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14-0701 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000701 Property Address: 60303 PRICKLY PEAR IN APN: 764-270-999-59 -300232- Application description: REMODEL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 6480 Applican / Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. LicenseClass: B J License No.: • 63308 >(—Dale:, Contractor: OWNER-BUILDE DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any strimmm, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Owner:. FULLER BRUCE & LEA 60303 PRICKLY PEAR LANE LA QUINTA, CA 92253 Contractor: HUNT CONSTRUCTION SERVI PO BOX 116 PALM SPRINGS, CA 92263 (760)578-7153 Lic. No.: 963308 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/16/14 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: . I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number EXEMPT I certify that, in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensat• n provisions of Section 3700 of ))))the Labor Co e, I s all forth th comply with, lose provi ' s. Date: /alicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSAT ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety fora permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject• permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction and It auth rize represent Ives of this c�ountty to a/n/I r pon the above-mentioned prop ert f r i pectin rposes. Date: �_' // _ / ignature (Applicant or Agent(: Application Number . . . . . 14-00000701 ------ Structure Information 96SF PATIO ENCLOSURE/VB/RES-3/CL-A [ENG] ----- Other struct-info . . . . . CODE EDITION 2013 ---------------------------------------------------------------------------- Permit . . . ELECTRICAL 2013 Additional desc . Permit Fee . . . . 23.83 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/13/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC DEVICES, FIRST 20 --------------------------------------------------------=------------------- 23.83 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue.Date . . . . Valuation . . . . 0 Expiration Date 12/13/14 Qty Unit Charge. Per Extension 1.00 11.9200 EA MECH APPL REP/ALT ---------------------------------------------------------------------------- 11.92 Permit . . . REMODEL 2013 Additional desc . Permit Fee . . . . 48.62 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/13/14 Qty Unit Charge Per Extension 1.00 48.6200 LS MISC REMODEL, 1ST 100 SF 48.62 ---------------------------------------------------------------------------- Special Notes and Comments 96SF PATIO ENCLOSURE TO CREATE MASTER BEDROOM CLOSET/VB/RES-3/CLASS A -FR [ENGINEERED] 2013 CALIFORNIA BUILDING CODES. June 11, 2014 9:36:19 AM AORTEGA --------------------------------------------=------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, ELECTRICAL 23.83 PLAN CHECK', REMODEL 132.99 PLAN CHECK, MECHANICAL 4.77 STRONG MOTION (SMI) - RES .65 Fee summary Charged Paid Credited Due LQPERMIT Application Number . . . . . 14-00000701 Permit Fee Total 84.37 .00 .00 84.37 Plan Check Total .00 .00 .00 .00 Other Fee Total 163.24 .00 .00 163.24 Grand Total 247.61 .00 .00 247.61 LQPERMIT Coachella Valley. Unified School District This Box For District use only 83-733 Avenue 55, Thermal, CA 92274 DEVELOPER FEES PAID . (760) 398-5909 — Fax (760)'398-1224 AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/ IND. AMOUNT: DATE: - RECEIPT: CHECK k: ' INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Fuller Bruce & Lea (Trilogy) Date: June 13, 2014 . Owner's Name: Phone No. Project Address: 60-303 Prickly Pear, La Quinta, CA. Project Description: Closet Addition APN: 764-360-059 Tract #:: Lot #'s:. Type of Development: Residential XX! Commercial . Industrial Total Square Feet of Building Area: Certification of Applicant/Owners: The -person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. . Dated: �. 3 t�d�� . Signature: C� ` SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN.OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING:. (CIRCLE ONE) ..Education Code.; Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Number of Sq.Ft. 96 Amount per Sq.Ft. Exempt Amount Collected $0.00 Building Permit.Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Leticia Torres, Facilities Analyst Signa re: w NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES 'AND STAT EN OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective:January 1, 1997, requirethat th strict provide (1) a written notice to the project appellant, at the.time of payment of school fees, mitigation payment or other exactions ("Fees"), o - f the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements'as described in section 66020 of the Government code: Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be. granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. M V:cimyd icsidevfees/certificate of compliance fonn updated 3-2007: ; . 11/2010 Trilogy at La Quinta 0 60-750 Trilogy Pkwy., La Quinta CA 92253s Ph: 760-777-6059 Tr f Fax: 760-777-1620 rruo ..atLa..QalntaAiainteoance 4ssoc..... Wednesday, May 21, 2014 REUEAlpr-% Bruce L. Fuller / Lea S Fuller 60303 Prickly Pear Ln La Quinta CA 92253 MAY 2 7 201¢ COMMU17yry OF p QUINTq RE: ..Architectural Modification Received EVELOPMENT 60303 Prickly Pear/ Customer ID #: TRLAQ-0135-01 Dear Bruce L. Fuller / Lea S Fuller: This shall confirm receipt of an architectural submission, received on May 20, 2014, for the above referenced - add ' ress eferencedaddress for enclosing the small patio area and covert it as part of the living area/home. Please be advised that the application and plans have been forwarded to the Design Review Committee for review. The governing documents for your Association allow forty five days (45) for review; however, we hope to have a response to you within 3-4 weeks. The Design Review Committee is composed of volunteers. As such, it does not review applications to ensure compliance with building codes, or other local or state laws. You are encouraged to contact the governmental agencies involved to ensure your plans comply with these codes. Thank you for your patience in this matter and for complying with the Association's policies and standards. Sincerely, For the Design Review Committee, Nicolasa Moya Administrator On -Site Property cc: Board of Directors Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 1 of 5 Site Address: 60-303 PRICKLY PEAR E F Enforcement Agency: CITY OF LA QUINTA Date: JUNE 11, 2014 Proposed See Note Standard .General Information Project Name FULLER ADDITION Framing Assembly Name Material or Type2 and Size2 Climate Zone #Til 115 of Stories Building Type Single Family ® Multi Family Circle the Front Orientation: N, E, S, W or Degrees N Conditioned Floor Area of Addition (CFA): 96 1 New Addition Size: 1 0 Less than or equal to 100 ft Less than or equal to 1000 ft Do not use this orm or additions greater than 1000 t1 NOTE: For Alterations to an existing home, submit a completed CF -JR -ALT Form. Exception: Existing HVACs stems that are replaced or altered to serve the addition may be included on the CF -1R ADD Form . PRESCRIPTIVE ENVELOPE REQUIREMENTS FOR ADDITIONS For standard wood and assemblies meeting the Cavity R -value only. • For 100f? additions; the Proposed values must be equal or greater than the Standard column or when indicated when using Package D, "Pkg D ". Enter values in the shaded Proposed Columns. w • For less than 1, 000f? additions must comply with "Pkg D" requirements unless indicated in the Standard Column. To meet "Pkg D" minimum energy compliance require . ments, see RCMAppendix B, Table 151-C or §152(b) in the RCM. Enter values in the shaded Proposed Columns. Size of Addition 0 100 W or lessLess 24 than 1,000 ft2 Component Standard Pro 'osed Comment Standard ':Pro• osed` '"' Comment Ceiling Insulation R-19 s 'R=30 k� t Minimum Pkg D t z s}w . , i -, —Table 151-C Wall Insulation • R-13 ;:� ° }R=19 1t ;' Minimum R-13 ti'; ` a, Minimum Floor Insulation R-13 . , ,�N(A tMinimum Pk D" , +F Pkg .`-, s Table 151-C Fenestration U- U factor SHGC .factors s SHGCw 0.40 Pk D 40 a+ 35fr q� Pkg v a 9 mAr 3 t;�fi,x�` {; 50ft2 >_ z124ftZ. °fir" et' r c, r�`!�.+ +?r,..0 Enter Values From "Fenestration Proposed Areas" Pape2of5 factor SHGC :factor .SHGC'. Enter Values From "Fenestration Proposed Areas" Page 2 of 5 0.40 'a Pkg D t, mar 43 µ Maximum Glazing Area Addition Alone Enter Values From "Addition Allowed Fenestration Areas" Page3oj5 For West -Facing E e z y: Z;- Orientation �r� �+L� r'��;, Radiant Barrier N/A Pkg D Table 151-C Roofing N/A See Roofing Products Below . Pkg D • See Roofing Products Below OPAQUE SURFACE DETAILS For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B C D E F G I H I J Proposed See Note Standard Values From JA4 Table Tag/ IDr Framing Assembly Name Material or Type2 and Size2 Thickness, Spacing, or Other3 U- JA4 Table factor" Numbers Framed Continuous JA4 Cavity Insulation Assembly R-valueb R -Value? Cell Values Proposed Assembly U-factor9 WALL 2X6 16 R-19 N/A CEILING TRUSS 24 R-30 N/A 140 • FOH CONSTRUCTIO l Note: For furred assemblies, accounting for Continuo Furring Construction table below. agIga�4-3 'a tion 4-1. Fo r calculating jarred walls use the Mass and i + ! Registration Number: 2008 Residential Compliance Forms r , n Registration Date/Time: I HERS Provider: March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 2 of 5 Site Address: Enforcement Agency: Date: 60-303 CITY OF LA QUINTA JUNE 11, 2014 1. For Tag/ID indicate the identification name that matches the building plans. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate in column G the Frame material and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel, and etc.... 4. Based on the Climate Zone; enter the equivalent U factor found in JA4 Table based on the R -Value from Table 151-C 5. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0". 7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0 ". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J. 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply. FURRING STRIPS CONSTRUCTION TABLE FOR MASS WALLS ONLY A I B `C I D I E F I G I H I I I J I K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint A endix Table 4.3.5 4.3.6 4.3.7 Joint Appendix Table 4.3.13 y LL O G o d A 4 `o Mass i Assembly Name or JA4 Table a ; .° 0 o ° o ° o > > ;, Final Assembl �� Thickness T e Number' Q > c x 2 > ¢ > ' U -factor Comment ........._.._.. 1. Indicate the Mass Thickness from Reference Joint Appendix JA. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate the Frame type and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the Table number that closely resembles the proposed assembly. 4. Enter the row and column of the U factor value. 5. Enter the Effective R -value listed in the JA4 Table Number. 6. The Final Assembly is calculated by using Equation 4-1 or Equation 4-4 of the Reference Joint Appendix JA4. Enter the value in Column L. 7. Insert the Final Assembly U- actor value back on to the Opaque Sur ace Details table in Column J. FENESTRATION PROPOSED AREAS Orientation Fenestration Type and Frame (North, East, ProposedAreal Maximum Maximum NFRC or indow, Glass Door or Skylight) South, West(ft') U -factor , 3 SHGC2. 3, ° Default Values5 WINDOW SOUTH 12 .40 .35 NFRC Total 12 1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration area may be the glass area plus a "2 inch frame" around the glass. 2. Enter value from Component Package D Requirements in Table 151-C. 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower SHGC value than that specified on the Fenestration Proposed Area table above. 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5. I(applicable at this stage enter `NFRC" or NFRC Certified windows or CEC "Default " values bund in Table 116-A or B. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 3 of 5 Site Address: Enforcement Agency: Date: 60-303 PRICKLY PEAR CITY OF LA QUINTA JUNE 11, 2014 ADDITION ALLOWED FENESTRATION AREAS Check applicable box below if the roof addition is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the boxes are A B C D E 0 Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria F Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, check CFA of Addition Allowed % Allowed Area area RemovedZ Maximum Allowed Area Proposed Area 5 Thermal ft2 of CFA (A x B) ftz C + D Reflectance 3.4 (Table Above) Total Fenestration Area3 N/A 0,20 ADDITION LESS THAN > 100SF West Fenestration Area 0 0 13 (Required In CZ's 2, 4 & 7 -15 - 0.05- 0 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. Glass removed to make way for the addition. 3. For additions less than 1,000 ftZ the standards allows glazing removed during the remodel to be added to the glazing area allowance. The maximum allowed glazing area for the addition is the CFA x 20% + glass removed to make way for the addition. 4. In climate zones 2, 4, 7-15, no more than 5% of the CFA is allowed for west facing glazing plus west facing glass area removed to make way for the addition. The maximum allowed west facing glazing area is the CFA x 5% + west facing glass removed to make way for the addition. 5. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas. ROOFING PRODUCTS (COOL ROOFS) §151(n12 Check applicable box below if the roof addition is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the boxes are checked below, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(i) are not applicable. Do not fill table below. Ij Roofing compliance Not Required in Climate Zones 1-12,14, and 16 with a Low -Sloped. Less or 2:12 pitch. 0 Roofing compliance Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped. Roofs pitch greater than 2:12 and product weight less than 5lb/ft2. 0 Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ftZ is exempt from the above Cool Roof criteria. Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, check e applicable box below if Exempt from the Roofing Products "Cool Roof' Requirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number < 2:12 > 2:12 < 5lb/ft2 > 51b/ft2 Type 2 Reflectance 3.4 Emittance SRI EXISTING 0 0 0 0 04 0 0 13 © 4 0 0 ^® 0 04 �0 •" 13 0 0 04 0 0 0 0 04 0 0 0 113 04 1. The CRRC Product ID Number can be obtained from the Coal Roof Rating Council's Rated Product Directory at www.coolroofs orQ/products/search php. 2. Indicate the type of product is being used for the roof top, i.e. single ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(pi,j j& — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRi value by using the SRI- Worksheet at hitp.-//www.enerrv.ca.gov/title24/and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF- IR. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §1 18(i)4. Select the applicable coating: 0 Aluminum -Pigmented Asphalt Roof Coating FOCement-Based Roof Coating 0 Other Registration Number: 2008 Residential Compliance Forms Registration Date/Time: HERS Provider: March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 4 of 5 Site Address: Enforcement Agency: Date: 60-303 PRICKLY PEAR CITY OF LA QUINTA JUNE 11, 2014 HVAC SYSTEMS - HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage Duct or Configuration kitchens and on all underground hot water pipes is required in all component packa es in all climate zones. Minimum Distribution Piping (Central, Split, Heating Equipment Efficiency Type and Insulation Thermostat Space, Package or Type and Capacity', 2.3 AFUE or HSPF Location" R -Value Type H dronic EXISTING - - R-8 - - EXISTING - - 1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception. 3. Refer to the HERS Verification section on Pages 3 and 4 ofthe CF -IR -ADD Form for additional requirements and check applicable boxes. 4. Indicate Type or Location Ducts, H dronic in Floor, Radiators, etc. HVAC SYSTEMS - COOLING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage DHW heater less than 50 gallons with an energy factor greater than 0.90 maybe used. Hot water pipe insulation from the DHW heater to the kitchens and on all underground hot water pipes is required in all component packa es in all climate zones. Heated Slab Insulation ® YES IEI NO Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards. Configuration Cooling Equipment Type and'Capacity1.2 Minimum Distribution Efficiency Type and SEER/EER or COP Location Duct or Piping Insulation Thermostat R -Value Type (Central, Split, Space, Package or H dronic EXISTING - - R-8 - - Insulation R-Value3 EXISTING 1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc). 2. Refer to the HERS Verification section on Pages 3 and 4 of the CF -IR -ADD Form for additional requirements and check applicable boxes. 3. Indicate Type or Location Ducts, H dronic in Floor, Radiators, etc. WATER HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage DHW heater less than 50 gallons with an energy factor greater than 0.90 maybe used. Hot water pipe insulation from the DHW heater to the kitchens and on all underground hot water pipes is required in all component packa es in all climate zones. Heated Slab Insulation ® YES IEI NO Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation ® YES IM NO External Tank Water Heater Type/Fuel T e' Distribution Type Standard, Recirculating)' Number In System Tank Capacity (gal). Energy Factor or Thermal Efficient Insulation R-Value3 EXISTING 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The water heating tank and i es shall be insulated to meet the requirements o 150 ' . SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written justification and documentation and special verification. Applicable special features shall be marked with a YES and be specified within the plans. Radiant Barrier (Roof) ® YES I IM NO I Required in Climate Zones 2, 4, and 8-15 for additions larger than 100 ft Slab Edge (Perimeter) Insulation ® YES 119 NO I In Climate Zone 16 under Component Package D, R-7 insulation is required. Heated Slab Insulation ® YES IEI NO Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation ® YES IM NO In Climate Zones 1, 2, 11, 13, 14 & 16 R-8 insulation is required, and in Climate Zones 12 & 15 R-4 insulation is required under Component Package D. Thermal Mass - To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 5 of 5 Site Address: 60-303 PRICKLY PEAR Enforcement Agency: Date: JUNE 11, 2014 CITY OF LA QUINTA HERS VERIFICATION SUMMARY - The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Se ling & Testing HERS verification is re uired or this measure. ® YES ®NO In all Climate Zones, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the addition alone, the ducts are to be sealed and tested per §151(f)10. In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned ® YES IS NO space to serve the addition, the ducts are to be sealed and tested per §152(b)1D.© EXCEPTION: Existing duct systems that are extended which are constructed insulated or sealed with asbestos. In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, the ducts are to be sealed and tested per §I52(b)IE. ® YES EINO ®EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ® EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Refri erant Charge - Split System HERS verification is re uired or this measure. ® YES d NO In Climate Zones 2 and 8-15, if a newly ducted split A/C or heat pump is installed to serve the addition alone, a refrigerant charge measurement shall be verified per 151 7A. In Climate Zones 2 and 8-15, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor ® YES 0 NO condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, a refrigerant charge measurement shall be verified per §152(b)IF. Central Fan Integrated Ventilation System — Airflow and Fan Watt Draw - do nota ply for additions 1,000 ftZ or less. Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow and Fan Watt Draw HERS verification is required ® YES IM NO In Climate Zones 10 through 15, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the addition alone, the airflow and fan watt draw shall be verified per §151(f)7B. ® YES 19 NO In Climate Zones 10 through 15, if the existing space -conditioning system (HVAC equipment and ducting) is replaced and will serve the addition, the airflow and fan watt draw shall be verified per §152(b)IF. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Name: Signature: Company: Date: Address: If Applicable CEA or®CEPE (Certification #): City/State/Zip: Phone: Responsible Building Designer's Declaration Statement • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: Company: Date: Address: License: City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300. Registration Number: 2008 Residential Compliance Forms Registration Date/Time: HERS Provider: March 2010