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12-0414 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,d4t °F e(AQ" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/31/12 Application Number: 12-00000414 Owner: .Property Address: 55490 ROYAL ST GEORGE WAGGONER, LYLE W & S A TRUST APN: 767-522-002- - - PO BOX 30000 Application description: REMODEL - RESIDENTIAL JACKSON, WY 83002 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 262959 D Contractor: Applicant: Architect or Engineer: FEDDERLY & ASSOCIATES A o 1 201 38747 NOPALES ROAD i'"�� PALM DESERT, CA 92211 (760) 773-5205 Lic. No.: 762889 C1'rf Orp�,AQUINY FIN4NCECF-PY r - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B Licen a No.: 762889 Date�2 Contractor: V OWNER ILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 703l..5, Business and Professions Code: 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 ($500).: (_) 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 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.). I—) I am exempt under Sec. , B.&P.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: LQPERMIT 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 EVEREST INS Policy Number 760000440081 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Lobar Code, I shall) forthwith with those provisions. //jjam Date�S?w� Applica�nt�LJ��1.1'�Q� v WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety 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 building construction, and hereby authorize representatives of this county toenterupon the above-mentioned pro rt for inspection purposes. Date v Signature (Applicant or Agent): Application Number . . . 12-00000414 ------ Structure Information FIRE DAMAGE REPAIR/REMODEL/ADDITION ----- Other struct info . . ---------------------------------------------------------------------------- . . . CODE EDITION 2010 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 1210.00 Plan Check Fee 786.50 Issue Date . . . . Valuation . . . 262959 Expiration Date 1/27/13 Qty Unit Charge Per Extension BASE FEE 639.50 163.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 570.50 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 79.05 Plan Check Fee 19.76 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/27/13 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 109.00 .4500 ---------------------------------------------------------------------------- EA ELEC DEVICE/FIXTURE >20 49.05 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 32.50 Plan Check Fee 8.13 Issue Date . . . . Valuation . . . . 0 Expiration Date .. 1/27/13 Qty Unit Charge' Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 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 . . . . 72.00 Plan Check Fee 18.00 Issue Date Valuation 0 Expiration Date 1/27/13 Qty Unit Charge Per Extension LQPERMIT LQPERMIT Application Number . . . . . 12-00000414 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension BASE FEE 15.00 8.00 6.0000 EA PLB FIXTURE 48.00 1.00 .3.0000 EA PLB WATER INST/ALT/REP 3_00 1.00 3._0000 EA PLB FIXTURE DRAIN/VENT REP/ALT 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 --------=---------------------------------------------------------------"---- Special Notes and Comments FIRE DAMAGE REPAIR TO NORTH HALF OF RESIDENCE WITH 365SF ADDITION AND 451SF TRELLIS PATIO COVER [ENGINEERED].THIS PERMIT.DOES NOT INCLUDE REPLACEMENT OF MECHANICAL EQUIPMENT. 2010 CALIFORNIA BUILDING CODES. July 31, 2012 8:12:28 AM AORTEGA --------=--------------------------=---------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 11.00 ENERGY REVIEW FEE 78.65 STRONG MOTION (SMI) - RES 26.30 Fee summary Charged Paid Credited Due Permit Fee Total 1393.55 .00 .00 1393.55 Plan Check Total 832.39 .00 .00 832.39 Other Fee Total 115.95 .00 .00 115.95 Grand Total 2341.89 .00 .00 2341.89 LQPERMIT 'Bin # .00ty of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 6St-JJQ )rz�i Owner's Name: �1 �( A. V, L A. P. Number: Cj 0 o-2- J Address: U U P40— V2% Legal Description: sp -rv22l5/-ff City, ST, Zip: Contractor: LAvA Telephone: S09, Address: wh!�At,(/YY Project Description: City, ST, Ziff r�I i2i��,t CM -1-01 1A 4---\ 9, V tM Wdl OV Telephone: -7 11 n��- LWAtmFf. AAK TkNoAll State Lic.#: Arch., Engr., Designer: A�- e Address. - 2D q L41ym L//Y MM -4 Ca City, ST, Zip: Telephone: I (ko I 15 5 ?1() State Lic. #: ?,V" . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .......... Name of Contact Person:U2ntsec Kffz4l�� Construct ion Type- Occupancy,,,Pi3 Project type (circle one): New Add' Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:'( L¢ 11 ?) SIO (; )( 101 Estimated Value of Project: $'SUV 1 -10S APPLICANT: DO NOT. WRITE BELOW THIS LINE N Submittal Reqld Rec'd TRACKING FERMI FEE PERMI FEE Plan Sets Plan Check submitted '71& Item rPla, Amount* Amount Structural CaIcs. Reviewed, ready for corrections Check Der Plan Ch . eck Deposit Deposit Truss CaIcs. Called Contact Person Plan Check Balance Title 24 CaIcs. Planss-picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/iss 4-71 Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- "d Review, ready for correctiot(AssA AA1 Developer Impact Fee Planning Approval Called Contact Person AI-P.P, AUk A. Pub. Wks. Appr Date of permit iss JU School Fees W40,N WMPI 4b N [Tot, Permit Fees .341il /6 7/-23/I Z- -, 94C% Bin # - !2 City of La Quinta 1 Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address• �� Owner's Name: A. P. Number: 2 _ _ Address: -0 , �1 C5 Legal Description: 0( Z - City, ST, Zip: AOVJ(J�Z Contractor: Le Telephone-3� Address: Project Description: City, ST, Zip: LA v l - l ZZ I \( 1 Telephone:EM City Lic. #: ' C(Q(� Q'ev '451 State Lic. # : Arch., Engr., Designer: 1A,oct Address: City, ST, Zip: Z Cil Telephone: , State Lic. #: >A :,.;.; ::.;:•:;;:.::: ,::.;;:.:;:;:;,;:,;.:::::. -: r .«::,::::•,;:.> %<• <•>•«<:•>.>:.> Construction Type: Occupancy. SW.�Ce fz� Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: A i # Units: Telephone # of Contact Person: Q - Q I Estimated Value of Project: , — APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES 01 Plan Sets Plan Check submitted Amount Structural Cales. 1� Reviewed, ready for corrections Plan Check Deposit Tr ss Calcs. Called Contact Person Plan Check Balance Wide 24 Calcs. ` Plans picked up ✓ Construction Flood plain plan Plans resubmitted %,� Mechanical Grading plan tad Review, readyfo orrectio s/issue Electrical Subcontactor List Called Contact Person b Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Gr ing IN HOUSE:- '"' Review, ready for corrections/issue Dev Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Ar Total Permit Fees �A 4 i2 totrL - NS pjq-, 614. C1(2 (t�- 5�'t I•t�t2 " riS � (�vt � l Coachella Valley Unified School.District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPtA FEES PAID AREA: LEVELONEAMOUNT: LEVELTWOAMOUNT: AMOUNT MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: k�- RECEIPT: CHECKN: INITIAL . p -1 CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Date: July 31, 2012 Owner's Name: Lyle Waggoner Phone No. 760-345-9353 Project Address: 55-490 Royal St George, La Quinta, CA Project Description: Residential — Room Addition APN: 767-522-022 Tract #: Lot #'s: Type of Development: Residential XX! Commercial Industrial Total Square Feet of Building Area: 365 Sq.Ft. Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/develgper. v Dated: July 31, 2012 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Note: Pursuant to AB 181, Residential room additions 500 365 square feet or less, are exempt from developer fees. - 0 - Building Permit Application Completed: Yes/No By: Jamie T. Brown, Asst. Supt., Business Services Certificate issued by: Elsa F. Esqueda, Director of Facilities Signature NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. NIV:c/mydocs/devfees. certificate ofcompliancc form updated 3-2007 11/2010 V Uk PGA WEST FAIRWAYS ASSOCIATION May 11, 2012 Lyle and Sharon Waggoner PO BOX 3000 #475 Jackson, WY 83002 Re: Architectural Application — 55-490 Royal St. George Dear Lyle and Sharon Waggoner: The Architectural Committee has reviewed your request for exterior repairs, installation of pocket doors on rear patio and the installation of a trellis. I am pleased to inform you that the Architectural Committee has approved your application as submitted. Enclosed is Exhibit C — the Compliance Review Request form. Please complete this form after the work is completed and return it by mail or fax to the address below so the completed project can be inspected. If you have any questions, please contact Cassie Gertz, Operations Manager at 760-776-5100 Ext. 345 or email: Cassie.Gertz@Managementtrust.com. Sincerely, For the Architectural Committee PGA WEST Fairways Association e M onald, CCAM, PCAM S ocia i n Manager Enclosure: Exhibit C — Compliance Review Request cc: Lot File Architectural Committee RR'CEIVEI3 13Y: MAY 31 2012 Post Office Box 1690 • La Quinta, California 92247 • Phone (760) 776-5100 • Fax (760) 776-5111 'k , EXHIBIT C COMPLIANCE REVIEW REQUEST Owners are urged to provide appropriate notice to the Architectural Committee as to the progress of the construction, reconstruction or the alteration of improvements particularly in the case of major construction, reconstruction or alterations. Requests for compliance reviews should be made upon completion of the approved installations. It is the Owner's specific responsibility to insure that all Improvements are completed in strict compliance with the approved plans and specifications, governmental requirements, and Regulations including but not limited to setbacks, elevations, grading, colors, and landscaping. Architectural Committee compliance reviews are independent of governmental inspections. Committee approval does not constitute or eliminate the need for governmental inspections. TO: PGA WEST Fairways Association P.O. BOX 1690 La Quinta, CA 92247 Attn: ARCHITECTURAL COMMITTEE FAX: (760) 776-5111 NAME OF OWNER: PROPERTY ADDRESS: MAILING ADDRESS: TELEPHONE #: Indicate below the Improvements that have been completed for which a request for inspection is being made pursuant to this request. A description of type of work that should be completed at each of the following stages of the construction follows. OWNER'S SIGNATURE: DATE: Compliance Review Fee Schedule: First Review Second Review Additional Reviews Minor Application Included $25.00 $25.00 Moderate/Major Application Deposit of $500-$5,000 Included $50.00 $100.00 Deposit of $5,001415,000 Included $50.00 $100.00 Deposit of $15,001 and over Included $50.00 $100.00 Architect Review Actual Cost $100.00+ $200.00+ Actual Cost Actual Cost Exhibit "C" Page 1 of l Kay Hensel From: Greg Spates <GSpates@spates.com> Sent: Thursday, January OS, 2012 3:24 PM To: Kay Hensel Cc: Robin Lever Subject: Plan 3A tract 29348-1 Lot 16 PGA West Greg Norman Estates Marvin Homes Truss Calculations Plan 3A tract 29348-1 Lot 16 PGA West Greg Norman Estates Marvin Homes I understand that Fedderly & Associates is trying to get a set of archived truss calculations and needs an authorization from Spates Fabricators to make a copy of them. We are fine with that, if you need anything more from me please let me know. Thankyou Greg Spates Spates rabricators, Inc. 85435 Middleton Street,; Thermal, CA 92274 Office: 760.397.4122 Fax: 760.397.4724 gspates@spates.com www.spates.com. 1 I BUILDING ENERGY ANALYSIS REPORT I PROJECT: Lyle & Sharon Waggoner Addition 55-490 Royal St. George La Quinta, CA 92253 Project Designer: Fedderly and Associates 38-747 Nopales Road Palm Desert, CA 92211 (760) 773-5205 Report Prepared by: Tim Scott Scott Design and Title 24, Inc, 77-085 Michigan Drive Palm Desert Ca 92211 a. CITY OF LA QUINTA (760) 200-4780 BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE '16fAM 13r -Q^ Job Number: Date: 5/14/2012 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. TI program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. FneravPro 5.1 by EneravSofP User Number: 6712 RunCode. 2012-05.14T11:08:58 ID: I PERFORMANCE CERTIFICATE: Residential (Part 1 of 5) CF -1 R Project Name Lyle & Sharon Waggoner Addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 5/14/2012 Project Address 55-490 Royal St. George La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 4,745 Addition 365 # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST IZI Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (ft) Features (see Part 2 of 5) Status Roof Wood Framed Attic R-30 4,455 Existing Wall Wood Framed R-19 3,708 Existing Slab Unheated Slab -on -Grade None 4,471 Perim = 451' Existing Roof Wood Framed Attic R-30 372 New Wall Wood Framed R-21 112 New Wall Wood Framed R-19 50 New Slab Unheated Slab -on -Grade None 372 Perim = 32' New FENESTRATION U- Exterior Orientation Area(fo Factor SHGC Overhang Sidefins Shades Status Skylight 4.0 1.300 0.60 none none None Existing Skylight 4.0 1.300 0.60 none none None Existing Skylight 4.0 1.300 0.60 none none None Existing skylight 4.0 1.300 0.60 none none None Existing Leff (N) 104.5 0.550 0.55 none none Bug Screen Existing Left (N) 60.0 0.400 0.35 none none Bug Screen Altered Rear (E) 136.0 0.400 0.35 none none Bug Screen Altered Rear (E) 240.0 0.550 0.55 none none Bug Screen Removed Rear (E) 88.5 0.550 0.55 none none Bug Screen Existing Right (S) 32.0 0.400 0.35 none none Bug Screen Altered Right (S) 48.0 0.550 0.55 none none Bug Screen Removed HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 4 Central Furnace 80% AFUE Split Air Conditioner 12.0 SEER Setback Existing HVAC DISTRIBUTION Location Heating Duct Coolins Duct Location R -Value Status HVAC Exist Ducted Ducted Attic, Ceiling Ins, vented 4.2 New WATER HEATING Ot . Type Gallons Min. Eff Distribution Status Erre Pro 5.1 by EnergySoft User Number: 6712 Run Code: 2012-05.14T11,08:58 ID: Page 3 of 14 PERFORMANCE CERTIFICATE: Residential (Part 1 of 5) CF -1 R Project Name Lyle & Sharon Waggoner Addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 5/14/2012 Project Address 55-490 Royal St. George La Quinta California Energy Climate Zone Total Cond. Floor Area CA Climate Zone 15 4,745 Addition 365 # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes IZI No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity (ft) Features see Part 2 of 5 Status FENESTRATION U- Exterior Orientation Area(4 Factor SHGC Overhang Sidefins Shades Status Right (S) 78.0 0.550 0.55 none none Bug Screen Existing Right (S) 6.3 0.720 0.59 none none Bug Screen Existing Front (M 169.0 0.550 0.55 none none Bug Screen Existing Rear (E) 240.0 0.550 0.39 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Qty. Type Gallons Min. Eff Distribution Status Ene Pro 5.9 by En ergySoft User Number. 6712 RunCode: 2012-05-147"11:08:58 ID: Page 4 of 14 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Building Type ® Single Family ❑ Addition Alone Lyle & Sharon Waggoner Addition I ❑ Multi Family m Existing+ Addition/Alteration Date 5/14/2012 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special iustification and documentation submitted. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. The HVAC System HVAG Exist incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. EnemyPro 5.1 by Enera Soft User Number: 6712 Run Code: 2012-05-14711:08:58 ID: Page 5 of 14 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R Project Name Building Type m Single Family ❑ Addition Alone Date Lyle & Sharon Waggoner Addition ❑ Multi Family 10 Existing+ Addition/Alteration 5/14/2012 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r) Space Heating 3.08 3.70 -0.62 Space Cooling 100.46 96.74 3.73 Fans 21.57 20.77 0.81 Domestic Hot Water 11.06 11.06 0.00 Pumps 0.00 0.00 0.00 Totals 136.18 132.27 3.91 Percent Better Than Standard: 2.9 BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (tM 270 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (tM 836 169 Fuel Available at Site: Natural Gas (N) 1,355 165 Raised Floor Area: 0 (E) 1,298 465 Slab on Grade Area: 4,843 (S) 1,295 116 Average Ceiling Height: 10.5 Roof 4,843 16 Fenestration Average U -Factor: 0.51 TOTAL: 930 Average SHGC: 0.46 Fenestration/CFA Ratio: 19.6 REMARKS STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of Regulations. The documentation author hereby certifies that the documentation is accurate and comple Documentation Author Company Scott Design and Title 24, Inc, 5/1412012 Address 77-085 Michigan Drive Name Tim Scott City/State/zipCity/State/zip Palm Desert, Ca 92211 Phone (760) 200-4780 Signed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and recognizes that compliance using duct design, duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Company Fedderty and Associates Address 38-747 Nopales Road Name Lance Fedderly City/State/Zip Palm Desert, CA 92211 Phone (760) 773-5205 Signed License # Date EneravPro 5.1 by EnerqySoft User Number: 6712 RunCode: 2012-05.14711:08:58 ID: Page 6 of 14 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF-1 R Project Name Building Type m Single Family ❑ Addition Alone - Date Lyle & Sharon Waggoner Addition ❑ Multi Family m Existing+ Addition/Alteration 15/14/2012 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Joint Appendix Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Roof 4.455 0.031 R-30 270 10 Existing 4.2.1-A20 Exist. Residence Wall 1,191 0.074 R-19 0 90 Existing 4.3.1-A5 Exist. Residence Wall 722 0.074 R-19 90 90 Existing 4.3.1-A5 Exist. Residence Wall 1.1291 0.074 R-19 180 90 Existing 4.3.1-A5 Exist. Residence Wall 667 0.074 R-19 270 90 Existing 4.3.1-A5 ,Exist. Residence Slab 4,4711 0.730 None 0 180 Existing 4.4.7-A 1 Exist. Residence Roof 3721 0.031 R-30 270 0 New 4.2.1-A20 Exist. Residence Wall 1121 0.069 R-21 90 90 New 4.3.1-A6 Exist Residence Wall 50 0.074 R-19 180 90 New 4.3.1-A5 Exist. Residence Slab 372 0.730 None 0 180 New .4.4.7-A1 Exist. Residence FENESTRATION SURFACE DETAILS ID Type Area I U-Factor SHGC I Azm Status Glazing Type Location/Comments 1 Skylight 4.0 1.30,01 Default 0. 60qDefault 270 Existing Skylight Exist. Residence 2 Skylight 4.0 1.3001 Default 0.60 1 Default 270 Existing Skylight Exist. Residence 3 Skylight 4.0 1. 3001 Default 0.60 Default 270 Existing Skylight Exist. Residence 4 Skylight 4.0 1. 3001 Default 0.60 Default 270 Existing Skylighf Exist. Residence 5 'Window 48.0 0. 5501 Default 0.55 Default 0 Existing Double Non Metal Tinted Exist. Residence 6 'Window 10.0 0.5501 Default 0.55 Default 0 Existing Double Non Metal Tinted Exist. Residence 7 Window 1.0 0.400 NFRC 0.35 NFRC 0 Altered Dual Non-Metal Tinted Exist. Residence 8 Existing 0.550 Default 0.55 Default Doable Non Metal Tinted pre-altered for above 9 Window 1.0 0.400 NFRC 0.35 NFRC 0 Altered Dual Non-Metal Tinted Exist. Residence 10 Existing 0.550 Default 0.55 1 Default Double Non Metal Tinted pre-altered for above 11 Window 1.0 0.400 NFRC 0.351 NFRC 0 Altered Dual Non-Metal Tinted Exist. Residence 12 Existing 0.550 Default 0.55 Default Double Non Metal Tinted ,pre-altered for above 13 Window 25.0 0.400 NFRC 0.35 NFRC 0 Altered Dual Non-Metal Tinted Exist. Residence 14 Existing 0.550 Default 0.55 Default Double Non Metal Tinted pre-altered for above 15 lWndow 32.0 0.400 NFRC 0.35 NFRC 0 Altered Dual Non-Metal Tinted Exist. Residence 16 Existing 0.550 Default 0.55 Default Double Non Metal Tinted pre-altered for above (1) U-Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2) SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Window Exterior Shade Type SHGC H t Wd Ove hanq Left Fin Ri ht Fin Len I Hat LExt I RExt Dist Len Fig t Dist Len H t 1 None 1.00 2 None 1.00 3 None 1.00 4 None 1.00 5 ,Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 9 Bug Screen 0.76 10 Buo Screen 0.76 11 Bu Screen 0.76 12 Bug Screen 0.76 13 Bug Screen 0.76 14 Bug Screen 0.76 15 0.76 16 115ugScreen ],Bug Screen 0.76 En erqyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2012-05.14711:08:58 ID: Page 7 of 14 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Building Type m Single Family ❑ Addition Alone Lyle & Sharon Waggoner Addition ❑ Multi Family m Existing+ Addition/Alteration Date 5/14/2012 OPAQUE SURFACE DETAILS Surface U- Type Area Factor Insulation Joint Appendix Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC2 Azm Status Glazing T e LocationlComments 17 iAfindow 21.0 0.550 Default 0.55 Default 0 Existing Double Non Metal Tinted Exist. Residence 18 'ffindow 4.5 0.550 Default 0.55 Default 0 Existing Double Non Metal Tinted Exist. Residence 19'Window 21.0 0.550 Default 0.55 Default 0 Existing Double Non Metal Tinted Exist. Residence 20 Window 40.0 0.400 NFRC 0.35 NFRC 90 Altered Dual Non -Metal Tinted Exist. Residence 21 Existing 0.550 Default 0.55 Default I Double Non Metal Tinted pre -altered for above 22 Window 32.0 0.400 NFRC 0.35 NFRC 90 Altered Dual Non -Metal Tinted Exist. Residence 23 Existing 0.550 Default 0.55 Default Double Non Metal Tinted pre -altered for above 24 Window 32.0 0.4001 NFRC 0.35 NFRC 90 Altered Dual Non -Metal Tinted Exist. Residence 25 Existing 0.5501 Default 0.55 Default Double Non Metal Tinted pre-ailered for above 26 Window 32.0 0.4001 NFRC 0.35 NFRC 901 Altered Dual Non -Metal Tinted Exist. Residence 27 Existing 0.550 Default 0.55 Default Double Non Metal Tinted pre -altered for above 28 Window 40.0 0.5501 Default 0. 551 Default 90 Removed Double Non Metal Tinted Exist. Residence 29 Window 80.0 0.550 Default 0.55 Default 90 Removed Double Non Metal Tinted Exist. Residence 30 Window 80.0 0.550 Default 0.55 Default 90 Removed Double Non Metal Tinted Exist. Residence 31 'Window 40.0 0.550 Default 0.55 Default 90 Removed Double Non Metal Tinted Exist. Residence 32 'Window 36.0 0.550 Default 0.55 Default 90 Existing Double Non Metal Tinted Exist. Residence (1 ) 1 -1 -Factor Type: (2) SHGC Type: 116-A = Default Table from Standards, NFRC = Labeled Value 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS terior Shade Type Window SHGC Hot Wd Ove hano Left Fin Ri ht Fin Len H t LExt RExt Dist Len H t Dist Len H Screen 0.76 Screen 0.76 Screen 0.76 Screen FBn 0.76 Screen 0.76 Screen 0.76 Screen 0.76 Screen 0.76 25 Buo Screen 0.76 26 BuScreen 0.76 27 Bu Screen 0.76 28 Bug Screen 0.76 29 Bu Screen 0.76 30 .Bu Screen 0.76 31 Bug Screen 0.76 32 Bug Screen 0.76 EnerqyPro 5.1 bz EnemvSoft User Number; 6712 Run Code: 2012-05-14T11:08:58 ID: Page 8 of 14 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF-1 R Project Name Lyle & Sharon Waggoner Addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family IZI Existing+ Addition/Alteration Date 5/14/2012 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavit Exterior Frame I Interiorl Frame Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Te Area U-Factor SHGC Azm Status Glazin Type Location/Comments 33 Window 4.5 0.550 Default 0.55 Default 90 Existing Double Non Metal Tinted Exist. Residence 34 Window 48.0 0.550 Default 0.55 Default 90 Existing Double Non Metal Tinted Exist. Residence 35 Window 32.0 0.400 NFRC 0.35 NFRC 180 Altered Dual Non-Metal Tinted Exist. Residence 36 Existing 0.550 Default 0.55 Default Double Non Metal Tinted pre-altered for above 37 Window 48.0 0.550 Default 0.55 Default 180 Removed I Double Non Metal Tinted Exist. Residence 38 Window 4.5 0.550 Default 0.55 Default 180 Existing Double Non Metal Tinted Exist. Residence 39 Window 2.1 0.720 NFRC 0.59 1 NFRC 180 Existing Glass Block Exist. Residence 40 'Window 2.1 0.720 NFRC 0.59 NFRC 180 Existing Glass Block Exist. Residence 41 'Window 2.1 0.720 NFRC 0.59 NFRC 180 Existing Glass Block Exist. Residence 42' Window 4.5 0.550 Default 0.55 Default 180 Existing Double Non Metal Tinted Exist. Residence 43 Window 6.0 0.550 Default 0.55 Default 180 Existing Double Non Metal Tinted Exist. Residence 44 Window 150. 0.550 Default 0.55 Default 180 Existing Double Non Metal Tinted Exist. Residence 45 Window 48.01 0.5501 Default 1 0.55 Default 180 Existing Double Non Metal Tinted Exist. Residence 46 1 Window 1 25.01 0.5501 Default 1 0.55 Default 270 Existing Double Non Metal Tinted Exist. Residence 47 Window 4.01 0.550 1 Default I 0.55 Default 270 Existing Double Non Metal Tinted Exist. Residence 48 JWndow 4.01 0. 5501 Default 0.55 Default 270 Existing Double Non Metal Tinted Exist. Residence (1) U-Factor Type: 2 SHGC Type., 116-A = Default Table from Standards, NFRC = Labeled Value 116-B = Default Tabie from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Ove ang Left Fin Ri ht Fin Len H t I-Ext RExt Dist Len Hit Dist Len H91 33 Bug Screen 0.76 34 Bug Screen 0.76 35 Bug Screen 0.76 36 Bug Screen 0.76 37 Bug Screen 0.76 38 Bug Screen 0.76 39 ,Bug Screen 0.76 40 Bug Screen 0.76 41 Bug Screen 0.76 42 Bug Screen 0.76 43 Bug Screen 0.76 44 Bug Screen 0.76 45 Bug Screen 0.76 46 Bug Screen 0.76 47 Screen 0.76 48 1Buq 18ug Screen 0.76 Enefgyero 5.1 by Enmvsoft User Number: 6712 Run Code. 2012-05-14T11:08.58 ID: Pa e 9 of 14 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Lyle & Sharon Waggoner Addition Building Type O Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 5/14/2012 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor -da—vity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC2 Azm Status Glazing Type Location/Comments 49 iWindow 48.0 0.550 Default 0.55 Default 270 Existing Double Non Metal Tinted Exist. Residence 50 'Window 88.0 0.550 Default 0.55 Default 270 Existing Double Non Metal Tinted Exist. Residence 51 Window 240.0 0.550 NFRC 0.39 NFRC 90 New Double Metal Tinted Exist. Residence (1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC T e: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window Ove hang Left Fin Right Fin ID Exterior Shade Type SHGC Hat Wd Len Hot LExt RExt Dist Len Hot Dist Len Hot 49 Bug Screen 0.76 50 Bug Screen 0.76 51 Bug Screen 0.76 Ene Pro 5.1 by EnemvSoff User Number: 6712 RunCode: 2012-05-14T11':08:58 ID: Pae 10 of 14 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name Lyle & Sharon Waggoner Addition Building Type m Single Family ❑ Addition Alone Date ❑ Multi Family m Existing+ Addition/Alteration 5/14/2012 BUILDING ZONE INFORMATION System Name Zone Name Floor Area New Existing Altered Removed Volume Year Built HVAC Exist Exist. Residence 4,380 45,990 2000 Addshon 365 3,833 Totals 1 3651 4,380 0 0 HVAC SYSTEMS System Name Qty.. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat type Status HVAC Exist 4 Central Furnace 80% AFUE Split Air Conditioner 12.0 SEER Setback Existing HVAC DISTRIBUTION System Name Heating Coolin Duct Duct Location R -Value Ducts Tested? Status HVAC Exist Ducted Ducted Attic, Ceiling Ins, vented 4.2 m New ❑ WATER HEATING SYSTEMS System Name Qtv, Tvpe Distribution Rated Input (Btu h) Tank Cap. (gal) Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R Value Status Standard Gas 50 gal or Le 2 Small Gas No Pipe Insulation 40,000 50 0.55 1 n/a n/a Existing I MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft o a N ¢ System Name Pipe Length Pipe Diameter Insul. Thick. Qty- HP Plenum Outside Buried Ener Pro 5.1 by EnergySoft User Number. 6712 RunCode: 2092-05-14T11:08:58 in; Fa e 11 of 14 MANDATORY MEASURES SUMMARY: Residential (Pae 1 of 3) MF -1 R Project Name Date Lyle & Sharon Waggoner Addition Y 5/14/2012 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-1111(a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): insulations ecifled or installed meets Standards for InsulatinQ Material. Indicate type and include on CF -6R Form. §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the installation of a Cool Roof is specified on the CF -1 R Form. * 150 a : Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. 150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§ 150(c): Minimum R-13 insulation in wood -frame wall orequivalent U -factor. *§150(d): Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor - 150 f : Air retarding wrap is tested labeled, and installed according to ASTM E1677-95(2000) when specified on the CF -1 R Form. 150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no areater than 2.0perm/inch and shall be protected from physical damage and UV li ht deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or facto -built fireplaces have a closable metal or glass door covering the entire ooeninq of the firebox. §150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACOA. 150 i : Heating s stems are. equipped with thermostats that meet the setback requirements of Section 112(c). §1500)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §150@1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. §150(j)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes are insulated per Standards Table 150-13. §1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. 150(j)3A: Insulation is protected from damage, including that due to sunlight, moisture equipment maintenance and wind. §1500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. §1500)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by Energy5oft User Number: 6712 RunCode: 2012-05-14711:08:58 ID: rage 12 of 14 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3) MF -1 R Project Name Date Lyle & Sharon Waggoner Addition 5/14/2012 §150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tae shall be used §150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 150(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 150 m 10: Flexible ducts cannot have porous inner cores. §150(x): All dwelling units shall meet the requirements of ANSl1ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality In Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and E ui ment Measures: §1 14(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that cornplies wilh the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. §150(p): Residential pool systems ore ui ment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150(p). Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2. 150 (k)3: The wattage of 2ermanentl Installed luminaires shall be determined ass ecified by § 130 (d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-0 and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(4), and shall not contain a medium screw -base socket. 150 k)& Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k):7: All switching devices and controls shall meet the requirements of §150(1<)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2012-05-14711:08:58 ID: Page 13 of 14 MANDATORY MEASURES SUMMARY: Residential Pae 3 of 3 MF -1 R Project Name Date Lyle & Sharon Waggoner Addition 1511412012 §150(k)l0: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)11: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual - on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 sauare feet located on a residential site is not required to comply with §150(k)] 1. §150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clack not having an override or bypass switch that disables the astronomical time clack; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminalre to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)13 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)l4: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §130(d). §150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131, 134, and 146. §150(k)l6: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensor(s) certified to comply with the applicable requirements of §119. EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2012-05-14T11:08:58 ID: Page 14 of 14 Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/14/2012 Electronically Signed at CalCERTS.com by Robin Lever (Fedderly & Associates) 5/14/2012 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Lyle & Sharon Waggoner Addition Building Type 13 Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 5/14/2012 Project Address 55-490 Royal St. George La Quinta California Energy Climate Zone Total Cond. Floor Area CA Climate Zone 15 4,745 Addition 365 # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST IZI Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (ft) Features (see Part 2 of 5) Status Roof Wood Framed Attic R-30 4,455---- ffi=AJ9 pting Wall Wood Framed R-19 3,708 Exi Ming Slab Unheated Slab -on -Grade None 4,471 eSU ILDING & SAFETY DEPT�x.;ting Roof Wood Framed Attic R-30 372 Ne v Wall Wood Framed R-21 112 Nev Wall Wood Framed R-19 50 FOR CONS! RUC I 10N N,,, Slab Unheated Slab -on -Grade None 372 'erim = 32' Ne,v DATE v � �iY FENESTRATION U- Orientation Area(ft) Factor Exterior SHGC Overhang Sidefins Shades Status Skylight 4.0 1.300 Skylight 4.0 1.300 0.60 none none None 0.60 none none None Existing Existing Skylight 40 1.300 0.60 none none None Existing Skylight 4.0 1.300 0.60 none none None Existing Left (N) 104.5 0.550 0.55 none none Bug Screen Existing Left (N) 60.0 0.400 0.35- none none Bug Screen Altered Rear (E) 136.0 0.400 0.35 none none Bug Screen Altered Rear (E) 240.0 0.550 0.55 none none Bug Screen Removed Rear (E) 88.5 0.550 0.55 none none Bug Screen Existing Right (S) 32.0 0.400 0.35 none none Bug Screen Altered Right (S) 48.0 0.550 0.55 none none Bug Screen Removed HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 4 Central Furnace 80% AFUE Split Air Conditioner 12.0 SEER Setback Existing HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status HVAC Exist Ducted Ducted Attic, Ceiling Ins, vented 42 New WATER HEATING Ot . Type Gallons Min. Eff Distribution Status 'n IN I JUL 0 6 2012 EnergyPrc 5.1 by Ener Soft User Number: 6712 RunCode: 2012-05-14T11:08:58 ! Pae 1 0f 9 Reg: 212-N0024265A-000000000-0000 Registration Date/Time: 2012/05/14 14:39:35 HERS Pr-;-ider: Ca Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/14/2012 Electronicallv Siqned at CalCERTS.com by Robin Lever (Fedderly & Associates) 5/14/2012 PERFORMANCE CERTIFICATE: Residential (Part 1 of 5) CF -1 R Project Name Lyle & Sharon Waggoner Addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 5/14/2012 Project Address 55-490 Royal St. George La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 4,745 Addition 365 # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST 0 Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes El No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity (ft) Features (see Part 2 of 5) Status FENESTRATION U- Exterior Orientation Area(e) Factor SHGC Overhang Sidefins Shades Status Right (S) 78.0 0.550 0.55 none none Bug Screen Existing Right (S) 6.3 0.720 0.59 none none Bug Screen Existing Front (lN) 1690 0.550 0.55 none none Bug Screen Existing Rear (E) 240.0 0.550 0.39 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat I I Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Qty. Tye Gallons Min. Eff Distribution Status EnergyPro 5.1 by Ener . Solt User Number: 6712 Run Code: 2012-05-14T11:0&59 ID: Pae 2 of 9 Reg: 212-NO02426SA-000000000-0000 Registration Date/Time: 2012/05/14 14:39:35 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/14/2012 Electronically Signed at CalCERTS.com by Robin Lever (Fedderly & Associates) 5/14/2012 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Lyle & Sharon Waggoner Addition Building Type m Single Family ❑ Addition Alone Date ❑ Multi Family [0 Existing+ Addition/Alteration 5/14/2012 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. The HVAC System HVAC Exist incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. Ener Pro 5.1 by Ener Soft User Number: 6712 RunCode: 2012-05-14711:08:58 ID: Page 3 of 3 Reg: 212-N0024265A-000000000-0000 Registration Date/Time: 2012/05/14 14:39:35 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/14/2012 Electronically Signed at CalCERTS.com by Robin Lever (Fedderly & Associates) 5/14/2012 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF-1 R Project Name Building Type m Single Family ❑ Addition Alone Date Lyle & Sharon Waggoner Addition ❑ Multi Family m Existing+ Addition/Alteration 5/14/2012 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV (kBtu/ft2-yr). Space Heating 3.08 3.70 -0.62 Space Cooling 100.46 96.74 3.73 Fans 21.57 20.77 0.81 Domestic Hot Water 11.06 11.06 0.00 Pumps 0.00 0.00 0.00 Totals 136.18 132.27 3.91 Percent Better Than Standard: 2.9% BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (VV) 270 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (vv) 836 169 Fuel Available at Site: Natural Gas (N) 1,355 165 Raised Floor Area: 0 (E) 1,298 465 Slab on Grade Area: 4,843 (S) 1,295 116 Average Ceiling Height: 10.5 Roof 4,843 16 Fenestration Average U-Factor: 0.51 TOTAL: 930 Average SHGC: 0.46 Fenestration/CFA Ratio: 196% REMARKS STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of regulations. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company Scott Design and Title 24, Inc, 5/14/2012 Address 77-085 Michigan Drive Name Tim Scott a IstatalZi Palm Desert, Ca 92211 Phone (760) 200-4780 51 ned Date The individual with overall design responsibility hereby certifies that the proposed building design represented In this set of construction documents-is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application; and recognizes that compliance using duct design, duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater.. Designer or Owner (per Business & Professions Code) Company Fedderly and Associates Address 38-747 Nopales Road Name Lance Fedderly City/State/Zip Palm Desert, CA 92211 Phone (760) 773-5205 Signed License # Date EneravPro 5.1 by ErrergYSoft _User Number, 6712 RunCade- 2012-05-14711:08:58 ID, Page 4 of 9 Reg: 212-N0024265A-000000000-0000 Registration Date/Time: 2012/05/14 14:39:35 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/14/2012 Electronically Signed at CalCERTS.com by Robin Lever (Fedderly & Associates) 5/14/2012 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Lyle & Sharon Waggoner Addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 5/14/2012 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Joint Appendix Factor CavitylExterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Roof 4,455 0.031 R-30 2701 10 Existin 4.2.1-A20 Exist. Residence Wall 1,191 0.074 R-19 0 90 Existing 4.3.1-A5 Exist. Residence Wall 722 0.074 R-19 90 90 Existin 4.3.1-A5 Exist. Residence Wall 1,129 1 0.0741R-19 180 90 Existing 4.3.1-A5 Exist. Residence Wall 667 0.074 R-19 270 4.3.1-A5 90rNew Exist. Residence Slab 4,471 0.730 None 0 180 Existing 4.4.7-A1 Exist. Residence Roof 372 0.031 R-30 270 04.2.1-A20 Exist. Residence Wall 112 0.069 R-21 90 904.3.1-A6 Exist. Residence Wall 50 0.074 R-19 180 904.3.1-A5 Exist. Residence Slab 372 0.730 None 0 1804.4.7-A1 Exist. Residence FENESTRATION SURFACE DETAILS ID Tvi3e Area L1 -Factor SHGC Azm Status Glazing Type Location/Comments 1 Skylight 4.0 1. 3001 Default 0.60 1 Default 270 Existing Skylight Exist. Residence 2 Skylight 4.0 1. 3001 Default 0.60 1 Default 270 Existing Skylight Exist. Residence 3 Skylight 4.0 1.300 Default 0.60 1 Default 270 Existing Skylight Exist. Residence 4 Skylight 4.0 1.300 Default 0.601 Default 270 Existing Skylight Exist. Residence 5 Window 48.0 0.550 Default 0.55. Default 0 Existing Double Non Metal Tinted Exist. Residence 6 j Window 10.0 0.550 Default 0.55 Default 0 Existing Double Non Metal Tinted Exist. Residence 7 1 WindoW 1.0 0.400 NFRC 0.35 NFRC 0 Altered Dual Non -Metal Tinted Exist. Residence 8 lExisting 0.550 Default 0.55 Default Double Non Metal Tinted pre -altered for above 9Window 1.0 0.400 NFRC 0.35 NFRC 0 Altered Dual Non -Metal Tinted Exist. Residence 10 Existing 0.550 Default 0.55 Default Double Nosh •Metal Tinted pre -altered for above 11 Window 1.0 0.400 NFRC 0.35 NFRC 0 Altered Dual Non -Metal Tinted Exist. Residence 12 Existing0.550 Default 0.55 Default Double Non Metal Tinted pre -altered for above 13 Window 25.0 0.400 NFRC 0.35 NFRC 0 Altered Dual Non -Metal Tinted Exist. Residence 14 Existing 0.550 Default 0.55 Default Double Non Metal Tinted pre -altered for above 15 Window 32.0 0.400 NFRC 0.35 NFRC 0 Altered Dual Non -Metal Tinted Exist. Residence 16 Existing 0.550 1 Default 1 0.55 Default Double Non Metal Tinted pre -altered for above (1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value. 2) SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Ove hang Left Fin Right Fin Len H t LExt RExt Dist Len H t Dist Len H t 1 None 1.00 2 None 1.00 3 None 1.00 4 ,None 1.00 5 iBug Screen 0.76 6 JBug Screen 0.76 7 ]Bug Screen 0.76 8 By,q Screen 0.76 9 'Bug Screen 0.76 _ 10 &!g Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 13 'By2 Screen 0.76 14 Bug Screen 0.76 15 Bug Screen 0.76 16 Bug Screen 0.76 Ene rqyEro 5.1 b y Ener Soft User Number: 6712 RunCode: 2012-05-14T11:08:58 If3: Pae 5 of 9 Reg: 212-N0024265A-000000000-0000 Registration Date/Time: 2012/05/14 14:39:35 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/14/2012 Electronically Siqned at CalCERTS.com by Robin Lever (Fedderly & Associates) 5/14/2012 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Lyle & Sharon Waggoner Addition Building Type m Single Family ❑ Addition Alone Date ❑ Multi Family ❑ Existing+ Addition/Alteration 5/14/2012 OPAQUE SURFACE DETAILS Surface U- Type Area Factor Insulation Joint Appendix Cavit Exterior Frame I Interior Frame Azm Tilt Status 4 Location/Comments I FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC2 Azm Status GlazIng Type Location/Comments 17 Window 21.0 0.550 Default 0.55 Default 0 Existing Double Non Metal Tinted Exist. Residence 18 Window 4.5 0.550 Default 0.55 Default 0 Existing Double Non Metal Tinted Exist. Residence 19 Window 21.0 0.550 Default 0.55 Default 0 Existing Double Non Metal Tinted Exist. Residence 20 Window 40.0 0.400 NFRC 0.35 NFRC 90 Altered Dual Non -Metal Tinted Exist. Residence 21 Existing 0.550 Default 0.55 Default Double Non Metal Tinted pre -altered for above 22 Window 32.0 0.400 NFRC 0.35 NFRC 90 Altered Dual Non -Metal Tinted Exist. Residence 23 Existing 0.550 Default 0.55 Default Double Non Metal Tinted pre -altered for above 24 Window 32.0 0.400 NFRC 0.35 NFRC 90 Altered Dual Non -Metal Tinted Exist. Residence 25 Existing 0.550 Default 0.55 Default Double Non Metal Tinted pre -altered for above 26 Window 32.0 0.400 NFRC 0.35 NFRC 90 Altered Dual Non -Metal Tinted Exist. Residence 27 Existing 0.550 Default 0.55 Default Double Nan Metal Tinted pre -altered for above 28 Window 40.0 0.550 Default 0.55 Default 90 Removed Double Non Metal Tinted Exist. Residence 29 Window 80.0 0.550 Default 0.55 Default 1 90 Removed Double Non Metal Tinted Exist. Residence 30 Window 80.0 0.550 Default 0.55 Default 90 Removed Double Non Metal Tinted Exist. Residence 31 Window 1 40.01 0.550 Default 0.55 Default 90 Removed Double Non Metal Tinted Exist. Residence 32 Window 1 36.0 0.550 Default 0.55 Default 90 Existing Double Non Metal Tinted Exist. Residence (1) U -Factor Type: (2) SHGC T e: 116-A = Default Table from Standards, NFRC = Labeled Value 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Ove hang Left Fin Right Fin Len H t LExt RExt Dist Len H t Dist Len Hgt 17 Bug Screen 0.76 18 Bug Screen 0.76 19 Bug Screen 0.76 20 ]Bug Screen 0.761 1 21 Bug Screen 0.76 22 Bug Screen 0.76 23 Bug Screen 0.76 24 Bug Screen 0.76 25 Bug Screen 0.76 26 Bug Screen 0.76 27 Bug Screen 0.76 28 Bug Screen 0.76 29 Bug Screen 0.76 30 Bug Screen 0.76 31 Bug Screen 0.76 32 1 Bug Screen 0.76 EnergyPro 5.1 by Ener Soft User Number. 6712 Run Code: 2012-05-14T't1:08:58 ID: page 6 of 9 Reg: 212-N0024265A-000000000-0000 Registration Date/Time: 2012/05/14 14:39:35 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/14/2012 Electronically Signed at CalCERTS.com by Robin Lever (Fedderly & Associates) 5/14/2012 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Lyle & Sharon Waggoner Addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family [0 Existing+ Addition/Alteration Date 1511412012 OPAQUE SURFACE DETAILS Surface U- Area Factor Insulation Joint Appendix Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments __ly2e FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC2 Azm Status Glazing Type Location/Comments 33 Window 4.5 0.550 Default 0.55 Default 90 Existing Double Non Metal Tinted Exist. Residence 34 Window 48.0 0.550 Default 0.55 Default 90 Existing Double Non Metal Tinted Exist. Residence 35 Window 32.0 0.400 NFRC 0.35 NFRC 180 Altered Dual Non -Metal Tinted Exist. Residence 36 Existing 0.550 Default 0.55 Default Double Non Metal Tinted pre -altered for above 37 Window 48.0 0.550 Default 0.55 Default 1801 Removed Double Non Metal Tinted Exist. Residence 38 Window 4.5 0.550 Default 0.55 Default 180 Existing Double Non Metal Tinted Exist Residence 39 Window 2.1 0.720 NFRC 0.59 NFRC 180 Existing Glass Block Exist Residence 40 Window 2.1. 0.720 NFRC 0.59 NFRC 180 Existing Glass Block Exist. Residence 41 Window 2.1 0:720 NFRC 0.59 NFRC 180 Existing Glass Block Exist Residence 42 Window 4.5 0.550 Default 055 Default 180 Existing Double Non Metal Tinted Exist. Residence 43 Window 6.0 0.550 Default 0.55 Default 1 180 Existing Double Non Metal Tinted Exist. Residence 44 Window 15.0 0.550 Default 0.55 Default 180 Existing Double Non Metal Tinted Exist. Residence 45 Window 48.01 0.550 Default 0.55 Default 180 Existing Double Non Metal Tinted Exist. Residence 46 Window 25,01 0.550 Default 0.55 Default 270 Existing Double Non Metal Tinted Exist. Residence 47 Window 4.01 0.550 Default 0.55 Default 270 Existing Double Non Metal Tinted Exist. Residence 48 Window 4.01 0.550 Default I O. 551 Default 1 270 Existing Double Non Metal Tinted Exist. Residence (1) U -Factor Type- 2 SHGC Typm 116-A = Default Table from Standards. NFRC = Labeied Value 116-B = Default Table from Standards. NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd ove hang Left Fin Len H t I -Ext RExt Dist Len Right Fin H t Dist Len H t 33 Bug Screen 0.76 34 Bug Screen 0.76 _ 35 Bug Screen 0.76 36 Bug Screen 0.76 37 .Bug Screen 0.76 38 Bug Screen 0.76 39 Bug Screen 0.76 40 Bug Screen 0.76 41 Byg Screen 0.76 42 Bug Screen 0.76 43 Buq Screen 0.76 44 Bug Screen 0.76 45 Bug Screen 0.76 46 Bug Screen 0.76 47 IBL.Lg Screen 0.76 48 JBug Screen 0.76 Ener Pro 5.1 by EnergySofl User Number: 6712 RunCode: 2012-05-14T11.08:58 ID: Page 7 of 9 Reg: 212-N0024265A-000000000-0000 Registration Date/Time: 2012/05/14 14:39:35 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/14/2012 Electronically Signed at CalCERTS.com by Robin Lever (Fedderly & Associates) 5/14/2012 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Lyle & Sharon Waggoner Addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1511412012 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Type Area 1 -1 -Factor' SHGC Azm Status Glazing Type Location/Comments 49 Window 48.0 0 550 Default 0.55 Default 270 Existing Double Non Metal Tinted Exist. Residence 50 Window 88.0 0 550 Default 0.55 Default 270 Existing Double Non Metal Tinted Exist. Residence 51 Window 240.0 0.550 NFRC 0.39 NFRC 90 New Double Metal Tinted Exist. Residence (1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC T 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window Ove hang Left Fin Right Fin ID Exterior Shade Type SHGC H t Wd Len H t LExt RExt Dist Len H t Dist Len H t 49 Bug Screen 0.76 50 Bug Screen 0.76 51 Bug Screen 0.76 Ener Pro 5.1 t1 EnorgySoft User Number: 6712 RunCode: 2012-05-14T11:08:58 ID: Page 8 of 9 Reg: 212-NO02426SA-000000000-0000 Registration Date/Time: 2012/05/14 14:39:35 HERS Provider: CalCERTS, Inc Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 5/14/2012 Electronically Signed at CalCERTS.com by Robin Lever (Fedderly & Associates) 5/14/2012 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name Lyle & Sharon Waggoner Addition Building Type © Single Family ❑ Addition Alone ❑ Multi Family © Existing+ Addition/Alteration Date 5/14/2012 BUILDING ZONE INFORMATION System Name Zone Name Floor Area J New Existinq Altered Removed Volume Year Built HVAC Exist Exist. Residence 4,380 45,990 2000 Addition 365 3,833 Totals 365 4,3801 01 0 HVAC SYSTEMS System Name Qty. I Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC Exist 4 1 Central Furnace 80% AFUE Split Air Conditioner 12.0 SEER Setback Existing HVAC DISTRIBUTION System Name Heating Duct Cooling__Duct Location R -Value Ducts Tested? Status _ HVAC Exist Ducted Ducted Attic. Ceiling Ins, vented 4.2 m New El WATER HEATING SYSTEMS System Name Qty. Type Distribution Rated Input (Bt uh) Tank Cap. (al) Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R - Value Status Standard Gas 50 gal or Le 2 Small Gas No Pipe Insulation 40,000 50 0.55 n/a n/a Existing MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length (ft) Qt 1HP Plenum Outside Buried a 0 Q — Pipe S stem Name Length Pipe Diameter Insul. Thick- EnergyPro 5.1 by Ener Soft User Number: 6712 Run Code: 2012-05-14T11:08:58 ID: Pae 9 of 9 Reg: 212-N0024265A-000000000-0000 Registration Date/Time: 2012/05/14 14:39:35 HERS Provider: CalCERTS, Inc CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: 55490 Royal Saint George, La Quinta CA 92253 (System 1 Enforcement Agency: Permit Number: (HVAC Exist)) City of La Quinta 12-0414 Enter the Duct System Name or Identification/Tag: System 1 (HVAC Exist) Enter the Duct System Location or Area Served: zone 1 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct Leakaae Dlaanastic Test - comnieteiv new or reniacPmpnt-distt e.,ctam Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. he value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -111, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system method: Nominal capacity of condenser in Tons �5 x 400 x leakage factor = 120 CFM ❑ Heating system method: 21.7 x Output Capacity in Thousands of Btu/hr x leakage factor = CFM ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). Leakage (CFM) List Actual Leakage from duct leakage test(CFM) 111 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail Reg: 212-N0024265A-M2000005A-M20A Registration Date/Time: 2013/01/09 12:49:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: 55490 Royal Saint George, La Quinta CA 92253 (System 1 Enforcement Agency: Permit Number: (HVAC Exist)) City of La Quinta 12-0414 FeaOutside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct kage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. F0Mastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at ct connections. DECILARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the Information provided on this form is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). • The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RAZ and RA3 and the requirements specified on the Certificate(s) of Compliance (CF-1Rj approved by the local enforcement agency. • The information reported on applicable sections of the Instatlation Certificate(s) (CF -611), signed and submitted by the persons) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) A C S AIR CONDITIONING SERVICE Responsible Person's Name: CSLB License: Randy Brockman 1364956 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798721037 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1/9/2013 CC2004131 Reg: 212-N0024265A-M2000005A-M20A Registration Date/Time: 2013/01/09 12:49:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: 55490 Royal Saint George, La Quinta CA 92253 (System 2 Enforcement Agency: PermitNumber: (HVAC Exist)) City of La Quinta Enter the Duct System Name or Identification/Tag: System 2 (HVAC Exist) Enter the Duct System Location or Area Served: zone 2 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems In existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct Leakage Diagnostic Test - completely new or renlacement dart _nvgtpm Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3,1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 611/a (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -111 to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system method: Nominal capacity of condenser in Tons , x 400 x leakage factor = 120 CFM ❑ Heating system method: 21.7 x Output Capacity in Thousands of Btu/hr x leakage factor = CFM ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 116 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ pass ❑ Fail Reg: 212-N0024265A-M2000006A-M20A Registration Date/Time: 2013/01/09 12:49:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: Enforcement 1364956 55490 Royal Saint George, La Quinta CA 92253 (System 2 Agency: Permit Number: (HVAC Exist)) City of La Quinta 12-0414 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct eakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. KAMastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at ct connections. DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of Califomla, the Information provided on this form Is true and correct. • I am the certified HERS rater who performed the verification services Identified and reported on this certificate (responsible rater). • The installed feature, material, component, or manuractured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA? and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. • The Information reported on applicable sections of the Installatlen Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the Installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) A C S AIR CONDITIONING SERVICE Responsible Person's Name: CSLB License: Randy Brockman 1364956 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information Ca10ERTS Certificate # CC1-1798721037 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1/9/2013 CC2004131 Reg: 212-N0024265A-M2000006A-M20A Registration Date/Time: 2013/01/09 12:49:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: 55490 Royal Saint George, La Quinta CA 92253 (System 3 Enforcement Agency: Permit Number: (HVAC Exist)) City of La Quinta 12-0414 Enter the Duct System Name or Identification/Tag: System 3 (HVAC Exist) Enter the Duct System Location or Area Served: zone 3 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct Leakage Diagnostic Test - completely new or replacement duct system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system method: Nominal capacity of condenser in Tons 5� x 400 x leakage factor = 120 CFM ❑ Heating system method: 21.7 x Output Capacity in Thousands of Btu/hr x leakage factor = CFM ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 115 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fall For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑Fail Reg: 212-N0024265A-M2000007A-M20A Registration Date/Time: 2013/01/09 12:49:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: 55490 Royal Saint George, La Quinta CA 92253 (System 3 Enforcement Agency: Permit Number: (HVAC Exist)) City of La Quinta 12-0414 feaOutside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct kage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. RucMastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at t connections. DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the Information provided on this form Is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). • The Installed feature, material, component, or manufactured device requiring HERS verification that is identified on this Certificate (the installation) complies with the applicable requirements in Reference Resldentlal Appendices RA2 and RA3 and the requirements specified on the Certificates) of CompI[ance (CF -1R) approved by the Iocal enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) A C S AIR CONDITIONING SERVICE Responsible Person's Name: CSLB License: Randy Brockman 1364956 HERS Provider Data Registry Information Sample Group # (if applicable): N/A :Ktested/,erified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CCl-1798721037 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1/9/2013 CC2004131 Reg: 212-N0024265A-M2000007A-M20A Registration Date/Time: 2013/01/09 12:49:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: 55490 Royal Saint George, La Quinta CA 92253 (System 4 Enforcement Agency: Permit Number: (HVAC Exist)) City of La Quinta 12-0414 Enter the Duct System Name or Identification/Tag: System 4 (HVAC Exist) Enter the Duct System Location or Area Served: zone 4 Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct Leakage Diagnostic Test - completeiv new or replacement duct system Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -IR, theLeakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -111 to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system method: Nominal capacity of condenser in Tons 4 x 400 x leakage factor = 96 CFM ❑ Heating system method: 21.7 x Output Capacity in Thousands of Btu/hr x leakage factor = CFM ❑ Measured airflow method (RA3.3): Enter measured fan flow in CFM here x leakage factor = CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 33 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑Fail Reg: 212-N0024265A-M2000008A-M20A Registration Date/Time: 2013/01/09 12:49:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4111-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: Enforcement 1364956 55490 Royal Saint George, La Quinta CA 92253 (System 4 Agency: Permit Number: (HVAC Exist)) City of La Quinta 12-0414 PeaOutsideair (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct eakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and return register boots must be sealed to the drywall ® New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. 10Mastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at uct connections. DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the Information provided on this form is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) A C S AIR CONDITIONING SERVICE Responsible Person's Name: CSLB License: Randy Brockman 1364956 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in la HERS sample group HERS Rater Information Ca10ERTS Certificate # CC1-1798721037 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1/9/2013 CC2004131 Reg: 212-N0024265A-M2000008A-M20A Registration Date/Time: 2013/01/09 12:49:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009