06-2264 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO '
LA QUINTA, CALIFORNIA 92253
Application Number: r 06-00002264
Property Address: 50076 CALLE ROSARLTA .
APN: 658-250-005- - -
Application description: ADDITION - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
�r Application valuation: 50000
1
Tihf
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: _ Architect or Engineer:
--------------------------------------------------
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_SAderand my License is in full force and effect.
License Class: B ense No.: 745690
Date: O "Contractor:
BUILDER DECLARATION - -
I hereby affirm under penalty of perju y that IOessm�ons
t from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Coder Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the 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 1$5001.:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
m 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 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 1 I am exempt under Sec. BAP.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: '
Lender's Address:
LQPERAIIT
Owner:
TOM BAIRD
50-076 CALLE ROSARITA
LA QUINTA, CA 92253
Contractor:
LATHROP.DEVELOPMENT, INC.
72912 WILLOW STREET
LA QUINTA; CA 92253
(760)324=5154
Lic. No.: 745690
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777.-7153
I Dater 7/13/Q6
------------------
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 STATE FUND Policy Number 10886
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any man come subject to the �those
ompensation laws of California,
and agree that, if I shou ecom subject tonsa ion provisions of Section .
/337700 of with comply witvisions.
Date:l) [ Applicant:
WARNING: FAILURE TO SECURE RKERS' COMPENSATI I COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TOC INAL PENALTIES AND CIVI FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN AD TION TO THE COST OF COM NSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LAB CODE, INTEREST, AN RNEY'S FEES. '
APPLICANT ACKNOWLEDGEMENT
IMPORTANT, Application is hereby made to the Director of Building and Safety for a permit subject to the '
conditions and restrictions set forth on this'application.
1. Each person upon "whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to'any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City -
-" of La 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 b ' nstruction, and hereby authorize representatives
of this county to enter upon the above -mention for for' spection purposes.
-Date � Signature (Applicant or Agent):
Application Number . . . . 06-00002264
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . . 414.50 Plan Check
Fee
269.43
Issue Date . . . . Valuation
50000
Expiration Date 1/09/07
Qty Unit Charge Per
Extension
BASE. FEE
252.00
25:00 6. ,000 TFnTT RT,nr, 29.001-50,00,0
-------------------------------_--------------------.-------------------------
� 162.50
Permit ELECT - ADD/ALT/REM
Additional desc .
Permit Fee 19.83 Plan Check
Fee
4.96
Issue Date Valuation
0
Expiration Date 1/09/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
138.00 .0350 ELEC NEW RES - 1 OR 2"
FAMILY
4.83
Permit . . . . . MECHANICAL
Additional desc .
Permit Fee 37.00 Plan Check
Fee ..
9.25
Issue Date . . . . Valuation
0
Expiration Date 1/09/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 9.0000 EA MECH APPL REP/ALT/ADD
9.00 .
1.00 6.5000 EA MECH VENT FAN
6.50.
1.00 6.5000 EA MECH EXHAUST HOOD
6.50
Permit PLUMBING
Additional desc
Permit Fee' 27.00 Plan Check
Fee
6.75
Issue Date Valuation.
0
Expiration Date 1/09/07
Qty "Unit Charge Per
Extension
BASE FEE
15".00
2.00 .6.0000 EA PLB FIXTURE
12.00
-----------------------------------------------------------------------------
Special Notes and Comments
138 SQ. FT. MASTER BEDROOM ADDITION AND
LQPERMIT
Application Number
06-00002264
Special Notes and
Comments
INT. REMODEL.July
13, 2006 2:48:51
PM
JJOHNSON
----------------------------------------------------------------------------
Other Fees
. . . .
ENERGY REVIEW FEE
26.94
STRONG MOTION -(SMI)
- RES
5.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
498.33
UU
.00.
490:33
.�' Plan Check Total
290.39
.00•
00
290.39
Other Fee Total
31.94
.00
.00
31.94
Grand Total
820.66
.00
.00
.820.66
LQPERDIIT
.r
Bir$
City .of La Quinta-
Buildin & Safe i
g Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
g Pp Building Permit A lication and TrackingSheet
Permit #
W��j
Project Address:' Ole
Owner's Name:
A. P. Number:
Address: O- '
Legal Description:City,
ST, Zip: 2
Contractor:
Address: `�� 2USW s
Telephone �
Project Description:
City, ST, Zip: 20
•'.� ;-� �
< (C..�rvt c9(J L�:
Telephone `/ (p0 3,9_+ 5i
State Lic. # : ` City Lic. #:
Arch., Engr., Designer:'
t
Address:
City, ST, Zip:PDrim-'. C 01"I D
Telephone L% 27th -QLD
.4 ..
s-
Construction Type: Occupancy:
State Lic. #:
Project(circle one): New Add'ro Alter Repair Demo
Name of Contact Person:
Sq. Ft: (p#
Stories:
#Units: '
Telephone # of Contact Person"
Estimated Value of Project: 10 Lqn
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING , PERMIT FEES
3
Plan Sets
Plan Check submitted 6 p �, Item
Amount
Structural.Calcs.
Reviewed, ready f c ec Plan Check Deposit .
Truss Calcs.
Called Coo act Person Plan Check Balance
Energy Calcs.
Plans picked up D"6 Construction
Flood plain plan
Plans resubmitted 1 p Mechanical
Grading, plan
2°" Review, ready f issue O Electrical
Subcontactor List
i
Called Contact Person Plumbing
Grant Deed
Plans picked up
H.O.A. Approval:
Plans resubmitted rading _
IN HOUSE:-
'`" Review, ready fo'r correctionslissu Developer c Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
6.
-School Fees
r,
T1 Per
qd_Fecs
UA/ f50fJ K V J 4r* c%r
k���oieal J41�r 5 5 G
X130 ory ,60, 9R0
Y
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
o 0
47950 Dune Palms Road
BERMUDA DUNES O
Date
7/14/06
La Quinta, CA 92253
RANCHO MIRAGE b'
INDIAN WELLS
No.
28687
(760) 771-8515-
G✓. PALM DESERT
LAQUI TA
moo. y�
,Owner
Tom Baird -
APN #
658-25D-005
Address
"50-076 Calle Rosarita
Jurisdiction
La Quir,ta
City
La Quinta Zip 92253
Permit #
Tract;V
Study Area
Type
Residential Addition
No. of Units
1
Lot # No. Street
S.F. Lot # No.
Street S.F.
Unit 1
50076 Calle Rosartia
138 Unit 6
Unit 2
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. 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 138r 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 project may now be issued.
Fees Paid By Exempt -Tom. Baird Check No.
Name on the check Telephone 324-5154
Funding Exempt
By Dr. Doris Wilson
Superintendent
Fee collected /exe pted b aron ilvre� Payment Recd �.o� t v
t -°1
-ave;/Under
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), his will s4ve to notify you that the 90 -day approval period i i which you may protest the fees o
r other payment identified above will begin to run from the date knwhic the building or installation permit for this project iE issued, or from the date on which
those amounts are paid to the District(s) or to another public entit orized 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
06/29/2006 22:20 7603242253 LATHROPDEVINC PAGE 02/04
Z,_,^ORDING REQUESTED BY:
30Ux7iLA1'1TD r1TLE COMPANY
AND WHEN RECORDED,
MAIL TO:
Phomas H. Baird
—n86 Calle ROsarita
. lUmla, CA 92253
1. r..
DOC # 2006-0099098
02/09/2,006 08:00A Fee:13.0-
f�� page 1 of 3 Doc T Tax Paid,
•.', 1 Recorded in Official Records
County of Riverside
Larry W. Ward
Assessor, County Clerk 8 Reedrder
Illlillllllllliillllllllllll
Illillllllllillllilllllllll
I M I I 1 I I PAGE s� OA . PCC N—*" aMF MUG.
c
CCPV I LONG REFJND j HCHG j
GRANT DEED �
SF'ER TAXIS:
�.
rLaQ—,,heed Cnrantor(s) declare that the ]DOCUMENT TRAM
ASSESSOR'S PARCE:.NO•= 658-'250-005-5 62. 5eC•ounty conve a or
TITLF ORDER NO.: 66620105 computed on the fall value of the interest of property y
ESCROW NO.: 24779-001 ' computed oto the full value less the value of liens or encutnb-sne� remaining thereon
— at the time of sale.
OR transfer is MlvrPT frons faxx for the following reason:
'.Xj..
recei t of which is hereby acknowledged, John N. Jleater,'4 �Ttvstee of The Heater Family
A VALUABLE CON,SIDERAOtitle as John H. Heater.
T'rust,dated June 14,1999, „acquiredho
Hereby GRANTS) to -
Jamie A. Baird, a married woman as her sole and separate property
State of CA, d�scnbed as: Lot 145 of Tract No. 14496-1, as
uin County of Riverside, State of California and as
drat real Property situated in the City of La Q 15, jnclusive of Maps, Records of Riverside County,
shown by neap on file in Book 119, Panes 9 through
Of Correction recorded August 11, 1983 as lnstriirnent No. 162
amended by Certificate 772 of Official Records of Riverside ounty,
California..
Dated January 14, 2006
State of California
�� ' tai, Sohn N. Heater, Co -Trustee
County o£ .,- .: f ✓' `.': `-" �'�� .v..;,:1 .�;, ;Selo Public
Before we - «
On �.��z:.�_• �B A
�> ^�
Personally appeared
(or provided to me on the basis of satisfactory
ers whose name(b') ' �?
06/29/2006 22:20 7603242253 LATHROPDEVINC PAGE 04/04
ORDER NO. 66620105
EXHIBIT °`q„
14496-1, in the City , La Quints, County
of Riverside, State of
Lot(s) 145 of Tract No_ 9 through 15, inclusive afi Maps, in the
Califomia. as shown' by
Map on file in Book 119 Pages) d by Certificate of Correction
ice of the County Recorder of said CountYi6 d 2 �f Offic men al Records of Rh c)f 500 00 feet,
�id'6 County,
°� 1993 as .lrnstrument No.
recorded August 11, as reservations to a P
California; excepting therefrom. all mineral, oil and g
ent ;more commonly known as 50076 Calle Rosarita, La Qum ,
without the right of surface ry,
California.
r
3
(6
CERTIFICATE OF COMPLIANCE: RESIflDENTIAL (PAGE I OF 5) CIF -1111
Project Title
6AKC) RESIDENCE
Date
4/2/06
Building Permit #
# 041- a alo
Project Address
50- 6 GAL -LE R05AKITA
Plan Check / Date
Documentation Author
DG DE516N
Telephone
858-270-1624
Field Check / Date
Compliance Method (Prescriptive)
- PACKAGE 'D'
Climate Zone
15
Enforcement A enc Use Onl
=.. ❑Alternative Component Package Method: (check one)_C_D XD (Alternative)
Package C and Package D choices require HERS rater field varification and/or diagnostic testing (see CF -I# page
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14
°..GENERAL INFORMATION
Total. Conditioned Floor Area (CFA) 138 fiZ
Average Ceiling Height: 8 ft
:Mak' um Allowed West Facing Fenestration Products Per Table ISI -B or ISI -C — (S% X CFA) 6 f t2
Maximum Allowed Total FenestrationProducts Per Table 151-B or ISI -C— 420% X C --A)-27.6 ft'
❑ Building Type: (check one or more) X Single Family Multifamily X Additior Alteration
(If addin f enestration fill out WS -4R. Fenestration Maximum Allowed Area Wore
ks et and. see
Section �.3.2 for Additions and 8.3.3 for Alterations.) .
Number of Stories: ONE Number of Dwelling Units: ONE
Floor Construction Type: la /Raised Floor (circle one or both)
Front Orientation: North/ out East/West/All Orientations (input front orientaton in i~•egrees from True Nortl
and circle one).
gAIDIANT BARRIER (required in climate zones 2.4.8-15).
a- CITY OF LA C UINTA moo.
OPAQUE SUR FACIES INCLUDING OPAQUE DOOMING & SAFETY DEPT: (�
APP p r
Component Assembly - O C9
A STR IONS
Type (Wall: Frame factor (for ood. ickt oof R cant Location
Roof. Floor. T e Covit Continuous metal frame A
Slab Edgge. (Wooed or Insulation Insulation mass IR "4, Comments
DoorsT Metall . R -Value R -Value assemblies) a erence IRS" 14, attic. garage.
- typical. etc.)
WALL WOOD R-19 .050 TYPICAL
ROOF R-98 .025
1) See Joint Appendix IV in Section IV.2. IV.3 and IVA which is the basis for the U -factor criterion. U -factors
can not. exceed prescriptive value to show equivalence to R -values.
CERTIFICATE OF COMPLIANCE: RESI DEl`37CdAlL (Page 2 ®f g) GF -1R
Project Title
Date
DARE EEcM)ENGE
4/2/06
FENESTRATION PRODUCTS S — U FACTOR AND SHGC
N FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R -must be included for New
Construction. Additions and Alterations.
Fenestration
#/T e/Pos.
(FronP. Left.
Rear. Ri ht.
Skylight)
'
Orientation.
N.S.E.WI
Area
(ft)
2
U -factor
U -factor
Source3
4
SHGC
SHGC
Sources
Exterior
Shading/Overhangs 6 1
x box if WS -3R is
included
FRONT
501JTH
O
.40
NFKG
.35
Nl`KG
❑
LEFT
WEST
O
A0
NFRG
35
NFRG
❑
K16HT
EAST
O
.40
NFRG
.35
NFKG
❑
REAR
NORTH
46
.40
NFRG
.35
NPKG
❑
D Skylights are now included it West -f acinq fenestration area if the skylights are tilted to', the west or tilted in any
.direction when the pitch is less than T12. See 151(f)3C and in Section 32.3 of the Residential Manual
2) Enter values in this column are either NERC Rated value or from Standards default Table 116A -
3)
16A3) Indicate source, either from NERC or Table 116A.
4) Enter volues in this column from NFRC or from Standards Default Table 1166 or adjusted SHGC from WS -3R.
S) Indicate source either from NERC or Table 066.
6) Shading Devices are def med in Table 3-3 in the Residential Manual and see WS -3R to cdculote . Exterior Shading
devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment Minimum
Type and ( apaat� Efficiency
(furs heat E!m bole . etca (AFUE or HSPF)
Distribution
Type and Location Duct or Piping
(ducts. attic. etc) R -Value
Thermostat
Type(split
Confi uration
9
or package)
EX15TN6
Cooling E uipment
Type and opacity Minimum
(A/C. heatpump, evap r Efficiency Duct Location Duct Thermostat Configuration
cooping) (SEER or CER) (attic. etc.) R -Value Type (split orpackage)
EC15TN6
0
CERTIFICATE E ®F COMPLIANCE: RESIDENTIAL (Pale 3 of 5) CF—IR
Project Title Date
6AKP KE5IDENGE 4/2%06
NEALEILD DUCT'S and TXVs (or Alternative measures)
A signed CF -4R Forn must be provided to the building department for each home for which the following
are required.
x
O Sealed Ducts (all climate zones) (Installer testing and certification and HERS rater field verification requi ed_)
TXVs. ssO ia c imate zones 2 an 8-15 on )
(installer fesfin and certification ication and HERS Rater f ieldy verification required.)
❑ Re rigerant Charge (climate zones 2 an 8-15 only) (6,sta�er .testing and certification and HERS Rater field
verification required)
F7,[Allernative to Sealed Ducts and Refrigerant Charge /TXVs (See Packa e D Alternative Packagatures for Pro *ect Climate Zone in the RM Appendix B Table ISI=C. Footr•otes 7-14.
OR
For additions and alterations. duct systems that are not documented to have been previously sealed
❑ as confirmed through field verification and diagnostic testingg in accordance. with procedures in the
Residential ACM Manual and duct systems with more than 4Q linear feet in unconditioned spaces shall
meet the requirements of Section 150(m) and duct insulation requirements of Package D.
OF A Tmtm sarin w nraXr,n �arn,r,nna�,
A]14 a1N� ►Y n LY Ad31VAV
1
k-r)ecK box criteria of a
❑ heater per idwe"Ili g unite If meets
water heater is da t storage system.Standar
SOrgallonse s the maxm i's one imum f �capac ty waterred
and recirculation is not allowed.
❑
Check ox w en using Preoppprove A ternative Water Heating table. Tae 5-4 in Chapter 5 m t e
Residential Manual. No water heatm calculations are required. and the system
complies automatically,
Check box if system does not meet criteria o "Standard" system, and does not comply with the
❑ Preapproved Alternative Water Heating table. In this case. the Performance method must be used .
and must be included in the submittal.
o Check box to verify that a time control is required for a recirculating system pump} for a system
servingmulti le units.
Systems serving single dwelling units
Rated Enercy Tank
Inputs Tank Factor" or
Water Heater Distribution Number (kW or Ca acit Thermal Standb External
Type/Fuel Type Type in System P J' Insulation
YP Y Btu/hr) (gallons Efficiency Loss (/) R -Value
EXISTING STORAGE GAS STD, ONE 50
Systems serving multiple dwelling units
Rated Enerccyy Tank
Water Heater Distribution Number Inputs Tank FactorT"or i External
Type/Fuel Type Type in System (kW or Capacity Thermal Standby Insulation
YP Y Btu/hr) (gallons) Efficier cy Loss W R -Value
1) For small gas storage water heaters (rated inputs of less than or equal to 7`_.000 Btu/hr), electric
resistance. and heat pump water heaters. list Energy Factor. For large. gas storage water heaters (rated
input of greater than 7000 Btu/hr), list RatedInput. Recovery EEfficiency. Thermal Efficiency and Standby
Loss. For instantaneous gas water heaters. list Rated Input and Thermal Et"f icienc es:
Pipe Insulation '(kitchen lines greater than or equal, to 3/4 inches) All hot water pipes from the heating
source to the kitchen fixtures that are 3/4 inches or greater in diameter shall be thermally insulated
as specif ied by Section 150 (J) 2 A or 150 (J) 2 B.
cCERTIFIcCATE OF COMPLIANCE: RESIDENTIAL ()Page 4 of 3) CF—IR'
Project Title Date
DARL-) KESIDENGE 4/2/06
SPECIAL FEATURES NOT REQUIRING BIERS VERIFICATION (add extra sheets if neci
Indicate which special features are Part ot this Project. The list below only represents special features
to the prescriptive method.
x
Feature
Required Forms (if applicable)
Description
❑
Metal Framed Walls
CF -IR
❑
Radiant Barriers
CF -IR
❑
Exterior Shades
WS -4R
❑
Cool Roof
N/A: Attach CRRC Label to
Forms.
❑
Dedicated Hydronic Heating
System
Performance C c ation
Required: Attach Run to Forms,
❑
Combined Hydronic System
Performance Calculation
Re uired: Attach Run to Forms
❑
Gas Cooling
Performance Calculation
Required.
❑
Buried Ducts
N/A: Indicate on building plans.
❑
Kitchen pipe Insulation
P P
See Section 5.6.2 Distri ution
Systems in Residential Manual.
❑
Multiple Water Heaters Per
Dwelling Unit
See Table 5-13 or use
Performance Calculation and
attach Run to Forms
o
Centro) Water Heating System
Serving Multiple Dwellings
Performance Calculation and
attach Run to Forms
❑
Non-NAECA Large Water
Heater
CF -IR
❑
Indirect Water Heater
See Table 5-13 or use
Performance Calculation and
attach Run to Forms
❑
Instantaneous Gas Water Heater
See Table 5-13 or use
Performance Calculation and
attach Run to Forms
❑
Solar Water Heating System
See Table 5-13 or use
Performance Calculation and
attach Run to Forms
❑
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION
(add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this pro lect and need verification.
x Feature ReSpired Forms (if licable) Description
❑ Duct Seali CF -6R part 4 of 12
❑ Refrigerant Charge CF -6R part 5 of .12
❑ Thermostatic Expansion Valve CF -6R art 6 a 12
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page g of 5) CF—IR
Project Title
Date
DAIRD KESIDENGE
1 4/2/06
COMPLIANCE STATEMENT
This cartif icate of compliance lists the building features and specifications ,needed to comply with Title
24. Parts I and 6 of the California Code of" Reggulations, and the administrative reqq Aotions to implement
them. This certificate has been signed by the indvidual with overall design responsi5ility. The
unders�igqn�ed recognizes that compliance using duct design. duct sealing. verification of refrigerant charge
and TXVs. insulation installation quality. and building envelope sealing require installer testing and
certification and field verification by an approved HERS rater.
Designer or Ovvnner(per Business and Professions Code) , Documentation Author
Name: t._
DANK GOWER
ome:
PANEL- GOWER
Title/Firm:
OG DE51GN
Title/Firm:
PG OE51GN
A JJress:
1817 MORENA DOULEVAM, 5UITE D
Address:
1817 MORENA BOULEVARD, `JTE D
5AN DIEGO, GA 92JIO
5AN DIEGO, GA 9200
Telephone:
a ep hone:
858-270-1624
License #: DI -774422
IL 'CIA
(signature) (date)
(signature) (date)
Enforcement Agency
MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 1 of 2) MF—IR
Project Title Date
6AlI�D RESIDENCE
4/2/06
nvote: Low-nse residential buadmqssubject to the Standards must contain these measures regardless of the
compliance approach used. T lore stri getnt compliance requirements from the Certificate of Compliance supersede
the items marked with an. asterisk (R) 5elow. 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 in this checklist only.
Instructions: Check or initial applicable boxes when completed or check NA if not applicable.
(Description
NA
Designer
Enforce
-ment
Building Envelope Measures:
x
x
x
• &W Mawmm R-19 n wood frame ceding isulation or equivalent U-foctor in mid frame ceding.
O
®
❑
1506Y Loose 11 insulation manufacturers labeled R-Vdue:
®
❑
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• 150(cr Minirnm R-3 wall insulation in wood framed wogs or equivalent U -factor in me(does not app
metal frame wals (dly
to exterior mass walls).
❑
®
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• EO(dk Minimum R-13 noised floor Motion n framed floors or equivalent U -factor.
®
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❑ ,
COet Instdation of freplaces. Decorative Gas Appliances and Gas Logs.
L Mosono y and factory -buil f replaces have
CL closeable metal or glass door covering the entire opening of the firebox
®
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b. outside air intake with dapper and control flue darper and control
®
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2 No continuous burYwg gas plot Icghts allowed
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60f Y• Air reta-ding wrap installed to comply with 6 meets requirements specified it the ACM Residential Mmuai
®
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150(gr Vapor barriers mandatory n Crarwte Zones 14 aid 16 only.
®
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I504k Sk>b edge insulation - water cbsorbtion rate for the insulation material done without facings no greater than
0.3% water vapor permeance rate no greater that 20 perm/nch.
®
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18: insulation spedfied or installed meets miation instalation quality standards. indicate type and include CF -6R
Form
®
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1617 Fenestration products. Exterior Doors. and Infitration/Exfitration Controls.
L Doors aid windows between conditioned and uncom3tioned spaces designed to limit or leakage.
❑
®
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2 Fenestration� �pproducts (excceeppt f field -fabricated) hwe label with cer�tif ted U -factor. certified Sola. Heat Cann
Coefficient (SI-tM. and irifitration certification,
❑
®
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3. Exterior doors and widows weathersttipped d joints and penetrations caulked and sealed
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®
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Space Conditioning, Nater Heating and Plumbing System Measures:
10.113: HVAC equipment. water heaters showerheods aid faucets certified by the Energy Cononission
❑
®
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50(ht Heating and/or cooling loads calalated n accordance with ASHRAE. SMACNA or ACCA
®
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60D. Setback termostat on d Ocable heating and/or coorQg systems.
®
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❑.
1500: Water system poe and tank imlation aid cooling systems Cane insulation
®
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❑
L Storaqe gas water, heaters rated with an Energy Factor less than 058 must be exte-dly --ped with
insul on having an installed therind, resistance of R-12 or greater.
®
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2 Back-tp talks for solar system unfi-ed storage tanks. or other indirect hot water tanks have R-12 external
or R-6 internal insulation and indcated on the exterior of the taik shoirrg the R -value.
®
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3. The folowing piping is insulated according to Table ISO-A/B or Equation 50-A 6isulation Thickness:
[!rotation
L First 5 feet of hot and cold water pipes closest to water heater tads non-reci•al systems. and
entire length of reciralotng sections of hot water goes shot be insulated to Table.
®
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2 system Piling (suction. chiled water. or brae Ines). PM- insulated between heating source and
indrecf hot water talk sinal be insulated to Table 150 6 and - Equation 50-A
®
Cl . .
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4. Steam hydronic heating systems or hot water systems greater. than 5 psi, meet requrernents of Table 123-&
0
0
❑ '
MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 2 ®g 2) MF—IR .
Space Conditioning, Water Heating and Plumbing System Measures: (continued)
NA
Desi nen
n orce
-ment
5. Insulation must be Protected from damage. including that due to sunlight. moisture. equipment maintenance. and rinf
6. Insulation for water piping re rigerartt suction ppng ' s a vapor rete t or emir, + in
conditioned space.
®
®
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7. Solar water-heating systems/colectors are certified by the Solar Rating and Certification Corporation
®
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60bY Ducts and Fans
L All ducts and plenums installed sealed and insulated to meet the rekl iremnent of the CMC Sections 60( 602 603. 604. 605
and Standard 6-S soppy ' and return-dr ducts and plenms ore iWared to a minimum istdled level of R-42 or endosej
entirety n conch space Operm�s sad be sealed with mastic. tape or other duct-doswe system that meets the
recfa•ements of UL k l)L ISIA. or LA IM or aerosol sealant that meets the requirements of l� 723_ If mastic or 1cQe is
used to sed openers greater than V4 inch the combination of mastic and either mesh or tape shall be used
LV2 cavities Ipport arms or a r er s. and mums a red or corutructed with rnateiiahs other r
ed meld dict board or. flexible loci shill not be used for conveying connditioned air. Buldng cavities vnd
sLippert m contain ducts. Ducts installed n cavities and support platforms shod not be compressed to
tFne cross-sectional area of the ducts.
3l. t topeand eess �f t� edluct acombinations s with mastic andel draw � . with doth bads n66er adhewe
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®
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®
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4. Brhaust fan systems have back draft or automatic dampers.
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®
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dampers-5 ty vemlatng stystems serving conditioned space have either automatic or ready access�blr•. M=dy operat
6. Protection o anon insiliIiiiii 3protecte nom a to s t. moisture t
maintenance. and wind Cellular foam insulation shot be otected above or panted with a coating that is w
retardent and Frovides shielding from solar radiation chat can cause degradation of the materiel.
®
®
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❑
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7. Flexible ducts cannot have porous inner cores.
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04: Pool and Spa Heating Systems aril Equipment.
L A thermal efficiency that complies with the Appliance Efficiency Regulations. on-off switch mounted outside of tie
heater. weotherproot' operating instructions. no electric resistance heotng and no pilot fight.
®
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Z System is i nstdled with
a at least 36" of pipe between filter and heater for future sola- heating
®
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b. cover for outdoor pools or outdoor spas
®
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3. Pool system has directional 'mets and a circulation puny tine switch
®
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05: Gas fired fartype central furnaces. pooI heaters, spa heaters or household cines have no
contiwously bi'TM'9 p0ot Ight. (Exceptiorc 1Vorn-electricel cooking opplimces with plot less V60 BtuAr)
®
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189. Cool Roof material meets specified criteria
®
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Residential lighting Measures
60Uc1l: 18tH EFFICIACY LUh (NARES OTI 1. � 2 THAN OUTDOOR H® contain only high of ficiocy lads as outlined o
Table 150-0 and do not contain a medun screw base socket (E24/E26). Ballast for lams 13 watts or greater ore
electronic and have an output fnuency no less than 20 Idiz
60(klt HU I EFFICACY LUMIWES- OUTDOOR HD: canton oily high eficocy lotps as outfned in Table L50-C.
lmnaire has factory installed FID ballast®
®
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o
60(02: Permanently rstalled luminaries it kitchens shall be high efficacy lmnaies. Up to 50 percent of the wattage
as determined n 130(c). of permonentfy istcded luninaies in hip
Iminmay be n lu inuies that are not hi efficacy
aries. provided that these luminaries cre controlled by switches seperate from those cantro6ng tlheIi efficacy
luminaries.rT
L5 3: Perma>en ist a ells n ooms. gcrages. y rooms. ity rooms e e icac),
kanimaries OR are controlled by can ocapant sersor(sii certified to cmuply with Section 19(d) that does not tun c n
automatically or have an always on option
4: all be en nst lorries e o it ooms garages. rooms. an ut a-
rooms
ootns shag be efficacy lunixries (except closets less thin 70 sq ftk OR cre controled by a dimmer switch- OR
are controlled by on occupant sensor that complies with Section 19(c0 that does not turn on automoticady or hi_
on always on cpfion
5 Luminaries o e recess into inate ce ore a ove of zero arance insulation cover
cre certified airtight to ASTM U83 and tabled as aright (Al) to less than ZO CFM of 75 Pascals.
60W- Lunnmes pprroviding outdo« fighting and permanently mounted to a residential or to other bukfngs on'
the same lot shd be hi 9h effIcacy hmnones (not mcludng Tiyhtng around swirning pools/wa}'er features or other
Article 680 locations) OIT are confi oled by occupant sensors wrih integral photo control certified to comply will-
Section 19(d).
Lighting es for 8 all ores veehides � have Gghffli t com9 11 it plies ori Seca 0 13L and (46. 130. 132 M7
n9 paling $crag
150M Permanently ini h ting in the enclosed.ng spaceso w-riser en ' four
moneon 090 omits shill be hY efficacy lunnoies OR are controlled by occ pant sersor(s) certif to comply nth
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0
®
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0
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0
11
FENESTRATION — MAXIMUM ALLOWED AREA. WOR]E SH9ET WS -4R
Project Title
Date
BAFL) KESIDENGE
4/2/06
r>t:NZNTKATAUN FKUQQCT5 — NEW CONSTRUCTION— NEW BUILDINGS
Use this table for new building construction to nrrnlmt fnr tntnl kiiIIAnn % ^F
be used_
---•• •a o " 11 III IH111U1 C LUAUS L. It. onai -i❑. Tne performance approach must
2) If total percent of fenestration exceeds 20% including West fackq orientations -hen performance
approach must be used. West facing area includes skylights titled to the West or .tifted in any direction when
the pitch is less than 112 for Package D only.
FENESTRATION PRODUCTS — NEST CONSTRUCTION— ADDITIONS
❑ Less than 100 ft 2. ® Less than or Equal to 1000 ft2. ❑ Greater Inns ft2
A
I, / �l1VlIIVIIJ
C
D
E
F
G
#/Type/Pos. ration
(Front. Left.
Rear. Ri ht.
Skyligh)
Total
Fenestration.
Facing
Area
Total Fenestration
for
for N.S.E
Area
(ft fl
CF1
(f t\)
Total Percent
Wes cm
enestra-ion
(C/E) x 100/
--Total % of
Fenestration
Inclusinqq West
D/E) x [00% +
North
Total Areal
Fenestration
(D + E)
Total % of .
Nest Facing
Fenestration
°
F/C) x 100/
Total % of
Fenestra -
tion2
(F/C)x100°
REAR
North
South
48
East
-5
W
0
FRONT
South
138
Totals
n Ir _. r :__
-I C-_ r
0 a
O
RIGHT
East
be used_
---•• •a o " 11 III IH111U1 C LUAUS L. It. onai -i❑. Tne performance approach must
2) If total percent of fenestration exceeds 20% including West fackq orientations -hen performance
approach must be used. West facing area includes skylights titled to the West or .tifted in any direction when
the pitch is less than 112 for Package D only.
FENESTRATION PRODUCTS — NEST CONSTRUCTION— ADDITIONS
❑ Less than 100 ft 2. ® Less than or Equal to 1000 ft2. ❑ Greater Inns ft2
A
I, / �l1VlIIVIIJ
B
C
D
E
F.
. G
H
#/Type/Pos.
(Front. Left.
Rear. Right.
Skylighi)
.Orientation
N.S.E.W
Addition's
CFS
Addition's
New
Fenestration
Area (ftx)
Fenestration
Area Removed to
make way f r
Addition (ftp)
Total Areal
Fenestration
(D + E)
Total % of .
Nest Facing
Fenestration
°
F/C) x 100/
Total % of
Fenestra -
tion2
(F/C)x100°
REAR
North
138
48
53
-5
East
0
FRONT
South
138
O
O
0 a
O
RIGHT
East
138
O
O
0
0
LEFT
West
138
0
.0
O 0
O
Total
I Total
E�d
Il A J -1'.' __ _ ,1_
11 1
.I
r
Total I 0
0
111%.J1 UUP ICJS Mull w 59 IT of i enestration area are exempt from the maximum total area
limits_ See Table 8-2 in RM.
2) If the addition has.a floor area equal to or less than 1.000 sq ft. the maximum allowed fenestration %
may be increased to bu�yy the amount of glazing removed in the wall that separatEs the addition from the
existmqq house. See Tabfe 8-2 in RM.
3) If fire addition has a floor area greater fhanl.000* s9 ft must meet Package D requirements. See Table
8-2in Rm.
4) West facing area includes skylights tilted to the west or tilted in any direction when the pitch is less
than 1:12 for Package D.
I)When 5O sq ft or more of fenestration area is added to an existinq building. then fenestration must meet
the requirements of Package D. The area requirement for the total I enestratior: area for the whole building.
including the added fenestration. must not exceed 20% otherwise the Performance Approach must be used.
Note: fhe S% west facing limit is exempt. See Section 8.3.3 in the RM for further details.
B
C
D E
F
G
H
CFA
Existing
Orientation
North
xisting
r
Removed Removed
Area
Proposed
Installed
North
Propossed
Installed
Ne(ftx) ea
Total Tojo;0
estration Fenerientation
(C(i I G)
+ Max
o
East
East
West
West
oral
Total
I Total
E�d
I)When 5O sq ft or more of fenestration area is added to an existinq building. then fenestration must meet
the requirements of Package D. The area requirement for the total I enestratior: area for the whole building.
including the added fenestration. must not exceed 20% otherwise the Performance Approach must be used.
Note: fhe S% west facing limit is exempt. See Section 8.3.3 in the RM for further details.
RESIDENTIAL KITCHEN LIGHTING WORKSHEET
rroJect i jue
Date
WS -SR
At least 50% of the total rated wattage of permanently installed luminaires in the kitchen must be in luminaires that are high
efficacy luminaires as defined in Table 150-0. Luminaires that are not high efficacy must be switched separately.
Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens.
Luminaire Type High Efficacy? Watts x Quantity = High Effi Waits or Other Watts
Cfi� —1 Yes No o x or
i Yes o No o x —4— =
Yes o No o
x or
or
Yes o No o x = or
Yes o No o x = or
Total: A: B:
COMPLIES IFA ? B Y No o
.... ... .. .... 41_.. ._. ....._
.._..:-e:
s.. -r..moi?-
_..
:FRES _
IDE
NTIAL;�I-: -
_..... T:�IiEN ItiIGHTIl�TG
WO
RKSHEET
:.: ",_vi- 1.-..,-. _ ..._v:.: �.:. _... v,:. .. ._..r .:: •--�-_ �;-'• - __
... :. ..:..
-
..
Date
U.._. . ....... -
r
. _ . _ ... = - - - -
a.
.�....._ _. v ... __r...___...:{ :- . y: - r r:•-•.�...-r
tza•
.:r
h Schedule::: P
__..... .. , .rovid6: h .fo
llowtn uiformahon.for'al
:,.. .. S I lomat _
. atres
3o:i�e.installeil:ic.'ki�cliens:
1. ... r.•..:v_a ...._�. ... i_•. _cap !:.. .. .. .. ... .... .. .. .,. :. ...:s.. -
Luatmaue _.. r..: ... ...p...G H1P�1 T 1 -rte
-1 a. •J ... �'j
r':Quantlty :'.t -a. �' cac�?r' ¢Gaffs .int_ `r._ Wattc
Residential Compliance Forms March 2005
6J.
-F? No t
::;x
F.. ,.. .�,.r
r
t.
Total:'::
A 108 1.0
.. :..:::....
Y4.�= .�Vo'b;:
:
Residential Compliance Forms March 2005