10-1311 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
10-00001311'
78640 CABRILLO WY
646-420-016- - -
ADDITION - RESIDENTIAL
LOW DENSITY RESIDENTIAL
40000
T&-!t44Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
73�51p
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 P ofessionals Code, and my License is in full force and effect.
/icenseCl ss: Lic o.: 792381
Date ontracto • /
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 ($500).:
(_ 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 _ 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 _ 1 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:
LQPE%NlIT
Owner:
RODNEY A.'STATLER
78640 CABRILLO WAY
LA QUINTA, CA 92253
(
Contractor:
RISEN CONSTRUCTION
82775 CHARLESTOWN A
INDIO, CA 92201
(760)347-6399
Lic. No.: 792381
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/12/11
Cry i
(.'t ai :1" r• _e.: 4)MIWA i
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I ha a and will maintain a certificate of consent to self -insure for workers' compensation, as provided
or 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 STATE FUND Policy Number 1932984
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 be me subject to the workers' compensation provisions of Section
/ 337700 of the Labor Code, I Prith ith com I with those provisions.
Dat7/Applica
WARNING: FAILURE TOS RE 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 to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of�his county t enter upon the above-mentioned property for i tion purposes.
Date: �i/ Signature (Applicant or on
F1
LQPERAIIT
Application Number . . . . . 10-00001311
Structure Information
Construction Type . .
. . . TYPE V, UNPROTECTED
Occupancy Type
DWELLG/LODGING/LONG <=10
Other struct info . .
. . . CODE EDITION 2007/08
ENERGY
# BEDROOMS
177.00
FLOOD ZONE NO
----------------------------------------------------------------------------
GARAGE SQ FTG
91.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
349.50 Plan Check Fee
227.18
Issue Date . . . .
Valuation . . . .
40000
Expiration Date
7/11/11
Qty Unit Charge
Per
Extension
BASE FEE
252.00
15.00 6.5000
------------------------------------------------
THOU BLDG 25,001-50,000
7 ---------------------------
97.50
Permit. . . . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
23.02 Plan Check Fee
5.76
Issue Date . . . .
Valuation . . . .
0
Expiration Date.. .
7/11/11
Qty.. Unit Charge
Per
Extension
BASE FEE
15.00
177.00 .0350
ELEC NEW RES - 1 OR'2 FAMILY
6.20
91.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
1.82
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
19.50 Plan Check Fee
4.88
Issue Date . . . .
Valuation . . . .
0
Expiration Date
7/11/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 4.5000
----------------------------------------------------------------------------
EA MECH VENT INST/ DUCT ALT
4.50
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 18.00 Plan Check Fee
Issue Date . . . . Valuation . . . .
4.50
0
i
Application Number . . . . . 10-00001311
Permit . . . . . . PLUMBING
Expiration Date . . 7/11/11
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 3.0000 EA PLB FIXTURE DRAIN/VENT REP/ALT 3.00
---------------------------------------------------------=------------------
Special Notes and Comments
177 SF ADDITION OF EXERCISE ROOM TO
MASTER SUITE AND 91 SF ADDITION TO
GARAGE.2007 CODES 2008 ENERGY.
----------------------------------------------------------------------------
Other Fees . . . . . . . .BLDG STDS ADMIN (SB1473) 2.00
ENERGY REVIEW FEE 22.72
STRONG MOTION (SMI) - RES 4.00
Fee summary Charged
Permit Fee Total 410.02
'Plan Check Total 242.32
Other Fee Total 28.72
Grand•Total 681.06
LQPEIL-kIIT
Paid Credited Due
---------- ---------- ----------
.00 .00 410.02
.00 .00 242.32
.00 .00 28.72
.00 .00 681.06
CERTIFICATE OF COMPLIANCE .'S' IED
Desert Sands Unified School District �4
47950 Dune Palms Road ¢ BERMUDA DUNES
C,n RANCHO MIRAGE
Date 12/27/10 La Quinta, CA 92253".,INDIAN WEALMDS
DESERT
No. 30902 (760) 771-8515 �v P LAOUINTA �y
-O> I IO y3
Owner
M/M Rodney Statler
APN # 646-420-016
Address
78-640 Cabrillo Way
Jurisdiction La Quinta
City
La Quinta Zip 92253
Permit #
Tract #
No. of Units
Type
Residential Addition
Lot # No. Street
S.F.
Lot # No. Street S.F.
Unit 1
78640 Cabrillo Way
177 Unit 6
Unit 2
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, 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:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Goverment Code 65995 Et Seq.
in the amount of $0.00 X 177 S.F. or $0.00 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 Exempt/Siji Fredo Fernandez Check No.
Name on the check Telephone
I1%%R]F nding
BY Dr. Sharon P. McGehee
Superintendent
Fee collected
Signature
DEC 2 7 2010
jw�Y: Pa ment Recd
Over/Under-
NOTICE: Pursuant to Government Code SectioK6020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees
or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on
which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting
S
RANCHO LA QUINTA
MASTER ASSOCIATION
Arckitectural Control. Comrifee
December 27, 2010-
Mr.
010
Mr. Rodney Statter
78'-640 Cabrillo Way.
La Quinta, CA 92253
Re: 78-640 Cabrillo Way
Approval of Submission
The Architectural Committee reviewed your submission for a Golf cart garage,,
and exercise room extension.. The submission as .presented is approved upon`
condition of
The Committee requires the following::
• All work is to be done in accordance with all applicable requirements of
governmental entities, including the City of La Quinta and in .
accordance with. all Homeowners Association architectural guidelines
and governing documents..
•. If applicable, a City of La .Quinta building permit. be obtained and copy
furnished to the Association prior to commencement of work.
When the work has been.fnished, please return "Notice of Completion" to
the Association Office. The Association's.architectural consultant will perform
a final inspection after recei'pt'of such notice; when verification of the
approved plan modifications have been concluded, your Security Deposit will
be processed for refund.
Thanking you in advance, and if any questions please do not hesitate to call
.me at the on-site office 777.8807.
Sincer ,
Mary E.1f�alker, CLAM
Association General Manager
760.777.8807 fax 760.777.8961
Email: mwalkerCadrminternet.com
cc: Architectural Comm.
PO. BOX 6419 • LA QUINTTA, CA 92248-6419 • 760-777-8807 • FAX 760-777-8961
71-780 San Jacinto Dr. Ste. E2, Rancho Mirage, Ca: 92270 ph. (760) 834-8860 fax (760) 834-8861
Letter of Transmittal
To: City of La Quinta Today's Date: 1-10-11
Comments: Structural content is approvable.
This Material Sent for:
❑ Your Files
❑ Your Review
❑ Checking
Other: ❑
By: John W. Thompson
Rancho Mirage Office: ® (760) 834-8860
Other: ❑
® Per Your Request
❑ Approval
❑ At the request of:
78-495 Calle Tampico City Due Date:
1-10-11
La Quinta, CA 92253 Project Address:
78-640 Cabrillo Way
Attn:
Plan Check #:
10-1311
Phillip
Submittal: ❑ 1st
❑
4th
® 2nd
❑
5th
❑ 3`d
❑
Other:
We are forwarding:
® By Messenger ❑
By Mail (Fed Ex or UPS)
❑ Your Pickup
Includes: # Of
Descriptions:
Includes:
# Of
Descriptions:
Copies:
Copies:
❑
Structural Plans
®
1
Revised Structural Plans
❑
Structural Calculations
®
1
Revised Struct. Calcs
❑
Truss Calculations
❑
Revised Truss
❑
Soils Report
❑
Revised Soils Report
®
1
Structural Comment List
❑
Approved Structural Plans
®
1
Redlined Structural Plans
❑
Approved Structural Calcs
®
1
Redlined Structural Calcs
❑
Approved Truss Calcs
❑
Redlined Truss Calcs
❑
Approved Soils Report
❑
Redlined Soils Reports
❑
Other:
Comments: Structural content is approvable.
This Material Sent for:
❑ Your Files
❑ Your Review
❑ Checking
Other: ❑
By: John W. Thompson
Rancho Mirage Office: ® (760) 834-8860
Other: ❑
® Per Your Request
❑ Approval
❑ At the request of:
Bin # P
City of La Quinta
Building er Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # t`
io'
Project Address: Cwml U,b W-P�y ,
Owner's Name:
A. P. Number:
Address: a LU
Legal Description:
City, ST, Zip: )
Contractor: 1'5•x.) CD VJ SJRv GT 1 v N
Address:$2=77C{fi�G}�/�
Telephone:
Project Description:���s D U
City, ST, Zip: L 00 t D Gyp rLo
Telephone' b- 1 Q : ` } ' rf• „"UF
It It A
State Lic. # : City Lie. #:
Arch., Engr., Designer: NRS6 Ns M, 6. tQ6
Address: 4� l • �1 V 1�
City., ST, Zip e CA S(O 4
Telephone:
r...
State Lie. #: / ''a
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
e
Name of Contact Person: Sq. Ft.: �t(!
# Stories:
# Units:
Telephone # of Contact Person: J4 Vfj — 57 5 Estimated Value of Project: b 6
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
/
Plan Check submitted Ia (i Ip
Item Amount
Structural Calcs.
7r
Reviewed, ready for corrections lZ
Plan Check Deposit
Truss Cales.
Called Contact Person 11f.
Plan Check Balance •
Title 24 Calcs.
Plans picked up S
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2•" Review, ready for corrections ssue 1/12.
Electrical
Subcontactor List
Called Contact Person i 1
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'n° Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees tp er .
1e>2/l3 u�� ��C•
2It1 �z.�Aa ..-imm —ly PAID= 1st
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions Pae 1 of 5
Site Address:
78640 Cabrillo Way, La Quinta, CA
Enforcement Agency:
Date:
Dec. 20, 2010
A
B I
C
General Information
Project Name
Stader 177 s.f. Addition
Climate Zone #
15
# of Stories
1
Building TypeO Single Family ❑ Multi Family
Circle the Front Orientation: N, E, S, W or Degrees
Conditioned Floor Area of Addition
(CFA): 177
New Addition Size: 01,ess than or equal to 100 fl Less than or equal to 1000 ftz
(Do not use this orm or additions greater than 1000f,2)
NOTE: For Alterations to an ousting home, submit a completed CF -IR -ALT Form
Exception: F-kisting HVAC s3wtems that are replaced or altered to serve the addition may be included on the CF -IR ADD Form
PRESCRIPTIVE ENVELOPE REQUIREMENTS FOR ADDITIONS
For standard wood and assemblies meeting the Cavity R -value only_
• For 100 ft2 additions; the Proposed values must be equal or greater than the Standard column or when indicated when using Package D,
"Pkg D ". Enter values in the shaded Proposed Columns.
• For less than 1,000 ft1 additions must comply with Pkg D- requirements unless indicated in the Standard Column. To meet `Pkg D- minimum
energy compliance re ruirements, see RCMAppendix B, Table 151-C or '152(b) in the RCM Enter values in the shaded Proposed Columns.
Size of Addition
100 fit or less
Less than 1,000 ftp
Coniponent
Standard
Proposed
Comment
Standard Proposed
Comment
Ceiling Insulation
R-19
Continuous
Insulation
R -Value
Minimum
Pkg D R-38
Table 151-C
Wall Insulation
R-13
Minimum
R-13 R-13
Minimum
Floor Insulation' '
R-13
Minimum
Pkg D N/A
Table 151-0
Fenestration
U-
factor
SHGC
U-
factor
SHGC
Enter Values
From
Fmesbation
Proposed
Ams"
Page 2 of 5
U-
factor
U-
SHGC factor
SHGC
Enter Values From
"Fenestration
Proposed Areas"
Page 2 of 5
0.40
1 Pkg D
0.40
Pk D .40
g
.35
Maximum Glazing
Area
50 fl?
—
ft
Addition Alonet113 W
Enter Values From
"Addition Allowed
Fenestration Areas"
Page 3 of 5
For West-Facing�� �
Orients *onZa
Radiant Barrer
N/A
Pkg D Table 151-0
Roofing
N/A See Roofing Products Below
I Pkg D See Roofing Products Below
OPAQUE
SURFACE DETAILS For the furred portioned
of Mass Walls see Furring Stri
Construction Table below.
A
B I
C
D
E
F
G
I H
I
J
Proposed $m Note
Standard
Values From JA4 Table
Tag/
IDS
Assembly Name
or Type,
Framing
Material
and Size
Thickness,
Spacing,
or Othet3
U-
factor°
JA4 Table
Numbers
Framed
Cavity
R-value6
Continuous
Insulation
R -Value
JA4
Assembly
Cell Values
Proposed
Assembl
U -factor
Roof
Woodrrruss
24'
.026
4.2.1
38
0
A
.026
Wall
Wood/2x4
16'
_102
4.3.1
13
0
A
.102
t
�1
UUINIA
_&
PT
No
Fu
d i a jor Continuous Insulation R -value, see Page JA4-3 and
onstruction table below.
n 4-1- For
ats and
DEC 2 7 2010 FOR CONSTRUCTION
DA r4E% By E4 -_
BY
z
131
Registration Number: Registration DatelTime: HERS Provider:
2008 Residential Compliance Forms March 2010
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions (Page 2 of 5
Site Address:
78640 Cabrillo Way, La Quinta, CA
Enforcement Agency:
Date:
Dec. 20, 2010
M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
1. For Tag/ID indicate the identification name that matches the building plans.
1. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc. -Indicate in column G the Frame material
and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc_-- see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in incites or Spacing between framing members enter, 16 "or 24"0C,• 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 equivalent Ujactor found in JA4 Table based on the R -Value from Table 151-C
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 Ujactor value based on Column F Table Number and enter the Assembly U factor in Column J.
9. The Proposed Assembly Ujactor, Column J, must be equal to or less than the Standard Ujactor in Column E to comply.
FURRING STRIPS CONSTRUCTION TABLE
FOR MASS WALLS ONLY
A I B I C I D I E
F I G I H I I I J I K
L
M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint Appendix Table 4-3.5,4.3.6 4.3.7
Joint Appendix Table 43.13
o
m
U
Assembly
w a g ® > m
~ C a :c >0,m
$ 8.2 F F o m m> m
Final
Mass
Name or JA4 Table m
W c m
Assembly
Thickness'
¢
T t Number' >
¢ >
U-factor6''
Comment
N/A
N/A
1. Indicate the Mass Thickness from Reference Joint Appendix JA.
2. Indicate the Assembly Name or type. Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate 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 Table number that closely resembles the proposed assembly.
4. Enter the row and column of the U factor value.
5. Enter the Effective R -value listed in the JA4 Table Number_
6. The Final Assembly is calculated by using Equation 4-1 or Equation 4-4 of the Reference Joint Appendix JA4_ Enter the value in Column L.
7. Insert the Final Assembly U- actor value back on to the Opaque Surface Details table in Column J.
FENESTRATION PROPOSED AREAS
Orientation
Fenestration Type and Frame (North, East, ProposedArea' Maximum Maximum NFRC or
(window, Glass Door or G t) South, West) (fl) U-factor7'3 SHGC2,3'4 Default Values5
French Door West 20 .40 .35 Default
Window West 5 .40 .35 Default
Total 25
1. Fenestration area is the area of totalglazedproduct (t.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 Ujactor and/or a lower
SHGC value than that specified on the Fenestration Proposed Area table above_
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading.
5_ If applicable at this stage enter '7VFRC"for NFRC Certified windows or CEC "Default " values found in Table 116-A or B_
Registration Number:
2008 Residential Compliance Forms
Registration Date/Time: HERS Provider:
March 2010
Prescriptive Certificate of Com fiance: CF -1R ADD
Residential Additions (Page 3 of 5
Site Address: Enforcement Agency: Date:
78640 Cabrillo Way, La Quinta, CA Dec. 20, 2010
ADDITION ALLOWED FENESTRATION AREAS
Check applicable box below if the roof addition is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the boxes are
A
B
C
D
E
❑Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria
F
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, check
CFA of
Addition
Allowed %
Allowed Area
Area 2
Removed
Maximum
Allowed Area
Proposed Areas
Thermal
R2
of CFA
(A x B)
ft (C
+ D)
Reflectance-"
(fable Above)
Total Fenestration Area3
177
0.20
35
78
113
>
25
West Fenestration Area'-
177
0.05
9
25
251�1
❑
25
(Required In CZ's 2,4 & 7 -15)
Cr
❑
❑
1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12.
2. Glass removed to make way for the addition.
3. For additions less than 1, 000 f1z the standards allows glazing removed during the remodel to be added to the glazing area allowance. The
maximum allowed glazing area for the addition is the CFA x 20.0 + glass removed to make way for the addition.
4. In climate zones Z 4, 7-15, no more than 5% of the CFA is allowed for west facing glazing plus west facing glass area removed to make way
for the addition. The maximum allowed west facing glazing area is the CFA x 5% + west facing glass removed to make way for the addition.
5. To meet compliance, the Proposed Area must be less than or equal to the Total Allowed Area or BOTH the Total and West Fenestration Areas.
ROOFING PRODUCTS (COOL ROOFS) §15110.12
Check applicable box below if the roof addition is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the boxes are
checked below, the Aged Solar Reflectance and 79rermal Emittance requirements for roofing products in §118(t) are not applicable. Do not f ll
table below.
Roofing compliance Not Required in Climate Zones 1-12,14, and 16 with a Low -Sloped. Less or 2:12 pitch_
❑ Roofing compliance Not Required in Climate Zones I through 9 and 16 with a Steep -Sloped. Roofs pitch greater than 2:12 and product weight
less than 5lb/ft.
❑Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria
Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft is exempt from the above Cool Roof criteria.
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, check
e applicable box below if Exempt from the Roofing Products "Cool Roof" Requirement:
Roof Slope
Product Weight
Product
Aged Solar
Thermal
CRRC Product ID Number'
< 2:12 > 2:12
< 5Ib/fl> 51b1f
T 2
Reflectance-"
Emittance
SRIS
Package 'o' Default
❑
0
❑
0
Tile
IT1.15
.75
7
❑
❑
❑
❑
Cr
❑
❑
❑
❑
❑4
11 1
❑
❑
❑
❑``
❑
❑
❑
❑
Cr
❑ 1
❑
❑
❑
1[]4
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
www. cool roo fs. org/products/search. ph
2. Indicate the type of product is being used for the roof top, 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 (0.1+0.7(p,qw — 0.2) to obtain a calculated aged value. Where p is 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 http://www_enerQuca_gov/title24/and enter the resulting value in the SRI Column above
and attach atopy of the SRI- Worksheet to the CF -IR.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)1. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating
0 Cement -Based Roof Coating
❑Other
Registration Number: Registration Datefime: HERS Provider:
2008 Residential Compliance Forms
March 2010
F-,
Prescriptive Certificate of Compliance: CF -IR ADD
Residential Additions (Page 4 of 5
Site Address: 78640 Cabrillo Way, La Quinta, C Enforcement Agency. :Dec. 20, 2010
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
storage gas or propane fired non -recirculating, and may not exceed 50 gallons If no natural gas is connected to the building, an electric storage
Duct or
Configuration
Heated Slab Insulation
Minimum Distribution Piping
(Central, Split,
Heating Equipment
Efficiency Type and Insulation
Thermostat Space, Package or
Type and Capacity', 2-'
AFUEor Location' R -Value
Type H dromic
Existing
Existing Attic R-8.0 Any
Existing Split
New Duct
Location
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 Btulhr 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 Pages 3 and 4 of the CF -JR -ADD Form for additional requirements and check applicable boxes.
4. Indicate a or Location(Ducts, Hydronic in Floor, Radiators, etc.
HVAC SYSTEMS - COOLING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating Individual dwelling DHW heaters must be
storage gas or propane fired non -recirculating, and may not exceed 50 gallons If no natural gas is connected to the building, an electric storage
DHW heater less than 50 gallons with an energy factor greater than 0.90 maybe used. Hot water pipe insulation from the DHW heater to the
kitchens and on all underground holwaterpipesisrequireedin all component packa es in all climate zones
Heated Slab Insulation
Configuration
Cooling Equipment
Minimum
Distribution
Duct or Piping
(Central, Split,
Type and Capacityo12
Efficiency
Type and
Insulation Thermostat
Space, Package or
SEER/E X or COP)
Location
R -Value Type
H dronic
Existing
Existing
Attic
R-8.0 Any Existing
Split
not allow the installation of a recirculating water heating system for single dowelling units.
3. The water heating tank andpipes shall be insulated to meet the requirements o 150. .
New Duct
1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc).
2. Refer to the HERS Verification section on Pages 3 and 4 of the CF -IR -ADD 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
storage gas or propane fired non -recirculating, and may not exceed 50 gallons If no natural gas is connected to the building, an electric storage
DHW heater less than 50 gallons with an energy factor greater than 0.90 maybe used. Hot water pipe insulation from the DHW heater to the
kitchens and on all underground holwaterpipesisrequireedin all component packa es in all climate zones
Heated Slab Insulation
DYES I El NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 1 I8 -A of the standards.
Raised Slab Insulation
DYES
External Tank
Water Heater Type/Fuel Distribution Type
Typel (Standard, Recirculating)
Number In
system
Tank
Ca (gal)
Energy Factor or
Thermal Efficiency
Insulation
R-Valuc3
Existing
Existing
1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc)
2. Recirculating systems serving multiple dwelling units shag meet the recirculation requirements of §150(n). The Prescriptive requirements do
not allow the installation of a recirculating water heating system for single dowelling units.
3. The water heating tank andpipes 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. Applicable special features shall be marked with a YES and be
specified within the plans.
Radiant Barrier (Roof)
AYES I nNO I Required in Climate Zones 2, 4, and 8-15 for additions larger than 100 ft
Slab Edge (Perimeter) Insulation
YES rxI NO I In Climate Zone 16 under Component Package D, R-7 insulation is required -
uired_Heated
Heated Slab Insulation
DYES I El NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 1 I8 -A of the standards.
Raised Slab Insulation
DYES
[@ NO
In Climate Zones 1, 2, 11, 13, 14 & 16 R-8 insulation is required, and in Climate Zones 12 & 15 R4 insulation is required
under Component Package D_
Thermal Mass - To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach.
Registration Number.
2008 Residential Compliance Forms
Registration Datelfime_ HERS Provider
March 2010
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions (Page 5 of 5
Site Address: 78640 Cabrillo Way, La Quinta, C Enforcement Agency: Date: Dec. 20, 2010
HERS VERIFICATION SUNIMARY - The enforcement agency should pay special attention to the HERS Measures speed in this
checklist below_ A completed and signed CF -411 Form for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Seadm &
Tes ' HERS veri Ovation is requiredfor this measure.
[]YES
910
In all Climate Zones, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the addition
alone, the ducts are to be sealed and tested per § 15l(i)10.
DYES
In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned
B40
space to serve the addition, the ducts are to be sealed and tested per §152(b)ID. ❑ EXCEPTION: Existing duct systems
that are extended,which are constructed,insulated or sealed with asbestos.
In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor
condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, the ducts
❑YES
�
EINO
are to be sealed and tested per §I52(b)IE.
❑ EXCEPTION: Dud 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 dud systems constructed, insulated or sealed with asbestos.
Refirigerant Ch!TE - Split System HERS verification is required for this measure -
OYES
QNO
In Climate Zones 2 and 8-15, if a newly ducted split A/C or hent pump is installed to serve the addition alone, a refrigerant
charge measurement shall be verifiedper 151 7A.
nn
In Climate Zones 2 and 8-15, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor
(DYES
B40
condensing unit of a split system, cooling or heating coil, or the f imace heat exchanger) and will serve the addition, a
refrigerant charge measurement shall be verified per § 15*)1F.
Central
Fan Integrated
Ventilation System — Airflow and Fan Watt Draw - do not apply for additions 1,000 f? or less.
Ducted S lit S
stems - Air Conditioners and Heat Pumps: Airflow and Fan Watt Draw HERS v on is required.
[]YES
x i 1O
In Climate Zones 10 through 15, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the
addition alone, the airflow and fan watt draw shall be verified per § 15l(f)7B.
OYES
EfN0
In Climate Zones 10 through 15, if the existing space -conditioning system (HVAC equipment and ducting) is replaced and
will serve the addition, the airflow and fan watt draw shall be verified per § 152(b)1F.
Documentation Author's Declaration Statement
• I certifythat this Certificate of Compliance documentation i acc ra and co tete.
Name: David Elliott
Signam
I
Compmy:David Elliott Energy Services
Date: Dec.20,2010
Address:IfA
9013 SVL Box
livable x EA or EPE 0
(Certification #): S-0 ' Z f p
ti
City/State/Zip:Victorville, CA
Phone: 760-243-3883
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.
• 1 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 1 and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the informationprovid to d ment this
building design on the other applicable compliance forms, worksheets, calculations, plans and specifi ons subto enforcement
agency for approval with this building permit a ication_
Name:Paul Nelson
Company: Nelson Designs XDat
Tz - ZV I�
V
Address: 16169 Siskiyou Ct.
License:
City/State/Zip:Apple Valley, CA 92307
Phone: 760-508-340
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number. Registration DatelTime: HERS Provider:
2008 Residential Compliance Forms
March 2010
Solar Reflective Index (SRI) Calculation Worksheet SRI -WS
Computer Generated Form
Date:
12/20/2010
Climate Zone:
15
Building YPe= T
1
Residential
`�
-
0Nonresidential
Project Name:
Statler 177 s.f. Addition
Project Address:
78640 Cabrillo way, La Quinta., CA
Roofing Products (Cool Root)
Roofing products with high solar reflectance and thermal emittance are referred to as "Cool Roof, which refers to an outer layer
or exterior surface of a roof. As the term implies, the temperature of a cool roof is lower on hot sunny days than for a
conventional roof, reducing cooling loads and energy required to provide air conditioning.
The benefit of a high reflectance surface is obvious: while dark surfacers absorb the sun's energy (visible light, invisible infrared,
and ultraviolet radiation) and become hot, light-colored surfaces reflect solar energy and stay cooler. However, high emittance is
also important. Emittance refers to the ability of heat to escape from the surface once it is absorbed. Surfaces with low
emittance (usually shiny, metallic surfaces) contribute to the transmission of heat into the roof components under the roof
surface. The heat can increase the building's air conditioning load, resulting in increased energy costs and detracting from the
comfort level of the home. High-emittance roof surfaces give off absorbed heat relatively quickly through the path of least
resistance: upward and out of the building.
Rating and Labeling
Initial XVeathered
Roofing products that are used for compliance
�'�
Svta+r Reflectance 0.00 Pending
with the standards (prescriptive and performance
Thermal Eniittance 0.00 Pending
approaches) are required to be tested and labeled
C
Tested Product ID \iurlUer
by the Cool Roof Rating Council (CRRC).
C.Cf;t_ Ri;f,p -
liccu�od seucr lll �tttutcr
Roofing product manufacturers must have their
®
—
Cl<tssific a tins! Prcx l tic tivll I.i uc
roofing product tested for solar reflectance and
Cool Roes Rating t o u til rutins^ me deli nrllned fora rcd ser of conditions. and ]nay not he appropriate
for damrsn.nirg ea na.J etlrrgy perorTxtnlre. 11e tory effect of snlar reflec:.�lace anrt :herntli C]tV R.11[M
thermal emittance, and be labeled according to
9
CRRC procedures. See example of a CRRC
au buitdlns pncfornlauce rt arr.
label at ri tit.
9
ulled in aecolai�n a ith the applicable
Manufac,,trrr of product srlpula;.es rhat these raanga were dczemn•
Coo! Roof Raann co—cit pried nes.
CRRC-1 Label Attached to Submittal
(Note. !f no CRRC-1 label is available, this compliance method cannot be used and another method is required to meet compliance )
CRRC
Product ID
Number
Manufacturer
Brand
Model
Product Type
Roof Slope
Product Weight
SRI Calculations
Aged
CRRC listed
Calculated
52:12
>2:12
< 51b/sq It
>_ 51b1 It
Relfectance
Aged Solar
Initial Solar
Aged Solar
Thermal
Listed with
Reflectance
Reflectance
Reflectance
Emittance
CRRC?
Ce)
0
1�)
No
0.15
0.17
0.75
Solar Reflective,. - 1
7
Index
2008 Residential and Nonresidential Roof Certificate December 2009
Mandatory Measures Summa MF -1R
Residential (Page 1 of 3
Site Address: Enforcement Agency: Date:
NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed,
regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -IR,
CF -JR -ADD, or CF -IR ALT Form) shall supersede the items marked with an asterisk(*) below. This MandatoryMeasures
Summary shall be incorporated into the permit documents and the applicable features shall be considered by all parties as minimum
component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all
applicable sections of the MF- IR Form with plans.
DESCRIPTION
Building Envelope Measures:
§116(a)1: Doors and windows between conditioned and unconditioned spaces are manufactured to limit au leakage.
§ 116(a)1: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient
SHGC , and infiltration that meets the requirements of § 10-111 a .
§117: Exterior doors and windows are weather-stripped-, all joints and penetrations are caulked and scaled-
§118(a):
ealed_§118(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form-
§118(i):
orm_§118(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) wben the installation of
a Cool Roof is specified on the CF -IR Form.
.§150(a): Minimum R-19 insulation in wood -frame ceiling or equivalent U -factor.
§150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value.
"§150(c): Minimum R-13 insulation in wood -frame wall or equivalent U -factor.
"§150(d): Minimum R-13 insulation in raised wood -frame floororequivalent U -factor_
§ 150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95(2000) when specified on the CF -IR Form.
§150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 03%; water vapor permeance rate is no
greater than 2.0 rm/mch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
§ 150(e)IA: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§ 150(e)1B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped
with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device.
§150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the
building, are prohibited.
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission.
§1 13(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve,
backflow prevention, pump isolation valve, and recirculation loop connection requirements of § I 13(c)5.
§ 115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an
electrical supply voltage connection with pilot lights that consume less than 150 Bto/hr are exempt), and pool and spa heaters.
§150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA_
§150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c)_
§1500)lA Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with
insulation having an installed thermal resistance of R-12 or greater.
§ 1506)1B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12
extemal insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank.
§1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections
of hot water pipes are insulated per Standards Table 150-13.
§1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank
shall be insulated to Table 150-B and Equation 150 -A-
§1506)2:
50 -A§1506)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A.
§1500)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind_
§ 1500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space.
2008 Residential Compliance Forms August 2009
Mandatory Measures Summa MF -1R
Residential (Page 2 of 3
Site Address: Enforcement Agency: Date:
§ 15004: Solar water -heating systems and/or collectors are certified by the Solas Rating and Certification Corporation.
Ducts and Fans Measures:
§ 150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602,
603, 604, 605 and Standard 6-5; supply -air and retum-air ducts and plenums are insulated to a minimum installed level of R-4.2 or
enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable
requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to
seal openings greater than 114 inch, the combination of mastic and either mesh or tape shall be used
§ I50(m)l: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal,
duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts.
Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts.
§ 150(tn)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape
is used in combination with mastic and draw bands.
§150(m)7: Exhaust fan systems have back draft or automatic dampers.
§ 150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.
§150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind_ Cellular foam
insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that
can cause degradation of the material.
§150(m)10: Flexible ducts cannot have porous inner cores.
§150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in
Low -Rise Residential Buildings_ Window operation is not a permissible method of providing the Whole Building Ventilation required in
Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations;
an on-off switch mounted outside of the heater, a permanent weatherproof plate or card with operating instructions, and shall not use
electric resistance heating ora pilot light
§114(b)l: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return
lines, or built-up connections for future solar heating
§ 114(b)2: Outdoor pools or spas that have a heat pump or gas heater shall have a cover.
§114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to beset or
programmed to run only during off-peak electric demand periods.
§150(p): Residential pool systems or equipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150(p).
Residential Lighting Measures:
§150(k)l: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in
Table 150-0 and is not a low efficacy luminaire as specified by § 150
§ 150(k)3: The wattage of permanently installed luminaires shall be determined as specified by § 130(d).
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output fteguency no less than 20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high
efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line -voltage
lamp holder, OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium
screw -base socket.
§150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k).
§150(k)7: All switching devices and controls shall meet the requirements of §150(k)7.
§150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ftp or 100 watts for dwelling units larger than 2,500 fl? may be exempt
from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a
manual -on occupant sensor_
§ 150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated
cabinet.
§150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high
efficacy -
2008 Residential Compliance Forms August 2009
Mandatory Measures Summa MF -1R
Residential (Page 3 of 3
Site Address: Enforcement Agency: Date:
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on
occupant sensor certified to comply with the applicable requirements of §119.
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual -on occupant sensor.
§150(k)ll: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility
rooms shall be high efficacy luimnaires.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch
that complies with the applicable requirements of §119, or by a manual -on occupant sensor that complies with the
applicable requirements of §119_
EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply
with §150(k)1L
§150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or
other nationally recognized testingtrating laboratory, and have a label that certifies the lumiunaire is airtight with air leakage less then
2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing
and ceiling.
§150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling
units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot
shall be high efficacy.
EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual
on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the
following controls: a photwontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an
energy management control system (FMCS) not having an override or bypass switch that allows the luminaire to be
always on
EXCEPTION 2: Outdoor luminaires used to comply with Exception 1 to § 150(k)13 may be controlled by a temporary override switch
which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six
hours.
EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of
the California Electric Code need not be high efficacy luminaires.
§150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five
watts of power as determined according to §130(d).
§150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in
Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of
Sections 130, 131, 134, and 146
§150(k)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units
shall be high efficacy luminaires.
EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensor(s)
certified to comply with the applicable requirements of § 119.
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 1 of 5
Project Name:Statler window addition c7imate Zone # 15 #ofS� ries
General Information
Site Address:78640 Cabrillo Way
Enforcement Agency:
Date: QEG 20 -201
Building Type[H] Single Family ❑ Multi Family
Circle the Front Orientation: N, E, S, W, or degrees S
Conditioned Floor Area (CFA): 2403
Prqlect Type: WAlterationsLl EnvelopeLXJ Fenestration Roof - HVAC
Replacement or Change Out El Duct Replacement []Water Heater
NOTE This form is not to be used for Newly Constructed Buildings or Addhions
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 ofa 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.
[I Replacement of entire assembly -Replacement ofan entire wall, ceiling, or floor assembly requires the installation of Component
Package- D insulation values in Table 151-C. Fill in Columns -J.
Opaque Surface Details For the furred rtioned of Mass Walls see Furring Strips Construction Table below.
A B I C D E F G i H I I J
See Note
Proposed Standard Values From JA4 Table
Framing Thickness, Framed Continuous JA4 Proposed
Tag/
Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly
IDS
or Typ,2 and Suez or Other] factor° Numbers R-value6 R -Value? Row/Cola U-factor9
E
F
G
NIA N/A
I J
K
Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-I. For calculating furred walls use the Mass and
Furring Construction table below.
1. For TagAD indicate the identification name that matches the building plans.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate in column G the Frame
material and Size: For Wood Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies.
3. Enter the thickness 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 equivalent UJactor found in JA4 Table based on the R -Value from Table 151-B, C, or
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-valuefor the proposed assembly; otherwise, enter "08.
Enter the row and column ofthe Ufactor value based on Column F Table Number and enter the Assembly Ufactor in Col
less Standard U in Column E
9. The Proposed Assembly U factor, Column J, must be equal to or than the factor to comply.
V v - .`4tr _-'ci t -
Furring Strips Construction Table for Mass WallsV
A B C D
E
F
G
H
I J
K
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
®
Walls From Reference
Joint A ppendix Table 4.3.5, 4.3.6, 43.7
in Furring
Joint Appendix
Space
from Reference
Table 4.3.13
(�
`0
6
�C
V
T
v 2
�
Q m r
'� 'm v
m
4.a
��
J
O
Assembly ®
j
o o
E
F ii
Amo
o
Final±
(�
Mass
Name ble
as
S 0
r` m
c
$
A I
Thi
Q 9
'•
° Q 9
U -factor'>.
CommenY��
N/A
N/A
o
flv.
RegistrationNumber: - - RegistrationDate/lime: HERS Provider:
2008 Residential Compliance Forms March 2010
1
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 2 of 5
Project Name: Statler window addition Climate Zone 15 #°fs� ries
Mass and Furring Strips 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- Value is 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 Su ace Details in Column J
FENESTRATION PROPOSED AREAS
❑ 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_
Ex Adding 50fe or less ofwindow area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component
Package D in Table 151-C
0 Adding more than 50fe 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 Table on Page 2 of the CF -IR -ALT
Orientation
D
E
Fenestration Type and Frame (North, East,
(Window, Glass Door or Skylight) South, West)
PropsedArea' Maximum
(ftU-factor' 3
Maximum NFRC or Default
SHGC' 1,4 Values
Window West
30 .40
.35 Default
Existing
Allowed
Entire
%of
Fenestration
Area
Fenestration
Area
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 151-0.
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 -IR ALT Form.
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading.
5. If applicable at this stage enter ' NFRC" or NFRC Cerci ted windows or are CEC "Default " values found in Table 116 A or B.
ALTERED FENESTRATION
ALLOWED AREAS
(Complete if more than 50ft2
of fenestration is added)
A
B
C
D
E
F
G
CFA of
Allowed
Existing
Allowed
Entire
%of
Fenestration
Area
Fenestration
Area
Proposed Areal, 4
Dwelling
CFA2,3
Area
Removed5
Area Added6
(A x B)
(E -D) + C
Total FenestrationN/A
N/A
Area fl
West Fenestration Area
(Required In
>
CZ's 2,4 & 7 -15)
1. The Proposed West Fenestration Area includes West -sloping skylight area and any other skylight area with a pitch less than 1:12.
2. Enter 20% when no West orientation restriction or 15% when West fenestration is being installed in Climate Zones Z 4, & 7-15_ Note that the
maximum allowed fenestration can only be 5% of the CFA as indicated in Cohann P Column G must be equal to or less than Column F.
3. In climate zones Z 4, 7-15, 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 and 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 any in column D.
6. Enter the Fenestration area that is being added as part o the alteration_
Registration Number: Registration Dateflime: HERS Provider
2008 Residential Compliance Forms March 2010
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 3 of 5
Project Name: Climate Zone # # of Stories
Statler window addition 15 1
ROOFING PRODUCTS (COOL ROOFS) §151012
When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1, 000ftz, whichever is
less, the new roofing area must meet the roofing product "Cool Roof" requirements of §152(b)IH4152(b)IHi4 or 152(b)1 Hili
Check applicable alternative or exception below if the roof alteration is errempt 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 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.
❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less
than 5lb/fix.
Alternatives to §152(h)11 i and §152(b)M Steep -slope roof (pitch > 2.12)
❑ Insulation with a thermal resistance of at least 0.85 hrf •°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 § 15I(t)I0; or
In climate zones 10, 12 and 13, with 1 fl? of free ventilation area of attic ventilation for every 150 fl? 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(M 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)
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-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise,
Check the applicable box below if Exem t from the Roofing Products "Cool Roof" Requirement
Roof Slope
Product Weight
Product
Aged Solar
Thermal
CRRC Product ID Number[
_< 2:12 > 2:12
< 5lb/ft _> 5lb/ft
T Z
Reflectance3'4
Emittance
SRIS
Existing Roof
❑
❑
❑
❑
N/A
❑P
N/A
N/A
N/A
❑
❑
❑
❑
❑
❑
❑
❑
❑`
❑
❑
❑
❑
❑'
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.cootnm s.org/productslsearch.ohn
2. Indicate the type of product is being used for the roof top, i.e. single ply roof, asphalt roof, metal roof, etc-
tcIf
Ifthe Aged Reflectance & 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(p hi&d — 0.2) to obtain a calculated aged value_ Where p is the Initial Solar Reflectance.
4. Check box if the Aged Reflectance is a calculated value using the equation abo ve
5. Calculate the SRI value by using the SRP Worksheet at http://www.ene=.ca_gov/title24/ and enter the resulting value in the SRI Column above and attach acopy of
the SRI- Worksheet to the CF -IR_
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in §1 18(i)4. Select the applicable coating:
11 Aluminum -Pigmented Asphalt Roof Coating
1[]Cement-Based Roof Coating
Other
Re anon Number: _ ?Re anon Date/Tmie: HERS Provider:
gate _ . __._...__ ._.... Sut!_
2008 Residential Compliance Forms March 2010
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 4 of 5
Project Name: Statler window addition Climate Zone # 15
# of Stories
HVAC SYSTEMS - HEATING
Minimum Duct or Piping Configuration
Heating Equipment Efficiency Distribution Insulation Thermostat (Central, Split,
Type and Ca i i AFUE or HSPF Type and Location R Value Type Space, Package or H dronic
N/A N/A
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 Ca ci 1,2 COP) Type and Location3 R -Value Type Space, P rka a or H dronic)
N/A N/A
1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc)
2. Refer to the HERS Verification section on Page 4 of the CF-JRALT Form for additional requirements and check applicable boxes_
3. Indicate Type or Location , 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 f red 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
Ty 1 (Standard, Recirculating) System Ca acity (gat) Thermal Efficiency R-Value3
N/A N/A
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 writtenjustification and documentation and special vert rcation.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier requirement of §15 la does not apply to roof alterations.
Slab Edge (Perimeter) Insulation LJYES x NO
YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required_
Heated Slab Insulation 0 YES 040
YES: Slab edge insulation r 'red for all heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Raised Slab Insulation U YES tt NO
YES: In Climate Zones 1, 2, 11, 13,14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R4 is requiTed under component Package D.
Thermal Mass
To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach.
,Registration Number: _. .._... _ ... . _ . _Registration Date:17-tme. HERS Provider.
2008 Residential Compliance Forms March 2010
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 5 of 5
Project Name: Statler window addition c7imateZone# 15 #°fs� ries
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 f nal
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
YES O NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement duds are installed in unconditioned
space, the ducts are to be sealed per §152(b)IDii and the newly installed duds are to be insulated per §15l(f)10.
D EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
DYES ONO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the
duds are to be sealed per §152(b)1Di.
DYES ONO 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)IE.
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.
D EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos
Refrigerant Charge- Split System HERS verification is required for this measure.
D YES O 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(b)1F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of §150(o) do not apply to existing residential homes.
Ducted Split Systems -Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
D YES O 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(b)1Ci to meet the requirements of § 15l(f)7B.
Documentation Author's Declaration Statement
• I certiry that this Certificate of Com fiance documentation is accurate and corn lete.
Name: David Elliott
Signature.
I
C°mpa°y:David Elliott Energy Services
Date: Dec.20,2010
Address:
9 O1 3 SVL BOX
IfApplicable x CEAor CEPE
(Certification # Y1Z0b- 03 - Z.l 9
City/State/Zip:Vlctorville, CA
Phone: 760-243-3883
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 1 and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provide to d ument this
building design on the other applicable compliance forms, worksheets, calculations, plans and specificatisubmiti A to t enforcement
agency for approval with this building it application. CN 11
Name: Paul Nelson
Signa
°mpa°y:Nelson Designs
Date:
V /
Address: 16169 Siskiyou
License:
City/State/Zip:Phone:
Apple Valley, CA 92307
760-508-3400
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300.
Registrarion Number_ - Re anon Datetlunec -PIERS Provider -
2008 Residential Compliance Forms March 2010
f
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions (Page 1 of 5
Site Address:
78640 Cabrillo Way, La Quinta, CA
Enforcement Agency:
Date:
Nov. 16. 2010
B I
C
D
General Information
Project Name
Statler 177 s.f. Addition
Climate Zone # 7#
15
of Stories
1
Building Type Single Family Q Multi Family
Circle the Front Orientation: N, E, S, W or Degrees South
Conditioned Floor Area of Addition TNew
(CFA): 177
Addition Size: []Less than or equal to 100 W QLess than or equal to 1000 ft2
(Do not use this orm or additions greater than 1000
NOTE. For Alterations to an existing home, submit a completed CF -IR ALT Form
Exception: Existing HVAC systems that are replaced or ahered to serve the addition maybe included on the CF -1R -ADD Form
PRESCRIPTIVE ENVELOPE REQUIREMENTS FOR ADDITIONS
For standard wood and assemblies meeting the Cavity R -value only.
• For 100f? additions; the Proposed values must be equal or greater than the Standard column or when indicated when using Package A
"Pkg D ". Enter values in the shaded Proposed Columns.
• For less than LOW additions must comply with 'Pkg D" requirements unless indicated in the Standard Column. To meet "Pkg D"minimum
energy compliance rei ruirements, see RCMAppendix B, Table 151-C or '152(b)in the RCM. Enter values in the shaded Proposed Columns.
Size of Addition
100 fits or less
Less than 1,000 fe
Component
Standard
Proposed Comment
Standard Proposed
Comment
Ceiling Insulation
R-19
Minimum
Pkg D R-38
Table 151-C
Wall Insulation
R-13
Minimum
R-13 R-13
Minimum
Floor Insulation
R-13
Minimum
Pkg D N/A
Table 151-C
Fenestration
U- U-
factor SHGC factor SHGC
0.40 Pk D Entervalues
g From
Fenestration
50 fl? ) ft Proposed
— Areas"
Page 2 of 5
U-
factor
U-
SHGC factor
SHGC
Enter Values From
"Fenestration
Proposed Areas"
Page 2 of 5
0.40
Pk D .40
g
.35
Maximum Glazing
Area
Addition Alone' 51 t1?
Enter Values From
"Addition Allowed
Fenestration Areas"
Page 3 of 5
For West -Facing 25 fe
Orientation,''
Radiant Barrier
N/A
Pkg D Table 151-C
Roofing
N/A See Roofing Products Below
Pkg D See Roofing Products Below
OPAQUE
SURFACE DETAILS For the furred por oned of Mass Walls see Furring Stri
Construction Table below.
A
B I
C
D
E
F
G
I H
I
J
Proposed
See Note
Standard
Values From JA4 Table
Tag/
ID`
Assembly Name
or T 2
Framing
Material
and Size,
Thickness,
Spacing,
or Other'
U-
factor°
JA4 Table
Numbe?
Framed
Cavity
R -value
Continuous
Insulation
R -Value'
JA4
Assembly
Cell Values
Proposed
Assembl
U -factor
Roof
Wood/Truss
24"
.026
4.2.1
38
0
A
.026
Wall
Wood/2x4
16"
.102
4.3.1
13
0
A
.102
Note. For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
Furring Construction table below.
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms
March 2010
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions (Page 2 of 5
Site Address:
78640 Cabrillo Way, La Quinta, CA
Enforcement Agency:
Date:
Nov. 16, 2010
M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
1. For Tag/ID indicate the identification name that matches the building plans_
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate in column G the Frame material
and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc.. see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter, 16 "or 2470C, 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 equivalent U factor found in JA4 Table based on the R -Value from Table 151-C
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 STRIPS CONSTRUCTION TABLE
FOR MASS WALLS ONLY
A I B I C I D I E
F G I H I I I J I K
L
M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint Appendix Table 4.3.5 4.3.6 4.3.7
Joint Appendix Table 4.3.13
3
g
Q
oa m
o
Assembly
•° o �"ai
> m
Final
Mass
Name or
JA4 Table m
i °o .12 >
v m
Assemb
Thickness'
Type,
Numbed ¢ >
d > W C&
U -factor °�
Comment
N/A
N/A
1. Indicate the Mass Thickness from Reference Joint Appendix JA.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc... indicate 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 Table number that closely resembles the proposed assembly_
4. Enter the row and column of the U factor value.
5. Enter the Effective R -value listed in the JA4 Table Number.
6. The Final Assembly is calculated by using Equation 4-1 or Equation 4-4 of the Reference Joint Appendix JA4. Enter the value in Column L.
7. Insert the Final Assembly U- actor value back on to the Opaque Surface Details table in Column J.
FENESTRATION PROPOSED AREAS
Orientation
Fenestration Type and Frame (North, East, ProposedArea' Maximum Maximum NFRC or
(Window, Glass Door orSkylight) South, West) (f?) U-factor� 3 SHGC' 3,4 Default Valuess
French Door West 20 .40 .35 Default
Window West 5 .40 .35 Default
Total 25
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 Fenestration Proposed Area table above_
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading.
5. If applicable at this stage enter "NFRC"for NFRC Certified windows or CEC "Default " values found in Table 116-A or B.
Registration Number.
2008 Residential Compliance Forms
Registration Datefi-tme: HERS Provider:
March 2010
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions (Page 3 of 5
Site Address: Enforcement Agency: Date:
78640 Cabrillo Way, La Quinta, CA Nov. 16, 2010
ADDITION ALLOWED FENESTRATION AREAS
Check applicable box below if the roof addition is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the boxes are
A
B
C
D
E
[]Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria
F
Note: If no CRRC-1 label is available, this compliance method cannotbe used, use the Performance Approach to show compliance, otherwise, check
CFA of
Allowed %
Allowed Area
Are 2
Maximum
Proposed Areas
'Thermal
Addition
of CFA
(A x B)
Rem ed
Allowed Area
Reflectance3'4
(Table Above)
SRIS
ft
❑ I
(C
❑
+ D
Tile
❑°
Total Fenestration Area3
177
0.20
35
(1bj 7Y
❑
25
West Fenestration Area'
T1.
177
0.05
9
2512!
25
(Required In CZ's 2,4 & 7 -15)
❑
❑4
West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:11.
2. Glass removed to make way for the addition.
3. For additions less than 1, 000 fit the standards allows glazing removed during the remodel to be added to the glazing area allowance. The
maximum allowed glazing area for the addition is the CFA x 20.9 + glass removed to make way for the addition.
4. In climate zones 2, 4, 7-15, no more than 5% of the CFA is allowed for west facingglazmg plus west facingglass area removed to make way
for the addition. The maximum allowed west facing glazing area is the CFA x 5% + west facing glass removed to make way for the addition.
5. To meet compliance, the Pro osed Area must be less than or equal to the Total Allowed Area or BOTH the Total and West Fenestration Areas.
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
Check applicable box below if the roof addition is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the boxes are
checked below, the Aged Solar Reflectance and 77zermal Emittance requirements for roofing products in §118(1) are not applicable. Do not fill
table below.
Roofing compliance Not Required in Climate Zones 1-12, 14, and 16 with a Low -Sloped. Less or 2:12 pitch.
[]Roofing compliance Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped. Roofs pitch greater than 2:12 and product weight
less than 5[b/fl 2.
[]Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria
Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft is exempt from the above Cool Roof criteria.
Note: If no CRRC-1 label is available, this compliance method cannotbe used, use the Performance Approach to show compliance, otherwise, check
e applicable box below if Exempt from the Roofing Products "Cool Roof" Requirement:
Roof Slope
Product Weight
Product
Aged Solar
'Thermal
CRRC Product ID Numbers
< 2:12 > 2:12
< 5lb/RZ >_ 5lb1f
T 2
Reflectance3'4
Emittance
SRIS
Package' D' Default
❑ I
Q
❑
19
Tile
❑°
.15
.75
7
❑
❑
❑°
❑
❑
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
Er
11
1 13
0
04
t
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
www.coolroofs.eMlproducts/search. phn.
2. Indicate the type of product is being used for the roof top, Le_ single ply roof, asphalt roof, metal roof, etc.
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(p;,,;,;d — 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 htip://www.energy_ca"gov/title24/and enter the resulting value in the SRI Column above
and attach acopy of the SRI- Worksheet to the CF -IR.
To apply Iaquid Field Applied Coatingr, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in § 118(i)4. Select the applicable coating:
Aluminum-Pigmented Asphalt Roof Coating
Fo
❑ Cement -Based Roof Coating
❑Other
Registration Number: Registration DatelTime: HERS Provider:
2008 Residential Compliance Forms March 2010
Prescriptive Certificate of Compliance: CF -IR ADD
Residential Additions (Page 4 of 5
Site Address: Cabrillo Way, La Quinta, C Enforcement Agency: Date: Nov.16,2010
HVAC SYSTEMS - HEATING
List water heaters and boilers for both domestic hot water (DhV0 heaters and hydronic space heating Individual dwelling DHW heaters must be
storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage
DHW heater less than 50 gallons with an energyfactor greater than 0.90 maybe used Hot waterpipe insulation from the DHW heater to the
Duct or
Configuration
DYES 191NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Minimum
Distribution Piping
(Central, Split,
Heating Equipment
Efficiency
Type and Insulation
Thermostat Space, Package or
Type and Capacity', 2,s
AFUE or HSPF
Location' R -Value
Type H dronic
Existing
Existing
Attic R-8.0 Any
Existing Split
Location;
R -Value
New Duct
H dronic
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 Btulhr 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 Pages 3 and 4 of the CF -JR -ADD Form for additional requirements and check applicable boxes.
4. Indicate a or Location(Ducts, Hydronic in Floor, Radiators, etc.
HVAC SYSTEMS - COOLING
List water heaters and boilers for both domestic hot water (DhV0 heaters and hydronic space heating Individual dwelling DHW heaters must be
storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage
DHW heater less than 50 gallons with an energyfactor greater than 0.90 maybe used Hot waterpipe insulation from the DHW heater to the
kitchens and on all underground hot water pipes is required in all corn onent acka es in all climate zones.
Heated Slab Insulation
DYES 191NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Configuration
Cooling Equipment
Minimum
Distribution
Duct or Piping
Distribution Type
(Standard, Recirculating)
(Central, Split,
Type and Capacity 1,2
Efficiency
Type and
Insulation
Thermostat
Space, Package or
SffiLZER or COP
Location;
R -Value
Type
H dronic
Existing
Existing
Attic
R-8.0 Any
Existing
Split
New Duct
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.
1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc).
2. Refer to the HERS Verification section on Pages 3 and 4 of the CF -IR -ADD 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 (DhV0 heaters and hydronic space heating Individual dwelling DHW heaters must be
storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage
DHW heater less than 50 gallons with an energyfactor greater than 0.90 maybe used Hot waterpipe insulation from the DHW heater to the
kitchens and on all underground hot water pipes is required in all corn onent acka es in all climate zones.
Heated Slab Insulation
DYES 191NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Raised Slab Insulation
Q YES
_f
❑x NO
External Tank
Water Heater Type/Fuel
Typel
Distribution Type
(Standard, Recirculating)
Number In
System
Tank
Capacity (gal)
Energy Factor or
Thermal Efficiency
Insulation
R -Value;
Existing
Existing
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 water heating 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 justification and documentation and special verification. Applicable special features shall be marked with a YES and be
specified within the plans -
Radiant Barrier (Root)
RIYES I rJN0 I Required in Climate Zones 2, 4, and 8-15 for additions larger than 100 fh.
Slab Edge (Perimeter) Insulation
YES I x NO I In Climate Zone 16 under Component Package D, R-7 insulation is required.
Heated Slab Insulation
DYES 191NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Raised Slab Insulation
Q YES
_f
❑x NO
In Climate Zones 1, 2, 11, 13, 14 & 16 R-8 insulation is required, and in Climate Zones 12 & 15 R4 insulation is required
under Component Package D.
Thermal Mass - To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach.
Registration ]dumber: Registration Date/time: HERS Provider:
2008 Residential Compliance Forms
March 2010
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions (Page 5 of 5
Site Address: 78640 Cabrillo Way, La Quinta, CA Enforcement Agency: Nov.Date16, 2010
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 Foran for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing & Testing
HERS verification is requiredfor this measure.
[]YES
ElNO
In all Climate Zones, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the addition
City/State/Zip:Victorville, CA 92395
Phone: 760-243-3883
alone, the ducts are to be sealed and tested per § 151(1)10.
AYES
this Certificate of Compliance.
In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned
to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
040
space to serve the addition, the ducts are to be sealed and tested per §152(b)1D. ❑ EXCEPTION: Existing duct systems
agency for approval with this building it application.
Name:
-T)Au � I���s o
that are extended, which are constructed insulated or sealed with asbestos.
Date:
-
ll -Z in
Address: (a
In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor
City/State/Zip:
27
Phone:
7&,) soq 346
condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, the ducts
are to be sealed and tested per §152(b)IE.
�
ONO O
❑ 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 duct systems constructed, insulated or sealed with asbestos.
Ref ' erant Cha e - Split System HERS verification is re uired for this measure.
OYES
(ONO
In Climate Zones 2 and 8-15, if a newly ducted split A/C or heat pump is installed to serve the addition alone, a refrigerant
charge measurement shall be verified per 151 7A
DYES
In Climate Zones 2 and 8-15, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor
B40
condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, a
refrigerant charge measurement shall be verified per § I52(b)1F.
Central
Fan Integrated Ventilation System — Airflow and Fan Watt Draw - do not apply for additions 1,000 if or less.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow and Fan Watt Draw HERS veri cation is required.
❑YES
EINO
In Climate Zones 10 through 15, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the
addition alone, the airflow and fan watt draw shall be verified per § 151(f)7B.
❑YESO
In Climate Zones 10 through 15, if the existing space -conditioning system (HVAC equipment and ducting) is replaced and
will serve the addition, the airflow and fan watt draw shall be verified per § 152(b)IF.
Documentation Author's Declaration Statement
• I certify that this Certificate of Com fiance documentation is c rate d o te.
Name: David Elliott
Signature:
Compa"y:David Elliott Energy Services
Date: Nov. 16, 2010
Address: 901 3 SVL BOX
If Applicable x EA or EPE b
(Certification #):(ZO8?-U3-Z( p
City/State/Zip:Victorville, CA 92395
Phone: 760-243-3883
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.
1 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 1 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 forms, worksheets, calculations, plans and specifications bmitt to the enforcement
agency for approval with this building it application.
Name:
-T)Au � I���s o
Company:
�A L -L -Sorel l� S l�Z►�
Date:
-
ll -Z in
Address: (a
License:
City/State/Zip:
27
Phone:
7&,) soq 346
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300.
Registration Number: Registration Datell-Ime: HERS Provider:
2008 Residential Compliance Forms March 2010
Solar Reflective index (SRI) Calculation Worksheet SRI WS
Computer Generated Form
Residential
Date:
11/16/2010
Climate Zone:
15
Building Type:
(� Nonresidential
Project (Name:
Stader 177 s.f. Addition
Project Address:
78640 Cabrillo way, La Quinta CA
Roofing Products (Cool Root)
Roofing products with high solar reflectance and thermal emittance are referred to as "Cool Roof", which refers to an outer layer
or exterior surface of a roof. As the term implies, the temperature of a cool roof is lower on hot sunny days than for a
conventional roof, reducing cooling loads and energy required to provide air conditioning.
The benefit of a high reflectance surface is obvious: while dark surfaces absorb the sun's energy (visible light, invisible infrared,
and ultraviolet radiation) and become hot, light-colored surfaces reflect solar energy and stay cooler. However, high emittance is
also important. Emittance refers to the ability of heat to escape from the surface once it is absorbed. Surfaces with low
emittance (usually shiny, metallic surfaces) contribute to the transmission of heat into the roof components under the roof
surface. The heat can increase the building's air conditioning load, resulting in increased energy costs and detracting from the
comfort level of the home. High-emittance roof surfaces give off absorbed heat relatively quickly through the path of least
resistance: upward and out of the building.
Rating and Labeling
.�
initial «eathei•ed
Roofing products that are used for compliance
Svlar Reflectance 0.00 Penciijig
with the standards (prescriptive and performance
Thernnsal Enuttaance 0.00 Pei>tding
approaches) are required to be tested and labeled
C It C
Rarod Product ID Nwnbcr _ _ _
by the Cool Roof Rating Council (CRRC).
Cnt7)1. Rt7c,r
Liccincd Sellar lll NutuLcr
Roofing product manufacturers must have their
1zi-1"C' C_Oui.,: .11
Cias:if:'c.tcictu Pr.xittctica, L.iur
roofing product tested for solar reflectance and
C-1 Roof R.,n.�, , —il —ting, are dererrnined for a :"need —< of ccndiicn , and Haze not be q.p—primt
far dere nniricg —.,ran .iet�rgy petrorntatre. Fhe acntai eff cr of sole rrflecemtre and rhe—al r_ntirtu m
thermal emittance, and be labeled accordin to
9
CRRC procedures. See example of a CRRC
—5, —y.
label at ri ht.
9
Maatd,c er of product :tipuli_.ea that tL•cx raangz ware demmn ed in acemdance with :he applicable
cock Roof Ra1na Crnss:cil pm—du .s
CRRC-1 Label Attached to Submittal
(Note: If no CRRC-1 label is available, this compliance method cannot be used and another method is required to meet compliance )
CRRC
Product ID
Number
Manufacturer
Brand
Model
Product Type
Roof Slope
Product Weight
SRI Calculations
Aged
CRRC listed
Calculated
-52:12
>2:12
< 5lb/sq ft
Z 51b/ ft
Relfectance
Aged Solar
Initial Solar
Aged Solar
Thermal
Listed with
Reflectance
Reflectance
Reflectance
Emittance
CRRC?
J
0
No
0.15
0.17
0.75
Solar Reflective 7
Index
2008 Residential and Nonresidential Roof Certificate I December 2009
Mandatory Measures Summa MF -1R
Residential Pae 1 of 3
Site Address: Enforcement Agency: Date:
NOTE. Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed,
regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1R,
CF -JR -ADD, or CF -JR -ALT Form) shall supersede the items marked with an asterisk(*) below. This Mandatory Measures
Summary shall be incorporated into the permit documents and the applicable features shall be considered by all parties as minimum
component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all
applicable sections of the MF -JR Form with plans.
DESCRIPTION
Building Envelope Measures:
§116(a)1: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient
SHGC , and infiltration that meets the requirements of 10-111 a .
§117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed.
§118(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form.
§118(i): The thermal emittance and solar reflectance values of the cool roofmg material meets the requirements of §118(i) when the installation of
a Cool Roof is specified on the CF -1R Form_
•§ 150(a): Minimum R-19 insulation in wood -frame ceiling or equivalent U -factor.
§150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value.
*§150(c): Minimum R-13 insulation in wood -frame wall or equivalent U -factor.
"§ 150(d): Minimum R-13 insulation in raised wood -frame floor or equivalent U -factor.
§150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95(2000) when specified on the CF -1R Form.
§ 150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no
greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
§ 150(e)1A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox-
§150(e)IB: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped
with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device.
§150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the
building, are prohibited-
Space
rohibited_S ace Conditionin , Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission.
§113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve,
backflow prevention, pump isolation valve, and recirculation loop connection requirements of § 113(c)5.
§115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an
electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool ands a heaters.
§ 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA.
§ 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c).
§ 1506)IA: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with
insulation having an installed thermal resistance of R-12 or greater,
§1506)1B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12
extemal insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank.
§1506)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections
of hot water pipes are insulated per Standards Table 150-13.
§1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank
shall be insulated to Table 150-B and Equation 150-A.
§1500)2: Pipe insulation for steam hydronic heating systems or hot water systems>15 psi, meets the requirements of Standards Table 123-A.
§1500)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
§1500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space.
2008 Residential Compliance Forms August 2009
Mandatory Measures Summa MF -1R
Residential (Page 2 of 3
Site Address: Enforcement Agency: Date:
§1500)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
Ducts and Fans Measures:
§ 150(m)l: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602,
603, 604, 605 and Standard 6-5; supply -air and retum-air ducts and plenums are insulated to a minimum installed level of R4.2 or
enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable
requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to
seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used
§ 150(m)l: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal,
duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts.
Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts.
§150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back -rubber adhesive duct tapes unless such tape
is used in combination with mastic and draw bands.
§150(m)7: Exhaust fan systems have back draft or automatic dampers.
§ 150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.
§ 150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam
insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that
can cause degradation of the material.
§150(m)10: Flexible ducts cannot have porous inner cores-
§150(o):
ores_§150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 622-2007 Ventilation and Acceptable Indoor Air Quality in
Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in
Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§ 114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations;
an on-off switch mounted outside of the heater, a permanent weatherproof plate or card with operating instructions; and shall not use
electric resistance heating ora pilot light
§ 114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return
lines, or built-up connections for future solar heating
§ 114(b)2: Outdoor pools or spas that have a heat pump or gas heater shall have a cover.
§114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to beset or
programmed to inn only during off-peak electric demand periods.
§150(p): Residential pool systems or equipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150(p).
Residential Lighting Measures:
§150(k)l: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in
Table 150-C and is not a low efficacy luminaire as specified by § 150(k)2.
§150(k)3: The wattage of permanently installed luminaires shall be determined as speeffied by §130(d) -
§150(k)4:
130(d)_§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high
efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line -voltage
lamp holder, OR shall be rated to consume no more than five watts of power as determined by § 130(d), and shall not contain a medium
screw -base socket.
§150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k).
§150(k)7: All switching devices and controls shall meet the requirements of §150(k)7.
§ 150(k)g: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft or 100 watts for dwelling units larger than 2,500 f? may be exempt
from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor, dimmer, energy management system (FMCS), or a multi -scene programmable control system; and all permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a
manual -on occupant sensor.
§ 150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated
cabinet.
§150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high
efficacy.
2008 Residential Compliance Forms August 2009
..
Mandatory Measures Summa MF -1R
Residential (Page 3 of 3
Site Address: Enforcement Agency: Date:
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on
occupant sensor certified to comply with the applicable requirements of §11.9.
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual -on occupant sensor.
§150(k)11: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility
rooms shall be high efficacy luimnaires.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch
that complies with the applicable requirements of §119, or by a manual -on occupant sensor that complies with the
applicable requirements of §119.
EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply
with §I50(k)11.
§150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or
other nationally recognized testingtrating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then
2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing
and ceiling.
§ 150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling
units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot
shall be high efficacy.
EXCEPTION l: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual
on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the
following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an
energy management control system (FMCS) not having an override or bypass switch that allows the luminaire to be
always on
EXCEPTION 2: Outdoor luminaires used to comply with Exception to §150(k)13 may be controlled by a temporary override switch
which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six
hours.
EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of
the California Electric Code need not be high efficacy luminaires.
§150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five
watts of power as determined according to §130(d).
§ 150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in
Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of
Sections 130, 131, 134, and 146
§150(k)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units
shall be high efficacy luminaires.
EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensor(s)
certified to comply with the applicable requirements of § 119.
2008 Residential Compliance Forms
August 2009