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SFD-14-55978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: WILLIAM HUNTER 76642 BEGONIA LANE PALM DESERT, CA.92211 SFD-14-559 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 78815 PINA 776080020 NEW SINGLE FAMILY DWELLING $389,271.00 AUG 0 7 2014 CITY OF LA Q JI1NTA —' fY DEVELOPM� EpARTMENT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: LARRY MAYLE 78-815 PINA LA QUINTA, CA 92253 Contractor: WILLIAM HUNTER 76642 BEGONIA LANE PALM DESERT, CA 92211 (760)899-5824 LIc. No.: 590813 Date: 8/8/2014 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 1 hereby affirm under penalty of perjury one of the following declarations: (commencing with Section 70001 of Division 3 of the Business a Professions Code, and _ I have and will maintain a certificate of consent to self -insure for workers' my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance of License Class: B License No.:. 081 the work for which this permit is issued. ' of _ I have and will maintain workers' compensation insurance, as required by Date: ' Contractor: 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: OWNER -BUILDER DECLA ION Carrier: _ Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State _ I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair any compensation laws of California, and agree that, if I should become subject to the structure, prior to its issuance, also requires the applicant for the permit to file a signed workers' compensation provisions of Sec J n 3700 of the Labor de, I shall forthwith statement that he or she is licensed pursuant to the provisions of the Contractor's State comply with those provisions. License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business Q / and Professions Code) or that he or she is exempt therefrom and the basis for the aIle ate: Applica t: 4 exemption. Any violation of Section 7031.5 by any applicant for a per subjects th applicant to a civil penalty of not more than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSA 10 VERAGE IS UNLAWFUL, (_) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE compensation, will do the work, and the structure is not intended or offered for sale. HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT within one year of completion, the owner -builder will have the burden of proving that he IMPORTANT: Application is hereby made to the Building Official. for a permit subject to or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application. �) I, as owner of the property, am exclusively contracting with licensed contractors to 1.,Each person upon whose behalf this application is made, each person at whose construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State request and for whose benefit work is performed under or pursuant to any permit issued License Law does not apply to an owner of property who builds or improves thereon, and as a result of this application , the owner, and the applicant, each agrees to, and shall who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and State License Law.). employees for any act or omission related to the work being performed under or (_) I am exempt under Sec. , B.&P.C. for this reason 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 Date: Owner: for 180 days will subject permit to cancellation. 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: I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this ci on the above- mentioned property for inspection purposes. Date(pro- 4, Y Signature (Applicant or A n FINANCIAL ,1, DESCRIPTION. , "" ACCOUNT. QTY AMOUNT, ',, "'' PAID :PAID-.DATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $473.18 $473.18 8/8/14 Al PD BY ` .METHOD ` ,: ". r RECEIPT # , -N CHECK # .' CLTD BY- HUNTER CONTRACTING CO CHECK R666 5407 PJU Total Paid forART IN PUBLIC PLACES - AIPP: $473.18 $473.18 DESCRIPTION' ACCOUNT, QTY. AMOUNT r _- PAID,,_ PAID DATE BLDG PC 200K-1M 10160003428200 $1,200.00 $1,200.00 5/1/14 PAID BY METHOD . _ RECEIPT # CHECK #, CLTD BY- Total Paid for BLDG PC 200K-1M: $1,200.00 $1,200.00 - - DESCRIPTION "` ACCOUNT " QTY AMOUNT PAID . . '. PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $16.00 $16.00 8/8/14 s PAID BY : °. METHOD:. ' RECEIPT #. _ : CHECK.# CLTD BY HUNTER CONTRACTING CO CHECK R666 5407 PJU Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $16.00 $16.00 DESCRIPTION ACCOUNT , ' QTY ` - -AMOUNT. .PAID : PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 8/8/14 +PAID BY METHOD RECEIPT # - : - `'CH,ECK;#..: CLTD BY HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION ' ACCOUNT QTY AMOUNT. PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 8/8/14 .PAID BY -METHOD RECEIPT # CHECK* :. : CLTD BY HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION ,, ACCOUNT' QTY:. AMOUNT -'' PAID . ,; 'PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 8/8/14 _ PAID BYMETHOD , . RECEIPT.# CHECK # .CLTD BY HUNTER CONTRACTING CO CHECK R666 5407 PJU .: DESCRIPTION ` :ACCOUNT " QTY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 8/8/14 =' PAID BY METHOD - RECEIPT #. CHECK # . CLTD BY ' HUNTER CONTRACTING CO CHECK R666 5407 PJU "'. *DESCRIPTION, ACCOUNT..'QTY .• : AMOUNT PAID" PAID DATE` DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 8/8/14 a. PAID BY :METHOD y RECEIPT # "CHECK.# ' CLTD BY, HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION ACCOUNT ,QTY` AMOUNT PAID k. ;PAID DATE: DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 8/8/14 PAID BY - _', METHOD . RECEIPT # CHECK# - CLTD BY- Y HUNTER HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION ' ' t - ACCOUNT j QTY AMOUNT -PAID PAID DATE EIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 8/8/14 PAID$Y `, ; `- METHOD t '• RECEIPT #.3. CHECK #_" CLTD BY: HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION " ,"' ACCOUNT `;' " _ . „ QTY : ;ti AMOUNT PAID PAID..DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 8/8/14 PAID BY METHOD -: RECEIPT #.-`., CHECK# , ' CLTDBY, HUNTER CONTRACTING CO CHECK R666 5407 PJU Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 DESCRIPTION .. :. 'ACCOUNT. QTY AMOUNT PAID "'• ° . PAID. DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $48.64 $48.64 8/8/14 PAID BY',` .' METHOD RECEIPT #, - CHECK'# CLTD BY"` . HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION.:"' ACCOUNT.'' QTY. AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $20.04 $20.04 8/8/14 PAID BY -. _ METHOD RECEIPT#;. '; CHECK.# CLTD BY: HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION ACCOUNT QTY ._`. AMOUNT PAID;: PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $143.00 $143.00 8/8/14 PAID BY. :. • .'METHOD RECEIPT # ". •' CHECK # ', CLTD BY, HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION ACCOUNT QTYAMOUNT PAID' PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.19 $47.19 8/8/14 - ' PAID BY , -METHOD' RECEIPT #' - CHECK # ,CLTD BY HUNTER CONTRACTING CO CHECK R666, 5407 PJU Total Paid for ELECTRICAL - NEW CONSTRUCTION: $258.87 $258.87 DESCRIPTION ACCOUNT QTY '-,-'AMOUNT PAID '_PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $143.00 $143.00 8/8/14 PAID BY .: METHOD RECEIPT # CHECK # :.., CLTD BY ` HUNTER CONTRACTING CO CHECK R666 5407 PJU Total Paid forGRADING: $143.00 $143.00 DESCRIPTION ACCOUNT QTY ',.. AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $107.25 $107.25 8/8/14 PAID BY_.: . METHOD .•RECEIPT* ".CHECK # CLTD BY HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION ACCOUNT ,` QTY AMOUNT PAID`PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $71.49 $71.49 8/8/14 PAID BY METHOD' RECEIPT #`_ _: CHECK # : CLTD BY .> HUNTER CONTRACTING CO CHECK R666 5407 PJU ' DESCRIPTION .. °' ACCOUNT-, QTY. AMOUNT PAID 'PAID DATE EXHAUST HOOD 101-0000-42402 0 $11.92 $11.92 8/8/14 PAID BY - :' - METHOD "` RECEIPT # {HECK # :CLTBY:,; - D HUNTER CONTRACTING CO CHECK R666 5407 PJU ''DESCRIPTION ACCOUNT QTY AMOUNT M "~ °PAID PAID-.DATE EXHAUST HOOD PC 101-0000-42600 0 $4.77 $4.77 8/8/14 PAID BY `, METHOD - RECEIPT # - 'CHECK # CLTD BY: HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION,.ACCOUNT QTY AMOUNT'< PAID ' ` PAID DATE FURNACE 101-0000-42402 0 $107.25 $107.25 8/8/14 PAID BY METHOD : RECEIPT # CHECK # . CLTD BY. HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION ACCOUNT. QTY `-AMOUNT PAID PAID-'DATE FURNACE PC 101-0000-42600 0 $71.49 $71.49 8/8/14 'PAIDBY . V .. METHOD' .:. RECEIPT # . CHECK # . CLTD BY .' HUNTER CONTRACTING CO CHECK R666 5407 PJU 'DESCRIPTION ACCOUNT'` QTY ." , AMOUNT PAID' PAID DATE VENT FAN 101-0000-42402 0 $71.52 $71.52 8/8/14 PAID BY METHOD RECEIPT # ' CHECK # CLTD BY HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION ACCOUNT.. : QTYAMOUNT . PAID' PAID-DATE VENT FAN PC 101-0000-42600 0 $28.62 $28.62 8/8/14 PAID BY METHOD RECEIPT # CHECK #.- "`CLTD BY. , HUNTER CONTRACTING CO CHECK R666 5407 PJU Total Paid for MECHANICAL: $474.31 $474.31 DESCRIPTION ACCOUNT" QTY AMOUNT PAID PAID. DATE MULTI-SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,292.00 $1,292.00 8/8/14 PAID BY METHOD : RECEIPT #" ;, :CHECK #., : CLTD'BY ' HUNTER CONTRACTING CO CHECK R666 5407 PJU Total Paid forMULTI-SPECIES RESIDENTIAL $1,292.00 .$1,292.00 DESCRIPTION, ACCOUNT' QTY AMOUNT; PAID- :" PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $679.83 $679.83 8/8/14 PAID BY.-,, , METHOD. .RECEIPT•# CHECK # CLTD BY HUNTER CONTRACTING CO CHECK R666 5407 PJU Total Paid forNEW CONSTRUCTION PERMIT: $679.83 $679.83 „r 'DESCRIPTIONACCOUNT QTY " .'AMOUNT PAID. PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $256.80 $256.80 8/8/14 PAID BY METHOD " . RECEIPT # :.CHECK # `.. CLTD BY , HUNTER CONTRACTING CO CHECK R666 5407 PJU Total Paid forNEW CONSTRUCTION PLAN CHECK: $256.80 $256.80 DESCRIPTION - ACCOUNT QTY- AMOUNT PAID", - PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $11.92 $11.92 8/8/14 PAID BY, " METHOD - RECEIPT # -'' CHECK # CLTD BY '. HUNTER CONTRACTING CO CHECK R666 5407 PJU :DESCRIPTION.,'", ACCOUNT _ '` QTY; - AMOUNT PAID '' " PAID DATE` BACKFLOW DEVICE PC 101-0000-42600 0 $4.77 $4.77 8/8/14 ' 'PAID BY METHOD "' RECEIPT:# CHECK #.. - CLTD BY HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION." ACCOUNT' ' QTY`...,"AMOUNT'PAID PAID DATE: BUILDING SEWER 101-0000-42401 0 $11.92 $11.92 8/8/14 PAID BY METHOD— RECEIPT* CHECK.# CLTD BY::, HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION ACCOUNT QTY AMOUNT PAID' PAID DATE BUILDING SEWER PC 101-0000-42600 0 $11.92 $11.92 8/8/14 PAID BY METHOD RECEIPT #, CHECK #' CLTD BY: HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION ACCOUNT QTY AMOUNT PAID, PAID DATE FIXTURE/TRAP 101-0000-42401 0 $286.08 $286.08 8/8/14 PAID BY METHOD RECEIPT #. CHECK # ' ..(.LTD BY HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION QTY :AMOU,NT .. PAID PAID: DATE. FIXTURE/TRAP PC 101-0000-42600 0 $286.08 $286.08 8/8/14 PAID BY : METHOD` RECEIPT # ` CHECK # '' CLTD BY . HUNTER CONTRACTING CO CHECK R666 5407 PJU • DESCRIPTION ACCOUNT •QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $35.75 $35.75 8/8/14 PAID, BY METHOD RECEIPT.# CHECK'# . CLTD BY HUNTER CONTRACTING CO CHECK R666 5407 PJU a•` . DESCRIPTION •: ,ACCOUNT ; • QTY • AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $23.83 $23.83 8/8/14 PAID BY: METHOD ` RECEIPT # CHECK # CLTD BY:. HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION ACCOUNT. QTY AMOUNT ° :PAID., ":` PAID':DATE ROOF DRAIN 101-0000-42401 0 $131.12 $131.12 8/8/14 PAID BY - METHOD RECEIPT.# CHECK # CLTD BY; HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION ACCOUNT CITY AMOUNT PAID- PAID DATE. ROOF DRAIN PC 101-0000-42600 0 $131.12 $131.12 8/8/14 PAID BY METHOD .: RECEIPT # CHECK,# "CLTD BY._ HUNTER CONTRACTING CO CHECK R666 5407 PJU DESCRIPTION .ACCOUNT QTY `AMOUNT; PAID .: PAID DATE WATER HEATER/VENT 101-0000-42401 0 $23.84 $23.84 8/8/14 PAID BY ,; METHOD RECEIPT # CHECK # ; :GLTD BY, HUNTER CONTRACTING CO CHECK R666 5407 PJU .DESCRIPTION. ACCOUNTr QTY " AMOUNT :.' PAID PAID DATE, WATER HEATER/VENT PC 101-0000-42600 0 $14.30 $14.30 8/8/14 PAID BY .:.. „t ..METHOD ,.. RECEIPT*: CHECK # . CLTD BY HUNTER CONTRACTING CO CHECK R666 5407 PJU . N �—Ml 1) WHOM F&.�MOUNTPAIq�DATEk ME Ri W. "N' aNDESGR WATER SYSTEM INST/AL.T/RIEP: 101�0000-42461," 0. $11.02- $11.92 8/8/14 ,I kliatlw-'e- A RWA .4 `3 X — "V. ll ikfflir ev SM R OR& t�-7qsq-s I r gwy r METHOD - "'Lvw'm --ff - 2iff L i ESEIPI, 0 L 10 .M'�?L� HUNTER CONTRACTING COCHECK' R666 54. . PJU R! G Ni I ,* WATER SYSTEM INST/AL-T/REP PC 101 0000 42600: 9 2 $11.92 8/8/14 RISEN', MITI =110 T I Do"i Nil" Elp g c. v I'M HUNTER CONTRACTING CO CHECK R666 5407 PJU Total ",O_�'pf for PLUMBING FEES:,, $996.49. $996.49 'ACCOUN T ' M kc -1 tl ffloft 04 ft ffik— -PAIDIDATE F3 R1;0 1 MR, i I m RN AN SMI'- RESIDENTIAL 10606-20908.: $50.61 8/8/14 ly �010 A o au ERECEIPA#;" "VI"M�,,�'i;t�"I-'.��*:iF,.,��V k' 1 j --g Fg4j fg, L il• I V imc HUNTER CONTRACTING CO. R666 5407 PJU Total ',Paid 1o' N G'�MOTION',INSTRUMENTATION iSML.'...�. $50 61# $50.61 Building ��J FIAA Address Owner Mailing AddressZWJ5 -101A60V E ' i J P.O. BOX 150-4 1" 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 & Classif. I Lic. # Arcn., tngr., Designer , city Zip I State CZ,4 Q 7✓ Z� Lic.ic.•#•# Y✓ LICENSED CONCTRACTOR'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 i - 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 aligned statement that he is licensed pursuant to the provisions of the Contrac- tor's License Law, Chapter 9'(commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he Js exempt therefrom, and the basis for the alleged exemption. Arty violation of Section 7031.5 by,any applicant for a permit subjects the applicant to a civil penalty of not more than five hundied dollars ($500). ❑ I, as owner of theroe p 'p' rty; 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 Profes- sions Code: The Contractor'4icense 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). ❑ I, as owner of the property; am exclusively contracting with licensed contractors to construct 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.) O 1 am exempt under'Sec. i B. & P.C. for this reason Date Owner WORKER'S 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 ❑ 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 permrYis 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 Workers' Compensation Laws of California. •r: 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 I hereby 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 if 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 of this city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address . City, State, Zip WHITE = BUILDING DEPARTMENT APPLICATION ONLY BUILDING: TYPE CONST�y OCC. GRP. 9-5 A.P. Number 77 g� �%R6. —0z a Legal Description Project Description AJ&J gEa!f:s1 Sq. Ft. G 7 No. No. Dw. Size ! Stories Units--� Ne Add Alter 13 ,Rep" f( -O _ \Demolition❑ ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line _ Side StreetSetback from Center Line Side Setback from Property Line — FINAL DATE Issued by: Validated by: Validation: YELLOW =APPLICANT ry ,L� .t_,'�•�-�-:�._ae `;fir, INSPECTOR — Date Permit PINK = FINANCE Estimated Valuation ?, 'I've PERMIT AMOUNT Plan Chk. Dep. Plab-Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading . Driveway Enc. - Infrastructure TOTAL ,�— CONTACT INFORMATIO SS�IA NAME: Jg PHONE: ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line _ Side StreetSetback from Center Line Side Setback from Property Line — FINAL DATE Issued by: Validated by: Validation: YELLOW =APPLICANT ry ,L� .t_,'�•�-�-:�._ae `;fir, INSPECTOR — Date Permit PINK = FINANCE CERTIFICATE OF COMPLIANCE J� D.ei: Sands Unified School District 47950 Dune Palms Road ¢ BERMUDA DUNES r -- r RANCHO MIRAGE . Date. 8/7/14 La Wnta, CA 92253 E. ,INDIAN WELLS PALM DESERT No. 32236 (760) 771-8515 �.iND:�ANDI Io yrs 5V Q 0 Owner. Larry.Mayle . APN # 776-080-020 Address Jurisdiction La Quinta City Zip Permit # Tract# 24890 No. of Units. .1 ..Type Grandfathered. Lot #. No. Street S.F. Lot No. Street S.F. Unit 1 78815 Pina 1 Unit.6 .. . Unit 2 Unit 7 Unit 3 Unit.8 Unit 4 Unit 9 . . Unit.S Unit10. Comments. Citrus Ranch -. Grandfather Clause - total. sq ft of 4,297: At the present time, the DesertSands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under i 500 square feet, detached accessory structures (spaces.thatdo 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: Grandfathered This certifies that school facility fees imposed.pursuant to Education Code Section 17620 and -Government Code 65995 Et Seq. in the amount of 028.00 X 1 S.F. or $628.00 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 CC/Bank of America Bill. Hunter Check No..: 005361349 Bank Name/Recipient of Certificate Telephone 760-899-5824 i Funding Residential BY Dr. Gary Rutherford . .Superintendent ... Fee collected /exeni y. a MCGilvrey .. Payment Recd . $6.28:00 Over/Under = Signature (� . NOTICE: Pursuant to Government Code Section 660M(d) 1), this will serve:to notify you that the 90 -day approval period in which. you may protest the fees. or other payment identified; above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT. VALID.without embossed seal Embossed Original -.Building Department Applicant Copy.- Applicant/Receipt Copy - Accounting i RECORDING REQUESTED BY: Orange Coast Title Co. AND WHEN RECORDED MAUL TO: Larry A. Mayle 611 Lido Park Drive 2C Newport Beach, CA 92663 DOC # 2014-0014737 01/14/2014 11:07 AM Fees: $21.00 Page 1 of 3 Doc T Tax Paid Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Gerk 8 Recorder "This document was electronically submitted to the County of Riverside for recording" Receipted by: AGONZALEZ b ust UNLY: No.: 005822T- 50 GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S). DOCUMENTARY TRANSFER TAX is $305.25 [X] computed on full value of propertyconveyed, or [ J computed on full value less value of liens or encumbrances remaining at time of sale. (] Unincorporated area [X] City of La Quinta AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, M. Scott and Cindy Scott, Husband and Wife as Joint Tenants hereby GRANT(s) to: Larry A. Mayle, an unmarried man the real property in the City of La Quinta, County of Riverside. State of Califomia, described as: Lot 48 of Tract No. 24890-4 as shown by map on file in Book 218, Pages 1 to 9 inclusive of Maps, in the Office of the County Recorder of said n t ✓0J ewyxya � �Qr- 19361— 26%e'4 Also Known as: 78815 Pina - Vacant Lot, La Quinta, CA 92253 `'7 AP#: 776-080-020-6 j"" 2'j ;104 DATED Doe�" r l STATE OF GA61FeLtMW VMqL' I � COU OF t On before me, uvL JA vet rS A Notary Public in and far said State Dersofially acne -- Sreph� it Cindy Soo who proved to grid on the basis of satisfactory evidence to be the person(s) whose name(s) is ar subscribed to the in Instrument and acknowledged io me that he/sheh y -------- executedi the same in his/her te9 authorized capacity(ies), and that by hismed signature(s) on the instrument the SHAUN$HA M. IAPIERS person(s), or the a upon behalf of which the person(s) NOTARY PUBLIC aced, executed the instrument. STATE OF WASHINGTON I cerfdy under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. YCMAISmwaloEXPIRES WITNESS my he land oifidal seal. JANUARY 15 2016 Signature._ (Seal) MAIL TAa( ST MENTS O PARTY WBELOW, IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE: C RECORDING REQUESTED BY: Orange Coast Title Co. AND WHEN RECORDED MAIL TO: Larry A. Mayle 611 Lido Park Drive 2C Newport Beach, CA 92663 Title Order No.: 210-1548451-10 Escrow No.: 005822 -CM 77 I 2)4Oa - 0 GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX is $305.25 [X] computed on full value of property. conveyed; or [ ] computed on full value less value of'liens or encumbrances remaining at time of sale. [ ] Unincorporated area [X] City of La Quinta AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Stephen M. Scott and Cindy Scott,.Husband and Wife as Joint Tenants hereby GRANT(s) to: Larry A. Mayle, an unmarried man the real property in the City of La Quinta, County of Riverside, State of California, described as: Lot 48 of Tract No. 24890-4 as shown by map on file in Book 218, Pages 1 to 9 inclusive of Maps, in the Office of the CountyRecorder of said-County.2ae O/wv e f� Also Known as: 78815 Pina - Vacant Lot, La Quinta, CA 92253 AP#: 776-080-020-0 DATED December STATE OF T UI COUNTY OF On before me; ! who provedito rrid on the basis of satisfactory evidence to be the person(s) whose name(s) is@0 subscribed to the in instrument and acknowledged to me that he%shi y p� executed the same in his/her ei authorized capacity(ies), and that by his/he a -signature(s) on the instrument the SHAUN" M: LAPIERS person(s), or the entityupon behalf of which the person(s) NOTARY PUBLIC acted, executed the instrument. $TATE'OF;WA"NGTON I certify under PENALTY- OF PERJURY under the laws of the State CON�ISBlON O(PlIRES of California that the foregoing paragraph is true and correct. JANUARY 15 ,20116 WITNESS my he and official seal. Signature tj j I 7y (Seal) MAIL T MENl S TO PARTrWOWN BELOW; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE: 41 RECORDING REQUESTED BY: Orange Coast:Tdle Co. SAND WHEN.RECORDED MAIL TO: Larry A. Mayle 611 Lido Park Drive 2C Newport Beach, CA 92663 CER_ 71FICAMO Under the provisions of Government Code 27381.1 certify under the .penalty that the . following is a true copy of illegible wording found .in. the aliad►ed document: Dade: Signature: Print Name: THIS SPACE FOR RECORDER'S USE -ONLY: Title'Order No.::210;1b464b1-10:Escrow No.: '0058224M D�C) GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX is $305.25 [XI computed on full value of property conveyed, or [ j computed on full valueless value of liens or encumbrances remaining at time of sale. [ ] Unincorporated area [X] City of La Quinta AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Stephen M. Scott and Cindy Scott, Husband and Wife'as Joint Tenants hereby GRANT(s) to: Larry A. Mayle, an unmarried man the real property in the City of La Quinta, County of Riverside, State of Califomia, described as: Lot 48 of Tract No. 24890-4 as shown by map on file in Book 218, Pages 1 to 9 inclusive of Maps, in the Office of the County Recorder of said County. Also Known as: 78815 Pina - Vacant Lot, La Quinta, CA 92253 AP#: 776-080-d20-6 DATED DOr� `ItiaJl lYv U�� STATE OF COU OF �. S phen tt On before me, U'U�10N& IPA A Nc ry Public in and&EAA KA d State perso ally appeared Cindy Sco who proved to on the basis of satisfactory evidence to be the person(s) whose name(s) is@O subscribed to thein instrument and acknowledged to me that ' he/shy executed the same in his/her er authorized capacitypes), � and that by hisfherQgsignaiure(s) on the instrument the SHAi1IYSFIA M; LAPIERS person(s), or the en upon behalf of which the person(s) NOTAItY PUBLIC acted, executed the instrument. STATE OF.WASHINGTON I certify under PENALTY OF PERJURY under the laws of the State ��5 of California that the foregoing paragraph is true and correct. JANUARY 15 2016 WITNESS my he and official seal.low Signatu %i (Seal) MAIL MENTS TO PAR N BELOW; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE: L21 Exhibit "A" Parcel 1: Order No. 210-1546451-10 Lot(s) 48 of Tract No. 24890-4, in the City of La Quinta, County of Riverside; State of California, as shown on a Map filed in Book 218 Page(s) 1 through 9, inclusive of Miscellaneous Maps, in the Office of the County Recorder of said County. Also excepting and reserving therefrom, for the benefit of the J.M Peters Company, Incorporated a Nevada Corporation, ("Declarant") its successors andlassigns, together with the right to.grant and transfer all or a portion of the same, as follows: The right to place on, under or across the property,, transmission lines and other facilities for a community, antenna or cable television system and thereafter to own and convey such lines and facilities, and the right to enter upon the property to service, maintain, repair, reconstruct and replace said lines and facilities; provided, however, that'the exercise of such rights shall not unreasonably interfere with Grantee's reasonable use and enjoyment of the property. Non-exclusive easements of ingress, egress, utilities, drainage and for other purposes, and easements and rights as reserved to declarant as defined and described in the 'Master Declaration" hereinafter descri6ed.as supplemented and amended. Except therefrom all oil, gas, minerals, and other hydrocarbon substances lying below a depth of 500 feet, but with no right of surface entry, as providedin Deeds of Record. Parcel 2: Non-exclusive easement for ingress, egress, utilities„drainage a' d for other purposes, all as described in the Declaration of Covenants, Conditions and Restrictions for the Citrus Course Homeowners. Association ("Master Declaration") Recorded November 6, 1990 as m Instrument No. 406990, and any amendments and/or suppleents thereto, all of Official Records of said County. BOE -502-A (P1) REV. 12 (05-13) PREUMINARY CHANGE OF OWNERSHIP REPORT To be completed by the transferee (buyer) prior to a transfer of subject property, in accordance with section 480.3 of the Revenue and Taxation Code. A Preliminary Change of Ownership Report must be filed with each conveyance in the County Recorders office for the county where the property is located. NAME AND MAILING ADDRESS OF BUYERITRANSFEREE (Make necessary corrections to the printed name and mailing address) Larry Mayle STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY 78815 Pina - Vacant Lot, La Quinta, CA 92253 MAIL PROPERTY TAX INFORMATION TO (NAME) Larry Mayle 776-080-020-6 ASSESSOR'S PARCEL NUMBER Stephen M. Scott and Cindy Scott SELLER/TRANSFEROR 805-338-7530 BUYER'S DAYTIME TELEPHONE NUMBER lamayle@pacbell.net BUYER'S EMAIL ADDRESS ADDRESS ICITY ISTATE I ZIPCODE I 611 Lido Park Dr., 2C Newport Beach CA 92663 ( ) YES ( X ) NO This property is intended as my principal residence. If YES, please indicate the date of occupancyI MO I DAY I YEAR or intended occuoancv. 1. YES etc.). NO (X ) A. This transfer is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement, B. This transfer is solely between domestic partners currently registered with the California Secretary of State (addition or removal of a partner, death of a partner, termination settlement etc.) . )• C. This is a transfer: ( ) between parent(s) and child(ren) ( ) from grandparent(s) and grandchild(ren). p D. This transfer is'the result of a cotenants death. Date of death )• E. This transaction is to replace a principal residence by a person 55 years of age or older. Within the same county? ( ) YES ( ) NO )• F. This transaction is to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code section 69.5. Within the same county? ( ) YES ( ) NO G. This transaction is only a correction of the name(s) of the person(s) holding title to the property ( e.g., a name change upon marriage). If YES, please explain: H. The recorded document creates, terminates, or reoonveys a lenders interest in the property. I. This transaction is recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest (e.g., cosigner). If YES, please explain: J. The recorded document substitutes a trustee of a trust, mortgage, or other similar document. K. This is a transfer of property: 1. toffrom a revocable trust that may be revoked by the transferor and is for the benefit of [ ] the transferor, and/or [ ] the transferors spouse [ ] registered domestic partner. 2. to/from a trust that may be revoked by the creator/grantor/trustor who is also a joint tenant, and which names the other joint tenant(s) as beneficiaries when the creator/grantor/trustor dies. 3. to/from an irrevocable trust for the benefit of the [ ] creator/grantorftrustor and/or [ ] grantors/trustors spouse [ ] grantors/trustors registered domestic partner. 4. to/from an irrevocable trust from which the property reverts to the creator/grantorttrustor within 12 years. L. This property is subject to a lease with a remaining lease term of 35 years or more including written options. M. This is a transfer between parties in which proportional interests of the transferor(s) and transferee(s) in each and every parcel being transferred remain exactly the same after the transfer. N. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions. )• O. This transfer is to the first purchaser of a new building containing an active solar energy system. 'Please refer to the instructions for Part 1 Please provide any other Information that will help the Assessor understand the nature of the transfer. THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION BOE -502-A (P1) REV. 12 (05-13) PART 2. OTHER TRANSFER INFORMATION Check and complete as applicable. A. Date of transfer, If other than recording date: B. Type of transfer: (X) Purchase ( ) Foreclosure ( ) Gift ( ) Trade or Exchange ( ) Merger, stock or partnership acquisition (Form BOE -100-B) ( ) Contract of sale. Date of contract ( ) Inheritance. Date of death: ( ) Salelleasebac k ( ) Creation of a lease ( ) Assignment of a lease ( ) Termination of a lease. Date lease began: Original term in years (Including.written options): Remaining term in years (including written options):_ ( 1 Other. Please explain: C. Only a partial interest in the property was transferred? ( ) YES (X) NO If YES, indicate the percentage transferred PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as awlicable. A. Total purchase prioe B. Cash down payment or value of trade or exchange excluding closing costs $ 29,7 150 Amount $ ak 1, h J lJ V :C. First deed of trust @ % Interest rate for rears. Monthly Payment $ Amount $ ( ) FHA (_ Discount Points) ( ) Cal -Vet ( ) VA LDiscounl Points) ( ) Fixed Rate ( ) Variable Rate ( ) Bank/Savings & Loan/Credit Union ( ) Loan Carried by seller ( ) Balloon Payment $ Due Date: D. Second Deed of Trust @ % interest for years. Monthly Payment $ Amount $ ( ) Fixed Rate ( ) Variable Rate ( ) Bank/Savings & Loan/Credit Union ( ) Loan carried by seller ( ) Balloon Payment $ Due Date: E. Was an Improvement Bond or other public financing assumed by the buyer'? ( ) YES ( ) NO Outstanding balance $ Phone Number( F. Amount, if any, of real estate commission fees paid by the buyer which are not included in the purchase price G. The property was purchased: (X) Through real estate broker. Broker name: L & M Realty Group ( ) Direct from seller ( ) From a family member -Relationship ( ) Other: Please explain: H. Please explain any special terms, seller concessions,broker/agent fees waived, finan-X g, and any other Information (e.g. buyer assumed the existing loan balance) that would assist the Assessor in the valuation of your property: PART 4. PROPERTY INFORMATION Check and complete as applicable. % A. Type of property transferred ( ) Single-family residence ( ) Muttiple-family residence. Number of units: ( ) Co-op/Own-your-own ( ) Manufactured home ( ) Other. Description: (i.e., timber, mineral, water rights, etc.) ( ) Condominium (X) Unimproved lot ( ) Timeshare ( ) CommerciaUlndustrial YES (X ) NO Personal/business property, or incentives, are included in the purchase price. Examples are furniture, farm equipment, machinery, club memberships, etc. Attach list If available. If YES, enter the value of the personal/business property: $ C. ( ) YES (X) NO A manufactured home is Included in the purchase price. If YES, enter the value attributed to the manufactured home: $ ( ) YES ( ) NO The manufactured home is subject to local property tax. If NO, enter decal number: D. ( ) YES (X) NO The property produces rental or other Income. If YES, the income is from: ( ) Lease/rent ( ) Contract ( ) Mineral rights ( ) Other: E. The condition of the property at the time of sale was: ( ) Good ( ) Average ( ) Fair ( ) Poor CERTIFICATION I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information hereon, including any accompanying datementc or dnMimants ie tnia and mrre& to the had of my knnwledoe and belief Thls declaration Is bindino on each and every buvedbansferee. SIGNATURE OF BUYERITRANSFEREE OR CORPORATE OFFICER DATE 12/27/13 NAME OF BUYER/TRANSFEREE/LEGAL REPRESENTATIVE/CORPORATE OFFICER (PLEASE PRINT) TITLE Larry Mayle Buyer E-MAIL ADDRESS lamayle@pacbell.net The Assessors office may contact you for additional Information regarding this transaction. LARRY W. WARD Recorder P. O. Box 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 ASSESSOR -COUNTY CLERK -RECORDER (951) 486 7000 Website: www.riversideaer.com DOCUMENTARY TRANSFER TAX AFFIDAVIT WARNING ANY PERSON WHO MAKES ANY MATERIAL MISREPRESENTATION OF FACT FOR THE PURPOSE OF AVOIDING ALL OR ANY PART OF THE DOCUMENTARY TRANSFER TAX IS GUILTY OFA MISDEMEANOR UNDER SECTION 5 OF ORDINANCE 516 OF THE COUNTY OF RIVERSIDE AND IS SUBJECT TO PROSECUTION FOR SUCH OFFENCE. ASSESSOR'S PARCEL NO. 776-080-020-6 1 declare that the documentary transfer tax for this Property Address: 78815 Pina - Vacant Lot, La Quinta, CX 92253 transaction is: $ ��. ] .26. If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below. I CLAIM THAT THIS TRANSACTION IS EXEMPT FROM DOCUMENTARY TRANSFER TAX BECA USE: (The Sections listed below are taken from the Revenue and Taxation Code. Please check one or explain in "Other".) 1. Section 11911. The document is a lease for a term of less than thirty-five (35) years (including options). 2. Section 11911. The easement is not perpetual, permanent, or for life. 3. Section 11921. The instrument was given to secure a' debt. 4. Section 11922. The conveyance into a governmental entity or. political subdivision. 5. Section 11925. The transfer is between individuals and a legal entity, or between legal entities, and does not change the proportional interests held. 6. Section 11926. The instrument is from a trustor to a beneficiary, in lieu of foreclosure, and no additional consideration was paid. 7. Section 11926. The grantee is the foreclosing beneficiary and the consideration paid by the foreclosing beneficiary does.'not exceed the unpaid, debt. 8. Section 11927. The conveyance relates to a dissolution of marriage or legal separation. 9. Section 11930. The conveyance is an�inter,vivos glft• or a transfer by death. • Please be aware that information stated on: this :document may be given to and used by governmental agencies, Including. the Internal Revenue Service. Also, cetta_ in:gifts in excess of the annual Federal gift tax exemption may trigger a Federal Gift Tax.:an such cases, the Transferor (donor/grantor) may be required to file Form 709 (Federal Gift Tax Return) with'the Internal Revenue Service. 10. _ Section 11930. The conveyance is to the grantor's revocable living trust. 11. Other (Include explanation and authority) I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Executed this _q_ day of y� a0114 at U A City State Signature of Affiant CV f-SCarO w Name of Finn (it applicable) yaISin MOZIreG Pri ted Name of Affiant 41 naD wo ress ofAffie A�r1 c5+,"1oa la 4uin* CA IUD- U -14-983a elephone Number of Affiant (including area code) This form is subject to the California Public Records Act (Government Code 6250 et seq.) For Recorder's Use: Affix PCOR Label Here ACR 521P-AS4EX0 (Rev. 11/2010) Available in Alternative Formats 77-6.82 Country Clu'b Dr. Ste. 13-Pairri,Desert CA 92211 ph. ..'.(760).'772-5107 fax (76 0).345-7620 Letter of Transmiftall To: City of La Quinta Today's Date: 7=30-114 78-405 Calle-Tampico City Du4 Date: La Quinta, CA 92253 Prq'jict�Address: 78-816 Pina Attn: Angelica Plan Check'#: 14-559 Submittal: 1:1 1St E] 4th E:I' 2nd E:1, 55th Z- 3rd E] Other: We are forwarding: By Messenger D By Mail (Fed Ex or UPS) 0 Your Pickup Includes: # Of Descriptions: Includes: #.Of Descriptions: Copies: Copies: F-1 Structural.'Plans z 1 Revised Structural Plans z 2 Structural Calculations 1 Revised Struct. Calcs El Truss Calculations Calculations Floor and Roof El Revised Truss z 4 Soils,- Report i Revised Soils Report z 2 Structural. Comment List El Approved Structural Plans 1 Redlined -Structural Plans El Approved Structural, Calcs ❑ Redlined'Structufal Cilcs— 0 Approved Truss CaIcs ❑ Redlined',T'russ Calcs., El Approved Soils Report El Redlined Soils.Reports i Other:•Chimney Information Comments: content is approvable. -Structural If you have any questions,' please call. Time = I HR This Material Sent for: El Your -Files Z Per Your Request E] Your Review El Approval El Checking El n At:the request of: Other: ❑ M, g By: Kathryn Samuels Palm Desert Office: (760)..772-5107 Other: ❑ [111"t: %.0 Iz. I V E Lj 'JUL 0W OF LLA Q.UINTA CO M -M, LAM OtVkO P M E NT v� CTRUS COI?RSF. HOMEOWNERS ASSOCIATION NOTICE OF APPROVAL July 14, 2014 Larry Mayle 611 Lido Park Dr #2C Newport Beach CA 92263 RE: 78815 Pina Dear Larry Mayle: 11004 04P~0*G Lj 5-T`iAOIC, Your Request for an architectural change has been approved. Specifically, you have approval to proceed with the following: 2nd Submittal We reserve the right to make a final inspection of the change to make sure it matches the Request you submitted for Approval. Please follow the plan you submitted or submit an additional Request form if you cannot follow the original plan. Your approval is conditional with the stipulation of the following: Po l=Equimentcshallsbe;fully�enclose-a -Building-comers,shall=be- softenoC-tiotIierdsquareFarigli sX You must follow all local building codes, CCRs, Architectural/Landscape Rules Standards and Guidelines, and setback requirements when making this change. A Building Permit may be needed. This can be applied for at the City offices. Our approval here is only based on the aesthetics of your proposed change. This approval should not be taken as any certification as to the construction worthiness or structural integrity of the change you propose. If applicable, please be aware that you are responsible for contacting the appropriate utility companies before digging. Thank you for submitting your application and we look forward to receiving your notice of completion upon commencement of. completed work. For your convenience a "notice of completion" document has been attached. We appreciate your cooperation in submitting this Request for Approval. An attractive Community helps all of us get the full value from our homes when we decide to sell. Encl. l P.O Box 12920 Palm Desert, CA 92255 * 41-865 Boardwalk, Suite 101, Palm Desert, CA 92255 760.346.9000 * FAX 760.346.9997 * www.citruscoursehoa.com v ig Nx 9 Q $ ice rnlia U 11 JUL 2 2 2014 CnY 6F LA QUINTA COMMUNnY DEVELOPMENT ' f CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9125/2009 Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant. Date: 7 / 17 / 15 Developer. Larry Mayle Tract No.: 24890-4 Tract Name: Lot No. (s):48 Address(s): 78-815 Pina Phone Number:( 05 ) 338-7530 The following are the requirements for Public Works Clearance to authorize issuance .of a building permit from the Building & Safety Department: ❖ CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW ❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW ❖ WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan cremes the pad for approval, pleas =hd gree sheet submittal until a Pad Elevation Certificate can be provided. t;rr+ oP.C� L1P�1G�rwca.-� . 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved. geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading .plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: http://www.la-guinta.org/PlanCheck/m search.aspx have reviewed and confirmed the requirements listed' above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City staff. 'Q Recommended by: Date: u / / 7 Public Works Distribution:( v) reen Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: T:\Checklists - Fors & ApplicationslFonns & Applications\GREEN SHEET cover & PM10less than 1 Acre Revised 9-25-09.doc City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement <1 acre/lot or Infill Project Project Information Project Contractor: Hunter Construction Project Phase Project Name: Mayle Residence (check one) Project Tract/Lot Numbers: Tract 24890-4 / Lot 48 Construction Demolition Project Street Address: 78815 Pina, La Quinta, CA 92253 Total Acres in Active Construction (<1 acre per Anticipated Start Date: 7 / 17 / 15 Anticipated Completion Date: 7 /17 /15 Lot): PM10 Contact Please note: Dust control is required 24 hours a day, 7 days a week, regardless of Information construction status. Person listed below is responsible for dust control during business and non -business hours. Name: William Hunter Title: Builder Company Name: Hunter Construction Mailing Address: 76642 BEGONIA LANE City, State, ZIP Code: PALM DESERT, CA 92211 Primary Phone #: (760) 899-5824 Fax #: 24 Hour Emergency Phone#: (760) 899-5824 Cell Phone #: (760) 899-5824 Email Address: willshunt@gmail.com PM10 Certificate #: CV -1407-000865-938 The above stated property owner (or authorized representative): •'r Shall act as his/her acknowledgement -of dust control requirements and their enforceability, pursuant to SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP; ❖ Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. ❖ Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week, throughout the period of project performance, regardless of project size or status; ❖ Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; ❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; ❖ Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes; ❖ Shall hold harmless the City/County and its representatives from liability for any actions related to this dust control plan or any City/County initiated abatement activities. *A-_�Larry Mayle 7/17/2014 Signature of Property Owner or Authorized Representative Date T:1Checklists - Forms & ApplicationsWonns & ApplicationslGREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc INSTALLATION CERTIFICATE ,,;., .• CF-61R-MECH-20=HERS Duct Leakage Test - CompletelylNew•or<Replacement'Duct Systeme (Page 1-6f 2) Site Address: "" `: I ,'Enforcement. CF -1R, the leakage to outside test_inethod must be used to verify duct leakage' (refer to RA3.1.4.3.4), Fermit Number: 78815 Pina, La Quinta CA 92253 (System '°1 (Res HVAC Zone Agency: , Allowed leakage calculation.-. (select;one calculation method frdin this section). Use 6% (leakage 2014-78815 One office)) City of La Quinta When utilizing Low. Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the Enter the Duct System Name.or Identification/Tag: System 1 (Res HVAC Zone One office) Enter the Duct System Location or*ea -Served:'Maste'r Note: Submit one Installation Certificate, for each duct system that must demonstrate, compliance in the dwelling. This certificate is required for'compliance for completely, new duct systems installed in new dwelling construction, and also for completely.,new or replacement duct systefris,in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing: parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if•.those parts are accessible and they can be sealed. Duct Leakage Diagnostic Test -'completely new or.replacement- duct.system Enter a value for the Allowed'Leakage (CFM) for.the.d'uct system leakage verification. The value entered must be the VLLDCS criteria or one of the three_ calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLL6CS)4Compliance Credit. If compliance ' credit for verified low leakage ducts in conditioned space'is shown in the special -features section ofthe Allowed CF -1R, the leakage to outside test_inethod must be used to verify duct leakage' (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered for,Allowed Leakage. (CFM) Allowed leakage calculation.-. (select;one calculation method frdin this section). Use 6% (leakage factor = 0.06) for calculations if,te' at'Jinal" or 4w(leakage•:factor = 0.04) if tested at "rough.!, When utilizing Low. Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in whicli�case the u"ser-specified ieakage rate musbe. used in the calculations below. For example;;:iftFie. user-specified leakage (specified as.a percentage of fan.airflow) is reported on the&CF-111-as 3%, thew�use a leakage factor 00 03 in the calculations below ® Coohng4,system method Nominal capacity of condenseOin Tons 5N-%ou x leakagefactor 13 CFM 5. k � , , ❑ Heating system method max* 21.7 x OutputCapacitym Thousands of Btu/hr x /eaka e factorf a CFM 11�.A fig} a g &k •,.�J+.. ~^t5� �tR'x' .. , ry X s � ..Y 'S.,• •;�`wtt��;1 � N.:?W!' °��w. []Measured airflow method-(RA3 3) r Enterinea"sured fariflowih,CFM here"r x leakage factor= CFM Enter value"for Actual leakage (CFM) - in the right column, from measurement using applicable duct from Appendix Actual Leakage leakage pressurization test procedure Reference: Residential RA3.l(CFM'@ 25 Pa). (CFM). .� List from, duct leakage test(CFM) Actual Leakage 102 Pass if Actual Leakage is equal, to or less, than Allowed: Leakage ®Pass ❑Fail For complete replacement of duct system's. only;:if'the'6 pe-rcent leakage rate. criteria cannot be met, a . smoke test should be_pei;formed to`verify that the 'excess leakage`is,coming: only.from a preexisting furnace furnace cabinet (air handler cabinet), and not.from other accessible portions of the- duct system:. A -HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ` ❑ Pass ❑ Fail Reg: 215-N0169784A-M2000001A-0000 Registration Date/Time: 2015/06/24 18:16:13 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 ' j INSTALLATION CERTIFICATE - CF7611-MECH-20-HERS Duct Leakage Test'—"Completely,New...or Replacement Duct°'System (Page 2 of 2) Site Address: y. Enforcement Agency: CSLB License: 16/30/2014 Permit Number: 78815 Pina, La Quinta CA 92253 (System 1 (.Res HVAC Zone 836498 20 One office)) City of La-Quinta14-78815 Control Program (TPQCP)? ❑ Yes ❑ No Compliance Method This dwelling was: (select one of the follbwing,two choices): ® Tested at Final L3 Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below) Visual Inspection at Final Construction Stag&(If°applicable) After installing the interior finishing wall and verifying that theabove rough -in tests was completed, the following procedure must be performed: ❑ For all supply and return registers, verify that.the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. ® Outside air (OA) ducts for. Central Fan Integrated (CFI)^ventilation systems, shall not be sealed/taped off during duct leakage testing:.CF1 OA ducts that utilize controlied'motorized dampers, that open only when OA ventilation is required.to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and return register't.00ts must be sealed to the drywall s.•� ® New ductmstallatlons cannot-�utlhze building cavities asplenums�or,platform returns,ln lieu otf ducts. �v ,. ® Mastic and draw bandsRmust be used in combin leaks at duet connections: „_ war F ru `a tape to seal DECLARATION STATEMENT • I certify under penalty of perjury., und* r. the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business'and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components; or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approvedby the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to.take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance, checking of'installatioris, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be. performed at my expense. • I reviewed a copy of the Certificate of Compliance,(CF-SR) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the -CF -IR that apply to the installation have been met. • I will ensure that a completed, signed copy.of,this.Installation,Certificate shall be pdsted; or made available with the building permit(s) issued for the building,'and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to. be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will' come from a HERS provider data niet— Mr rnultinla nrfantatinn altarnativPc. and"heninnino October 1. 2010. for all low-rise residential buildinas. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Lucky Air Inc Responsible Person's Name: Responsible Person's Signature: Jessica Rittgarn Jessica'Rittgarn CSLB License: 16/30/2014 Date Signed: Position With Company (Title): 836498 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 215-N0169784A-M2000001A-0000 Registration Date/Time: 2015/06/24 18:16:13 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CSLB License: Date Signed: Position With Company (Title): 836498 6/30/2014 Is this installation monitored by a Third Party. Quality Name of.TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes 0 No Reg: 215-N0169784A-M2300009A-0000 Registration Date/Time: 2015/06/24 19:10:17 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION, CERTIFICATE , :,. r< CF-611kMEM-20-HERS Duct Leakage Test — Completely New or Replacernent__Duct_ System.., (Page 1 of 2) Site Address:` 78815 Pina, La Quinta CA 92253 (System 2 (Res HVAC Zone ` "En forcement;Agency: City of La Quinta Perinit Number: 201'4-78815 Two)) CF -IR, the leakage to outside test method -.must be" used to verify duct leakage (refer to RA3.1.4.3.4), Leakage Enter the Duct System Narne billdentification/.Tag:_ System 2ARes'HVAC Zone Two) Enter the Duct System 'Location or'Area Served: Casita ; Note: Submit one Installation. Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance:for completely new -duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also 'include existing parts of the original duct system (e. g., register boots, air handler, coil, plenums, etc.) if those. parts are accessible and they can be sealed. Duct Leakage Diagnostic_Test - completely'new or replacement duct system Enter a value for the Allowed Leakage (GFM) for the:duct'system leakage verification. The value entered'•must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for verified low leakage ducts in conditioned space is'sFiown in the special features section^of the Allowed CF -IR, the leakage to outside test method -.must be" used to verify duct leakage (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered forAllowed.Leakage. + (CFM) Allowed leakage calculation.-..Nel&-Cone calculation method,from,;this section). Use.6% (leakage factor = 0.06) for calculations if tested at "final' or 4% (leakage• factor ='0.04) if tested at "rough." When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may specified by the CF -1R to be less than '6%, in which case.the user-specified leakage rate must tie .used in the calculations below. For example, if tt e.user-specified leakage (specified as a percentage of fan airflow) ` is reported on theJU-111 as 3% then -use a leakag6-,tactor of .0 03 in,. a calculations, ® Coolingtsystem method:5 Nominal capacity of conde'nsern Tons 2L x 400 x leakage factor" 48 CFM 'dp ❑ Heatm�system method { ' a id' etst a. r !i! ' 21.7 x �, utput Capacity�in Thousands of l3tu/hr x leakage factor CFM ; h> ❑ Measured airflow method RA3 3 ( :). Enter measured fan flow. in CFM here, • . x•leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from' measurement using applicable duct Actual Leakage leakage pressurization ,test .procedu a from,Reference Residential•Appendix RA3.1(CFM @ 25 Pa). (CFM) p 47 List ActuahLeakage from duct leakage test(CFM) Pass if Actual Leakage is equal .to oir less.than.Allowed Leakage ® Pass ❑ Fail For complete replacemerit'.of duct3y9tems only, if the 6 -percent leakage rate criteiria cannot be met, a smoke test should be performed to verify_that.the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not'from.other accessible portions of the duct system. A HERS rater must verify the installation (No sampling. allowed). List Actual. Leakage from smoke-test(CFM) Pass if all accessible leaks (except for existing air handler); ae6 sealed using smoke ❑ Pass ❑Fail Reg: 215-N0169784A-M2000002A-0000 Registration Date/Time: 2015/06/24 18:52:29 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R=MECH-20-HERS Duct Leakage Test—.Completely.New or.Replacement;Duct';'System (Page 2 -of 2) Site Address: 78815 Pina, La Quinta CA 92253 (System 2 (Res HVAC Zone Enforcement Agency: City of La Quinta Permit'Number: 2014-78815 Two)) . CSLB License: 16/30/2014 Date Signed: Compliance Method This dwelling was: (select one of the following two choices): M Tested at Final ❑ Tested at Rough -in (requires installer:to complete the visual inspection at final construction stage described below) Visual Inspection at Final Construction Stage (if applicable) After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must be performed: ❑ For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was.conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. l❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct.tape is used. ® Outside air (OA) ducts for Ceritral Fan Integrated; (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI;OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2,'and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct Installations cannoVutllize bu dl gcavltles a plenums or platformreturns In lieu ofducts. ® Mastic a -draw bands must beAU fin combinationrwlth'Cloth.ba'cked :rubber adhesive duct tape to seal nd leaks at duct connections; WIr-xf 0 g - rF DECLARATION STATEMENT . I certify under penalty of perjury; under.the laws of the State of California, the information provided on this form is true and correct. . I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS,provider representatives will also perform quality assurance checking of installations, including those approved -as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will: be performed at my expense. . I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-1R'that apply to the installation have been met. . I will ensure that a completed, signed copy ofthis Installation Certificate•shall'be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signedtopy of this Installation Certificate -issrequired to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates. will come.from a HERS provider data registry for multiple orientation alternatives, and beginning October 1,2010, for all low-rise residential •buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Lucky Air Inc Responsible Person's Name: Responsible Person's Signature: Jessica Rittgarn Jessica Rilfgurn CSLB License: 16/30/2014 Date Signed: Position With Company (Title): 836498 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes . ❑ No Reg: 215-N0169784A-M2000002A-0000 Registration Date/Time: 2015/06/24 18:52:29 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION &.DIAGNOSTIC`TESTIN.G.' CF-4R-MECH-23 Verification -of High EER'Equipment(.Page 1 of 1) Site -Address: _ Enforcement -Agency: Permit Number: 78815 Pine, La Quinta.CA 92253 City of La Quinta T2014-78815 Verification•of High EER Equipment ' Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the. procedures must be applied to each system separately. As many as 4'systems in the dwelling can be documented for compliance using this. form. Attach an', n additional form(s) for any additional systems in the .�,..e/I;nn n nn/i�nhlu 1 System Name or Identification/Tag / System 1 (Res HVACZone One System 2 (Res HVAC Zone Two) System 3.(Res HVAC Zone,Three) System 4 ®_tested/verified dwelling 0 not-tested/verified dwelling in a HERS sample group office) HERS Rater Company Name: Advancing Home Performance, Inc. Z System Location or Area Master Casita, Bedrooms- Kitchen Served Certified EER Rating of the ' 3 installed equipment 12 13 13 12.5 (Btu/Watt-hr) ; 4 Make and Model Number of, LENNOX ^- LENNOX . LENNOX LENNOX the installed Outdoor Unit 14ACX-.060-230 14ACXr 02'4-230 14ACX-024-230 . 14ACX-048-230 5 Make and Model Number of ADP, ` ADP. ADP: ADP the installed Inside Coil LC42/60Y9CG LC19/36S9AG LC19/36S9AG LC42/60Y9CG Make and Model Number of LENNOX LENNOX LENNOX LENNOX 6 the installed Furnace or Air Handler. EL180UH11OXE60C EL180UH045XE36C EL380UH045XE36A EL180UH11OXE60C Minimum Equipment EER 7 required for compliance as 12 12 12 12 reported on the CF -1R' ® When a high EER system specificationlincludes a time delay -relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for -the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a'high EER, installation.of the specific equipment must be verified for compliance credit. Refer'to Reference Residentiaf Appendix RA3 X4.3 four the Matched Equipment VerificationkPrgcedure. If the Certiflb&EEkRating in row3s equal:to or greateuthan', e requirped � f # r o ; ri • 8 minimum EER in row 7 thesPASS PASS PASS . PASS Y P�110 urnt coni ,Flies 1fithhee unit:complles, le P DECLARATION STATEMENT I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation)• complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance,(CF-111) approved by the localenforcement agency. The information reported on applicable sections of the: Installation Certificates) (CF -61k), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R), approved by the Onf—rom Pnf An Pnrv- .. Builder or Installer information as shown o.n:the Installation Ceitificate (CF=6111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Lucky Air Inc Responsible Person's Name: Jessica Rittgarn ICSLB License: 836498 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ®_tested/verified dwelling 0 not-tested/verified dwelling in a HERS sample group HERS Rater Information 'C_ aICERTS Certificate # CC1-1799041859 ' HERS Rater Company Name: Advancing Home Performance, Inc. Reg: 215-N0169784A-M2300009A-M23A Registration.Date/Time: 2015/06/24 19:18:35 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 Responsible Rater's Name: Responsible Rater's Signature: Robert Bachus Robert Bachus Responsible Rater's Certification Number.w/ this HERS Provider: Date Signed: 6/22/2015 CC2005695 Reg: 215-N0169784A-M2300009A-M23A Registration Date/Time: 2015/06/24 19:18:35 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-61R-NECH-22-HERS HSPP/PSPP Installation,,GoolingkCoil Airflow & Fan'Watt'Draw Test (Page 1 of:2) Site Address: FEnloreement Agency: ' F:2O it Number: 78815 Pina, La Quinta CA 92253 of La Quinta`-78815. As many as 4 systems in the dwelling can,be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable Hole for the placementof a StaticPressureProbe (HSPP), and Permanently installed Static Pressure Probe PSPP In the su I lenum � ) PpYp When the Certificate of Compliance (CFIR )indicates Cooling Coil. Airflow or Fan Watt Draw verification are required, HSPP or PSPP.are required to be installed in each air -handler in the dwelling Procedures for installing HSPP and. PSPP are described in Reference Residential Appendix. RA3.'3: This measure requires voriFirntinn by a "FRC ratan Select one method from the two choices below'for,compliance with the HSPP/PSPP' requirement for this dwelling. ❑ Diagnostic Farn:Flow Using.Plenum'Pressure Matching according to the procedures in.RA3.3.3.1.1 ❑ Diagnostic Fan Flow Using Flow Grid -Measurement according to the procedures in RA3.3.3.1.2 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply ® HSPP plenum as shown in the figure in, Se6ti06'RA3.3.1.1. System 3 1/4 inch'(6 mm)`hole equipped with a pePmagently installed pressure probe, labeled and p PSPP located downstream of the evaporator,coil in the supply plenum as shown in the figure in System 4 Section RA3.3.1.1. ` System Name or ; Three). System 2•(Res HVAC ' System 3 (Res HVAC System'4 Identification/Tag System 3 w 'Zone Two) Zone Three) System Location or Area (Res HVAC Zone Casita Bedrooms Kitchen Served .:Three) Nominal Cooling Capacity (ton) of the outdoor unit. Confirm that a HSPP or 2 4 Enter the minimum airflow requirement -from -the CF-1R,(CFM/ton). PSPP has been 350 350 Calculate,the target minimum airflow for the test by.multiplying' the installed on.the air;: CFM/ton criteria. specified on the CF -111 by the nominal cooling capacity, handler per the 700 PASS PASS PASS requirements of i Target (CFM) RA3.3.1.1. Enter Pass o Fail Enter the diagnostically tested airflow (CFM). y� ...:. 862 1665 Tested (CFM) Cooling ,C l: Airflb% When th; Certificatebol measuring*Zthe codliAg Results d0thexddlind ool�ngCo�lAirf%owveifrcation isrequ�red,ttie p�roceduresor a Select one method We three choices below.for compliance with the Cooling Coil Airflow test requirement for this :from dwelling.`' . ❑ Diagnostic Farn:Flow Using.Plenum'Pressure Matching according to the procedures in.RA3.3.3.1.1 ❑ Diagnostic Fan Flow Using Flow Grid -Measurement according to the procedures in RA3.3.3.1.2 ® Diagnostic Fan Flow Using Flow"Capture Hood according to the'procedu'res in RA3'.3.3.1.3 System 2 System 3 System Name or Identification/Tag (Res HVAC. (Res HVAC Zone System 4 Zone Two)` ; Three). 2 System 3 System Location or Area Served ..System (Res HVAC (Res HVAC Zone System 4 Zone Two) .:Three) Nominal Cooling Capacity (ton) of the outdoor unit. 2 2 4 Enter the minimum airflow requirement -from -the CF-1R,(CFM/ton). 3501,. 350 350 Calculate,the target minimum airflow for the test by.multiplying' the CFM/ton criteria. specified on the CF -111 by the nominal cooling capacity, 700 700 1400 of the outdoor unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 925 862 1665 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASSE PASS PASS Enter Pass or Fail Reg: 215-N0169784A-M2200012A-0000 Registration Date/Time: 2015-/06/24 19_:09:05 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION_ CERTIFICATE CF76R=MECH-22=HERS HSPP/PSPP Installation; Cooling Coil'Airflow W - Fan Watt DraW•Test (Page 2 of 2) Site Address: Enforcement Agency: [Permit Number: 78815 Pina, La Quinta CA 92253 City of La Quinta - 2014-78815 Fan Watt Draw Verification When the Certificate of,Compliance indicates, Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residentia6.Appendix RA3.3. Results of'the Fan Watt Draw. diagnostic test must be entered in the table below: This measure requires verification by a HERS rater. Note: Fan watt draw must be.measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow cimidrdnpniicly mpet nr erreed their target criteria specified by the CF -1R for the°dwelling. Select one method from the two. choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2A ❑ Utility Revenue Meter Measurement according to'the procedures in RA3.3.2.2.2 Responsible Person's Signature: Jessica Rittgarn System 2 System 3 Date Signed - System Name or Identification/Tag 83649.8 (Res HVAC - (Res•HVAC System 4 Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Zone,Two)• Zone Three) System Location or Area Served Casita Bedrooms Kitchen Enter the air handler Tested (CFM) from the cooling 'coil airflow test 925 862 1665 table above. Enter the fan watt draw requirement from the CF -111 (.Watt/CFM). .58 :58 .58 Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF-lR by the air handler 536.5 499.96 965.7 Tested (CFM). Target_(CFM) Enter the diagnostically tested Wattdraw (Watt). 327 476 718 Tested (Watt) The system complies if Tested (Watt)'is less than or equal to Target (Watt), PASS PASS PASS Enter Pass or Fail DECLAI_____--_- ---- • I certify under penalty of perjury;. -under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the'Anstallation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. Funderstand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved.as part of a•sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of. such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the,requirements detailed on the CF -111 -that apply to the installation have been met. • I will ensure thata completed, signed copy of. this Installation, Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to.the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificaife'is required to be included with tke documentation the builder provides to the building owner at occupancy.., I will ensure that all Installation Certificates will come from a HERS provider data .,narm fnr midrinlo nriPnratinn altarnatives. and beoinnina'October 1. 2010, for all low-rise residential buildings. Wit: Company Name: (Installing Subcontractor or General Contractor or. Builder/Owner) Lucky Air Inc Responsible Person's Name: Responsible Person's Signature: Jessica Rittgarn Jessica Ri"garn CSLB License: Date Signed - Position With Company (Title): 83649.8 6/30/2014 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 215-N0169784A-M2200012A-0000 Registration Date/Time: 2015/06/24 19:09:05 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATIONCERTIFICATE ;CF76111=MECH-23-HERS Verification of High EEWEquipment .,. (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 7.8815 Pina, La Quinta CA 92253. City of La_Quinta-, 201`4-78815 Verification of Hiah EER Enuinment Procedures for verification of High`EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple, systems, the.procedures must be applied to each system separately. As many as 4 systems in the dwelling can be. documented -for compliance using this form. Attach an additional forms) for anv additional systems in the rlwalfinn Ac arin1ir_,hh- i. 1 System Name or Identification/Tag System (Res Res 1 HVAC Zone One System 2 (Res HVAC .=System 3 (Res System 4 ofice) Zone Two) HVAC Zone Three) 2 System Location or Area Served Master Casita Bedrooms Kitchen Certified EER Rating of the 3 installed equipment 12 13 13 12.5 (Btu/Watt-.hr) Make and Model Number of the Lennox LENNOX LENNOX LENNOX j5Make installed Outdoor Unit 14ACX=060-230-14 14ACX-024-230 14ACX-024-230 14AGX-048-230 and Model Number of the ASPEN ADP ADP ADP installed Inside Coil LC42/6OY9CG LC19/36S9AG LC19/36S9AG LC42/6OY9CG 6 Make and Model Number of the installed Furnace or Air' LENNOX LENNOX LENNOX' LENNOX Handler. EL18011.IH1lOXE60C EL180UH645XE36A EL180UH045XE36Ai ELISOUH11OXE Minimum Equipment EER -7 7 required for compliance as 12 12 12 12 reported on the CF -1R ® When a high EER system specificationlindudes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matcledlequpment;is necessary to achieve' a high EER, .installation of the specific equipment must be verified for compliance;cr�edit. Refer:' iteference Resident a QkppendixRA14.3 for�the�MatchedAEquipment�UerificationeProcedure. If the .Certified'EERI Rating in row 3 is equal to orgreater� than thzereguired mininu k. 8 EER lricow 7; the unit r- •PASS PASS PASS PASS complies �: If the>umt compliesenter �: x, Pas rx,..,; aSn� •.' DECLARATION STATEMENT • I certify under -penalty of perjury, under the, laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation 'is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, andthat that if.such,checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as_part of a sample group but not checked by a HERS rater, and if those installations fail to.meet the requirements of such quality assurance checking; the required corrective action and additional checking/testing of other installations in that HERS sample group will be. performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will.ensure that a completed, signed copy.of this Instal lation,Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available io;the;enfoicemenf agency for all applicable' inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all InsiAllatinn rPrHHrafac a HERS r,,,,id A registry for multiple orientation alternatives, and. beginning,o'ctober 1; 2010; for all low-rise residential buildings. Company Name: (Installing Subcontractor.or General Contractor or Builder/Owner) Lucky Air Inc Responsible.Person's Name: Responsible Person's Signature: )essica Rittgarn JessicaRittgarn Reg: 215-N0169784A-M2300009A-0000 Registration Date/Time: 2015/06/24 19:10:17 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-611MECH-2S-HERS Refrigerant Charge Verification-`Standard`Mea<s,"urement.Procedure 4.1 (Page 1 of 6] Site Address: ": 'Enforcement Agency:Permit Number: 78815 Pina, La Quinta CA 92253 City of La Quinta 2014-78815 Note: IF installation of a Charge Indicator-bisplay (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance when a CID is utilized for compliance. As many as 4 systems in the dwellingSan be documented for compliance using this form. Attach an additional form(s) for any additional. systems in the°dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance, unless the TMAH Compliance Option is chosen. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Arress Holes in Suooly and Return Plenums of Air Handler Reg: 215-N0169784A-M2500017A-0000 Registration Date/Time: 2015/06/24 19:12:37 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 System 3 (Res System Name or Identification/Tag HVAC Zone System 4 Three) System Location or Area Served`;= Bedrooms Kitchen 5/16 inch (8 mm)'access Bole.::, 1 upstreamo.fevaporative coil mthe. returraplenum,and labeled. �R Figure in Section �❑ Yes- ; ❑Yes' ®Yes ® Yes acco`rdmg`to �r 2.2. Retur"n side of the ducts stei�- located entirelytwithinaconditioned�'" a� ❑Yes a ®Yes ❑sYes �sS y ❑Yes is IRAP' space and return airflow �� ❑ No�p N ; ❑�_. o 0'No ❑ IV o temp ture to be -measure( at they .x. t return grille„ �. 5/16.iich (8'mm) access hole:: downstream of evaporabveycoil in ❑ Yes ❑ Yes ® Yes ® Yes 2 the supply plenum and. labeled ❑ No ❑ No • ❑ No ❑ No according to.Figure in Section RA3.2.2.2.2. The TMAH Compliance Option should, be checked only if it is physically impossible to drill the TMAH as required by Section RA3.2.2.2.2..Using this Compliance Option requires the HVAC installer to annotate on the HERS Provider's data registry an explanation as to .why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the.direct measurement of airflow per 'RA3.3 For more information see httn:.//www..ener6.ca.gov/title24/2008standards/special' case aoDliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes.`to 1a and 2, or checking the TMAH Compliance.Option, ❑ Pass ❑ Pass ® Pass ® Pass is a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 215-N0169784A-M2500017A-0000 Registration Date/Time: 2015/06/24 19:12:37 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R=MECH-25-HERS Refrigerant Charge Verification Standard'•Measuremgiit.Procedure', (Page 2 of 6) Site Address: Enforceinent=Agency: P6rhit.Number: 78815 Pina, La Quinta CA 92253 City of La Quinta 2014-78815 CTMC - Concnr nn tha Fvanriratnr Cnil CTMC - Cnncnrnn�tha GnndP cPr Cnil _ - System Name or �v,- . " °: ` System3 (Res HVAC 2oire� System 4 System 3 (Res System Name or ysteNamerHVACZone 6 The sensor. is factory tnstalled;orfield installedls' a�ccor�ding tomanufacturer'sspecifications,'or is installed by approved by_the:Executi.v D'reej ' ' System 4 Identification/Tag The sensor wire is'ter'minat01.0th�a standa,rtl mini plugs'suitabPe for connection to a digital"thermometer. Three)' The sensor mini, plug is accessible -to the installing technician and the HERS rater without changing the The sensor is factory installed, or field -installed according .to manufacturer's specifications, or is installed 3 by methods/specifications approved by the Executive Director. T3Yes ❑'No ❑-Yes [3 N07 ❑ Yes .❑ No ❑ Yes ❑ No ❑:Yes ❑ No The sensor wire is -terminated with a..standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HER rater without changing the Yes to 6, 7, and 8 is a airflow through the condenser coill, " ❑ Yes, ❑ No, . 1 ❑ Yes. ❑ No ❑ Yes 13 No ❑ Yes ❑ No 5 IThe sensor measures the saturation.temperature of the°coil within 1:3 degrees F ❑:Yes` ❑ No ❑ Yes.. ❑ No. ❑ Yes 113 No O Yes ❑ No Yes to 3, 4, and 5 is a applicable. ❑ Fail ❑ Fail ❑ Fail pass. ❑ N/A ❑ N/A ® N/A ® N/A Enter N/A if STMS are not ❑ Pass ❑ Pass ❑ Pass ❑ Pass applicable. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Otherwise enter Pass or Fail CTMC - Cnncnrnn�tha GnndP cPr Cnil _ - System Name or �v,- . " °: ` System3 (Res HVAC 2oire� System 4 IdentificatioSn'Trag ? Three u.1 . ,. n:aev�l.1E - 6 The sensor. is factory tnstalled;orfield installedls' a�ccor�ding tomanufacturer'sspecifications,'or is installed by approved by_the:Executi.v D'reej ' ' methods/specifications ,' max "4M . t� ' � ' ❑Yes ❑Noy KO`Yes � ❑ NoY �❑ Yes 'N 6' O Yes D No 1 The sensor wire is'ter'minat01.0th�a standa,rtl mini plugs'suitabPe for connection to a digital"thermometer. 7 The sensor mini, plug is accessible -to the installing technician and the HERS rater without changing the airflow,throu9hAhe.condense.'r:coil Yes ❑ No❑ Yes ❑ No ❑ Yes ❑-No ❑Yes ❑ No 8 IThe sensor measures the saturation temperature.of thecoil"within 1.3,degreesF. ❑:Yes ❑ No ❑ Yes ❑ No ❑.Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ❑ N/A ❑ Pass ❑ N/A ❑ Pass ❑ N/A ❑ Pass ❑ N/A ❑ Pass applicable. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Otherwise enter Pass or Fail Reg: 215-N0169784A-M2500017A-0000 Registration Date/Time: 2015/06/24 19:12:37 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE. CF76R-MECH-25=HERS Refrigerant -Charge Verification - Standard Measurement Pirocedure (Page 3 of 6) Site Address: Enforcement•Agency: Permit Number: 78815 Pina, La Quinta`CA 92253 -City of La Quinta T2014-78815 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55°F or above) Procedures for determining Refrigerant Charge using the Standard Charge Measurement -Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed.and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). 4f the Weigh -In Method is.used, the dwelling cannot be included in a sample group for HERS verification compliance.) Snace Cnnditionina Svstems § =far Calibrat of Diag�nost�c In�strum nts N,�I ' : .. .. ;, -"' f 1 .. .:. `: .,,. _ 'moi: u,�u�`$� .,� � Date of Refrigerant Gauge Calibration .; Yz..' _..•qi :fie ._kY" }, -^'^ ,:-: _ :06/-61/2015 y ... (must be re -calibrated monthly) System 3 (Res 06/01/2015 System Name or Identification/Tag HVAC Zone System 4 Evaporator saturation temperature Three) 51.4 System Location or Area Served Bedrooms Kitchen Outdoor Unit Serial # 1915D25812 1915E25341 Outdoor Unit Make _;. LENNOX LENNOX Outdoor Unit Model'> : -14ACX-024-230 14ACX-048-230 Liquid Line Temperature (Tliquid) 408.9 110.1 Nominal Cooli g apacity r 2 To r sLN 4 Tons temperature (Tcondenser, db) Date ofVserification 06/y2�2/2015 06/22/2015 § =far Calibrat of Diag�nost�c In�strum nts N,�I ' : .. .. ;, -"' f 1 .. .:. `: .,,. _ 'moi: u,�u�`$� .,� � Date of Refrigerant Gauge Calibration .; Yz..' _..•qi :fie ._kY" }, -^'^ ,:-: _ :06/-61/2015 y ... (must be re -calibrated monthly) Date of Tfiermocouple.;Calibmtion--. 06/01/2015 (must be re -calibrated monthly) HVAC'Zone Mawcurarl TamnpraturP4z''fOF:1 Return (evaporator entering) air System 3 (Res System Name or Identification/Tag HVAC'Zone System 4 Evaporator saturation temperature Three) 51.4 Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) 114.4 118.2 Return (evaporator entering) air dry-bulb temperature (Treturn db) 63.2 60.1 Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature 56.4 51.4 (Teva orator sat) Condensor saturation temperature 114.4 118.2 (Tcondensor, sat) Suction line temperature (Tsuction) 63.2 60.1 Liquid Line Temperature (Tliquid) 408.9 110.1 Condenser (entering) air dry-bulb 80 83 temperature (Tcondenser, db) Reg: 215-N0169784A-M2500017A-0000 Registration Date/Time: 2015/06/24.19:12:37 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE _y CF-6R=MECH-25-HERS Refrigerant Charge Verification".- Standard Measurement:.Procedure ''(Page 4 &'6) Site Address: Enforcement,Agency: Permit Number: ` 78815 Pina, La Quinta CA 92253 City of La Quinta 2014-78815 Minimaim eirflnw Renuirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System 3(Res System Name or Identification/Tag HVAC Zone System 4 Three) Calculate: Actual Temperature Split = Treturn db - Tsupply, db Target Temperature Split -from Table RA3.2-3 using Treturn, wb and Treturn, db Calculate difference:: Actual Temperature Split - Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if, between -3°F and -100°F Enter Pass or Fail. Note: Temperature.Split Methodltalculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measuremedprocedures specified in Reference Residential Appendix;RA3.3.. If actual cooling coil airflow is measured, tkh,e.value must be equal to or greater than the Calculated Minimum Airflow ' `off Requirementgin theg,table. below 71, I-A Calculated inimum�AirflowrRegwrement (CFM) = Nominal Cooling Capacity (ton)Y,X 300` ay si w k. .. .�'b. .. k *r ltk'' r X 3 p x s�z 5 :r�..,= , o'X�.`P'^.. o.; .> 4..., Yr! k' System 3 (Res ^s,.:us?'..:... .. ... _ System Name or Identification/Tag HVAC Zone System 4 Three) Calculated `Minimum Airflow Requirement 600 1200 (CFM),: Measured Airflow using RA33. 862 1665 procedures (CFM) Measurement Method Flow Hood Flow Hood Passes if measured airflow is greater than or equal to the calculated minimum airflow PASS PASS requirement. Enter Pass or Fail 44 aY: Reg: 215-N0169784A-M2500017A-0000 Registration Date/Time: 2015/06/24 19:12:37 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-,§.R=MECH-25-HERS Refrigerant Charge Verification- Standard Measurement Procedure (Page 5 of 6) Site Address: EnforcementSAgency: Permit Number: 78815 Pina, La Quinta CA 92253 City of La Quinta 2014-78815 Superheat Charge Method Calculations for Refrigerant Charge Verification.- This procedure is required to be used for fixed orifice metering device systems ,> System 3 (Res System Name or Identification/Tag HVAC Zone System 4 Three) Calculate: Actual Superheat = 5.5 8.1 Tsuction - Teva orator sat Target Superheat from Table RA3.2-2 .-. "fir 6 . 8 using Treturn wb and Tcondenser, db 1w� MEMO 0.1 Calculate difference: r .�� ,.i � �. _ Actual Superheat - Target Superheat , g g£ PASSE ' PASS System passes if difference is between "g -5°F and +5°F Enter Pass or Fail PASS PASS Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) •and electronic expansion valve (EXV) systems. ,> System 3 ;(Res System Name or Identificationjag HVAC Zone System 4 Three) . Calculate: Actual Subcooling = 't. 5.5 8.1 Tcondenser, sat `'Tli uid" Target-Subcooling specified by manufacturer.... .-. "fir 6 . 8 Calculatedifference ;' n� 1w� MEMO 0.1 Actual Sub�coolin -Tar et Subcool 9 9 .. 9� r .�� ,.i � �. _ System,pas'ses if differenceis between -3°F and +3°F ��a , g g£ PASSE ' PASS 'ie EnterzPas01- "g Metering Device. Calculatiions;for'=Refrigerant Charge Verification. 'This procedure is required to be used for thermostatic expansion€valve (TXV) and electronic expansion valve (EXV) systems. ,> System 3 (Res'' System Name or Identification/Tag HVAC Zone System 4 Three) Calculate: Actual Superheat = ? 6.8 8.7 Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range between 4°F and 25°F if 4-25 4-25 manufacturer's specification is not available) passes if actual superheat is Ewyithhe allowable superheat range PASS PASS Enter Pass or Fail Reg: 215-N0169784A-M2500017A-0000 Registration Date/Time: 2015/06/24 19:12:37 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6.R-MECH-25-HERS Refrigerant ChargeNerification .- Standard Measurement Procedure (Page 6 of 6) Site Address: A Enforcement Agency: Permit Number: 78815 Pina, La Quinta CA 92253 City.of La Quinta 2014-78815 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow cri'ter'ia based on measurements taken concurrently during. -system operation. If corrective actions were taken, all applicable verification -criteria must be re -measured and/or recalculated. Jessica Rittgarn Jessica Rittgarn CSLB License: 836498 System;3 (Res Position With Company (Title): System Name or Identification/Tag Name of TPQCP (if applicable): Control Program (TPQCP)? ❑.Yes ❑ No HVAC Zone System 4 Three) System meets all refrigerant charge and airflow requirements. PASS PASS Enter:Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has:been met for all applicable system verifications reported on this certificate: DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am eligible under Division.3 of *:the. Business • and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person)., . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation). conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement' agency_ . I understand that a HERS rater :wfll'cheek the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective actionat my expense -1 understand that Energy Commission and HERS provider representatives will also.perforrnsquality aesuranc'e check ng of i stallati n , mcludin" g'thdte approved as part of a sample group but.,not.checkedAby a� ERS eater and i thosefinstalla ns fa to;=meet�ttie req uir�ements of such quality.eassurance checking, the requt'redlcorrective, action and additional checking/testing of oth' r installations in that HERS sample group w�IltieperforrnedT�at4my expense. �.�# . I reviewedfa copy of the Gertificatwe.of Compliance (CF 1R,) form.ap oved byiaheyenforcement agency hat ident,fies thee;; : specific re`quireme'nts for��the installatioq 'I certif.,v that„the requiremepts detailedson the CF=1R that apply.a0w� . 4� .I will ensure that aYcompleted signedgcopy, of.this�Ihiitallation!Certificate shall be post"ed, or`made availah with the building pecmit(s) issued for�tiVi =building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included:w�th the'documentation'tFie builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come.from a HERS-provider.data registry for multiple orientation alternatives, and beginning October 1, 2010, for all,low-rise residential buildings. Company Name:;.(Installing Subcontractor or General Contractor or Builder/Owner) Lucky Air Inc Responsible Person's Name: Responsible Person's Signature: Jessica Rittgarn Jessica Rittgarn CSLB License: 836498 Date Signed:. 6/30/2014 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑.Yes ❑ No Reg: 215-N0169784A-M2500017A-0000 Registration Date/Time: 2015/06/24 19:12:37 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION XERTIFICATE.,,. CF-6R-MECH'-20-HERS Duct Leakage Test— Completely NeW. or Replacement4Duct,System' (Page'1 of 2) Site Address: 78815 Pina, La Quinta CA 92253 (System 3':(`Res HVAC Zone Enforcement Agency: City of'La' Quinta.: Permit Number: 20;14-78815 Three)) CF -1R, the leakage to outside test method must be used to verify'duct leakage (refer to RA3.1.4.3.4), ;,, Enter the Duct System Name or:Identification/Tag:_Syst6iWi 'f Res`.HVAC Zone Three) Enter the Duct System Location"or'Area Served: Bedrooms:.: ` Note: Subrnit one Installation..Certificate for each duct s"ystehn that must'demonstrate compliance in the dwelling. This certificate is required for compliance, for; completely new duct systems• installed in new dwelling construction, and also for completely new or. replacement duct systems;in existing dwellings. For existing . dwellings, a completely new�or replacement duct system..can also. include• existing parts. of the original duct system (e.g., register boots, air handler, coil, `plenums, etc.) if those parts are accessible and they can be sealed. Dud Leakage Diagnostic Test - completely new or replacement,duct system Enter a value for the Allowed Leakage (CFM) for the duct system. leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage,rates described below: , Verified Low Leakage Ducts in,`Conditioned Space (VLLDCS)-Compliance-Credit. If compliance credit for verified low leakage ducts'in conditionedspace. is shown in the special features section of the Allowed CF -1R, the leakage to outside test method must be used to verify'duct leakage (refer to RA3.1.4.3.4), Leakage and 25 CFM must be entered for Allowed, Leakage. _ ;_ (CFM) Allowed.leakage calculation (select°one calculation method from this section). Use 6% (leaka'ge ., factor = 0.06) forcalculaiions if test>:e.d at "final" or 4% (leakage factor=' 0.04) if tested at "rough." , When utilizing Low Leakage Air Handler: (LLAH) credit, .the .allowed duct leakage may be specified.by the CF -1R to be less than 6%, in which'case.the user-specified leakage rate must be'.used.in the calculations below. For example if the user-specified leakage'(specified as'a percentage. of fan airflow) is reported on the CF 1R.as 3%, then use a /eakage,factorf„0 03 in the calculations beloAMw ® Coohngasystem method ` a-. c m Gz' n .w pacity of conydjen er m Tons x 400 x leakage factor 48 CFM Nominal caIN g 3�v ❑ Heating system method a 21.7 x Thousands ofgl, Btu/hr x leakage factor CFM a0ut,putyCapacgityn WONa']•d .'.r a.,. t . Y''Fi �^j:. im ❑ Measured airflow method (RA3 Enter measured fan flow m=CFM here _ .; x.•/eakage factor = CFM. Enter value for Actual leakage (CFM) in the right column,.from measurement using applicable duct Actual Leakage leakage pressurization test procedure from Reference kesidential Appendix RA3.1(CFM @ 25 Pa): -: (CFM) :;,.. Li"stYActual Leakage from duct'leakage test(CFM) 46 Pass if.Actual Leakage. is equal to or.less;than Allowed Leakage ® Pass 17 Fail For complete replacement of duct systems only, if the 6 percentleakagel'ate criteria cannot'be met, a smoke test should be performed, to verify'that the, excessaeakage'is coming only from a pre-existing., furnace cabinet (air handler: cabinet), and not from other accessible portions of the duct system..A HERS rater must verify the installation (No sampling allowed): List Actual Leakage from smoke test(CFM) Pass if all accessible leaks(except for existing 'air handler) are -sealed using smoke ❑ Pass ❑ Fail Reg: 215-N0169784A-M2000003A-.0000 Registration Date/Time: 2015/06/214'18:55:38 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION.,CERTIFICATE CF-6111-MECH-20-HERS Duct Leakage Test- Completely. New or.Replacement Duct: System (Page 2 of.2) Site Address: Enforcement Agency: Permit Number: 78815 Pina, La Quinta CA 92253 (System 3 (Res HVAC Zone City of La Quinta 2014-78815 Three)) :ompliance Method This dwelling was: (select one of the following two choices): jj Tested at Final Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below) Visual Inspection at Final LOnstruction Dtage tot apps duir-i After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following procedure must,be performed: ❑ For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used. ® Outside air (OA).ducts for Central Fan Integrated (CFI) ventilation systems, shall not.be sealed/taped off during duct leakage testing., CFIOA ducts that Utilize controlled motorized dampers, that open only when OA ventilation is required to, meet A,SHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closd position during duct leakage testing'. ® All supply and return register boots must be sealed to.the drywall ® New duct mstallatlons cannot*u lhze bullding avltles as4plenurns or plattform.return In lieu f ducts. 3• ® Mastic and draw bands°must beUsed n combinatlon with Cloth -backed, rubber adhesive.tluct tape to seal leaks at�duct connectlons� a� max. E` �.�.. iii :.�� ... • u.;,r � �,. ��r. �.� .� ?:° , DECLARATION STATEMENT • I certify under penalty of perjury, under,'the laws of the State of California, the•information provided on this form is true and correct. • I am eligible under Division 3 of the;Bilsiriess and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible'person). • I certify that the installed features; materials, components,.or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies. defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performedat my expense. • I reviewed a copy'of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to the installation have been met. . I will ensure that a completed ;-signed,copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed.copy of:this Installation Certificate is required to be included with the documentation the builder provides to the building owner at. occupancy. I will ensure.,that all Installation Certificates will 'come from a HERS provider data s,,... 1, ; 1e 'a.R honinninn nrmha'r' I . 2010. for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Lucky Air Inc . Responsible Person's Name: Responsible. Person's Signature: Jessica Rittgarn Jessica Rittgarn CSLB License: Date Signed: Position With Company (Title): 836498 6/30/2014 Is this installation monitored by a'Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 215-N0169784A-M2000003A-0000 Registration Date/Time: 2015/06/24 18:55:38 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CITY OF LA QUINTA SUB -CONTRACTOR LIST AiLL�U��Uro�7i JOB ADDRESS I Nom' PERMIT NUMBER OWNER -BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only pe sons a earing on this list or their employees are authorized to work on this job Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance. of building permit. For each applicable trade, all information requested below must be completed by applicant. 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NDSC-AP:ING`:(`.0 :27) P NANCE CIERTIFI.E.-D'AA.-F L Models.. 1.9 HE') 19PE Direict-Vont O*s-fir6place Date Issued: May 16;.2013' Project: 3 2 1=177.05b-5' Issued to: Spark Modern Fires 53 Chestn ' u't,Woods Road Redding; CT .06896 -3 QC 7-h nqt In i .installed in accordl6nde With -manufacturef's instructions. The models listed ,above are eligible -ta:6earthe makshown''. V M TeMed Por{land Listed By..- Oregon USA JJJs NJ .L OMNI-Tgst Laboratories, Inc: Issued by: OMNI-Tes,t.Laboratories,.Inc: 13327 NEAt ' ir 3 . .reg'' 97230 0ort'-VV,-!Y- Portland, ON"". . Qn� RLC:EIVED JUN 2 5 2014 CTTY OF LA QUINTA MMUNITY DEVELOPMENT v Chuck Burns, Accreditation & QA Manager St`evers �i 1iarnsj'1nspqqtions Coordinalor A etiri-eiit Wodtid Do6p.iwnitAtibn and Listiii,g,Ag.efeni6iit;is7kieqijired to maintain apokjaffcb listing. en The produtt c.erflficfition, sy9tdrn operated -by ()i\4iN]-Te§t-L.a.bdriitori*es,'I,il"c..!Ilqst,�losc1)1. FFsernbles tliatdck-ri�b-M by ISO/IGC Guido 67, System 5. OMNI-`17est Laboratories, liic..is.,.I'C*cr*cdifed'bythe Standards Council - of.Canada and the American National Standardsl ln§tit6wras a.certification organization, Author.SB 5 SPARK Fire Ribbon New Direct Vent 6 ft Left side view Front view -14.73' 2.91'— Gasand electrical access holes 38' • Vent through the roof or exterior wall • Heating capacity enhanced with two integrated fans • Accepted by all major building and mechanical codes in the U.S. including the IMC and the UMC • Approved in all 50 states and Canada Model No. 19E Must vent 3' vertically before any horizontal venting. Viewing area 72.25"W x 15"H Exterior dimensions 82.25" W x 32.19" H x 23.75" D Framing dimensions 82.25" W x 38" H x 24.75" D Gas type* 1/2" pipe Gas connection Natural or LP/propane On/off Programmable / thermostatic remote control standard Efficiency Up to 80% Venting Options Through roof or exterior wall Vent Type** M&G DirectVent Pro 8" diameter. (Must source locally, not included) Fan Thermostat activated 160 c.f.m. Electric 110 v. with battery backup BTU input Natural gas 40,000-64,500 BTU/h LP/propane 37,000 - 64,500 BTU/h Doors/glass Fixed ceramic glass panel Interior color Satin Black Certification Omni -Test Laboratories ANSI Z21.88-2009 CSA 2.33-2009 Options Safety Screen (Safety Screen is recommended for public installations) *Must be specified at Fire Objects and Media Tray`(rray required when using fire objects) time of ordering. Power Venting Add even more design to your fire— visit www.sparkfires.com to view our custom fire objects Please consult manual for surround installation. Note: The Fire Ribbon 6" is ideally suited for spaces of at least 1,000 square feet. i %6 Spark Modern Fires 996 Greenwood Avenue I Bethel, CT 06801 modern fires www.sparkfires.com p. 866.938.3846 himney King Design Center Page 1 of 2 fey { . . Glttp/rrey cRotcp • Home Info Products Options Photos Est Forms F.A.Q. About Contact Share This #10 Imperial Chimney Caps Meet The Caps Open Top Shrouds #1 Monarch #16 Monaco #1C Mojave Sand Raider #2 Regal #2B Royale' The Imperial is a solid, working man's, all purpose cap which looks particularly good on New England style shingle sided chases. The Imperial does its job quietly, with -out drawing attention to its spartan presence. However, you can take advantage of the minimal footprint this cap offers, then light it up with options like recessed panels and neon lights! #2C Rings of Saturn #3 Dynasty L S' 11 #4 Majesty , �.'---_ .-: -,� `iz='fit-'"'i>-.': `"1-_Sr�'Yi?".s•,x `s,,.y�cs.-w-a—_-. #5 Empress The Imperial is available in 12 finishes. Black, Dk Bronze, Copper and Stucco are popular neutrals. #SB Lotus Blossom We also offer over 60 "Kynar 500" colors of Painted Steel to help you perfectly match your homes #5C La Mons color scheme. Specialty metals, patinas and stucco finishes are also on our menu. We can even use #6 Emperor your material. #66 Temptress Chimney Kings resident craftsmen take great care to build each cap to our exacting standards. This #6C Haute Provence ensures your cap will be both impressive and timeless. #7 Princess O #71) Gazellioness Below are sketches of both a standard Imperial and variations we have done or designed. Please take a look at the gallery at the bottom of the page to see more examples of this beautiful and functional #8 Prince addition to your home. #10 Imperial #11 Centurion #12 Spanish Arches #13 Colonnades Optlons-""'-"•�' #14 Georgian Finishes #1S Venetian COIOrs ' #15BJetsonia #16 Trumpeteer #16B Bimini Half Twist #16C Asian Bouquet - #1613 Sun King Celebratione' #17 Octocrown _ 2K, _ r #18 Sunset Gallery #19 Anglo #196 Anglo Flatbottom #19C Anglo Open Sides #191) Alpine Lodge #19E Alpine Lodge Open LK Sides _ #_'S>kv�rs #19F Alpine Slope d Y3'�y #19G Bonsai Alpine Racer #20 Contempo #20B Crystal Ship #20C Olympic Torch #21 Mission #22 Chateau #23 Bastille #24 Camelot #24B Windsor #24C Castle Rock #25 Desert Tiles #26 Tuscany #27 EI Camino http://www.chimneyking.com/products/productinfo.php?t=open&i=36 6/20/2014 -.- BUILDING ENERGY ANALYSIS REPORT PROJECT: Mayle Residence 78815 La Quinta , CA Project Designer: Mars Hill Studio 2533 Greenbriar Lane Costa Mesa, CA 92626 (714) 556-8299 Report Prepared by: Atousa Yazdanfar Energy Compliance Services 5702 Hersholt Avenue Lakewood, CA 90712 (562) 461-3749 ' • C"' I V E D �;. Job Number: 13652 Date: 6/22/2014 The EnergyPro computer program has been used to perform the calculations summarized in authorized by the California Energy Commission for use with both the Residential and Nor This program developed by EnergySoft, LLC — JUN 2 5 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT U��-�! O � Q(1[PiViq ;omplia ce rre6ort.�hSo oa am h sD�rroval and is EnerovPro 5.1 by EnerovSoR User Number: 5634 RunCode: 2014-06-22716.16:07 ` 1D.=15615 //tel I 1 1 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF-1 R Project Name Mayle Residence Building Type 0 Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 6/22/2014 Project Address 78815 La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 4,297 Addition n/a # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST E) Yes ❑ No HERS Measures -- If Yes, A CF-4R must be provided per Part 2 of 5 of this form. ❑ Yes El No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special cavity (0 Features see Part 2 of 5 Status Wall Wood Framed R-19 2,409 New Roof Wood Framed Attic R-38 4,597 New Slab Unheated Slab-on-Grade None 4,597 Perim = 306' New FENESTRATION Orientation Area U- Exterior Factor SHGC Overhang Sidefins Shades Status Front (N) 364.2 0.260 0.25 none none Bug Screen New Left (E) 174.7 0.260 0.25 none none Bug Screen New Rear (S) 687.2 0.260 0.25 none none Bug Screen New Right (iM 104.9 0.260 0.25 none none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 93% AFUE Split Air Conditioner 13.0 SEER Setback New 1 Central Furnace 93% AFUE Split Air Conditioner 13.0 SEER Setback New 1 Central Furnace 93% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R-Value Status Res HVAC-Zone One- Ducted Ducted Attic, Ceiling Ins, vented 8.0 New Res HVAC-Zone Two- Ducted Ducted Attic, Ceiling Ins, vented 8.0 New Res HVAC-Zone Three Ducted Ducted Attic, Ceiling Ins, vented 8.0 New WATER HEATING Ot . Type Gallons Min. Eff Distribution �- ,"� Status 1 Instant Gas 0 0.83 All PiA esans „F� re U d B `J 1 New p 111 r-)I. It_ o r, 1 Small Gas 60 0.85 All Pipes Ins V v until I Y ULj-k'w OR r-1% -. ,. e L) I RUCTION EnergyPro 5.1 by EnergySoft User Number. 5634 RunCode: 2014-06-22716:;18:07 ID: 13652 Pa e 3 of 14 PERFORMANCE CERTIFICATE: Residential Part 2 of 5) CF -1 R Project Name Mayle Residence Building Type ® Single Family ❑ Addition Alone 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1612212014 SPECIAL FEATURES INSPECTION CHECKLIST The 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 enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. The Cooling System Bryant 550AN042-EI311JAV042090 includes credit for a 11.2 EER Condenser A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System Res HVAC -Zone One- incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System Res HVAC -Zone One- incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. The Cooling System Bryant 550AN042-E/311JAV042090 includes credit fur a 11.2 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System Res HVAC -Zone Two- includes credit for Verified Fan Energy. Measured Fan Energy may not exceed 0.58 w/cfm. The HVAC System Res HVAC -Zone Two- incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. Compliance credit for quality installation of insulation has been used. HERS field verification is required. The HVAC System Res HVAC -Zone Two- includes credit for verified adequate airflow. A certified HERS rater must diagnostically measure airflow of the HVAC System. The HVAC System Res HVAC -Zone Two- incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. The Cooling System Bryant 550AN042-EI311JAV042090 includes credit for a 11.2 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System Res HVAC -Zone Three includes credit for Verified Fan Energy. Measured Fan Energy=may_not exceed 0.58 w/cfm. The HVAC System Res HVAC -Zone Three incorporates HERS Verified Refrigerant Charge or a ChenUdicatbr Display r''luip t .e�r.�_-�f EnemyPro 5.1 by EnemySoft User Number: 5634 RunCode: 201406-22T16:16:67 /D"13652JIV,CTo, DATE �� a PERFORMANCE CERTIFICATE: Residential Part 2 of 5) CF -1 R Project Name May/e Residence Building Type ® Single Family ❑ Addition Alone 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1612212014 SPECIAL FEATURES INSPECTION CHECKLIST The 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 enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. Compliance credit for quality installation of insulation has been used. HERS field verification is required. The HVAC System Res HVAC -Zone Three includes credit for verified adequate airflow. A certified HERS rater must diagnostically measure airflow of the HVAC System. The HVAC System Res HVAC -Zone Three incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. CITY OF I AQ f�TNlT/a bujt_Dj,v : SAFETY DEPT. FOR EnergyPro, 5.1 by EneMySoft User Number: 5634 RunCode: 201406-22716:16:07 ID: 13652 ' "' Page 51of 14 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF-1 R Project Name Building Type 10 Single Family ❑ Addition Alone Date May/e Residence ❑ Multi Family ❑ Existing+ Addition/Alteration I 1612212014 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2 r Space Heating 3.61 1.93 1.68 Space Cooling 56.45 57.50 -1.05 Fans 11.15 13.45 -2.30 Domestic Hot Water 8.49 6.33 2.16 Pumps 0.00 0.00 0.00 Totals 79.70 79.22 0.49 Percent Better Than Standard: 0.6 BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (N) 0 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (N) 1,158 364 Fuel Available at Site: Natural Gas (E) 920 175 Raised Floor Area: 0 (S) 1,088 687 Slab on Grade Area: 4,597 (tM 574 105 Average Ceiling Height: 12.1 Roof 4,597 0 Fenestration Average U-Factor: 0.26 TOTAL: 1,331 Average SHGC: 0.25 Fenestration/CFA Ratio: 31.0% REMARKS STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of Regulations. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company Energy Compliance Services 22014 Address 5702 Hersholt Avenue Name Atousa Yazdanfar City/State/ZipCity/State/Zip Lakewood, CA 90712 Phone (562) 461-3749 Signed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and recognizes that compliance using duct design, duct sealing, verification of refrigerant charge, 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) CLF 11 f �y ° l t �9 �P-\ I Company Mars Hill Studio gI Address 2533 Greenbriar Lane Name Anthony P. Massaro, Amit _ _G� �2 •fi3 =� City/State/Zip Costa Mesa, CA 92626 Phone (714) 556-8299 Sig ed— Q1cense #!J DI F0H CONSTRI K Tlr)m I � 0 EnemvPro 5.1 by EnemySoft User Number. 5634 RunCode: 2014-06-22716:16:071 n n Tr/D: 13652 Page 6 of 14 D10E W10E W 107 W166 W105 WM D10' D1321 W11! W11E W114 D13 D13: Wll( W11' W11: CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Mayle Residence Building Type ® Single Family O Addition Alone 0 Multi Family ❑ Existing+ Addition/Alteration Date 1612212014 OPAQUE SURFACE DETAILS Surface Type Area . U- Insulation Joint Appendix Factor Cavity Exterior Frame Interior Frame Azm Tilt I Status 4 Location/Comments Wag 331 0.074 R49' 0 90 New 4.3.1-A5 Zone One -Office Wall' 233 0.074 R-19 90 90 New 4.3.1-A5 Zone One -Office Roof 1,402 0.025 R-38 0 22 New 4.2.1-A21 Zone One -Office Slab 1,402 0.730 None 0 180 New. 4:4.7-A1 Zone One -Office Wall 1 4 0.0741R49 9 180 90 New 4.3.1-A5 Zone One -Office Wal! 244 0.074 R-19 90 90 New 4.3.1-A5 Zone Two - Wap 246 0.074 R-19 180 90 New 4.3:1-A5 Zone Two - Wall 192 0.074 R-19 270 90 New 4:3.1-A5 Zone Two - Roof 11432 0.025 R-38 0 22 New 4.2.1-A21 Zone Two - Slab 1,432 0.730 Norte 0 180 New 4.4.7-A1 Zone Two - Wall 462 0.074: R-19 0 90 New 4.3.1-A5 Zone Two - wall 1 2691 0.074 R-19 1 1 90 90 New 4:3.1-A5 Zone Three - Wali 151 0.074 R-19 180 90 ew 4.3.1-A5 N Zone Three - Wall 277 0.074 R-19 270 90 New 4.3.1-A5 Zone Three - Roof 1 763 0.025 R-38 0 22 New 4.2.1-A21 Zone Three - Stab 1,763 O:Z30 None 0 180 New' 4.4:7-A? ZoneThree- FENESTRATION `SURFACE DETAILS ID Type Area LI -Factor' SHGC Azm Status GlazingType Location/Comments 1 Window 40.7 0.260 NFRC 0.25 NFRC 0 New Milgard or equivalent Zone One -Office 2 Window 5.0 A.260 NFRC 0.25 NFRC 90 New Milgard or equivalent Zone One -Office 3 Window 27.5 0.260 NFRC 0.25 NFRC 90 New Milgard or equivalent Zone One -Office 4 Window 27.5 0.260 NFRC 0.25 NFRC 90 New Milgard or equivalent Zone One -Office 5 Window 10.0 0:260; NFRC 0.25 NFRC 90 New. Milgard orvequivelent Zone One -Office 6 Window 27.5 0.260 NFRC 0.25 NFRC 90 New Milgard or,equivelent Zone One -Office 7 Window 94.5 0.260 NFRC 0.25 NFRC 180 New Milgard or,equivalent Zone One -Office 8 Window 312.0 0.260 NFRC 0.25 NFRC 180 New Milgard or equivalent Zone One -Office 9 Window 15.0 0.260 NFRC 0.25 NFRC' 90 New Milgard or equivalent Zone Two - 10 Window 15.0 0.260 NFRC 0.25 NFRC 90 New Milgard or equivalent Zone Two- " Window 6.0 .0.260 NFRC 0.25 NFRC 90 New Milgard or equivalent Zone Two - 12 Window 108.0 0.260 NFRC 0.25 NFRC 180 New Milgard or.equivalent Zone Two - P[13 Window `108.0 0.260. NFRC 0.25 NFRC 180 New `Milgard or equivalent Zone Two - 14 Window 11.0 0.260 NFRC 0.25 NFRC 270 New Milgard or equivalent Zone Two - 15 Window 11.0 0.260 NFRC 0.25 NFRC' 270 'New Milgard or,equivelent Zone Two - 16 Window 27.5 0.260 NFRC 0.25 NFRC 270 New Milgard or equivalent Zone Two - (1) U -Factor Type: 116-A = Default Table from Standards,. NFRC = Labeled Value 2 SHGC Type: 116-13 = Default -Table from `Standards,_NFRC .,Labeled Value EXTERIOR SHADING DETAILS ID Window. Exterior Shade Type SHGC H t Wd . Ove hang Left Fin Right Fin Len I H t LExt RExt Dist Len Hat Dist I Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 9 Bug Screen 0.76 10 Bug Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 13 Bug Screen 0.76 14 Bug Screen 0.76 15 Bug Screen 0.76 16 Bug Screen 0.76 Fc-.F-ryi C0 IA %)I 1IIllTA Ener Pro 5.1 by Ener Soft User Number:. 5634 RunCoder-2014-06-22T16-16:0711; r- tID:A3652r, A r- -- ,----Pade 7&44 FOR CONSTRUCTION DATE By 9-_ W112 W101 WM W11f W21( W21' W211 W211 W221 D13Z W20 W20: W20 W20, W20 Will CERTIFICATE OF COMPLIANCE: Residential (Part.4 of 5) CF -1 R Project Name Mayle Residence Building Type, ®;Single Family ❑ Addition Alone 13Multi Family ❑ Existing+ Addition/Alteration Date 1612212014 OPACQUE'SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor CavityTExterior Frame I Interior Frame Azm Tilt Status 4 Location/Comments Wall 0 0.074 R-1'9 0 90 New 4.3.1-A5 Zone Three - FENESTRATION SURFACE DETAILS. ID Type Area LI -Factor SHGC Azm Status Glazing Type Location/Comments 17 Window 8.0 0.26.0 NERC 0.25 1 NFRC 270 New Mifgard or'equivale"nt Zone Two - r 18 Window 14.4 0.260 NFRC 0.25 NFRC 270 New Mffgard.or equivalent Zone Two - i 19 Window 5.0 0.260 NFRC 0.25 NFRC 90 New Milgard or equivalent Zone Three - 20 Window 14.2 0.260 NFRC 0.25 NFRC 90, New Milgard-br equivalent Zone Three- ] 21 Window 4.4 0.260 NFRC 0.25 NFRC 90. New Milgard-orequiv6lent Zone Three - 22 Window 4.4 .0.260 NFRC 0.25, NFRC 90 New Milgard or equivalent Zone Three - 23 Window 4.4 0.260 NFRC 0.25 NFRC '90 New Milgard or equivalent Zone Three - 24 Window 4.4 0.260 NFRC 0.25 NFRC 90. "New `Milgard.or equivalent Zone Three - 25 Window 4.4 0.260; NFRC 0.251 NFRC 90 New Milgard or,equivalent Zone Three - 26 Window 42.7 0.260. NFRC 0.25 NFRC 180 New Milgard: or equivalent Zone Three - 27 Window 4.4 0.260 NFRC 0.25, NFRC 180 New Milgard.or equivalent Zone Three - 28 Window 4.4 0.260: NFRC 0.25, NFRC 180 New Milgard or,equivalent Zone Three - 29 Window 4.4 0.260 NFRC 0.25 NFRC 180 New Milgard or equivalent Zone Ttree- 1 30 Window 4.41 0.260 NFRC 0.25 NFRC 180 New Milgard or equivalent Zone Three- ] 31 Window 4.41 0.260 NFRG 0.25 1 NFRC 980 New Milgard or equivalent Zone Three - 32 Window 11.01 0.260 NFRC 1 0.25 1 NFRC 270 New Milgard or equivalent Zone Three - (1) Ll -Factor Type: 2 SHGC Type: 116-A = Default Table from'Standards, NFRC = Labeled Value 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H d t Wd Ove hang Left Fin Right Fin Len K t LExt REM Dist Len H t Dist Len H t 17 Bug Screen 0.76 18 Bug Screen 0.76 19 Bug Screen 0.76 20. Bug Screen 0.76 21 Bug Screen 0.76 22 Bug Screen 0.76 23 Bug Screen 0.76 24 Bug Screen 0.76 25 Bug Screen 0.76 26 Buq Screen 0.76 r 27 Bug Screen 6.76 i e E V r` 28 Bug Screen 0.76 29 Bug Screen 0:76 I �L.u►r�iC 30 Bug Screen 0.76 e ! P`` u r--. � 31 JBug Screen 0.76 32 JBug Screen 0.76. � AVIV I DATP Ener Pro 5.1 by En Soft User Number: 5634 RunCode:201,"6-22T-1616:07 _ lDr f3652-- U Pa '8[of 14 W201 W20' W20 W20 W21 W10 W22 W22 W22 W22' W23 W21' W21: W21 W21, W21 CERTIFICATE OF COMPLIANCE; Residential '(Part 4 of 5) CF-1R- F-1RProject ProjectName Mayle Residence Building Type m `Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1612212014 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior 'Frame, Interior Frame Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC Azm Status Glazing Type Location/Comments 33 Window 4.4 0.260 NFRC 0.25 NFRC 270 New Milgard-or equivalent Zone Three- hree34 34 Window 4.4 .0.260 NFRC 0.25 NFRC 270 New Milgard or equivalent Zone Three - 35 Window 4.4 0.260 NFRC 0.25 NFRC 270 New Milgard or equivalent Zone Three - 36 Window 4.4 .0.260 NFRC 0.25 NFRC 270 New Milgard or equivalent Zone Three - 37 Window 4.4 0.260 NFRC 0.25 NFRC 270 New Milgard.or equivalent Zone Three - 38 Window 75.0 ,0.260 NFRC .0.25 NFRC 0 New Milgard orequivalent Zone Three - 39 Window 5.3 0.260 NFRC 0.25 NFRC 0 New Milgard or equivaient Zone Three - 40 Window 5.3 0.260 NFRC 0.25 NFRC 0 New Milgard or equivalent Zone Three - 41 Window 5.3 0.260 NFRC 0.25 NFRC 0 New Milgard or equivalent Zone Three - 42 Window 5.3 0.260 NFRC 0.25 NFRC 0 New. Milgard or equivalent Zone Three- hree43 43 Window 5.3 0.260 NFRC 0.25 NFRC 0 New Milgard or equivalent Zone Three- hree44 44 Window 4.4 0.260 NFRC 0.25NFRC a New. Milgard or equivalent Zone Three - 45 Window 4.4 0.260 NFRC 0.25 NFRC 0 New Milgard'or"equivalent Zone Three - 46 Window 4.4 0.260 NFRC 0.25 NFRC 0 New Milgard or equivalent Zone Three - 47 Window 4.4 0.260 NFRC 0.25 NFRC 0 New Milgard or equivalent Zone Three - 48 Window 4.4 '0.260 NFRC 0.25 NFRC 0 New Milgard or equivalent Zone Three - (1) U -Factor Type: 2 SHGC Type: 116-A = Default Table from Standards, NFRC = Labeled Value 116-B = Default -Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window Hat Wd Ove hanq Left Fin Ri ht Fin Len H t LExt RExt Dist Len Hat Dist Len H t 33 Bug Screen 0.76 34 Bug Screen 0.76 35 Bug Screen 0.76 36 Bug Screen 0.76 37 Bug Screen 0.76 38 Bug Screen 0.76 39 Bug Screen 0.76 40 Bug Screen 0.76 41 Buq Screen 0.76 42 Bug Screen 0.76 43 Bu -q Screen 0.76 44 Bug Screen 0.76. 1 r (--Noor r)F`I A raI II1,1T-A I 45 Bu Screen 0.76 I -Y 0 �g�ee 1e ere 46 Bug Screen 0.76 1 1 1 OL tr_ul X40 & z)Ar-t I Y L L -F)1 . 1 47 Bug Screen 0.761 1 1 1 f! 11 I rl-� r r-%% I 48 Bug Screen 0.76 I " d+ m is 1� Yd Y,_tto ' I1=Uh UUNS I HUU I IUN I EnergyPro 5.1 by En Soft User.Number: 5634 RunCode: 2014-06-22T16:1.'6:07ATr, 1D: 13652 Page 9 of 14 I - � CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5) CF-1 R Project Name Mayle Residence Building Type ® Single Family ❑ Multi Family ❑ Addition Alone ❑ Existing+ Addition/Alteration Date 1612212014 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Tvoe Area Factor Cavity I Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Type Area LI-Factor' SHGC2 Azm Status Glazing Type Location/Comments 49 Window 200.0 0.260 NFRC 0.25 NFRC 0 New Milgard or equivalent Zone Three- (1) U-Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC.= Labeled Value EXTERIOR SHADING DETAILS Window Ove ang ID Exterior Shade Type SHGC H t Wd Len H t LExt RExt Left Fin Ri ht Fin Dist Len H t Dist Len H t 49 Bug Screen 0.76 E T �yq• y.�1. SPI /y��p w pi�Ye I �I ffI I [It1I� —., FOR CONSTRUCTION O EnergyPro 5.1 by EnergySoft User Number 5634 RunCode: 2014-06-22716:16:07 ID: 13652 Pae 10 of 14 CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5) CF -1 R Project Name May/e Residence Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 6/22/2014 BUILDING ZONE INFORMATION System Name Floor Area Zone Name New Existing Altered Removed Volume Year Built Res HVAC -Zone One- Zone One -Office 1,402 22,432 Res HVAC -Zone Two- Zone'Two- 1,432 15,752 Res HVAC -Zone Three Zone Three- 1,463 13,899 Totals 1 4,2971 01 0 01 1 HVAC SYSTEMS System Name Qty. Heatin Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status Res HVAGZone One- 1 Central Furnace 93% AFUE Split Air Conditioner 13.0 SEER Setback New Res HVAC -Zone Two- 1 Central Furnace 93% AFUE Split Air Conditioner 13.0 SEER Setback New Res HVAC -Zone Three 1 Central Furnace 93% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name Duct Ducts Heating Coolinq Duct Location R -Value Tested? Status Res HVAC -Zone One- Ducted Ducted Attic, Ceiling Ins, vented 8.0 D New Res HVAC -Zone Two- Ducted Ducted Attic, Ceiling Ins, vented 8.0 D New Res HVAC -Zone Three Ducted Ducted Attic, Ceiling Ins, vented 8.0 0 New WATER HEATING SYSTEMS S stem Name T e Distribution ated put PBtUh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status Takagi T -K4 -Pro 1 Instant Gas All Pipes Ins 199,000 0 0.83 n/a n/a New Standard Gas 60 Gallon o 1 Small Gas All Pipes Ins 50,000 60 0.85 n/a n/a New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot'Water Piping Length (ft) c 0 is v N a S stem Name Pipe Len th Pipe Diameter Insul. Thick. HP Plenum Outside Buried ❑ -� ❑ I u OF LA ()III ,ITA I ❑ I BUILDINn z eQ,7t:: i -v r,; I I A ❑ I 1 , r--ri0vt:U I ruH UUNSTRUCTinrm I EnergyPro 5.1 by EnergySoft User Number: 5634 RunCode: 2014-06-22716:16:07 ID: 13652 Pae 11 of 14 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Mayle Residence Date 1 6/22/2014 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (") below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the installation of a Cool Roof is specified on the CF -1 R Form. *§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. §150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§15 (c): Minimum R-13 insulation in wood -frame wall or equivalent U -factor. *§1 50 d : Minimum R-13 insulation in raised wood -frame floor or equivalent U -factor. 150(f): Air retarding wrap is tested, labeled and installed according to ASTM E1677-95 2000 when specified on the CF -1 R Form. 150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab.edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. Fire laces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tidht-fittingdam er and or a combustion -air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5. §115: Continuously burning. pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA. §150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c . §1500)1A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §1500)113: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. §1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes are insulated per Standards Table 150-13. §1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. 150 ' 3A: Insulation is protected from damage, including that due to sunlight, moisture, ui ment`maintenance;and.wind._.. §1500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardaittjorjis enclosed entirely in conditioned space. D1 II,�, . _ _ Q1 NJ TA .,�L�r,v6a l" `:lantETY DEPT. d §1500)4: Solar water-heatingsystems and/or collectors are certified b the Solar Ratingand Certification Cor oration. FOR CONSTR(1 TlQh EnergyPro 5.1 by EnergySoft User Number.' 5634 RunCode: 201406-22716:16:07 ' ID: 13652 Page 12 of 14 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date Mayle Residence 6/22/2014 §150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tae is used in combination with mastic and draw bands. 150(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 150 m 10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. §150(p): Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150(p). Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire as specified by §150(k)2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). §150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. EnergyPro 5.1 by EnergySoft User Number: 5634 RunCode: 201406-22716:16:07 ID: 13652 Page 13 of 14 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF-1 R Project Name Date Mayle Residence 1612212014 §150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual-on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual-on occupancy sensor. §150(k)11: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual- on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with 150 k 11. §150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptions to §150(k)13 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw-base socket, and consume no more than five watts of power as determined according to §130(d). §150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131, 134, and 146. §150(k)16: Permanently installed lighting in the enclosed, non-dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. TA QY -PiFE� T DEPT. BUI9NSTRUCTinhi F EnergyPro 5.1 by EnergySoft User Number: 5634 RunCode: 2014-06-22716:16:07 ID: 13652 Page 14 of 14