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04-3332 (SFD)P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 I r, %?- r- MDPT e_ BUILDING &SAFETY DEPARTMENT (760)777-7012 FAX (760) 7.77-7011 INSPECTION „RE;Q JESTS. C7 69) 777-7153 BUILDING PERMIT Application Number 04:00_00._333-2 Date.,; 4/07/04 Property Address . . . : 2895 P,VENIDA RAMIREZ APN: 773-322-020- - - Application description . . . DWELLING _ SINGLE FAFILY DETACHED Application valuation 95503 . Owner Contractor POWER FINANCE ADDINGTON, DAVID P.O. BOX 134 41.760 HERMITAGE DRIVE - LA QUINTA CA 92253 INDIO CA 92201 WCC: STATE FUND. WC: 2290019787 01/01/05 CSLB: 682901 12/31/05 CCC: B -------------------------- Structure Information ------------------------- Construction Type . TYPE.V - NON RATED Occupancy Type .. . . . DWELLG/LODGING/'CONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 467.00 - PATIO SQ FTG 50.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1498.00 -------------------------------------- Permit . . . --=------------------------- BUILDING PERMIT ` ---------- Additional desc Permit Fee 621.50 Plan Check Fee 153.98 Issue Date . . . . Valuation 95503 Qty Unit'Charge Per Extension BASE FEE 414:50 46.00 4.5000 THOU BLDG 50,001-100,000 207.00 Permit . . . . . . MECHANICAL. Additional desc y Permit Fee . . . . 60.00 '-Plan Check Fee 3.75 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per- Extension BASE FEE 15.00 1.00 9..0000 EA MECH FURNANCE <=100K 9.00 1.00 16.5000 EA ,MECH B/C.>3'-15HP/>100K-500KBTU 16.50 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: ( - 3332 Applicant: �iA�f�►7 F{DDIw1GT0+.l Applicant's Mailing Address: �{ 1 -166 131710 „ CA q 2201 Date: Architect or Engineer: Architect or Engineer's Address: NO W e Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, a=ntracto LicenseLicense No.(111-21p,C ate ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to 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 Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 -have and will main tainworkers' ompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is y�woj�compen tion insurance carrier and policy number are: -Carier 1 E�Z_Z 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 workersl' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 0 V�pplicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under Ity of perjury that there isA-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 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of Le Ouinta, 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 reby authorize representatives of this county to enter upon the above-mi'eqtioned property for inspect- purposes. Da `gnature (Applicant or Agent):/ C:tY Page 2 Application Number . . 04-00003332 Date 4/07/04 Qty Unit Charge Per Extension 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 91.77 Plan Check Fee 22.94 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1498.00- .0350 ELEC NEW RES - 1 OR 2 FAMILY 52.43 467.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.34 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ----------------------------------------------------------------------------- Permit . . . . . PLUMBING Additional desc Permit Fee 123.00 Plan Check Fee 30.75 Issue Date Valuation . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 9.00. 6.0000 EA PLB FIXTURE 54.00 1.00 15.0000 EA 'PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB.WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEVI 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit . . . . . . GRADING PERMIT Additional desc.. Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension -------------------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments. 1498 SFD LOT 8/PERMIT DOES NOT .INCLUDE POOL/SPA OR BLOCK WALLS. DRIVEWAY APPROACH REQUIRES A SEPARATE PERMIT AND Page 3 . Application Number . . . . 04-00003332, Date 4/07/04 ---------------------------------------------------------------------- Special Notes and Comments INSPECTION FROM PUBLIC WORKS DEPT. ---------------------------------------------------------------------------- Other Fees . . ... . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTER -RES 97.00 DIF CIVIC CENTER - RES 366:00 ENERGY REVIEW FEE 15.40 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC -. RES 502.0-0 COVE PRECISE PLAN FEE 100.00 STRONG MOTION (SMI) - RES 9.55 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited. Due. Permit Fee Total 911.27 .00 C0 .911.27 Plan Check Total 211.42 .00 C0 211.42 Other Fee Total 2529.95 .00 CO 2529.95 Grand Total 3652.64 .00 C0 3652.64 Building ` " J , T44t44vQ91K& P.O. BOX 1504 04 - 3332 ///�/% n ,, `x,4.95 CALLS 1504CO APPLICATION ONLY RIA[�%7pif`LLtCNTA. CALIFORNIA 92253 WMEONAN W"ON-0-Iffylmm & Classif/," ' I" T I I Lic. W Addre_ ss�-�" tr� a /tie /* 45�4 el. 1 State LICENSED CONTRACTOR'S DECLAJATION If I hereb affirm ih I am licensed under Bions of hapt 9 (commencing with Section 7000) of n the Busin ss and P f to C e, and my license is in full force and effect. SIGNA 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: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) I I I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner 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! I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION Ihereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company 1-7 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name- Lender's ame 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 applicant Date Mailing Address City, State, Zip 51/O CDDWHITE =BUILDING DEPARTMENT BUILDING: TYPE'CONST. 00C. GRP. A.P. Number�r �`� A � Legal Descriptionesl �� l Sq. Ft. / i J 9 Q 41/ No. No. Dw. Size % V Stories Units Ne Add O Alter O Repair O Demolition ❑ r Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing INK S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Fear Prop. Line Side, Street Setback from Center Line Sid SSetback frP'openy Line f -N FINAL DATE Ju INSPECTOR 711111 Issued by: I�IDaie�p ( v�nermtut� C aY�YY\ I Validated bv: Validation: NAllCe ®_wPT YELLOW = APPLICANT PINK = FINANCE CERTIFICATE OF COMPLIANCE �s Desert -Sands Unified School District coo 47950 DUne.PalmS Road Q eERMUDADUNES La.Quinta CA 92253 RANCHO MIRAGE Date 4/7/04 �. INDIAN WELLS 760 771-8515 ry PALM DESERT No. 25776 ) LA QUINTA 4 cf�j�INDIO y7 j v Owner Power Finance APN # ' 773-322-020 ; Address P.O. Box 134 Jurisdiction La Quinta City La Quinta Zip 92253 Permit # 0403-2101 . Tract # Study Area Type Single Family Residence No. of Units 1 Lot #, No. Street S.F. Lot # No. Street S.F. Unit 1 8 52895 Avenida Ramirez 1498 Unit 6 - t Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit'5 Unit 10 Comments CC#305445 for $3,205.72 + $149.80 cash = $3,355.52 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 $2.24 X 1,498 S.F. or $3,355.52 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. 305445 Name on the check Telephone 760/485-3039 ' Funding Residential By Dr. Doris Wilson s Superintendent , Fee collected /exempted by S o MCGllvrey Payment Recd a $3,355.52., Ovea/Under, Signature'AAAl NOTICE: Pursuant to Government Code Section 66020(d)(1), this, 7tuilding%r 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 whinstallation permit for this projectis 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, whickever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy- Applicant/Receipt Copy -Accounting rder No. 5crow No. )an No. THEN RECORDED MAIL TO: . ower Finance Assoc. Inc. California Corporation .O. Box 134 a Quintar' CA 92253 .P.N. 77.3-322-020 OCUMENTARY TRANSFER TAX S .................. SPACE ABOVE THIS UNE FOR RECORDERS USE ... Computed on the consideration or value of property conveyed; OR ... Computed on the consideration or valueless liens or encumbrances remaining at time of sale, signature of Declarant or Agent determining tar:— Firm Name GRANT DEED 'OR A VALUABLE'CONSIDERATION, receipt of which is hereby acknowledged, alvor L. Rover,.a married man as his sole and separate property iereby GRANT(S) to William Thomas Buffin a married -man as his sole and ;eparate property, and Power Finance Associates, Inc., a California Corp. he real property in the City of La Quinta ',ounty of Riverside _ , State of California, described as of 8, Block 15T, Santa Carmelita At Vale La Quinta, Unit No. 1.E, as hown by Map on file in Book 18 Page 99 of Maps, Records of Riverside oun'ty, California. 11171 Dated January 28. 2004 ^TATE OF CALIFORNIA ) }89. DOUNTY OF ��S.w++ Dn a " ,1 before me. a-► personally appeared ® (or proved to me on the basis of satisfactory evidence) to be the persor%K whose name(9, Islarasubscribed to the within instrument and acknowledged to me that he/sheflhey. executed the same in his/her{ kek-authorized capacity(II90, and that by his/h~ signa-. tureN on the Instrument the person(; or the entity, upon behalf of which the personk acted, executed the instrument. WITNESS my h d official seal. Signature 14 MAIL TAX STATEMENTS TO: Hal,;or L. Rover ESPERANZA CORTEZ - _Commission # 1414446 s ® Notary Public = California g �.. Riverside County My Comm. Expires Apr 29, 2007 (This area for olflclal notarial msq 1002(1/94) AUG -2'7-2004 0.7:.44 AMi /. P.01 Lr e4V ATI or Plan Number Sample Groupe Number Sample- House Number: Firm;.'r.L.HERB Provider:G+%�54 rh�AS _ Street Address, .7 6LD OrA 11'r Cly/statelZlp. ,Z�!' copies to'. Builder, HERS Provider HER§-MTgR COMPLIANCE: ST&tEMENT The house was: A Tested: d Approved'. as part, of: sample, testing,, but was not. testE:d As the HERS rater providing diagnostic testing and field verification, t certify that the: houses kientifled on this form comply with trie diagnostic tested compliance requirements as checked on this, form., Distribution system, is fuily'ducted (},e., does not: use: building cavities as: plenumsor platform: returns. in lieu of ducts) J�W here cloth backed, rubber adhesive duct tape Is Installedl, mastic' and' drawbands are usedi In combination with cloth backed, rubber adhesive duct tape• to searr leaks at duct connections. rMINIMUM REQUIREMENTS FOR 'DUCT LEAIC GE'REDUCTION COMPLIANCE': CREDIT' Duct Diagnostic Leakage Testing Results (Maximum, OWDiuct,Leakage), Measurer Duct Pressurization: Test Results (CFM C 25 Pa) values Test Leakage Flow in CFM. If tan now is calculated as. 400cfm/ton x number of tons. enter calculated' value here If fan flow is measured enter measured value here.q p Leakage Percentage (100 x Test Leakage/Fan Flow), _: w_ Check Box for Pass or Fall. (Passc-6%or less), 00 Pass Fail E CfTHERMOSTATIC EXPANSIOR VALVE (TXV). or Commission approved, equivalent �es ❑ No Thermostatic Expansion Valve (or Commission approved,1 equivalent) is. installed and Access Is provided'forInspection .tCJ Yes iia a pass Pass; Fail ❑ MINIMUM REQUIREME'NYS FOR DUCT' DESIGN COMPLIANCE, CREDIT 1. D Yes ❑ No ACCA Manuel; D' Design requirements have been met (rater has verified that actual' installation matches values': in: CF -1R, and deslgn on plan•. 2. lC Yes O No TXV is installed or f=an flow has, been; verified. If no, TXV,. verified fan flow matches design from CF -1 R. t`} Measured Fan FI'ow,. Yesfor both 1 and 2 is. a:Pass:,' Pass Fail k' r - ;.till . , i - CITY OF- LA QUINTA i BUILDING & SAFETY DEPARTMENT OF 777-7012 -"1 INSPECTION REQUEST LINE 777-7153 O,wnerPOWER FINANCE Contractor DAVID L. ADDINGT'ON Permit Number 04-3332 1 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR- MUST SIGN ALL APPLICABLE SPACES 52-895 AVENIDA RAMIREZ —JOB ADDRESS 1498 SFD LOT 8/PERMIT DOES NOT INCLUDE POOL/SPA OR BLOCK WALLS. DRIVEWAY APPROACH REQUIRES A SEPARATE PERMIT AND INSPECTION FROM PUBLIC WORKS DEPT. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER I SETBACKS, 4 U/G PLUMBING / WASTE �- U/G ELECTRICAL/ GROUNDING.- ROUNDING. .FOOTINGS .FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIG ` `ROOF NAIL / PRE -ROOF OKAY TO WRAP - a I FRAMING COMBINATION Q ROUGH ELECTRIC ROUGH PLUMBING ` ROUGH MECHANICAL INSULATION elvi COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT 1 SEWER CONNECTION _ li SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS/ STEEL I BOND BEAM . POOL-/ SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G;PLUMBING - U/G GAS U/G ELECTRICALP PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS TEMP- USE OF PERMANENT POWER OG! ELECTRICAL i �- PLUMBING t` !i MECHANICAL PUBLIC WORKS DEPARTMENT F i Rf�.c vr y.�� ���1 �.4 ert��. anc , ck 0�.I 1,71 J, lZI Al t.�y, t ; •L ecj h Bu�ld�n`gp .4tin is-! iss 0-6 d,'p'u'r s_'uahG-tb2lhd'­,req T (,OiMoMenfs', "of SeciiOj7,',10�9''Of.;i)iL6-Caiii6eni4,�,'gdifdih Code;, tha(-,'­Wt,,2w W61WM6 of* ''ihcb,- 'n wi certifying: 0 �."Issuz vthis,.stibdiire�.�,,Wa�s.,,"r _,c6h7Ofiand.o'), th`lhe ..�;,,,,Provis;i.ons-�;6f-the Building B' 'Id' ui ing y 9 .. i� c6hstrd&tio tw. .1 B U I L D I N GADDRE S!`-52-�8'95 AVENIDA RAMIREZ-- 1. V' t_. 14 U U96 classification ING�'-�, � L ��ifj&;�ti6h;!91NGL-8,,FAMIL%Y.�liWE B binp Ul d -,Nb,..;,'04--,3332 "PL-rMitr #r v- 4-1 7 �,.:t-Odcupand y-,Grou'p-:fR'3���-'A�ll�e��, i�l� f :7A.Lani�.b seZojo6.!'RC-,­" I �Ype,6,Con0ft T 7, OWneOtBuilding: Addy 4s -3 -POWER, FINANCE.S, OV 34­� '6 'f 0 w I X 4k, 'Cit� 'ST; 21 R A U I 92253' Q ;.B�,,KIRK 'KIRkLOANd-A Wj� _C�DW.. AUG USf -Si �2604 L Ip Is >� TITLE 24 REPORT Title 24 Report for: Thomas Buffin Breeze Mediterranean La Quinta, CA s5 RQ " Project Designer: Report Prepared By: Joan D. Hacker Insu-form, Inc. 68-255 Corta Road Cathedral City, CA 92234 (760) 324-2046 1/26/2004 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 Esergy Efficiency Standards. This program developed by EnergySoft, LLC (415) 883-5900. EnergyPro 3.1 By: EnergySoft Job Number: User Number: 2655 s t� • ' u ,� y Certificate of Compliance: Residential (Part I of 2) CF -1 R Thomas Buffin 1/26/2004 Project Title Date Breeze Mediterranean —All Orientations La Quinta _ - Project Address Building Permit # Insu-form, Inc (760) 324-2046 Plan Check / Date Documentation Author Telephone Computer Performance 15 1 Field C:ieck / 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 Component Tvoe Slab On Grade Slab On Grade R-13 Wall w/1" EPS Solid Wood Door R-38 Roof (R.38.2x14.16) . FENESTRATION Const. Frame Assembly Location/Comme--its Tvoe U -Value (attic, garage, typical,,E n/a 0.756 Covered Slab w/R-0.0 Perimeter Insulation Na 0.756 Exposed Slab w/R-0.0 Perimeter Insulation Wood 0.059 Exterior Wall None 0.387 Exterior Door Wood 0.028 Exterior Roof z Shading Devices Type Orientation Area Fenestration Exterior Overhang Side Fins SF U -Factor SHGC Shading Yes / No Yes / No Front 40.0 0.85 0.60 Bug Screen ❑ © ❑ X❑ Left 36.0 0.75 0.53 Bug Screen ❑ x❑ ❑ x❑ Rear 9.0 0.61 0.60 Bug Screen ❑ X❑ ❑ X❑ Rear 80.0 0.85 0.60 Bug Screen ❑ x❑ ❑x❑ Rear 16.0 0.75 0.53 Bug Screen ❑X❑ ❑ x❑ Right 24.0 0.75 0.53 Bug Screen ❑ g] ❑ X❑ El El ❑❑ El Q F] El El El ,❑❑ El F1 ❑ ❑ ❑ ❑ El El ❑❑ Run Initiation Time: 0112610417:5012 Run Code: 1075168212 Ener Pro 3.1 By EnergySoft User Number. 2655 Job Number: Pa e:3 of 13 Certificate of Compliance: Residential (Part 2 cf 2) CF -1 R Thomas Buffin 1:26/2004 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 Locat,,on / pump, etc.) (AFUE/HSPF) (ducts, attic, etc.) R -Value Type Comments Central Furnare 80% AFUE Ducts in Attic 4.2 Setback Living Lne Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Locaton / heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type Comnents Split Air Conditioner 12.0 SEER Ducts in Attic 42 Sethack Living 71nne WATER HEATING SYSTEMS Rated 1 Tank Energy Fact_ 1 External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value A.O SMITH FPS -50-224 Small Gas Standard 1 4'x,000 so 0.60 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 Standb- Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. REMARKS COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Ti4e 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been s'gned by the individual with overall design responsibility. The undersigned recognize that compliance using duct sealing and TXV's requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Documentation Author Name: Title/Firm: Address: 78120 CALLE ESTADO, SHIITE 20 LA QUINTA, CA 92253 Telephone: Mo i k4- !ylol Lic. #: , , 523 -9 5 7 (signatGre) '- " ' 9- (date) Enforcement Agency Name: Title/Firm: Address: Telephone: Name: Joan D. Hacker Title/Firm: Insu-form, Inc. Address: 68-255 Corta Road Cathedral City, CA 92234 Telephone: (760) 324-2046 V 1) JA 1W ( A I p +- (sign ure) (dat) natu IEnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page:4 of 13 1 Certificate of Compliance: Residential (Addendum) CF -1 R Thomas Buffin 1/26/2004 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 tobe 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. Plan Field The HVAC System "Living Zone" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Msnual. HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R. Plan Field The HVAC System "Living Zone" is using reduced duct leakage to comply and must have diagnostic site testing of dud leakage performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -6R Form. 2r.n EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Pape:5 of 13 I Mandatory Measures Checklist: Residential (Page 1 of 2) MF -1 R NOTE: towrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') maybe superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter NIA if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures a'§ 150(a): Minimum R-19 ceiling Insulation. ❑§150(b): loose fill insulation manufacturers labeled R -Value. 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does af§ not apply to exterior mass walls). E]'5150(d): Minimum R-13 raised floor insulation in framed floors or equivalent ❑§ 150(l): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2-0 punch. Al §118: Insulation specified or installed meets insulation quality standards. Indicate type and form. ® §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. ❑ Logs. §150(e): Installation of Fireplaces, Decorative Gas Appliances and.Gas 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures' ❑X §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. X§150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. a§150(i): Setback thermostat on all applicable heating and/or cooling systems. U§1506): 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. I 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. Page:6 of 13 Mandatory Measures Checklist: Residential (Page 2 of 2) MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approa& used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMENT Space Conditioning; Water Heating and Plumbing System Measures: (continued) FX1.'§150(..): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and Standard 6-3; ducts insulated to a minimum'installed 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, UL18M or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mash or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be seated with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other l 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. Y 3. Joints and seams of duct systems and their components shall not be sealed with Goth back tubber adhesive duct tapes unless such a tape is used in combination with mastic'and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilation systems serving conditioned space have eitherautomatic or readily accessible, manually operated dampers. i , 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. § 114: Pool and Spa Heating Systems and Equipment I 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 feast 36' of pipe between filter and heater for future solar, cover for outdoor pools or 1 1 spas. a. At least 36' of pipe between fitter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. IIf ; 1 3. Pool system has directional inlets and a circulation pump time switch. _ y U§115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) I §118 (f): Cool Roof material meet specified criteria ! r j Lighting Measures § 150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 IumensMratt or greater for lXJi 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. j X ! §150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. i 3.1 By EnergySoft User Number. 2655 Job Number. Page:7 of 13 i Computer Method Summary (Part 1 of 3) C72R Thomas Buffin 1/26/2004 Proiect.Title . Date Breeze Mediterranean - All Orientations La_Quinta Project Address Building Permit tt Insu-form, Inc. (760) 324-2046 ' Documentation Author Telephone Plan-heck/Dat8 I I Computer Performance 15 Field Check/Date Compliance Method (Package or Computer) Cimate Zone Source Energy Standard Use (kBtulsf-yr) Design I Facing 1 North Margin Facing East Margin Conditioned Floor Area: Facing South Margin Floor Construction Type: (Facing West Margin Building Type: 0.87 0.51 1.17 0.21 1.48 -0.10 1.07 0.30 Space Heating 1.37 Total Fenestration Aea: "3.7% Number of Dwelling Units: 1.00 Space Cooling 35.20 38.79 -3.59 Number of Stories: 38.60 -3.40 Slab Floor Area: 34.22 0.98 38.78 -3.58 Domestic Hot Water 15.78 12.45 3.33 12.45 3.33 12.45 3.33 12.45 3.33 5 0. 5 0-11 48.14 4.21 52.31 0.05 Totals 5 35 BUILDING COMPLIES This C -2R summarizes the results of a four cardinal orientation analysis. The pages that follow describe the front facing Forth occurence. This plan has been analyzed with identical features in all orientations. GENERAL INFORMATION ❑X Slab Floor Conditioned Floor Area: 1,498 Floor Construction Type: ❑ Raised Floor Building Type: Single Fam Detached Building Front Orientation: All Four Orientations Total Fenestration Aea: "3.7% Number of Dwelling Units: 1.00 Total Conditioned Volume: ' 3,482 Number of Stories: 1 Slab Floor Area: ",498 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area I iving lone 149 13 489 1 nn conditioned 'wetback- -2 n[a OPAQUE SURFACES Solar Act. Gains Type Area U -Val. Azm. Tilt Y / N wall 120 0.059 _� 90 Door 20 0.387 _0 go Wall 574 0.059 g,0 gn Wall- 205 0-059 180 - g.O_ Wall-_ 326 -9-M9_ -2Z0_ -A-O Roof1 498 0-02$ 170_ _o 3 Reference Location / Comments R-13 Wall w/1" FPS living Zone Snl*tl Wood door liuinq 7nne R -1I Wall w/1" FPS living Zone R-13 Wall w/1" FPS Living Zone R-13 Wall w11" FPS I ivingZone R-38 Rnnf (R 3$ 2X14 16) 1 ivina Zone EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number Page:8 of 13 Computer Method Summary (Part 2 of 3) C -2R Thomas Buffin... 1/26/2004 Project Title Date FENESTRATION SURFACES U- Act. Glazing Type. Location/ # Type Area Factor SHGC Azm. Tilt Comments L 2 Window Window Front Left odh) (East) 3 Window Left (East) 4 Window Left (East) 5 Window Left (East) 6 Window Rear (South) L Window Rear (South) 8 Window Rear (South) -9- 1Q Window Window Rear Right (South) 09e51). u Window Right (West) 12 Window Right (West) _ 40.0 16.0 n Ann 0.750 0.60 _a 90 gn INP-st rnaqt Windows 90 West Coast Windows I iving7one Livinq 0.76 Zone 0.53 12.0 0.750 0.53 90 90 West Coast Windows Living Zone 4.0 0.750 0.53 90 90 West Coast Windows Living Zone 4.0 0.750 0.53 90 90 West Coast Windows Living Zone 9.0 0.610 0.60 180 90 West Coast Windows Living Zone 40.0 0.850 0.60 180 90 West Coast Windows (,wing Zone 40.0 0.850 0.750 0.60 180 90 West Coast Windows Living Zone Zone Living 180 90 West Coast Windows 16.0 0.53 4.0 0.750 0.750 0.53 270 90 West Coast Windows 90 West Coast Windows Living Living Zon Zone 0.53 270 4.0 16.0 0.750 0.53 270 90 West Coast Windows Living Zone INTERIOR AND EXTERIOR SHADING # Exterior Shade Type SHGC 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 9 Bug Screen 0.76 10 Bug Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 a _. Run Initiation Time: 01/2610417.50.12 Run Code: 1075_t68212 EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page:9 of 13 J Right Fin Window Overhang Left Fic Hgt. Wd. Len. Hgt. LExt. RExt Dist Len. ' Hgt. Dist. Len. Hgt. a _. Run Initiation Time: 01/2610417.50.12 Run Code: 1075_t68212 EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page:9 of 13 J Computer Method Summary (Part 3 of 3) C -2R Thomas Buffin 1/26/2004 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN , Area Thick. Heat Inside Loca-Jon Type (sq (in.) Cap. Cond. Form 3 Reference R -Val. Comments PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments Slab Perimeter 150_76 0.0 0 Living Zone Slab 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 Ducts in Attic 4.2 Setback Living Zone Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc,) R -Value Type Comments Split Air Conditioner 12.0 SEER Ducts in Attic 4.2 Setback LivgZone WATER HEATING SYSTEMS Ratedl Tank Energy Fact! 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency Loss (%) Ext. A O SMITH PGCG-50-226 Small Gas i Pipe 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. Run Initiation Time: 01126/0417.50.12 Run Code: 1075168212 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number: Page: 10 of 13 _ Computer Method Summary (Addendum) C -2R Thomas Buffin 1/26/2004 Project Title Date Special Features and Modeling Assumptions The lodal 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. -he local enforcement: aaenev determines the adeauacv of the iustification. and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. Plan I Field The HVAC System "Living Zone" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Me:nual. HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on aform 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. S, Run Initiation Time: 01/26/0417:50:12 Run Code: 1075168212 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page: 11 of 13 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY . ;PROJECT NAME I SYSTEM NAME ' I aJ UU Zone Output (Btuh/sgft) 61.4 !Cooling System Output per System 48,000 Total Output (Btuh) ! 48,000 ., r„f�l nv.f,.+ f1rnnal A n 26.0 OF . Outside Air i 0 cfm I 69.3 of Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts DATE 1/26/2004 FLOOR AREA 1,498 COIL COOLING PEAK COIL HTG. PEAK CFM Sensible Latent CFM Sensible 1,56 28,65 3,274 440 24,720 01 1,433 1,236 0 0 of o oil 0 0 0 0 1,433 1,236 TOTAL SYSTEM LOAD 31,516 3274 27 192 HVAC EQUIPMENT SELECTION BDP CO. 563AN048-A 32,141 11,167 92;000 Total Adjusted System Output 32,1411111,167 92,000 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Arg 2 pm Jan 12 am SYCHROMETRICS (Airstream Temoeratures at Time of Heatina Peak) 69.3 of 69.3 of 123.50 pup Supply Fan Heating Coil 1595 cfm Return Air Ducts DOLING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Coolinc 111.9 / 77.6 of 78.8 J 65.9 of 78.8 ! 65.9 of 59.9 / 58.9 of Outside Air 0 cfrn Supply Fan Cooling Coil 1595 cfm 78.8!65.9 of Retum Air Ducts F Supply Air Ducts 122.8 of ROOMS 70.0 of Su ply Air Ducts 60.7/59.2OF l 524% R.H. I ROOMS 78.0 / 65.7 of I EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page: 12 of 13 LOAD SUMMARY PROJECT NAME Thomas Buffi n DATE � 1/26/2004 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 I SENSIBLE LivingLiving Zone 1 1,561 28,651 3,274 1,561 28,651 3,274 440 24,720 PAGE TOTAL 1 1,561 28,651 3,274 440 24,720 TOTAL 1 1,561 .28,651 3,274 4401 24,720 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page: 13 of 13