07-2918 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/29/08
Application Number: 07-00002918' Owner:
Property Address: 55813 CONGRESSIONAL DICK MOORE
APN: 775-241-052- - - 55813 CONGRESSIONA
Application description: ADDITION - RESIDENTIAL LA QUINTA, CA 922
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 7093 4
Contractor: 404f 0
Applicant: Architect or Engineer: RICE CONSTRU TIO
44701 SAN JO ,
PALM DESERT, CA Com_
!� ic. o.: 426
852 `�•�HC� Q '9
Lic. No.: 852723
----------—-------------------------------------—----------------—-------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B License No.: 852723 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate: Z tractor: "�� 21 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
1-01 V Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION insurance carrier and policy number are: _
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or P700 of the Labor Codeall forthwith comply with those provisions.
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).: Date: - / scant: J/L/
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 WARNING: FAII-11RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN'
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
_one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seca
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ ) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
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 app ication and state that the above information is correct. 1 agree to comply with all
city and county ordinances pRa state laws relating to building construction, and hereby authorize representatives
of this cou to nter n the above-mentioned op�inspection purp ses.
Y"r• ` Signature (Applicant or Age I.
Application Number . . . . . 07-00002918
Permit" . . .
ELECT : ADD/ALT/'REM
Additional desc .
Permit Fee . .
19.34
Plan Check
Fee
4.84
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
10/26/08
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
124.00 .0350
------------------"--------------
ELEC NEW
=-------------------
RES - 1 OR 2
------------------------
FAMILY
4.34
Permit . . .
BUILDING PERMIT•
Additional desc .
Permit Fee . . . .
99.00-
Plan Check
Fee
64.35
Issue Date . . . .
Valuation
. . . .
7093
Expiration Date
10/26/08
Qty Unit Charge
Per
Extension
BASE FEE
45.00
6.00 9.0000
-----------------------------------------------------------
THOU BLDG 2,001-25,000
-----------------
54.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . .
24.00
Plan Check
Fee
6.00
Issue Date
Valuation
. . . .
0
Expiration Date
10/26/08
Qty Unit Charge
Per•
Extension
BASE FEE
15.00
1.00 9.0000
-----------------------------------
EA MECH APPL
-----------
REP/ALT/ADD
------------------------------
9.00
Permit 'PLUMBING
Additional desc .
Permit Fee . . . .
21.00
Plan Check
Fee
5.25
Issue Date
Valuation
. . . .
0
Expiration Date
10/26/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB ROOF
DRAIN
6.00
----------------------------- -----------------------------------------------
Special Notes and Comments
ATRIUM ENCLOSURE 124
SQ. FT..
------------------ --------
. Other Fees . . . . .
7-------------------------------------------------
. . . . ENERGY
REVIEW FEE
6.44
LQPERMIT
Application Number . . . . 07-00002918
----------------------------------------------------------------------------
Other Fees . . .
... . . . .
STRONG MOTION
(SMI) - RES
.70
Fee summary
Charged
Paid
Credited
Due
-----------------
Permit Fee Total
----------
163.34
--------------------
.00
----------
.00
163.34
Plan Check Total
80.44
.00
.00
80.44
Other Fee Total
7.14
.00
.00
7.14
Grand Total
250.92
.00
'.00
250.92
LQPERMIT
J
B`" '
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # Q.-,
Project Address: —
Owner's Name: 77 �1cK M
A. P. Number: 7752 05—Z
Address: 5581
Legal Description: UW—(5'( , l �- Zl 3 8�
City, ST, Zip: C
Contractor: 13P
Telephone: -
Address:
Project Description:
City, ST, Zip:
Telephone:
'
State Lic. # : City Lic. #:
Designer:: � (
Address: 6 2 s C
c, g 3
City, ST, Zip..
Telephone: 15t� 0(656
State Lic. #:
Name of Contact Person: ?06;1 �(
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: ! # Units:
Telephone # of Contact Person:
Estimated Value of Project;l
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec°d
TRACKING.
PERMIT FEES
Plan Sets
a
Plan Check submitted
Item Amount
Structural Calcs.
a
Reviewed, ready Cor corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person Z
Plan Check Balance
Energy Calcs.
a
Plans picked up t I ?,
Construction
Flood plain plan
Plans resubmitted
Mechanical •
Grading plan
2" Review, ready for correctio/'ssue
Electrical
Subcontactor List
Called Contact Personb
Plumbing
Grant Deed
Plans picked up V
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
1nd Review, ready for corrections/issu
Developer Impact Fee
Planning Approval
Called.Contact Person Cr
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
ll/;* —7) U
sQ�f� -cr�
NW P -FC-'
C"�
MavS RFC,
10
® SCC�od[ ��r✓5
CERTIFICATE OF COMPLIANCE 4�JAIVIIIED
Desert Sands Unified School District
47950 Dune Palms Road Q BERMUDA DUNES O
� RANCHO MIRAGE (�
Date 1/30/08 La Quints, CA 92253 � INDIANWELLS
-. PALM DESERT y
No. 29892 (760) 771-8515 LAINDINTA
�yQ0 y�
0
Owner Moore APN # 775-241-052
Address 55813 Congressional Jurisdiction La Quinta
City La Quinta Zip Permit #
Tract # No. of Units 1
Type Residential Addition
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 55813 Congressional
Unit 2
Unit 3
Unit 4
Unit 5
Comments
124 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. 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 Government Code 65995 Et Seq.
in the amount of $0.00 X 124 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 - Richard Moore Check No.
Name on the check T I
%.
Funding Exernli � . V =
Recd Payment Pa
Ivrey Y 50.00 �` .f ,� • _ }
/ Over/Under
NOTICE: Pursuant to Government Code Seetion 66020(d)(1), tris will serve to notify you that the 90 -day approval period in which you may protest the fees o
r 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
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 5 C&M
Project Tide'
otA p4 (?
Date
I i o -7
Building Permit #
Proje s r C fC,& 55g.c "AL
Location
Comments
(attic, garage,
typical, etc.
Plan Check / Date
Do �ta�lion Au
T �
Telephone /�
�� z 5 579
Field Check / Date
Com li ethod es five
p `)
Climate Zone
(�
Enforcement Agency Use Only
Alternative Component Package Method: (check one) C DD (Alternative)
Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 8-14 in the R.Saidential Compliance Manual (RCM)
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) r 4 ftp N O v 0 7
200%
Average Ceiling Height: ft
By
Cbeck Applicable Boxes
Building Type: (check one or more) Single Family Multifamily Alteration
(If adding fenestration fill -out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
for Additions and 8.3.3 for Alterations in the RCM.)
• Maximum Allowed Total Fenestration Area R2 (from WS -4R)
• Maximum Allowed West Facing Fenestration Area 16 ft2 (from WS -4R)
• Number of Stories: t- Number of Dwelling Units:
• Floor Construction Type: Slab/Raised Floor'rcle one or both)
• Front Orientation:_ North/ South / East West . All Orientations input front orientation in degrees
from True North and circle one).
❑ RADIANT BARRIER (check box if required in climate zones 2, 4, 8-15)
OF LA QUINTA
'SVG & SAFETY DEPT.
e -e r.% P-.% � .
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors
Frame
Type
(Wood or
Metal
Cavity
Insulation
--R-Value
Continuous
Insulation
R -Value
Asse bly UAl r
-VED
factor ( or woof R CAST Ue=t0ant
metal f ame and p endix B 'er
manAT B stall
assemblies' es o
Location
Comments
(attic, garage,
typical, etc.
Z. Z
,066
�l
Z
V
OZ
1) See Joint Annendix IV in Section IV.2_ IV.3.
and IVA. which is the basis for the U -factor criterion. U -factors can not exceed
prescriptive value to show equivalence to R -values.
2) This column is for the Inspector to verify installation of roof radiant barrier.
Residential Compliance Forms December 2005
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R— must be included for New
Construction, Additions, and Alterations.
Fenestration
#/Type/Pos. (Front,
Left, Rear, Right,
Skylight)
Orien-
talion, Area
N, S E Wt ft2
U -factor
U-factorz Source3 SHGC°
Exterior
Shading/Overhangs6.7
SHGC ✓ box if WS -3R is
Sources included
Q
c
❑
.❑
U
l
P'0 o,39
E:1
13
20
t� e90 al
❑
13
1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when
the pitch is less than 1:12. See §151(f)3C and in Section 3.2.3 of the Residential Manual.
2) Enter values in this column from either NFRC Certified Label or from Standards Default Table 116-A.
3) Indicate source either from NFRC or Table 116-A,
4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R.
5) Indicate source either from NFRC, Table 116B or WS -3R
6) Shading Devices are defined in Table 3-3 in -the Residential Manual and -see WS -3R to calculate Exterior Shading devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment Minimum
Type and Capacity Efficiency
fumace, heat pump,boiler, etc. AFUE or HSP
Distribution
Type and Location Duct or Piping Thermostat Configuration
ducts attic, etc. R -Value Type (split or package)
Duct or Piping
R -Value
Thermostat
Type
Q
c
v
Cooling Equipment Minimum
Type and Capacity Efficiency
(A/C, heat pump, evap. (SEER or
cooling) EER)
Distribution
Type and Location
(ducts, attic, etc.
Duct or Piping
R -Value
Thermostat
Type
Configuration
(split or package)
v
Residential Compliance Forms December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL age 3 of 5)' CF -1R
Project Title
Date
� (� �
b7
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF4R Form must be provided to the building department for each home for which the following are required.
❑ 1 Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.)
❑ TXVs, readily accessible (climate zones 2 and 8-15 only)
(Installer testing and certification and HERS Rater field verification required.)
❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification required.)
OR
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14.
OR
9- 1 New ducts from existing space conditioning equipment not exceeding 40ft. in len
For additions and alterations, duct systems that are not documented to have been previously sealed as confirmed
❑ through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual.
Duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m)
and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
L�
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per dwelling
Number
in System
unit. If the water heater is a storage type, 50 gallons is the maximum capacityy and recirculation system is not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Standby'
Loss/6)
Manual. No water heating calculations are required, and the system complies automatically.
Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
❑ .
Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
submittal.
❑
1 Check box to verify that a time control is required for a recirculating system pump for a system serving multi le.units
Systems serving single dwelling units (See RM Table 5-4, Altemative Water Heating Systems for recirculation. requirements)
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Rated
In ut'
(kw or
Btu&
Tank
Capacity
nor,s
Energy
Factor' or
Thermal
Efficiency
Standby'
Loss/6)
Tank
External
Insulation
R -Value
System serving multiple. dwelling units (See Residential Manual Section 5.3.3)
Water Heater
Type
Distribution
Type
Number
in System
Rated
Input'
(kw or
Bw/hr)
Tank
Capacity
(gallons
Energy
Factor' or
Thermal
Efficiency
Standby'
Loss %
Tank
. External
Insulation
R -Value
1) For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list
Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btuft), list Rated Input, Recovery Efficiency, Thermal
Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies.
Pipe Insulation (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source. to the kitchen fixtures
that are 3/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2 A or 150 6) 2 B.
Residential Compliance Forms December 2005
CERTIFICATE'OF COMPLIANCE: RESIDENTIAL (Page 4'of 5) CF -1R
Pro •ect Title Date
I-IiEb7-E,= 4q I 1( I cad
Indicate which special features are parts of this project. The list below only represents special features relevant to the prescriptive method.
(Check iAonlicable boxes)
Category
Building Official
Verification of
Special Features
HERS Rater
Verification
HERS Rater
Diagnostic
Testing
Measure
Ducts
❑
Y
100% of ducts in crawtspace/basement
❑
Y
Buried ducts
❑
Y
Diagnostic supply duct location, surface area, and R -value
❑
Y
Duct increased R -value .
❑
Y
Duct leakage
❑
Y
Ducts in attic with radiant barriers
❑
Y
Less than 12 ft. of duct outside conditioned space
❑
Y
Non-standard duct location
❑
1(
Supply registers within two ft of floor
13
Envelope
❑
Y
Air retarding wrap
❑
Y
Cool roof
❑
Y . :
Exterior shades
❑
Y
High thermal mass
D
: Y...
Inter -zone ventilation
❑
Y
Metal framed walls
❑
Y
Non -default vent heights
❑
Y
Quality insulation installation
❑
Y
Radiant barrier
❑
Y
Reduced infiltration (blower door). May also require mechanical ventilation.
❑
Y
Solar gain targeting (for sunspaces)
❑
Y
Sunspace with interzone surfaces
❑
Y
Vent area greater than 10%
HVAC Equipment
❑
Y
Adequate air flow
❑
Y
Air conditioner size
❑
Y
Air handler fan power
❑
Y
High EER
❑
Y
Hydronic heating systems
O
Y
Mechanical ventilation
❑
Y
Refrigerant charge
- - ❑
-- �.—
Y
Thermostatic expansion valve (TXnJ
❑
Y
Zonal control
Water Heater
❑
Y
Combined hydronic
❑
Y
High EF for existing water heaters
❑
Y
Non-NAECA water heater
❑
Y
Non-standard water heaters (wh/unit)
❑
Y
Water heater distribution credits
Residential Compliance Forms December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL age 5 of 5 CF -IR
Project Title Date
WA 0-7
Special Remarks
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and specifications needed to comply with Title 24,
Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This
certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that
compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation
quality, and building envelope sealing require installer testing and certification and field verification by an
approved HERS rater.
Designer or Owner (Der Business and Professions Code) Documentation Author
Enforcement Agency
Residential Compliance Forms December 2005
��► �,� a_
i
. •
�► ILIOI. IWW I In.1001
Telephone:
Telephone:
I �_ � IJ W—M-1 Mr -e-4-- M
Enforcement Agency
Residential Compliance Forms December 2005
FENESTRATION - MAXIMUM ALLOWED AREA WORKSHEET WS -4R
Project Title
vtr�l �iJ�l�f�xs�_
1`L'1\L'►711�L111V1\ 11�VLVli1�.7-1\L` ♦♦ li Vl\►711\Vl.i1V1\-1\L' �♦ LV.
Use this table for new buildina construction to account for total building % of fenestration
Date
FM
A
B
C
D
E
F
G
#/Type/Pos.
(Front, Left,
Rear, Right,
Skylight)
Orientation
Total
Fenestration,
West Facing
Area ft
Total Fenestration for
N, S, E Orientations
Area (A)
CFA (f?)
Total Percent of
West Facing
Fenestration'
(C/Ex 100%
Total % of
Fenestration
Including West
/B x 100%+F
West
North
(Front, Left,
Proposed
Addition's
Area Removed to
Added
South
Fenestra -
Rear, Right,
East
Addition's
Fenestration
West
Fenestration
Fenestration
tion Z3. 4
Skylight)
tion
CFA', 2.3
Totals
Addition (ft2)2
- E
G/C x 100%
/C x 100%
1) If west facing area exceeds 5% of CFA in climate zones 2, 4, and 7-15, the performance approach must be used.
2) If total percent of fenestration exceeds 20% including West facing orientations then performance approach must be used. West facing area includes
skylights tilted to the west or tilted in any direction when the pitch is less than 1:12 for Package D only.
FENESTRATION PRODUCTS — NEW CONSTRUCTION- ADDITIONS
✓ ❑Less than 100 ft2, Less than or Equal to 1000 ft2, ❑ Greater 1000 ft2
A
B
C
D
E
F
G
H
4/Type/Pos.
South
Proposed
Fenestration
Total Area
West
Total % of
(Front, Left,
Proposed
Addition's
Area Removed to
Added
Total % of West Facing
Fenestra -
Rear, Right,
Orienta-
Addition's
Fenestration
make way for
Fenestration
Fenestration
tion Z3. 4
Skylight)
tion
CFA', 2.3
Area 00 a
Addition (ft2)2
- E
G/C x 100%
/C x 100%
North
South
East
West°
Total
1) Additions :100 sf are allowed to install up to 50f of fenestration and are exempt from the 5% west facing and 20% maximum total area
limits and shall meet the U -factor and SHGC requirements of Package D. See Table 8-2 in the Residential Manual. Note: Leave columns E, F,
G, H, and I blank.
2) Additions :_1,000 ft2, the maximum net allowed fenestration is 20% and may be increased additionally to by the amount of glazing removed in
the wall that separates the addition from the existing house. However, the total West facing fenestration can not exceed 5% of the proposed
addition's CFA including skylights orientated in any direction and tilted with a pitch of < 1:12. Column G can not exceed 5% and Column H can
not exceed 20%.
3) Additions > 1,000 ft2, must meet Package D requirements. See Table 8-2 and Table 151-C in Appendix B of the RM or use Performance Approach.
4) The 5%west orientation restrictions are only for Climate zones 2, 4, and 7-15; for Climate Zones 2, 4 and 7-15 enter zero (0) in column E.
FENESTRATION PRODUCTS: ALTERATIONS
Use this table for alterations to an exisfin& building where fenestrations products windows are being removed and/or added.
A I B I C I D I E I F I G I H I I
Existing
CFA Existing
ft2 Orientation
North
South
East
West
Existing Removed
Area Removed Area
ft2 Orientation ft2
North
East
West
Total Net Total % of
Fenestration Fenestra -tion' z
(ft2) 1 (H/A) x 100%
I Total I Total I Total
1) When 50 ft` or more of fenestration area is added to an existing building, then the fenestration must meet the requirements of Package D.
2) The area requirement for the total fenestration area for the whole building, including the added fenestration, must not exceed 20%.
Otherwise, the Performance Approach must be used. See Section 8.3.3 in the RM for further details.
Residential Compliance Forms December 2005
Proposed
Proposed
Installed
Installed
New Area
Orientation
ft2
North
South
East
West
Total Net Total % of
Fenestration Fenestra -tion' z
(ft2) 1 (H/A) x 100%
I Total I Total I Total
1) When 50 ft` or more of fenestration area is added to an existing building, then the fenestration must meet the requirements of Package D.
2) The area requirement for the total fenestration area for the whole building, including the added fenestration, must not exceed 20%.
Otherwise, the Performance Approach must be used. See Section 8.3.3 in the RM for further details.
Residential Compliance Forms December 2005
MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page I of 2) MF -1R
Project Tide
Date
1
Note: Low-rise residential buildings subject to the Standards must contain these measures regardless of the comphance approach uses. More
stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*) below. When this
checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component
performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
Instructions: Check or initial applicable boxes or check NA if not applicable and included with the permit application
documentation.
DESCRIPTIONEnforce
NA
Designer
'
-ment
Building Envelope Measures:
✓
`�
'�
• §150(a): Minimum R-19 in wood frame ceiling insulation or equivalent U -factor in metal frame ceiling.
❑
1 E❑
.
§150(b): Loose fill insulation manufacturer's labeled R -Value:
❑
❑
* § 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply
to exterior mass walls).
* § 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor.
❑
- — ❑—
§ 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
1. Masonry and factory -built fireplaces have:
a. closeable metal or glass door covering the entire opening of the firebox
❑
. ❑
b. outside air intake with damper and control, flue damper and control
❑
❑.
2. No continuous burning gas pilot lights allowed:
❑
❑
§ 150(f): Air retarding wrap installed to comply with § 151 meets requirements specified in the ACM Residential Manual.
❑
❑
§ 150(p): Vapor barriers mandatory in Climate Zones 14 and 16 only.
❑
❑
§ 150(1): Slab edge insulation - water absorption rate for the insulation material alone without facings no greater than 0.3%,
water vapor permeance rate no greater than 2.0rmfinch.
W ❑
❑
§ 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include CF -6R
Form:
❑
❑
§ 116-§ 117: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls.
1. Doors and windows beiween conditioned and unconditioned spaces designed to limit air leakage.
❑
❑
2. Fenestration products (except field -fabricated) have label with certified U -factor, certified Solar Heat Gain
Coefficient SHGC and infiltration certification.
❑
Ef
❑
3. Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed.
❑
.13
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission.
❑
❑
§ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA.
❑
❑
§ 150(i): Setback thermostat on all applicable heating and/or cooling systems.
❑
❑
§ 1506): Water system pipe and tank insulation and cooling systems line insulation.
1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation
having an installed thermal resistance of R-12 or Eeter.
❑
❑
2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or
R-16 internal insulation and indicated on the exterior of the tank showing the R -value.
❑
_
❑
3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness:
1. 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 shall be insulated to Table 150B.
❑
❑
2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and
indirect hot water tank shall be insulated to Table 150-B and Equation 150-A.
❑
❑
4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A.
❑
13
Residential Compliance Forms December 2005
MANDATORY MEASURES SUMMARY: RESIDENTIAL Page.2 of 2) MF
-1R
DESCRIPTION
Enf°reeo'
NA
Designer
ment
Space Conditioning, Water Heating and Plumbing System Measures: continued
✓
✓
5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind
❑
❑
6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in
❑
❑
conditioned space.
7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation.
❑
❑
§ 150(m): Ducts and Fans
1. All ducts and plenums installed, sealed and insulated to meet the requirement of the CMC Sections 601, 602, 603, 604, 605
and Standard 6-5; supply -air and retum-air ducts and plem n s are insulated to a minimum installed level of R-42 or enclosed
entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the
L.'!
❑
❑
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
2. 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
9/❑
❑
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.
3. 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.
i
4. Exhaust fan systems have back draft or automatic dampers.
❑
❑
5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
❑
[3rs.
dampe
6. Protection of Insulation. 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 water13
❑
retardant and provides shielding from solar radiation that can cause degradation of the material.
7. Flexible ducts cannot have porous inner cores.
❑
❑
§ 114: Pool and Spa Heating Systems and Equipment.
1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the
13
❑
heater, weatherproof operating instructions, no electric resistance heatingand no pilot light.
2. System is installed with:
a. at least 36" of pipe between filter and heater for future solar heating
❑ ❑
b. cover for outdoor pools or outdoor spas
❑ 11-
3.
3. Pool system has directional inlets and a circulation pump time switch.
Q ❑ "' ❑:
§ 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously
❑ a
burning pilot light- tion: Non -electrical coo appliances with pilot < 150 Btu/hr
§ 118(1): Cool Roof material meets specified criteria
16 ❑ ❑
Residential Lighting Measures:
§ 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as
outlined in Table 150-0, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater
M,
❑
❑
are electronic and have an output frequency no less than 20 kHz
§ 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table
13
❑ .'
150-0 luminaire has facto installed HID ballast
§ I50(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as
/
determined in § 130 (c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy
,MJ(
❑
❑
luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy
luminaires.
§150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms and utility rooms shall be high efficacy
luminaires. OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not tum on
❑
• ❑
automatically or have an always ono tion.
§ 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility
rooms shall be high efficacy luminaires (except closets less than 70ft): OR are controlled by a dimmer switch OR are
11
13controlled
by an occupant sensor that eompiies;rith Section 119(d) that does not him on automatically or 1+ave an always
ono tion.
§ 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are
❑
❑
certified airtight to ASTM E283 and labeled as airtight A to less than 2.0 CFM at 75 Pascals.
§ 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on
/
the same lot shall be high efficacy luminaires (not including lighting around swimming poolstwater features or other
(
E
11
❑
Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section
1194.
§ I50(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147.
Ef
13
[3Li
tin for garages for 8 or more vehicles shall have lighting that complies with Sec. 130 131 and 146.
§ 150(k)8: 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 OR are controlled by occupant sensor(s) certified to comply with
Q
❑
❑
Section 119(d).
Residential Compliance Forms December 2005