09-0870 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
09-00000870 .
78067 SAN TIMOTEO ST
646-160-005- - -
REMODEL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
180000
Architect or Engineer:
BUILDING PERMIT
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.
Licen a Cie s: B License No.: 442118
i
Date: L tractor: -
OWNER-BUI CLARATION
I here y affirm under penalty of perjury that I am exempt fro a Contractor's State License Law for the
following reason (Sec. 7031.5, 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 civil penalty of not more than five hundred dollars ($500)•:
(_ 1 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.).
(_) 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. B.&P.C. for this rea;on
Date:
t CONSTRYCTION LENDING AGENCY
I hereby affirm under penalty of peryury t at there is aAnstruction 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
Owner:
MIKE & SUSAN BURKHART
9707 S. KNOXVILLE AVE.
TULSA, OK 74137
Contractor:
KENNEDY CONSTRUCTION, T.A.
48751 SAN PEDRO STREET
LA QUINTA, CA 92253
(760)564-4660
Lic. No.: 442118
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/24/09
EP ? 4 2?a9
i
CITY LA a , ,
Fdp►gz�,�t� LIWA
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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.
x I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are: -
Carrier STATE FUND Policy Number 0026464-2008
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
700 of the Labor Cod , all forthwith comply those provis' ns.
cant:
WAR NG: RE TO SERE KERS' COMPENS ION COVERAG LAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO MINAL PENALTIES AN CIVIL FINES 0 ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR -CODE, INTEREST, AND ATTORNEY'S FEES. .
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 gree to comply with all
city and county ordinances and state laws relating to building construction, and eby a orize representatives
of this cou to `ter upon thea ove-mentioned property r inspection p ses.
Sign e (Applicant or Agen
Application Number . . . . . 09-00000870
Structure Information
Construction Type . .
. . . TYPE V, UNPROTECTED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2007
----------------------------------------------------------------------------
# BEDROOMS
.00
PermitELECT
- ADD/ALT/REM
Additional desc .
Permit Fee . . . .
15.00 Plan Check Fee
3.75
Issue Date . . . .
Valuation . . . .
0
Expiration Date
3/23/10
Qty Unit Charge
Per
Extension
-----------------------------------------
BASE FEE
-----------------------------------
-------------------------------PermitBUILDING
15.00
Permit. . . .
BUILDINGPERMIT
Additional desc .
Permit Fee
919.50 Plan Check Fee
597.68
Issue Date
Valuation
180000
Expiration Date
3/23/10
Qty Unit Charge
Per
Extension
BASE FEE
639..50
80.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
280.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
135.00 Plan Check Fee
33.75
Issue Date
Valuation . . . .
0
Expiration Date
3/23/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4.00 9.0000
EA MECH FURNACE <=100K
36.00
4.00 4.5000
EA MECH VENT INST/ DUCT ALT
18.00
4.00 16.5000
----------------------------------------------------------------------------
EA MECH B/C >3-15HP/>100K-500KBTU
66.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
42.00 Plan Check Fee
10.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
3/23/10
LQPERMIT
Application Number . . . . . 09-00000870
Permit . . . . . PLUMBING
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 6.0000 EA PLB FIXTURE
12.00
3.00 3.0000 EA PLB FIXTURE DRAIN/VENT REP/ALT
9.00
2.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
6.00
----------------------------------------------------------------------------
Special Notes and Comments
REMODEL TO EXISTING 4,416 SF RESIDENCE.
FIREPLACE ADDED TO MSTR BEDROOM & FAMILY
ROOM. 23 SF ADDED TO KITCHEN. NEW SHOWER
AND TOILET TO BATHRM NEAR GARAGE. 2007
CODES.
-------------------------------------------------------------------
Other Fees . . . . BLDG STDS ADMIN (SB1473)
---------
8.00
ENERGY REVIEW FEE
59.77
STRONG MOTION .(SMI) - RES
18.00
Fee summary Charged Paid 'Credited
Due
---------------------------------------------------------
Permit Fee Total 1111.50 .00 .00
1111.50
Plan Check Total 645..68 .00 .00'
645.68
Other Fee Total 85.77 .00 .00
85.77
Grand Total 1842.95 .00 .00
1842.95
LQPERMIT
r�?
A
City Of La Quinta
Building &r Safety Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
w
Building
Permit Application and Tracking Sheet
',Project'ABdtess:
Ovmec' N me: Mvt-
VL
A. P. Number:
Address -710 oce-7 S>o T1!w,,0o4,,r,
Legal Description:
Contractor:
,
City, ST, Zip: 1--1a U ��„-
/'
225 3
Telepho -e-:
c
Address: `-C'b `� �
I S In iV ✓Lo
!;:r..,....,_ . �, ,
Project Description:
JSL
City, ST, Zip:
Telephone:SIN
b
=•4-<,' ,»'r'
State Lic. # : 4 l 2- (V
City Lic. #;
J
Arch., Engr., Designer:
I!�'W
s-
Address: L
0 C
C,
City,, ST, Zip: d i
Lf (,Q,S
Telephone: .2
k
o con Occupancy:
type:
State Lic. #:
-
s. • : 'l. °% : ` , • .•^'�s Project type (circle one): New Add'n ter
Repair Demo
Name of Contact Person:
i V-- L� Sq. FL: 22 , > #Stories: (
It Units:
Telephone # of Contact Person:—
L•i 4 Estimated "Vilue"of Project: i�
/! �, C2
(9Q r q
APPLICANT: DO NOT WRITE. BELOW THIS LINE
#
Submittal
Req'd
Rec'.d
TRACIONG
PERMIT
FEES
Plan Sets
. Plan Check submitted g
Item
Amount
Structural Cafes.
—2--�-
Reviewed, ready for corrections
Plan Check Deposit
Plan Check Balance
Truss Cafes.
Called Contact Person
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted /
Mechanical
Grading plea
2' Review, ready for correction slue
Electrical
Plumbing
S.M.I.
Subcontactor List
Called Contact Person
•
Grant Deed
Plans picked up.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
3" Review,.ready for correctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
A
Total Permit Fees
09/21/2009 11:27 FAX 17605649548 Sharon CWLT IA 002/003
DOC # 2009•-0126226
RECORD11110 REQUESTED BY:03/16/2008
08:008 Fera:12.00
Lrwyan Tlpe•IE
t Page t of Z Doe T Tax Paid
Recorded in Official Reeorda
'
WHEN RECORDED MNL TM19 DOCUMENT
-. County of Riverside -'
•'
AND TAX STATEMENTS TO:
tarry U. nerd
Assessor, Ccunly Clerk 5 Recorder
Burkhart and Susan Burkhartkhan
1111111
IIIIVIIIB�.I�OIIII�II�VIIIIII�'IMika
'TL.tL.SR , AVL •1�1'J�
4
S R U PAGE1 SIZE DA MISC LONG RFD COPY
+ '.
Order NO.: 68611182
1♦
Escrow No.: P10100007 -CM
W-1160.0005
M A L 465 ' 4211 C NCOR F NCMG
�AP.N.::
'
Z-' O W �.I
IX�CO'
T: C UNI
r^
GRANT OEEp
THE UNDERSIGNED GRANTOR(S) DECLARES) 7 �f
DOCUMENTARY TRANSFER TAX IS $1100.00 y `'
® Cily of La Quints
FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, m ti :•,.
Gene Juarez, Successor Trustee of the George H. Jacobson Revocable Trust Ulf/A dated August 28, 2005'—
hereby GRANT(S) to Illicbael W. BurtUrt and Susan R. Burkhart, Trustees of the Micbael
Wayne Burkhart Trust UTA Dated 6/13/02 a
the following described real property In the County of Riverside, State of California ^'
Lot 5 of Block La Duinta Golf Estates No. 2, In the City of Le Oulnta, County of Rlverslde, State of
'
California, as per map recorded in Book 38, Page(s) 26 and 27 or Miscellaneous Maps, in the office
of the County Recorder of said County. '
Dated- Mar 3, 2009
State of
County of } ss �a:..• f ��
t. .
On 4,66L010tbefore ma
a No ry Publ'c, rso NY appeared the Ge a H. Jacobsen Revocable Trust U1T/A
���Al��ii�E�r org
010180 Augu 29, 2006
who proved to me on the basis of satisfactory evidence to be
y• a e Ju ez, Sutxessor Trustee
the parsonje� whose nemoorie{at6 subscribed to the within -
�
t
(n�t►umenI and acknowled9 to me that hehooll�i - '
executed the some in hie��dlr authorized cepacit4604
and that by hLj01tpefr signatur A on the instrument the
person( or the entity upon behalf of which the pemort{ef
acted, executed the Instrument. Irr'r� •""�.� i =
+.' 'r:
I certify under PENALTY OF PERJURY under .the laws of llrr'C,'! ;••• G '+ .
v; A
,• °
1118 State of feftt the foregoing paragraph Is true `�tt �: �� •�
/eOFTpeJ
�.
and correct. C�AJiY.�Z
WITNESS
my hand and official seal..
o
51 ndN `_NJ►'' ;7 b• �'� ��, <tr
g zglF' \�r11t� , a 1. ,• ,g
Signa re Of N tery
:4Thi9 er68 for+Cffioi 11 nolory beaj)
^
MAla STATEMENTS AS DIRECTED ABOVE
e .
'
w7 *��x Public Record
09/21/2009 11:28 FAX 17605649548 Sharon CWLT 003/003 a
• r
ILLEGIBLE NOTARY SEAL DECLARATION
GOVERNMENT CODE 27381.7
I CERTIFY UNDER PENALTY OF PERJURY THAT THE NOTARY SEAL ON THE '
DOCUMENT WHICH THIS STATEMENT IS ATTACHED. READS AS FOLLOW:
NAME OF NOTARY:
COUNTY WHERE BOND IS FILED:
• Al-- 1J
DATE COMMISSION EXPIRES:
PLACE OF EXECUTION OFTHE
gDECLARATION: SAN BERNARDINO
—
DATE: 13r-6 L
COMMISSION NUMBER:
SOT
l
LU ORNELAS t
TITLE ASSISTANT
Public Rewtd
09/21/2009 11:27 FAX 17605649548
Printed: 9/21/Zoog 10:15 28 AM PST
Searched- 9121/2009 10:14-W AM
Printed By dijohnson
Sharon CWLT
J
TITLEEPPOINT
Tax Search
Riverside, California
Asse3soes Parcel 646-160-005-0
Tax Year. 2008-2009
Payment as of: 09111/2009,
APN: 646-160-005-0
Described As: LOT 5 MB 038/026 LA QUINTA GOLF ESTATES 2
Address: 78067 SAN TIMOTEO LA QUINTA 92253
City: LA QUINTA
Billing Address: 2700 SE TACOMA ST PORTLAND OR 97202
Assessed Owner(s): JACOBSEN GEORGE H
Mailing Name(s): JACOBSEN, GEORGE H TR
! 001/003
Order: Non -Order Seamh i
Co: Lawyers Title Insuranca Compaq
Dept. 6316 -RIVERSIDE OPS CRN: 0006300016
TO: 01
Created By: Diane Johnson
Tax Rate Area:
020-002
Value
68-1859
Conveyance nate:
FEB 2007
Use Code:
RI
Land:
Improvements:
393,641.00
590,461.00
Conveying Instrument:
Date Transfer Acquired:
120449
Single family residentiAl
Region Code:
COACHELLA VALLEY MOSQUITO AND RIFA
Personal Property:
Fixtures
68-4612
Vesting:
Year Built:
NO
Flood zone:
Inventory:
Year Last Modified:
Zoning Code:
Taxability Code:
0-00
Exemptions
Tax Rate: 1.13985%
Homeowner:
Inventory:
Square Footage
Land: ;
Personal Property:
Improvements:
Religious:
Bill 13:
0457957
All Other:
Tax Defaulted:
Issue Date:
I
Nei Taxable Value:
984,102.00
Total Tax:
11,353.44
Installment Amount Penalty Due Date Status Payment Date Balance
1st 5,676.72 567.64 12/10/2008 PAID 12/10/2008 0.00
2nd 3,676.72 598.64 04/10/2009 PAID 03/18/2009 0.00
0.00
Account
Special Lien Description
Amount
68-1859
COUNTY SERVICE AREA
9.98
68-2373
CITY OF LA QUINTA LDS & LTG
' 35.60
68-2376
CITY OF LA QUINTA WASTE DISPOSAL
70.14
68-4556
COACHELLA VALLEY MOSQUITO AND RIFA
10.54
68-4612
CHCL VLY, AD 93-1 MNT FEE MLL-RS EXP
9190
END OF REPORT +«w
r
Page 1 of 2
La Quinta Golf Estates
Community Association
Architectural Committee
P.O. Box 553
La Quinta, CA 92247
(760) 564-0136
September 14, 2009
Mr. Tom Kennedy
48-751 San Pedro Street
La Quinta, CA 92253
Dear Mr. Kennedy:
The Architectural Committee for the La Quinta Golf Estates Community- Asspciation has
reviewed the plans that you submitted for the following modifications to the Burkhart' .
home at 78-067 San Timoteo Street — adding a new chimney, installing a new fixed glass
panel, and changing the existing 8 foot slider to a 10 foot slider. These modifications are
approved and I I have stamped the plans indicating our approval that I am returning to
you at this time.
Please remember that the approval is for these modifications only and if you make any
changes to your plans or other modifications they will have to be resubmitted for
approval.
Yours truly,
mie D. Woods
hairman, Architectural Committee
`'• ..+y•' , "hr+f.. 5A ti L k:.�.e. ,..F .. R'.,T.L•s s ,.. .+ .r S..' '.y •y..l'"-..� .o»;!f
+. 9r �nvl5=.y'x l# r�.J'1�,1w'^A•<•'..ewrwEr.
TitIe�24 ReDO
CEC Approved 2005, Building Energy Efficiency
1 Standards
Job Name.
1 Burjhart Existing + Addition/Alteration
78-067 San' Timoteo Street
' La Quinta,. CA 92253
Prepared For
1 Walling & McCallum Limited
1 Prepared By
Dave Bricker C I TY OF .LA Q U I N TA
1
Energy Consultant
BUILDING & SAFETY DEPT
APPROVED
1 FOR CONSTRUCTION
23 V9E�
1 DATE BY
ENERGY DRIVEN SOLUTIONS INC
CAL TITLE 24 REPORTS MANUAL D DUCT DESIGN NCI CERTIFIED AIR BALANCING
P. O. Box 6705 LA QUINTA, CA 92248 760-541=9025 FAx 760-775-4723
CHEERS 81CALCERTS CERTIFIED HERS RATER .ENERGYDS@EARTHLINK.NET CABEC CERTIFIED ENERGY ANALYST
1
TITLE 24 REPORT
Title 24 Report for:
Burkhart Existing + Addition/Alteration
78-067 San Timoteo Street
La Quinta, CA 92253
Project Designer:
Walling & McCallum -Limited
48-190 Club Drive
Indian Wells, CA 92210
760-360-0250
Report Prepared By:
Dave Bricker
Energy Driven Solutions Inc
P. O. Box 6705
La Q u i nta, CA 92248
(760) 541-9025
Job Number:
070820096
Date:
9/10/2009
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC - www.energysoft.com.
EnergyPro 4.4 by EnergySoft Job Number: 07082009B User Number: 6168.
TABLE OF'CONTENTS '
' Cover Pae
9
Table of Contents
' Form CF-1 R Certificate of Compliance -
Form MF-1 R Mandatory Measures Summary
' HVAC System Heating and Cooling Load•S
summary
I
User Number: 6168
l
Certificate Of Compliance : Residential (Part 1 of 4) CF -1 R
Burkhart Existing + Addition/Alteration 9/10/ OOA
Project Title Date
78-067 San Timnteo Street I aQuinta
Project Address Building Permit #
Fnerav Driven Solutions Inr (760) 541-9025
DocumWiltation Author Telephone Plan Check/Date
FneraVPro GA (AmaatP Tont- 15 Field Check/Date
CompliNtice Method Climate Zone
TDV
Standard
Proposed
Compliance
(kBtu/sf-yr)
Design
Design
Margin
Space Heating
2.54
2.79
-0.25
Space Cooling
117.08
109.63
7.45
Fans
16.93
15.59
1.35
Domestic Hot Water
7.07
7.18
-0.11
Pumps
0.00
0.00
0.00
Totals
143.63
135.18
8.45
Percent better than Standard:
5.9%
Building Type: Y Single Family
❑ Multi Family
Building Front Orientation:
Fuel Type:
Fenestration:
2
❑ Addition
Q Existing + Add/Alt
(NE) 45 deg
Natural Gas
Area: 1,248 ft Avg. U:
Ratio: 25.5% Avg. SHGC:
BUILDING ZONE INFORMATION
Zone Name Floor Area
0.76
0.68
Total Conditioned Floor Area:
Existing Floor Area:
Raised Floor Area:
Slab on Grade Area:
Average Ceiling Height:
Number of Dwelling Units:
Number of Stories:
4,900 ft2
4,877 ft2
0 ft2
4,900 ft2
11.1 ft
1.00
1
# of Thermostat Vent
Volume Units Zone Type Type Hgt. Area
Zone I HVAC ? 609 1609 _0 33_ Conditioned —Setback_ _2 —D/
7nne 2 HVAr 1 853 22 051 n 3R CnnditinnPd Setback
Zone 3 HVAC 1 046 1411 0_21 Condition -d S -thack _2 n/a
Zone 4 HVAC 391 3 910 nng Conditioned Sethack _� n/a
OPAQUE SURFACES Insulation Act. Gains Condition
Type Frame Area U -Fac. Cay. Cont. Azm. Tilt Y / N Status JA IV Reference Location / Comments
Rpnf Wnnd 1 609 0093 R-38 R-3 5_2?5 _n ®❑Fxigting n1 -A18 7nne 1
Wall Wnnd 162 0074 R_19 R-Qn 1 11!_g0 ® ❑Fx_ icing 09-A5 7nne 1
Wall Wnnd 27 0.074 R-19 R_n n 1gn _SQ ® ❑Existing O9 -A5 7nne 1
Wall -Wpnd 74 0074 R_19 R -n n 11.9; _90 ®❑Fxisting 09_A5 7nne 1
Wall Wnnd .' _0074_ R-19 R -00225 A0 ® ❑Fxisting 09-A5
7nne 1
Wall Wood 3n n n74 R-19 R-0 n 135 _g0 ® ❑Fxisting MAS 7nne 1
Wall— Wnnd 4n 0 074 R=19 R_n n _�An ®❑Fxisiing 09-A5 7nne 1
Wall Wnnd 130 n 074 R_19 R -n n 315 _g0 ®❑Fxigting n9 -A5 7nne 1
Wall Wend 5 0 074 R-19 R_n n _225 qn ® ❑Fxisting n9 -A5 Zone 1
Wall Wnnd 93R 0.074 R_19 R_n n 315 _9n ® ❑Fxisting n9 -A5 Zone 1
Call Wood 27 0074 R-19 R_n n _2_80 ® ❑Fxisting 09-A5 7nne 1
Wall Wood Int 0 074 R_19 R -n n 315 _90 ® ❑Fxisting 09 -Ar, 7nnp 1
Wall Wnnd 126 0 074 R_19 R_n n _n An ® ❑Fxisting n9 -A5 7nne 1
Wall Wnnd 169 0074 R_19 R_nn 1119; An ® ❑Fxisting n9 -A5 7one1
Rnof Wnnd 1 853 0 073 R_38 R_3 5 225 0 ®❑Fxisting 01 -AIR 7nnp 2
Wall Wnnd 34 n n74 R-19 R n n 315 _g0 ® ❑Fxisting 09-A5 7nne 2
Wall Wand 108 n 074 R_19 R -n n _n 9n ® ❑Fxisting n9 -A5 7nnp 2
wall Wnod 204 _0 074 R_19 R_n n 315 An ® ❑Fxigting n9 -A5 7nne 2
Wall Wood 134 _0 074—R-iq R -n n 41-9() ® ❑Fxisting MAS 70np 2
Wall Wnnd 70 0074 R-19 R_n n 135 _g0 ® ❑Fxisti g n9 -A5 Zone 2
Wall Wnnd 25 0074 R-19 R_n 4_45 _90 ® ❑Fxisting 1)9-A5 7nnp 2
Wall Wnnd 36 n_074 R-19 R_n_n 135 g0 ® ❑Fxisting 09-A5 7nne 2
Mall_ Wnnd 15 _0 074 R-19 R-0.0 45 90 ® ❑Fxisting 09-A5 7nnp 2
Coop None 54 n 500 Nnnt, R -n n _4$__g0 ® ❑Fxisting 2R -A4 7nnp 2
Wall Wnnd 16 —D—O74— R-19 R -n n gam 9n ® ❑Fxisting ng -A5 7nne 2
EnergyPro 4.4 by EnergySoft User Number: 6168 Job Number 07082009B Paae:3 of 16
Certificate Of Compliance : Residential (Part 1 of 4) CF -1 R
Rurkhart Existing + Arldition/Alteration 9/10/ 00
Project Title Date
78-067 San Dmoteo Street I a Quffinta
Project Address Building Permit #
Fnernv nriven Snli inns Inc 760) 541-9025
DocurnWritation Author Telephone Plan Check/Date
FneravPrn ('A rlimnte 7nne -1-5 Field Check/Date
CompliNdce Method Climate Zone
TDV
(kBtu/sf-yr)
Space Heating
Space Cooling
Fans
' Domestic Hot Water
Pumps
Totals
Percent better than Stai
BUILDI
Standard
Design
2.54
117.08
16.93
7.07
0.00
143.63
Proposed
Design
2.79
109.63
15.59
7.18
0.00
135.18
Building Type: (XX. Single Family ❑ Addition
❑ Multi Family Q Existing + Add/Alt
Building Front Orientation:
(NE) 45 deg
Fuel Type:
Natural Gas
Fenestration:
Area: 1,248 ft2
Avg. U: 0.76
Ratio: 25.5%
Avg. SHGC: 0.68
BUILDING ZONE INFORMATION
Zone Name
Floor Area Volume
OPAQUE SURFACES Insulation Act.
Type Frame Area U -Fac. Cay. Cont. Azm. Tilt
Wall Wood 39 n 074 —R-19 —0_0 49; gn
Wall Wnnd 2S n n74 R_19 R -0 n925 g0
Wall Wnnd n n n74 R_19 R_n n 1Rn An
Wall Wnnd 2n 0 n74 R_19 R -n n?7n gn
Wall Wnnd Ad n n74 R_19 R n_n 27n _gn
Rnnf Wnnd 1 024 0023 RR -38 RR -3 S X25 0
Wall Wppd 39 n 074 R_19 R -n n 45 go
Wall Wood 23 n 074 R_19 R_n n f) gn
Wall Wnnd 111 n n74 R_19 R n n 315 _g0
Wall Wnnd 92 n n74 R-19 R -n 0 31.1; Af1
Wall Wood an n 074 R_19 R_n n _0 gn
npor Nnne 2n 0 5nn NnnP R—n n _n An
Wall Wnnd 94 n n74 8-19 _R-0 n 135 A0
Wall Wnnd 91 0 074 R_19 R_n n 1An i9n
Wall Wnnd 7n n n74 R-19 R_n n 45 An
Wall Wnnd inn n n74 R-19 R_n n 135 _g0
Wall Wood 2n n n74 R_19 R -n n 925 g0
Wall Wood 1A nn74—B_11R-00 13`9; gn
Wall Wood 4n n74 R-19 R -n 0 —22590
Wall Wnnd 4n _0 074 R_19 R -n n 27n gQ
Rnnf Wnnd 22 n n2- R_38 R -n n 725 0
Wall Wnnd 67 n n74 R-19 R -n n 13S _gn
Roof Wnnd 391 n n9l R_3g R-3.1; 29.9; _0
Wall Wnnd 150 n 074 R_19 R -n n 0 cin
Wall Wnnd R n 074 R_19 R -n n 135 g0
Compliance
Margin
-0.25
7.45
1.35
-0.11
0.00
8.45
Total Conditioned Floor Area:
Existing Floor Area:
Raised Floor Area:
Slab on Grade Area:
Average Ceiling Height:
Number of Dwelling Units:
4,900 ft2
4,877 ft2
0 ft2
4,900 ft2
11.1 ft
1.00
Number of Stories: 1
# of Thermostat Vent
Units Zone Type Type Hgt. Area
Gains Condition
Y / N Status JA IV Reference Location / Comments
® ❑Fxistinq n9 -A.1; 7nne 2
® ❑Fxistinn n9 -AS 7onp 2
® ❑Fxisting 09-A5 7nnP 2
® ❑FA,tjpg n9 -A5 7nnP 2
® ❑Existing 09-A5 7nne 2
® ❑Fxisting 01-A1A 7nnP 3
® ❑Fxisting 09 -AS 7nne 3
® ❑Fxisleng 09 -AS 7nne 3
® ❑FAMEng 09 -AS 7nnP 3
® ❑Fxis_ting n9 -AS 7nne 3
® ❑Fxistlpg MAS 7nne 3
®❑Fxisting 2$-A4 7nne 3
® ❑Fxicting 09 -AS 7nne 3
® ❑Removed 09-A5 7nne 3
IN ❑Removed 09-A5 7nne 3
® ❑Existing MAN, 7nne 3
® ❑Fxisting n9 -A5 7onp 3
® ❑Existing 09-A5 7onp 3
®❑Fxigtjng 09-A5 7nne 3
® ❑Fxistine MAN 7nnP 3
® ❑New 01-AlR / 7nne 3
®❑New 09-A5 7nne 3
® ❑Fxicti 9 n1 -A18 Zone 4
® ❑Fxisfing 09 -AS 7nne 4
® ❑FxastLg 09-A5 7nne 4
EnergyPro 4.4 by EnergySoft User Number: 6168 Job Number: 070820098 Page:4 of 16
Certificate Of Compliance: Residential I (Part 1 of 4) CF -1 R
_
9/10/2009
Date
Building Permit #
Plan Check/Date
Field Check/Date
TDV
Standard
Proposed Compliance
ft 2
(kBtu/sf-yr)
Design
Design _
i Margin
Space Heating
2.54
2.79
-0.25
Space Cooling
117.08
109.63
7.45
Fans
16.93
15.59
1.35
Domestic Hot Water
7.07
7.18
-0.11
Pumps
0.00
0.00
; 0.00
Totals
143.63
135.18
f 8.45
Percent better than Standard:
## of Thermostat
Floor Area Volume Units Zone Type Type
I
I
Vent
Hgt. Area
Building Type: Single Family
❑ Addition I
Total Conditioned Floor Area:
4,900
ft 2
❑ Multi Family
[X_1 Existing + Add/Alt Existing Floor Area:
4,877
ft2
Building Front Orientation:
(NE) 45 deg Raised Floor Area:
0
ft2
Fuel Type:
Natural Gas Slab on Grade Area:
4,900
ft2
Fenestration:Average
Ceiling Height:
11.1
ft
Area: 1,248 ft
Avg. U: 0.76 Number of Dwelling Units:
1.00
Ratio: 25.5% f Avg.
SHGC: 0.68 Number of Stories:
1
BUILDING ZONE INFORMATION
Zone Name
## of Thermostat
Floor Area Volume Units Zone Type Type
I
I
Vent
Hgt. Area
I
i
OPAQUE SURFACES Insulation Act. Gains Condition
Type Frame Area U -Fac. Cay.
Cont. Azm. Tilt Y / N Status JA IV Reference Location / Comments
Wall wnOd 120 0074 R-19 -n n 1'15 —SII� ❑❑FYiiting o9 -AS Znne 4
❑ ❑ i
❑ ❑ I
❑ ❑ I
F] F-1 I
❑ ❑ i
❑ ❑ i
❑ ❑
❑ ❑
❑ ❑
❑ ❑ I
❑❑ i
❑❑ !
❑❑ l
F1 F-1 i
F1 F-1 i
❑❑ i
❑❑
❑❑ I
❑ ❑i.
F1 f-1 I
EnergyPro 4.4 by EnergySoft User Number: 6168 Job Number 07082009B Page:5 of 16
Certificate Of Compliance : Residential
(Part 2 of 4) CF-1 R
Burkhart Existing + Addition/Alteration
9/10/2009
Project Title
Date
FENESTRATION SURFACES
True Cond.
Location/
#
Type
Area U-Factorl SHGC2
Azm. Tilt Stat. Glazing Type
Comments
.J_
Windnw I eft
(yE)q6 p0_780 11 S-A _0.10 116-FS 131, -p_ Existing Dnuhle Metal Apar
7nne 1
2
Window Rear
(SW) 36.0 0.790 116-A 0_70 116-B
225 90 Existing Double Metal Clear
Zone 1
L
Window Right
(N) 80.0 0.390 NFRC 0_37 NFRC
0 90 New Milgard Classic Low-E Vial Zone 1
4
Window Rear
(SW) 36.0 0.790 116-A 0_70 116-B
225 90 Existing Double Metal Clear
Zone 1
5
Window Right
(NW) 22.5 0.790 116-A 0_70 116-8
315 90 Existing Double Metal Clear
Zone 1
Sz
Window Right
(NW) 24.0 0_790 116-A 0_70 116-B 315 _ 0 Existing Double Metal Clear
Zone 1
L
Window Right
(NW l 24.0 0_790 116-A -0-Z0 116-B 315 -9Q Existing Double Metal Clear
lone 1
8
Window Right
(NW) 24.0 0.790 116-A 0_70 116-B
315 90 Existing Double Metal Clear
Zone 1
_
Window Right
(NW) 24.0 0=790 116-A 0=70 116-8 315 --K Existing Double Metal Clear
Zone 1
-M
Window Right
(NW) 56.0 0=790 116-A -02-0 116-8 315 �0 ExLgti t Double Metal Clear
lone 1
-1
Window Right
(NW) 19.5 0_500 116-A 0_67 116-8 315 90 Existing Default Glass Block
Zone 2
12
Window Right
(NW) 36.0 0.790 116-A 0470 116-8
315 90 Existing Double Metal Clear
Zone 2
13.
Window Front
(NE) 180 0_790 116-A 0_70 116-B 45_ gip_ Existing Double Metal Clear
Zone 2
14
Window Front
(NE) 18.0 0.790 116-A 0_70 116-B
45 90 Existing Double Metal Clear
Zone 2
15
Window Left
(SE) 36.0 0.790 116-A 0_70 116-B
135 90 Existing Double Metal Clear
Zone 2
16
Window Left
(SE) 64.0 0.790 116-A 0_70 116-B
135 90 Existing Double Metal Clear
Zone 2
17
Window Front
(NE) 15.0 0.790 116-A 0_70 11R-R-R
45 90 Existing Double Metal Clear
Zone 2
18
Window Front
(NE) 42.0 0.790 116-A 0_70 116-B
45 90 Existing Double Metal Clear
Zone 2
12
Window Front
()a 36.0 0_790 116-A 0_70 116-8 90_ gn Existing Double Metal Clear
lone 2
1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 11613.
INTERIOR AND EXTERIOR
SHADING
#
Window
Overhang Left Fin Right Fin
Exterior Shade Type SHGC H t. Wd.
Len H t LExt RExt Dist Len H t Dist Len H t
1
Bug Screen
0.76 8.0 12.0
2.0 0.1 2.0 2.0
2
Bug Screen
0.76 9.0 4.0
2.0 0.1 2.0 2.0
3
Bug Screen
0.76
4
Bug Screen
0.76 9.0 4.0
2.0 0.1 2.0 2.0
5
Bug Screen
0.76 9.0 2.5
2.0 0.1 2.0 2.0
6
Bug Screen
0.76 6.0 4.0
2.0 0.1 2.0 2.0
7
Bug Screen
0.76 8.0 3.0
2.0 0.1 2.0 2.0
8
Bug Screen
0.76 6.0 4.0
2.0 0.1 2.0 2.0
9
Bug Screen
0.76 8.0 3.0
2.0 0.1 2.0 2.0
10
Bug Screen
0.76 8.0 7.0
2.0 0.1 2.0 2.0
11
Bug Screen
0.76 6.5 3.0
3.0 0.1 2.0 2.0
12
Bug Screen
0.76 9.0 4.0
2.0 0.1 2.0 2.0
13
Bug Screen
0.76 9.0 2.0
3.0 0.1 2.0 2.0
14
Bug Screen
0.76 9.0 2.0
3.0 0.1 2.0 2.0
15
Bug Screen
0.76 9.0 4.0
2.0 0.1 2.0 2.0
16
Bug Screen
0.76 8.0 8.0
2.0 0.1 2.0 2.0
'
17
Bug Screen
0.76 7.5 2.0
10.0 0.1 10.0 10.0
18
Bug Screen
0.76 2.0 21.0
6.0 0.1 6.0 6.0
19
Bug Screen
0.76 9.0 4.0
6.0 0.1 6.0 6.0
' THERMAL MASS
FOR HIGH MASS DESIGN
Area Thick.Heat Inside
Condition
Location/
Type
(sf) (in.) Cap. Cond. R-Val.
JA IV Reference Status
Comments
PERIMETER LOSSES Insulation
Condition
Location/
Type
Length R-Val. Location
JA IV Reference Status
Comments
Run Initia i • 09/1
11:36:36 Run Code: 1252607796
EnergyPro 4.4 by Energysoft User Number: 6168
Job Number: 07082009B
Page:6 of 16
Certificate Of Compliance: Residential (Part 2 of 4) CF -1 R
Burkhart Existing + Addition/Alteration 9/10/2009
Project Title Date
FENESTRATION SURFACES
'
#
Window
True Cond.
Location/
#
Type
Exterior Shade Type
SHGC
Area U-Factorl SHGC2 Azm. Tilt Stat. Glazing Type
Comments
20.
Window
Rear
(,RW)
107
079 116-A 07 116-8
_995 __gp_ Fxistinq DrnihlP Metal C`IPar
7nnP 9
' 21
Window
Left
(S)
36.0
0.790 116-A 0_70 116-6
180 90 Existing Double Metal Clear
Zone 2
22
Window
Left
(S)
80.0
0.790 116-A 0_70 116-B
180 90 Existing Double Metal Clear
Zone 2
23
Window
Left
(S)
40.0
0.790 116-A 0_70 116-B
180 90 Existinq Double Metal Clear
Zone 2
2A
Window
Rear
(W)
40.5
0.790 116-A 0_70 116-B
270 90 Existinq Double Metal Clear
Zone 2
25
Window
Right
(N)
36.0
0_790 116-A 0_70 116-B
_�90 Existing Double Metal Clear
Zone 3
'
2rz
Window
Left
ASF:
22.5
0=790 116-A 0_70 116_B
135 SO Existing Double Metal Clear
Zone 3
27
Window
Left
(SE)
44.0
0.790 116-A 0_70 116-B
135 90 Existing Double Metal Clear
Zone 3
2$
Window
Rear
(,SW)
90.0
0=790 116-A 0_70 116-8
225 qn Existing Double Metal Clear
Zone 3
2R
Window
Left
(SE)
27.5
0=790 116-A 0=70 116-B
135 SO Existing Double Metal Clear
Zone 3
'
$Q
Window
Left
(,SE)
14.0
0_790 116-A 0_70 116-B
135 90 Existing Double Metal Clear
Zone 4
31
Window
Left
(SE)
80.0
0.790 116-A 0_70 116-B
135 90 Existing Double Metal Clear
Zone 4
1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 116B
INTERIOR AND EXTERIOR SHADING
#
Window
Overhang
Left Fin Right Fin
'
Exterior Shade Type
SHGC
H t.
Wd.
Len.
H t LExt
RExt Dist Len Hgt Dist Len H t
20
Bug Screen
0.76
5.5
5.5
10.0
0.1 10.0
10.0
21
Bug Screen
0.76
2.0
18.0
6.0
0.1 6.0
6.0
22
Bug Screen
0.76
10.0
8.0
10.0
0.1 10.0
10.0
' 23
Bug Screen
0.76
10.0
4.0
10.0
0.1 10.0
10.0
24
Bug Screen
0.76
9.0
4.5
6.0
0.1 6.0
25
Bug Screen
0.76
9.0
4.0
5.0
0.1 2.0
_6.0
2.0
26
Bug Screen
0.76
5.0
4.5
2.0
0.1 2.0
2.0 s
' 27
Bug Screen
0.76
8.0
5.5
4.0
0.1 4.0
4.0
28
Bug Screen
0.76
29
Buq Screen
0.76
5.0
6.0
5.0
0.1 2.0
2.0
30
Bug Screen
0.76
7.0
2.0
2.0
0.1 2.0
2.0
' 31
Bug Screen
0.76
8.0
10.0
2.0
0.1 2.0
2.0
THERMAL MASS FOR HIGH MASS DESIGN
Area Thick. Heat Inside Condition Location/
Type (sf) (in.) Cap. Cond. R -Val. 'JA IV Reference Status Comments
PERIMETER LOSSES Insulation Condition Location/
Type Length R -Val. Location JA IV Reference Status Comments
Ru itia 'oTime: 09/10/09 11.36:3 u Code: 1252607796
EnergyPro 4.4 by EnergySoft User Number: 6168 Job Number: 070820098 Page 7 of 16
Certificate Of Compliance: Residential (Part 3 of 4) CF -1 R
Burkhart Existing
+ Addition/Alteration
9/10/2009
Project Title
Rated
Tank
Date
Tank Insul.
HVAC SYSTEMS
# in. Input
Syst
Cap. Condition
Factor
Standby R -Value
(Btu/hr)
Heating
Minimum
Cooling
Minimum Condition
Thermostat
Location
Type
Eff
Type
Eff Status
Type
Zone 1 HVAC
Central Furnace
80% AFUE
Split Air Conditioner
13.0 SEER New
Setback
Zone 2 HVAC
Central Furnace
80% AFUE
Split Air Conditioner
13.0 SEER New
Setback
Zone 3 HVAC
Central Furnace
80% AFUE
Split Air Conditioner
13.0 SEER New
Setback
HVAC DISTRIBUTION
Duct
Duct Condition
Ducts
Location
Heating
Cooling
Location
R -Value Status
Tested
Zone 1 HVAC
Ducted
Ducted
Attic
4.2 Existing
Yes
Zone 2 HVAC
Ducted
Ducted
Attic
4.2 Existing
Yes
Zone 3 HVAC
Ducted
Ducted
Attic
4.2 Existing
Yes
Hydronic Piping Pipe Pipe Insul.
System Name Length Diameter Thick.
WATER HEATING SYSTEMS
Rated
Tank
Energy
Tank Insul.
Water Heater
System Name Type Distribution
# in. Input
Syst
Cap. Condition
Factor
Standby R -Value
(Btu/hr)
(al) Status
or RE
Loss (%) Ext
Standard Gas 50 gal or Less Small Gas No Pipe Insulation
1 40,000
50 New
0.57
n/a n/a
n/a n/a
Standard Gas 50 gal or Less Small Gas No Pine Insulation
1 40-000
Existing
0.57
_50
Multi -Family Central Water Heating Details
Hot Water Pump
Hot Water. Piping
Length (ft)
Add 1/2"
Control # HP Type
In Plenum Outside Buried
Insulation
REMARKS
Copyright Contents 2009 Energy Driven Solutions Inc.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of
Regulations, and the administrative regulations to implement them.This certificate has been signed by the individual with overall design responsibility.
The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality,
and building envelope sealing require installer testing and certification and field verification by an approved HERS rater.
Designer or Owner (Peerr Businessi Professio Code) r
Name: f'e IC�If"—
Title/Firm: Walling & McCallum Limited r1
Address: 48-190 Club Drive
Indian Wells, CA 92210
Telephone: 760-36_0-0250 Wic. #:
(signature) f (dat )
Enforcement Agency
Name:
Title/Firm: ,
Address:
' Telephone:
Documentation Author
Name: Dave Bricker
Title/Firm: Energy Driven Solutions Inc
Address: P. O. Box 6705
La Quinta CA 92248
Telephone: 760 541-9025 Alc
(signature) (date)
rr
r
CA -B �c
Cali(orA Assodadon of Building Energy Conaudaate
CERTIFIED ENERGYANALYST
DAVE. BRICKER
Certificate Of Compliance : Residential (Part 3 of 4) CF -1 R
Burkhart Existing + Addition/Alteration 9/10/2009
Project Title Date
HVAC SYSTEMS
Heating Minimum Cooling Minimum Condition Thermostat
Location Type Eff Type Eff Status Type
Zone 4 HVAC Central Furnace 80%AFUE Split Air Conditioner 13.0 SEER New Setback
HVAC DISTRIBUTION
Duct Duct Condition Ducts
Location Heating Cooling Location R -Value Status Tested?
Zone 4 HVAC Ducted Ducted Attic 4.2 Existing Yes
Hydronic Piping Pipe Pipe Insul.
System Name Length Diameter Thick.
WATER HEATING SYSTEMS Rated Tank Energy Tank Insul.
' Water Heater # in Input ' Cap. Condition Factor Standby R -Value
System Name Type Distribution Syst. (Btu/hr) (al) Status or RE Loss (%) Ext
Multi -Family Central Water Heating Details
Hot Water Pump Hot Water Piping Length (ft) Add 1/2"
Control # HP Type In Plenum Outside Buried Insulation
REMARKS
'opyright Contents 2009 Energy Driven Solutions Inc.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of
Regulations, and the administrative regulations to implement them.This certificate has been signed by the individual with overall design responsibility.
The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality,
and building envelope sealing require installer testing and certification and field verification by an approved HERS rater.
Designer or Ownerer Business & Prgfessions Code)
Name: Il , V _ _ ,I
Title/Firm: Walling & McCallum Limited 1
Address: 48-190 Club Drive
Indian Wells, CA 92210
Telephone: 760-360-0250 Lic. #:
fWa I
(signature) (date)
Enforcement Agency
Name:
Title/Firm:
Address:
Telephone:
Documentation Author
1 Name: Dave Bricker
Jitle/Firm: Energy Driven Solutions Inc
Address: P. O. Box 6705
La Quinta CA 92248
Telephone: 760 541-9025
d_Q
(signature) _ (date)
C-,ABEC.
rr�
Cal'i(omia As�soaation of Bu11dxlg E= Coruuherlts
CERTIFIED ENERGY ANALYST
DAVE BRICKER
I
Certificate Of Compliance : Residential (Part 4 of 4) CF -1 R
Burkhart Existing +Addition/Alteration 9/10/2009
Project Title Date
Special Features and Modeling Assumptions
The local 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 local
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. Plan Field
HERS Required Verification
' Items in this section require field testing and/or verification by a certified home energy rater under the supervision of a
HERS provider using approved testing and/or verification methods.
Plan Field
The HVAC System "Zone 1 HVAC" incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the
CF -4R.
The HVAC System "Zone 2 HVAC" incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the
CF -4R.
The HVAC System "Zone 3 HVAC" incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the
CF -4R.
The HVAC System "Zone 4 HVAC" incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the
CF -4R.
E
' Run Initiation Time: 09/10/09 11:36:36 Run Code: 1252607796
EnergyPro 4.4 by EnergySoft User Number: 6168 Job Number: 07082009B - - Page:10 of 16
Mandatory Measures Summary:. Residential (Page 1 of 2) MF -1 R
' NOTE: Lownse residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance
requirements from the Certificate of Compliance supersede the items marked with an asterisk (') below. When this checklist is incorporated into the permit
documents, the features noted shall be considered by all parties as.minimum component performance specifications for the mandatory measures whether
they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION Check or initial applicable boxes or check NA if not applicable and included with the
ENFORCE -
permit appllCatl0n documentation..N/A
DESIGNER
- MENT
Building Envelope Measures
§ 150(a): Minimum R-19 in wood ceiling insulation or equivalent LI -factor in metal frame ceiling.
❑
❑X
❑
§ 150(b): Loose fill insulation manufacturer's labeled R -Value:
❑
n
❑
§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent LI -factor in metal frame walls (does not
❑
❑
❑ ,
apply to exterior mass walls).
§ 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor.
❑
❑
❑
§ 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
1. Masonry and factory -built fireplaces have:
a.. closable metal or glass door covering the entire opening of the firebox
❑
❑
b. outside air intake with damper and control, flue damper and control
❑
Q
❑
2. No continuous burning gas pilot lights allowed._
❑
❑
❑
§ 150(f): Air retarding wrap installed to comply with §I 51 meets requirements specified in the ACM Residential Manual.
❑
❑
❑
§ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
❑
❑
❑
§ 150(1): Slab edge insulation - water absorption rate for the insulation alone without facings no greater than 0.3%, water vapor
❑
❑
❑
permeance rate no greater than 2.0 perm/inch.
§ 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include
❑ -
0
CF -6R Form:
❑
§ 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls.
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
❑
❑X
❑
2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain
Coefficient (SHGC), and infiltration certification.
❑
nX
❑
3. 'Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
Q
❑X
El
r
Space Conditioning, Water Heating and Plumbing System Measures
§ 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission.
❑
❑
❑
§ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or RCCA.
❑
0
❑
§ 150(i): Setback thermostat on all applicable heating and/or cooling systems.
❑
❑
❑
§ 1500): Water system pipe and tank insulation and cooling systems line insulation.
1. Storage gas water Beaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation
❑
❑
❑
having an installed thermal resistance of R-12 or greater.
2. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have. R-12 external
❑
❑
❑
insulation or R-16 internal insulation and indicated on the exterior of the tank showing the R -value.
3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness:
1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire
❑
ER
11length
of recirculating sections of hot water pipes shall be insulated to Table 150;3.
2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and
❑
❑
❑
indirect hot water tank shall be insulated to Table 150-8 and Equation 150-A.
4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A.
❑
❑
❑
5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance,
❑
❑
❑
and wind.
y 6. Insulation for chilled water*piping and refrigerant suction piping includes a vapor retardant oris enclosed
❑
❑
❑
entirely in conditioned space.
7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation.
❑
❑
❑
EnergyPro 4.4 by EnergySoft User Number: 6168 Job Number.. 070820096
Page: 11 of 16
Mandatory Measures Summary: Residential (Page 2 of 2) MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance
requirements from the Certificate of Compliance supercede the items marked with an asterisk (•) below: When this checklist is incorporated into the permit
documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether
they are shown elsewhere in the documents or on this checklist only. -
DESCRIPTION Instructions: Check or initial applicable boxes when completed or check N/A if not
ENFORCE -
applicable. I
NIA DESIGNER MENT
Space Conditioning, Water.Heating and Plumbing System Measures: (continued)
§ 150(m): Ducts and Fans ,
1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604,
❑ ❑
605, and Standard 6-5; supply -air and retum-air ducts and plenums are insulated to a minumum installed level of
R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct-dosure 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 greater than 1/4 inch, the combination of mastic and either mesh or
tape shall be used.
2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed
❑ ❑X ❑
sheet metal, duct board or flexible duct shall not be used.for conveying conditioned air. Building cavities and support
platforms may contain duds. Duds installed in cavities and support platforms shall not be compressed to cause reductions
in the cross-sectional area of the ducts.
3. 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.
4. Exhaust fan systems have back draft or automatic dampers.
❑ ® ❑
5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating
❑ ❑ Eldampers.
6. Protection of Insulation. 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.
7. Flexible ducts cannot have porous inner cores.
❑ ® ❑
§ 114: Pool and Spa Heating Systems and Equipment
1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the
❑ ❑ ❑
heater, weatherproof operating instructions, no electric resistance heating and no pilot light.
2. System is installed with:
a. At least 36" of pipe between filter and heater for future solar heating.
❑ ❑ ❑
b. Cover for outdoor pools or outdoor spas.
❑ ❑ ❑
3. Pool system has directional inlets and a circulation pump time switch.
❑ ❑ ❑
§ 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously
❑ ❑ ❑
burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr)
§ 118 (i): Cool Roof material meets specified criteria
❑ ❑ ❑
Lighting Measures
§ 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table
❑ ® ❑
150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are electric
and have an output frequency no less than 20 kHz.
§ 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C,
❑ ❑ ❑
luminaire has factory installed HID ballast.
§ 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined
❑ ❑X ❑
in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires,
provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires.
§ 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires.
❑ ❑
OR are controlled by an occupant sensor(s) certfied to comply with Section 119(d).
§ 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms
be high efficacy luminaires (except closets less than 70 ft) OR by dimmer
❑
are controlled a switch OR are controlled
by an occupant sensor that complies with Section 119(d) that d6es not tum on automatically or have an always on option.
❑X El
§ 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are
❑ ❑X ❑
certified to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals.
§ 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the
❑ ❑X ❑
same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other Article 680
locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d). _
§ 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147.
❑ ❑ ❑
Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Section 130, 131, and 146.
§ 150(k)8: 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 OR are controlled by occupant sensor(s) certified to comply with Section 119(d).
EnergyPro 4.4 by EnergySoft User Number: 6168 Job Number: 070820096
Page: 12 of 16
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
PROJECT NAME DATE
Burkhart Existing+ Addition/Alteration 9/10/2009
SYSTEM NAME FLOOR AREA
Zone 1 HVAC 1.609
Number of Systems
1
Heating System
Output per System
80,000
Total Output (Btuh)
80,000
Output (Btuh/sqft)
49.7
Cooling System
Output per System
57,000
Total Output (Btuh)
57,000
Total Output (Tons)
4.8
Total Output (Btuh/sgft)
35.4
Total Output (sgft/Ton)
338.7
Air System
CFM per System
1,800
Airflow (cfm)
1,800
Airflow (cfm/sgft)
1.12
Airflow (cfm/Ton)
378.9
Outside Air (%)
0.0
Outside Air (cfm/sgft)
0.00
Note: values above given at ARI conditions
26.0 of 68.6 of
Outside Air
0 cfm
Supply Fan
1800 cfm
68.6 of
Total Room Loads
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COIL COOLING PEAK
COIL HTG. PEAK
CFM
Sensible Latent
CFM
Sensible
1,612
30,769
1,888
558
23,143
0
4,858
2,676
0
0
0
0
0
0
0
0
0
4,858
2,676
40,4857 1.8881
28 494
YorkCZB60.PS8CN100.2000cfm 44,063 5,288 80,000
Total Adjusted System Output ",0631 5,288
(Adjusted for Peak Design Conditions)80,000
TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am
Dam Temperatures at Time of Heatina Peakl
68.6 of n .110.4 of
Heating Coil
11.0/77.6 OF 78.5/63.0 OF
Outside Air O
0 cfm
Supply Fan
1800 cfm
78.5/63.0 of
h Return Air Ducts 4
78.5/63.10F ® 55.5/54.30F
Cooling Coil
of
h Return Air Ducts 4
Supply Air Ducts
109.0 of
ROOMS
70.0 of
Supply Air Ducts
58.1 / 55.3 of
46.2% R.H. ROOMS
76.0 / 62.2 of
1
EnergyPro 4.4 by EnergySoft User Number: 6168 Job Number: 07082009B—
Page: of 16
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
PROJECT NAME DATE
Burkhart Existing+ Addition/Alteration 9/10/2009
SYSTEM NAME FLOOR AREA
Zone 2 HVAC 1,853
[ENGINEERING CHECKS SYSTEM LOAD
Number of Systems
1
Heating System
Output per System
80,000
Total Output (Btuh)
80,000
Output (Btuh/sgft)
43.2
Cooling System
Output per System
57,000
Total Output (Btuh)
57,000
Total Output (Tons)
4.8
Total Output (Btuh/sgft)
30.8
Total Output (sgtUTon)
390.1
Air System
CFM per System
1,800
Airflow (cfm)
1,800
Airflow (cfm/sqft)
0.97
Airflow (cfm/Ton)
378.9
Outside Air (%)
0.0
Outside Air (cfm/sgft)
0.00
COIL COOLING PEAK
COIL HTG. PEAK
CFM
Sensible Latent
CFM
Sensible
Total Room Loads 2,024 36,805 1,789 698 28,453
Return Vented Lighting 0
Return Air Ducts 5,810 3,290
Return Fan 0 0
Ventilation o 0 0 0 0
Supply Fan 0 0
Supply Air Ducts 5,810 3,290
TOTAL SYSTEM LOAD 48 a26 1 789 35 033
HVAC EQUIPMENT SELECTION
YorkCZB60.PS8CN100.2000cfm 44,353 5,238 80,000
Total Adjusted System Output 44 353 5,238 80,000
(Adjusted for Peak Design Conditions)
TIME OF SYSTEM PEAK Aug 2 pm Jan 12
Note: values above given at ARI conditions
am
EATING SYSTEM PSYCHROMETRICS Airstream Temperatures
at Time of Heatin
Peak
26.0°F 68.3°F 68.3°F 110.0°F
'
0
Supply Air Ducts
Outside Air
0 cfm
Supply Fan Heating Coil
108.3 OF
1800 cfm
ROOMS
68.3 of
70.0 OF
'
Return Air Ducts
OO LING SYSTEM PSYCHROMETRICS Airstream Temperatures
at Time of Coolin
Peak
111.0/77.6OF 79.0/63.3OF 79.0 °
90/63.4 F
o
55.9/54.6 F
O �
Supply Air Ducts
Outside Air
0 cfm
Supply Fan Cooling Coil
58.9 / 55.8 OF
1800 cfm
ROOMS
46.6% R.H.
79.0;6'3.3 ' of
76.0 / 62.3 OF
Return Air Ducts
EnergyPro 4.4 by Energysoft User Number: 6168 '
Job Number: 07082009B
Page 14 of 16
1
1
1
1
1
1
1HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
PROJECT NAME DATE
Burkhart Existing+ Addition/Alteration 9/10/2009
SYSTEM NAME FLOOR AREA
Zone 3 HVAC 1,046
Number of Systems
1
Heating System
Output per System
80,000
Total Output (Btuh)
80,000
Output (Btuh/sgft)
76.4
Cooling System
Output per System
48,500
Total Output (Btuh)
48,500
Total Output (Tons)
4.0
Total Output (Btuh/sgft)
46.3
Total Output (sgft/Ton)
258.9
Air System
CFM per System
1,600
Airflow (cfm)
1,600
Airflow (cfm/sgft)
1.53
Airflow (cfm/Ton)
395.9
Outside Air (%)
0.0
Outside Air (cfm/sgft)
0.00
Note: values above
26.0 OF
Outside
��
0 cfm
69.0 of
n at ARI conditions
SYCHROMETRICS
69.0 of 69.0 OF
Supply Fan
1600 cfm
Total Room Loads
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
Heating Coil
11.0/77.6OF 77.6/61.9°F
Outside Air 0
0 cfm
Supply Far
1600 cfm
77.6/61.9 °F
COIL COOLING PEAK
COIL HTG. PEAK
CFM
ISensiblel Latent
CFM
Sensible
22,0681 1.0091
ZB48.PS8CN100.1600cfm 39,904 1,310 80,000
Total Adjusted System Output 39,9041 1,310 80,000
(Adjusted for Peak Design Conditions)
TIME OF SYSTEM PEAK I Aug 2 pm I Jan 12 am
of
h Return Air Ducts `S
77.6 / 61:9 °F 54.1/52.80
Cooling Coil
h Return Air Ducts 4
Pea
Supply Air Ducts
115.0 of
ROOMS
70.0 OF
Supply Air Ducts
55.7 / 53.5 of
43.3% R.H. ROOMS
76.0 / 61.3 OF
EnergyPro 4.4 by EnergySoft User Number: 6168 Job Number: 070820098 Page:15 of 16
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
' PROJECT NAME DATE
Burkhart Existing+ Addition/Alteration 9/10/201
SYSTEM NAME
Zone 4 HVAC FLOOR AREA391 .
ENGINEERING CHECKS 11SYSTEM LOAD
1
1
N
1
1
1
Number of Systems
1
Heating System
Output per System
32,000
Total Output (Btuh)
32,000
Output (Btuh/sgft)
81.8
Cooling System
Output per System
29,800
Total Output (Btuh)
29,800
Total Output (Tons)
2.5
Total Output (Btuh/sgft)
76.2
Total Output (sgfUTon)
157.4
Air System
CFM per System
. 1,000
Airflow (cfm)
1,000
Airflow (cfm/sqft)
2.56
Airflow (cfm/Ton)
402.7
Outside Air (%)
0.0
Outside Air (cfm/sgft)
0.00
Total Room Loads
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation
Supply Fan
Supply Air Ducts
COIL COOLING PEAK
HTG. PEAK
CFM
Sensible Latent
�CF�M
Sensible
at Time of Heating
Peak
26.0 OF 69.4 OF 69.4 OF 99.5 of
573
10,935
56
185
5,666
Supply Air Ducts
0
0 cfm
Supply Fan Heating Coil
1,726
655
0
0
0
0
0
0
0
0
0
1,726
655
TOTAL SYSTEM LOAD 1 14.3871 56 6 976
HVAC EQUIPMENT SELECTION
YorkCZB30.PS8Al2N40.1000cfm 22,526 3,312 32,000
Total Adjusted System Output22,526 3,312 32,000
(Adjusted for Peak Design Conditions)
TIME OF SYSTEM PEAK Aug 2 pm I Jan 12 am
Note: values above given at ARI conditions
EATING SYSTEM PSYCHROMETRICS Airstream Temperatures
at Time of Heating
Peak
26.0 OF 69.4 OF 69.4 OF 99.5 of
'O
Outside Air
Supply Air Ducts
0 cfm
Supply Fan Heating Coil
98.8 of
1000 cfm
ROO MS
N.
1
69.4 of
70.0 of
1
Return Air Ducts
SYSTEM PSYCHROMETRICS Airstream Temperatures
at Time of Cooling
Peak
'COOLING
111.0/77.6OF
77.6/63.1OF 77.6/63.20F
56.5/55.30F
0 :11114O
Outside Air
Supply Air Ducts .
0 cfm Supply Fan Cooling Coil
58.1 / 55.9 of
1000 cfm
ROOMS
47.5% R.H.
77.6/63.1 of
76.0 / 62.6 OF
'
Return Air Ducts
Ene Pro 4.4 b Ener Soft User Number: 616
�Y Y ftY i
JAY Number: 07062009D
Page: 16 of 16