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0401-073 (SFD)LICENSED CONTRACTOR 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 Pr_pfessionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date 13 RfC Signature of Contractor OWNER -BUILDER DECLARATION I�7f3ll;i�� I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business & Professionals Code).- ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044,. Business & Professionals Code). () I am exempt under Section B&P.C. for this reason Date Signature of Owner 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,Aas 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 & policy no. are: Carrier STATE FUND Policy No. 044.,02,04114319 (This. section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the' workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prow sions. ; ,,'Dater -2 - r� Applicant— Warning: Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall,, indemnify & hold.harmless the City of.La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property forrii_nsp ction purposes. Signature (Owner/Agent) � r Date "2 Oy- r i Z (v BUILDING PERMIT, PERMIT//#r,}yy,a qy iC+4ALl t sq DATE VALUATION LOT -TRACT "J1!"�-`;v , s -.39g04:41, 00 7 3065JOB SITE1 ADDRESS t:si�^LO.°k ��UA-'P.1��° � �:�.7�%Ot�I�W..Q.o:�T APN T�Bd`A-h60• 3µ, OWNER CONTRACTOR/DESIGNER/EN INEER QUAPRY RANC 71, LLC C & 0 CONSMUCTiONT - 1 Q YARRV IANC .9615 NOKf14 SE.CON-0 A:�d,�'�i L'TJE LAQUIRNTA C.A. 92253 "ZFPLAtT13 CA 917£ 6 &&cc (907)9 ,6582^9, C-141AY. 3.539 USE OF PERMIT 61JSrY5SJ.ci's':ta2Ri.�3.17,r d l� tY ems., .e..il.!'7.t1.Y Slrr.)A 4097 SQYT. I. -OT 7, PERM11T DOES HOT INMUDE 131A7Cr WA161,4 P OI, OCL SPA, i3:f 1'f#..1tATE PEAMI`r i",oR oR.}v.riVAY APPROACH B'k' PUBUC WORXS PXQD.. 2001 CODRS C63Tt" M C01419TRUC'TION 4,07,00 SF PORC'1•I;'FATiO 71s.00 ff RAGUC,`.ARP(131T 47.00 OF ESM11"'101A CITE OfCO8�3ION 339,431.90 P.viyM1h3MESUMMARY (. ONS`1"lat%CTI N FIM 101-M)0-4 i 8-:000 $1,479.$0 PTAH CI•1ECK FES. 1t3Y-C3t7t'i-�43�-3i $1,: 1x.145 MECEIA14ICAL FEE 101.000-421.000 ELECTRICAL- FEE 101-1000-420-000 PtoilMBINO VeEl�, 101.000-419.000 $27A.2:1 S'I',1d.OXG RIO T101�1 FEE • IIIA 1011-000-241-000 $33.94 GR.ADINO FEE 101.000.423.000 $1S.C10 DPWADPER IMPACT P2ZY, $A,105.00 ART JN PUB1,1C:' 'MACCES - >+t?OEC. 270-000-445-000 MOM 1.7LL I�'tw.PC7sI ' 101-000-439-318 41,aria.00 i) 1� tJCMO�] AND PLA CLEC' K w" 134..91 d LESS PRE -PAD YIMS 411000.00 -3 022004 "AT CITY OF LA OUI�dTq Elflfe�PdCE DEPT I r t RECEIPT DATE";%��1'BY t DATE FINALED INSPECTOR INSPECTION RECORD - OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVA S Set Backs Forms & Footings Slab Grade /r1j / Underground Ducts - Ducts Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap 4.11 F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS -SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines `/ Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Sewer Connection j �� Pool Cover Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: A�� s�a.i �T.-- �_.. — ` Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) Comments E*;F At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of .$2.14 X 4,087 S.F. or $8,746.18 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/Pacific Western Bank -Mike Reed Check No. 209348. . Name on the check Telephone 909-813-7634 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Yolanda Garcia Payment Recd $010 71 $8,746.18 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting t CERTIFICATE OF COMPLIANCE - Desert Sands Unified School District - 47950 Dune Palms Road ¢ O 6ERINUDA DUNESrA Date 2/2/04 � f La Quintal CA 92253 RANCHO MIRAGE d INDIAN WELLS �. No. 25446 - (760) 771-8515 PALM ��` QUINA 4. _yQ INDIO y� p Owner Quarry Ranch LLC APN # 766-060-002 Address 1 Quarry Lane Jurisdiction La Quanta City La Quinta Zip 92253 Permit# 0401-073 Tract # 30651 Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. • Street - Unit 1 7 r586U1 �Quarr_y Ranchands.a:--•--4087 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 " Comments E*;F At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of .$2.14 X 4,087 S.F. or $8,746.18 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/Pacific Western Bank -Mike Reed Check No. 209348. . Name on the check Telephone 909-813-7634 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Yolanda Garcia Payment Recd $010 71 $8,746.18 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting tl'G REQUESTED BY: National�Title Company !.Pt�. gcrow No. 5934 -CAH . Title Order.No. 9771087 4 -- When When Recorded Mail Document .and Tax Statement To: Mr. Robert E. Geddes 15452 Bayside Lane Huntington Beach, CA 92647 ANN: /bb - .0: 20-0 15 bb•.020-015 . not_ ;s 2002--10aC-1 �9E5 03/01/2002 e,8:00A Fee:13.00 Page.l of 3 Doc T Tax Paid Recorded in Official Records County of Riverside Gary,L. Orso Assessor, County Clerk & Recorder GRANT DEED St'AL;t A[SUVt 1 MLD LIIVc run nct.unucn ..�L ffAG The undersigned 6rantods) declare(sl m . _..._ _ Docuentary transfer tax is $7,700.00 [ 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 City of La Quinta . FOR A VALUABLE CONSIDERATION, receipt of which .is hereby acknowledged, General Partnership hereby GRANT(S) to Quarry Ranch, LLC- The LC the following described real property in the City of La Quinta County of Riverside, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: February 27, 2002 STATE OF CALIFORNIA COUNTY OF Riverside ON 2-28-02 before me, Catherine A'. Hammons personally appeared Richard J. Meyer -------------------- ------------------------------------ personally known to me o€-saH s� to be the person(s) whose name( is/ a subscribed to the within instrument and acknow edged to me tha%she/they executed the same in is . er/their authorized capacity(ies), and that by is er/their signature(s) on the instrument the person(s), or the entityTpon behalf of which the person(s) acted, exe (jt, d the instr ment. A., Witness my hand nd off' ial sal. Signature La QuiqtaTi La Quinta Ranch, a California 11 By: \ v Richard J. Meyer, General artner MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED i M S U PAGE S¢E OA PCOR NOCOR SMF "Sc.60-002-5 .' A R L COPY LONG REFUND NCHG EXAM,_,', GRANT DEED St'AL;t A[SUVt 1 MLD LIIVc run nct.unucn ..�L ffAG The undersigned 6rantods) declare(sl m . _..._ _ Docuentary transfer tax is $7,700.00 [ 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 City of La Quinta . FOR A VALUABLE CONSIDERATION, receipt of which .is hereby acknowledged, General Partnership hereby GRANT(S) to Quarry Ranch, LLC- The LC the following described real property in the City of La Quinta County of Riverside, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: February 27, 2002 STATE OF CALIFORNIA COUNTY OF Riverside ON 2-28-02 before me, Catherine A'. Hammons personally appeared Richard J. Meyer -------------------- ------------------------------------ personally known to me o€-saH s� to be the person(s) whose name( is/ a subscribed to the within instrument and acknow edged to me tha%she/they executed the same in is . er/their authorized capacity(ies), and that by is er/their signature(s) on the instrument the person(s), or the entityTpon behalf of which the person(s) acted, exe (jt, d the instr ment. A., Witness my hand nd off' ial sal. Signature La QuiqtaTi La Quinta Ranch, a California 11 By: \ v Richard J. Meyer, General artner MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED i Order ,No. 9771067. A. EXHIBIT "ONE„ _. Those portions of the, North one-half of Section 29,Township 6 South, Rarge.7 East, San. Bernardino Meridian; in the City of La Quinta, County of Riverside, State, of. California, according to the official: plat of said land filed in the. District:'Land Office, dying Southerly of the, land described in that certain deed to the United States of America, recorded July 28, 1966 as Instrument/File No. 77234 of Official Records, in the office of the County Recorder of said County. Excepting therefrom that portion included Within Tract No. 27.728, as per map recorded in Book 249, Page(s)' 1 through 13 of Maps, in the office of said County Recorder. The hereinabove described property being more particularly described as follows: Beginning at the Easterly one-quarter corner of said Section 29; thence alcng the Southerly line of said North one-half of Section 29 South 88' 08'50" West 3674.09 feet to the most Southeasterly corner of said Tract No. 27728; thence leaving said Southerly line, along the boundary line of said tract through the following courses: North 000 20' 13" West 441.64 feet; thence North 890 38' 32" East 1032.28 feet; thence Borth 890 38' 07" East 972.07 feet; thence North 000 20' 13" West 990.81 feet to an anglE. point in said.. boundary line and a point hereinafter referred'to as Point '.'A"; thence North 89° 39'47" East 668.45 feet to the beginning of a tangent curve concave Northerly and having a radius of .1030.00 feet; thence along .said. curve Easterly 396.56 feet through a central angle of 22'•03' 34" to the Southerly line of said land described in the deed to the United States of America; thence Leaving said boundary line of Tract No. 2.; 728,'along said Southerly line South 630 00' 13" East 265.26 feet to the beginning of a tarigent curve' . therein concave Southerly and having a radius of 159.0.00 feet; thence along said curve and Southerly line Southeasterly 466.81 feet through a central angle of 160 49'.17" to the Easterly line of said Section 29; thence along said Easterly line South 00' 20' 13" East - 1617.99 feet to the point of beginning. Iq�II�IIq�II�I�II�I�WIWI�gN •'�'�w'�,x". 7 08/19/2004 15:46 909 WEI PEI STRUCT EGRS PAGE 01 WEI PEI STRUCTURAL ENGINEERS, INC. Structural/Seismic/Forensic 931 W. Holt Blvd.. Suite D4. Ontario, CA 91762 Tel: (909) 937-0122 Fax: (909) 937-0120 August 18, 2004 To: Mr- Mike Reed, General Superintendent C&G Construction; Company, Inc. 78-034 Calle Barcelona La Quinta, CA 92253 Fax: 760-564-8953 Re_ Structural Observation for framing work for the Mozilo Villa (Lot 7) for the Quarry Ranch Project (S.F.R.)" at the Quarry of La Quinta, La Quinta, CA. WPSE Job No.: 30541 Dear Mr. Reed, Per your request, visual structural observations for the framing for the captioned properties were performed by this office on 8/16/04 and 7/1/04. It was found the framing work, including shear panels, holdowns, framing members, and diaphragms, is generally in compliance with the requirements or their equivalencies of design specifications provided by this office and the construction quality meets the industrial standards. This letter only covers items visible and inspectable -by naked eyes at the time of the inspection and it is our professional judgement only. No further warranty or garanty is expressed or implied. This letter does not relieve the responsibility of the contractor to follow the plans and specifications and industry standards. Thank you and appreciate the opportunity to provide service to your organization. Sincerely; WEI PEI STRUCTURAL ENGINEERS, INC. Wei Pei, P.E., S.E.��`' President fi 1V0 S G04032 ExP 9.30-04 n rti we Can not control earthquakes, but we are able to handle them better. Engineering Incorporated 1981_ 20th Anniversary 2001 Consulting Electrical Engineers 19031 Highway 18 Ste 200 72330 Carwon lane Apple Valley, CA 92307 Pahn Desert, CA 92260 Phone: (760) 242369 Phone: (760) 773-4478 Fax: (760) 242-1092 Fax: (760) 242-1092 dreamjoe@eharter ket dreamjoe(paoLaom TITLE 24, JANUARY 2001 ENERGY EFFICIENCY STANDARDS FOR LOW RISE RESIDENTIAL BUILDINGS QUARRY MAZILO 4,087 S(). FT. 12/6/03 Energy Budgets for this building were determined using the CALRES VERSION 1.4 certified by the California Energy Commission. The Calres analysis attached was conducted using tables from the Residential Manual for Compliance With the Energy Efficiency Standards (for Low Rise Residential Buildings) JUNE 2001, certified by the California Energy Commission. *** HOUSE COMPLIES *** ***REFERENCE C -2R PAGE 1*** I hereby certify that the California Energy Commission Conservation Division regulations establishing Energy Efficiency Standards for Residential Buildings, Title -24, Part 6, have been reviewed and the design submitted substantially complies with these regulations. Joseph M. Nolan �� x lid Electrical Engineer ATTACHMENTS: #1 - C -2R #2 -CF -1R #3 - MF -1 R Mandatory Measures Checklist: Residential #4 - CF -6R Installation Certificate #5 - FHA FORM J Heating and Cooling Calculations #6- Calculation Worksheet of i c.� co CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION 2�F5C C -eve. DATE6 2 I [I44 BY K; rnsofficelWINWORMTITLE 24-COVERSITITLE 24.docTITLE 24 - RESIDENTIAL PAGE -1 jW 0WI d 0 COMPUTER METHOD SUMMARY Page 1 C -2R l ` Project Title: QUARRY VILLA 4087 SQ. FT. Run: 153 06 -Dec -03 Project Address: QUARRY VILLA LACOB 4087 LA QUINTA, CA 92253 Building Title: QUARRY VILLA LACOB 4087 SQ. FT Building Permit # Document Author: DREAM ENGINEERING INC, (760)773-4478 Telephone: Plan Check / Date Compliance Method: CALRES2 1.4.02 Field Check / Date Climate Zone: 15 ENERGY USE SUMMARY (kBtu/ft2-yr) Energy Use Standard Design Proposed Design Space Heating 5.23 3.77 Space Cooling 41.20 42.06 Water Heating 6.97 7.38 Total 53.40 GENERAL INFORMATION Conditioned Floor Area: Average Ceiling Height: Building Type: Building Front Orientation: Glazing Area, % of Floor Area: Average Fenestration U -Value Average Fenestration SHGC: Number of Dwelling Units: Number of Stories: Floor Construction Type: Number of Conditioned Zones: Total Conditioned Volume: BUILDING ZONE INFORMATION -------- Complies 53.20 Yes 4087 ft2 12'0" ft -in SFD Single Family Detached 30 deg (North) 18.3% 0.34 0.34 1.00 1 Slab on grade 1 49044 ft3 Floor Vent Zone Area Volume Thermostat Height Name (ft2) (ft3) Type Type (ft) HOUSE 4087 49044 Conditioned CEC Standard 210" OPAQUE SURFACES Surface Area U- Insl Total Tru Slr Construction Type (ft2) factor Rval Rval Azm Tlt Gns Type Location/Comments Zone = HOUSE - ----------------- Door 24.0 0.330 0 3 30 90 No DOOR Unconditioned Wall 735.0 0.065 19 15 30 90 No W19.2x6.16 Unconditioned Wall 901.2 0.065 19 15 120 90 No W19.2x6.16 Unconditioned Wall 403.9 0.065 19 15 210 90 No W19.2x6.16 Unconditioned Wall 867.2 0.065 19 15 300 90 No W19.2x6.16 Unconditioned Ceiling 4087.0 0.024 38 42 -- 0 Yes R38.2x4.24 Attic Floor 4087.0 -- 0 - -- 180 No Slab140C Grade COMPUTER METHOD SUMMARY Page 2 C -2R Project Title: QUARRY VILLA 4087 SQ. FT. Run: 153 06 -Dec -03 PERIMETER LOSSES Insul Perimeter Length F2 Insul Depth Type (ft) Factor R-val (in) Location/Comments - Zone = HOUSE Exposed 49510" 0.507 -- -- Unconditioned Exposed 17810" 0.756 0 16 Outside FENESTRATION SURFACES Fenestration Exterior Shade Over - Fenestration Area --------------- Tru ----------------- hang Name Type (ft2) U -factor SHGC Azm Tilt Type SHGC /Fins Zone = HOUSE FRONT GLAZ Window 106.0 0.34 0.33 30 90 BugScrn 0.76 None RIGHT�GLAZ Window 156.2 0.35 0.35 120 90 BugScrn 0.76 None BACK _GLAZ Window 304.1 0.34 0.34 210 90 BugScrn 0.76 None LEFT-GLAZ Window 182.0 0.34 0.34 300 90 BugScrn 0.76 None OVERHANGS Fenestration -------------------------- Length Height Left Right Name Width Height 'H' 'V' Extension Extension None FINS Left Fin Right Fin Fenestration Dist Dist -------------------------- Fin Fin Ht from Fin Fin Ht from Name Height Width Depth Height 'V' fenes Depth Height 'V' fenes None THERMAL MASS Vol Cond- Area Thck Heat duct- Construction Insd Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments None SOLAR GAIN DISTRIBUTION Fenestration Winter Summer Targetted Name Fraction Fraction Thermal Mass Comments None COMPUTER METHOD SUMMARY Water Page 3 C -2R Project Title: QUARRY VILLA 4087 SQ. FT. Run: 153 06 -Dec -03 HVAC SYSTEMS Factor Refrigerant Minimum StandardGas Storage gas 1 Charge and Equipment Duct Location System Name System Type Airflow TXV Efficiency and R -value Zone = HOUSE GasFurn.80 Furnace N/A 0.80 AFUE Attic R-4.2 AC UNITS Air cond. - central split No 12.00 SEER Attic R-4.2 HVAC DISTRIBUTION EFFICIENCY DETAILS Duct Leakage Supply Target Duct Surface ACCA Manual D (leakage cfm/ System Name Area Design % of fan cfm) Fan CFM CEC 100SR4.2 1103 No n/a 2861 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume System Name Type Heater Name Heater Type Htrs Factor (gal) ------ StandardGas Standard StandardGas Storage gas 1 0.62 65 Standard Gas Standard StandardGas Storage gas 1 0.62 65 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? Standard Gas -- No No Standard -Gas -- No No SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) StandardGas 78-S -- 108.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value None COMPUTER METHOD SUMMARY Page 4 C -2R Project Title: QUARRY VILLA 4087 SQ. FT. Run: 153 06 -Dec -03 SPECIAL FEATURES, REMARKS, AND NOTES 1. Heating duct register location: Ceiling. 2. Cooling duct register location: Ceiling. CERTIFICATE OF COMPLIANCE: Residential Page 1 CF -1R Project Title: QUARRY VILLA 4087 SQ. FT. Run: 153 06 -Dec -03 Project Address: QUARRY VILLA LACOB 4087 LA QUINTA, CA 92253 Building Title: QUARRY VILLA LACOB 4087 SQ. FT Building Permit # Document Author: DREAM ENGINEERING INC, (760)773-4478 _ Telephone: Plan Check / Date Compliance Method: CALRES2 1.4.02 Field Check / Date Climate Zone: 15 GENERAL INFORMATION Conditioned Floor Area: 4087 ft2 Average Ceiling Height: 12'0" ft -in Building Type: SFD Single Family Detached Building Front Orientation: 30 deg (North) Glazing Area, % of Floor Area: 18.3% Average Fenestration U-Value:0.34 0.35 Average Fenestration SHGC: 0.34 Number of Stories: 1 Number of Dwelling Units: 1.00 Floor Construction Type: Slab on grade BUILDING SHELL INSULATION FLOOR TYPES AND AREAS Construction Type Area (ft2) Conditioned? Slab 4087 Yes FENESTRATION Type/Orientation Window North Window East Window South Window West Area Fenestration Fenestration (ft2) Cavity Sheathing 106.0 0.34 0.34 Component Insul Insul Total Assembly 0.35 Type R -value R -value R -value U -value Location/Comments Door 0 -- 3.03 0.330 Unconditioned Wall 19 0 15.38 0.065 Unconditioned Wall 19 0 15.38 0.065 Unconditioned Wall 19 0 15.38 0.065 Unconditioned Wall 19 0 15.38 0.065 Unconditioned Ceiling 38 0 41.67 0.024 Attic Floor 0 0 3.38 0.295 Grade Slab Perimeter 0 0 0 0.507 Unconditioned Slab Perimeter 0 0 0 0.756 Outside FLOOR TYPES AND AREAS Construction Type Area (ft2) Conditioned? Slab 4087 Yes FENESTRATION Type/Orientation Window North Window East Window South Window West Area Fenestration Fenestration (ft2) U -factor SHGC 106.0 0.34 0.34 156.2 0.35 0.36 304.1 0.34 0.35 182.0 0.34 0.35 Exterior Conditions/Descripti ------------------- Grade Exterior Overhang Shading and Fins BugScrn None BugScrn None BugScrn None BugScrn None CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R Project Title: QUARRY VILLA 4087 SQ. FT. Run: 153 06 -Dec -03 THERMAL MASS Area Thick Type Cover (ft2) (in) Location/Comments None HVAC SYSTEMS Refrigerant Distribution System Charge and Location Type Efficiency Airflow TXV and R -value Furnace 0.80 AFUE N/A Attic R-4.2 Air cond. - central split 12.00 SEER No Attic R-4.2 HVAC DISTRIBUTION EFFICIENCY DETAILS Duct Leakage Supply Target Duct Surface ACCA Manual D (leakage cfm/ System Name Area Design % of fan cfm) Fan CFM CEC 100%R4.2 1103 No n/a 2861 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume System Name Type Heater Name Heater Type Htrs Factor (gal) Standard_Gas Standard StandardGas Storage gas 1 0.62 65 Standard -Gas Standard StandardGas Storage gas 1 0.62 65 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? ------------- Standard Gas - No No Standard Gas -- No No SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) StandardGas 78% -- 108.00 -- -- CERTIFICATE OF COMPLIANCE: Residential Page 3 CF -1R Project Title: QUARRY VILLA 4087 SQ. FT. Run: 153 06 -Dec -03 HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value --- -- None - - --- -- SPECIAL FEATURES, REMARKS, AND NOTES 1. Heating duct register location: Ceiling. 2. Cooling duct register location: Ceiling. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with the Energy Standards in Title 24, Parts 1 and 6, of the California Code of Regulations, and the Administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features, Remarks, and Notes section. DESIGNER OR OWNER MARSH & ASSOCIATES MARSH & ASSOCIATES 720.266/2 o)n,;/' r � Date ENFORCEMENT AGENCY Name: Title: Agency: Telephone: Signed Date DOCUMENTATION AUTHOR DREAM ENGINEERING INC, (760)773-4478 MANDATORY MEASURES CHECKLIST: RESIDENTIAL Wage 1 of 2) MF -IR Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used- lteins marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures: * § 150(a): Minimum R-19 ceiling insulation. § 150(b): Loose fill insulation manufacturer's labeled R -Value. * § 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -Factor in metal forme walls �/ dmes.not a 1 to exterior .,,,,F&walls.. X * §150(d): Minimum R-13 raised floor insulation in framed floors. �( /�[� §150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission tate no •rcater dui n 2.0 ermlinch § 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. § 116-17: Fenestration Products, Exterior Doors, and 111fi tration/Exfiltlation Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field -fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. § 150(t): Special infiltration barrier installed to comply with § 151 meets Commission quality standards. k §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c Flue damper and control 2. No continuous burning gas pilot lights allowed. Space Conditioning, Water Heating and Plumbing System Measures: § 110-§ 113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. §1:50(i): setback thermos rat on all applicable heating and/or cooling systems. § 1500): Pipe and tank insulation 1. Storage yrs water heaters rated with air Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater rank, non -recirculating systems, insulated (R4 or greater) 3. Back-up tanks for solar system, unfned storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55" F insulated. �Y\ 6. Piping insulated between heating source and indirect hot water tank. Compliance Forms August 2001 A-5 MANDATORY MEASURES CHECKLIST: RESIIDENTIAL (P:rv.. 2 of 2) MF -IR Note: Lowrise residential buildings subject to the Standards must contain these treasures regardless of the compliance approach used- Items sedItems marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as tnuumum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) • §150(m): Ducts and Fans L All ducts and plenums installed, scaled and insulated to meet the requirement of the 1998 CMC Sections 601, 603, 604, and Standard 6-3; ducts insulated to it minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL 181, UL IS IA, or UL 181B. If mastic or tape is used u> seal openings greater than 1/4 inch, the combination of mucic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be scaled with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2_ 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. 3. Joints and scams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and dmwbands_ 4. Exhaust fan systems have back draft or automatic dampers. 5_ Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foaauntsulation shall be protected as above or painted with a coating that is water retardant and rovides shieldin • from solar radiation that can cause degradation of the material. § 114: Pool and Spa Heating Systems and Equipment. 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a_ At least 36" of pipe between filter and heater for future solar heating_ b. Cover for outdoor pools or outdoor spas. v 3_ Pool system has directional inlets and a circulation pump time switch. § 115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously buritirt * pilot light. (Exception: Non -electrical cooking g a liances with pilot < 150 Btu/lir) §118(f): Cool Roof material meet specified criteria Lighlilag Measures: § 150(k)l.: Lgm; yes for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This genal lighting shall be controlled by a switch on a readily �[ accessible 1i ting connxil tanel at an entrance to the kitchen. ' \ § 150(k)2.: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in § 150(k)2.; and incandescent recessed ceiling fixtures are IC (insulation cover) approved. Compliance Forms August 2001 A-6 INSTALLATION CERTIFICATE (Page 1 of 13) CF -6R Site Address Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is optional.) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Heating Equipment Equip. Type (pkg. CEC Certified Mfr Name heat Do=) iiB61_�luirlNumbrr # of Identical Svstrsis Efficiency (AFUE, ctc.)' faCF-]R value! Duct Location (attic. etc.)___R-valnr Duct or Piping Heating Load LJ3Tt1/hr) Heating Capacity Cooling Equipment _____W,._.(Btuhr) Equip. CEC Certified Compressor # of Efficiency Duct Cooling Cooling Type (pkg. Unit Mit Name and Identical (SEER, etc.)' Location Duct Load Capacity heat nutna) Model Number Svstctns f'CF- 1R valucl (attic, etc.) R -value (13m/hr) (Btu/ht') 1. > reads greater than or equal to. I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Nannie) OR Owner W-,kTER HEATING SYSTEMS: Distribution If Rectt'- # of Rated'- Tank Effi- F -vernal Heater CEC Certified Mfr Type (Std, culadon, Identical Input (kW Volume ciency Standby' Insulation Type Name & Model Number Point -of -Use) Control Type Systems or Btu/hr) (gallons) (EF,.RE) Loss (%) R -value' 2 For small gas storage (rated input of less than or equal to 75,000 Btu/hr), electric resistance and beat pump water beaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Recovery Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Recovery Efficiency and Rated Input. 3. R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 058. Faucets & Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Section 111. I, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Compliance Forms August 2001 A-23 INSTALLATION CERTIFICATE (Page 2 of 13) CF -6R Site Address Permit Number FENESTRATION/GLA -1NC.: Total Quantity Product Product of Like Exterior Shading U -Factor (5 SHGC' (< # of Product Square Device or Coniments/Location/ 14fanulisclurrrl j•p,�lt} Nwae CF -1R value}' CF -1R Valuef Panes [Uutiniurll Foci ❑t'rrhane Soccial Fea[ure3 (GROUP LIKE PRODUCTS) ' 1. 3. 4. �. 5. 6. 6. — — - - 7. 8. 1. — 11. 13. - --- _ _-- 14_ Manufactured fenestration products use the values from the product label. Field fabricated fenestration products use the default values from Section 116 of the Energy Efficiency Standards. ' Installed U -Factor must be less than or equal to values from CF -1R. Installed SHGC must be less than or equal to values from CF -1R, or a shading device (exterior or overhang) is installed as specified on the CF -1R. Alternatively, installed weighted average U -Factors for the total fenestration area are less than or equal to values from CF -1R. 1, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual fenestration product installed; 2) is equivalent to or has a lower U -Factor and lower SHGC than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable. Item #s Signature, Date (if applicable) Item #s Signature, Date (if applicable) Item #s Signature, Date (if applicable) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Compliance Forms August 2001 A-24 INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS ❑ DUCT LEAKAGE REDUCTION _ Pressurization Test Results (CFM (u) 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 efin/ton x number of tons, or as 21.7 x Heating Capacity in Thousands of Btu/hr, enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = Pass if leakage fraction < 0.06 ❑ ❑ Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections ❑ ❑ Pass Fail ❑ THERMOSTATIC EXPANSION VALVE ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ ❑ Yes is a pass Pass Fail ❑ DUCT DESIGN 1 ❑ Yes ❑ No ACCA Manual D Design galculations have been completed, Duct Design is on the plans and duct installation matches plans. 2- ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R. Measured Fan Flow = — ❑ ❑ Yes for both 1 and 2 is a Pass Pass Fail ❑ I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] Tests Signature, Date Performed COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) Compliance Forms August 2001 A-25 INSTALLATION CERTIFICATE (Page 4 of 13) CF -6R Site Address Permit Number REFRIGERANT CHARGE AND AIRFLOW MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Outdoor Unit Make _ Outdoor Unit Model Cooling Capacity — _ Btu/hr Date of Verification Date of Refrigerant Gauge Calibration _ (inust be checked monthly) Date of Thermocouple Calibration _ (must be checked monthly) Standard Charge and Airflow Measurement air dry_ -bulb. 55 T and above Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air dry-bulb temperature (Treturn, db) OF Return (evaporator entering) air wet -bulb temperature (Tretum, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) OF Condenser (entering) air dry-bulb temperature (Tcondenser, db) _ OF Superheat Charge Method Calculations for Refrigerant Charge Actual Superheat = Tsuction, db — Tevaporator, sat OF Target Superheat (from Table 1) OF Actual Superheat — Target Superheat OF (System passes if between -5 and +5°F) Temperature Split Method Calculations for Adequate Airflow Actual Temperature Split = T return, db - Tsupply, db OF Target Temperature Split (from Table 2) OF Actual Temperature Split - Target Temperature Split OF (System passes if between -3'F and +3'F or, upon remeasurement, if between +3°F and -25'F) Standard Charge and Airflow Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated System Passes yes or __.___.._no Compliance Forms August 2001 A-26 INSTALLATION CERTIFICATE 1. Wage 5 of 13) CF -6R Site Address Alternate Charge and Airflow Measurement (outdoor air dry-bulb below 55 °F): Weigh -In Charging Method for Refrigerant Charge Actual liquid line length: Manufacturers Standard liquid line length: Difference (Actual — Standard): Manufacturers correction (ounces per foot) Measured Airflow Method for Adequate Airflow Permit Number ft. x difference in length = ounces (+ = add) (- = remove) Airflow criterion: Cooling Capacity X 0.032 = CFM Measured Airflow is CFM and passes since it is greater than the criterion. Alternate Charge and Airflow Measurement Summary: System charge shall be corrected and it shall also pass measured adequate airflow criterion. 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Cl.) qlnH—AaQ .11rp ulnpW O M Q O O N 7 7 M N C 0 LL 0 C E 0 U INSTALLATION CERTIFICATE (Page 9 of 13) CF -6R Site Address Permit Number DUCT LOCATION AND AREA REDUCTION DIAGNOSTICS ❑ DUCT IN CONDITIONED SPACE ❑ Yes ❑ No Duct in conditioned space criteria matches CIF R ❑ ❑ Yes is a Pass Pass Fail ❑ REDUCED DUCT SURFACE AREA Measured duct exterior surface area in the following unconditioned duct locations (square feet): Attics Crawlspaces Basements Other (e.g., garages, etc.) ❑ Yes ❑ No Duct surface area matches CF -1R? ❑ ❑ Yes is a Pass Pass Fail 1:11, the undersigned, verify that the duct surface area and duct locations claimed for duct surface area reductions and duct location improvements beyond those covered by default assumptions match those on the plans. (The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] Tests Signature, Date Performed COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) Compliance Forms August 2001 A-31 INSTALLATION CERTIFICATE ( Page 10 of 13) CF -6R Site Address BUILDING ENVELOPE LEAKAGE DIAGNOSTICS _❑ _ ENVELOPE SEALING INFILTRATION REDUCTION Diagnostic Testing Results Permit Number Otherwise fail. 111, the undersigned, verify that the building envelope leakage meets the requirements claimed for building leakage reduction below default assumptions as used for compliance on the CF -1R. This is to certify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] Test Performed Signature Date Testing Subcontractor (Co. Name) OR General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A-32 Building Envelope Leakage (CFM @ 50 Pa) as measured by Rater L ❑ ❑ Is measured envelope leakage less than or equal to the required level from Yes No CF -1R? 2. ❑ ❑ Is Mechanical Ventilation shown as required on the CF -1R? Yes No 2a. 0 0 If Mechanical Ventilation is required on the CF -1R (Yes in line 2), has it Yes No been installed? 2b. ❑ ❑ Check this box yes if mechanical ventilation is required (Yes in line 2) Yes No and ventilation fart watts are no greater than shown on CF -1R. Measured Watts = 3. © ❑ Check this box yes if measured building infiltration (CFM @ 50 Pa) is Yes No greater than the CFM @ 50 values shown for an SLA of 1.5 on CF -1R (If this box is checked no, mechanical ventilation is required.) 4- ® ❑ Check this box yes if measured building infiltration (CFM @ 50 Pa) is less Yes No than the CFM @ 50 values shown for an SLA of 1.5 on CF -1R, mechanical ventilation is installed and house pressure is greater than minus 5 Pascal with all exhaust fans operating. Pass if- Pass Fail d. Yes in line 1 and line 3, or e. Yes in line 1 and line2, 2a, and 2b, or f. Yes in line 1 and Yes in line 4. Otherwise fail. 111, the undersigned, verify that the building envelope leakage meets the requirements claimed for building leakage reduction below default assumptions as used for compliance on the CF -1R. This is to certify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] Test Performed Signature Date Testing Subcontractor (Co. Name) OR General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A-32 INSTALLATION CERTIFICATE Wage 11 of 13) CF -6R Site Address Permit Number The following is an explanation of many of the input values required on this form: HVAC SYSTEMS Heating Equipment Type must be one of the following: Furnace: Gas (including Liquefied Petroleum Gases) or oil -fired central furnace & space heater Boiler: Gas or oil -fired boiler PckgHeatPump: Packaged central heat pump SplitHeatPump: Split central heat pump RoomHeatPump: Room heat pump LgPkgHeatPump: Large packaged heat pump (>_ 65,000 Btu/hr output) Electric: Electric resistance heating (fixed HSPF = 3.413); radiant electric resistance (fixed HSPF = 3.55) CombinedHydro: I Reference water heater under water heating systems below CEC Certified Manufacturer Name & Model Number from applicable Commission approved appliance directory. # of Identical Systems is for those systems with the same efficiency, duct location, duct R -value and capacity. Efficiency from applicable Commission certified appliance directory. Duct (or Piping) Location is attic, crawl space, CVC crawl space, conditioned space, unconditioned space or none. Duct (or Piping) R -Value from Directory of Certified Insulation Materials and/or manufacturer's data. Heating/Cooling Load refer to Commission approved load calculation procedure. Heating/Cooling Capacity from the applicable Commission certified appliance directory. Note: location elevations over 2,000 ft above sea level require a derating of output capacity (refer to manufacturer's literature). Cooling Equipment Type must be one of the foilOwing: SplitAirCond: Split system air conditioner PckgAirCond: Packaged air conditioner Split Heat Pump: Split system heat pump PckgHeatPump: Packaged heat pump RoomHeatPump: Room heat pump LgPkgHeatPump: Large packaged heat pump (>_ 65,000 Btu/hr output). Substitute EER for SEER when SEER is not available RoomAirCond: Room air conditioner_ Minimum SEER varies* LgPkgAirCond: Large packaged air conditioner (>_ 65,000 Btu/hr output). Substitute EER for SEER when SEER is not available EvapDirect: Direct evaporative cooling system. For compliance calculation purposes, fixed values: SEER = 11.0; duct location = attic; duct insulation R -value = 4.2 Evapindirect: Indirect evaporative cooling system. For compliance calculation purposes, fixed values: SEER = 13.0; duct location = attic; duct insulation R -value = 4.2 *Refer to Energy Commission publication Appliance Efficiency Regulations, P400-92-029 Compliance Forms August 2001 A-33 INSTALLATION CERTIFICATE (Page 12 of 13) CF -6R Site Address Permit Number The following is an explanation of many of the input values required on this form: WATER HEATING SYSTEMS Distribution Systems Refer to Residential Mcinual for more details: Standard: Standard -- Supply pressure based system, no pumps Pipe Insulation: Pipe Insulation on all 3/4 -inch pipes Point of Use/Hot Water Recovery System POU/HWR: Recirc/NoControl: Recirculation loop with no controls Recire/Timer: Recirculation loop with a timer Recirc/Temp: Recirculation loop with temperature control Recirc/Time+Temp: Recirculation loop with a timer and temperature control Recirc/Demand: Recirculation Loop with demand control Water Heater Type Windows, sliding glass doors, French doors, skylights, garden windows, and Information Needed any door with more than one square foot of glass Operator Type: Energy Recovery Efficiency Standby Loss Rated lnput Storage Gas, Oil or Electric Yes No No No Heat Pump Yes No No No Instantaneous Gas No Yes No No Instantaneous Electric Yes No No No Large Storage Gas No Yes Yes Yes Indirect Gas (Boiler) No Yes (AFUE) No Yes F ENF STRATION IGI—A ZI NG Fenestration: Windows, sliding glass doors, French doors, skylights, garden windows, and any door with more than one square foot of glass Operator Type: Slider, hinged, fixed U -Factor: Installed U -Factor must be less than or equal to value from CF -1R OR Installed weighted average U -Factor for the total fenestration area is less than or eg ual to value from CF -1R SHGC: Installed SHGC must be less than or equal to value from CF -1R OR Installed weighted SHGC for the total fenestration area is less than or equal to value from CF -1R OR An interior shading device, overhang, or exterior shading device is installed consistent with the CF -1R Shading Device: Include when the building complied using an exterior shading device: woven sunscreen, louvered sunscreen, low sun angle sunscreen, roll -down awning, roll -down blinds or slats (do not list bug screen), or an overhang (include depth in feet). Compliance Forms August 2001 A-34 INSTALLATION CERTIFICATE (fagc 13 of 13) CF -6R Site Address Permit Number The following is an explanation of many of the input values required on the Diagnostic portionn of this form (page 3 of 6): TYPE OF CREDIT Refer to Residential 1Ll2nual Chapters 4 and 5 for more details: Reduced Duct Surface Area: Calculated as the outside area of the duct. Areas must be measured and verified by a HERS rater. Improved Duct Location: Supply duct located in other than attic, as verified by location of registers (does not require HERS rater verification). Catastrophic Leakage: Pressure pan test readings must be less than 1.5 Pascal at a house pressure of 25 Pascal. TXV: Access cover required to facilitate verification. Infiltration Reduction: Infiltration is measured without mechanical ventilation operating. Mechanical ventilation is required for very tight house construction when credits for infiltration reduction using diagnostic testing are being used for achieving compliance. These very tight houses are defined as those with SLA of less than 1.5. The compliance documentation (CF -1R) will contain the measured CFM target value from a blower door test at 50 Pascal pressure difference that represents this SLA of 1.5. Mechanical ventilation is also required if the builder chooses to design the building to use mechanical ventilation and claims a credit for infiltration below an SLA of 3.0. The compliance documentation (CF -1R) will contain the measured CFM target value that represents this 3.0 SLA. If the builder claims credit in a design for infiltration reduction that is at an SLA of 3.0 or higher, and the actual measured SLA is 1.5 or greater, then mechanical ventilation is not required. 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