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11-0975 (MECH)4 P.O. BOX 1504, VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th t I am licensed under provisions apter 9 (commencing with Section 7000) of Division 3 of the Bu ' ess nd Pr nals Cod my License is in full force and effect. License C ss: C20nese No.: 489046 Date: 114 9 Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the 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 (5500)•: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who.builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ ) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT WORKER'S COMPENSATION DECLARATION I hereby affirm under.penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MAINTSTAY BUSNS Policy Number MBS-SIP0051611 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 me subject to the workers' compen 'on laws of California, and agree that, if I sho ecoma ubject o w rs' sation provisions of Section 3700 of the Labor de, I h ose provisions. Date:9 I' Applicant: 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. 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 Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree p y with all city and county ordinances and state laws relating to b ' 'ng constrt ion, here orize representatives of this co my o enter upon the above-mentioned pro ert r m S. Date: ti I ( Signature (Applicant or Agent): /11 Application Number: 11-00000975 Owner: Q Property Address: 79145 CAMINO ROSADA RUTHERFORD GARY APN: 604-191-008-76 =24517 - 79145 CAMOINO ROSADA Application description: MECHANICAL LA QUINTA, CA 92253 Go l l Property Zoning: LOW DENSITY RESIDENTIAL ( Application valuation: 7695 CITY OFLA QUINTA FiP+ CE nEPT. Contractor: Applicant- Architect or Engineer: ESSER AIR CONDITIONING & HTG {/ �% Afj� P.O. BOX 1636 CATHEDRAL CITY, CA 92235 � l��w (760) 324-0550 Lic. No.: 489046 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th t I am licensed under provisions apter 9 (commencing with Section 7000) of Division 3 of the Bu ' ess nd Pr nals Cod my License is in full force and effect. License C ss: C20nese No.: 489046 Date: 114 9 Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the 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 (5500)•: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who.builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ ) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT WORKER'S COMPENSATION DECLARATION I hereby affirm under.penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MAINTSTAY BUSNS Policy Number MBS-SIP0051611 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 me subject to the workers' compen 'on laws of California, and agree that, if I sho ecoma ubject o w rs' sation provisions of Section 3700 of the Labor de, I h ose provisions. Date:9 I' Applicant: 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. 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 Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree p y with all city and county ordinances and state laws relating to b ' 'ng constrt ion, here orize representatives of this co my o enter upon the above-mentioned pro ert r m S. Date: ti I ( Signature (Applicant or Agent): Application Number . . . . . 11-00000975 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/10/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE EXISTING SYSTEM WITH 5 TON 16 SEER AC/HTNG SYSTEM SAME LOCATION 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited -----------------=--------- Due ------------------------------ Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13 Other Fee Total 1.00 .00 .00 1.00 Grand Total 51.63 .00 .00 51.63 LQPEILMIT Prescriptive Certifliate oitomliance:-Residential .,C -F -111 -ALT. Residential Altetrations Page 1 of 5 Project Name: Climate Zone sf # of Stories Rutherford,Gary 15 General information Site Address: 79145 Camino Rosada La Quinta CA 92253 Enforcement Agency: La Quinta, City of Date: 8/31/2011 Building Type El Single Family' ❑ Multi Family Circle the Front Orientation: N, E,(31 W, or degrees Conditioned Floor Area (CFA'; 2000 Project Type: [D Alterations ❑ Envelope ❑Fenestration [I Roof ❑HVAC JA4 Proposed Assembly Assembly Replacement or Change Out ❑ Duct Replacement ❑ Water Heater NOTE: This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration ❑ 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 mandatory insulation value in Column H. ❑ Replacement of entire assembly- Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component . Package- D insulation values in Table 151-0. Fill in Columns A -J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B C D E F G I H I I J Proposed Sft Note Standard Values From JA4 Table Tag/ Assembl, sine p Framing '' a Thickness, Sp cing, Ll� J"", Other3 Framed Framed Continuous a I - affofm JA4 Proposed Assembly Assembly IDS or T � an�ize� or ctoT° lum f� 'R=v; afWe Cell Value6 1-1-factor9 /► r A* rp 0% d; �fflok roe- A � t Note: For furred assemblies, dcc� g for Coli 'mous /ns&ation R -value, seep age J` 4-3, and Eq� ion 1. For �a/cutating furred walls use the Mass and Furrin Construction table below. ♦ i f 1. For Tog/ID indicate'lhe ut, entijicaliah name thattmatches the buildirig plans. 2. Indicate the Assembly Name or type: Roof/Ceilinkg--Wa2lls, Floors, Sla{bs,,C awl Space,�D000rs e14 . ridi Frame'type and Sire: For Wood Metal, Metal Buildings, Mass, enter 2r4;*2x6, or etc see JA4 for other possible frame vassemblies. 3. Enter the thickness for mass in inches or S cicing between frlaming me—tubers enter�6 `tor 24'=OC; of Other foi a l 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 151-8, C or D for each different assembly N amine -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. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply. Furring Stfi s Construction Table for Mass Walls Onl A I B I C I D I E F I G H I J K L M Proposed Properties of Masonry and Concrete Walls From Reference Joint Appendix Table 43.5 43.6 4.3.7 Added Interior or Exterior Insulation in Furring Space from Reference Joint Appendix Table 43.13 Final Assemb U-factorly' Comment Mass _ y U Assembly Name or JA4 Table T ume' ¢ > Y m (i N N ( ,...._t o a v •0 C C T o o F F g CO 0 m N U u T > �a Registration Number: 311-A0007779A-000000000-0000 Registration DatelTime: 08/31/201107:28:15 HERS provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescri tive Certificate o Coro liance: Residential CF-IR=AI.T' 'Residential Allerdtions Pa e 2 of 5 .Project -Name: Clij mate Zone # # of Stories . . Rutherford,Gary 15 Mass and Furring Ships Construction(footnotes) 1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. 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-Valueis the R -value of the furred 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 Column 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 FENESTRATION PROPOSED AREAS 0 Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. 0 Adding SOW or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-'. 0 Adding more than 50ft2 ofwindow area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-0. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT entatio Fenestra rratUnd arnii a AM—, rjr=1gips Rom r Ic aI - xma as NFRC or Default window, Gtass_1JoororSkylight) r ----,ii ,isS_oWryest ft? X-factoY2,3 SHGC. ° Values 1. Fenestration area is the area of total g14 ed producl'`(i.e. glass plusft Exception:'Wdten°a door is less than,50%glas's, rhe fenestration area may be the glass area plus a "2 inch frmxoe'tmound the glass. 2. Enter value from Component Package D Requirements 151. 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be,e u' alent to of have ail r U fact r and/or a lower q SHGC value than that specified on the CF -IR ALT Form. L --j 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.Ifapplicable at this sta a enter "NFRC" or NFRC Certified windows or are CEC "Default" values ound in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 5t➢ftr of fenestration is added) A B C D E F G Allowed Existing Fenestration Total Area CFA of Entire % of Fenestration Area Fenestration Allowed Proposed Areal Dwelling CFA Area Removed Area Added A x B -D + C Total Fenestration Area ) ft) .20 — West Fenestration Area (Required in .05 CZ's 2,4&7-15 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. West facing glazing area removed cannot be .'counted" twice. " In order to distribute the west glazing area removed to the other orientations, input the west glazing area removed in the Total Fenestration Area row, column D. 3. include the Proposed Area of the West facing fenestration in both Area columns below. 4. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas. Registration Number: 311-A0007779A-000000000-0000 Registration Date/Time: 08/31/201107:28:15 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescri tive.Certifcate,'of Coni�liance: Residential.. ". CF-IR=ALT' Residential Afit rdfions: Pa a 3.4 5 Project. Name: Climate Zone # # of Stories. " Rutherford,Gary 15 1 ROOFING PRODUCTS (COOL ROOFS) §151(1)12 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000fij, whichever is less, the new roofing area must meet the roofing product `Cool Roof' requirements of§152(b)1Hi, 152(b)IHii, or 152(b)IHU Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emivance 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. OCool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep Sloped Roofs (pitch greater than 2:12) and product unit weight less than 5[b/ft 2. 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 br•ft? °FBtu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or ❑ In climate zones 10, 12 and 13, with 1112 of free ventilation area of attic ventilation for every 150 ftz 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 ba i r ' the attic meeting the requirements of §151(f)2; or ❑ Building has no dudsttie alba or ! b, i a , U i I d i �" b mance yr wiz regig ❑ In climate zones lQ 1.1, ]3 and, 4R-3 �orgreater roof deck insulation ve vented attic. Exception to §152(b)hHui, Low -slope roof (pitc4_ 2, n t r cto r Association ❑ Building has no ductsin the attic. I _ Other Exceptions I rt NJ � ❑ Roofing area covered by(buildin& itegled, photovoltaic panels and solar thermal els.am exempt from the below Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with anteast 25 tblW is exem tTrom the below Cool Roof criteria Note: If no CRRC-1 label is available ,oris compliance m6thod cannot be used use the Performance Appfbacb to show compliance, otherwise, Check the applicable box below if Exemt from\the Woofing Products "Cool Roof" Rte uiremi Roof Slope CRRC Product ID Number —:5-2A 2�a 2:12 ' Product•Weight < 50/11-21>_51b% Product +„RT ? ,Aged --Solar /Reflectance3'4— Thermal Emi'ttance SRIs ❑ ❑ ❑F ❑ ❑ ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www coolroofs arR/nroducts/searchnhn 2. lndicate the type of product is being used for the roof top, i.e. single ply roof, asphalt roof, metal roof, etc. Ifthe 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+a7(pi„iliat- a2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 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 httn:/lwww.ener¢v. cagov/titte24/ and eruer the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -JR. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage commended by the coatings manufacturer and meet minimum performance requirements listed in § 118(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating Cement -Based Roof Coating Other Registration Number: 311-A0007779A-000000000-0000 Registration DatelTime: 08/3112011 07:28:15 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescri five Certificate of.Com fiance: ResidentialCF-1R-A . Residential Alterations'. ' Pa e 4 6f,'5) Project Name:.'*, ' Climate Zone # tl of Stories Rutherford,Gary 15 1 HVAC SYSTEMS - HEATING List water heaters and�boilers for both d6desfic hot water (DHW) healers and hydropic pace heating. Individual dwelling�DHW heaters must be gas or propane fired, and•may not -exceed ?0 gallons Hot water pipe i6tilation from, the DHW heater—lo the kilchen(q) and on all underground Minimum Duct or Piping Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central, Split, Type and Capacity'- Z3 AFUE or HSPF Type and Location' R -Value Type Space, Package or H dronic Fumace, 80000 78 AFUE Ducted, SetBack Split System Capacity (gal) , Therm�t Efficien R-Value3 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(6)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' .2 COP) Type and Location R -Value Type Space, Package or H dronic AirConditioner, 460000 to 16_SEQR r% Ducted, _Ie Set_Back Split tod111101 wild laullulliql 1,%:f Mild 1. Indicate Cooling Type-(AYC; Heat -pump, vap. Coo'!in& tcl 4 p �. p rl ii' s �"'R 2. Refer to the HERS.Verificcrt�ion�section o►tr Page 1; bl�boxes. 4 f�Jhe-°tLt:ALT[Fornr fgr� rtronal requr a en t ,eltery _ap 3. Indicate T or Location cts,,H dronic in F?loor,_Radiators, etc. I 1. i v " t,/ V \ WATERHEATINGV_ ,/ �'"`7$ List water heaters and�boilers for both d6desfic hot water (DHW) healers and hydropic pace heating. Individual dwelling�DHW heaters must be gas or propane fired, and•may not -exceed ?0 gallons Hot water pipe i6tilation from, the DHW heater—lo the kilchen(q) and on all underground hot water pipes is required in all com neat kgesln all climate co,; s, 1' �J_ �x �9'ankf External Tank Water Heater T e/Fuel Type/Fuel Distribution T ype Num a qn Enelr!�.� acF for or Insulation Type' (Standard, Recirculating)z System Capacity (gal) , Therm�t Efficien R-Value3 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 healing tank and i es 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 •usti ication and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of §151(1)2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation E3 YES ONO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation O YES 13 NO YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation 0 YES Irl 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. Registration Number. 311-A0007779A-000000000-0000 Registration Date/Time: 08/31/201107:28:15 HERSProvider: CBPCA 2008 Residential Compliance Forms August 2009 Presrri. five Certificate of Com liance:'Residential CF -IR -ALT' Residential Alterations ' age 5 of 5 Project Name: Climate Zone # • # of Stories Rutherford,Gary • 15 1 HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing & Testing HERS verification is required for this measure. C3 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)1 Dii and the newly installed ducts are to be insulated per § 151(010. ❑ 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 § 152(b)1 Di. ❑ YES 0 NO YES: In Climate Zones 2 and 946, 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 fumace heat exchanger) the ducts are to be sealed per § 152(b)1 E. ❑ 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. 0 YES 10 K YES: InClimate Zone0 and 8P15;w.,he .the existing HVA a u%i merit is replaced including the replacement of the air IE41kov �han er, outdoor co�r�tde �"M rs on Au order t pumep v vtr g or hetvt>�n�g 'Qi , or the furnace heat li Yf lW `riW W Wb -,exchanger) a refrigerant ch a measurement shall be verified per J,52(b)IF A R 1 R# �.i f'a A r Central Fan Integrated (CFntV�entilationLsi errand omstot r Assoc iaxion if The ventilation rewrements of 150 o..db�not apply to existing residential homes. Ducted Split Systems -(Air Conditioners add$eat Pumps: Airflow `'HERS verfccO 4s required for this measure. 13 YES 0 NO YES: In Climate Zonel�s 10 thr 5, when the existing space -conditioning system (HVAC equipment and ducting) is re lace ; the airflow and fan watt draw shatl'be verified per §!"52(b) lCi"to meet.the`r 4u—tiements of § 151(07B. Documentation Author's Declaration' Statem net • I certify that this Certificate of Compliance`documenta�tion is coin lete. yaecurate,and Name: Lydia Garcia 1 if (.►'�� Signature. Lydia Garcia 1 Company: Esser Air Conditining Dale: 8/3112011 Address: 36665 Bankside Dr,Dme OFC,OFFICE If Applicable ❑10EA or 13CEPE (Certification #): City/State/Zip: Cathedral City California 92234 Phone: 760-324-0550 Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts i and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance fors, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Lydia Ga Garcia Signature: Lydia Garcia Company: Esser Air Conditining Daze: 8/31/2011 Address: 36665 bankside Dr,Drive OFC,OFFICE License 489046 City/State/Zip: Cathedral City California 92234 Phone: 760-324-0550 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: 311-A0007779A-000000000-0000 RegistrationDate/Time: 08/31/201107:28:15 HERSProvider: CBPCA 2008 Residential Compliance Forms August 2009 Bin # . City of LaQ urn to , Building 8i: Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet. Permit-#^ \ Project AddCAw1A0 Owner's Name: �jt�sj, 7p"CI 14:0k A. P. Number. Address: lr� �6� Mi{ISv o Legal Description: City, ST, Zip: Z,* 6�v 1 p-¢, c�22'S Contractor: G3r`� dk- Ss , Address: Telephone: ?/ H Project Description: City, ST, Zip: C.1'I'L 0e M�-f%/'`'� %223 c5 ��y't �1��i J!✓ �b c Telephone: -74g, State Lic. # : tt,6104C City Lia #:�� Arch., Engr., Designer. Address: City, ST. Zip: Telephone: - State Lic. #: ? = n�lf• ' Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft: # Stories: # Units: Telephone # of Contact Person: eh Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Plan Sets Req'd Recd TACKING PERMIT FEES Plan Check submitted Item Amount Structural Cates.Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Cain. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for correctionslUsue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Pians resubmitted Grading IN HOUSE:- ''� Review, ready for correctlonsfisaae Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees