0201-182 (AR)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chaptq, r 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code', and my License is in full force and effect.
License # Lic. Class Exp. Date
Date Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
() I am exempt under Section B&tP.C. for this reason "
elate 71 n + Signature of Ownert.-t(t (;ff-i Vrr.,,
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
( ) I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which'this permit is issued.
( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor;Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Cartier Policy No.
(This section need not be completed if the permit valuation is for $100.00 or less).
<) 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 3700 of the Labor
Code, I shall forthwith comply with those provisiogS. e;
Date: ' 1.: 9s Applicants ('1 A�,_t
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition toithe cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on'' his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent) �'t •ASA �•n - tl Date
BUILDING PERMIT PERMIT#
fff
DATE VALUATION LOT 0201-4.82 TRACT
JOB SITE G
APN
ADDRESS ISO-•9iw,1�3 CA11JAK 09 -m --Wo
OWNER
CONTRACTOR/DESIGNER/EN (NEER
i+:1'liNNY COS'tt,
O17V3r1' Ra.3xJ:(1-DliR
50>9(X1 CWIX, 013):,Vo
LA Qitllg k CA 9225:
i CF'I A
USE O�F�P�EERMMITq��
qct;/ y A y���{ q�7p� '6
A�.i:eh7'JdJ'•.SY MAL .Y.11J1✓11J.01
F.DI)I`PI01d . 950 ti.'. 1 CAR OARAOF iH7"I`i'I.1 STORAC111,WI-))
WCHANICAi, 201 SY. LAUXDRYl0WffI 16A (t'.C)ND.1-11Ca"MED).
TRACT MNErTRUC:.TION 201.0 8F
CV4.1LAGFJCA'RVO'RT 95f1(w S?
MMTffi2 D COW Air' CCD1W5,71*;fI'C;'�` 0JN
2'9,&3430
'jpp ��,}}}}]���E.€
PJ31:aY.eV T lJWI tl1 M.V.'.I LV SLS
CONSTRUCTION rZ1 101.000-414.000 $284.50
PLAN C13Bi:g FEE 101-000-439-318 $220.43
MECHANICAL FFEE 101.000421-000 949,00
XL9,C'F'RIC,r L I7I+E 101 -NO -420-000 141.04
P5-W1?r•INGIM, 101-000.419-M) $.04,00
STRONG UOT1014 F9E - RESID 101-000-241-000 $2.95
E3T�RL'tNCF 1'I'Pl? l 01 mCf00�•�.3�00C �2t1,t)0
�k
cl lil. TAL. �MM AN3. P A1•+( BECK,
` 690.91
1,ESS PRE -PAM FEES
$0.00
J
URA9T FM, EN DUE NOW
RECEIPT
DATE /
BY`D
FIN L D
IN E)rTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck ! vim-
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
_
Final��j �d3
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
Bin #�
T�, City of La Quints F%0� P(A ;,U
N0w4,0
PZP Building &r Safety Division f_
P.O. Box 1504, 78-495 Calle Tampico Atm--,/ A, Caste
xj. La Quinta, CA 92253 - (760) 777-7012 1�
Building Permit Application and Tracking Sheet
Permit #
Project Address: M" #JCasTA A� lTe ftj
Owner's Name: X � ,A,J 0 q CITSTA 0$15 Po•
A. P. Number:
Legal Description: Sid— `vo C Aws
Contractor: X GkJeL0fA'6r^C
Address: X C=j p :�Op CAU -0 OQ�
Citi'. ST. Zip: x LA QiIk�%4 Cq .q' -OZ S3
Telephone:
Address: \CEO IPA \ALLY
Project Description: X (,AQ ik)
City. sr. Zip: LA aU I t l C A .IZ2-S3
)� . �9t� - App i� ok
Telephone:x 3 _ Z
..... .... ....
State Lic. # : K City Lic.
rch.. Engr.. Designer: 0F_
oss�7" NoM�p�6QE3�
G
Address: "� l —� �f Ep
r •—
city'. ST. Zip: LA 6? j Q7;:�A . -RZS
Tele —c�
hone 5
P O-Zd
7 O
to �
Statei
L c. #
Name of Contact Person: x
Construction T�
tie.
. P Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.',,(,2pp # Stories: 7eU its:
Telephone # of Contact Person:
Estimated Value ol"Project: X
140 APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd Recd
I TRACKING PERMIT FEES
Z
Plan Sets
I �
Plan Check submitted /� oz. Item Amount
Structural Coles.
Reviewed. ready for corrections /CDPlan Check Deposit
Truss Calcs.
Z
Called Contact Person SoJS iyts� %3 Plan Check Balance
Title 24 Calcs.
L
Plans picked up y/p Construction
Flood plain plan
Plans resubmitted okx_ Mechanical
Grading plan
2"d Review, ready for correct ons/issue 7 Electrical
Subcontactor List
Called Contact Person OZ Plumbin
Grant Deed
Plans picked up 5.111.1,-Vjr— t
t
H.O.A. Approval
Plans resubmitted G di
IN HOUSE:-
'^' Review. ready for corrections/issue veloper Impact Fee .� Me, 004411a
Planning Approval
Called Contact Person A 1 P P
Pub. Wks. Appr
Date of permit issue 3 77
School Fees
S.T F Don, 4,
I /rtl
J
� otal Permit Fees
v --
v o-rac : P>✓.�,; t' Com- �s
z �
t:./C1 A- IC (r e,4/jo v5 I ssoc t7 -- /Vv L,,y— Da,✓E . Y
Notice:
Document Cannot Be Duplicated
Desert Sands Unified School District
47-950 Dune Pa1ms.Road
La Quinta, CA 92253
760471-8515
CERTIFICATE OF COMPLIANCE
Date 2/5/02 APN# 770-104-006
No. 22903 Jurisdiction La Quinta
Owner NameManny Costa Permit # 0201-182
No. 50900 Street Calle Obispo Log #
City La Quinta Zip 92.253 'Study Area
Tract # DCT U5 Lot # . 86 Square -Footage 201
Type of Development Residential Addition
Comments
Room -201 s.T
No. of Units 1
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered
patios/walkways, residential additions under 500 square feet, detached accessory.. structures or replacement mobilehomes. It
has been determined 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 Government -Code -53080 in the amount of
0.00 X 201 or $ 0.00 the property listed above and that building
R
permits and/or Certificates of Occupancy for this square footage,in this proposed project may now be issued
Fees Paid By Exempt- Frank Moreno Telephone 760-200-9956
Name on the'check
By Dr. Doris Wilson
Superintendent -
Fee collected /exempted by Nicola Wong
Signature Alc-� W$A[]
Exempt
Check No. -
$0,.00
NOTICE: Pursuant to Assembly Bill 3081 (CHAP 549 sTA . 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above will begin to run from the date on which the It ing r installation permit for this project is sssued or on which they are paid to the District(s) onto another public entity authorized to
collect them on the District('s)(s') behalf, whichever is a ec.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
September 3, 2002
Manny Costa
7165 Yorktown Drive'
Gilroy, CA 95020
Mr. Greg Butler
City of La Quinta
Building & Safety Department
78-495 Calle Tampico
La Quinta, CA 92253
Re: Extension of Building Permit No. 0201-182
Dear Mr. Butler:
I would like to request an extension of Building Permit #0201-182 due to difficulties in
finding a licensed contractor to do the work. I have discussed the project with several
contractors, but none seem to be interested in submitting a proposal; either they were too
busy with other work or .they were not interested. In addition, I have not been able to take
off enough time from my job to locate other contractors who might be interested in
quoting the project. However, over the next two to three months, I plan to take off several
weeks from my job in order to get the project started.
In view of the foregoing difficulties in securing a contractor to do the work, the six-
month extension of the existing .permit would allow me to pursue other contractors and
get the work started. I plan to retire from my job within the next year, and I would like to
have the work completed before that time.
If you have any questions or need any additional information, please do not hesitate to
contact me. My telephone numbers are: (408) 991-2138 (office) or (408) 234-3574 (cell).
Your assistance will be greatly appreciated.
Sincerely,
M �,-
Manny Costa
Encl. Copy of Building Permit
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROV
,GX�GaS �o I C�r3;T1
By
'Ft.V_µ'T rw�%Zzs
HVAC SYSTEM HEATING AND COOLING. LOADS SUMMARY
PROJECT NAME
Garage for Manny Costa
DATE
1/29/02
SYSTEM NAME
Garage/Laundy
FLOOR AREA
930
Number of Systems
1
Heating System
Output per System
89,000
Total Output (Btuh)
89,000
Output (Btuh/sgft)
95.7
Cooling System
Output per System
46,000
Total Output (Btuh)
46,000
Total Output (Tons)
3.8
Total Output (Btuh/sqft)
49.5
Total Output (sgftrTon)
242.6
Air System
CFM per System
1,740
Airflow (cfm)
1,740
Airflow (cfm/sgft)
1.87
Airflow (cfm/Ton)
453.9
Outside Air (%)
0.0
Outside Air (cfm/sgft)
0.00
)AD
Total Room Loads
Return Vented.Lighting
Return Air Ducts
Return Fan
Ventilation
Supply Fan
Supply Air Ducts
COIL COOLING PEAK
COIL HTG. PEAK
CFM `
Sensible Latent
CFM
Sensible
1,109
17,236
2,039
975
47,232
0
862
2,362
0
0
0
0
0
0
0
0
0
862
2,362
TOTAL SYSTEM'' LOAD 1 18,9601 27039 51 955
^IVAC EQUIPMENT'SELECTION
BDP CO. 561AJ048-" 28,759 13,940 89,000
Total Adjusted. System Output 28 759 13,940 89,000
(Adjusted for Peak Design Conditions)
TIM E.OF:SYSTEM PEAK Aug 2pm] Jan 12 am
I. Note: values above given at conditions
EATING SYSTEM. PSYCH ROM ETRICS Airstream Temneratures at Time of Heatina Peak)
26.0 of 68.7 of 68.70 F 116.4 of
• r`'
Outside Air ):O
0 cfm
Supply Fan Heating Coil
1740 cfm
68.7 of
111.0 / 77.4 of
Outside Air
0 cfm
78.5/67.4 of
k Return Air Ducts 4
ROM ETRICS '(Airstream Temp0atures.at
78.5 / 67.4 of 18.5/67.40f* 63.0/62.00
Supply Fan Cooling Coil
1740 cfm
Supply Air Ducts
115.2 of
ROOMS
70.0 of
Supply Air Ducts
63.5 / 62.2 of
57.6% R.H. ROOMS
78.0 / 67.2 of
EneravPro 3.1 By EneravSoft User Number: 2655 Job Number: Page: 12 of 14
FR66M LOAD -SUMMARY.'
PROJECT NAME
Garage for Manny Costa
DATE
1/29/02
SYSTEM NAME
Laundry-
FLOOR AREA
201
ROOM LOAD SUMMARY
ROOM:COOLING PEAK
COIL COOLING PEAK
COIL HTG. PEAK
ZONE NAME
ROOM NAME
Mult.
CFM
SENSIBLE
LATENT
CFM
SENSIBLE
LATENT
CFM
SENSIBLE
Laundry
Laundry
1
176
.3,563
93
176
3,563
93
624
2,637
PAGE TOTAL 1 176 3,563 93 624 2,637
TOTAL 1 176 3,563 93 624 2,637
EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page: 13 of 14
ROOM' LOAD SUMMARY
PROJECT NAME'
Garage for Manhy Costa
DATE
1/29/02
SYSTEM NAME
Gara a/Laund
FLOOR AREA
930
ROOM LOAD SUMMARY
ROOM COOLING PEAK
COIL COOLING PEAK
COIL HTG. PEAK
ZONE NAME
ROOM NAME
Mult.
CFM
SENSIBLE
LATENT
IC - FM
SENSIBLE
-LATENT'
CFM
SENSIBLE
Garage/LaundryGarage/Laundry
Garage',
1
1,109
17,236
2,039
1,109
'
17,236
2,039
975
47,232
i
s
PAGE TOTAL 1 1,109 17,236 2,039 975 47,232
TOTAL 1 1,1091, 17,236 2,039 975 47,232
EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number: Page: 14 of 14
TITLE,24.REPORT..
-Title 24 Report ,for:
Garage for Manny`�.Costa
Avenada Obispo
La Quints, CA CITY OF LA QUANTA
Project Designer:
Report, Prepared ,'By:
Joan D. Hacker
Insu-Form :Inc.
68255 Corta Road
Cathedral. City, CA 92234
(760) 324-0216
Job Number:
,,L,. G &SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DAMLILI_aBYXZ
ORAr
Date: ,
1/.29/02
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 2001 Building Energy Efficiency Standards.
This program developed by Gabel Dodd/EnergySoft, LLC (415) 883-5900.
EnergyPro 3.1 By EnergySoft Job Number: User Number: 2655
I - TABLE OF CONTENTS I
Cover Page
Table of Contents
Form CF -1 R Certificate of Compliance
Form MF -1 R Mandatory Measures Checklist
Form C -2R Computer Method Summary
HVAC System Heating and Cooling Loads Summary
Room Load Summary
1
2
3
6
7
11
13
EnergyPro 3.1 By EnergySoft Job Number: User Number: 2655
Certificate,.& Compliance:.,,
Reside.ntial . _
(Part .1 of 2) CF -1 R
Garage for'Manny Costa .
Slab On Grade
1/29/02
Project Title
Exposed Slab MR -0.0 Perimeter Insulation
Date
Avenida Obispo La Quinta
0.081
Exterior Wall
Project Address
Wood
Building Permit #
Insu-Form Inc.
(760) 324-0216
Plan check /Date
Documentation Author
Telephone
Bug Screen
Computer Performance
15.
Field Check/ Date
Compliance Method (Package or Computer)
Climate Zone
Enforcement Agency Use Only
GENERAL INFORMATION
•Bug Screen
x❑ ❑
Total Conditioned Floor Area: 1,131f? Average Ceiling
Height: 8.8 ft'
Total Conditioned Slab Area: 1,131 ft2
Building Type:
(check one or more)
X❑ Single Family Detached ❑ Addition
❑ Single Family Attached ❑ Existing, -Building
❑ Multi -Family ❑ Existing Plus Addition
Front Orientation: (South) 180 deg Floor Construction Type: ® Slab Floor
Number of Dwelling Units: 1.00
Number of Stories: 1 ❑ Raised Floor -
Component
Type
Frame
Type
Const:
Assembly .
U -Value
Location/Comments
(attic; garage, typical'; etc.)
Slab On Grade
n/a
0.756
Exposed Slab MR -0.0 Perimeter Insulation
R-15 Wall (W.15.2x4.16)
Wood
0.081
Exterior Wall
R-38 Roof (R.38.2x14.16)
Wood
0.028
Exterior Roof
Hollow Metal Door
None
0.581
Exterior Door
FFNFSTROTInN
Shadina,,Devices
Type
Orientation
Area
Fenestration
"Exterior
Overhang Side Fins
SF
U -Factor
SHGC
Shading
Yes / No
Yes / No
Front
(South)
37.6
0.55
0.65
Bug Screen
X❑ ❑
❑ X❑
Rear
(North)
28.5
0.87
0.70
•Bug Screen
x❑ ❑
❑ x❑
Skylight
8.0
0.68
0.67
None
❑ x❑
❑ x❑
Front
(South)
50.0
0.87
0.70
Bug ScreenX❑
❑
❑ X❑
❑ ❑
❑ ❑
El 1:1
El F]
El El
El
El El
F1
❑❑
Q
❑❑
El
EJ El
❑❑
El El
El El
Ruminitiation Time: 01/29/02 12:07:29 Run Code: 1012306049
EnergyPro
3.1 By Ener
oft
User Number: 2655
Job Number:
Pa e:3 of 14
Certificate .of Compli
al (Part 2 of 2) CF -1 R
Garage for Manny Gosta 1/29/02
Project Title Date
HVAC SYSTEMS Note: lhput'Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load.
Distribution
Heating Equipment Minimum Type and Duct or
Type (furnace, heat Efficiency Location Piping Thermostat Location /
pump, etc.) (AFUE/HSPF)(ducts, attic, etc.) R -Value Type Comments
C:Pnfral FllrnnrP 78%AFUE Ducts in `Attic 4.2 Setback Laundry
w.
central Furnace 80% AFUE Ductc_ in Attic 42 SPthack Garagpil a mdy
Cooling Equipment Minimum
Duct
Type (air conditioner, Efficiency
Location
Duct
Thermostat Location /
heat pump, evap. cooling) (SEER)
(attic, etc.)
R -Value
Type .
Comments
Split Air Conditioner 10.0 SEER
Split Air Conditioner 10.0 SEER
Ducts in Attic
42
Setback
I aiindry
SPthack
Garage/1 nimdy
nucts in Attic
42
WATER HEATING SYSTEMS
Tank
Energy Fact' 1 External
Rated 1
Water Heater Water Heater
Distribution
#,in Input
Cap.
or Recovery Standby Tank Insul.
System Name Type
Type
Syst. Btu/hr
(gal)-
Efficiency Loss (%) R -Value
Standard Gas 50 gal or Less Small Gas
Standard
1 40,000
_50
0.53 n/a 12
For small gas storage (rated inputs of less than or equal to 75,000 Btu/hiF),.electric resistance and heat pump water heaters, list energy factor.
For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
REMARKS
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance 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. When, this certificate of compliance is submitted for a single building plan'to.be built:in multiple orientations, any
shading feature that is varied is indicated in the Special Features/Remarks section.
Designer or Owner (per Business & Professions Code) Documentation•Author
IF
Title/Firm:
Address:
Telephone:
Lic. #:
(signature)
Enforcement Agency
Name:
Title/Firm:
Address:
Telephone:
EnergyPro 3.1. By EnergySoi
Name: Joan D. Hacker
Title/Firm: Insu-Form Inc.
Address: 68255 Corta Road
Cathedral City, CA 92234
Telephone: (760) 324-0216
(date)
User Number: 2655 Job Number:
ey If -Old
of 14
Certificate of Compliance: -Residential (Addendum) CF -1 R
Garage for Manny Costa 1/29/02
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 verlfication,to be used :with the performance approach. The local
enforcement aaencv determines the adeauacv of the justification: and maYreject a building or design that otherwise complies
3ased on the adequacy of the special justification and documentation submitted. Plan Field
The DHW System "Standard Gas 50 gal or Less" Energy Factor = 0.530. An EF below 0.58 requires an R-12 External Blanket.
HIGH MASS Design(see C -2R) - Verify Thermal Mass: 201 sqft Exposed Slab'Floor, 3.50" thick at Laundry
The HVAC System "Garage/Laundy' must meet all CEC Criteria for a Zonally Controlled system serving only Sleeping. Areas.
The HVAC System "Garage/Laundy' includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual.
HIGH MASS Design(see C -2R) - Verify Thermal Mass: 930 sgft Exposed'Slab Floor, 3.50" thick at,Garage
HERS Required Verification
These features must be confirmed and/or tested by a certified HERS rater -under the supervision of a CE C approved HERS
provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R. Plan Field
Run Initi6tion,7imer 01129/02 12:07:29 -.,Run Code: 1012306049.__
EnergyPro 3.1 By EnergySoft User.Number 2655. Job Number: Page:5 of 14
Mandatory Measures Checklist:.. Residential MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must"contain these`measures regardless of the compliance approach used. Items marked with an
asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into
the permit documents, the features noted shall be considered by all parties as minimum component 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 or enter N/A if not applicable.
DESIGNER
ENFORCEMEN
Building Envelope Measures
❑ '§ 150(a): Minimum R-19 ceiling insulation in wood frame assembly, or equivalent U -value.
❑ § 150(b): Loose fill insulation manufacturer's labeled R -Value.
.§150(c): Minimum R-13 wall insulation in,wood framed walls or equivalent U -value in metal frame walls (does not apply to
❑ exterior mass walls).
❑ '§ 150(d): Minimum R-13 raised floor insulation in framed floors.
r
F—]§ 150(1): Slab edge insulation - water absorption rate <=0.3%, water vapor transmission rate <= 2.0 perm/inch.
❑ §118: Insulation specified or installed meets insulation quality standards. Indicate type and form.
❑ §116-17: Fenestration Products, Exterior Doors and Infiltration/ExfItration Controls % 'r
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
2. Fenestration products (except field fabricated) have label with certified U -Factor, certified SHGC, and infiltration certification.
3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
❑ §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
❑ §150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards.
❑ §150(e): Installation of Fireplaces,Decorative GasAppliances and Gas Logs.
1. Masonry and.factory-built fireplaces have closable doors, outside air intake with damper and control, and flue
damper and control; I-
2. No continuous burning gas pilots allowed.
Space Conditioning, ,Water Heating and'Plumbing System Measures
❑ §110-13: HVAC equipment, water heaters, showerheads and faucets certifi_ed,by the Commission.
❑ §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA.
❑ §150(i): Setback thermostat on all applicable heating and/or cooling systems.
❑ §1500): Pipe and Tank Insulation
1. Storage gas water heaters with less than 0.58 energy factor shall be externally wrapped with R-12.
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater)
3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16
combined intemal/external insulation.
4. All buried or exposed piping insulated in recirculating sections of hot water systems.
5. Cooling system piping below 55 degrees F. insulated.
6. Piping insulating between,heating source and indirect hot water tank.
❑'§150(m): Ducts and Fans
1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and
Standard 6-3; ducts insulated to a minimum installed level of R4.2 or enclosed'in conditioned space. Openings shall be sealed
with mastic, tape aerosol" sealant or other duct- closure system that meets the applicable requirements of UL181, UL181A, or
UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh tape or
tape shall be used. Building cavities shall not be used for conveying conditioned air. 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 drawbands.
2. Exhaust fans systems have back draft or -automatic dampers.
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.
❑ §114: Pool and Spa Heating Systems and Equipment
1. Certified with 78% thermal efficiency, on-off switch; weatherproof instructions, no electric resistance heating, no pilot.
2. System is installed with at least 36" of pipe between filter and heater for future solar, cover for outdoor pools or spas.
3. Pool system has directional inlets and a circulation pump time switch.'
❑ §115: Gas fired 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)
Lighting. Measures
❑ § 150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for general
lighting in kitchens. This general lighting shall be controlled by.a switch on a readily accessible lighting control panel at an
entrance to the kitchen.
❑ 150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt
or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and
recessed ceiling fixtures are IC (insulation cover) approved.
EnergyPro 3.1 By EnergySoft User Number: 2655 Job Numtier: Page:6 of 14
t
Computer Method Summary (Part 1 of 3) C -2R
119W09
Project'Title Date
Aenida Obispo a Quinta
Project Address Building Permit #
Incl i -Form Inc (760) 324-0216
Documentation Author Telephone Plan Check/Date
S—=uter Performance 15 Field Check/Date
Compliance Method (Package or Computer) Climate Zone
Source Energy Use
Standard
Proposed
Compliance
(kBtu/sf-yr)
Design
Design
Margin,
Space Heating
17.38
16.58
0:80
Space Cooling
66.23
67.23
-1.00
Domestic Hot Water
19.32
19.12'
0.21
Tntalc
102.93
102.92
0.01
GENERAL INFORMATION
Conditioned Floor Area: 1,131 Floor Construction Type: X❑ Slab Floor
Building Type: Single Fam Detached F� Raised Floor
Building Front Orientation: (South) 180 deg
Number of Dwelling Units: 1.00 Total Conditioned Volume: 9,978
Number of Stories: 1 Slab Floor Area: 1,131
BUILDING ZONE INFORMATION
# of
Thermostat
Vent
Zone Name
1 niindry
rarag ./LQ mindy
Floor Area Volume Units
201 1,60R 0 1'R
930 8,370 0_R2
Zone Type Type
Ctonditipnpd Sathark
sleeninY_ SIPe ingS at
Hgt. Area
n/
n/a
OPAQUE SURFACES Act.
Type Area U -Val. Azm. Tilt
Solar
Gains
Y / N For 3 Reference Location / Comments
- M
Computer Method. Summary.._
(Part 2 of 3)..
C -2R
Garage for Manny Costa
1/29/02
Project Title
Date
FENESTRATION SURFACES
`
U-
Act.
Glazing Type
Location/
# Type - '
Area
Factor
SHGC
Azm.
Tilt
Comments
J• Window Front (, outh)
1R_R
0.550
n.65
1Rf)
90 nnuhlP'NonMtl Clear DPfatilt
Laundry
2 Window Rear (North)
14.0
0.870
0.70
�0
90 Double Mtl Uncoated Default
Laundry
3 Window Rear (North)
2.5
0.870
0.70
0
90 Double MU Uncoated Default
Laundry
4 Skylight Rear (North)
8.0
0.680
0.67
0
0 Double NonMtl Clear.Default
Laundry
5 Window Front (South)
50.0
0.870
0.70
.180.
90 `Double Mtl Uncoated Default
Garage/Laundry
6 Window Front (South)
18.8'
0.550
0.65
180
90 Double'NonMtl Clear Default
Garage/Laundry
Z Window Rear (Horth)
12.0
0.870
0.70.
0
90 DoubleWtl Uncoated Default
Garage/Laundry
INTERIOR AND EXTERIOR SHADING
Window
Overhang Left Fin
Right
Fin
# Exterior Shade Type' •
SHGC
Hgt.
Wd.
Len.
Hgt. LExt. RExt. Dist. Len.
Hgt. Dist.
Len. Hgt.
1 Bug Screen
0.76
6.8
3.0
3.0
0.1 3.0 3.0
2 Bug Screen
0.76
3.5
4.0'
2.0
0.1 2.0 2.0
3 Bug Screen
0.76
1.0
2.5
2.0
0.1 2.0 2.0
4 None
1.00
5 Bug Screen
0.76
4.0
5.0
2.0
0.1 2:0 2.0
6 Bug Screen
0.76
6.8
3.0
2.0 _0, 2.0 . 10
7 Bug Screen
0.76
1.0
4.0 ,
2.0
0.1 2.0 2.0
Run Initiation Time: 01/29/02 12:07:29 Run Code: 1012306049
EnergyPro 3.1 By EnergySoft User Number: 2655• Job Number: Page:8 of 14
Computer MethodSummary " (Part 3 of 3) C -2R
Garage for Mariny Costa 1/29/02
Project Title Date
THERMAL MASS FOR HIGH MASS DESIGN
Area :Thick. -Heat. Inside, Location
Type (sf) (in.) Cap. Cond. Form 3 Reference, R -Val. Comments
Concrete- Heavyltl'eight 201 ' .50 '28 0 98 n/a _0 Laithdry / Slab on Grade
Concrete, Heavyweight 930 3.50 28 0_98 n/a : 0 Garage/Laundry/ Slab on Grade
PERIMETER LOSSES
F2 Insulation
Type Length Factor R -Val. Depth Location / Comments
Slab Perimeter 10 0.76 0.0 0 Laundry,
Slab Perimeter 700 -0-M 0.0 _Q r_�g -/ a and -
HVAC SYSTEMS
Heating Equipment
Minimum
Distribution Type
Type (furnace, heat
Efficiency
and L'ocafibn
Duct Thermostat
Location /
pump, etc.) (AFUE/HSP,F)(ducts/attic, etc.)
R -Value Type
Comments
Central Furnace
78%AFUE
Ducts•on Attic
4.2 Setback
Laundry
Central Furnace
80% AFUE
Ducts in Attic
4.2 Setback -
Garage/Laundy .
Ins.ul.
Pipe.
Hydronic Piping Pipe
System Name Length
Diameter Thick.
Cooling Equipment
Minimum
Duct
Type (air conditioner,
Efficiency
Location
Duct Thermostat
Location /
heat pump, evap. cooling)
(SEER)
(attic, etc,)
R -Value Type
Comments
Split Air Conditioner
10.0 SEE R>
Ducts in Attic
4.2 Setback
Laund
Split Air Conditioner
10.0 SEER
Ducts in Attic
4.2 Setback
Garage/Laundy
WATER HEATING SYSTEMS
IRatedl Tank.
Energy Fact! 1 Tank Insul.
Water Heater
Water Heater Distribution.,
# in Input Cap.
or Recovery Standby R -Value
System Name
Type
Type
Syst. (Btu/hr) (gal)
Efficiency Loss (%) Ext.
Standard Gas 50 gal or Less
Small Gas
Standard
1 40.000 50
0.53 n/a 12
1 For small gas storage (rated input — 75000 Btu/hr), electric resistance and Heat pump water heaters, list energy factor.
For large gas storage water heaters (rated input > 75000'Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency.
REMARKS
Run Initiation. Time: 01/29/02 12:07:29 Run Code: 1012306049
EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number: Page:9 of 14
__.. f_ - .;r
_f
Computer 'Method;Summary; ' _ (Addendum) C-2R
Garage for Manny Costa 1/29/02
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 tebe used with the performance approach. -The local
enforcement aaencv determines'the adequacy of the justification, and may reject a building or design that otherwise complies
3ased on the adequacy of the special justification and documentation submitted. Plan Field
The DHW System "Standard Gas 50 gal or Less" Energy; Factor = 0.530. An EF below 0.58 requires an R-12 External Blanket.
HIGH MASS Design(see C -2R) - Verify Thermal Mass: 201 sgft Exposed Slab Floor, 3.50" thick at Laundry
The HVAC System "Garage/Laundy must meet all CEC Criteria for a Zonally Controlled system serving only Sleeping Areas.
The HVAC System "Garage/Laundy" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual.
HIGH MASS Design(see C -2R) - Verify Thermal Mass: 930 sgft Exposed Slab Floor, 3.50" thick at Garage
HERS Required Verification
These features must be confirmed and/or tested by a'certified HERS'rater under the, supervision of a°CEC approved HERS
provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R. __Olan7 Field
s
Run Initiationjime:`.'01/29/0212:07:29 r Run Code:' -1012306049
Energoro 3.1 By EnergySoft User Number: 2655 Job Number: ' Page: 10 of 14
MVAC SYSTEM HEATING AND COOLWO LOADS SUMMARY -
PROJECT NAME DATE
Garage for Manny Costa 1/29/02
SYSTEM NAME FLOOR AREA
Laundry 201
ENGINEERING CHECKS SYSTEM.LOAD
Number of Systems
1
Heating System
Output per System
7,000
Total Output (Btuh)
7,000
Output (Btuh/sgft)
34.8
Cooling System
Output per System
47,000
Total Output (Btuh)
47,000
Total Output (Tons)
3,9
Total Output (Btuh/sgft)
233.8
Total Output (sgft/Ton)
51.3
Air System
CFM per System
1,595
Airflow (cfm)
1,595
Airflow (cfm/sgft)
•7.94
Airflow (drnfTon)
407.2
Outside Air (%)
0.0
Outside Air (cfm/sgft)
0.00
Note: values above given at ARI conditions
Total Room Loads
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation
Supply -Fan
Supply Air Ducts
T
COIL COOLING PEAK
COIL HT.G.- PEAK
CFM
Sensible
Latent
I CFM
I Sensible
176
3563
93
624
2,637
0
178
132
0
0
0
0
0
0
0
0
0
178
132
TOTAL SYSTEM LOAD 1 3,916 93 2 90
Existing 32,561 9,049 7,000
Total A'dju'sted System Output 32,56 9,049 7,000
(Adjusted for Peak Design Conditions)
TIME'OF SYSTEM PEAK Aug 2 pm Jan 12 am
EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak
26.0 OF 69.9 of 69*.9 of 74.0 of
Supply Air Ducts
Outside Air
0 cfm Supply Fan Heating Coil 73'9 of
1595 cfm ROOMS
70.0 of
69.9 of I
Return Air Dudts
DOLING SYSTEM PSYCHROMETRICS Airstream.Tem'eratures at Time of Cooling Peak
111.0 / 77.4 of 78.1 / 64.5 of 78.1 / 64.5 of -5 9.1/57.80 f
Supply Air Ducts
Outside Air
0 cfm 59.2 / 57.9 of
Supply Fan Cooling Coil
1595 cfm 48.1% R.H. ROOMS
78.1/64.5 of 78.01 64.4 of
3.1
User Number: 2655
Return Air Ducts
Job Number:
11 of 14