13-0174 (GRES)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
,. Application Number: 13-00000174
` Property, Address: 78775 SAGEBRUSH AVE
APN:. 767-070-015- - -
Application description: GARAGE - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 13986
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
HOWARD, JERRY K & DOROTHY M TR
537 MARIPOSA ST
BURBANK, CA 91506
APR 12of3 Y CONSTRUCTION
41 AVi0'
BERMUDAS
CITY OF LA QUINTA, CA 92253
FLNAN�QUTAITA (760) 200-7910
CF DEPT Li�c . No.: 717813
Date: 4/11/13
' LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 700 of ivision 3 of the Business and Professionals Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License s : B License No.: 717813,
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. ..,
Date. Contractor: -
_ 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
OWNER- ILDER DECLARATION '•
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the -
Carrier STATE FUND - Policy Number 1960112710
following reason (Sec. 7031.5, Businessand Professions Code: Any city or county that -requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
an agree that, if I should becomL�subq'ect workers' compensation provisions of Section
LicenseLaw (Chapter 9 (commencing with Section 7000) of Division.3 of the Businessand Professions Code) or
n 3 00 of the Labor_C hall y with those provisions.
that he or she is exempt therefrom and the basisfor the alleged exemption. Any violation of Section 7031.5 by
any applicant for apermit-subjects the applicant to a civil penalty, of not more than five hundred dollars ($500).:
Dater •r Applt.aut��_
1—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work,`and
the structure isnot intended -or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS (M0,000). IN ADDITION TO THE. COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
. improvements are not intended or offered for sale. If, however, the -building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST; AND ATTORNEY'S FEES.
one year of completion, the owner -builder will have the burden of proving that he or she did not build,or
improve for the purpose of sale.). s
APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and -Professions Code: -The Contractors' -State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
• pursuant to the Contractors' State License Law.)•
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I ani exempt under Sec. , B.&P.C..for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
•
of La Quinta, its officers, agents and employees for any act or omission related to the work being
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:
—ERMIT
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 cou y to inter upon the above-mentioned propert �....,ecti r�purposes.
DateV, ignature (Applicant or Agen yrt.,
Application Number . . . . . 13-00000174
------ Structure Information 627SF DETACHED GARAGE/VB/U/CL-A-FR
-----
Other struct info . .
. . . CODE EDITION 2010
FLOOD ZONE NO
----------------------------------------------------------------------------
GARAGE SQ FTG
627.00
Permit. .
ELECTRICAL-CARPORT/GARAGE
Additional desc . .
Permit Fee . . . .
27.54 Plan Check Fee
6.89
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/07/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
627.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
12.54
Permit
CARPORT/GARAGE
Additional desc ...
Permit Fee . . . .
153.00 Plan Check Fee
99.45
Issue Date ..
Valuation . . . .
.13986
Expiration Date
10/0.7/13
Qty Unit Charge
Per
Extension
BASE FEE
45.00
12.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
108.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
44.00 Plan Check Fee
11.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/07/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 4.5000
EA MECH VENT INST/ DUCT ALT
4.50
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
1.00 6.5000
-----------------------------------------------------------------------------
EA MECH VENT FAN
6.50
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
46.50 P1an.Check Fee
11.63
Issue Date . . . .
Valuation
0
Expiration Date . .
10/07/13
LQPERMIT
Application Number . . . . . 13-00000174
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
r BASE FEE
15.00
3.00 6.0000 EA PLB FIXTURE
18.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
627SF DETACHED GARAGE/VB/U/CLASS A -FR
[ENGINEERED] 585SF TO BE CONDITIONED BUT
NOT PERMITTED AS HABITABLE SPACE PER CRC
AND LQMC - SEPARATE PERMIT REQUIRED.
2010 CALIFORNIA BUILDING CODES.
April 10, 2013 1:19:42 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
STRONG MOTION (SMI) - RES
1.40
Fee summary Charged Paid Credited
---------------------------------------------------------
Due.
Permit Fee Total 271.04 .00 .00
271.04
Plan Check Total 128.97 .00 .00
128.97
Other Fee Total 2.40 .00 .00
2.40
Grand Total 402.41 .00 .00
402.41
LQPERMIT
Bin.#
oty.of b. Qutfhta
Budding 8z Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Pennit #
Project Address: l✓S% O.W. Name:.
1 A
'A. P. Number. C -�-. -70 -� 15- Address: --" /v' 5
Legal Description: City, ST, Zip:
Contractor. A F9 hone Jw
Addrew:A;;: 4A LAM(Project Description:
City, ST>Zip:A v`•17 e—
�(� 22..
Telephane.244 2_c7V 14L0
State Lie. # : "City. #; c
Arch., Engr., Designer.sv
Address: f'/ - U LO
City., ST, Zip: G p� v (YL C"NAW
C. .
Telephone: v ��, G� �Q 7
State Lie. #: c
Name of Contact Person: Pjl/v—
Construction pc upancy:
project type (cucle one)( New Add'n Alter Repair Demo
Sq. Ft.: #•Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRACMG PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Celes.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Calcs.
Called Contact Person 4I Plan Cheek Balance _
Title U Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
11
2`' Review, ready for correct issu Electrical
Subcoutactor List
Called Contact Person M Plumbing
Grant Deed
Plans picked up S M.L
H.O.A. Approval
Plans resubmitted Gradiag
IN HOUSE:-
''a Renew; ready for corrections/im-c' Developer Impact Fee
Planning Approval
Calked Contact Person Y.
Pub. Wks. Appr
Date of permit issue
Sehool Fees
Total Permit Fees
J I
ErJOVEN ENGINEERING
S t r u c t u r a l
E n g i n e e r i n g
Y P.O. Box 5098 La Quinta, CA 92248-5098 (760) 408-6441
March 20, 2013
City of La Quinta
Building & Safety Department
78-495 Calle Tampico
La Quinta, CA 92253-1504
Attn: Department of Building and Safety
Re: Howard Residence Garage Addition
78775 Sagebrush
La Quinta, CA
Plan Check No. 13-0174
Subject: Roof Truss Calcs
Dear Sirs,
Job No. 13-665
RECEIVED
MAR 21 2013
CM OF Lp, QUINTA
COMMUNITY DEVELOPMENT
We have been provided with Truss Calculations prepaired by Spates Fabricators to be used for
referenced project. We have reviewed calculations and find them to be in general agreement
with the design intent for this project.
If you have further questions, please feel free to call.
Sincerely,
loven Engineering
Y
J seph R. Venuti, C.E. 41210
C: JOV EN JOBS 2013 66511OW-Ip TRUSSR-LWPO
TITLE 24 REPORT
Title 24 Report for:
Jerry Howard
78775 Sagebrush
La Quinta, CA 92253
I •ot
CITY OFTAT QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 4 to ' BY
3. Report Prepared By:
Stephen R. Nieto
South West Concepts Inc.
78-115 Calle Estado, Ste# 105
La Quinta, CA 92253
RECEIVED
MAR 21 2013.
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
Date:
03/20/2013
Prescriptive Certificate of Compliance: CF-1R ADD
Residential Additions (Page 1 of 5
Site Address:
78775 Sagebrush
Enforcement Agency:
Date:
03/20/2013
Proposed see ote
Standard
Values From JA4 Table
General Information
Project Name
Howard Shop/Garage
Climate Zone #
15
# of Stories
1
Building Type Single Family 17 Multi Family
Circle the Front Orientation:k, E> W or Degrees 45
Conditioned Floor Area of Addition
(CFA): 585
New Addition Size: Less than or equal to 100 ft2 x Less than or equal to 1000 f1:2
1 Do not use this orm for additions greater than 1000 tz
NOTE: For Alterations to an existing home, submit a completed CF-IR-ALT Form.
Exception: Existing HVAC systems that are replaced or altered to serve the addition may be included on the CF-IR -ADD Form.
PRESCRIPTIVE ENVELOPE REQUIREMENTS FOR ADDITIONS
For standard wood and assemblies meeting the Cavity R-value only.
• For 100f? additions; the Proposed values must be equal or greater than the Standard column or when indicated when using Package D,
"Pkg D ". Enter values in the shaded Proposed Columns.
• For less than 1,000 ft2 additions must comply with "Pkg D" requirements unless indicated in the Standard Column. To meet "Pkg D" minimum
energy compliance re uirements, see RCM Appendix B, Table 151-C or §152 in the RCM. Enter values in the shaded Proposed Columns.
Size of Addition
100 ft2 or less
Less than 1,000 ft2
Component
Standard Proposed Comment
Standard Pro osed
Comment
Ceiling Insulation
R-19 Minimum
Pkg D R-38
Table 151-C
Wall Insulation
R-13 Minimum
R-13 R-21
Minimum
Floor Insulation
R-13 Minimum
Pkg D N/A
Table 151-C
Fenestration
U- U-
factor SHGC factor SHGC
0.40 Pkg D Enter Values
From
"Fenestration
2
50 ft > 1� Proposed
— Areas"
Page 2 of 5
U-
factor
U-
SHGC factor
SHGC
Enter Values From
"Fenestration
Proposed Areas "
Page 2 of 5
0.40
Pkg D .4�
35
Maximum Glazing
Area
Addition Alone ft z
Enter Values From
"Addition Allowed
Fenestration Areas"
Page 3 of 5
For West-Facing ft2
Orientation2�
Radiant Barrier
N/A
Pkg D Table 151-C
Roofing
N/A See Roofing Products Below
Pkg D See Roofing Products Below771
OPAQUE SURFACE DETAILS For the furred portioned of Mass Walls see Furring Strips Construction Table below.
A B C F D
E
F G I H I
J
Proposed see ote
Standard
Values From JA4 Table
Tag/
IDS
Assembly Name
or Type 2
Framing Thickness,
Material Spacing,
and Size or Other3
U-
factor°
Framed Continuous JA4
JA4 Table Cavity Insulation Assembly
Numbers R-value6 R -Value? Cell Value
Proposed
Assembly
U-factor9
Wall
2x6 16" o.c.
151-C R-21 R-21
Roof
2x Framing 16" o.c.
151-C R-38 R-38
Garage Door
Metal -
.179
4.5.1 R-4 - A7
.179
Note: Forfurred assemblies, accountingfor Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculatingfurred walls use the Mass and
Furring Construction table below.
Registration Number:
2008 Residential Compliance Forms
Registration Date/Time: HERS Provider:
March 2010
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions (Page 2 of 5
Site Address:
78775 Sagebrush
Enforcement Agency:
1
Date:
103/20/2013
M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
1. For Tag/ID indicate the identification name that matches the building plans.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate in column G the Frame material
and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel, and etc....
4. Based on the Climate Zone; enter the equivalent U factor found in JA4 Table based on the R -Value from Table 151-C
5. Enter the Table number that closely resembles the proposed assembly.
6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ".
7. Enter the Continuous Insulation R -value for the proposed assembly, otherwise, enter "0 ".
8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J.
9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply.
FURRING STRIPS CONSTRUCTION TABLE
FOR MASS WALLS ONLY
A I B I C I D I E
F I G I H I I I J I K
L
M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
.35
2. 4050 XO SE 20
Walls From Reference
in Furring Space from Reference
3. 4050 XO NE 20
.40
Joint Appendix Table 4.3.5, 4.3.6 4.3.7
Joint Appendix Table 4.3.13
.40
.35
N
N H
C
_
N
Assembly
� �, �
V
c '� fc-
Q. R N
� c o � �
Final
Mass
Name or
JA4 Table -'�
.g
;; : o
.o �'�
o o $
o ' ¢ W
Assembly
Thickness'
T eZ
Number' ¢ >
x c
Uj L,
> 4
U-factor6'7I
Comment
n/a
1. Indicate the Mass Thickness from Reference Joint Appendix JA.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate the Frame type and Size: For
Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies.
3. Enter the Table number that closely resembles the proposed assembly.
4. Enter the row and column of the U factor value.
5. Enter the Effective R -value listed in the JA4 Table Number.
6. The Final Assembly is calculated by using Equation 4-1 or Equation 4-4 of the Reference Joint Appendix JA4. Enter the value in Column L.
7. Insert the Final Assembly U- actor value back on to the Opaque Su ace Details table in Column J.
FENESTRATION PROPOSED AREAS
Orientation
Fenestration Type and Frame (North, East, ProposedArea�
Window Glass Door or Skylight) South, West) ((ft)
Maximum
3
Maximum NFRC or
SHGC" 1,4 Default Values
1. 2030 S.H. SW 6
.40
.35
2. 4050 XO SE 20
.40
.35
3. 4050 XO NE 20
.40
.35
4. 3050 XO NW 15
.40
.35
Total 161
1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration
area may be the glass area plus a "2 inch frame" around the glass.
2. Enter value from Component Package D Requirements in Table 151-C.
3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower
SHGC value than that specified on the Fenestration Proposed Area table above.
4. Submit a completed WS -31? Form if a reduced SHGC is calculated with exterior shading.
5. If applicable at this stage enter "NFRC" or NFRC Certified windows or CEC "Default " valuesfound in Table 116-A or B.
Registration Number:
2008 Residential Compliance Forms
Registration Date/Time: HERS Provider:
March 2010
Prescriptive Certificate of Compliance: CF -1R ADD
Residential Additions (Page 3 of 5
Site Address: Enforcement Agency: Date:
78775 Sagebrush 1 103/20/2013
ADDITION ALLOWED FENESTRATION AREAS
Check applicable box below if the roof addition is exempt from the roofing product "Cool Roof' requirements. Note: If anyone of the boxes are
A
B
C
D
E
J
F
CFA of
Addition
Allowed %
Allowed Area
Area
Removed 2
Maximum
Allowed Area
Proposed Areas
Product
ft,
of CFA
(A x B)
flz
C + D
< 5lb/ft2 > 5lb/ft2
(Table Above)
Total Fenestration Area
585
0.20
117
0
117
>_
61
West Fenestration Area
585
005
2925
0
29.25
>
2 1
(Required In CZ's 2, 4 & 7 -15
D
.
.
—
l. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12.
2. Glass removed to make way for the addition.
3. For additions less than 1, 000 ft2 the standards allows glazing removed during the remodel to be added to the glazing area allowance. The
maximum allowed glazing area for the addition is the CFA x 20% + glass removed to make way for the addition.
4. In climate zones 2, 4, 7-15, no more than 5% of the CFA is allowed for west facing glazing plus west facing glass area removed to make way
for the addition. The maximum allowed west facing glazing area is the CFA x 5% + west facing glass removed to make way for the addition.
5. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas.
ROOFING PRODUCTS (COOL ROOFS) §1510912
Check applicable box below if the roof addition is exempt from the roofing product "Cool Roof' requirements. Note: If anyone of the boxes are
checked below, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in ,¢118(1) are not applicable. Do not fill
table below.
_J Roofing compliance Not Required in Climate Zones 1-12, 14, and 16 with a Low -Sloped. Less or 2:12 pitch.
D Roofing compliance Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped. Roofs pitch greater than 2:12 and product weight
less than 5lb/ft 2.
J
Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria
Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft2 is exempt from the above Cool Roof criteria.
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, check
e applicable box below if Exempt from the Roofing Products "Cool Roof' Requirement:
Roof Slope
Product Weight
Product
Aged Solar
Thermal
CRRC Product ID Number
< 2:12 > 2:12
< 5lb/ft2 > 5lb/ft2
Type 2
Reflectance3'4
Emittance
SRI
0676-0021
El
D
IM
Roof Tile
[34
0.16
0.94
16
®
0
0
D
C34
n
[3
13
11
D4
1
E
0
134
0
0
0
E
D
D
0
D
D4
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at
www. coolroofs. oMIproducts/search. ph,2.
2. Indicate the type of product is being used for the rooftop, i.e. single -ply roof, asphalt roof, metal roof, etc.
3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the
same directory and use the equation (0.2+0.7(pj,j jn j — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box if the Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI- Worksheet at http:lAvww.enerev.ca. vov/title24/and enter the resulting value in the SRI Column above
and attach acopy of the SRI- Worksheet to the CF -IR:
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in § 118(i)4. Select the applicable coating:
D Aluminum -Pigmented Asphalt Roof Coating
0 Cement -Based Roof Coating
n Other
Registration Number:
2008 Residential Compliance Forms
Registration Date/Time: HERS Provider:
March 2010
Prescriptive Certificate of Compliance: CF -1R ADD
Residential AdditionsPa e4 of 5
Site Address:7 8 7 7 5 Sagebrush_ Enforcement Agency: Date:
03/20/2013
HVAC SYSTEMS - HEATING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be
storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage
DHW heater less than 50 gallons with an energy factor greater than 0.90 maybe used. Hot water pipe insulation from the DHW heater to the
kitchens and on all under round hot water pipes is required in all component packa es in all climate zones.
Duct or Configuration
OYES I El NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Minimum
Distribution
Piping (Central, Split,
Heating Equipment
Efficiency
Type and
Insulation Thermostat Space, Package or
Type and Capacity'-'-'
AFUE or HSPF
Location'
R -Value Type H dronic
HVAC ----f
80% AFUE
Ducts /Attic
8.0 Setback Split Svstem
n/a
1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.)
2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity
< 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception.
3. Refer to the HERS Verification section on Pages 3 and 4 of the CF -JR -ADD Form for additional requirements and check applicable boxes.
4. Indicate Type or Location Ducts, H dronic in Floor, Radiators, etc.
HVAC SYSTEMS - COOLING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be
storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage
DHW heater less than 50 gallons with an energy factor greater than 0.90 maybe used. Hot water pipe insulation from the DHW heater to the
kitchens and on all under round hot water pipes is required in all component packa es in all climate zones.
Heated Slab Insulation
OYES I El NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Raised Slab Insulation
[] YES
Configuration
Cooling Equipment
Type and Capacity1,2
Minimum
Efficiency
SEER/EER or COP
Distribution
Type and
Location
Duct or Piping
Insulation
R -Value
Thermostat
Type
(Central, Split,
Space, Package or
H dronic
HVAC
13 SEER
Ducts / Attic
8.0
Setback
Split Svstem
n/a
1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc).
1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.)
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of¢150(n). The Prescriptive requirements do
2. Refer to the HERS Verification section on Pages 3 and 4 of the CF -IR -ADD Form for additional requirements and check applicable boxes.
3. Indicate Type or Location Ducts, H dronic in Floor, Radiators, etc.
WATER HEATING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be
storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage
DHW heater less than 50 gallons with an energy factor greater than 0.90 maybe used. Hot water pipe insulation from the DHW heater to the
kitchens and on all under round hot water pipes is required in all component packa es in all climate zones.
Heated Slab Insulation
OYES I El NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Raised Slab Insulation
[] YES
E]NO
External Tank
Water Heater Type/Fuel
Type'
Distribution Type
Standard, Recirculatin 2
Number In
System
Tank
Capacity (gal)
Energy Factor or
Thermal Efficiency
Insulation
R-Value3
A.O. SMITH FPS -50-224
Recirculating
1
50 gal.
62%
n/a
1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.)
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of¢150(n). The Prescriptive requirements do
not allow the installation of a recirculating water heating system for single dwelling units.
3. The water heating tank and pipes shall be insulated to meet the requirements o ¢150 ) .
SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These
items may require written justification and documentation and special verification. Applicable special features shall be marked with a YES and be
specified within the plans.
Radiant Barrier (Roof)
DYES I M NO I Required in Climate Zones 2, 4, and 8-15 for additions larger than 100 ft
Slab Edge (Perimeter) Insulation
YES )x NO I In Climate Zone 16 under Component Package D, R-7 insulation is required.
Heated Slab Insulation
OYES I El NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Raised Slab Insulation
[] YES
E]NO
In Climate Zones 1, 2, 11, 13, 14 & 16 R-8 insulation is required, and in Climate Zones 12 & 15 R-4 insulation is required
under Component Package D.
Thermal Mass - To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach.
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms
March 2010
Prescriptive Certificate of Compliance: CF -1R ADD
Residential AdditionsPa e5 of 5
Site Address:
78775 Sa ebrush Enforcement Agency: Date: 03/20/2013
HERS VERIFICATION SUMMARY - The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Se ling & Testing
HERS verification is re uired or this measure.
OYES
[2NO
In all Climate Zones, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the addition
alone, the ducts are to be sealed and tested per §15l(f)10.
OYES
In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned
E]N0
space to serve the addition, the ducts are to be sealed and tested per §152(b)1D. El EXCEPTION: Existing duct systems
that are extended, which are constructed, insulated or sealed with asbestos.
In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor
condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, the ducts
EIYES
PI
ANO
are to be sealed and tested per §I52(b)IE.
EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Refri erant Char e - Split System HERS verification is re uired or this measure.
MYES
ONO
In Climate Zones 2 and 8-15, if a newly ducted split A/C or heat pump is installed to serve the addition alone, a refrigerant
charge measurement shall be verified per § 151 7A.
OYES
EINO
In Climate Zones 2 and 8-15, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor
condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, a
'refrigerant
charge measurement shall be verified per § 152(b) IF.
Central
te
Fan Inrated Ventilation System — Airflow and Fan Watt Draw - do not apply for additions 1,000 ft or less.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow and Fan Watt Draw HERS verification is required.
EIYES
ONO
In Climate Zones 10 through 15, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the
addition alone, the airflow and fan watt draw shall be verified per §151(07B.
YES
MUD
In Climate Zones 10 through 15, if the existing space -conditioning system (HVAC equip t and ducting) is replaced and
tLui
will serve the addition, the airflow and fan watt draw shall be verified per 152(b)1F.
A111
Documentation Author's Declaration Statement , '
• I certify that this Certificate of Compliance documentation is accurate an4 co`
Name:
Stephen R. Nieto I
Signature: �y /I ,
Company: South West Concepts Inc.
aYel 3/20/2013
Address:
7Q-115 Calle Estado Ste 105
V
If Applicable EA or EPE
t
(Certification #):
City/State/Zip:La Quinta, CA 92253
Phone: 760-564-4707
Responsible Building Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• I certify that the energy features and performance specifications for the building design identified on this Cert' i to of Compliance conform
to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the inform ro ided to document this
building design on the other applicable compliance forms, worksheets, calculations, plans and specificatio itted to the enforcement
agency for approval with this building permit application.
Name: (� to hen R. Nieto
Signature:
Company: South West Concepts Inc.
te: /20/2013
Address: 78-115 Calle Estado, Ste 105
License:
City,State,Zip:La Quinta, CA 92253
Phone:760-564-4707
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300.
Registration Number:
2008 Residential Compliance Forms
Registration Date/Time: HERS Provider:
March 2010
Mandatory Measures Summa MF -1R
Residential (Pagel of3)
Site Address: Enforcement Agency: Date:
78775 Sagebrush 03/20/2013
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 -IR,
CF -IR -ADD, or CF -IR -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 -IR Form with plans.
DESCRIPTION
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 10-11l(a).
§117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed.
§118(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form.
§118(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §1 18(i) when the installation of
a Cool Roof is specified on the CF -IR Form.
1150(a): Minimum R-19 insulation in wood -frame ceiling or equivalent 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 or equivalent U -factor.
*§150(d): Minimum R-13 insulation in raised wood -frame floor or equivalent U -factor.
§150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95(2000) when specified on the CF -IR Form.
§I50(g): 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
greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
§150(e)IA: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§150(e)IB: 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.
§ I50(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.
§I 13(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 ands a heaters.
§150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA.
§ 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c).
§1500)IA: 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.
§ 1500)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.
§ 1500)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.
§ 1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A.
§ I500)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.
2008 Residential Compliance Forms August 2009
Mandatory Measures Summa MF -1R
Residential (Page 2 of 3
Site Address: Enforcement Agency: Date.
78775 Sagebrush 03/20/2013
§ 1500)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
Ducts and Fans Measures:
§150(m)l: 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 181A, or UL 181B 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)l: 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 fan systems have back draft or automatic dampers.
§150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.
§I50(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(o): All dwelling units shall meet the requirements of ANSI/ASHRAE 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 Equipment Measures:
§ 114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with 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.
§1 14(b)l: 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 or spas 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 or equipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150(p).
Residential Lighting Measures:
§150(k)l: 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 permanently installed luminaires shall be determined as specified by §130(d).
§ I50(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-C 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(d), and shall not contain a medium
screw -base socket.
§I50(k)6: 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 §I50(k)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 ft or 100 watts for dwelling units larger than 2,500 ft 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.
§ I50(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.
§I50(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high
efficacy.
2008 Residential Compliance Forms August 2009
Mandatory Measures Summa MF -1R
Residential (Page 3 of 3
Site Address: Enforcement Agency: Date:
78775 Sagebrush 03/20/2013
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 occupant sensor.
§150(k)] 1: 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 square feet located on a residential site is not required to comply
with § 150 k 11.
§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.
§ I50(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 clock not having an override or bypass switch that disables the astronomical time clock; OR an
energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be
always on
EXCEPTION 2: Outdoor luminaires used to comply with Exception] to §I50(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.
§I50(k)14: 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).
§ I50(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)16: 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.
2008 Residential Compliance Forms August 2009