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04-4143 (SFD)�y��,Q�ra BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 9225.3 INSPECTION. REQUESTS (760) 777-7153 BUILDING PERMIT S .2 Application Number . . . . .MuoIVT4%3111� Date 9/30/04 -arOAT-2 .Property Address . . . .. . . 15;f-"70CALLE QUITO APN: 770-143-008-' Application description . . . DWELLING - SINGLE FAMILY DETACHED, Property Zoning'. LOW DENSITY RESIDENTIAL Application valuation . . . . 194729 Owner Contractor ------------------------ - --------- SERVIN EDUARDO OWNER. 52155 DOS PALMAS Ir j1) COACHELLA -CA 92236 U 6CT o 12004 ------ Structure Information 2891 SQ. FT. SFD. C-EV-0—pa, L;i--u N -r Construction Type . . . . . TYPE V. - NON RATE RNAVCE "4'r _77-'_ �7Ce 0 �iR Occupancy Type . . . . . . DWELLO/LODGING/CONG.<=Io, Flood Zone FLOOD ZONE AO Other struct info.. CODE EDITION 2001 CBC # BEDROOMS .00 FIRE -SPRINKLERS NO GARAGE SQ FTG- ..00 PATIO So" FTG' .00 NUMBER OF UNITS 1.0.0 FIRST FLOOR SQ FTG .00 ----------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc Permit Fee 972.00 Plan Check Fee 631.80 Issue Date Valuation 194729 Qty Unit Charge Per Extension BASE FEE 639.50 95.00 3.5000 THOU BLDG 1.00,001-500,000 .332.5.0 --- - - - - - - - - - - - - - - - - - - 7 - - - - - ----- - - - - - - - - - ---- - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Permit .. . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 146.55 Plan Check Fee 36.64 Issue Date Valuation 0, Qty Unit Charge Per 2891.00 .0350 768.00 768.00 .0200 . 1.00 .15.0000 EA BASE FEE ELEC NEW RES 1 OR 2 FAMILY ELEC GARAGE OR NON-RESIDENTIAL ELEC TEMPORARY POWER POLE , Extension .15.00 101.19 15.36 15,.00 I Vi` P.O. BOC 1504 • '�C�� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 BUILDING & SAFETY DEPARTMENT Application Number: r)4% Applicant: 6? / 0_(L Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153• Date: 2'� � —D Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 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 Contractors' 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 Contractors' 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).): ( 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 or 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.). U 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.). U I am exempt under Sec. . BA P.C. for this reason 7 �a WORKERS' 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 Policy Number 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /I WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from dale 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 co ith all c and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon theve-men ' roperty i spection purposes. Nkl.- ' Page 2 Application Number 04-00004143 Date 9/30/04 Permit GRADING PERMIT Additional desc Permit Fee . . . . .15.00 Plan Check Fee .00 Issue Date Valuation 0 Qty Unit Charge Per, Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Permit MECHANICAL Additional desc Permit Fee . . 7-7.00 Plan.Check Fee 19.25 Issue Date Valuation 0 Qty Unit Charge Per Extension - BASE FEE 15.00 2.00 9.0000 EA MECH-FURNACE,<=100K 18.00 2.00 9.0000 EA- MECH B/C <=3HP/100K BTU 18.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 .6.5000 ----------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 147.75 Plan Check F=e 36.94 Issue' Date . . . . Valuation - . 0 ...Qty Unit Charge Per Extension BASE FEE 15.00 13:00- 6.0000 EA PLB FIXTURE 78..00 . 1.00 15.0000 EA PLB-BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7:50 -.1.00 .3.0000 EA PLB WATER INST/ALT/REP 3.00 -1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 7.00_ .7500 EA PLB GAS PIPE >'=5 5.25 1.00 15.0000 EA PLB GAS METER 15.00 --------------------- _Special Notes and Comments 2891 sq. ft. sfd THIS PERMIT DOES NOT INCLUDE POOL AND SPA , BLOCK WALLS OR DRIVEWAY APPROACH..FLOOD PLAIN. Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 Page 3 Application Number . . . . . 04-00004143 Date 9/30/04 ---------------------------------------------------------------------------- Other Fees . . . . . . . DIF COMMUNITY CENTERS -RES. 97.00 -- DIF CIVIC CENTER -RES 366.00 ENERGY REVIEW FEE .63.18 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE 00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 19.47 DIF STREET MAINT"FAC-RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1358.30 .00 0D 1358.30 Plan Check Total 724.63 25"0.00 0D 474-.63 :-Other Fee Total 2487.65 .00 0D 2487.65 Grand Total. 4570.58 250.00 0D 4320.58 Y 04--4143 P.O. BOX 1504 APPLICATION ONLY Building ^ 78-495 CALLE TAMPICO Address L.4 �(L /n 64LA OUINTA, CALIFORNIA 92253 Owner I 7 _ i Address ,9ty Contractor Address City State Lic. & Classif. Arch., Engr:,- ;• Designer Address City eel( .-eS99•-6 q, Lic. # el. Zip (State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he 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 (8500). 16Y1—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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of sale.) 1 1 I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 1-1 1 am exempt under Sec. B. & P.C. for this re n Date 2_O Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company n Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) 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. Date Owner NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. 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 sof this city to enter the above. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING: TYPE'CONST. OCC. GRP. A.P. Number /l egal Description -7 7 U 009 Lai /vg Sq. Ft. p No. No. Dw. Size Stories Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ r PERMIT AMOUNT Plan Chk. Dep. s Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL I I "MANCE DEPT. REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setbacl, from Center Line FINAL DATE Side Setback from Property Line INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIV190N Date 9/10/04 No. 26421 Owner Eduardo Servin Address City . LA Quinta Zip 92253 Tract # Type Single Family Residence Lot# No. Street Unit 1 54299 Calle Quito Unit 2 51-225 Unit 3 Unit 4 Unit 5 Comments CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 z4cCs O BERMUDA DUNES V) RANCHO MIRAGE INDIAN WELLS PALM DESERT ,y LA QUINTA 4 Q INDIO D APN # 770-143-008 Jurisdiction . La Quinta Permit # Study Area No. of Units 1 S.F. Lot # No. Street 2891 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 S.F. 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: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 2;891 S.F. or $6,475.84 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 CCNIB-Eduardo Servin Check No. 315289 Name on the check Telephone 760-398-1718 .Funding Residentia'' By Dr. Doris Wilson Superintendent Fee collected /exempted by Vanessa Robles Payment Recd $6,4.75.84 OverlUnder Signature NOTICE: Pursuant to Government Code Section 66020(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 if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy -Accounting 1pm,INGREOUESTEDBY - O Y W J O. b OLD REPUBLIC TITLE CO. AND WHEN RECORDED MAIL THIS DEED AND, UNLESS, OTHERWISE CD z Wa () W a: SHOWN BELOW, MAIL TAX STATEMENT TO: z Name ' Eduardo Servin Z _ Street Julia Sevin CAddress city a 52155 Dos . Palmas Coachella, Ca. 92236 X 4 State �: qzr Zip Q Title Order No. Escrow No. 10-2517 cc i O - O Y W J O. b d+ W CD CD z Wa () W a: n� SPACE ABOVE THIS LINE FOR RECORDER'S USE T 355 Legal (2-94) Grant Deed -13 THE UNDERSIGNED GRANTOR(s) DECLARE(s) 47.30 DOCUMENTARY TRANSFER TAX IS $ ❑ unincorporated area ❑ Ci of �7D.143-cam arcel No. " Gig T�A 0-;10 1 ® computed on full value of interest or property conveyed, or ❑ computed on full value less value of liens or encumbrances remaining at time of sale, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, KAREL NOVAK, Trustee.of'.Calle Quinto Trust U.D.T. 5 10 93 . hereby GRANT(S). to EDUARDO SERVIN and JULIA SERVIN, husband and wife, as Joint Tenants. the following described real property in the county of Riverside , state of California: Lot 108 of Desert Club Tract Unit. No. 5, as per Map recorded in Book 21, Pages 61 and 62 of Maps, in the office of the County. Recorder of said County. Dated October 24, 1994 STATE OF CALIFORNIA COUNTY OF ..Riverside I S.S. On October 28, 1994 before me, Julie L. Piazza a Notary Public in and for said County and State, personally appeared Karel Novak personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(gj whose name($j is/are subscribed to the within instrument and acknowledged to me that he/she/sltey executed the same in it authorized capacity(tee), and hi&4*0tbeir signature on the ins ment the pe itheinstr h entity pon behalf of which th person(s) a d, execu ed ent. WITNESS m and and o ici I eal 'Signature Z -C RAREL NOVAK, as Trustee JULIE L. PIAZZA 0 Comm. #975253 os : TAR Y PUBLIC . CALIFORNIi LOS ANGELES COUNTY �J a Cann EVM OCL 12.19M -4 (This area for official notorial seal) MAIL TAX STATEM9ENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE r9� - 4- ay.'il+ P. �: N r - ..: •. .i<. Cjlly �� %SL1I0 aw Y l•�a' _ .9S y.•,•�4., .1. > �.Zb.Y. s p P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 June 13, 2005 Mr. Ed Servin 52155 Dos Palmas Coachell, CA 92236 BUILDING SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777.-7011 RE: Building Permit Extension Request — 51225 Calle Quito. Dear Mr. Servin: I. have received your recent letter, dated June 2, 2005, requesting an extension 'for the single family dwelling being constructed at the above address under' Building Permit #04-4143. Inspection status: Permit issued: 10/1/04 _Temporary Power: 12/22/04 Underground Plumbing: 12/27/04 Sewer Connection: 12/27/04 180 -day expiration date: 6/27/05 1807day extension date: 12/27/05 Under the provisions of California Building Code Section 106.4.4, your request is hereby granted. Because the Building Code specifies that "no permit shall be extendEd more than once," please be advised that unless the project passes its next required inspection on. or before Monday, December 27, 2005, your building permit will expire automatically. Yours truly, Building y& Safety Manager June 2"d, 2005 To: GREG BUTLER Y M I € The City of La Quinta Building A Safety y From: : Ed Servin 760-398-1718 RE: Building Permit Extension '51=225'QUITO 4 LA�QUINTA,-CA- 92253- A. P, N.: 770-143-008 This is to inform you that we are seeking an extension for the building permit.issued on 09-03-04. We were deterred in our progress because of plan revisions from the designer. Conversely, this delay will not help us meet the deadline indicated in the original building permit. We respectfully .ask for an extension where we will make all efforts to meet the new time allotted. We 'simply ask for 30 business days 'as of today.. 5 aumrcu ECE j .3 78-495 CALLS TAMPICO E�UG; 2 7 Z004 LA QUINTA, CA 92253 (760) 777-7075 - PUBLIC MIOR KS ►.'tm III ; d'I0 7111111361V_ FLOOD PLAIN DEVELOPMENT PERMIT ; BUILDING. SITE LOCATION FLOOD ZONE "AO" -DEPTH 1 COMMUN'TY- PANEL NUMBER' r �� Q� \ C^ C A 060709 0005 B S , Cc-� � e QV Map Revised: 8%19/1991 APPLICANT INFORMATION SECTION ' APPLICANT NAME . APPLICANT ADDRESS (MAILING ADDRESS, NOT THE BUILDING SITE) C/lacl/ e // 3 DAYTIME TELEPHONE NO.�99 INSTRUCTIONS 1 . A Flood -Plain Development Permit is required by LQMC Section, 8.11.040(A). The'Applicant should .complete the Applicant Information portion of this'application and submit it to the Engineering Department along with the required documentation noted hereon at the same time the Precise Grading Plan is submitted to the Building and Safety Department for plan checking. 2. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Builjing Permit issuance • Copy of the proposed Precise Grading Plan for review and approval containing a,l.information required by the checklist shown on the back of this application. 3. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain. Develbpment Permit. approval. Note, this approval occurs after forms for the lowest, habitable floor are set and before C -ie Building & Safety Department authorizes foundation construction. • Submit a completed FEMA "Elevation Certificate" form to the Engineering Department. • Submit 95% relative density soils compaction certification to the Engineering Department. STEP 1 OF 2 APPROVAL STEP 2 OF 2'APPROVAL The Precise Grading Plan submitted for this application has been All requirements have been satisfied. This Flood Plain reviewed and found to contain all data required to satisfy the Development Permit is approved. requirements of LQMC 8.11 The proposed dwelling is eligible to receive a building permit.upon satisfying all other Building & S ty Departm t r quirements. AUTHORIZED SIGNATURE DATE AUTHORIZED SIGNATURE DATE' ' La Quinta Engineering Department La Quinta Engineering Department .FILE: Upon Step 2 approval, original goes In Hood r(aln Development rerma ine; copy goes to Sapp icarm F090 REV -2. 7/00 BUILDING CITY La FEDERAL EMERGENCY MANAGEMENT AGENCY *NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE ant: Read the instructinnc nn as 1 .7 SECTION A - PROPERTY OWNER INFORMATION �ei..rn•n a -...- ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O: ROUTE AND BOX NO. I-1 1 _ „ . . in toCa • STATE SCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) USE (e.g., Addition, Accessory, etc. Use a .,Va. a necessary-. O.M.B. No. 3067=0077 Expires December 31, 200: For Insurance Company Use: Policy Number Company NAIC Number 92253 ZIP CODE ( o - , : ##,or .11###1�'� •�/ n1JK14VN IAL DATUM: . LJ NAD 1927 L_I NAD 1983. SOURCE: LJ GPS (Type): USGS Quad Map. LTJ Other SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME 8 COMMUNITYNUMBER Y NAME VDV/VY B2. COUNTRiverside qP AND PANEL85. SUFFIX B6. FIRM INDEX NUMBER 67. FIRM PANEL B8. FLOCI DATE EFFECTIVE/REVISED DATE ZONE(Sa B3. STATE :Ca. 89. BASE FLOOD ELEVATIONS r r r (Zone AO, use depth of flooding) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 69. LJ FIS Profile �$� FIRM U Community Determined B11. Indicate the elevation datum used for the BFE in B9: IJ NGVD 1929 U NAVID 988 U Other ribe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected ec A ea (OPA.)?' LJ Yes Designation Date: U No .SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQ JIRED) C1. Building elevations are based on: LIConstruction Drawings'IBuilding Under ConstructiorY' 'A new Elevation Certificate will be required when construction of the building is complete.. I_IFinished Construction 4 C2. Building Diagram Number.L(Select the building diagram most similar to the building for which this certificate is being completed -sec. pages 6 and 7. If no diagram accurately represents the building C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VEi VI-V30,'V (with BFE), AR, ARIA, AR/AE AW -Al -A30, AR/AH, AR/AO Complete Items. C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the;datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided, or the Comment's area of Section D or Section G, as appropriate, to doc Datum Conversion/Commentument the datum conversion. S' Elevation reference mark used Does the elevation. reference mark used appear on the. FI Yes ❑ a) Top of bottom floor (including basement or enclosure) ❑ b) Top of next higher floor -9— ft. (m) C] C) Bottom of lowest horizontal structural member (V zones only) — ft.(m) QRS /ONq �0 �PRVEy C1 d) Attached garage (top of slab) _ ft.(m) o o ❑ e) Lowest elevation of machinery and/or equipment .4 _ W -C� ��f servicing the building (Describe in a Comments area.)m " y rs. ❑ f) Lowest adjacent (finished) grade ( LAG) — ft•(m) � N0. 12571 ,❑ g) Highest adjacent (finished) grade (HAG) • -3- ft -(m) . m N 4 7 ft.(m) d'acent rade J ❑ h) No. of permanerlt openings (flood vents) within 1 ft. above aG�� N� I s ' ❑ i) Total area of all permanent openings (flood vents) in C3.h q• in. (sq. cm) SECTION i - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFIC-1::: This certification is to be signed and sealATION ed by a.land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information in Sections A, B, and C on this Certificate understand that any false statement represents my best efforts to interprEt.the data available. CERTIFIER'S NAME _ I may be punishable b fine or imprisonment under 18 U.S. Code, Section 1001. TAW U r.1 rm^r 1 S FEMA Form 81-31. Janusry *2nnn N w-- NIA- —E i ® s . f. NATIONAL INSPECTION ASSOCIATION, INC. Quality Systems Management, Inc. National Testing, Inc. Origination Date: 07-2003 zFt.;S r r < <' ,v"t-_;.�3 ^JKl'etu/ . hale Connected Wood i rus•s Non Listed Fabricator's Audit Report Number: A-1-030 Audit Date/Arrive/Depart: /d -�2/:123 /o;,�)r) 4-, Revis4an No. C Al Fabricator's Name: `7`�USS�t,o,FK,S Location: :nXeRM 1 Does thy: Fabricator have a current Agreement with the Agency for Audit? ................................. Is the Quality System Manual, "QSM" up to date per AC -10 & AC -98? ....................................... Has the QSM been rev',,. -,-wed within a twelve month period?....................................................... Are materials used in F =oduction per National Standards & Engineers Specifications? .............. Is an acceptable In -Hoose Quality Control System according to National Sta idards in place?.. Are In -House Quality Control Inspections being conducted per National Standards? ................ 1, {-!n�� I:1 pC'Ci!Oil Of tl �.rU C� Ci).'-11.)lete l prior tCi t_£ihCiilid . Shll1171C1?t?.......... Is there a System in place to deal with Non -Conforming Materials? ...........................:................. Are written Q.C. Inspection Reports and Agency Audits kept for at least two years? .................. Yes T/ No Yes —L� No Yes _,� No Yes No Yes ✓ No Yes __.� No - Yes , N,o Yes _ ✓ No Yes ✓ No Have any Corrective Action Requests, "CAR", been issued during this Audit? ........................... Yes No ►✓ Check - - CATEGORY — — — CONFORMING NON -CONFORM. REMARKS — Lumber Grade Changes In Supervisory Personnel, Production' Process taint l\crurac`,r is within 1/8' ----- ----- - - .. i - 8..__.. Hate P4:L.arre;h Half-, �i).�s -- ------------ , �r - ----- Gv /iiJSi /-i i'i z002 Plate Size ICC Esti[ Plate to Wood Tolerance is v!;ihin 1/32" Is There Product Tractability Label I_eriibility - Labels on Site - Stamps;,% 1.,abels /7 --------CE-,Ti=GORY ---. --- - l'—ES '--- NO --_—_ RF'MAF;I:S---- Changes In Supervisory Personnel, Production' Process ✓ Per iM%J8 Any Test Performed or Witnessed Per A'.t-98 Is There Product Tractability Per AC -93 Any "CAR" Reports From Last Audit Per AC -98 Any Shut Downs or Disruptions In Production f Per -AC -98 Any Samples Taken f PerAC-98 Any Test / Measuring Equipment That Requires Calibration Per AC -98 Does the Final Product meet UBC / IBC and National Standards? Y ' Required Signatures 7��Fa for Q.C. Supervisor Auditor for Nasional Inspection Association Y'WP1. ox -3426 E -Mail: NIAgillette@vcn.com (307) 685-6331 Office Giller a Wyoming 82 71 7-342 6 Cellular Phone: (307) 689-5977 (307) 685-6331 Fax Page One of Two TITLE 24 REPORT Title 24 Report for: Servin Residence Calle Quito La Quinta, CA i I Project Designer: Report Prepared By: Joan D. Hacker Insu-form, Inc. 68-255 Corta Road Cathedral City, CA 92234 (760) 324-2046 F TY OF LA QUINTA ILDING & SAFETY DEPT, APPROVED FOR Job.Numbe : BCONST UC ION DATEJL/4 g Date: 9/7/2003 1 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is j authorized by the California Energy Commission .for use with both the Residential and Nonresidential 2001 Building EnergyEfficiency Standards. I I This program developed by EnergySoft, LLC (415) 883-5900. EnergyPro 3.1 Byprler ySoftJo ber. -- User Number. 2655 ca TABLE OF CONTENTS Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Checklist Form C -2R Computer Method Summary HVAC System Heating and Cooling Loads Summary Room Load Summary 1 2 3 6 8 12 13 Certificate of Compliance: Residential (Part 1 of 2) CF -1R Servin Residence 9/7/2003 Project Title Date Calle Quito La Quinta Project Address Building Permit # Insu-form, Inc. (760) 324-2046 Plan Check./ Date Documentation Author Telephone Computer Performance 15 Field Check:/ Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 2,891 ft2 Average Ceiling Height: 10.0 ft Total Conditioned Slab Area: 2,891 ft2 Building Type: (check one or more) X❑ Single Family Detached El -Addition ❑ Single Family Attached ❑ Existing Building ❑ Multi -Family ❑ Existing Plus Addition Front Orientation: (East) 90 deq Floor Construction Type: ® Slab Floor Number of Dwelling Units: 1.00 Number of Stories: 1 ❑ Raised Floor Const. Component Frame Assembly Location/Comments Type Type U -Value_ (attic, garage, typical, et.,.) Slab On Grade n/a 0.756 Exposed Slab w/R-0.0 Perimeter Insulation Slab On Grade n/a 0.756 Covered Slab w/R-0.0 Perimeter Insulation R-19 Wall (W.19.24.16) Wood 0.065 Exterior Wall R-38 Roof (R.38.2x14.16) Wood 0.028 Exterior Roof FENESTRATION Type Orientation Area Fenestration Exterior Overhang Side Fins SF U -Factor SHGC Shading Yes / No Yes / No Front (East) 36.0 0.68 0.55 Bug Screen Q ❑ ❑ 0 Front (East) 48.0 0.72 0.55 Bug Screen Q ❑ ❑ x❑ Left (South) 21.0 0.68 0.55 Bug Screen .K ❑ ❑ Q Left (South) 24.0 0.72 0.55 Bug Screen ® ❑ ❑ 0 Left (Southwest) 16.0 0.68 0.55 Bug Screen ® ❑ ❑ X❑ Rear (West) 172.0 0.72 0.55 Bug Screen R] ❑ ❑ x❑ Rear (West) 31.0 0.68 0.55 Bug Screen Q ❑ ❑ 0 Rear (Northwest) 12.0 0.68 0.55 Bug Screen 0 ❑ ❑ Q Right (North) 12.0 0.72 0.55 Bug Screen 0 ❑ ❑ Q Right (North) 22.0 0.68 0.55 Bug Screenx❑ ❑ ❑ 0 ❑ ❑ ❑ ❑ Run Initiation Time: 09/07/03 17:42:21 Run Code: 1062981741 Ener Pro 3.1 By Ener Soft User Number: 2656 Job Number: Pa e:3 of 13 Certificate of Compliance: Residential (Part2 of 2) CF -1R Servin Residence 9/7/2003 Project Title Date HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location / pump, etc.) (AFUE/HSPF) (ducts, attic, etc.) R -Value Type Comments Central Furnace 80% AFUE Ducts in Attic 4.2 Setback Living Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type Comments Split Air Conditioner 12.0 SEER Ducts in Attic 4 2 Setback Living WATER HEATING SYSTEMS Rated 1 Tank Energy Fact*1 1 External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value A O SMITH FPSH-50-235 Small Gas Standard 1 40 nnn so 0.62 n/a n/a 1 For small gas storage (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 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. REMARKS COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance 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 recognize that compliance using duct sealing and TXV's requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Documentation Author Name: Title/Firm: Address: Telephone: Lic. #: (signature) (date) Enforcement Agency Name: Title/Firm: Address: Telephone: Name: Joan D. Hacker Title/Firm: Insu-form, Inc. Address: 68-255 Corta Road Cathedral City, CA 92234 Telephone: (760) 324-2046 .g- (signature/stamp) (date) Run Initiation Tim • 09/07/03 17.42.21 Run Code* 106298174'1 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page:4 of 13 Certificate of Compliance: Residential (Addendum) CF -1 R Servin Residence 9/7/2003 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 iaseu un uie aueyuacy yr 11110 special Jusu11ca11v11 anv avcumenlauvn suvmnlev. Plan Field The HVAC System "Living" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual. I HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approa+ed HERS Ni—wc'. enc IaLa1 uIua1 NV\.YlllVIIL lnc IIOIV Velllll.allull allu 4Iayn VDill. 1CDVI1a VI mese measures vii a nxn11 1,r-om. I Plan I Field EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page:5 of 13 Mandatory Measures Checklist: 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 e,sed. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When the checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specificaticns for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures ❑X 1150(.): Minimum R-19 ceiling insulation. § 150(b): Loose fill insulation manufacturer's labeled R -Value. ❑*§150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does %I not apply to exterior mass walls). ' § 150(d): Minimum R-13 raised Floor insulation in framed floors or equivalent. §150(1): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. a§118: Insulation specified or installed meets insulation quality standards. Indicate type and form. ® § 116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls 1. Doors and windows between 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. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. § 150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. ❑X § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed.' Space Conditioning, Water Heating and Plumbing System Measures ❑X § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the 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. a§1500): Pipe and Tank 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 greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55 degrees F. insulated. 6. Piping insulating between heating source and indirect hot water tank. EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page:6 of 13 Mandatory Measures. Checklist: Residential (Page 2 Df 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. 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 initial i ;DESCRIPTION or applicable boxes or enter N/A if not applicable. :DESIGNER -ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) i IX i'§150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 1 603, 604 and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in 4 i i conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181B. 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. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be i sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. I 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other i i 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. 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive j i duct tapes unless such a tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. i 1 5. Gravity ventilation systems serving conditioned space have eitherautomatic or readily accessible, manually j operated dampers. i I 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable I for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. 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. i !,X § 114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance I heating, and no pilot. i 2. System is installed with at least 36" of pipe between filter and heater for future solar, cover for outdoor pools or spas. i a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. i 3. Pool system has directional inlets and a circulation pump time switch. § 115: Gas fired 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) I ❑ §118 (f): Cool Roof material meet specified criteria I Lighting Measures §150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for I ! general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting I control panel at an entrance to the kitchen. a§150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/wart or greater switched at the entrance to the room or one of the alternative to this requirement ! allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. i 3.1 By EnergySoft User Number. 2655 Job Number. Page:7 of 13 ! Computer Method Summary (Part 1 of 3) C -2R S_e.mn-Residence 9QJ2QQ3 Project Title Date e-lRe_Quito—La-auiata Project Address I Building PBrmit # j lrns_u_ orm,lac_ (7601324-2046 ---- Documentation Author Telephone i Plan Checc/Date _Co.mputer_Reff_ormance 15 ;Field Check/Date —�— - -' Compliance Method (Package or Computer) Climate Zone -- Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 1.50 2.33 -0.83 Space Cooling 31.49 31.57 -0.07 Domestic Hot Water 9.86 8.41 1.44 Totals 42.84 42.30 0.54 BUILDING COMPLIES GENERAL INFORMATION FX_11 Slab Floor Conditioned Floor Area: 2,891 Floor Construction Type: Raised Floor Building Type: Single Fam Detached Building Front Orientation: (East) 90 deg Total Fenestration Area: 13.6% Number of Dwelling Units: 1.00 Total Conditioned Volume: 28,910 Number of Stories: 1 Slab Floor Area: 2,891 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area Living 9 891 98 910 —inn ronditinned _S,Phark Q n/a OPAQUE SURFACES Act. Type 'Area U -Fac. Azm. Tilt Wall__ 536 0.065 90 90 Wall— 375 0 O6r+ 180_ 90_ -\ALaIL_ 59 _0.0.&5 225 g.0_ Wall 667 9_0SiS 270 90_ _W;;11_ —�5 9_Qa _51.5 90 Roof_ _2.891 —0_0211 270 — 0 Solar Gains Y / N Form 3 Reference Living .living .Living Locatibn / Comments EnergyPro 3.1 By EnergySoft User Numberr, 2655 Job Number. Page:8 of 13 VILTITF1 I KUM �/ ►_ ► /;.. ; Living .living .Living Locatibn / Comments EnergyPro 3.1 By EnergySoft User Numberr, 2655 Job Number. Page:8 of 13 Computer Method Summary (Part 2 of 3) C -2R Servin Residence 9/7/2003 Project Title Date FENESTRATION SURFACES j#- Type Area U- Factor SHGC Act. Azm. Glazing Type Tilt Location/ Comments 1._ Window Eront (East)_ -32.0_ _0.68.0_ _0-5.5 90_ _90. Milgard-Windows _ _Living__ 2 Window Front (East) 4.0 0.680 0.55 90 90 Milgard Windows __ Living_ ___ 3- Window Front (East) 48.0 0.720 0.55 90 _ 90 Milgard Windows 4__ Window Left (South) 5.0 0.680 0.55 180 90 Milgard Windows 5_. Window Left (South) 16.0 0.680 0.55 180 90 Milgard Windows Livin_g_____ _ 6_ Window Left South 24.0 0.720 0.55 180 90 Milgard Windows Living 7 Window Left_C$Quthwest) 12.0 0.680 ----O-K 225_ 9.0 Milgard Windows 8 Window Left (Southwest) 4.0 0.680 0.55 225 90 Milgard Windows Living _ 9 . Wind -w - R-ea1 V(_Ves1) 304 Q 72Q 0.a ----2-Z-0_ 90 Milgard Windows ivin _1.0 Win ow Rear (We-st1 30.0 0,720 -----O-K _270_ 90 Milgard Windows .11 Window Rear (West) 48.0 0.720 0.55 270 90 Milgard Windows Living 12 Window Rear (West) 64.0 0.720 0.55 270 90 Milgard Windows Living _1.3 Wiadow--Rear (wesf1 ---6-0- x,682 n.5.5_ 27.0 9.0 MiJgard Windows living 14 Window Rear (West) 25.0 0.680 0.55 270 90 Milgard Windows Living 15 Window Rear (Northwest) 12.0 0.680 0.55 315 90 Milgard Windows Living 16 Window Right (North) 12.0 0.720 0.55 0 90 Milgard Windows _ Living 17 Window Right (North) 16.0 0.680 0.55 0 90 Milgard Windows _ Living 18 Window Right (North) 6.0 0.680 0.55 0 90 Milgard Windows Living INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LEA -Ex t. Dist. Len. Hgt. Dist. Len. Hgt. 1 Bug Screen 0.76 4.0 4.0 2.0 0.1 2.0 2.0 2 Bug Screen 0.76 2.0 2.0 2.0 0.1 2.0 2.0 3 Bug Screen 0.76 8.0 6.0 12.0 0.1 12.0 12.0 4 Bug Screen 0.76 2.0 2.5 2.0 0.1 2.0 2.0 6 Bug Screen 0.76 4.0 4.0 2.0 0.1 2.0 2.0 _ 6 Bug Screen 0.76 8.0 3.0 40.0 0_1 40.0 40.0 7 Bug Screen 0.76 6.0 2.0 2.0 0.1 2.0 2.0 8 Bug Screen 0.76 2.0 2.0 15.0 0.1 15.0 15.0 9 Bug Screen 0.76 6.0 5.0 6.0 0.1 6.0 6.0 10 Bug Screen 0.76 6.0 5.0 12.0 0.1 12.0 12.0 Ti- Bug Screen 0.76 8.0 3.0 12.0 0.1 12.0 12.0 12 Bug Screen 0.76 8.0 8.0 12.0 0.1 12.0 12.0 _ 13 Bug Screen 0.76 3.0 2.0 10.0 0.1 10.0 10.0 14 Bug Screen 0.76 5.0 5.0 6.0 0.1 6.0 6.0 _ 15 Bug Screen 0.76 6.0 2.0 10.0 0.1 10.0 10.0 16 Bug Screen 0.76 2.0 2.0 2.0 0.1 2.0 2.0 _ 17 Bug Screen 0.76 4.0 4.0 2.0 0.1 2.0 2.0 18 Bug Screen 0.76 2.0 3.0 2.0 0.1 2.0 2.0 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page:9 of 13 Computer Method Summary (Part 3 of 3) C-2R Residence 9/7/2003 _Servin Project Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (so (in.) Cap. Cond. Form 3 Reference R-Val. Comments PERIMETER LOSSES F2 Insulation Type Length Factor R-Val. Depth Location / Comments Slab Perim@ter 24 0.76 0.0 0 laving Slab-Be.rimeter 32 0.76 0-0 0 Living HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Location / pump, etc.) (AFUE/HSPF)(ducts/attic, etc.) R-Value Type Comments Central Furnace 80Y&AEUF Ducts in Attic 4.2 Setback Living Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc,) R-Value Type Comments Spit Air Conditioner 12.0 SEE Ducts in Attic 4.2 Setback Living WATER HEATING SYSTEMS Ratedl Tank Energy Factl 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R-Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency Loss (%) Ext. A O SMITH FPSH-50-235 Small Gas_ Standard 1 . 40,000 50 0.62 n/a n/a 1 For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. REMARKS i EneravPro 3.1 By EnerovSoft User Number. 2655 . Job Number. Pane -10 of 13 Computer Method Summary (Addendum) C -2R Servin Residence 9/7/2003 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 Iaacu Vn uIV aucyu—y VI L IV zpwi, lal JUZLI I%.OLIUII 4114 UVI UIIICIIIaUVF1 5ULIF"111@V. Plan Field The HVAC System "Living" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual. HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS 1_ F........c.. nc ii—Q,l o e 1114D1 uOCU111 Q111 ME 11tlIU VCF111U4i1UF1 dnu OlagnO5ilc ie5iing OT inese measures on a Torm GF -6R. Plan Field EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number Page:11 of -1 3 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY ;PROJECT NAME Servin Residence DATE 9/7/2003 'SYSTEM NAME i FLOOR AREA Living_ I 2,891 ; !Number of System ;Heating System_ Output per System Total Output (Btuh Output (Btuh/sgft) 'Cooling System SII �I 70,0001 140.000!1 Output per System 1 47,0001 Total Output (Btuh) 94,000 I Total Output (Tons) 7.8 1 Total Output (Btuh/sgft) 1 32.5 Total Output (sgft/Ton) 1 369.1 :Air System L_CFM per System Airflow (cfm) i i I Airflow (cfm/sgft) Airflow (cfm/Ton) iOutside Air (%) Outside Air (cfm/sgft) Note: values above given at ARI conditions EATING SYSTEM PSYCHROMETRICS 1 26.0 of 69.3 of 69.3 of iEli .. Outside Air O -fes 0 cfm 69.3 of 1,595i1� 3,190 BDP CO. 563AN048-A 60,965. 24,580 1 140,000! j I I 1.10 407.2 1 i 0.0 Total Adjusted System Output 60,965 24,5801 140,0001 (Adjusted for Peak Design Conditions) 0.00 TIME OF SYSTEM PEAK Aug 2 pm l I Jan 12 am. i Airstream Temperatures at Time of Heating Peak 110.60F Supply Fan Heating Coil 3190 cfm �% Return Air Ducts 4 Supply Air Ducts 109.9 of ROOMS 70.0 of I , 1000LING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Cooling Peak) I 1111.9/77.6OF 78.7/66.4OF 78.7/66.4OF 60.8/59.8OF O'er Supply Air Ducts 1 Outside Air.M 1 0 cfm 61.5/60.1 of i Supply Fan Cooling Coil J It 3190 cfm 54.3% R.H. ROOMS I 78.7 / 66.4 of 78.0 66.2 of 1 1 I � Return Air Ducts � EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page: 12 of 13 I COIL COOLING PEAK ::COIL HTG. PEAK CFM Sensible Latent CFM Sensible ' Total Room Loads , 2,847 96 49,01 6,872:" 1,096' 46,506 Return Vented Lighting 01 Return Air Ducts 2,498 i 2,325* Return Fan 01 li 1 0: ; Ventilation 1 0 01 Q 0i 01 Supply Fan o 0; Supply Air Ducts 9 4981 2,325! TOTAL SYSTEM LOAD 54,9561 6,872 51, 1601 1,595i1� 3,190 BDP CO. 563AN048-A 60,965. 24,580 1 140,000! j I I 1.10 407.2 1 i 0.0 Total Adjusted System Output 60,965 24,5801 140,0001 (Adjusted for Peak Design Conditions) 0.00 TIME OF SYSTEM PEAK Aug 2 pm l I Jan 12 am. i Airstream Temperatures at Time of Heating Peak 110.60F Supply Fan Heating Coil 3190 cfm �% Return Air Ducts 4 Supply Air Ducts 109.9 of ROOMS 70.0 of I , 1000LING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Cooling Peak) I 1111.9/77.6OF 78.7/66.4OF 78.7/66.4OF 60.8/59.8OF O'er Supply Air Ducts 1 Outside Air.M 1 0 cfm 61.5/60.1 of i Supply Fan Cooling Coil J It 3190 cfm 54.3% R.H. ROOMS I 78.7 / 66.4 of 78.0 66.2 of 1 1 I � Return Air Ducts � EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page: 12 of 13 I ir ROOM LOAD SUMMARY PROJECT NAME Servin Residence DATE 9/7/2003 SYSTEM NAME Living FLOOR AREA 2,891 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME ROOM NAME Mult. CFM SENSIBLE LATENT CFM SENSIBLE LATENT CFM SENSIBLE Living Living 1 2,847 .49,960 6,872 2,847 49,960 6,872 1,096 46,509 PAGE TOTAL2,847 49,960 6,872 1,096 46,509 TOTAL 1 2,847 49,960 6,872 1,096 46,509 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page:13 of 13