150(k)l: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. FV §150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 Iumenshvatt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. 3.1 By EnergySoft User Number. 2655 Job Number. Page:7 of 13 Computer Method Summary (Part 1 of 3) C -2R Thomas Buffin 9/24/2003 Project Title Date Breeze Adobe - All Orientations La Quinta Project Address Building Permit # Insu-form Inc (760) 324-2046 plan CheckfDate Documentation Author Telephone Computer Performance 15 Field Check/Date Compliance Method (Package or computer) Cimate Zone Source Energy Standard Use (kBtu/sf-yr) Design Facing North Margin U Facing East Margin Loting 7nnp Facing South Margin Facing West Margin Solid Mod poor 0.68 0.67 36.55 -1.52 12.45 3.331 1.08 0.27 37.73 -2.70 12.45 3.33 1.37 -0.02 34.13 0.90 12.45 3.33 1.01 0.34 38.67 -3.64 12.45 3.33 Space Heating 1.35 Space Cooling 35.03 Domestic Hot Water 15.78 I hdng 7nnp I firing 7nne _9a 180 90 270 90 49.680.901 R-13 Wall wN" FPS R-13 Wall wH" FPS luting 7nnp Totals 52,16 ®_ R-.38 Roof (R 38 204 hying 7nnp BUILDING COMPLIES This C-211 summarizes the results of a four cardinal orientation analysis. The pages that follow describe the front taring North occurence. This plan has been analyzed with identical features in all orientations. ❑X Slab Floor GENERAL INFORMATION Conditioned Floor Area: 1,498 Floor Construction Type: ❑ Raised Floor Building Type: Single Fam Detached Building Front Orientation: All Four Orientations Number of Dwelling Units: 1.00 Number of Stories: 1 Total Fenestration Aea: Total Conditioned Volume: Slab Floor Area: 13.7% 13,482 1,498 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area I wing 7nnp 1 aga 13,482 1 nn rondirloned Setback _-2 -nla OPAQUE SURFACES Area U Val. Wall 120 0.059 r)oor 20 0.387 Wall 544 0.059 Wail 205 0.059 MWL- 326 0.059 Roof 1 49g o 028 Solar Act. Gains Azm. Tilt Y / N / Comments 0 90 U R -1i Wall wH" FPS Loting 7nnp -0 An ❑ Solid Mod poor .Living Zone A.0 $-mall w/1" FPS I hdng 7nnp I firing 7nne _9a 180 90 270 90 R-13 Wall wN" FPS R-13 Wall wH" FPS luting 7nnp 270 _n ®_ R-.38 Roof (R 38 204 hying 7nnp 3.1 By EnergySoft User Number. 2655 Job Number. Page:8 of 13 Computer Method Summary (Part 2 of 3) C -2R Thomas Buffin 9/24/2003 Project Title Date FENESTRATION SURFACES U_ Act. Glazing Type Location/ # Type Area Factor SHGC Azm. Tilt Comments 1_ Window Front (North) 2 Window Left (East) 400 16.0 0 850 0.750 070 0.62 _0_ 90 g0 wacl Creast Windows 90 West Coast Windows ___ I iving Zon - Living Zone 3 Window Left (East) 12.0 0.750 0.62 90 90 West Coast Windows Living Zone 4 Window Left (East) 4.0 0.750 0.62 90 90 West Coast Windows Living Zone 5 Window Left (East) 4.0 0.750 0.62 90 90 West Coast Windows Living Zone 6 Window Rear (South) 9.0 0.610 0.63 180 90 West Coast Windows Living Zone Z Window Rear (South) 8 Window Rear (South) 40.0 40.0 0.850 0.850 0.70 0.70 180 180 90 V3k5_ roast indgwsLiving_Z_one 90 West Coast Windows Living Zone 6 Window Rear (,South) 16.0 0.750 0.62 180 90 West Coact windows Living Zone _ 10 Window Right (West) " Window Right (West), 4.0 4.0 0.750 0.750 0.62 0.62 270 270 g0 )pct Coact windows 90 West Coast Windows Livong Zone Living Zone 12 Window Right (West) 16.0 0.750 0.62 270 90 West Coast Windows Living Zone INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt RExt Dist. Len. Hgt Dist. Len. Hgt. 1 Bug Screen 0.76 6.8 6.0 2.0 0.1 2.0 2.0 2 Bug Screen 0.76 4.0 4.0 2.0 0.1 2.0 2.0 - 3 Bug Screen 0.76 3.0 4.0 2.0 0.1 2.0 2.0 - 4 Bug Screen 0.76 1.0 4.0 2.0 0.1 2.0 2.0 - 5 Bug Screen 0.76 2.0 2.0 2.0 0.1 2.0 2.0 - 6 Bug Screen 0.76 3.0 3.0 2.0 _ 01 2.0 2.0 - 7 Bug Screen 0.76 6.8 6.0 2.0 0.1 2.0 2.0 - 8 Bug Screen 0.76 6.8 6.0 2.0 0.1 2.0 2.0 - 9 Bug Screen 0.76 4.0 4.0 2.0 0.1 2.0 2.0 - 10 Bug Screen 0.76 1.0 4.0 2.0 0.1 2.0 2.0 - _ _ 11 Bug Screen 0.76 2.0 2.0 2.0 0.1 2.0 2.0 12 Bug Screen 0.76 4.0 4.0 2.0 0.1 2.0 2.0 3.1 By EnemvSoft User Number. 2655 Job Number. Psge:9 of 13 Computer Method Summary (Part 3 of 3) C -2R Thomas Buffin , 9/24/2003 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (sf) (in.) Cap. Cond. Form 3 Reference R -Val. Comments Concrete. HeaNyfpLeight 918 3.50 _ 28. AM n/a _2 Living Zone / Slab on Grade Concrete. Heavyweight 580 3_50 28 0_98 n/a 0 Living Zone / Slab on Grade PERIMETER LOSSES ' F2 Insulation Type Length Factor R -Val. Depth Location / Comments Slab Perimeter 15 0.76 0.0 0 Living Zone 5Jab Perimeter — 21 0.76 0.0 _0 Living Zone HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Location / pump, etc.) (AFUE/HSPF)(ducts/attic, etc.) R -Value Type Comments Central Furnace 80% AFUE Duds in Attic 4.2 Setback Living Zone Insul. Pipe Hydronic Piping Pipe 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 Air Conditioner 12.0 SEER Duds in Attic 4.2 Setback Living Zone Ratedl Tank Energy Facts 1 Tank Insul. WATER HEATING SYSTEMS Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency Loss (%) Ext. A O SMITH PGCG-50-226 Small Gas Pine Insulation 1 40.000 50 0.62 n/a n/a 1 For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. REMARKS Run Initiation Time: 0912410315:24:07 Run Code: 1064442247 EnergyPro 3.1 By En.mysoft User Number. 2655 Job Number. Pane: 10 of 13 ROti Computer Method Summary (Addendum) J. F% Thomas Bufn 9/24/2003 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. J Plan Field HIGH MASS Design(see C-211) - Verify Thermal Mass: 918 sqft Covered Slab Floor, 3.50" thick at Living HIGH MASS Design(see C-211) - Verify Thermal Mass: 580 sqft Exposed Slab Floor, 3.50" thick at Living HERS Required Verification t116J� 16OaY1W IIIY.7a Yr YY. Y.....vr ____ ___—_ —_____ provider. The HERS rater must-- the fie/ verification and diagnostic testing of these measures on a form CF -6R. Plan Field The HVAC System "Living Zone" is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -6R Form. 1 . 1 �' Page: of 13 EneravPro 3.1 By EnergySoft User Number. 2655 Job Number. HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Thomas Buffin 9/24/2003 SYSTEM NAME FLOOR AREA Living Zone 1,498 PIrINFFRINr P.HFr:KS 11sysTrm LOAD Number of Systems 1 Heating System Output per System 92,000 Total Output (Btuh) 92,000 Output (Btuh/sgft) 61.4 Cooling System Output per System 48,000 Total Output (Btuh) 48,000 Total Output (Tons) 4.0 Total Output (Stuh/sgft) 32.0 Total Output (sgftrron) 374.5 Air System CFM per System 1,595 Airflow (cfm) 1,595 Airflow (0misgft) 1.06 Airflow (cfm/Ton) 398.8 Outside Air (%) 0.0 Outside Air (cfm/sgft) 0.00 Note: values above given at ARI conditions 26.0 of Outside �'� 0 cirri 69.3 of 11.9 / 77.6 of Outside Air 0 dm 78.8 / 65.9 of 3.1 Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM I Sensible Latent CFM I Sensible 1,453 26,812 3,274 439 24,643 0 1,341 1,232 0 0 0 0 0 0 0 0 0 1,341 1.232 29,493 3,274 27108 CO. 563AN048-A 32,1141 11,168 '.11,uuu Total Adjusted System Output 32,114 11,168 92,000 (dusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am SYCHROMETRICS (Airstream Temperatures at Time of Heatinq Peak) 69.3 of 69.3 of 123.5 of J c Supply Fan Heating Coil 1595 cirri 1% Retum Air Ducts i 78.8 / 65.9 of 78.8 / 65.9 of 59.9 / 58.8 of EN Supply Fan Cooling Coil 1595 cfm User Number. 2655 Retum Air Ducts Job Number. Supply Air Ducts 122.8 of ROOMS 70.0 of �j Supply Air Ducts 60.7/59.1OF 52.3% R.H. ROOMS 78.0 / 65.6 of 12 of 13 ROOM LOAD SUMMARY PROJECT NAME Thomas Buffin DATE 9/24/2003 SYSTEM NAME Living Zone FLOOR AREA 1,498 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME ROOM NAME Mult. CFM SENSIBLE LATENT CFM SENSIBLE LATENT CFM SENSIBLE LivingLiving Zone 1 1,453 26,812 3,274 1,453 26,812 3,274 439 24,643 PAGE TOTAL 1,453 26,812 3,274 439 24,643 TOTAL 1 1,453 26,812 3,274 439 24,643 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page: 13 of 13