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09-1002 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: ' Application description Property Zoning: Application valuation: T4&t 4 u&& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/10/09 09-00001002 Owner: \ 78189 SAN TIMOTEO ST TOM KIRK ` 646-160-012- - - 78150'CALLE CADIZ REMODEL - RESIDENTIAL LA QUINTA, CA 92253 LOW DENSITY RESIDENTIAL U 150000 1 `i�' 1 1-:Q, %i Contractor: Architect or Engineer: ROTTMAN, MICHAEL STEVEN. 640 OCOTILLO PALM SPRINGS, CA 92264 F' I.A (847)401-7700 Lic. No.: 920502 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B A License No.: 920502 tra� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the 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 a civil penalty of not more than five hundred dollars ($500).: . (._ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and ' the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s).licensed pursuant to the Contractors' State License Law.). I am exempt under Sec. ', B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance. of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT --7--------------- WORK ER'S. COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to setf-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. 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 EXEMPT Policy Number EXEMPT certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section / 3700 of the all Lab C de, I shforthwith comply with those provisions. 1MCi II &L-1,61 "c WARNIN AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of his county to enter upon the above-mentioned pro y for inspection purposes. 6<.t _1[P% ignature (Applicant or Ag d: Application Number 09-00001002 ------ Structure Information 491SF REMODEL&ADDITION/VB/R-3/CL-A [ENG] ----- Other struct info . . . . . CODE EDITION 2007CBC ------------------7--------------------------------------------------------- # BEDROOMS 3.00 Permit . . . ELECT - ADD/ALT/REM Additional desc. Permit Fee . . . . 60.69 Plan Check Fee 15.17 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/21/10. - Qty Unit Charge Per Extension' BASE FEE 15.00 491.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 17.19 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 30.00 .4500 ---------------------------------------------------------------------------- EA ELEC DEVICE/FIXTURE >20 13.50 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 814.50 Plan Check Fee 529.43 Issue Date 'Valuation 150000 Expiration Date 4/21/10 Qty Unit Charge Per ' Extension BASE FEE 639.50 50.00 3.5000 ------------------------------------------------------------------------------ THOU BLDG 100,001-500,000 175.00 Permit. MECHANICAL Additional desc . Permit Fee . . 35.00 Plan Check Fee 8.75.. Issue Date . . . Valuation . . 0 Expiration Date 4/21/10 Qty Unit Charge Per Extension.. BASE FEE 15..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 --------------------------------- FM EA MECH AH <=10K CFM- 6.50 Permit PLUMBING Additional desc . Permit Fee 39.00 Plan Check Fee 9.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/21/10 LQPERMIT Application Number . . . . . 09-00001002 Permit .. . . . . . PLUMBING Qty Unit Charge Per Extension BASE FEE `' 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 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 491SF ADDITION (GARAGE CONVERSION) WITH REMODEL/VB/R-3/CLASS-A [ENGINEERED] THIS PERMIT DOES NOT INCLUDE WATER HEATER OR HVAC CHANGE OUT, BLOCK WALLS OR SPA. ASBESTOS REPORT ON FILE WITH SEPARATE DEMO PERMIT NUMBER 09-1052. 2007 CALIFORNIA BUILDING CODES. October 22, 2009 8:48:51 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . BLDG STDS ADMIN (SB1473) 6.00 ENERGY REVIEW FEE 52.94 STRONG MOTION (SMI) - RES 15.00 Fee summary Charged Paid Credited Due Permit Fee Total 949.19 .00 .00 949.19 Plan Check Total 563.10 .00 .00 563.10 Other Fee Total 73.94 .00 .00 73.94 Grand Total 1586.23 -.00 .-00 1586.23 LQPERMIT . 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: 09-00001002 78189 SAN TIMOTEO ST 646-160-012- - - REMODEL - RESIDENTIAL LOW DENSITY RESIDENTIAL 150000 Architect or Engineer: a I/ BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full.force and effect. License Class: 13 Li s No.: 860109 ate: Zh3� Cy'nrctor: / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the 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 a civil penalty of not more than five hundred dollars 1$500).: (_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). - (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. • 7044,. Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ' (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY -I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: th Lender's Address: .f LQPERMIT Owner: TOM KIRK 78150 CALLE CADIZ LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/16/10 Contractor: >�J ' 1 CANYON DESIGN GR OLj INC �t' 68733 PEREZ ROAD JNI C-8' -CATHEDRAL CITY, CA 9221_`l - 4. (760) 318-4177 Lic. No.. 860109 "�'' .`�•r-`,' �'�4� ------------------ WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Cartier E} EMPT Policy Number EXEMPT. certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply those provisions. /Date:,cant: WARNING: FAILURE TO SECUlIrE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuantto any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this counttyyj to - enter upon t e above-mentioned property for inspection purposes. / Date: 2/ZS' ature (Applicant or Agent): LQPERMIT Application Number . . . . . 09-00001002 Structure Information 491SF REMODEL&ADDITION/VB/R-3/CL-A [ENG] ----- Other struct info . . . . . CODE EDITION 2007CBC --------------------------------------------------------------------=------- # BEDROOMS 3.00 Permit . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 60.69 Plan Check Fee 15.17 Issue Date . . . . 11/16/09 Valuation . . . . 0 Expiration Date 5/15/10 Qty Unit Charge Per Extension BASE FEE 15.00 491.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 17.19 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20'� 15.00 30.00 ----------------------------- .4500 EA ELEC DEVICE/FIXTURE >20 ----------------------------------- 13.50 ------------ Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . 814.50 " Plan"Check Fee 529.43 Issue Date 11/16/09 Valuation . . . . 150000 Expiration Date 5/15/10 Qty Unit Charge Per Extension BASE FEE 639.50 50.00 3.5000 THOU BLDG 100,001-500,000 175.00 Permit . . .. MECHANICAL Additional desc Permit Fee . . . 35.00 Plan Check Fee 8.75 Issue Date . . ." 11/16/09 Valuation . . . . 0 Expiration Date . . 5/15/10 Qty Unit Charge Per Extension BASE FEE - 15.00 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 AH <=10K CFM 6.50 Permit PLUMBING Additional desc . Permit Fee . . . . 39.00 Plan Check Fee 9.75 Issue.Date . . . . 11/16/09 Valuation . . . . 0 Expiration Date . . 5/15/10 Application Number . . . . . 09-00001002 Permit . . . . . . PLUMBING Qty. Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 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 491SF ADDITION (GARAGE CONVERSION) WITH REMODEL/VB/R-3/CLASS-A [ENGINEERED] THIS PERMIT DOES NOT INCLUDE WATER HEATER OR HVAC CHANGE OUT, BLOCK WALLS OR SPA. ASBESTOS REPORT ON FILE WITH SEPARATE DEMO PERMIT NUMBER 09-1052. _ 2007 CALIFORNIA BUILDING CODES. .October 22, 2009 8:48:51 AM AORTEGA 1/18/10 RECEIVED LETTER STATING MICHAEL . ROTTMAN IS NO LONGER CONTRACTOR OF RECORD FOR THIS APPLICATION. January 19, 2010 8:04:07 AM khensel. CHANGE OF CONTRACTOR PERMIT ISSUED THIS DATE. February 16, 2010 11:20:01 AM khensel. ---------------------------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 6.00 CHANGE OF CONTRACTOR 4.50 ENERGY REVIEW FEE 52.94 STRONG MOTION (SMI) - RES 15.00 Fee summary Charged Paid Credited Due Permit Fee Total 949.19 949.19 .00 .00 Plan Check .Total 563.10 563.10 00 .00 Other Fee Total 78.44 73.94 .00 4.50 Grand Total. 1590.73 1586.23 .00 4.50 LQPERMIT Bin # 4e City of La Quinta Building 8T Safety Division ' P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # no, Project Addr : :?81$ -V&P 771-to'7ZZ9v�'7; Owner's Name: A. P. Number: 6 6 — �� —O�Z Address: g 1 Legal Description: 144- 12 i18 4-�' 1p -?-4 City, ST, Zip: 144, Contractor: A Telephone 15X3 Address: Project Description: T = City, ST, Zip: Telephone: ::,E:`:;.....:.,«< O State Lic. # : City Lic. Arch., Engr., Designer: OZ 64.ti O � Address:. �0�� City, ST, Zip: -� cS�i �/ 5� Z 62 Telephone: g(bs ::. State ic.# T..:.:z.:•:,,:.,.::,.;,::.:::.:::.::.::;;;;;;.:;,; Name of Contact Person: 1z1i 9rr11.e_3 XEZY Construction Type: j' Occupancy: ct type (circle one): New Add> n Repair Demo Sq. Ft.: %,5/ # Stories: #Units: Telephone # of Contact Person: a* WS 6165 Estimated Value of Project: /Z�, , cam© --O a 1N13 © o2 .cDM APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Re9 'd Recd 1cACICUVG� r_��� I� �1 !� f 1� . TRI � PERMIT FEES Plan Sets Plan Check submitted) �� I I Ltem Amount Structural Calcs. SEP 1 Reviewed, ready for corrections 1Alan Check Deposit Truss Cates. Called Contact Person 9 Plan Check Balce 2 Title 24 Calcs. — —1 Plans picked u �` ons u Flood plain plan Plans resubmitted Mechanical ading plan 2"" Review, ready r orrect o ssue Electrical Subcontactor List Called Contact PPlumbing Grant Deed Plans picked up ... S.M.I. H.O.A. Approval Plans resubmitted lei Grading IN HOUSE:- '"' Review, ready for correctio ssue l0 Developer Impact Fee Planning Approval Called Contact Person 10 ti . A.I.P.P. Pub. Wks'Appr Date of permit issue I j School Fees Total Permit Fees l CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road Q BERMUDA DUNES O RANCHO MIRAGE t -J Date 10/22/09 La Quinta, CA 92253 N INDIAN WELLS No. 30519 (760) 771-8515 �' PALM QUINT �V �QIN0 y7 e Owner Kirk/Kramer APN # 646-160-012 Address 78-189 San Timoteo Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # No. of Units 1 Type Single Family Residence Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 78189 San Timoteo Unit 2 Unit 3 Unit 4 Unit 5 Comments 491 Unit 6 Unit 7 Unit 8 t _ Unit 9 Unit 10 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to in the amount of $0.00 X 491 S.F. or $0.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Martin Brunner 'Check No. .0.00 Name on the check Telephone Funding Residential ' BY Dr. Sharon P. McGehee Superintendent ». r Fee collected /exempted by Espe Lara Payment Recd $0.00:= ?? VOverlenndec ;, Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting COUNTY OF RIVERSIDE • COMMUNITY HEALTH AGENCY EPARTMENT OF ENVIRONMENTAL HEALTH DEH -SAN -122 Rev: 11/07 Distribution: WHITE - Office File; YELLOW -Applicant; PINK - Bldg. Dept.; GOLDENROD - Plans/Records TR/PM Lot No. APN: ASSESSOR'S PARCEL NUMBER L" O co r 414) I L CF 6 LAND USE APPLICATION ON# IN# LMS# C (Tki OF A7�1� EHS # 7�11 �) i AGENT, CONTRACTOR ADDRESS CITY/ STATE / ZIP TELEPHONE # Q 9WNER ADDRESS CITY / STATE / ZIP TELEPHONE # o JOB PROPERTY ADDRESS CITY / STATE / ZIP Thomas Brothers © Map # 7? )P S4A 7_ 97 ctnu 7' _1. LOT. SIZE WATER AGENCY/WELL USE OF PERMIT Sb { I ERt C O (-e�- 1 z�j —1-F,, ICIL * FINANCIAL RESPONSIBILITY * NOTE: Pertaining to Deposit -Based fee Payments - Fees placed on deposit are intended to pay for System review including approval and installation. The project owner or applicant named in Section B will be subject to billing requests for additional monies should fees deposited to that point be insufficient. At final approval, the project owner or applicant named will receive a final statement and notice of any final fees due or refunds due (as applicable). CO ROP Fees: For Alternate Systems, renewable operating permit (ROP) fees will be due upon finalization of the project. ROP fees will be issued to the project owner or Z applicant named in Section B. H SEND ALL BILLING MATTERS TO THE CLIENT OR ENTITY LISTED BELOW: U RESPONSIBLE CLIENT / ENTITY NAME W to MAILING ADDRESS CITY / STATE / ZIP TELEPHONE # Signature:'_'`' Date: {Applicant / Below — For Office Use.Onl r CHECK BOX IF REQUIRED If any box is checked, this application shall be considered rejected until the information is provided and the fees paid. Re -submittals later than 90 days after date noted below may require repayment of fees. U ❑ Holding Tank Agreements Required ❑ Floor Plan and/or Plumbing Layout Required Z O ❑ Certificate of Existing OWTS Required ❑ Special Feasibility Boring Report Required ❑ WQCB Clearance Required ❑ Detailed Contour Plot Plan Required (1 to 5 foot intervals) U W ❑ Soils Percolation Report Required N PRE SITE INSPECTION REMARKS INITIALS & DATES f4 0 W�C 12F� M. co 4- 60A= C /007- NLA 1/4 A L Gt m �3 rtJ G rz— 1P T, "�-o�, t0 A/ Soils Percolation / Boring report by Project # Date Type of System: []New ❑Replacement ❑Existing # Fixture units Septic tank Cap. Soil Rate ❑Pump ❑ Addition ❑ ATU ❑Connect to Sewer # Bdrms Sq. Ft. Bottom Area Total Linear Ft. Sidewall allowance ft Rock/ sq ft running foot. Tested Depth Maximum Trench Depth D Z O H Install Lines ft long ft wide with min. inches rock below drain line, or ❑ Plastic Chambers U W U) Leach Lines / bedspecial design for slope Applicable ❑ N/A ❑ Overburden Factor: Pit Diameter No. Pits Pit below Inlet (BI) Pit Total Depth Max Allowable Depth Well Review Approved by: (Signature) CONSTRUCTION / INSTALLATION INITIALS & DATES l This Application is•0Approved ❑ Denied regarding the design of the OWTS as indicated on the accompanied plot plan using the requirements set forth in Section D above. A building permit is necessary for the construction of the above designed system. W No construction is permitted in the required reserved 100% Expansion area. Z (1) Septic tank must be 100' minimum from any wells. O (2) Leach lines must be 100' minimum from any wells including expansion area. ~ U (3) Sewer lines must be 50' minimum from any wells. W (4) Seepage pits must be 150' minimum from any wells including expansion areas. EHS Signage: � / Date: /Oh/09 Environmental Resources Management Office Locations Environmental Health - ERM Division Environmental Health - ERM Division Environmental Health - ERM Division Riverside Permit Assistance Center Palm Desert Permit Assistance Center South County Permit Assistance Center 4080 Lemon Street, 2n° Floor 38686 EI Cerrito Road 39493 Los Alamos Riverside, CA 92501 Palm Desert, CA 92211 Murrieta, CA 92562 RIVERSIDE 951 955-8980 PALM DESERT 760 393-3390 MURRIETA 951 600-6180 DEH -SAN -122 Rev: 11/07 Distribution: WHITE - Office File; YELLOW -Applicant; PINK - Bldg. Dept.; GOLDENROD - Plans/Records CITY OF LA QUINTA SUB -CONTRACTOR, LIST JOB ADDRESS 7�A/ lario6 � NUMBER PERMIT NUMBER OWNER BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their (employees are authorized to work on`this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to'comply.will%result in a stoppage of work and/or the voidance of building permit.. For each applicable trade, all -information requested below must be completed'by applicant. "On File" is not an acceptable response.' .. Trade !Class �fication Contractor State..Contractor.s:L�cense..:::::.:.:::::::::.::::..::::::::.::::::::::::::::::::::.:.:. rkers;:Com e nsat�on.:Insurance................... A p _................................................ _................. _.. :::;:.;: -Company Name Classification License Number Exp.,Date Carrier Name' Policy Number' Exp. Date License Number Exp. Date - e. .A B C8 1 1 9 x xxxxx ( 1 x xx xx 1 x / / e. .State u Ca Co Fund, CalComp) 9 P 1 Format Varies 1 xxxxx x / / 1 xx xx 1 xx xx xx 1 / / 1 EARTHAhf"ItAWORK/`�p , , CONCRETE. (C 81 _ _ �' O a� I�Y 4 q_"`` ® ® l — inn �.....).......::::.::::....::.: i S� l!�' ��-, C= 5 o-- ( o�ra���2 L ,YJ' a - 2 3 STRUCT STEEL (C 511 .. � •` f � ' MASONRY' l 1 • PLUMBING iC 361 c j (/v t N C " - . ; �� f �•-3. 3i/O i• DRYWALL` G1jI—A HVAC I oGZ 3 ELECTRICAL_ (C 10) ::.:.:::::: S.— • C C Q� S� C"" O GZ - OD - _ 7 ROOFING (C 391 : •' c { , . ♦ ::: i..: is i:i :•:. SHEET.:METAL IC 431 • FLOORING tC 151 • r 4 r � v w GLAZING IC 171 ...:....:....... ..... . INSU'LATION lC 2) - SEWAGE DISP (C 421 ...:: 4•;' U :,, w-_ ` �� :, PAINTING IC-y� X. Y {,,• i 10, - CERAMIC TILE IC 541 ........ ........ ... .. ................. - t) ;•' ' CABINETS 61 r ;- •^ 3 ti s a _ ., FENCING IG 131 »::: N, •" LANDSCAPING j f (. •-♦ t.. • • .. , f. 4, ♦ . , CITY OF LA QUINTA'SUB-CONTRACTOR LIST JOB ADDRESS 5 -PERMIT NUMBER OWNER BUILDER '(!�.4a,./ This form shallbe-posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to. work on this job. - Any changes, to,tPis- Hit must be approved,by the Building Division prior to commencement of work. - Failure to comply will result in a stoppage of work and/or the voidance of building permit.,- For each applicable trade, all information requested below must be completed by applicant. Hle" is not an acceptable response Trade.::z::Classification. ...................... - ............... trac or.: ................... .:.:.:.x.x.x ................................ .......... . . .. .... taim cense::: ........................ ......... . .... ......... ...... ::::: : . : : : : , .... ...... ... ................ ....... Wr_gr Mpg ns "0 1 sat. i 'rtc, c .............. .......... .... ................. X :X .............. 'Company Name Cla ssif ication License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Up' Date .. .......... . .... .. .. ....... ...... (e.g. A, W C-8) (xxxxxx) (xx/xx/xx) .(e.g. State Fund, CalComp)' (Format Varies) (xx/xx /xx) (xxxx) (xx/xx/xx) .............. ............. ............. FA ............... ............ ............ X- .... ...... CONCRETE IC 81 64,� 7-62 o 2,)6 ',12Ytl. /C .............. STRUCT _STEEL (C" :1): ....... ....... ..... .. ........................... .:PLUMBING 4.0 3 LATH"": PLASTER . ..:.(G -.351 .. . .................. DRYWALL (C 91.................. 2SLo 23— 2�1 n 86 /o t2 o 2, el,.EAA2 .................. H. �A C IC 201:::--* ........................... .. ............. .......... X.: I.W.:_ ............ ............. T ECTRIp ."T....A. • r t :R 00FIN.G. -`.3 ............ • ME.T-..At.-*."(.C..4.3� .SHEET .+.:..1.:.:::L....G­.. .RIN..G......:................7... .�5Y�...... ...... ...... ................... ....................... ZN . ....... .... ............... ........ ... ........... ...... ............. .......... (P*.: ..... . ..... .............. ... 4 -' :.,SEWAGE ::.DIS P-: * C-A;.l ........... q 4 .................... ................. ­­ .. .. ....... ............. ............. : . 3) ........... �:� PAINTING(C .CERAMIC TILE .............. ... CABINETS fENCING%(.C.A ..................... .1 2 : 7 LANDSCAPING ��J ............... 3): 6an CITY, OF LA QUINTA SUB -CONTRACTOR LIS-( JOB ADDRESS PERMIT NUMBER 'O't— 1001--' OWNER. J -01K kKe,1 -14&STi W,90^ BUI LiDER t This form shall be costed on the job with the Building Inspection Card- at all times in a conspicuous place. Only persons appearing on this list or'their employees are authorized to wort on this job. Any -change's to this list 'Must be approved by the Building Division prior to commencement of work. Failure to comply will result in �a'stoppage of work and/or the voidanc( of hoiddinnHermit_ Fnr each annfirahip trade- all information reauested below must be co"mr);lete'd by ann'licant. *On File* is riot an acceptable response. Trade I Classifica .-C Zbritractor, "S _--.Contra�6tW Llcianisb .. ... tatit. .. ..... I.0 .c Is 6 'it Busies Company Name - Classification (e.g. A. 8, C-8) License Number (xxxxxx) Exp. Date (xxlxx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Numbir (Format Varies) A Exp. Date fxxlxxlxx) License Number (xxxx) Exp, Date (xx/xx/xx) EARTHWORK (C.'12) Rk CONCRETE (C- 8 LO S-6 ,U1240 C /I A FRAMING'J 5i k W ek• STRUCT.':STEEL' tditil) MASONRY-tC-29) Kum BING. (C-30,001'. A/4 -x %te 16 .0. LATH; PLASTER (C-35) DRYWALL (C-9) -r-M K -V - .HVAC (C-20):..KtA_V4­A 6 -A -r— �/z 4 10. U -St/utR- C, e &` 0 NX? 166-78-S- [3 A011 ELECT !L RICA , (C4 0) F�F b 9, ywwo 0 0: M(KL' tio `SHEET -METAL 1640)"'. IvA FLOIRIN9 J _F _7 GLAZING (CI!17)f. f:* (KQ Re T r- on nr-j - -0 7 INSULATIONIC 6EWSEWAGEDISP-42 PAINTING (C_'3:0'_:' mt (< t- RrT-r-plot- CERAMIC TILE (C-54) 'rt -w1 RN 5-0-,- CABINETS (C-6) ka T-T�-,�n• A . rr FENCING (C-13) LANDSCAPING (C=27) POOL1C-53) 08/06/2009 19:43 76036543.1 .8 ASAPPUMPING PAGE 03 REPORT OF INSPECTION - INDIVIDUAL SEWAGE DISPOSAL SYSTEM PRIMARY TREATMENT conjilft of )&Spptle teak ❑ Cesspool Septic Tank: Distance from well: fee;.. Material. Number of components .Total liquid capacity -- - / _ _ gallorm Capacity inlet component eo!2� . Inside length, feet Inside width, _ G feet. Liquid do^_ �w feel. galkm Cesspool: Distance from weµ teas. Foundation, ftK nearest let Erre et ❑ front ❑ aide E) re&L- nice Inside diemetw _-- feet Depth, feet, Liquid capadty.gaUorrs. UnbV material SECONDARY TREATMENT c uftts of p Tile disposal field [] Seepage pits ❑ Other ( specify). 'Tile Disposal Field: , Distance from nueg, feet, foundation, ., feet. nearest lot fine at ❑ front 0 W p near fee Tota! length of file tines,_„„ feet. Numb&rof Ifinea, between lines, fee Trench width, irn:tm- Total eft Om absorption area at bottom of. sm�.., fee Length of each am, feat. Depth, Depth, top of Ilio to finish grade, laches Type of finer material: ❑ 0rarm C] Broken atone p other ( specify ) Depth of triter materiel beneath tile. Inch". depth of filter material aver tile, Sewage Piisa: . Number of pits. _.L. Outside ,, &X , deet lhdrta materiel Distance from welt, , y�e feet building tbundetlon_�LC feet nearest lot lens at ❑fiord &stole 13 rear��.fevt Inspection made by ❑ State (3 County C3 LOW Health Authorky Inspected by, 406, g cr VZ&ca %= . Date of InspectIm- p- - 6 _._ . "e iorr> 1 ' ,� �%•rte•• REPORT OF INSPECTION - INDMDUAL WATER.SUPPLY SYSTEM DWmncs to nearest public water main, feel Size of main. inches. Individual wens ❑ are E3 are not customary in neighborhood. siva most recent record of failure of wells In Immediate vldnlly to fumigh adequate supply of water PrOpertfes In.neloborhood ❑ era ❑ are not t developed with bath lndivfdua) water supply and sewage dleposal systema. Lot size fast wide, feat deep. Dwelling set back from property bne, feet. IndMduai water supply tram: C3 Drilled well [] Driven wag ❑ Dw well p Mored well. Distance of well fi'orrn: Budding 1ounda6on,. feet, nearest lot lime at p front q side ❑rear feed cast iron sewer feet, Ute newer feet. septic tank feed, disposal field, feet: age Pit- feat cesspool,feet other sources of possible polution, feet Wbg C uckon Dlerneter; •Inches. Total depth, fest TYPa of ce. Depth of cas ft feet ApproArnate depth to pumphV level of water in well, Seated watertight to depth of�_ feet feed �proximift �„"'�- gallons mute.. EKtador space around casting sealed with: E] Cement Wow ❑ Puddled alar ❑ Or maty baclM vvwl cover. ❑Concrete ❑ Woad ❑ Metw. Openings in weft cover watertight ❑ Yes ❑ No. Pump: ❑ Shallow well [] Deep weft. length of drop pipe, feet. Pump capacity, _ gallons per mtencrte. Lor�ted in ❑Basement ❑ Ptrmproom off ba"merd ❑ Purrnphouse above grand ❑ Pump pit, Pumproom Properly drained: ❑ Yea . [] No. Pump mounting watertight: ❑ Yes ONo. Type of storage: Q Pressure ❑ f3ravlty. Capacity, goons. His bacteriological examination of WSW been made? p Yea ❑ No. ff answer le'"Yes' give date Quality of water ❑ Is [] is not savory for human consumption. Installation 0 does ❑ does rat comply wifh aPproved exfrlbtts . If any. Inspection made by: Q State ❑ County D iLtoc al HeafthAuthoruy. Inspected by Date of inspection .08/06/2009 19:43 76036541-1.8 ASAPPUMPING PAGE 02 FQCMAVPMwd mm ". VETERANS ADMINISTRATION I WS. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT HWlRKOR%%CAWKll KMTH AUTHORITY APPROVAL INDIVIDUAL WATOt-SUPPLY AND WMGE-MPOSAL SYSIMM OL-ORTANT�lhbtam *.Mte=tWeta ftdaompW"elf - - VbRw 35 UAC-1004WW18010- FARV I TO 86 CORVILEM IW NW~ OR WL L TOTAL NUMOW Mom Ovo A21m 0y" -MOD MWnk%LM=ONP ff'='ftwmmW,?) Elva 'Am eivMeuttrte sooltoom gum Y -V— .Kow MWA 13 cowmwryomm EIMUNWUAL JT InO FOODROOMB NPOSAL SEV0.4W DMPOSAL arr 0 Pmucwfwm 13 cmaw"ammm OWNUft om o. PART 0 -10 BE CONPLUM BY HEALIU 130YUCIMENT OR COM!"JAMM W48PIWfWt PMWIO" OW VCH (71? RQWnAMWWFZffZMftWAfPA0= PIAM) Ittois ftopildmoftba (33taB C]Coucq 13 13 is ox s861ay as adome5fic sim wqp* mrsy lbr the -%4= poNd bmpwAW It is the aphd(m ofSM 0 Co.W OLOW VVWWW offfwft *4 WOdt.1 w.WmfWmW V*am bg e mccWd to liar saliaftimm b. md i, d96 Conal be to ctteme oozrdmycoadifim ASAPVLWAPVKk RdM 7ECNNX;lAk Af o LIC S C424WAMI NOTE: The bORM —b0ft *a* aocopJm Qmpwop*ftIi - stsumml abmm teed aft d� -qp=m md We in the spmm pwwfkm Nam: the afthe reve affto is ikt the ppow afftbomft=*woy. PART R - FOR WE OF MW OFFICE I have raviewed de fbrepft aW ft pm *md Cmmphm= hopectum Report sad nmmmend that the mdmdmd wAvs4q* system be emnuamd [] --Pt" 13 =vlabh Opat awq,61- WE 0 HWAR0M*rJML8WrMClW0R0MMtae W v^rvmw,mva fkl'K.IMZ nPPRWOFSVA FORM N43W. OLT. ISTa Lo 1.3 TITLE 24 REPORT Title 24 Report for: Kirk/Kramer Residence 78189 San Timoteo Street La Quinta; CA 92253 Project Designer: o2architecture 1089 N. Palm Canyon Dr. Palm Springs, CA 92262 760 778 8165 Report. Prepared By:. Martin Brunner O'Donnell / Escalante Architects 121 S., Palm Canyon Dr. Palm Springs, CA 92262 (760) 323-1925 I 4-1002 61WV6 Job Number: l CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION Date: I PATE 1u Z) BY Q§ 10/22/2009 1° - I CCA *rpt� i 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: User Number: 5827 ° "TABLE OF CONTENTSTable of Contents 2Form CF -1 R Certificate of Compliance 3Form MF -1 R Mandatory Measures Summary 10Form WS -5R Residential Kitchen Lighting .12 Certificate Of Compliance : Residential _. 82 _0 095R_15 R0 0 122 9Q (Part 1 of 4) CF -1 R Kirk/Kr_amerBesidence .Roof-.- Wood__ -- -79.0- X0.36- __ -R_30_ _BQO_ _0 0 10/22/2009 Project Title Wall- _ Wood-.. _ -19- _0.2511 done_ 8-0 0 - 2 go Date .781.8.9_San Timoteo�treef__La_GZuiria Wall__ _ Wood_ _.._1_48_ _0.356_ _None_ R-0_0 32qfl Wall _ Wood- Project Address Wall. - Wood--._ .16 __0_356 -None R-0.0 122 9.0 Building Permit # O�Doentaetioln/Author�e_&Cillte�tS Wall_ _ 1N_aod..._ (760) 323-1925 -- --32 -0.35.6 --None_ _R-0 0_302 q0 Wall. _ Wood-.._ Telephone Plan Check/Date Fnerg�cPto WalL _ Wood- __ _6.6_ _0.3.56. -None_ _R-0_0_ 122 -go j C 0 m p I i a ce Method CA Climate Zone 15 Climate Zone FieldCheck/Date TDV Standard Proposed Compliance _-16.0_ _0.069_ -91 R_R n -12L q (kBtu/sf-yr) _ Design Design Margin - . 414 X049_ __R19 R 0.0 0_--0 Space Heating 17.59 16.75 0.84 _. i28 0_110- _, R_11 R O.Q 199 go Space Cooling 218.12 159.26 58.86 -90 _ -31 -aNa R-19 R_0 0 JZ 0 Fans 31.48 22.69 8.78 Domestic Hot Water 7.13 7.13 0.00 Pumps _ _ 0.00 0.00 0.00 Totals 274.32 205.84 68.48 better Building Type: Single Family n Multi Family Building Front Orientation: Fuel Type: Fenestration: ❑ Addition Q Existing + Add/Alt (NE) 32 deg Natural Gas Area: 1,602 ft2 Avg. U: Ratio: 35.5% Avg. SHGC: BUILDING ZONE INFORMATION Zone Name . Floor Area Volume 1.05 0.65 NVA_ C1. _ 165 HVAC -4_ .. - -- - -3a .HVA --C2- _. - .--_--. 445 HVAC3- __ 299 OPAQUE SURFACES Insulation Act. 15 566 16.312 Type Frame Area U -Fac. Cay. Cont. Azm. Tilt WaIL _ Waad_ _. 82 _0 095R_15 R0 0 122 9Q Roof.. __ Wood- -._--76_ x.036 R-30 R 0.0 -n� .Roof-.- Wood__ -- -79.0- X0.36- __ -R_30_ _BQO_ _0 0 .Roof__ _ Wood. _ _. X84_ _0.079_ . R-11 R_0 n 0 Wall- _ Wood-.. _ -19- _0.2511 done_ 8-0 0 - 2 go Door. ._ NOMe-.. -_-4_8_ _-0.500_ _NoMe R0.0 -32-90 Wall__ _ Wood_ _.._1_48_ _0.356_ _None_ R-0_0 32qfl Wall _ Wood- - -62 _0-356 done -n 0 X22-90 Wall. - Wood--._ .16 __0_356 -None R-0.0 122 9.0 Wall_ _ Wood_- - --0-35B- --None_ R-0 0_ 3290 Wall_ _ 1N_aod..._ _.__3.0_ _a356 _None_ R-0 0 _212_ 90 Wall- Wood ._ --32 -0.35.6 --None_ _R-0 0_302 q0 Wall. _ Wood-.._ _..__10_ _0..35.6_ ___None _ -fl p -302 90 Wall- _. Wood_ _ 70_ _0.3.55 done_ _B-.O.O_ -32 90 WalL _ Wood- __ _6.6_ _0.3.56. -None_ _R-0_0_ 122 -go . Roof— Wood— .. -._359 -0-06 --R--3R R-0.0 -0 .Wall__ _ Wood_.. .51 _0.095_ R-15_ R-0.0 _3020 Wall.. _ Wood-.. 140_ _0.0.95_ R-15_ _R=0_0 -32-9Il .Wall__ _ Wood_. _-16.0_ _0.069_ -91 R_R n -12L q _Door_ None_ _. .20_ _0.50.0_ _None__B=O.D_122 9 Roof.__ Wood_. - - - . 414 X049_ __R19 R 0.0 0_--0 Wall..._. Wood_.. - 107 0.110__R= R-0.0 32_90 Wall _ Wood__-- _. i28 0_110- _, R_11 R O.Q 199 go Wall - Wood._- -.-8_ _0_110_ R_11R-0t) 919 .Roof_ ._ Wood_ . -90 _ -31 -aNa R-19 R_0 0 JZ 0 25.0% Total Conditioned Floor Area: Existing Floor Area: Raised Floor Area: Slab on Grade Area: Average Ceiling Height: Number of Dwelling Units: Number of Stories: # of Thermostat Units Zone Type Type 017 I iving-LiuingStat 0.09 Living LiyiogS.tat- 0=10 Slee,peng ale-ep0g-%at_ 0.45 Sleeping_ _JSeepingStaL 4,519 ft2 4,028 ft2 0 ft2 4,519 ft2 8.6 ft 1.00 1 Vent Hgt. Area _2 _--__n/a _2 n/a ..__-.-n/.a ---2 .... _ _. n1a Gains Condition Y / N Status JA IV Reference Location / Comments New 09-A4 7one1 _- - _ 7one1 _ New 02-A9 7nne1 _ Altered- W -A9 (F=0�) Fxisting 01-A2 Znnei -_- 7one1 F_xisting 09-A1 Existing_ 28-A4 Removed 09-A1 Removed 09-A1 Existing 09-A1 Fxisting 09-A1 7onel _ _ Zpne1 7nne1 7one1 7one1 Fxisting 09-A1 Fxisting 09-A1 Existing 09-A1 09-A1 _. 7one1 7nn -1 Zone-1- oned 79ne1..- Altered (17_=09-A4) Altered Existing 9.9-A1 .-- New 02-A9 7one1 7one 4 New 09-A4 _- zone -4 ----- ._.New_ New­09-A4 09-A6 Zoned _ Zon 4 Npw New 28-A4 _ - --- oned. ...._ Zone-4­-..­ Fxisting' 01-A4 Existing' Existing O9 -A2 7one 2 7nn - 2 7one 2 Existing_ 09-A2 Fxisting_ 09-A2 New 01-A4 7on - 2 7one 2 Run Initiation Time: 10122109 09:31:34 Run Code: 1256229094 _ EnergyPro 4.4 by EnergySoft User Number: 5827 Job Number. Page:3 of 12 Certificate Of Comaliance : Residential (Part 1 of 4) CF -1 R _Kir_k/_Kramei-Residence (NE) 32 deg 10/22/2009 _ Project Title Fenestration: Date __7_8'L8.9_San_Timoteo_S.treet I a Oltinta Avg. U: 1.05 Ratio: 35.5% Avg. SHGC: 0.65 Project Address Zone Name Floor Area Volume Building Permit # O'D.onnelV_Escalante Architectg . .__3Z _o_o96 -R15 -o a 32-9.0 (760) 323-1925 95 _0 0.95_ - R-15 R-0 0 -12290 Plan Check/Date Documentation Author Telephone Energy -[?to.---. CA Climate Zone 15 Field Check/Date Compliance Method Climate Zone TDV Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 17.59 16.75 0.84 Space Cooling 218.12 159.26 58.86 Fans 31.48 22.69 8.78 Domestic Hot Water 7.13 7.13 0.00 Pump . 0.00 0.00 0.00 Totals 274.32 205.84 68.48 Percent better than Standard: 25.0% Building Type: FX� Single Family ❑ Addition ❑ Multi Family E] Existing + Add/Alt Building Front Orientation: (NE) 32 deg Fuel Type: Natural Gas Fenestration: 443 _ 0.036 R-30 R-0.0 0 0 Area: 1,602 ft2 Avg. U: 1.05 Ratio: 35.5% Avg. SHGC: 0.65 BUILDING ZONE INFORMATION Zone Name Floor Area Volume OPAQUE SURFACES Insulation Act. Type Frame Area U -Fac. Cav: Cont. Azm. Tilt Wall_ Wood Wall .. ftp Wall .-_. Wood_._ ___48- _0_09.5_ R-5_ _R9SL -212_ 90 Rnnf ... Wood...- 6�6_ _0079_ __R-11.-0.0_ _0 _-0 R.00.L_ Wood_ 443 _ 0.036 R-30 R-0.0 0 0 Wall__ Wood__- 379 _0.356 __None_ R0.0 �2- 90 Wall .. Wood___._ ..._289 _0.356_ -None -0 0 -_J229II Wall_ Wood_ __379 3 35s Anne _B=0.0 712_917 WAIL- Wood_ 348 0 356 None -0_0 302 9 Wall __ Wood-_. .__3Z _o_o96 -R15 -o a 32-9.0 WalL_ Wond_..__ 95 _0 0.95_ - R-15 R-0 0 -12290 Wall Wood Wall-_ Wood Total Conditioned Floor Area: 40519 ft2 Existing Floor Area: 4,028 ft2 Raised Floor Area: . 0 ft2 Slab on Grade Area: 4,519 ft2 Average Ceiling Height: 8.6 ft Number of Dwelling Units: 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 L0 0 Ne, 04-A4 7nnp 9 ❑New 09-A4 7nnp 9 _ [-]New Q9 -A4 7nnP 9 _- ❑Fxivctlnn_ 01-A9 7nnp 3 ❑Allured n2-Ag�-01-A2) zone 3 EIFArtinq_ 09-A1 7nnp 3 ❑Fxicting ng -A1 Zonp 3 ---•-- ®Fxicting Og-A1 7nnp 3 6Q ❑Existing 04-A1. Zone 3 ❑Neim 119-A4 7nnp 3 --- ❑New 09-A4 - 7nnp 3 ❑New 0Q -A4 7nnp 3 ® ❑ New 0g -A4 Zone 3 --.-- ❑El- ❑ ❑ --- - -- ❑❑ ❑❑ ❑o - Run Initiation Time: 10/22/09 09:31:34 Run Code: 1256229094 EnergyPro 4.4 by EnergySoft User Number: 5827 Job Number. PageA of 12 Certificate Of Compliance : Residential (Part 2 of 4) CF -1 R Kirk/Kramer Residence _ Bug Screen 10/22/2009 _ Project Title Date _ Bug Screen FENESTRATION SURFACES Bug Screen 6 _ E ug_Screen _ 6_ True Cond. Location/ # Type _ _ Area U -Factor' SHGC2 Azm. Tilt Stat. Glazing Type Comments _ 1_. Window. F_ronL._(NE) 37-0. 0-790 116-A 0_70 116-6 �32 --qQ Existing Double Metal Clear 2ortel . _..._ 2 Window _ Front __(NE) 24.0 1.190 116-A 0_68 116-B 32 90 Existing E -single glazed Zone1 3 Window_ Left U 64.0 1.250 116-A 0_67 116-8_._122 90 Existing E -SLD Zone1 4 Window Rear (5p)_ 101.5 _ _ 1.190 116-A 0_68 116-B 212 90 Existing E -single glazed Zone1 _ 5. Window Rear �S _ 25.790 116-A 0_68 116-B 212 90 Existing E -single glazed Zone1 5_ Window Rear (S�_ 78.0 .__1.250 116-A 0_67 116-B 212 90 Existing E -SLD Zone1 _ 7_ Window Rear -(SWC 106_3 1.190 116-A 0_68 116-6 212 90 Existing E -single glazed ZoIF1 8 Window Rear (SM_ 24.4 1.190 116-A 0.68 116-B 212 90 Existing E -single glazed Zone1 _ 9._ Window Rear (SWf _ 74.0 12.50 116-A 0.67 116-B 212_ 90 Existing E_,SL.Q Zone1_ -__- 10 Window Right (NW)_ 11_2 1.190 116-A 0.68 116-B 302 90 Existing -single glazed Zone1, ___ - 11, Window Right..-(NVV) 72.4 1.190 116 A 0_68 116 8 302 90 Existing E -single -glazed 2one1 12 Window Front,_(NE) 14.9 1.190 116 A 0_68 116 6 32 90 RemovedE-singleglazed Zone1 13 . 1Nindow Econt.._(RE) -__25,0 1.190 116-A 0.68 116-8 32 90 Remoye¢,-sinole glazed 10ie-1 - 14 Window Front (NE) 51.0 1.190 116-A 0_68 116-6 32 90 New single glazed new Zone1 15 Skylight Front (NZ 26.0 1.280 116-A 0_80 116-B 0 0 New Single Metal Clear Zone 4 16 Window Right .(NW). 84.0 0.490 NFRC 0_50 NFRC 302 90 New MILGARD 450SLD LowE Zone 4 17 Window Right_RW) 45.2 0.440 NFRC 0_53 NFgC 302 90 New 710FIX LowE Zone 4 18 Window Left.. (SE). 102.0 _MILGARD 0.710 116-A 0_60 116-B 122 90 Existing_E dual glazed fix Zone 2 19 Wind9w_._..Rear (S ) 72.5 0.710 116-A 0.60 116-ij 212 go New E dual glazed fix Initiation Time: l012210909:31:34 Run Code: 1256229094 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 11613. INTERIOR AND EXTERIOR SHADING # _ Exterior Shade Type 1 _ Bug Screen 2 _ Bug Screen 3 _ Bug Screen 4- Bug Screen 6 _ E ug_Screen _ 6_ Bug_Screen 7 _ Bug Screen 8 Bug_Screen 9 _ _Bug Screen 10 Bug Screen 11 _ Bqq Screen 12 _ Bug Screen 73 Bug Screen 14 _ Bug Screen 15 None 16 bug -Screen -_ 17 Bug Screen 18 Bug Screen 19 Bug Screen Window Overhang Hgt. Wd. Len. Hgt. LExt. REA 0.76 4.0 8.0 0.0 0 -a-1 _6.0 _ . 0 0.0 0.76 _ 8.0 3.0 9.5 0.1 (in.) Cap. Cond. R -Val. 0.1 0.76 8.0 8.0 5.0 0.1 _0.1 0.1 9.7 _... 0.76 11.0 9.2 IT 0. 36.0 6.0 0.76 3.0 9.7 17.0 _ 0.1 26.0 15.5 0.76, 8.0 9.7 17.0 _30 -26.0 -J-55 _.-._0.76 11.0 9.7 17.0 0.1 16.0 25.5 0.76 3.0 9.2 24.0 0.1 6.5 35.5 0.76 8.0 9.2 24.0 3.0 6.5 35.5 0.76 2.0 4.3 5.7 0.1 16.0 24.0 0.76 11.0 6.5 15.5 0.1 21.0 17.5 54 None No Insulation 26-A1 Existing Zone 2 Slab Perimeter 12 0.76 26-A1 New Zone 2 -..--...._._.. Initiation Time: l012210909:31:34 Run Code: 1256229094 0.76 _ User Number. 5827 Job Number. Page:5 of 12 J 1.00 _ 0.76 7.0 12.0 3.7 _ 1.0 7.0 2.0 _ 0.76 7.0 6.7 3.7 _ 1.0 0.1 14.5 0.76 9.0 1.7 4.0 0.1 4.0 0.1 0.76 9.0 8.0 4.0 0.1 0.1 4.0 Left Fin_ Dist. Len. Hqt. 0.1 12.3 0 0.1 12.0 0 0.1 --0-0 -4 0.1 25.5 0.1 0.0 0 Right Fin Dist. Len. Hgt. 0.1 _ 3.7 - 0 0.0 0.0 0 -a-1 _6.0 _ . 0 0.0 0.0 -0 2.0 14.0 0 0.1 0.0 0.1 0 0.1 6.0 _ 0 6_0 0 _ 0.0 0_0 _ _ 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 Concrete,. Heavyweight _ _ 76 3_50 28 0_98 0 26-A1 New Zone1 / Slab on Grade Concrete, Heavyweight _ 1,575 _ 28 0_98 0 26-A1 Existing Zone1 / Slab on Grade.. _ Concrete, Heavyweight _ _ 385 _3.50 3.50 28 0_98 0 26-A1 New Zone 4 / Slab on Grade Concrete., Heavyweight 3.50 28 0_98 2 26-A1' Existing Zone 2 / Slab on Grade - Concrete, Heavyweight 141.4 31 3.50 28 0_98 2 26-A1 New Zone 2 / Slab on Grade_ PERIMETER LOSSES Insulation Condition Location/ Type _ Length R -Val. Location JA IV Reference Status Comments _ Slab Perimeter,__ 8 None No Insulation 26-A1 New Zone1 Slab Perimeter 90 None No Insulation 26-A1 Existing Zonal Slab Perimeter 62 None No Insulation 26-A1 New Zone 4 Slab Perimeter.._ 54 None No Insulation 26-A1 Existing Zone 2 Slab Perimeter 12 None No Insulation 26-A1 New Zone 2 -..--...._._.. Initiation Time: l012210909:31:34 Run Code: 1256229094 _..._Run - _EnergyPro 4.4 by EnergySoft User Number. 5827 Job Number. Page:5 of 12 J Certificate Of Compliance : Residential (Part 2 of 4) CF -1 R Kirk/Kramer Residence. 10/22/2009 Project Title Date FENESTRATION SURFACES True Cond. Location/ # Type _ Area U-Factorl SHGC2 Azm. Tilt Stat. Glazing Type Comments 20. 2'. 22 23 W1Cindo.wr Re.aL__(SW) _-32.5_ Window__ Front _ (NE) 48.6 _Window Left_LSEj 31.6 _Window Left SE 64.0 - - 12s 116-A _0M _ 116-B 212 _gQ New F -SLD 1.190 116-A 0_68 116-B 32 90 Existing E -single glazed 1.190 116-A 0_68 116-B 122 90 Existing E -single glazed 1.250 116-A 0_67 116-6 122 90 Existing E -SLD Joine.2 Zone 3 Zone 3 Zone 3 - -- --- 24 _Window Left (SEj - 27.0 _ 1.250 116-A 0_67 116-B 122 90 Existing E -SLD Zone 3 25 _Window Rear -(SW)_ 11.6 1.190 116-A 0_68 116-6 212 90 Existing E -single glazed Zone 26 Window�R ar -_W) 37.0 0.710 116-A 0_60 116-B 212 90 Existing E dual glazed fix Zone 3 _.._- 27 Window Right (NYjv_ 40.0 0.710 116-A 0_60 116-B 302 _ 90 Existing E dual glazed fix Zone 3 2$ ..Window_. R�ht...(NWa 52.3. 1.190 116 A JU-8 116-B 302 90 fisting E -single glazed Zone 3__...._ .29 Window Right (NW)_ 63.6 -J-20 116-A 0 67 -fid 302 Q Exi i E -SLD Zone 3 30 Window_. Rei ht ._(NW, 43.o 1.190 116 A 0_68 116-B 302 90 Existing E -single glazed Zone 3 _ 31 Window RigN_(Nffl_ 63.6 _ 1.250 116-A 0_67 116-B 302 90 Existing E -SLD _ Zone 3 32 _Windo_W _ECont_(NE) _ _111,Q -0 440 NFRC JLU JNFJ3,C 1.0 New MILGARD 710FIX I owE _ Zone 3 33 _Window Left ._� 10.8 0.440 NFRC 0_53 NFRC _32 122 __qQ 90 New MILGARD 710FIX LowE Zone 3 34 Window Rear (SW) 17.2 0.440 NFRC 0_53 .NFRC 212 90 New MILGARD 710FIX LowE Zone 3 35 Window_ - Right (N�_ 9.5 0.440 NFRC 0.53 NFRC 302 90 New MILGARD 710FIX LowE _ Zone 3 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 116B INTERIOR AND EXTERIOR SHADING #_ Exterior Shade T e -yp - - SHGC Window Hgt. Wd. Len. Overhang Hgt. LExt. RExt. Left Fin Dist. Len. __ Hgt. Right Fin_ Dist. _ Len. Hgt: 2G Bu Screen _9 _ 0.76 9.0 8.0 4.0 0.1 4.5 6.5 PERIMETER LOSSES Insulation 21 Bug Screen 0.76 8.0 8.0 6.0 0.1 26.5 6.0 Type _ Length R -Val. Location JA IV Reference Status Comments _ 22 Bug Screen 0.76 8.0 4.0 6.0 0.1 17.0 6.0 - 23 Bug Screen 0.76 8.0 8.0 6.0 0.1 9.0 10.0 -- - - -- 24 Bug Screen 0.76 8.0 4.0 21.0 0.1 1.0 4.0 25 26 Bug Screen_ 0.76 8.0 14.3 8.5 0.1 0.1 6.5 Q. 10.0 0 0.0 -0-0. _0 Bug Screen _ 0.76 5.0 6.0 0.1 3.5 5.0 0.1 0.0 0 5.0 12.5 27 Bug Screen 0.76 5.0 6.5 _3_5 3.7 _ 0.1 0.1 3.7 _ .0, 28Bug Screen _ 0.76 8.0 6.7 6.0 0.1 0.1 8.0 8.0 6.0 0 0.1 15.0 0 29 Bug_Screen 0.76 8.0 8.0 6.0 0.1 0.1 6.8 0.1 6.0 0 6.8 15.0 0 30 Bug Screen 0.76 8.0 5.5 6.0 0.1 6.0 0.1 0.0 0.0 0 0.1 6.0_ _ 31 _ Bug Screen 0.76 8.0 8.0 6.0 0.1 6.5 6.0 _0_ 32 Bug Screen -.... 33 _ Bug Screen 0.76 34 Bug Screen 0.76 35 _ _ Bug Screen 0.76 THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Condition Location/ Type-Val.(sf) (in.) Cap. Cond. R JA IV Reference Status Comments Concrete,_Heavywei hg t - 2 039 3.50 28 0_98 2 26-A1 Existin Zone 3 / Slab on Grade PERIMETER LOSSES Insulation Location/ Condition Type _ Length R -Val. Location JA IV Reference Status Comments Slab Perimeter _ _. 235 None No Insulation 26-A1 Existing _ Zone 3 Run Initiation Time: 10/22/09 09:31:34 _ Run Code: 1256229094 _- EnergyPro 4.4 by EnergySoft User Number. 5827 Job Number. Page:6 of 12 i Certificate Of Compliance Residential (Part 3 of 4) CF -1 R Kirk/Kramer Residence 10/22/2009 Project Titie Rated Tank Energy Date Water Heater System Name HVAC SYSTEMS Cap. Condition Factor Standby R -Value Type Distribution Syst. (Btu/hr) (gal) Heating Minimum Cooling Minimum Condition Thermostat Location _ — Type Eff Type Eff Status Type HVAC1 _ _ Central Furnace 80% AFUE Split Air Conditioner 12.0 SEER Existing _ Setback HVAC 4, _ Split Heat Pump 9.80 HSPF Split Heat Pump 14.2 SEER New _ HVAC2 Central Furnace 80% AFUE Split Air Conditioner 12:0 SEER Existing _Setback _ Setback _ HVAC DISTRIBUTION REMARKS Duct Duct Condition Ducts Location Heating Cooling Location R -Value Status Tested? _ HVAC1_____ Ducted Ducted Attic 4.2 Altered No HVAC 4 Ductless / with Ductless n/a n/a New _ No HVAC2 _@ted Ducted Attic _ 4.2 Existing _ No Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. WATER HEATING SYSTEMS Rated Tank Energy Tank Insul. Water Heater System Name # in Input Cap. Condition Factor Standby R -Value Type Distribution Syst. (Btu/hr) (gal) Status or RE Loss (%)_ Ext. A O Smith FGR -50-248D Small Gas No Pipe Insulation 2 40,000 50 Existing 0.60 n/a n/a 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 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 (per Business & Professions Code) Name: Title/Firm: o2architecture Address: 1089 N. Palm_ Canyon Dr. Palm_S rin s CA 92262 Telephone:76077848_165 _ Li c. #: (signature)' (date) Enforcement Agency Name: Title/Firm: Address: Telephone: (sigiat6ir—ej—__ (date) Documentation Author Name: Martin Brunner Title/Firm: O'Donnell / Escalante Architects _ Address: 121 S. Palm Canyon Dr. Palm Springs, CA 92262 Telephone:7( 60) 323-1925 4.4 by EnergySoft User Number. 5827 ine Number (date) Certificate Of Compliance • Residential (Part 3 of 4) CF -1 R Xirk%Kramer Residence 10/22/2009 Project Title Date • HVAC SYSTEMS Heating Minimum Cooling Minimum Condition Thermostat Location _ _ _^ Type Eff_ Type Eff Status Type HVAC3 Central Furnace 80% AFUE Split Air Conditioner 13.5 SEER Existing Setback _ HVAC DISTRIBUTION Duct Duct Condition Ducts Location _ Heating Cooling Location R -Value Status Tested? _ HVAC3 __ -_ Ducted Ducted Attic 4.2 Existing No Hydronic Piping pipe Pipe Insul. stem NameLength 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) (gal) 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 R 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 (per Business & Professions Code) Documentation Author Name: _ Name: Martin Brunner Title/Firm: o2architecture _ Title/Firm: O'Donnell / Escalante Architects Address: 1089 N. Palm Canyon Dr. _ Address: 121 S. Palm Canyon Dr. Palm Springs, CA 92262_. Palm Springs CA 92262 Telephone: 760 778 8165 Lic. #: Telephone: (760) 323-1925 (signature) (date) (signature) (date) Enforcement Agency Name: Title/Firm: Address: Telephone: (signature) (date) 4.4 by EnergySoft User Number: 5827 Job Number: Certificate Of Compliance : Residential (Part 4 of 4) CF -1 R Kirk/Kramer Residence 10/22/2009 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. I Plan .1 Field The HVAC System "HVAC1" must meet all CEC Criteria for a Zonally Controlled system serving only Living Areas. HIGH MASS Design - Verify Thermal Mass: 76 sqft Exposed Slab Floor, 3.50" thick at laundry2 HIGH MASS Design - Verify Thermal Mass: 1575 sqft Exposed Slab Floor, 3.50" thick at Living/Kitchen/Entry The HVAC System "HVAC 4" must meet all CEC Criteria for a Zonally Controlled system serving only Living Areas. HIGH MASS Design - Verify Thermal Mass: 385sgft Exposed Slab Floor, 3.50" thick at Addition The HVAC System "HVAC2" must meet all CEC Criteria for a Zonally Controlled system serving only Sleeping Areas. HIGH MASS Design - Verify Thermal Mass: 414 sqft Covered Slab Floor, 3.50" thick at Guest HIGH MASS Design - Verify Thermal Mass: 31 sqft Covered Slab Floor, 3.50" thick at closet The HVAC System "HVAC3" must meet all CEC Criteria for a Zonally Controlled system serving only Sleeping Areas. HIGH MASS Design - Verify Thermal Mass: 2039 sqft Covered Slab Floor, 3.50" thick at Bedroom Wing 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 "HVAC 4" incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion Valve. �_ EnergyPro 4.4 by EnergySoft User Number: 5827 Job Number: Page_9 of 12 Mandatory ;Measures Summary: Residential♦ (Page 1 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. ! i Check or initial applicable boxes or check NA if nota applicable and included with the ENFORCE- ' PP PP DESCRIPTION ! permit application documentation. -' , pp N/A DESIGNER MENT Building Envel6pe Measures a § 150(a): Minimum R-19 in wood ceiling insulation or equivalent U -factor in meal frame ceiling. ❑ G I tr t , § 150(b): Loose fill insulation manufacturer's labeled R -Value: ❑ El. - -150(c): 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not ❑ _ ❑X i j i apply to exterior mass walls).- .• i ! '❑ ❑ —1 ♦§ 150(d): Minimum R-13 raised Floor insulation in framed floors or equivalent U -factor. i i§ 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. i 1. Masonry and factory -built fireplaces have: ` i a. Losable metal or glass door covering the entire opening of the firebox LJ i b. outside air intake with damper and control, flue damper and control ❑ ❑ i ! ❑ o n 2. No continuous burning gas pilot lights allowed. r § 150(f): Air retarding wraplinstalled to comply with §151 meets requirements specified in the ACM Residential Manual. El El ❑ § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. " IJ ❑ § 150(1): Slab edge insulati i n -water absorption rate for the insulation alone without facings no greater than 0.3%, water vapor ❑ ❑ ["'.1 permeance rate no greater than 2.0 perm/inch. r § 118: Insulation specified ar installed meets insulation installation quality standards. Indicate type and include ❑ • ❑ ❑ ` CF -6R Form: ! f . § 116-17: Fenestration Protlucts, Exterior Doors, and Infiltration/Exfiltration Controls. I ' 1. Doors and windows between' conditioned and unconditioned spaces designed to limit air leakage. ❑ ❑ U 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain i f Coefficient (SHGC), and infiltration certification. . ❑ EK El 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ 4 ❑ I _ r Space Conditioning, Water Heating and Plumbing System Measures' r § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. ❑ ox ❑ i, § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑ ❑ I O § 150(i): Setback thermostat on all applicable heating and/or coolingsystems. 1K ❑ y R.+• .,:r I V I � § 1500): Water system pipe and tank insulation and cooling systems line insulation. I 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation ❑ ox 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. t 3. The following piping is insulated according to Table 150 -AIB 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 ❑ ❑X I._J length of recirculating sections of hot water pipes shall be insulated to Table 150B. 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-B and Equation 150-A. 4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A. ❑ ` ❑ • ❑ . � EIIS�l 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, EJ EK ' and wind. ,11 l 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed F •, ❑ ❑ (J - entirely in conditioned space. 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation. ❑ • ❑ ; LI EnergyPro 4.4 by EnergySoft User Number. 5827 r Job Number. . - Page:10 of 12 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. N/A DESIGNER MENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) J § 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, ❑ ❑X '• 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 -closure system I that meets the applicable requirements of UL 181, UL 181A, or UL 1818 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 ❑ sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support j 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. 1 3. Joints and seams of duct systems and their components shall not be sealed with doth 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 ❑ dampers. " 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. r - ❑ § 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 fitter 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. Cl ., burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) tnJ § 118 (i): Cool Roof material meets specified criteria a ❑ FxJ ❑ j § 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table f ❑ ❑ 0 1 al ❑ I' § 118 (i): Cool Roof material meets specified criteria a ❑ Lighting Measures § 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table f ❑ 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 ❑ 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 shall be high efficacy luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR are controlled ❑ by an occupant sensor that complies with Section 119(d) that does not tum on automatically or have an always on option. § 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are ❑ 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 ❑ 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)B: 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 sensors) certified to comply with Section 119(d). U ❑ ❑ ❑ ❑ ❑ n ❑ nergyPro 4.4 by EnergySoft User Number: 5827 Job Number. Page: 11 of 12 F.3 Residential Kitchen Lighting Worksheet WS -5R Kirk/Kramer Residence 10/22/2009 Project Title Date At least 50% of the total rated wattage of permanently installed luminaires In kitchens must be in luminaires that are high efficacy luminaires as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately. Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens. High Efficacy Luminaire Type High Efficacy? Watts Quantity Watts Other Watts (D -18w Compact Fluorescent Quad 2 in Yes X No F 25.0 x 6 = 150 or _..._. Yes No x _ = or Yes No x _ = or _. Yes No I x or ---.-- -- -_—.. Yes I No I x _, = or -- - -- — Yes No x = _ or --- - - Yes No _ x _-- or Yes No x _ = or -- -- Yes No x = —._ or Yes No x - or. --. Yes No x = — or —_... _ Yes No I x = or _ Yes No x = — or __..- - _. Yes No x = _ or Yes No x = or -- Yes No _ x = or ----.— —_ Yes Nox or --- — Yes No x = or ----- — —..—_. ... Yes No x = ---- or --- - _ Yes No x _ or Total A: 150 B: -__ 0 COMPLIES IF Az B YES G�C NO ' EnergyPro 4.4 by EnergySoft User Number: 5827Job Number. Page: 12 of 12