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10-0519 (RER)1 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000519 Property Address: 47872-0—AVENIDA FERNANDO APN: 658-310-008- - - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 140000 Tuyl 4 stP Q" Applicant: Architect or Engineer: CM#XA ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. / License Class: B _ LicenseNo.: 472150 Y Dme:I2 I� Contractor: OWNER -BUILDER DECLARATION 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).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 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: LQPERD4IT Owner: CLARK JOHN M 48720 AVENIDA FERNANDO LA QUINTA, CA 92253 Contractor: DESERT BUILDERS INC 71537 HIGHWAY 111, SUITE A RANCHO MIRAGE, CA 92270 (760)568-1793 Lic. No.: 472150 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/12/10 ----------------------------------------------- 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 and policy number are: Carrier GRANITE INS Policy Number 3795876 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 e Labor Code, I shall forthwith comply with those provisions. ✓ Dater Rtl Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant; each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives 9f this c my o enter upon the above-mentioned property for ins ection pur es. Date: ( 'V ignature (Applicant or Agent): Application.Number . . . . . 10-00000519 LQPEPAIIT Structure Information Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type . . . . DWELLG/LODGING/CONG <=10 Other struct info . . ---------------------------------------------------------------------------- . . . CODE EDITION 2007/08 ENERGY Permit ... . BUILDING PERMIT Additional desc REMODEL M BATH, KIT, G BATHS Permit Fee '. . 779.50 Plan Check Fee 506.68 Issue Date . . . . Valuation . . . . 140000 Expiration Date 1/08/11 Qty Unit Charge Per Extension BASE FEE 639.50 40-.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 140.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 34.05 Plan Check Fee 8.51 Issue Date Valuation . . . . 0 Expiration Date 1/08/11 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 •9.00 .4500 ----------------------------- EA ELEC DEVICE/FIXTURE >20 ----------------------------------------------- 4.05 Permit .. . . MECHANICAL Additional desc . Permit Fee . . . . 46.00 Plan Check Fee 11.50 Issue Date . . . . Valuation 0 Expiration Date 1/08/11 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH APPL REP/ALT/ADD 18.00 2.00 6.5000 ---------------------------------------------------------------------------- EA MECH VENT FAN 13.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 84.00 Plan Check Fee'. 21.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/08/11 Qty Unit Charge Per Extension LQPEPAIIT Application Number . . . . . 10-00000519 Permit . . . . PLUMBING Qty Unit Charge Per Extension BASE FEE 15.00 6.00 6.0000 EA PLB FIXTURE 36.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 5.00 3.0000 EA PLB FIXTURE DRAIN/VENT REP/ALT 15.00 ---------------------------------------------------------------------------- Special Notes and Comments REMODEL TO SFD. REVISE MASTER CLOSET AND MASTER BATH AREAS. REPLACE WINDOW AND DOOR WITH NEW WINDOW. REPLACE 2 WATER HEATERS.REPLACE INDOOR FURNACE AND EVAP COIL TO PKG UNIT. NEW KIT. SINK, COUNTER, ISLAND, CABINETS & LIGHTING'. REFURBISH 2 FIREPLACES. 2007 CODES/2008 ENERGY. ---------------------------------------------------------------------------- Other Fees . . . . BLDG STDS ADMIN (SB1473) 6.00 ENERGY REVIEW FEE 50.67 STRONG MOTION (SMI) - RES 14.00 Fee summary Charged Paid Credited Due -=------------------------------------------------------- Permit Fee Total 943.55 .00 .00 943.55 Plan Check Total 547.69 .00 .00 547.69 Other Fee Total 70.67 .0.0 .00 70.67 Grand Total 1561.91 .00 .00 1561.91 LQPERDIIT Bin # Oty of La Quanta Building ac Safety DMIon P.O. Box 1504, 7B-495 Calle Tampico La Quanta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Peanut i �n t� VD Project Address: 4- 8 -7 Z o X Q, F-Qf jx d,n 60 Owner's Name: 0\ u t-10 kk A_ P. Number. Address: 4^ g 7Z O Aae, Legal Description: Contractor:�e ��- 1 ` 10C City, ST, Zip:r3 Telephone: Address: 7(S3 w tit S'ut A Project Description: , A)Q—tOrt., �C0.-G A rr City, ST, Zip: a s fJ'1 i d` 09k, CeZ g L L 6 o Q 0+ s f N Mak S J`C 0� Telephone: 76o ^S6 $-(7 ?3 �v µ•t6 to �� �O Ce.� O� State Lic. # : ? Z /SAO City Lie. #: �O Arch., Engr., Designer. Address: City., ST, Zip: Telephone: State Lie. #: Name of Contact Parson: �%l per /� �Gt!!l Construction Type Occupancy: Project type (circle one): New Add'n Alt�x air Demo Sq. Ft: # Stories: #Units: Telephone # of Contact S"' Estimated Value of Project: Opts � APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACIMG PERMIT FEES Plan Sets Plan Cheek submitted�S Item Amount' Structural Cales. Reviewed, readyfo rrectlonsAIM#Plan Check Deposit Truss Coles. Called Contact Person Pian Check Balance Title 24 Cala. Plans picked up D , bS Coma cdon Flood plain plan Plans resubml -% Z Mechanical Grading plan 2'' Review, ready for correctio ue `l /Z Electrical Subcontaetor List Called Contact Person ate. Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- - 3'4 Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees �V �• '►I2��1,� - P,,,,,s� -� cwt La Quinta Golf Estates Community Association Architectural Committee P.O. Box 553 La Quinta, CA 92247 (760) 564-0136 j imandi aynewgverizon.net July 1, 2010 Mr. Mark Davis 48-720 Avenida Fernando La Quinta, CA 92253 Dear Mr. Davis: The Architectural Committee for the La Quinta Golf 'Estates Community Association has reviewed the plans that you submitted for modifications to Mrs. Charlotte Clark residence at 48-720 Avenida Fernando and we have approved them. Please remember that the approval is for these plans only and if you make changes to these plans they will have to be resubmitted for approval. Yours truly, aural Committee Ince Low Fluff INSTALLATION CERTIFICATE RESIDENTIAL LIGHTING CF -6R -LTG -01 Kitchens Date: 7-1-2010 Site Address. 48720 Ave. Fernando -7:--- r, r CI t.'.Ci -Enforcement Agency:Permit ,'Aof.. LaQunit Number: I- Kitchen f ,iuhting 1'1 l ❑ Yes, complete section 1 ❑ No, go to section 2} i Yes §I50(k)3: The wattage of permanently installed luminair_es.(hghting fixtures) has been determined or specified by §130(d). ❑ Yes 1XNO §I50(k)3: In the kitchen, are there electrical boxes finished with a blank cover or where no electrical equipment has been installed, and where the electrical box can be used for a luminaire or a surface mounted ceiling fan? If yes, the following row must also be es: ❑ Yes X NA Wattage has been calculated as 180 watts of low efficacy lighting er blank electrical box. §150(k)8 Kitchen Lighting must comply with either method (a), (b), or (c) below: (a) All high efficacy luminaires ❑ Yes, complies because only high efficacy luminaires have been installed in the kitchen. M No, complies with method b or (c). b > 50% watts used by high efficacy luminaires. \'" �• M Yes, complies because at least 50% of the installed watts are from high efficacy 1 i sonstrat jn the table below: Total A >— Total B. �. ❑ No, complies with method a or (c). ztdl -i \O� Fill out the following table if complying with either method (b) or c-, 4Z.6' Table (h) Luminaire Type Efficacy High Low. Watts x Quantity = icacy aOtt� r Q cacy watts High\f"f descent cans ❑ M 65 x 5 = "'i:. 325 voltage trac Y. 150 x 2 = 300 rescent X7 ❑ 120 x 1 = 120 O or ❑ ❑ x I or ❑ ❑ X or ❑ ❑ X --+= = or Complies with method b if A> B Total: A: 420 B 325 (c) Additional Kitchen Low Efficacy Lighting ❑ Yes, complies because the kitchen lighting qualifies for additional low efficacy lighting and as demonstrated in table (b) (above) and the table in (c) (below) that (A+C) > B G No, complies with methodk(1(y{or (b). Additional kitchen low efficacv Iiahtine is available onlv if all of the followine are true: ❑ Yes. All low efficacy luminaires in the kitchen are controlled by a vacancy sensor. Dimmer energy management control system (EMCS) or a multi -scene programmable control system. ❑ Yes. Permanently installed luminaires in garages, laundry rooms, closets greater than 70 square feet and utility rooms are high efficacy luminaires AND are controlled by a vacancy sensor. Table (c) From the Table in (b) Use 50 W for dwelling units < 2,500 ft2 Use 100 W for dwelling untils > 2,500 ft Add Yes/No? A B C A+C Is (A+C) > B? CF -6R -LTG -01 Kitchen;5/17/10 Page 1 of 2 it, V 2. Lighting Internal to Cabinets Does project include lighting internal to cabinets? ❑ Yes, §150(k)12: Permanently installed lighting internal to cabinets uses < 20 watts of power per linear foot of illuminated cabinet. dues the nroiect include anv luminaires that are recessed into insulated ceilinus2 ❑ Yes, complete the rest of section. A No ❑ Yes, § 150(k)] 2: Luminaires that are recessed into insulated ceilings meet all of the following conditions: ❑ Yes, are listed, as defined in §101, for zero clearance insulation contact (IC) by UL or other nationally recognized testing/rating testing/ratinglaboratory, and ❑ Yes, have labels that certify the luminaires are airtight with air leakage less than 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283 Exhaust fan housings are not required to be certified airtight), and ❑ Yes, are sealed with a gasket or caulk between luminaire housings and the ceiling, and all air leak paths between conditioned and unconditioned spaces have been sealed with a gasket or caulk (including all exhaust fan housings), and ❑ Yes, allows ballast maintenance and replacement to be readily accessible to building occupants from below the ceiling without requiring the cutting of holes in the ceiling. - • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, material, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the building provides to the builder owner at occupancy. Company Name (Installing Subcontractor or General Contractor or Owner/Builder: Desert Builders Inc. Responsible Person's Name: Responsible Person's ignatu Mark Davis 10n,+ CSLB License: Date Signed: Position with Company (Title): 472150 7-2-2010 President For assistance or questions regarding the Energy Standards, contact the Energy Hotline at 1-800-772-3300. CF -6R -LTG -01 Kitchen;5/17/10 Page 2 of 2 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 1 of Project Nam Climate Zone #i # of Stories L r ®�v 1l General Information A 1 Site Address: g 7 a C> AV &. ee,,,� Enforcement Agency: Date: oao Building Type Single Family ❑ Multi Family Circle the Front Orientatio E, S, W, or degrees Conditioned Floor Area (CFA): of AS -1) Project Type: Iterations ❑ Envelope enestration ❑ Roof ❑ HVAC Tag/ Replacement or Chane Out ❑ Duct Replacement ❑ Water Heater NOTE: This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration (Opening of framed cavity alone— Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A —C and enter mandatory insulation value in Column H. O Replacement of entire assembly— Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component Package- D insulation values in Table 151-C. Fill in Columns A —J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B I C D E F I G I H I I J Proposed seeNote Standard Values From JA4 Table L M Framing Thickness, Framed Continuous JA4 Proposed Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly IDt or Type' and Size2 or Other' factor° Numbers R-value6 R -Value? Cell Values U -facto? d O _ .� r. N ` 0kW--3 V C Assembly I o c R = m > Final Mass Name or Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For catcutaa W7h -'e—* M and Furring Construction table below. \ 1. For Tag/ID indicate the identification name that matches the building plans. !. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space d $tc...I i&j YYrrl�r e and Siz For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other p sib tui►e l de l - \J a 3. Enter the thickness for mass in inches Spacing between framing members enter; 6" Qothet re `Y descrip 'on or V� o <jk such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc... V �� 4. Based on the Climate Zone; enter the Standard U factor from Table 151-B, C or D fo each diiffi ent as ame or t pe. ' 5. Enter the Table number that closely resembles the proposed assembly. & (" t 6. Enter the R -value that is being installed in the wall cavity or between the framing; othe vise, enfer "0 ".\� 7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter 8. Enter the row and column of the U factor value based on Column F Table Number and entth factor in Column J 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U- t olumn E to comply. Furring Strips Construction Table for Mass Walls Onl A B C D E F I G 1 H I J I K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Appendix Table 4.3.5 4.3.6 4.3.7 Joint Appendix Table 4.3.13 . d O _ .� r. N ,�� Assembly I o c R = m > Final Mass Name or JA4 Table —'� .o`_ ;; H E o @ M ' Assembl Thickness' T eZ Numbers Q > = X = ¢ > U-factor� Comment Registration Number: Registration Date/Time: 2008 Residential Compliance Forms HERS Provider: August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 2 of 5 Project Nam Climate Zype # # of Stories -7 �t�9�_KC� I I and Furring Strips Construction 1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can be found Reference Joint Appendix JA4. 2. This is the U -Factor based on the thickness of the assembly in inches. 3. The R -value of the insulation to be added on the interior or exterior of the assembly. 4. The Calculated R- Value is the R -value of the furred out section of the assembly. 4 The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column added to Column 1. Column K is the inverse from column J. 7. Insert the calculated U- actor value on to the Opaque Surface Details in Column J FENESTRATION PROPOSED AREAS ❑ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C The Total Fenestration and West facing Area requirements are not applicable. `Adding 50fe or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. ❑ Adding more than 50fe of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT Orientation Fenestration Type and Frame (North, East, PropsedAreal Maximum Maximum Window, Glass Door or Skylight) South, West) (ft U-factorz•; SHGC41. ° NFRC or Default Values W 1'5 i--)�UuJ ^-c'0 G W ? Proposed Areae INooto 2iwykx1C-1: 1, -1g- A x B -D + C 1. 1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration area may be the glass area plus a "2 inch frame" around the glass. 2. Enter value from Component Package D Requirements in Table 151-C. 3. Actual fenestration products installed and as indicated in CF--6R-ENV Form shall be equivalent to or have a lower U factor and/or a lower SHGC value than that specified on the CF -IR ALT Form. 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.1 applimble at this stage enter "NFRC" for NFRC Certi ted windows or are CEC "Default " values ound in Table 116-A or A rjenestration is added) E F G Total Area enestration Allowed Proposed Areae Lrea Added A x B -D + C > han 1:12. lest glazing area removed to the other orientations, ra or BOTH the Total and West Fenestration Areas. HERS Provider: August 2009 Ri1r.' ROOFING PRODUCTS (COOL ROOFS) §1S10912 When the area of exterior roof surface to be replaced exceeds more than SO % of the existing roof area, or more titan 1,000 fia, whichever is less, the new roofing area must meet the roofing product "Cool Roof 'requirements of §152(b)IHi, 152(b)1Hii, or 152(b)1Hili. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(1) are not applicable. Do not fill table below. ❑ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. ❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than 5lb/ft Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr-W-*F/Btu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or ❑ In climate zones 10,12 and 13, with 1 f? of free ventilation area of attic ventilation for every 150 ftp of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or ❑ Building has at least R-30 ceiling insulation; or ❑ Building has radiant barrier in the attic meeting the requirements of §151(f)2; or ❑ Building has no ducts in the attic; or ❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)1Hiii, Low -slope roof (pitch <2:12) ❑ Building has no ducts in the attic. Other Exceptions ❑ Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft is exempt from the below Cool Roof criteria. Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, Check the applicable box below if Exem t from the Roofing Products "Cool Roof' Re uirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number <_ 2:12 > 2:12 < 5lb/fi2 > 51b/112 2 Reflectance3'4 Emittance SRI s ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ 1 ❑ ❑4 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at wtiviv.coolroofs.otg/products/search php 2. Indicate the type of product is being used for the roof top, i.e. single ply roof, asphalt roof, metal roof, etc. 1. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(pjnttjat — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. Calculate the SRI value by using the SRI- Worksheet at hitp.-IAtnvtv.energy.ca.gov/title24/and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -IR . To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating TOCement-Based Roof Coating 1130ther Registration Number: 2008 Residential Compliance Forms Registration Date/Time: HERS Provider: August 2009 HVAt SYSTEMS- HEATING — C — 1- — T 0--, Minimum Duct or Piping Configuration Heating Equipment Type and Ca aci '" Efficiency AFUE or HSPF Distribution Insulation Type and Location° R -Value Thermostat Type (Central, Split, Space, Package or H dronic 1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception. 3. Refer to the HERS Verification section on Page 4 of the CF -JR -ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) HVAC SYSTEMS -COOLING , C - Zp- -rot; - t/c- For -w". Minimum Efficiency Duct or Piping Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central, Split, Type and Capacity 1.2 COP) Type and Location R -Value Type Space, Package or H dronic 1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc) 2. Refer to the HERS Verification section on Page 4 of the CF -1 R ALT Form for additional requirements and check applicable boxes. 3. Indicate T e or Location Ducts, H dronic in Floor, Radiators, etc. WATER HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be gas or propane fired, and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground hot water jai.qes is required in all cam onent acka es in all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Type' (Standard, Recirculatin )2 System Capacity (gal) Thermal Efficiency R -Val 3 GAS S a'- 1 So Qd - G. lA U jNja 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and pipes shall be insulated to meet the requirements o 150 ' . SPECIAL FEATURES The enforcement agency should pay special atteniton to the Special Features specified in this checklist below. These items may require written 'usti tcation and documentation and special veri nation. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of § 151 2 does not Uply to roof alterations. Slab Edge (Perimeter) Insulation C3 YES ❑ NO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation O YES ❑ NO YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation Cl YES C3 NO YES: In Climate Zones 1 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age S of 5 Project Name: Climate Zone # # of Stories PJ HERS VERIFICATION SUMMARY The enforcement agency shou/d pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing & Testing HERS verification is required for this measure. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per §152(b)IDi. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per §I52(b)IE. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. ❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Refrigerant Charge -Split System HERS verification is required for this measure. ❑ YES ❑ NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per § 152(b)1 F. Central Fan Integrated (CF1) Ventilation System and Fan Watt Draw The ventilation requirements of § 150 o do not apply to existing residential homes. Ducted Split Systems -Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. ❑ YES 17 NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced, the airflow and fan watt draw shall be verified per 152(b)]Ci to meet the requirements of §151(07B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and com let Name: h'1 � � 1 'Signature: `�' ` i Company : C!a �>= S f aJ � J) 'Y Ll✓ �� G Date: 1, /c) Address:i ,�n -7 gS (/ V 11 CJ+f 4 1101� baL vs- if Applicable 13 CEA or CEPE (Certification #): (Zp _ Ib -1 Q 5 City/State/Zi 14e.w. i)€� C~� oaal Phone: (76,o) - 47 bo Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: Company: Date: Address: License: City/State/Zip: Phone: U For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number. Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 0.7/01'/2010 11:05 7603603350 HYDES AC PAGE 01/02 of CTijmate zones 10 to 15 Site A es . 2008 Residential A(VAC Afiteradans -AR-ALT-MV. Agency: Aare Y¢rnm is; ©— G Q 7'/'�� Ke 7Z f•7yG _ A^IQa �Q C:•s i Conditioned Floor E Ment Tv list Minimum Efficiency' Duct insulation re innnent Area Ylrer4tostat Packaged Unit over 40 ft of ducts added or Setback COP by KFurnace AFill:-,?�p replaced in unconditioned space Served system (Ifnot already f be ndoor Coil ®SEER ® HSPF _ ® R 6 (CZ 10-13) , Sf pr&$Vu. rmdi Instal/ed) Condensing Unit EER © Resistance �] R 8 (CZ 14-15) Otho 1. ,Equipment Type: Choose the equipment belrtg installed: if more than one system, use another CF Ili ALT -HVAC for each system - 2. /yG.umunt Egrtlpmew Effldendes: 13 SEER 78%AFUE, 7. 7AYSPF for typical residentFal systems. HERS VERIFICATION SUMMARY Listed below aft four HVAC alteration Optiow- The installer decides what work is being done and ooe of the appropriate Options. Each Option lists the MERS measures that must be conducted A copy ofthe forms shall be left on site for fioal piolrs inspection and a copy given to the homeo%mer. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that eacb appropriate CIt6R and registered CX4R forms (no hand filled CF -484 allowed) are filied out and sied. Beiduning October 1, 2010 a reEistered co v of the CF -1(t and CF -61Z shall also be on s"Re for final inspection. X. IiVpC Cban "at Required Forms: CF -6R forms: Mt ECR -04; MECH-21-HERS and (for split systems) MECH- 25 -HERS • All HVAC Equipment laced CF-41kfonts: MECH-21 andfor split scams) MECH-25 • Condenser Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25-14ERS • Indoor Coil and /or Cf -4R forms: MECH- 21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFMft n(Minimuat Air Flow Requirement), TMAH For Packaged Units: Duct.leakage < 15 percent Exempted from duct leakage testing if 1. Dud system was documented to have been previously sealed and confirmed through HERS verification, or 2_ Duct system with less than 40 linear feet in unconditioned space, or 3. Existing duct systems are constructed, insulated or sealed with asbestos 111 New 1I'VAC System Required Forms: • Cut in or Changeout with. new CF -61K fbrms: MECH-04, ivtECH-20-HERS.,ead (far split systems) MECH-2Z-HEAZi and MECH-25-HERS duct3: (all new ducting Md all CF -4R forms: MECH 20-, and (for split systcM)MECH-22, and MECH 25 new etlt) For Split Systems: Duct leakage,,c 6 percent; RC, CCA >_ 350 CFM/ton; FWD, TMAH, STMS, and either HSPP or PSPP_ . For Packaged Units: Duct 1 < 6 per=t El 3. New Ducts with Re lecement Required Forms: • Includes replacing or ilustalling all new ducting CF -6R forms: MECH-04, KECH-20-HERS,and (for split systems) MECH-25-HEILS and/or outdoor condensing unit and/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or finnace- Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA ? 300 CFM/tan, XMAH For Packaged Units: Duct 1 < 6 percent 4, New Ducting over 40 feet Required Forms: • includes adding or replacing more thumr 40 CF -6R forms= MECH-04, MECH-21-HERS CF -4R forms: MECH-2l linear feet of duct in unconditioned space. . For split; s stem or padkned units: Duct leakage < 15 percent EXCEPTION: Existiug duct s •stuns constructed, insulated or sealed with mbcstos- Contractor (Documentation Author's /Respolusible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is aceulate and complete. • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on !lis Ceniftcate of Compliance. I certify that due energy femurs and perfomrarice specifications for the design identified on this Certificate of Compliance confirm to the requirements of Title 24, Porn I and 6 of the California Code of Regulations. • The design feawres identified an this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specificaliolls submitted to the enforcement agency fbr val with the F=k litau n. varve: Michael Hyde sigrratnre: C°mpany- Hyde's Air Conditioning e�7 — J— PO Address: 77-899 Wildcat Drive License: 906115 cy Ci/StazdziP: Palm Desert, CA 92211 Phone: (x'60) 3160-2202 2008 Residentlal Compliance Forms i4arch 2010 07/01/2b10 11:05 7603603350 HYDES AC PAGE 02/02 to site P -mss? ZD A-4�ULdR-�Y 0 �, HVAC,41terradora * CIF -1R -ALT -"VAC Date- 7 ade: Permit #: 7--/—/v Conditioned Floor ' Duct insulation uirentent Area Thermostat fEquf�Opmzaw ent Tv hist Minimum Efficienev' ged Unit ^�, Over 40 ftofducts added err 'Setback ce ®AFl)E � ✓ ® COP replaced in uoconditioned space Served by system (If not already r Coil MSEER ! ®HSPF R 6 (CZ 10 13) b s prase u. Mast 6s ensing Unit EER ® Resistance R 8 (CZ 14-15) r Type: Chose the equipment being 1.5.k- lied, ry more than one T.Mem, use another CF I R ALT-H�.QC for each systegt. 2. Miirn itrurm Equip fj4 teal residential syste�t. nrent L� arentses: 13 SEEK �� ,Q.l: UE, J.7H$PFfor typ' E—jE VlEpjjgCATION SUMMARY Listed below ace four HVAC alteration Options- The installer decides what work is bei done attd picks one of the appropriate Options. Each Option uses the HERS measures that miter be conducted. A copy of the forms Shap be left on site for final inspection and a copy given to the homeovmer• At final, the inspector verifies that the work listed on this form was in face the work completed by the installer_ The inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed, nojag October 1, 2010, a r ;stered copy of the CF -IR and CF -611 shalt ahe be on site for final inspection. IS i. HVAC Cbaugeout Iftecluired )Forms: Equipment Teplatxd CF -6R m forms: MECH-04, MECH-21-HERS and (for split systems) MECH- 25 -HERS • A11 HVAC E ' CF -413, forms: MECH- 21 and for split systems MECH 25 • Condenser Coil and /or CF -61K forms: MECH-2I-HERS mid (for split systems) MECH- 25 -HERS • indoor Coil and /or CF -4R forms: MECH- zl and (for split systerms) MECH-2$ • Fut-race For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFMAon(Minimum Air Flow Requircment), TMAH r.-- n_ rr—:ee. rl.,..► loaLonn e V', r rr•rrt Exempted from duct leakaose testing if. 1. Duct system was doctmnenttd to bavc been previously sealed and confirmed through HERS verificalion, or 2. Duct systems with less than 40 linear feet in unconditioned spate, or 3. Existing duct sZsftms we CA Structed, insulated or sealed with asbestos 2 New HVAC System Required Forms: • Cut in or Chaageout with new CF -6R fonW! MEClj-04, MglrCH-20-HERS,mtd (far split sysrcnts) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting _aqj all CF_4R forms_ MECH 20-, and (for split systems)MECH- 2, and MEC14 25 new equipment) For Split Systems: Dud leakage < 6 percent; RC, CCA a 350 CFM/ton; FWD, TMAH, STMS, and either HSPP or ?SPP. For Packaged Units: Duct) age<6percent El 3. New Ducts whh R lacelluent Required Forms, . Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS.And (for split systems) MECH-25-HERS and/or outdoor condeusiuS unit and/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or fir race. Not all equipment chmscd. For Split Systems: Duct leakage <6 percent, RC, CCA>_ 300 CFM/ttm, TMAH For Pack-azed Units: Duct i be < 6 percent 4, New Ducting over 40 feet Required Forms: • Includes adding or replacing mor�than 40 CF -6R forms: MECH-04. MECH-2I-HERS CF4R forms. MECH-2l linear feet of duct in unconditione. For split s stem or packaged units: Duct leakage < 15 percent I? FXCEP i ON; - " dui systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author`s /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is awl fate and complete. • l am eligible soder Division 3 of the Califomia a"iness and Professions Code to accept responsibility for the design identified on this Cer0cate of Compliance. • L cwtif that the energy features and performance specifications for the design identified on this Certificate of Conwhame rgnform to the requimmem of Tide 24, Pa1 and 6 of the California Code of Replations. rts • The design featwes identified on this Cenificaw of Compliance are consistent with the irnfofmation documented on other lic8bre Compliance forms. worKsheac . roval e permit applicatioF calculations laps and specifications submitted to the enrbreement •en for with Ch Name: Michael Hyde sigrtAtlUe- Company: Hyde's Air Conditioning 7-1-10 Adm: 77-899 Wildcat Drive f.iccrrse: 906115 City/stawzip: Palm Desert, CA 92291 Phone: (760) 360-2202 March ?010 2008 Residemial Compliance Forms