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07-1695 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001695 Property Address: 49575 COACHELLA DR APN: 646-220-002- - - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 12469 T4&t aF stP4" Applicant: ' Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: License No.: - - - - - - - - - - - - - - - Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects -the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State Lic se Law.). (_ 1 I am exempt under Sec. B. .C. for thi �dason Date: %6 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: LQPERIMIT - Owner: WILSON HAROLD E 49-575 COACHELLA DRIVE LA QUINTA, CA 92253 Other struct info— Contractor: Owner DITION Lic. No.: ------- VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/29/07 ---------------------------------------------— WORKER'S COMPENSATION DECLARATION ' I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NO Policy Number E FOOTAGE I certify that, in the performa of the work which this permit is issued, I shall not employ any person in any manner to become lect to the workers' compensation laws of California, and agree that, if I ou become s sect to t workers' compensation provisions of Section �0nof the Lab Co I all vdi h o ly with those provisions. Date: Z 0 FYbplican WARNING: FAILURE TO SEC 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 abo informati is correct. I agree to comply with all city and county ordinances and state laws relating to buitdin constructi , and hereby authorize representatives of this cou ty to enter upon the above-mentioned prop or i cti p p S. Date: ?i a' Signature (Applicant or Agent): �� Application Number . . . . 07-00001695 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . . . 144.00 Plan Check Fee 93.60 Issue Date . . . . Valuation . . . . 12469 Expiration Date 2/25/08 Qty Unit Charge Per. Extension BASE FEE 45.00 11.00 ---------------------------------------------------------------------------- 9.0000 THOU BLDG 2,001-25,000 99.00 Permit ELECT - ADD/ALT/REM Additional desc . Permit Fee 22.63 Plan Check Fee 5.66 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/25/08 Qty Unit Charge Per Extension BASE FEE 15.00 218.00 -------------------------------------------------------------- .0350 ELEC NEW RES - 1 OR 2 FAMILY - 7.63 ------------- Permit . . . MECHANICAL Additional desc . Permit Fee 30.50 Plan Check Fee.. 7.63 Issue Date . . . . Valuation . . . . .0 Expiration Date 2/25/08 Qty. Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit PLUMBING Additional desc . Permit Fee . . . . 27.00 Plan Check Fee 6.75 Issue Date . . . Valuation . . . . 0 Expiration Date 2/25/08 Qty Unit Charge Per. Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments kitchen addition 218 sq. ft.August 29, LQPERMIT LQPERAIIT - ` - .. . - . ..�-�- ... „-v.r��� -� • ��.. '�: r -.r ...rte^-.. r "-.,�. �„-....t.y --.— .-.. - ..f... . — o .f.. -. .. .. County of Riverside Community Health Agency Department of Environmental Health 4080 Lemon Street, 2nd Floor P.O. Box 1206 Riverside, CA 92502 (951) 955-8980 1. Certification of Existing Subsurface Sewage Disposal System. Date of Inspection:rJ' LAo,.,UPJ (Property Address) (Owner's Name)l (Legal Description and APN) FAILURE TO PROVIDE ALL REQUIRED INFORMATION SHALL PREVENT OWNER FROM OBTAINING ENVIRONMENTAL HEALTH SERVICES APPROVAL. 2. Show design and location on a scale of 1" = 10' to 1" = 40' of the sewage disposal system and 100% expansion area in relation to attached dwellings, structures, wells, rocks, watercourses, etc. on required plot plan. 3. a. I examined the existing subsurface sewage disposal system at the above location on (date) �'� " 4' date and determined that the septic tank capacity is 1 2 -DU gallons and that there is sq. ft. of leachline bottom area. There are l- bedrooms in the dwelling. There are 3V fixture units. b. There are i leachline(s), each ft. long. c. There are plastic chamber(s), each. T ft. long. d. There are —seepage pit(s), each is F -. in diameter, .35 ft. deep. e. The leach bed is — ft. by ft., total sq. ft. of leachbed area. 4. a. Construction of septic tank (please check one of the following): 0 concrete ❑ fiberglass C.� CJ steel LJ other: y b. Internal,dlmensions of septic (length 1 ft., width, depth 2 ft.) c. Condition of tank (please answer yes or no for each question): Ye5e No Inlet Tee present? a� O Outlet Tee present? 0' Two compartments? 0� ❑ Tank structure deteriorated?' ❑ [ `If yes, briefly explain and indicate appropriate correction suggested: A� i d. Condition of D -Box (if needed) Leel L]YA' lII 6111 replaced Ll Yes No full of septic effluent ❑ Yes ❑1 /No 5. a. While pumping the tank, did effluent flow back into tank from the absorption syste ❑ Yes 0 No b. Prior to pumping, was the liquid level in the tank above the outlet tee? ❑ Yes No c. Was the area around the lids oxidized? ❑ Yes ® No d. Is design of system gravity feed? &rYes ❑ No e. Were well(s) observed on this or adjacent property? ❑ Yes SIN'oo If yes, indicate distance of well from: Septic Tank A ft. Leachlines ft. Seepage Pits ft. f. Distance from springs, lakes Septic Tank A ft. and natural drainage courses:Leachlines IV I ft. (circle appropriate item) Seepage Pits ft. g. Sewer is within 200 ft. of system and abuts property line. ❑ Yes �d No ADDITIONAL COMMENTS: h. How long has dwelling been vacant? (if applicable) months weeks N/A v❑/ 6a. 1z It is my opinion that the system appears to be in good working order and can be expected to function properly with proper maintenance. No repairs are necessary at this time. 6b. ❑ It is my opinion that the system is not in good working order and will not function properly without the following repairs: –�, Lcertify un , er penalty of perjury that the foregoing is true and correct: Cit F . Signature C-42 State License Number Expiration Date _TIFAM%�,MOAtA 0'.N A,4 m Print Name Name of Pumper Company and Receipt Number/Name 4f Company Holding C-42 License C-� 33a- 1IELE Pb . � _ 2AL C iTt q _ The Departmettl f�/Enviironnmental Health has reviewed and approved this certification: G*'tzt Health Specialist% Date DEH-SA{/N// °/184 (Rev 6/04) Distribution: WHITE—Office; PINK—Contractor; YELLOW—Applicant :. `T"'� � -sir .... air. �Q :. �.r:-y....-,.• . v a .- .!-..... .:; r; . r� - W ^ a� -.- ..- : .. r...ry.., . --........'. _M �`✓' p ASSESSOR'S PARCEL NUMBER EQI�NTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH (Dy APPLICATION FOR WASTE WATER DISPOSAL APPROVAL APPLICANT: Submit this form with four copies of a SCALED plot plan (1"=20' to 1"=40' SCALE) drawn to County specifications as indicated on the attached check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of payment. LMS # Gi*� 01'- Lk OV II MTA• Agent, Contractor, Contact Person Address City State Zip ��04C �2�v� Telephone �-5 0/✓ S %� �/'��- YtS3 Owner Address City State Zip Telephone Q OJob Property Address ;. City Z U Lot Size - Water Agency/Well / Use of Permit, P/P, SUP, PUP, etc. `&411L- 0W'T Legal Description DBA L , oG'�'`' v Dwelling, MH Site Prep., etc.�- Signat re Ali t" Dat FOR OFFICE USE ONLY C ECK BOX IF REQUIRED ,(any box is checked, this application shall be considered rejected until the (:I Detailed Contour Plot Plans Required (1 to 5 foot interval) information is provided and the fee paid. Resubmittals later than 90 days after date noted below may require repayment of fees. ❑ Other ❑ Staff Specialist Lot Inspection Required ❑ Holding Tank Agreements Completed Z -U--Gertiflcation of -Existing S.D:-Systen-O equired-� Thomas-_ThomasP,age�Grid Clearance 9 W❑ WQCB Required ❑ Date Lot Inspection Completed: Initials U) (Attach for DOH -SAN -007, Santa Ana Region Only) Remarks: ❑ Soils Percolation Report Required ❑ Maintenance Booklet Provided ❑ Special Feasibility Boring Report Required ❑ Final Inspection by Department of Environmental Health is required. ❑ Rereview Required Initials Date Please call 24 hours PRIOR tion inspection. - A ' ,,[[ C/42 / Soils Percolation Boring Report By '`w\ PookwA kA Lic/Project # (V 10 1 � Date Soils Map Page Soil Type Approved By NN �kh \w,\ATA- * Date No. of Systems Type of System(s) No. Dwelling Units (1) Septic Tank Soil Rate Grease/Sand ❑ Holding Tank ❑ Replacement Bedrooms, Fixture Units Grease Intcp/Lint Trap ❑'New ❑ Addition 'Existing ❑ Connect to Sewer -W—b Gal. Gal. Sq. Ft. Total Linear Sidewall Allowance Leach Bed sq. ft. Bottom Area Ft. ft. rock/ sq. ft. running ft. Install Line(s) ft. long ft. wide of Bottom Area Inlet Tested Depth ❑ N/A with min. inches rock below drainlines U Proposed Bottom Tested Depth or Z Leach lines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (61) Seepage Pit Maximum Other: 0 Applicable Total Depth De pth Allowable w N/A Overburden Factor ❑ 5' 6' TD U) Well Review Approved: Date: Well Drilling Permit# SIGNATURE Grading Plan Approved: Date: SIGNATURE Plan Check Only Approved: Date: �_ REMARKS: Nn �ciR1s�1)r� k \I ,UMAf—> A)OeQ. C-� 1``���� A.W� SfmoinI6 h`����r1. m1r���v 1�� �a�c-c�,✓�T�ori No 1�M�'M�i � �r���c. S`t5n;n�1 . This application is PPROVED ENIED for the category checked in SECTION B above, regar Ing he design of a disposal system as indicated on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permit is Aces Ary for the installation of the above- Revenue Code Y/�I U� 1 Fee $ 0•� designed system. No construction is permitted in the required reserved ,7 100% expansion area. Check # (1) Septic Tank must be 100' minimum from any wells. Z (2) Leach lines must be 100' minimum from any wells, including expansion Date Initial 0 area. (~j (3) Sewer lines must be 50' minimum from any wells. UJ U) (4) Seepage pits must be 150' minimum from any wells, including expansion RIVERSIDE: 951-955-8980 areal t A, INDIO: 760-863-7000 Sign�t"ur'g J SOUTHWEST. 951-600-6180 V "9-1 Date DEH -SAN -122 (Rev 8/04) Distribution: WHITE—Office File; YELLOW—Applicant; PINK—Bldg. Dept.; GOLDENROD—Plans/Records ,, . �y TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNERBUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of —' these matters. -The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011rV IVA_rw� O R'S SI ATURE/DATE 49-67s Cop-�U_ , z. PROPERTY ADDRESS PERMIT NUMBER(S) Bin # City of La Quinta Building U Safe Division Safety P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 'Building Permit Application and Tracking Sheet Permit # 00-1W57 Project Address: S•7S dol4cv ems% (J2 Owner's Name: pL p / &Ile--9CA1 A. P. Number: Address: �Q/�-%� nUi�9 Gh�CCC�4 J1?— 2Legal LegalDescription: City, ST, Zip: Z,/�- q y><r-3 Contractor: Dw A-A�9-9— Telephone: Address: e(- % r? r Project Description: City, ST, Zip: Telephone: 26 DIS -6 %^ 3 7 i State Lic. # : City Lic. #: Arch., Engr., Designer: Address: tile City, ST, Zip: Telephone: y r �- Construction Type: Occupancy: State Lic. #: Project type (circle one): New Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: ( # Units: Telephone # of Contact Person: l7 d 5 6 3. ? 7 Estimated Value of Project: OC70 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss C81CS. Called Contact Person ' Plan Check Balance zEnergy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.plan 2°" Review, ready for cor k tionsrssue 7/Z7 Electrical Subcontactor List Called Contact Person 2r� Plumbing Grant Deed Plans picked up / lb9 01 S.M.I. H.O.A. Approval Plans resubmittedj Grading IN HOUSE:- ''" Review, ready for correctio s/issue Z Developer Impact Fee Planning Approval Called Contact PersonQ v A.I.P.P. Pub. Wks. Appr �lates€pccmitlssn U School Fees Total Permit Fees -7 124eeA 6114 Urq� 0&46) ti�aN?�a--A� uP CERTIFICATE OF COMPLIANCE 4�J�FSc�o Desert Sands Unified School District 47950 Dune Palms Road Q BERMUDA DUNES O Date 8/29/07 La Quinta, CA 92253 {."+.,R NDIAN WELLSE No. 29663 (760) 771-8515 ANCHO INTA �v PLA QUO d�4y 0 y^ o .J Owner Harold E. Wilson APN # 646-220-002 Address 49575 Coachella Drive Jurisdiction La Quinta City La Quints Zip 92253 Permit # Tract # Study Area Type Residential Addition No. of Units 1 Lot # No. Street S.F. Unit 1 49575 Coachella Drive 218 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Lot # No. Street S.F. 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 218 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 - Harold E. Wilson Check No. Name on the check Telephone Funding Exempt By Dr, Doris Wilson Superintendent Fee collected /exemp ar 11 Payment Recd :--` $0.00 - Over/U" Is -71 Signature ~" `- ,r NOTICE: Pursuant to Government Code Section 66020(d)(1), this will erve 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 wh' 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 if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting HARRY E. WILSON 49575 COACHELLA DRIVE • LA QUINTA, CA 92253.760.564.2328 June 5, 2007 Board of Directors Islands One HOA La Quinta, CA 92253 Dear sirs: Attached please find a set of plans for the expansion of my kitchen. Prior to my receiving all necessary City of La Quinta permits, I would appreciate your approval. M 71661018 54ok .0 : i."= 161 (2,AcgcLJ,4 ACMatJRiSICEMWeect>M -�3✓lt►I8imJ6igU=.,C \c PM35>2,NM *irMM-36O--7A48 a tJWIMI .7448 * .WV,6Q7-M4--b+ . CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRU TION DA Z Q By TITLE 24 REPORT Title 24 Report for: HAROLD WILSON Project Designer: OWNER HAROLD WILSON THERMAL, CA 4qs-515 Co *0d 7P JdAl Report Prepared By: ADRIANA GIL Adriana Gil 74-854 Velie Way Ste. #8 Palm Desert, CA 92260 (760) 404-7917 Job Number: ADY621-0207 Date: 7/31/2007 J The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC - www.energysoft.com. �',gyPro 4.3 by EnergySoft Job Number: ADY621-0207 ILI User Number: 5553 3R ` TABLE OF CONTENTS Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Summary Form WS -5R Residential Kitchen Lighting HVAC System Heating and Cooling Loads Summary EnergyPro 4.3 by Energ Job Number: ADY621-0207 1 2 7 9 10 User Number: 5553 Certificate Of Compliance : Residential (Part 1 of 4) CF -1 R HA____RQLD Act. n/a Type Frame Area 7131./_20-0.7 Project Title Azm. Tilt -Root- Wood_ _218_ Date 88-0�5_57_TH VF THERMAL Wall Wood_ 93 0-095 --R--1.5- _E=0..0 Project Address Number of Stories: Call_ Wood_ 141 _0.0.95_ Building Permit # Adr_iaaa_Gil Units Zone Type Type Wall Wood- X02 (760) 404-7917 _EZt5.0`0.0_ Documentation Author -nLa Telephone plan Check/Date P� CA Mimate_Zone 1.5 Field Check/Date Compli ce Method Climate Zone TDV Standard Proposed Compliance _ kBtu/sf- J Design Design Margin Space Heating 3.52 4.30 -0.78 Space Cooling 86.29 84.48 1.81 Fans 11.75 11.55 0.20 Domestic Hot Water 0.00 0.00 0.00 Pumps 0.00 0.00 0.00 Totals 101.56 100.33 1.23 than Standard: Building Type: [J Single Family ❑ Multi Family Building Front Orientation: Fuel Type: Fenestration: FJ Addition ❑ Existing + Add/Alt (E) 90 deg Natural Gas Area: 45 ft 2 Avg. U: 0.34 Ratio: 20.8% Avg. SHGC: 0.28 BUILDING ZONE INFORMATION Zone Name Floor Area Volume MILNr WAC_SYSTEM 2181,7A_4 OPAQUE SURFACES 218 Insulation Act. n/a Type Frame Area U -Fac. Cay. Cont. Azm. Tilt -Root- Wood_ _218_ _0_025_ _E_38- _R--O-O_ -2Z0_.8 Wall Wood_ 93 0-095 --R--1.5- _E=0..0 -90-90 Number of Stories: Call_ Wood_ 141 _0.0.95_ _EZ1.5_ _E_0..0 1.8.0__9.0 Units Zone Type Type Wall Wood- X02 _0.09.5_ _EZt5.0`0.0_ 0__9.0 -nLa 1.2% Total Conditioned Floor Area: 218 ft2 Existing Floor Area: n/a ft2 Raised Floor Area: 0 ft2 Slab on Grade Area: 218 ft2 Average Ceiling Height: 8.0 ft Number of Dwelling Units: 0.09 Number of Stories: 1 # of Thermostat Vent Units Zone Type Type Hgt. Area -0.09_ Conditioned- -Setback- -2 -nLa Gains Condition Y / N Status JA IV Reference Location / Comments New 01=A18 ADD=ON New -0.9_A4 ADDJMON New -09=A4 ADDI_IIlO.N New _09A4 ADDITION EnergyPro 4.3 by EnergySoft User Number: 5553 Job Number: ADY621-0207 Paae:3 of 10 1 Certificate Of Compliance: Residential (Part 2 of 4 HAROLD WILSON 7/31/2007 Project Title Date FENESTRATION SURFACES True Cond. Location/ # Type Area U-Factorl SHGC2 Azm. Tilt Stat. Glazing Type Comments -1— 1Nindow Eront_ (E)_ —6-0- _0..340 NERG _0..28 —NERC _9.0_ _90- NlewBETCERBU1LLVinyUoyy E A_ DD=I.ON 2 Window Right (N)_ 39.3 0.340 NFRC 0_28 NFRC 0 90 New BETTER BUILT Vinyl low E ADDITTION 1. Indicate source either from NFRC or Table 116A. INTERIOR AND EXTERIOR SHADING # Fvfmrinr Qhnrlc Tvnc cur_r, 2 u.fu 2. Indicate source either from NFRC or Table 116B. Window Hgt. Wd. 3.0 4.0 Overhang Len. Hat. LExt. RExt. 2.0 Left Fin Dist. Len. Hgt. Right Fin Dist. Len. Hat. y THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Condition Location/ Type (sf) (in.) Cap. Cond. R -Val. JA IV Reference Status Comments Concrete, Heavyweight 218 3.50 28 0_98 0 26-A1 New ADDITTION / Slab on Grade PERIMETER LOSSES Insulation Location/ Condition Type Length R -Val. Location JA IV Reference Status Comments Slab Perimeter 121 None No Insulation 26-A1 New ADDITTION Run Initiation Time: 07/31/07 16:00:04 Run Code: 1185922804 EnergyPro 4.3 by EnergySoft User Number: 5553 Job Number: ADY621-0207 Page:4 of 10 Certificate Of Compliance : Residential (Part 3 of 4) CF -1 R HAROLD WILSON 7/31/2007 Project Title Date HVAC SYSTEMS Heating Minimum Cooling Minimum Condition Thermostat Location Type Eff Type Eff Status Type EXISTING HVAC SYSTEM Central Furnace 80% AFUE Split Air Conditioner 10.5 SEER Existing Setback HVAC DISTRIBUTION Duct Duct Condition Ducts Location Heating Cooling Location R -Value Status Tested? EXISTING HVAC SYSTEM Ducted Ducted Attic 6.0 New No Hydronic Piping Pipe , Pipe Insul. System Name Length Diameter Thick. WATER HEATING SYSTEMS Rated Tank Energy Tank Insul. Water Heater # in Input Cap. Condition Factor Standby R -Value System Name Type Distribution Syst. (Btu/hr) (gal) Status or RE Loss (%) Ext. Multi -Family Central Water Heating Details Hot Water Pump Hot Water Piping Length (ft) 1/2" Control # HP Type In Plenum Outside Buried Insulation 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 (per Business & Professions Code) Name: Title/Firm: OWNER Address: HAROLD WILSON THERMAL, CA Telephone: Lic. #: (signature) Enforcement Agency Name: Title/Firm: Address: Telephone: (signature) (date) Documentation Author Name: ADRIANA GIL Title/Firm: Adriana Gil Address: 74-854 Velie Way Ste. #8 Palm Desert, CA 92260 Tel phe: 760 404-7917 '4 I (sig ature) 1 (date) Certificate Of Compliance : Residential (Part 4 of 4) CF -1 R HAROLD WILSON 7/31/2007 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies �aavu un L 1 aucyua%,y v! 11IC J1JCG1a1 Jusuncetwn ana aocumentation suomm:ea. Plan Field The Roof "R-38 Roof (R.38.2xl4.24)" includes credit for a Radiant Barrier installed per Section 3.3.3 of the Residential Manual. HIGH MASS Design - Verify Thermal Mass: 218 sqft Exposed Slab Floor, 3.50" thick at ADDITTION HERS Required Verification Items in this section require field testing and/or verification by a certified home energy rater under the supervision of a HERS rovider usin a roved p t t' Al 'f h g pp es mg an or ven kation met ods. —PiWn7 Field qx, L EnergyPro 4.3 by EnergySoft User Number: 5553 Job Number: ADY621-0207 Page:6 of 10 1 -Mandatory Measures Summary: Residential (Page 1 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercede 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. DESCRIPTION Check or initial applicable boxes or check NA if not applicable and included with the permit application documentation. N/A DESIGNER ENFORCE - MENT Building Envelope Measures ❑ ❑X ❑ § 150(a): Minimum R-19 in wood ceiling insulation or equivalent U -factor in metal frame ceiling. ❑ ❑X ❑ § 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 ❑ ❑X ❑ apply to exterior mass walls). ❑ ❑X ❑ § 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. ❑ ❑X ❑ 1. Masonry and factory -built fireplaces have: ❑ ❑X ❑ a. closable metal or glass door covering the entire opening of the firebox ❑ ❑X ❑ b. outside air intake with damper and control, flue damper and control ❑ ❑X ❑ 2. No continuous burning gas pilot lights allowed. ❑ ❑X ❑ § 150(f): Air retarding wrap installed to comply with §151 meets requirements specified in the ACM Residential Manual. ❑ ❑X ❑ § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ ❑X ❑ § 150(1): Slab edge insulation - water absorption rate for the insulation alone without facings no greater than 0.3%, water vapor ❑ ❑ ❑ permeance rate no greater than 2.0 perm/inch. § 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include ❑ ❑ ❑ CF -6R Form: § 116-17: Fenestration Products, Exterior Doors, and Infiltration/ExFltration Controls. ❑ ❑ ❑ 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. ❑ ❑X ❑ 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain ❑ ❑ ❑ Coefficient (SHGC), and infiltration certification. ❑ ❑X ❑ 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ ❑X ❑ Space Conditioning, Water Heating and Plumbing System Measures § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. ❑ ❑X ❑ § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑ ❑X ❑ § 150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ ❑X ❑ § 1500): 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 ❑ ❑X ❑ having an installed thermal resistance of R-12 or greater. 2. Back-up tanks for solar systems, 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. ❑ ❑ ❑ 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, ❑ ❑X ❑ 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. ❑ ❑ ❑ EnergyPro 4.3 by EnergySoft User Number: 5553 Job Number: ADY621-0207 Page:7 of 10 Mandatory Measures Summary: Residential (Page 2 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercede 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. DESCRIPTION Instructions: Check or initial applicable boxes when completed or check N/A if not ENFORCE - applicable. N/A DESIGNER MENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) § 150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, ❑ ❑X ❑ 605, and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minumum 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 181 B 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 ❑ X❑ ❑ sealed sheet metal, duct board or Flexible duct shall not be used for conveying conditioned air. Building cavities and 2. System is installed with: support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause ❑ ❑ ❑ b. Cover for outdoor pools or outdoor spas. ❑ ❑ ❑ reductions in the cross-sectional area of the ducts. ❑ ❑ ❑ § 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously ❑ © ❑ 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. § 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ ❑X ❑ 4. Exhaust fan systems have back draft or automatic dampers. ❑ ® ❑ 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating ❑ Q ❑ dampers. ❑ X❑ ❑ in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment ❑ ❑X ❑ maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water § 150(k)4: Permanently installed luminaires located other than in kichens, bathrooms,garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR are ❑ X❑ ❑ retardant and provides shielding from solar radiation that can cause degradation of the material. always on option. 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are ElX ❑ El 7. Flexible ducts cannot have porous inner cores. ❑ a ❑ § 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 ❑ ❑ ❑ heater, weatherproof operating instructions, no electric resistance heating and 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. ❑ ❑ ❑ 3. Pool system has directional inlets and a circulation pump time switch. ❑ ❑ ❑ § 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously ❑ © ❑ burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) § 118 (i): Cool Roof material meets specified criteria ❑ ❑ ❑ Lighting Measures § 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ ❑X ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are electric 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 150-C, ❑ Q ❑ luminaire has factory installed HID ballast. § 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined ❑ X❑ ❑ in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy 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, utility rooms shall be high efficacy luminaires. ❑ ❑X ❑ OR are controlled by an occupant sensor(s) certfied to comply with Section 119(d). § 150(k)4: Permanently installed luminaires located other than in kichens, bathrooms,garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR are ❑ X❑ ❑ controlled by an occupant sensor that complies with Section 1' 9(d) that does not turn on automatically or have an always on option. 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are ElX ❑ El certified to ASTM E283 and labeled as air tight (AT) 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 ❑ ❑X ❑ same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 11 g(d). § 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147. ❑ ❑ ❑ Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Section 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 Section 119(d). EnergyPro 4.3 by EnergySoft User Number: 5553 Job Number: ADY621-0207 Page:8 of 10 Residential Kitchen Lighting Worksheet WS -5R HAROLD WILSON 7/31/2007 Project Title Date At least 50% of the total rated wattage of permanently installed luminaires in kitchens must be in luminaires that are high efficacy luminaires as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately. Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens. High Efficacy Luminaire Type High Efficacy? Watts Quantity Watts Other Watts (1) 24w/27w Fluorescent Twin Elec Yes X1 No 21.0 x 6 = 126 or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Total A: 126 B: 0 COMPLIES IF A z B YES RI NO ❑ EnergyPro 4.3 by EnergySoft User Number: 5553 Job Number: ADY621-0207 Page:9 of 10 1HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE • HAROLD WILSON 7/31/2007 SYSTEM NAME FLOOR AREA EXISTING HVAC SYSTEM 218 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 Heating System Output per System 65,000 Total Output (Btuh) 65,000 Output (Btuh/sqft) 298.2 Cooling System Output per System 58,500 Total Output (Btuh) 58,500 Total Output (Tons) 4.9 Total Output (Btuh/sqft) 268.3 Total Output (sgft/Ton) 44.7 Air System CFM per System 2,000 Airflow (cfm) 2,000 Airflow (cfm/sqft) 9.17 Airflow (cfm/Ton) 410.3 Outside Air (%) 0.0 Outside Air (cfm/sqft) 0.00 Note: values above given at ARI conditions 'ING SYSTEM PSYCHROMETRICS 26.0 of 69.6 of 69.6 of Outside Air 0 cfm 69.6 of 0 Supply Fan 2000 cfm Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM ISensiblel Latent CFM I Sensible 291 5,319 1,089 223 7,056 0 766 824 0 0 0 0 0 0 0 0 0 766 824 6,851 1,089 8,705 5 Ton Unit 38,067 13,333 65,000 Total Adjusted System Output 38,067 13,333 65,000 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am 100.2 of Heating Coil res at Time of k Return Air Ducts; Supply Air Ducts 99.8 of ROOMS 70.0 of (COOLING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Coolina Peak) 11.0/77.6 OF 76.4/63.9 OF 76.4/64.00F 0 58.5/57.50F Outside Air O 0 cfm Supply Fan 2000 cfm 76.4/63.9 of Cooling Coil h Return Air Ducts 11 Supply Air Ducts 58.8/57.6OF 51.7% R.H. ROOMS 76.0 / 63.8 of EnergyPro 4.3 by EnergySoft User Number: 5553 Job Number: ADY621-0207 Page: 10 of 10