13-0680 (AR)I.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
13-00000680.
79640 RANCHO LA QUINTA DR
649-550-005- -
ADDITION - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20000
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
VANDECARR•MR. & MRS.
79640 RANCHO LA QUINTA
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 `
7/18/13,
-
Contractor:
RISEN CONSTRUCTION
82775. CHARLESTOWN AVENUE
INDIO, CA 92201
(760)'347-6399
Lic. No.: 792381
------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
-
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B ice a No.: 79238X
or by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
• (Date: Contractor:
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
r
r777. Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER-BUILDER4trr's
insurance carrier and policy number are:
1 hereby affirm under penalty of perjury that I am exempt from theate License Law for the
Carrier GRANITE STATE Policy Number WC63 95642
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should ecoma subject � kers' compensation provisions of Section
. License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code shall f hw' comply ith those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
,.
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Date: �. Applicant:
(_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
,.
�_ y
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WORERS COMPENSATION COVERAGE IS LAWFUL, AND SHALL
- Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND -
- and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN ,
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.). -
APPLICANT ACKNOWLEDGEMENT
1 1 Inas owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
- pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application, .
I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant; each agrees to, and shall defend, indemnify and hold harmless the City
-
of La Quinta, its officers, agentsand employees for any act or omission related to the work being
performed under or following issuance of this permit.
- Date: Owner:
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
CONSTRUCTION LENDING AGENCY
permit to cancellation.
hereby affirm under penalty oLperjury that there is a construction lending. agency for the performance of the
I certify that I have read this application and state that the above information is correct. I agree to comply with all
• work for which this permit is issued (Sec. 3097, Civ. C.).
city and county ordinances and state laws relating to buildin nstruction, nd her uthorize representa ives
of this county to enter upon the above-mentioned property inspec cn rp ses.
- Lender's Name:�-
Date: % O Signature (Applicant or Agend:
_
- Lender's Address: -
-
LQPERi11IT
Application Number .
... . 13-00000680
Permit
ROOM ADDITION 2013
Additional desc .
Permit Fee . . . .
120.12 Plan Check Fee
00 -
Issue Date . . .
Valuation
0
Expiration Date
1/14/14
.Qty Unit Charge
Per
Extension,
1.00 120.1200
LS MISC ROOM ADDN, 1ST 100 SF
120.12
Permit. . . . . . .
ELECTRICAL 2013
Additional desc .
Permit Fee . . .
23.83 Plan Check Fee
.00
Issue DateValuation
. . . .
0
Expiration Date
1/14/14
Qty Unit Charge
Per
Extension
1.00 23.8300
LS ELEC DEVICES,. FIRST 20
23.83
Permit . .,
MECHANICAL 2013
Additional desc .
Permit Fee
23.84 Plan Check Fee..
.00
Issue Date . . . .
Valuation
0
Expiration Date
1/14/14
Qty Unit Charge
Per
Extension
1.00 11.9200
EA MECH APPL REP/ALT
11.92
1.00 11.9200
----------------------------------------------------------------------------
EA ' MECH VENT FAN
11.92
Permit. . .
PLUMBING 2013
Additional desc .
Permit Fee . . . .
47.68 Plan Check Fee
.00
Issue Date . . . .
Valuation . _
0
Expiration Date
1/14/14
Qty Unit Charge
Per
Extension
3.00 •11.9200
EA PLBG FIXTURE/TRAP
35.76
1.00 11.9200
EA PLBG WATER INST/ALT/REP
11.92
----------------------------------------------------------------------------
Special Notes and Comments
incress existing bedroom and add new.
bathroom total 92 sq:
ft. addition.PER
2010 CALF BUILDING CODES.
-July 16,'2013 8:34:43
AM jjohnson.
----------------------------------------------------------------------------
Other Fees . . . ...
. ., BLDG STDS ADMIN (SB1473)
1.00
Application Number
13-00000680
Other Fees .
. . . . .
•PLAN CHECK,
ELECTRICAL
23.83
PLAN CHECK,
ROOM ADDITION
168.74
PLAN CHECK,
MECHANICAL
9.54
e
PLAN CHECK,
PLUMBING
47.68
STRONG MOTION (SMI) - RES
"2.00
Fee summary
Charged
Paid c
Credited
Due
-----------------
Permit Fee Total
----
215.47
.00
.00
215.47
Plan Check TuLal
.00
.00
.00
.00,
o Other Fee.Total
252.79
.00
.00
252.79
Grand Total
468.26
.00
.00
468.26
Bin #��
City of La Quinta
1-5 Building 8i Safety Division
�P:O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
J
Project Address:%9 kv ��,
Owner's Name:
A. P. Number: Z' O ., S ., 4
Address: t
Legal Description:
City, ST, Zip: U IOU 1 ZS
Contractor:
Address: t_
Telephone:
Project Description: Ale— Y'r- S re
City, ST, Zip: A, C, Cl Z W t
w
Telephone:(0) 347 -&A 9 17
State Lic. # : l
City Lic. #:
Arch., Engr., ci ner:
Address:/(,[(,?^,
City, ST, Zip: VAlbe X 94307
Telephone(AO)S`
State Lic. #:
Construction Type: Dccu an
P cy:
Project type (circle ew Adc'n Alter Repair Demo
--JName
Sq. Ft.: 1 Z # Stories: # Units:
EstimaCed Value of Project: dCy
of Contact Person: r. -L
Telephone # of Contact Person: &
APPLICANT: DO NOT WRITE BELOW,THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
3
Plan Check submitted
5
Item
Amount
Structural Calcs.1b
617113
Reviewed, ready for corrections
C (q
Plan Cheek Deposit
Truss Calcs.
Called Contact Person
Z
Plan Che_k Balance
Energy Calcs.
C;L—
Plans picked up
Construction
Flood plain plan
Plans resubmitted
711 11
Mechanical
Grading. plan
2nd Review, ready for correcti nslssue
�
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading,
IN HOUSE:-
""' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road ¢ BERMUDADUNES r .
- - RANCHO MIRAGE d
Date 7/18/13 La ,Quints, CA 92253 E.. INDIAN WELLS
No.: 3173.1 " (760) 771-8515 `y�PLAQUINT �y "
INDIOm
Owner Mr & Mrs Van De Carr APN # 602-210-005-4
Address 79-640 Rancho La Quints Jurisdiction La QuInta
City La Quinta Zip Permit #
Tract # No. of Units 1
Type Residential Addition REVISED
Lot # No. Street S.F. Lot # No. Street S.F.
.Unit1 .. 79640 . Rancho.La Quinta. '92 Unit 6
Unit 2 Unit?
.Unit 3
Unit8..
Unit 4 Unit 9
Unit 5 Unit 10
Comments Enlarge existing bedroom and add bathroom.
7/18/13 - Angelica Zarco from. Bldg &Safety called to report error on street number as original lists 79680 ilo 79640. She will send
original cert issued this morning along with other paperwork & I will mail revised original.to her.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/wlkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living; sleeping, cooking, eating o; 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:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 92 S:F. or $0.00 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed projec may now be issued.
Fees Paid By Exempt - Siji Fernandez Check No.
Bank Name/Recipient of Certificate Telephone 760-48'5-5750 .
Funding Exempt
By Dr. Gary Rutherford
a
Superintendent 3
Fee collected /exem ted.by S n M'C ilvrey Payment Recd
•
K' l over/Uhdoy� p
Signature ��Y�`?�•
NOTICE: Pursuant to Government Code Section 66020(d)(1), th will erve 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 Ich 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*N( VALID without embossed seal
Embossed Original - Building Department. )plicant Copy - Applicant/Receipt Copy - Accounting .
RAN-CHO -IA. QUINTA
MASTER A8SOCIATION
Arr_6itectural: Control Committee
March 28, 2013
Mr. and Mrs. Van De Carr
797640 Rancho La Quinta Dr
La Quinta, CA 92253
Re: 79-640 Rancho La Quinta Dr
Approval of Submission
The Architectural Committee reviewed your submission for the addition/extension of your
existing guest room and the addition of a bathroom. .The submission as presented is approved
upon condition of:
The Committee. requires the following:
• All work is to be done in accordance with all applicable requirements of governmental '
entities, including the. City of La. Quinta and in accordance with all Homeowners.
Association architectural guidelines and governing.documents.
• A City of la Quinta Building permit be obtained and copy furnished to the Association
prior to.comrnencement of work:
• Paint addition to match existing residence
• No access is allowed from the'eoif course and materials may not be stacked in the
street; construction vehicles may not block mailboxes
When the work has been finished, please return "Notice of Completion" to the Association
Office. The Association's architectural consultant will perform a final inspection after receipt of
such notice; when verification of the approved plan modifications have been concluded, your
Security Deposit will be processed for refund.
Thanking you in advance and if any questions please do not hesitate to call me at the on-site
office 777.8807.
Sinc
Mary E. Wal , ccAnn _ RECENED
Association General Manager
760.777.8807 — fax 760.777.8961
Email : mwalker(a)drminternet.com
www.rlgma.com MAY 31 2013.
cc: Architectural Comm. CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
PO. BOX 6419 ° LA QUINTA, CA 92248-6419 ° 760-777-8807 FAX 760-777-8961
EsGil Corporation
In Partnership with Government for Building Safety
DATE: 06/18/13 ❑.Af,PLICANT
URIS.
JURISDICTION: La Quinta ❑ PLAN REVIEWER
❑• FILE.
PLAN CHECK NO.: 13-680 SET: I
PROJECT ADDRESS: 7.9-640 Rancho La Quinta Drive
PROJECT NAME: Room Addition for Van De Carr Residence (Structural Only)
The plans transmitted herewith have been corrected where necessary andi substantially comply
with the jurisdiction's` building codes.
The plans transmitted -herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by buiding department staff.
❑ The plans transmitted herewith have significant deficiencies identified on t -le enclosed check list
and should be corrected and resubmitted for a complete recheck.
The check list transmitted herewith is for your information. The plans are being held at Esgif
Corporation until corrected plans are submitted,for recheck.
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
❑ The applicant's copy of the checklist has been sent to:
® EsG.il Corporation staff did not advise the applicant that the plan check has been completed.
❑ EsGil Corporation staff did advise the applicant that the plan check has bBen completed.
Person contacted: Telephone #:
Date contacted: (by: ) Email: Fax #:
Mail Telephone Fax In Person
REMARKS: Transfer notes in red ink to set(s) at the City. On sheet 3 noted 4 anchor bolts at
left side of addition (to match shear schedule of.48" o.c.) REuE VED
By: Ray Fuller Enclosures: :.
EsGil Corporation
❑ GA ❑ EJ ❑ PC 06/10/13 JUN 19 2013
CITY OF LA QUINTA
COMMUNTTY DEVELOPMENT
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560=71576
ksy
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions (Page 1 of 5
Site Address:
79-640 Rancho La Quinta Dr., La Quinta CA
Enforcement Agency:
-T
Date:
May 01, 2013
General Information
Project Name
Van De Carr 92 s.f. Addition
Climate :Zone # of ries
15
BuiTiafing Type❑x Single Family ❑ MultiFamily
Circle the Front Orientation: N, E, S, W or De s South
C6nitioned Floor Area of Addition
(CFA` :'92
New Addition Size: [H] Less than or equal to 100 112 0 Less thikor equal t 000 ftz
(Do not use this orm or additions greater than 1
NOYE. For Alterations to an existing home, submit a completed CF -IR -ALT Fam
Exception: Existing LWAC'systems that are replacedor altered to serve the addition may be included on the CF -1 R =ADD Form
PRESCRIPTIVE ENVELOPE REQUIREMENTS FOR ADDITIONS
For standard wood and assemblies meeting the Cavity R -value only.
• For 100 ft2 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.
• For less than 1,000 ftZadditions must comply with 'Pkg D- requirements unless indicated in the Standard Column_ To meet 'PkgD"minimum
energy compliance rei ruirements, see RCMAppendbr B. Table 151-C or 152(6 in the RCM. Enter values in the shaded Proposed Columns.
Size of Addition
100 ft2 or less
Less than 1,000 fe
Component
Standard Proposed Comment
Standard Proposed
Comment
Ceiling Insulation
R-10 R-38 Minimum
Pkg D
Table 151-C
Wall Insulation
R-13 R-13 Minimum
R-13
Minimum
Floor Insulation
R-13 N/A Minimum
Pkg D
Table 151-0
Fenestration
U- U-
factor SHGC factor SHGC
0.40 1 Pkg D 0.40 0.35 later values
From
"Fenestration
50 RZ 36.7 ftz Proposed
— Areas"
Page t of 5
U-
factor
U-'
SHGC factor
SHGC
Enter Values From
"Fenestration
Proposed Areas"
Page 2 of 5
0.40
Pkg D
Maximum Glazing
Area
Addition Alone r
Enter Values From
"Addition Allowed
Fenestration Areas"
Page 3 of 5
For West -Facing fe
Orientation
Radiant Barrier
N/A
I Pkg D Table 151-C
Roofing
N/A See Roofing Products Below
I Pkg D See Roofing Products Below
1 I Wall I Woos/2x4 1 16 1 .102 1 4.3.1 1 13 1 0 1 A 1 .102 1
Note: For furred a�!!QinBWm, 6ccfiun LQg fp&fflontinuous Insulation R -value, see Page JA4-3 and Equa�4 o e a{(nP a N %�a and
FurringConstruction table below. �-° `�/�
I i=.!lilt I .
MAY 34 2013 kPP OVED
CITY OF LA QUINTA FOR CONSTRUCTION
COMMUNITY DEVELOPMFNI It,
- BY
Registration Number: Registration Date/Time:
2008 Residential Compliance Forms March 2010
OPA
UE SURFACE DETAILS For the furred portioned of Mass Walls see Furring Stri
Construction Table below.
A
B
C
D
E
F
G
I H
I
J
Proposedee
Note
Standard
Values From JA4 Table
Tag/
ID'
Assembly Name
or T z
Framing
Material
and Size2
Thickness,
Spacing,
or Other}
U-
factor'
JA4 Table
Numbers
Framed
Cavity
R-value6
Continuous
Insulation
R -Value'
JA4
Assembly
Cell Value8
Proposed
Assembly
U -factor
Roof
Woodrriuss
24-
.025
4.2.1
38
0
A
.025
1 I Wall I Woos/2x4 1 16 1 .102 1 4.3.1 1 13 1 0 1 A 1 .102 1
Note: For furred a�!!QinBWm, 6ccfiun LQg fp&fflontinuous Insulation R -value, see Page JA4-3 and Equa�4 o e a{(nP a N %�a and
FurringConstruction table below. �-° `�/�
I i=.!lilt I .
MAY 34 2013 kPP OVED
CITY OF LA QUINTA FOR CONSTRUCTION
COMMUNITY DEVELOPMFNI It,
- BY
Registration Number: Registration Date/Time:
2008 Residential Compliance Forms March 2010
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions (Page 2 of 5
Site Address:
Enforcement Agency:
Date:
79-640 Rancho La Quinta Dr., La Quinta CA
Proposed Properties of Masonry and Concrete
May 01, 2013
Walls From Reference
1_ For Tag/ID indicate the identification name that matches the buildingplans.
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.F..nter 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. ATed on the Climate Zone; enter the equivalent U factor found in JA4 Table based on the R -Value from Table 151-C
5. Erjter 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 I 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 ppendix Table 4.3.5 4.3.6 4.3.7
Joint Appendix Table 4.3.13
.1 Fenestration area is the area of total glazed product (,.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. O
2. Enter value from Component Package D Requirements in Table 151-C. V;.Cr
3. Actualfenestration products installed and as indicated in CF 6RENV Form shall eFower
SHGC value than that specied on the Fenestration ProposedArea table above. IV l7 PE
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior sh ng.
5. 1 applicable at this stage enter "NERC" or NERC Certified windows or CEC I ault - o n e YR
AssemblyA
u'o
'
L° F+ E o U ^m m
Final
Mass
Name or JA4 Table
v m
A
2 — °am>Assembly
o
T 2 Numbed
U-factorb'7
CommentThickness'
N/A
-- --
--
--
-- -- -- -- — N/A
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 FinalAssembly U- actor value back on to the Opaque Su ace Details table in Column J
FENESTRATION PROPOSED AREAS
Fenestration Type and Frame
(Window, Glass Door or Skylight)
orientation
(North, East, ProposedAreai Maximum Maximum NFRC or
South, West) (fl) U-faCWr7-.3 SHGC7-3'4 Default Values'
Window
West 36.7 0.40 0.35 Default
Total 36.7
.1 Fenestration area is the area of total glazed product (,.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. O
2. Enter value from Component Package D Requirements in Table 151-C. V;.Cr
3. Actualfenestration products installed and as indicated in CF 6RENV Form shall eFower
SHGC value than that specied on the Fenestration ProposedArea table above. IV l7 PE
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior sh ng.
5. 1 applicable at this stage enter "NERC" or NERC Certified windows or CEC I ault - o n e YR
Registration Number: Registration DateMme:
2008 Residential Compliance Forms March 2010
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions (Page 3 of 5
Site Address: Enforcement Agency: Date:
79-640 Rancho La Quinta Dr., La Quinta CA I I May 01, 2013
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
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
Allowed %
Allowed Area
Area
Remfio2ved s
Maximum
Proposed Area 5
Y`)
Addition
of CFA
(A x B)
< 51b/fe 5lb/fP
Allowed Area
Reflectance3'4
(Table Above)
SRI
l
❑
❑
❑
❑
❑4
Total Fenestration Area3
N/A
0.20
—
—
—
>_
N/A
West Fenestration Area' -'N/A
U
0.05
---
---
---
❑
N/A
(Required In.CZ's 2,4 & 7 -15)
0
❑4
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 ft2 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 20.9 + glass removed to make way for the addition.
4. In climate zones Z, 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 or equal to the Total Allowed Area or BOTH the Total and West Fenestration Areas.
ROOFING PRODUCTS (COOL ROOFS) §15112
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 7&ermal Emittance requirements for roofing products in §118(1) are not applicable. Do not frll
table below.
Roofing compliance Not Required in Climate Zones 1-12, 14, and 16 with a Low -Sloped. Less or 2:12 pitch.
❑ 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/f
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 lb/112 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 Numbed
< 2:12 > 2:12
< 51b/fe 5lb/fP
Type2
Reflectance3'4
Emittance
SRI
l
❑
❑
❑
❑
❑4
1
❑
❑
❑
❑
U
WA under 100 s.f.
❑
❑
❑
0
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑�
l
❑
❑
❑
❑
E]4
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
www.coolrools. org/products/search. phy.
2. Indicate the type of product is being used for the roof top, i.e. single ply roof, asphalt roof, metal roof, etc_
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(p;,,; – 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
Check box if the Aged Reflectance is a calculated value using the equation above.
Calculate the SRI value by using the SRI- Worksheet at hgp://www energy ca.gevltitle24/and enter the resulting value in the SRI Column above
= and attach acopy of the SRI- Worksheet to the CF -IR.
'o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface ande`et the dr} �iil Itic$n s a
eeommended by the coatings manufacturer and meet minimum performance requirements listed in § 118(i4eitr
❑ Aluminum -Pigmented Asphalt Roof Coating
❑ Cement -Based Roof Coating
❑Oth
Registration Number: Registration Date/Time: HERS
2008 Residential Compliance Forms
� ViLL�JaL�l1l
March 2010
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions - (Page 4 of 5
Site Address: 79-640 Rancho La Quinta Dr., La Quinta CA Enforcement Agency: Date: May 01, 2013
HVAC SYSTEMS - HEATING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydropic 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
tea.
Minimum Distribution Piping
(Central, Split,
Pleating Equipment
Efficiency Type and Insulation Thermostat
Space, Package or
Tytpe and Capacity"'
AFUE or HSP Location° R -Value Type
H dronic
Existing
Existing Ducts in R-8.0 any Setback
Split
Insulation
attic new duct
Space, Package or
1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.)
2. Electric resistance heating is allowed only in Component Package G or except where electric heating is supplemental (i.e_, if total capacity
< 2 KW or 7,000 Btulhr electric heating it controlled by a time -limiting device not exceeding 30 mimues). See §151(b)3 exception.
3. Refer to the HERS Verification section on Pages 3 and 4 of the CF -JR -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 hydropic 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 i es is required in all component packa es in all climate zones.
Configuration
Cooling Equipment
Minimum
Distribution
Duct or Piping
Distribution Type
(Central, Split,
Type and Capacity 1,2
Efficiency
Type and
Insulation
Thermostat
Space, Package or
Capacity (gal)
SSEERR//EERorCOP)
Location
R -Value
Type
H dronic
Existing
Existing
Ducts in
R-8.0 any
Setback
Split
attic
new duct
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.
1. Indicate Cooling Type (AIC, 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 hydropic 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 i es is required in all component packa es in all climate zones.
External Tank
Water Heater Type/Fuel
Distribution Type
Number In
Tank
Energy Factor or
Insulation
Typel
(Standard, Recirculatin �
System
Capacity (gal)
Thermal Efficient
R-Value3
Existing
---
--
--
---
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 pipes 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)
tI- ES x NO Required in Climate Zones 2, 4, and 8-15 for additions larger than 100 ft .
vb Edge (Perimeter) Insulation
ES x NO In Climate Zone 16 under Com u
Component Package D, R-7 insulation is required.
ated Slab Insulation e -� r"
[]YESQ NO Slab edge insulation required for heated slabs in all Climate Zones. See details in TAble'1°j _ A of 1104 tan s. A
Raised Slab Insulation I LZIUILUIi\4U & SAFETY DEFT
YES Q NO In Climate Zones 1, 2, 11, 13, 14 & 16 R-8 insulation is required, and in Climate Zones 12 8c�+1R5 �t-4�iP'al,r¢h
j `. V L )
under Component Package D. , n
ON
Thermal Mass - To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. r f
Registration Number: Registration Datelfime: HERS Provi er:
2008 Residential Compliance Forms March 2010
i
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions (Page 5 of 5
Site Address: 79-640 Rancho La Quinta Dr., La Quinta CA Enforcement Agency: Date. May 01, 2013
HERS VERIFICATION SUMMARY - The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CFAR Form for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing & esting HERS verification is requiredfor this measure.
[:]YES x❑Np 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
AYES140 space to serve the addition, the ducts are to be sealed and tested per §152(b)ID. ❑ 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
r��i�
are to be sealed and tested per §I52(b)lE.
DYES E60 ❑ 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 duct systems constructed, insulated or sealed with asbestos.
Ref ' erant Ch e - Split System HERS verification is requiredfor this measure.
OYES IDNO 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
OYES EIN0 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 not apply for additions 1,000 ft or less.
Ducted S fit S stems - Air Conditioners and Heat Pumps: Airflow and Fan Watt Draw HERSverification is required.
DYES ENO 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 EFNO In Climate Zones 10 through 15, if the existing space -conditioning system (HVAC equipment and ducting) is replaced and
Lf 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: David Elliott I
Signature
Company David Elliott Energy Services Date: May 01, 2013
Address: 901 3 SVL Box If Applicable (gEA or 7 EPE
(Certification #):
City/State/Zip: Victorville CA 92395 Phone: 760-243-3883
Responsible Building Designer's Declaration Statement
• I 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.
• I 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 specificat�rns sulip»tted to the enforcement
agency for approval with this building permit application. III I
e: Paul Nelson
�°mpany Nelson Designs `gaTW OF01�2-00INTA
Address: j l ; PT.
A -00
City/State/Zip: j Phclne y N
For assistance or questions regarding the Energy Standards, contact the Energy Hotlines at. 1-8001A,3,33�►
Registration Number_ Registration DateAllme: _
2008 Residential Compliance Forms March 2010
4