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12-1022 (RER).. P.O. BOX 1504 �Iu�IL1 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 12-00001022 Owner: Property Address: 53520 AVENIDA RAMIREZ RW REAL ESTATE APN: 774-122-024-24 -000000- 52700 AVENIDA ALVARADO Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 22000 Contractor: Applicant: Architect or Engineer: ' HUITRON CONSTRUCTION 5042.7 RICO COURT COACHELLA, CA -92236 (760)398-3227 Lic. No.: 926190 VOICE (760)V71,rI FAX (760) 777_%7 A INSPECTIONS (760) 777-7153 Date: 9/06/12 \ t SEP i2012 CITY OF LA QUINTA FINANCE DEPT. t i} ---- - - - - -- • ENSED CONTRACTOR'S DECLARATION- WORKER'S COMPENSATION DECLARATION I herebyaffirm under penalty of perjur th I am licensed under provision of Chapter 9 (commencing with 'I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Su ne and'Profe sionaI Code, and y Lic rose is in full force and effect. _ I have and will maintain a certificate of consent to self•insure for workers' compensation, as provided License Class: B - License N 926190 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - _ issued. �Date:9__L3___Lzr_ntractor: .-4'l�t"' _ 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 ' OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of rjury that I am exempt from the Contractor's State -License Law for the Carrier STATE FUND Policy Number 0013718-2011 following reason (Sec. 7031.5, usiness and Professions Code: Any city or county that requires a permit to - of the work for which this per it is issued, I shall not employ any _ I certify that, in thAORKERS'COMFENSATION construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the, - person in any mo become subject to the work s' comp nsation laws of California, permit,to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State •' and agree that, ome su ject to the work s' ompens ion provisions of'Section License-Law.(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Lah II fort ith comply wit th se pro ons. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by five hundred ' �7- Date: �� LJtpplicant any applicant for a permit subjects the applicant to a. civil penalty of not more than dollars ($500)•: (_) 1, 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 WARNING: FAILURE TO SECUS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CNALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for'sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). 1 _ 1 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.). - 1 ) I am exempt under Sec. BAP.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: LQPERMIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La 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 d s will subject permit to cancellation. - I certify that I have read this application and state that the ov nformation is correct. I agree t comply ith all city and county ordinances and state laws relating to build g c truction, d hereby autho z prese atives of this county to enter upon the above-mentioned propert for n action p oses. .Date :CL- / T " I�gnature (Applicant or Agent): Application Number . . . . . 12-00001022 ------ Structure Information 34SF ADDITION WITH REMODEL [CONV] ---_- other struct info . . . . . CODE EDITION 2010 Permit BUILDING PERMIT Additional desc Permit Fee . . . . 225.00 Plan Check Fee 146.25 Issue Date . . . . Valuation 22000 Expiration Date .. 3/05/13 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 THOU BLDG 2,001-25,000 180.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 26.68 Plan Check Fee ." 6.67 Issue Date Valuation . . . . 0 Expiration Date, 3/05/13 Qty Unit Charge Per .Extension BASE FEE 15.00 34.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL .68 a T.00 11.0000 ------------------------------------------------------------------------------ EA ELEC MISC 11.00 Permit . . . MECHANICAL Additional desc. Permit Fee . . . . 32.50 Plan Check Fee 8.13 Issue Date Valuation . . . . 0 Expiration Date 3/05/13 Qty Unit Charge Per Extension BASE FEE .15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 2.00 6.5000 EA MECH.VENT FAN 13.00 Permit PLUMBING Additional desc . Permit Fee 73.50 Plan Check Fee 18.38 Issue" Date, Valuation 0 Expiration Date 3/05/13 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT Application Number . . . . . 12-00001022 Permit . . . . PLUMBING Qty Unit Charge Per Extension 8.00 6.0000 EA PLB FIXTURE 48.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA - PLB WATER INST/ALT/REP 3.00 Special Notes and Comments 34SF LAUNDRY ADDITION WITH INTERIOR REMODEL [CONVENTIONAL] INCLUDES RELOCATION OF WATER HEATER, NEW WASTFA STANDPIPE, CHANGE OUT FENESTRATION THROUGHOUT DWELLING, AND PLUMBING AND ELECTRICAL INSTALLATIONS AT KITCHEN AND BATHS WHERE PREVIOUS UNPERMITTED WORK WAS LEFT UNCOMPLETED. 2010 CALIFORNIA BUILDING CODES. September 6, 2012 5:14:07 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . .BLDG STDS ADMIN,(SB1473) 1.00 ENERGY REVIEW FEE 14.63 STRONG MOTION (SMI) - RES 2.20 Fee summary Charged Paid Credited Due ----------------- --------- Permit Fee Total 357.68 .: .00 .00 357.68 .y Plan Check Total 179.43 .00 .00 179.43 Other Fee Total 17.83 .00 .00 17.83 Grand Total, 554.94 .00 .00 554.94 LQPERMIT - - t�t�0ii�► � a s�� 11.10 _ CITY BUILDING & SA�F�SEPT. FOR CONSTRUCTION, . O/ wN�11f� . t�„�„�„NouT IO�ta6•� ?_' . GENERAL NOTES 1) All construction shall comply with the 2010 California Residential, Mechanical, Electrical, PI imbing, Energy, and Green Building Codes and the La Quinta Municipal Code." Remove notes referencing o -her Codes. 2) All 'or equal' substitutions must be submitted to, and approved by the Building Official prior to installation of the item. 3)_ Dryer exhaust duct, not less than 4 inches in diameter, shall have a smooth interior surface a back -draft damper, and shall terminate outside of the building. (CMC §504.3.1, 504.3.2, 504.3.2.1) .4) Dryer exhaust ducts shall nof exceed a total combined horizontal and vertical length of 14 feet, including two 90 -degree elbows. Two feet shall be deducted for each 907degree elbow in excess of two. (---MC §504.3.2.2) Provide a detail demonstrating compliance. Otherwise, provide a design (calculations) by a licensed engineer, for consideration as an alternate method of construction. (CMC §105) 5) No standpipe receptor for any clothes washer shall extend more than thirty (30) inches, nor less than eighteen (18) inches above its trap. No trap for any clothes washer standpipe receptor shall be instal ed below the floor,. but shall be roughed in not less than six (6) inches and not more than eighteen (18) inches above.the floor. (CPC §804.1) 6) All plumbing fixtures and drains used to receive liquid wastes or sewage, shall be connected properly to the drainage system of the building in accordance with.the California Plumbing Code. (CPC §304)' 7) Each vent shall rise vertically to a point not less than six (6) inches above the flood -level rim of the fixture served before offsetting horizontally and terminate twelve (12) inches above the finished roof. (CPC §905.3) 8) Installation of a Water Heater in a Residential Garage shall be protected so it is not subject -=o physical damage by a moving vehicle. Provide permanent, substantial protection for proposed water heater. (CPC §508.14(2)) 9) Provide at least one 20 -ampere branch circuit to serve laundry appliances. Such circuit(s) shall have no other outlets. (CEC §210.11(C)(2); 210.52(F)) 10) Specify GFCI protection for receptacles in garage. (CEC §210.8(A)(2)) 11) Provide at least one receptacle outlet for the laundry. (CEC §210.11(C)(2) & 210.52(F)) 12) Provide pressure regulator for water service where static pressure exceeds 80 psi." (CPC §6)8.2) 13) Provide a combination pressure and temperature relief valve at all water heaters, set to open at not more than 150 psi. Drain pipe shall extend to outside of building and terminate not.more than 2 feet nor less than 6 inches above the ground and point downward with the end unobstructed. Any other termination location shall require approval by the Building Official. (CPC §608.3, 608.4, 608.5) 14) This project is proposed to meet the requirements of 2010 California Residential Code for Conventional Light Frame Construction. 15) _Exterior walls shall be cement plaster and may be accented with.stone, brick, wood, or other similar materials. 16) Sloping roofs on new homes shall be constructed of clay, or concrete tile. Replacement of existing roofs shall also require the use of clay, or concrete tile, unless the planning director determines that the roof support structure will not support such materials. Building additions and accessory structures may have roofs of the s.•ame or similar materials as the existing home. r t NOTCH TOP CHORD FOR OUTLOOKERS EN. 2-16d MANUF TRUSSES SPACED PER PLANS. ALT. SHEAR BLKG. , I—A 35 .) ® 32' O.C. DBL TOP PLATE 2X STUDS ® O.C. (U.N.O.) - SHEAR WALL SHEATHING WHERE OCCURS (TYP,.) `14 SHEAR WALL SHEATING "' I ' WHERE OCCURS > f r EXTERIOR SLAB OR GARAGE SLAB 2x STUDS ®16°O. C. W/2x TREATED SILL PLATE - SEE FOUNDATION. PLAN FOR A.B. SIZE AND SPACING EN. 4° K. CONCRETE SLAB 6 MILL VISQUEEN UNDER 2° CLEAN SAND (TYP.) cv � A.�• y l � � y; : i• it rBAR CONT. ® TOP & BOTTOM i r N. 24° LAP) ° -1'-0° PERIMETER FOOTING _ 3 HEADER ST6224 STRAP BLOCKING AS REQ. FOR FULL LENGTH ' OF STRAP DOUBLE TRIMMER WHERE OCCURS 0 P E N � RAG STRUT @ HEADER 11 0 16 IX NOTE IF SLAB/FTG. IS MONOLITHIC 1 SHEAR WALL SHEATING 5 IX NOTE IF SLAB/FTG. IS MONOLITHIC SHEAR WALL SHEATING 5 WHERE OCCURS 2x STUDS 016'0. C. W/2x TREATED SILL PLATE - SEE FOUNDATION PLAN FOR A.B. SIZE AND SPACING EPDXI AHDESIVE IX NOTE IF SLAB/FTG. IS MONOLITHIC SHEAR WALL SHEATING POUR THEN ONE g5 MAY BE USED WHERE OCCURS 2x STUDS 016'0. C. W/2x TREATED SILL PLATE - SEE FOUNDATION PLAN FOR A.B. SIZE AND SPACING EPDXI AHDESIVE EXISTING NEW $4 24" O.C. 4° INK. CONCRETE SLAB • MILL WSQUEEN UNDER n12 2- QEAN SAND (TYP.) �,: x6-10/10W.W.F.®CL&AS BAR CONT ®2'-0' CC. #6 BAR CONT (LAP. 24' MIN.) (TYPICAL) PROPOSED TO EXISTING FOOTING SAqlQ&vv�l 1 �) TYPICAL ROOF SHEATHING PLANS FOR OVERHANG &'FASCIA 2X BLOCKING EN. . L a BL TOP PLATE WOOD TRUSSES -SEE FRAMING PLAN FOR TYPE & SPACNG (DASHED SHOWN COMMON) 2- 16 d ® EA. JS7 A 35 ® EA. BLOCK (ALT. SHEAR BLK. W/ 5-16 d ® EA BLOCK) SHEAR WALL SHEATHING WHERE OCCURS (TYP,J 1"=1'-0" SHEAR TRANSFER @ EAVES 15 , IX f General information Site Address: Enforcement Agency: Date: Building Type Single Family ❑ Multi Family Circle the Front Orientation: N, E, S, W, or degree- Conditioned Floor Area (CFA): ! Project Type:. O Alterations ❑ Envelope O Fenestration ❑ Roof 0 HVAC H I J K. Re lacement or Change Out O Duct Re lacemeat ❑ Water Heater W -M.- T Ur form is not to be used or New Constructed Bttl/diags or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Stri= Construction table belo%4 Assembly Alteration O Opening of framed cavity alone - Alterations that involve the opening of the framed cavity of a wall, ceiling; or floor must install the mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A -C and enter mandanry insulation value in Column H. O Replacement of entire assembly -Replacement of an entire wall, ceiling, or floor assembly requires the insmilation of Component Package- D insulation values in Table 151-C. Fill in Columns A -J. O a que Surface Details For the furred nrtioned of Mass Walls see Furring Strips Construction Taik below. A B C I D E F G I 8 1 I. J Proposed bft r4oft Standard Values From JA4 Table Tap/ ID Assembly Name or T Framing Material and Size= Thickness, Framed Continuous JA4 Proposed Spacing, U- JA4 Table Cavity lnsueation Assembly. Assembl or Otber factor Numbers R -value R-Vbluel Cell Value U -factor G I H I J K. L M Proposed Properties of Masonry and Concrete Walls From Reference Joint A ndix Table 4.3.5 4.3.6 43.7 Added E = Interior in Furring Joint Appendix H or Exterior Insulation Space from Reference Table 43.13 V F $ > 'a �', U. 04' Q>LWU Final Assembly U-factor�Comment Mass Thickness' Assembly " Name or 1A4 Table ' a T r Number' a> Note: Forfumrd assemblies, accounting for Continuous insulation R -value, see Page JA4-3 and Equation 4-l. For ealcularng jarred walls use the Af— and Furring Construction table below. 1. For Tag/ID indicate the identification name that matches the building plans. 2. Indicate the Assembly Name or type: Rooj7Ceiling, Walls, nate the Frame type and Size: For Wood Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the thic awm for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... 4. Based on the Climate Zone; enter the Standard U factor from Table 151-B, C or D for each different assembly Name or type. 5. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise. enter "0". 7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0 ". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J 9.7he Proposed Assembly U factor, Column A must be equal to or less than the Standard U factor in Column E to comply - Furring Strips Construction Table for Mass Walls Onl A B C I D I E F G I H I J K. L M Proposed Properties of Masonry and Concrete Walls From Reference Joint A ndix Table 4.3.5 4.3.6 43.7 Added E = Interior in Furring Joint Appendix H or Exterior Insulation Space from Reference Table 43.13 V F $ > 'a �', U. 04' Q>LWU Final Assembly U-factor�Comment Mass Thickness' Assembly " Name or 1A4 Table ' a T r Number' a> Registration Number: Registration Date?ime: BIERS Provider: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -111 -ALT Residential Alterations age 2 of Project Name Climate Zone # # of Stories Mass and Furring Strips Construction(footnotes) 1. indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, E'c. Additional assemblies can befound Reference Joint Appendix JA4. 2. This is the U -Factor based on the thickness of the assembly in inches. 3. The R -value of the insulation to be added on the interior or exterior of the assembly. 4. The Calculated R- Value is the R -value of the ftirred out section of the assembly. -6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Colum added to Column I. Column K is the inverse from column J. 7. Insert the calculated U- actor value on to the Opaque Surface Details in Column J FENEST34 RATION PROPOSED AREAS t Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements ofComponent Package D in Ta 151-C. The Total Fenestration and Wes[ facingAred requirements are not applicable. Adding 50ft2 or less of window area —Newly installed windows shall meet the U-Faetorand SHGC Value n_quirements of Component Package D in Table 151-C. ® Adding more than 50ft2 of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Tob15 on Page 2 of the CF -I R: ALT Orientation E F Fenestration Type and Frame (North, East, PropsedAreal Maximum Maximum NFRC or Default indow, Glass Door or S Ii t South, West) (ft U -facto?, 3 SHGC" 3.4 Values paJr �( ��0 ,r)-) Allowed �A a Entire % of Fenestration Area Fenestration Arra Proposed Area' • 4 Dwelling 1. Fenestration area is the area of total glazed product (i.e.glass plus frame). Exception: When a door is less than 50% glass, the fenestration area may be the glass area plus a "2 inch frame " around the glass. 2. Enter value from Component Package D Requirements in Table 151-C. 3. Actual fenestration products installed and as indicated in. CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower SHGC value than that specified on the CF -I R ALT Form. 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.1 a licable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default " valuesfound in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 50f? offenestration is addee) A B C D E F G CFA of Allowed Existing Allowed Entire % of Fenestration Area Fenestration Arra Proposed Area' • 4 Dwelling CFA'-' Area4 Removeds Area Added' A a B -D + C - Total Fenestration Area 2•(ft) West Fenestration Area (Required In CZ's 2,4&7-15 1. 7&e Proposed West Fenestration Area includes West -sloping skylight area and any other skylight area with a pith less than 1:12. 2. Enter 20% when no West orientation restriction or 15% when West fenestration is being installed in Climate Zones 2, 4, & 7-15. Note that the maximum allowed fenestration can only be 5% of the CFA as indicated in Column F. Column G must be equal tc or less than Column F. 3. In climate zones 2, 4, 7-13, no more than 5% of the CFA is allowed for west facing glazing. 4. Existing Fenestration area must be counted toward the maximum allowed 15% or 20% of the whole building ane calculated in Column G. The Proposed Area must be less than or equal to Column F. 5. Enter the fenestration removed as part of the alteration if arty in column D. 6. Enter the Fenestration area that is being added as part o the alteration. i%Ms`i%>I•7t7Wiilr2r 2008 iResidential Compliance Forms March 2010 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 3 of 5 -Project Name: Climate Zone #. # of Stories ROOFING PRODUCTS (COOL ROOFS) §1510912 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000f?, whichever is less, the new roofing area must.meet the roofing product "Cool Roof'requirements of §152(b)11#, 152(b)1Hii, or . 52(b)IHiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof requirements. Note: 1f any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(1) are not applicable. Do not fill table below. - Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. r-ICool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than2:12) and product unit weight less than 51b/ft Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12) Insulation with a thermal resistance of at least 0.85 heft •OFBtu or at least a 3/4 inch air -space is added to the roof declL over an attic; or Existing ducts in the attic, are insulated and sealed according to §! 5 1 (f) 10; or In climate zones 10, 12 and 13, with 1 fl? of free ventilation area of attic ventilation for every 150 ft of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or Building has at least R-30 ceiling insulation; or Building has radiant barrier in the attic meeting the requirements of §151(02; or Building has no ducts in the attic; or In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)1Hiii, Low -slope roof (pitch <_ 2:12) 0 Building has no ducts in the attic. Other Exceptions Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt, from the below Cool Roof criteria. Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft is exempt from the below Cool. Roof criteria. Note: If no CRRC-I label is available, this compliance method cannot be used, use the Performance Approach to shove compliance, otherwise, Check theapplicable box below if Exem t from the Roofing Products "Cool RoofRequirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number < 2:12 > 2:12 < 5lb/ft2 > 51b/ft T e2 Reflectance3'4 Emittance SRI• 13 13 0. E 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at ivivw.coolroofs.or /products/search.php 2. Indicate the type of product is being used for the rooftop, i.e. single ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(piniuiot — 0.2) to obtain a calculated aged value. Where pis the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at htto:/hv)vlv.enerQv.ca.Aov/title24/and enter the resulting value in the SRI Co�umn above and attach acopy of the SRI- Worksheet to the CF -JR. o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry m-1 thickness or coverage ecommended by the coatings manufacturer and meet minimum performance requirements listed in § 118(i)4. Select the applicable coating: Aluminum -Pigmented Asphalt Roof Coating ®J Cement -Based Roof Coating _ Other ReQiStratiOn Number Registration Daie/Tim " + HFRC P,n, �o 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: Residential CF -IR -ALT - Residential Alterations Page 4 of 5 Project Name:^ 7� Q A `'n�` Climate Zone # # of Stories 1. HVAC SYSTEMS - HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic.space heating. Individual dwelling DHW heaters must be gas or propane fired. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground hot water pipes is required in all Minimum Duct or Piping Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central, Split, Type and Capacity 1,2,3 AFUE or HSPF Type and Location° R -Value Type Space, Package or H dronic Distribution Type Number In Tank Energy Factor or Insulation Type' 1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception. 3. Refer to the HERS Verification section on Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc) HVAC SYSTEMS - COOLING Minimum Efficiency Duct or Piping Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central, Split, Type and Capacity 1.2 COP) Type and Location; R -Value Type Space, Package or H dronic 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc) 1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc) 2. Refer to the HERS Verification section on Page 4 of the CF -/R -ALT Form for additional requirements and check applicable boxes. 3. Indicate Type or Location Ducts, H dronic in Floor, Radiators, etc. WATER HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic.space heating. Individual dwelling DHW heaters must be gas or propane fired. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground hot water pipes is required in all component packages in all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Type' (Standard, Recirculating)2 System Capacity (gal) Thermal Ef icienc R -Value; t Wer rQ O 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and pipes shall be insulated to meet the requirements o 150 ' . SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written justification and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of § 151 2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation J YES UNO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation 0 YES ONO YES: Slab ed a insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation LJ YES • ®NO YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. ReQislration Number: Revi.ctrafinn 77'T_ h _ HER.C.. T, 6 id 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 5 of Project Name: �,� � `Z Climate Zone # # of Stories HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specfed ed in this checklist below. A completed and signed CF -41? Form for all the measures specified shall be submitted to the build -ng inspector before final inspection Duct Sealing & Testing HERS verification is required for this measure. ® YES NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10. 13 EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. ®YES ®NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per §I52(b)IDi. ®YES ®NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the: replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per §152(b)1E. D EXCEPTION: Duct systems that are.documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ® EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. EXCEPTION: Existing ducts stems constructed insulated or sealed with asbestos. Refrigerant Charge -Split System HERS verification is required for this measure. ® YES ®NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per 152 iF. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation requirements of § 150 o do not apply to exi residential homes. Ducted Split Systems -Air Conditioners and Heat Pumps: Airflow HERS verification is required far this measure. ® YES ®NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced, the airflow and fan watt draw shall be verified per 152 1Ci to meet theremirements of 151 7B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and om ete. Name: .0 Signature: Company: Date: u Address: If Applicatle CEA or L3CEPE (Certification #): City/State/Zip: Phone: Responsible Building. Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for thf building design identified.on this Certificate of Compliance. • . I certify that the energy features and performance specifications for the building design identified on this Cer-ificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information -3rovided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement . agency for approval with this building rmit application. Name: Signature: Company: Date: Address: License: . City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact- the Energy Hotline at: 1-800-7:2=3300. I!A144=2-- . . A4C✓�L[14 ?'i - . e s .�-ZSS.i�i/1 I(®! - — - LL Bin .# Cray Of La Qi!(11� Building 8f Safety DW6n P.O. Box 1504,'78-49S Calle Tampico La.Quinta, CA 92253 • (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 414.A 2 Z Owner's Name:. .— A P. Number.Address: ��—� k1k- L V\ � Legal Description: Contractor. v� ` City. ST, Zip: Telephone: Al Address: O vl 1 Project Description: City, ST, Zip: Telephone: City Lie, #; G h State Lic. # : �� . Arch., Engr., Designer. Address: ' yls�VAI� 04 k1— City., ST, Zip: Telephone: State Lic. #: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft : # Stories: # units: Name of Contact Person: D(� r, Telephone # of Contact Person: Estimated Value of Project, APPLICANT: DO NOT WRITE BELOW THIS LINE q Submittal Req'd Recd TRACKING PERMITFEES Plan Sets Plan Check submitted Amount Structural Cale Reviewed, ready for corrections Plan Check Deposit. . Truss Cala. Caged Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plass resubmitted Mechanical Giadlag plan Review, ready for correct ssu Electrical Subcontactor List Called Contact Person q b Plumbing . Graot Deed Plans picked up SMI. H.O.A. Approval Plans resubmitted Grading IN HOUSE: Review; ready for eorreetionalissae Developer Impact Fee Planning Approval Called Contact Person .P. Pub. Wks. Appr Date of permit issue School Fees 00, Total Permit Fees