07-1696 (RER)F � t
P.O. BOX 1.504, y
78-495 CALLE TAMPICO
LA QUINTA;•CALIFORNIA 92253
Application Number: 07-00001696="
Property Address: 60746 OROURKE CIR
APN: 764 -270 -999 -13 -300231 -
Application description: REMODEL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 10982
BUILDING &SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
HAVERTY RESIDENCE
60-746 O'ROURKE CIR
LA QUINTA, CA 92253
Contractor: �1D
Applicant: ' Architect or -Engineer: DAVIS RESTORATION O
77833 PALAPDESERT;
S. ROAD PALM DESERT; CA 9221
(760)360-1855
tic. No.: 677877
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/30/07
�t
CITY nF-PT•
,LICENSED CONTRACTOR'S DECLARATION '
WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
• Section 7000) of Division 3 of the Busines nd/Pcot ssi als Cade, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License CI ss: BKI License No.: 677877
2�{�
for by Section 3700 of the Labor Code,.for the performance of the work for which this permit is
issued.
-1`
Date: J6''. VL Contractor:
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
-�•`-' f
_
Code, for'the performance of the work for which this permit is issued. My workers' compensation
OWNER -B I ER DECLARATION
insurance carrier and policy number are:
. I hereby affirm under penalty of peri that I am exempt f the Contractor's State License Law for the
Carrier STATE FUND Policy Number 0003437-2006
following reason (Sec: 7031 .5, Business and Professions de: Any city or county that requires a permit to_
I certify that, in 'the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
- and agree that, if Ishout become s ject to the workers' compensation provisions of Section
license Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor de, 'sha h ith comply wi Se provisions:
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
/�`�111 L1 n/Qj� JC
�✓
- any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Date: "''` Applicant: -
( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
'-WARNING: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
- Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN,
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for. the purpose of sale.).
APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of the property, am exclusively contracting.with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the-
. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed -
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). -
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , BAP.C. for this reason _
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City '
• -
- of La Quinta, its officers, agents and employees for any act or omission related to the work being
-
performed under or following issuance of this permit.
Date: - Owner: -
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
• CONSTRUCTION LENDING AGENCY
permit to cancellation. '
. 'I hereby affirm under penalty of perjury that there. is a construction lending agency for the performance of the
I certify that I have read this application and state that thea ove information is correct. (.agree to comply with all
work for which this permit is issued ISec. 3097, Civ. C.I. -
city and county ordinances and state laws relating t buildin cow� ruc ion, a hereby authorize representatives
Lender's Name: -
of this county o ter upon the above-mentioned pr erty f r i; i ses. '
p '
.
Date: V Signature (Applicant or Agent l:
_ .. Lender's Address:
LQPERMIT
`
.Application Number 07-00001696
-L Structure Irif6rmation_ PATIO CONVERSION TO LIVING ."
' ;'Other s.truct info CODE EDITION
01BMP04E05EN
"# BEDROOMS
3.00
Permit . . . BUILDING.PERMIT
Additional desc .
Permit Fee 126.00 Plan Check Fee
81.90
Issue Date Valuation
10982
-: Expiration Date 1/26/08
Qty Unit Charge Per
Extension
BASE .FEE
45.00
9.00.. 9.0000 THOU BLDG 2,1001-25,000
81•:00
Permit . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee 24.00 Plan Check Fee
6.00
Issue Date Valuation
0
Expiration Date 1/26/08
'Qty Unit Charge Per
Extension
BASE FEE
15.00
12.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
9.00
PermitMECHANICAL
Additional desc .
Permit Fee . . . . 19.50 Plan Check Fee
4.88
Issue Date Valuation
0
Expiration Date 1/26/08
Qty Unit -Charge Per
Extension
BASE FEE
15.00
1.00 :4:5000 EA .-MECH VENT INST/ DUCT ALT
4.50
------------------
• Special Notes and Comments `
170 SQ.FT.. REAR PATIO CONVERSION TO
LIVING AREA (extension of existing-
xisting
Great
'. Great Rm. R-3 OCC. TYPE V -N CONSTR.
• 2001 CBC,CMC,CPC, 2004 CEC, 2005 ENERGY
CODES
--------------------------------------
Other Fees •. . . . . . . . . ENERGY REVIEW FEE
-----
8.19-----
STRONG MOTION (SMI) - RES
1.09
:Fee summary Charged Paid Credited
Due
LQPERMIT
,. Application Number
07-00001696
Permit Fee Total
169.5.0.
.00
00
169.50
Plan Check Total'
92.78
.00
00
92.78
Other Fee Total _
9.2.8-
00
.00
9.28
Grand Total
271.56
.0000
271.56..
L,
LQPERMIT
-
...
Bin #
'=
City- of to 'Quinta .
Building int Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760)1777-7012
Building Permit Application and Tracking Sheet
Perrniv#
t �%
tC/ ¢
Project Address: �r(j
��
�1K!)V�1; �((
Owner's Name: �Oh��•.����t'Y
A. P. Number: U
Address:�ji i5 [} (Q bb(' �; . e,
1
Legal Description:
City, ST, Zip:(U 1vJ 1 (a CA Z�N
Contractor:
7(�
Telephone:
Address:
Project Description: �Qp11)C
City, ST, Zip:
-WIN�, €�' _
'State Lic. # :
City Lic. #:
Arch., Engr., Designer:
7,
A.
Address:
f
/A Air
City, ST, Zip:VA
Jelephone:
, ��, }�x
; '
Construction Type: Occupancy:
!State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
n
Name of Contact Person: P1V �'j
Sq. Ft.:
# Stor'
,Telephone # of Contact Person: 6 D
Estimated Value of Pro' ct:�r/
r
APPLICANT: DO NOT WRITE BELOW THIS LIN
I #
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
2
Plan Sets _
t•
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
,
Plan Check Deposit,
Truss Calcs.
Called Contact Person
Plan Check Balance'
Energy Calcs.
Plans picked up
Construction .
Flood plain plan ,
Plans resubmitted'N07
Mechanical
Grading. plan
2"" Review, ready for correction issue
%2-1
Electrical
'
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
t
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:- .
'rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person •
A.I.P._P.
Pub. Wks. Appr
Date of permit issue
(%
School Fees
Total Permit Fees10
7/27 /� �% �S tom-- • -
e/07
71W ;
f
Coachella Valley Unified School District
'171115 Box For Distr:,zt Use Only
V-733 Avenue 55, Thermal, CA 92274 DEVELOPER FEES PAID
(760) 398-5909 — Fax (760) 398-1224
et i
AREA:
AMOUNT
LEVEL ONE AMOUNT;
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMMAND. AM'OUNT:
DATE:
RECEIPT:
CHECK #:
INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: R7esidFncejJ �-,t Ire �Thl —gyj Date: July 30, 2007
Owner's Name: John R. Haverty Phone No. 564-3703
Project Address: 60-746 O'Rourke Circle La Quinta, CA
Project Description: Conversion of patio to hvifig, area
APN: 764-330-013 '-,,'.Tact #: Lot #'s:
Type of Development: Residentia'g. N07(i Commercial Industrial
Total Square Feet of Building Area:' 170 sq. nft.
Certification of Applicant/Owners: - Tile person :signing certifies that the above information is correct and makes this statelyient dhdu-:-.
penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer.
Dated: 7-30-07 Skynnture:
/K V1-
*U****4****
'SCHOOL DISTRICT'S REQUIREMENTS IT
FORHE ABOVE PROJECT RAVE BEEN OR WILL BE SATISFIED IN -il
ACCORDANCE WITH ONE OF THk FOLLO . NAqNG: (CIRCLE ONE)
Education Code Gov. Code , Project Agreement Existing
17620 .65995 Approval Prior to 1/1/87
Number of Sq.Ft- 170 rl
Amount per Sq.Ft- $00*
Amount Collected $0000
Building Permit. Application Completed: Yes/No
By: Carey M. Carlson, Asst. Supt., Support Services
Certifica'te issued b�y: - ElviraNatCson,
. Office Technician
NPS
Signatur6:
Not Subject to Ftie
Requirement
Sectiou 66020oftlie'GovernmentICi�i'asserted by Assembly Pill 3081, effective January 11 1997, requires that this District piovide.(1) a written notice to the
'projekt app6lant, at the time of.pay i ment of school fees, mitigation payment or other exa :'Ions ("Feas"), of the 90-d I :;v period to protest the imow!tio - n of thesen ,
e
Ftes,.aiid (2)'ihe amount - it of the fees. Therefore, in accordance, with section 66220 of the 'v'overnmeW code and Wi;er applicable law, this Noticshalls�l i4l, 10
I -o�
advise you that the 90 -day protest period in regard to such jFcts or the validity thereof, mamenvej with the pay nient of the rcis . p rforinarice ofiifI�- ot llllttr
requirements as described in section 66020 6theGoveinuimt code. 'Auidition ad;, the a rnon: it of the fees imposed sed is as kercla set torth, vihether-puygiie,ah t'his
time or in whole or in part Poor, to issue -e.:e.at' a CertiflcL'e of Occupancy. As in -1dic @,jttcr,- the 90 days starts on the date hereof. 'riii.ke`,aificate (if.
Compliance is valid for thirtvJ30) days from dzte of iss=--:ce. Extensicia will be granted. onlykr good cause, as deter 'md I d .ineby the SchoI "District; I a,id . up
to three (3) such extensions =S, be granted..A; such time as this Certificate expires, if b0:!6`n1--,V;er!a1t his not been Isitied for the project that is the subject
of this Certificate, the own Wm gill be reimbursed all -lees th.--i 1;:.41 to obtain this Cvrtifico.o; c?Ce-sapliance.
im V:chiiydocsh1evfees/cciti I)a'tc ofcornplian4i; lbrin Updated 3-2,00 3/9/07
Trilogy at La Quinta Maintenance Association
April 18, 2007
Arcent Qatar
60746 Orourke Circle
La Quinta, CA 92253
Property Address: 60746 Orourke Circle
APPROVED
Dear Mr. & Mrs. Haverty:
We are pleased to inform you that your plans for an enclosed glass wall, received on 04/12/2007, have been
✓ approved by the Design Review Committee. per your submittal.
This approval does not constitute consent by the Association for the applicant to encroach, .trespass, or build
on any property other than that of the applicant. This approval is related solely to the items reserved for
approval by the. CC&R's in accordance with the Architectural Guidelines. The approval does not extend to the
quality of work done by your architect, or contractor, or to any structural engineering, soils engineering, or site
grading and drainage design. You are urged to obtain the services of a state licensed professional for
consultation as needed.
The Design Review Committee is composed of volunteers. As such, it does not review applications to ensure
compliance with building codes, or other local or state laws. Please be advised that this approval does not
relieve you from obtaining any necessary building permits from the governmental agencies involved to ensure
compliance with these codes. Any violations of these ordinances will be your responsibility to correct.. Thank
you for your patience in this matter and for complying with the Association's policies and standards.
Sincerely, lJ is
For the Design Review Committee D
JUN 11 2007
-----------
By
Barry Sterett
Community Manager
Enclosures
cc: Board of Directors
Design Review Committee
Professionally Managed by Action Property il1fahagement, Inc.
60-750 Trilogy Parkway; La Quinta, CA 92253-7717
760-777-6059 800-400-2284 760-777-6097 far
iwww. actionlife.com
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Pae 1 of 5) CF -1R
Project Title
Date
Building Permit #
i
Project Address
6. _7116P 21C L
-A
Plan Check / Date
Documentation Author .
Telephone
Field Check / Date
Compliance Method cnC�ve
Climate Zone
5
Enforcement Agency Use Only
✓ ❑ Alternative Component Package Method: (check one) C ✓ D D (Alternative)
Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF 1R page 3)
For Package D Alternative see Appendrx B Table 1 SI -C Footnotes 1-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) 1 -c ft
Average Ceiling Height: i i7 ft
Ll -
JUN 11 2007
Maximum
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA)
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ----(20% X CFA) =1 _ ft2
✓ ❑ Building Type: (check one or more)-3eL--**Single Family Multifamily
__ZAddition Alteration
(If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
for Additions and 8.3:3 for Alterations.)
FDATE7
j
QUI(VTA
Number of Stories: tG Number of Dwelling Units:_ ETY DEPT.
Floor Construction Type:(f , la ised Floor (circle one or both)I
Front Orientation:- -:-3 North / South East est / All Orientations (inputrTil� Nor1
and circle one).RADIAIlTT BARRIER (required in climate zones 2.4 R_151 -�/,
OPAQUE SURFACES INCLUDING OPAQUE DOORS
07 _ i6q (
Component
Type (Wall, Frame
Roof, Floor, Type Cavity:
Slab Edge, (Wood or Insulation
Doors Metal R -Value
Continuous
Insulation
R -Value
Assembly U -
factor (for wood,
fetal frame and
fl{ mass
assemblies
Joint
Appendix
IV
Reference
Roof Radiant
Barrier
Installed
Yes or No
Location
Comments
(attic, garage,
ical etc.
L—L- LAJC>
V
_3
1) Re -i- Tnint An —A;- T[7 :- C!--.:--
r - ---- - • --- . —, ...,, w.0 X V. -T, wilt-, is um oasis Ior me U -factor criterion. U -tactors Can not exceed
prescriptive value to show equivalence to R -values.
Residential Compliance Forms
"�F144e
April 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2.of 5) CF -1R
Project TitleP'IEG
FENESTRATION PRODUCTS — U -FACTOR AND SHGC"
FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS-4R—must be included for New
Construction, Additions and Alterations.
r
t
Fenestration
#/Type/Pos. '
(Front, Left,
Rear, Right,
Skylight)
Orien-
tation,
N, S, E, Area U -factor
W1 ftz U-factor2 Source.'.
SHGC
SHGC4 w Sources
Exterior
Shading/Overhangs6•'
✓ box if WS -3R is
included
r
•i
13
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2.of 5) CF -1R
Project TitleP'IEG
FENESTRATION PRODUCTS — U -FACTOR AND SHGC"
FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS-4R—must be included for New
Construction, Additions and Alterations.
r
t
Fenestration
#/Type/Pos. '
(Front, Left,
Rear, Right,
Skylight)
Orien-
tation,
N, S, E, Area U -factor
W1 ftz U-factor2 Source.'.
SHGC
SHGC4 w Sources
Exterior
Shading/Overhangs6•'
✓ box if WS -3R is
included
13
13
13
1) Skylights are now included in West-facing'fenestration area if the skylights are tilted to the west or tilted in any
direction when the pitch is less than 1:12: See §151(f)3C and in Section 3.2.3 of the Residential Manual
2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A.
3) Indicate source either from NFRC or Table 116A,
} 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R
5) Indicate source either from NFRC or Table 116B.
6) Shading Devices are defined in'Table 3-3y in the Residential Manual and see WS7-3R to calculate Exterior Shading
devices.
7) See Section 3.2.4 in the Residential Manual.
,
,
HVAC SYSTEMS
Heating Equipment Minimum, Distribution
Type and Capacity Efficiency f. 'Type and Location
furnace heat pump, boiler, etc. AFUE or HSPF ducts attic etc.
Duct or Piping Thermostat Configuration'
R -Value ' Type lit or package)
Configuration
(split or package)
G ENCS.
Cooling Equipment "
Type and Capacity
(A/C, heat pump, evap.
cooling)
Minimum
Efficiency Duct Location Duct Thermostat
SEER or EER attic, etc. ' R -Value Type
Configuration
(split or package)
G ENCS.
Residential Compliance Forms
CERTIFICATE OF COMPLIANCE: RESIDENTIAL
Project Title 4.�I-,A V4--_ 2:r—
ge 3 of 5) CF -1R
Date t, —1 /—ill
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF -4R Form must be provided to the building department for each home for which the following. are
required.
❑
Sealed Ducts all climate zones(Installer testing and certification and HERS rater field verification required.)
❑
TXVs, readily accessible (climate zones 2 and 8-15 only)
Tank
Capacity
Installer testing and certification and HERS Rater field verification required.)
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
Water Heater
verification required.)
�r
vn
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously
❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned
spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
Systems serving single dwelhna units
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
❑
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Tank
Capacity
not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Water Heater
Manual. No water heating calculations are required, and the system complies automatically..
Number
Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
❑
Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
Standby'
submittal
❑
Check box to verify that a time control is required for a recirculating system pump for a system serving multiple
in System
units
Systems serving single dwelhna units
System servingmuin ie aweuin units
Water Heater
Type
Distribution
Type
Number
in System
Rated
Tank
Capacity
Energy
Standby'
Loss %
Tank
Water Heater
Distribution
Number
Input'
(kW or
Tank
Capacity
Factor' or
Thermal
Standby'
External
Insulation
Type/Fuel Type
Type
in System
Btu/hr)
(gaeons
Efficient
Loss %
R -Value
INV_ .....11 .- - ---av
----
-
System servingmuin ie aweuin units
Water Heater
Type
Distribution
Type
Number
in System
Rated
Input'
(kW or
Btu/hr(gallons)
Tank
Capacity
Energy
Factor' or
Thermal
Efficient
Standby'
Loss %
Tank
External
Insulation
R -Value
INV_ .....11 .- - ---av
----
-
li . of atuatt 5 storage wer neaters (rated inputs of less than or equal to 75,000 Btu/hr), 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, Thermal Efficiency and Standby Loss. For instantaneous gas water
heaters, list Rated Input and Thermal Efficiencies.
Pipe Insulation (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures
that are 3/a inches. or greater in diameter shall be thermally. insulated as specified by Section 150 0) 2 A or 150.0) 2
B.
Residential Compliance Forms
April 2005
1
r •
V
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 5) CF -1R
Pro •ect Title � Date
SPECIAL FEATURES NOT REOUIRING HERS VERIFICATION (add extra sheets if necessary)
Indicate which special features are part of this project. The list below only represents special features relevant to the
nrescrintive methnri
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -IR
❑
Radiant Barriers
CF -1R .
❑
Exterior Shades
WS -4R
❑
Cool. Roof
N/A; Attach CRRC Label to
Forms.
❑
Dedicated Hydronic Heating
Performance Calculation
System
Required, Attach Run to Forms.
❑
Combined Hydronic System
Performance Calculation
Required; Attach Run to Forms.
❑
Gas Cooling
Performance Calculation
Required.
❑
Buried Ducts
N/A; Indicate on building plans.
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distribution
Systems in Residential Manual.
t3
Multiple Water Heaters Per
See Table 5-13 or use
Dwelling Unit
Performance Calculation and
attach Run to Forms.
Central Water Heating System.
Performance Calculation and
Serving Multi-- Dwellin s
attach Run to Forms.
❑
Non-NAECA Large Water
Heater
CF -IR
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
❑
Instantaneous Gas Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
❑
Solar Water Heating System
Performance Calculation and .
attach Run to Forms
❑
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
Thermostatic
Residential Compliance Forms
tEOUIRING HERS RATER VERIFICAT
Indicate to the HERS Rater which credits are art of th
Required Forms if applicable)
"
CF -6R part 4 of 12
CF -6R part 5 of 12
i Valve CF -6R part 6 of 12 '
s
and need verification.
April 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 5 of 5) CF -IR
r " . Project Title Date
Y%
` COMPLIANCE STATEMENT r
This certificate of compliance lists the building features and specifications needed to comply with Title '
#. 24, Parts l and 6 of the California Code' of Regulations, and the administrative regulations to implement
tfiem. 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.
Desi ner.or Owner (per Business and Professions Code) Documentation Author
Name:-
Name: _ •
AP4"e� N=�i
Title/Firm:
Title/Firm:
Address:
Address:
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Telephone:' -� ,D(, -Telephone:
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License #:
(signature) :
(date)
(signature) (date)
.Enforcement Agency r
t
FENESTRATION - MAXIMUM ALLOWED AREA WORKSHEET WS -4R
ect
Date
FENESTRATION PRODUCTS - NEW CONSTRUCTION- NEW BUILDINGS
Use this table for new building construction to account for total building % of fenestration_
A B
C.
D
E
F
G
#/Type/Pos.
(Front, Left, Orientation
Rear; Right,
S li ht)
Total
Fenestration,
West Facing
Area ft'
Total Fenestration
for.N,•S, E
Orientations Area
ft')
CFA
(ftZ)
Total Percent of
West Facing
Fenestration'
(C/E) x 100%
Total % of .
Fenestration'
Including West
/E x 100%+ F
North
Total % of
Fenestration'
Rear,
/C x100%
Total Net
Fenestration
(ft2)
C-E+G
North
North
6 '
South
East
South
West
East
South
West°
S6
South
Totals
East
East.
1) If west facing area exceeds 5% of CFA in climate zones 2, 4, and 7-15, the performance approach must be used.
2) If total percent of fenestration exceeds 20% including West facing orientations then performance approach must be used. West
facing area includes skylights tilted to the west or tilted in anydirection when the.pitch is less than 1:12 for Package D only.
FENESTRATION PRODUCTS - NEW CONSTRUCTION- ADDITIONS
✓ El Less than 100 ft',.❑ Less than or Equal to 1000 ft', ❑ Greater 1000 ft'
A
B C
D
E
F
G
H
#/Type/Pos.
(Front,. Left,
Right,
li t
Orientation 'Addition's
N, S, E, W CFA','
Addition's
New
Fenestration
Area ft'
Fenestration
Area Removed to �
make way for
Addition ft'
Total Area
meal
FenestraE°r'
(D )
Total % of
West Facing
Fenestration
/C xI00%
Total % of
Fenestration'
Rear,
/C x100%
Total Net
Fenestration
(ft2)
C-E+G
North
North
6 '
North
North
South
East
South
West°
S6
South
East
East.
East
rl
West
West
West
Total
1) Additions that add less than 50if of fenestration area are exempt from the maximum total area limits. See Table.8-2 in RM.
2) If the addition has a floor area equal to or less than 1,000. ft2; the maximum allowed fenestration % may be increased to by the
amount of glazing removed in the wall that separates the addition from the existing house. See Table 8-2 in RM.
3) If the addition has a floor area greater than to 1,000 ft2, must meet Package D requirements. See Table 8-2 in RM.
4) West facing area includes skylights tilted to the west or tilted in any direction when the pitch is less than 1.:12 for Package D.
FENESTRATION PRODUCTS: ALTERATIONS
Use this table for alterations to an existing building where fenestrations products windows are ing removed and/or added.
A
CFA
B
C
D'
E
F
G
H
I
Existing
Orientation
Existing
Area
W)
Removed
Orientation
Removed
Area
(ft2)
Proposed
Installed
Orientation
Proposed
Installed
New Area
Total Net
Fenestration
(ft2)
C-E+G
Total % of
Fenestration', z
H / A'
Max of 20%
North
6 '
North
North
South
South'
S6
South
East
East.
East
rl
West
West
West
Total
Total
vr- 6
Total
%o
1) When 50*ft' or more of fenestration area is added to an* existing -building, then the fenestration must meet the requirements of
Package D. The area requirement for the total fenestration area for the whole building, including the added fenestration, must not
exceed 20% otherwise the Performance Approach must be used. Note: The 5% west facing limit is exempt. See Section 8.3.3 in
the RM for further details.
Residential Compliance Forms
March 2005