08-0035 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: C08-00000035
Property Address: 51525 AVENIDA JUAREZ
APN: 773-042-026-13 -000000-
Application description: ADDITION - RESIDENTIAL
Property Zoning: MEDIUM DENSITY RES
Application valuation: 15893'
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
}
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjivy that I a Iiceneod under provisions of Chapter 9 (commencing with
Se6tion 7000) of Division 3 of the Business a Professionals Caae, and my License is in full force and effect.
License Class: - - - - - - - - - Licens OTAGE
Date:/ Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the.applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ I I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a 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:
LQPE%'%IIT_—•--
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/24/08
Owner:
MORRIS RICK E
Other struct in C
J
Contractor:
Owner
MA�2n4
DITION C ._?0O
B
Lic. No.: E FO -P,
44
------------------
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 NO Policy Number
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 ecome subject to the workers' compensation laws of California,
and agree that, if I should be me subject to the workers' compensation provisions of Section
`��ff�� 3700�the Labor Code, I all forthwith compTwith those: provisions.
Date: ✓ Jy,� 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 a e information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi onstruction, and hereby authorize representatives
of this county to enteyupon the above-mentioned propert r inspection purposes.
Date: ��2�� Signature (Applicant or Agent):
I
Application Number .
. . . . 08-00000035
Permit . . . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
171.00
Plan Check
Fee
111.15
Issue Date . . . .
Valuation
15893
Expiration Date
9/20/08
Qty Unit Charge
Per
Extension
BASE FEE
45.00
14.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
126.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
23.26
Plan Check
Fee
5.82
Issue Date
Valuation
0
Expiration Date
9/20/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
236.00 .0350
----------------------------------------------------------------------------
ELEC NEW
RES - 1 OR 2 FAMILY
8.26
Permit . . .
GRADING PERMIT
Additional desc .
Permit Fee . . . .
15.00
Plan Check
Fee
.00
Issue Date-
Valuation
. . . .
0
Expiration Date
9/20/08
Qty Unit Charge
Per
Extension`
----------------------------------------------------------------------------
BASE FEE
15.00 .
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
24.00
Plan Check
Fee
6.00
Issue Date
Valuation
. . . .
0
Expiration Date
9/20/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
----------------------------------------------------------------------------
EA MECH APPL
REP/ALT/ADD
9.00
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
24.0.0
Plan Check
Fee
6.00
Issue Date . . . .
Valuation
. . . .
0
LQPERMIT. _--------
LQPE%IIIT
Application Number . . . . .
08-00000035
Permit PLUMBING
Expiration Date 9/20/08
Qty Unit Charge Per
Extension
BASE
FEE
15.00.
1.00 6.0000 EA PLB
FIXTURE
6.00
1.00 3.0000 EA PLB
WATER INST/ALT/REP
3.00
------------------------------------------=---------------------------------
Special Notes and Comments
236 SQ. FT. KITCHEN ADDITION AND 180 SQ.
FT. PATIO WITH BBQ AREA NO GAS
LINE FOR
BBQ WILL USE BOTTLE GAS.
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
ENERGY REVIEW FEE
11.12
STRONG MOTION (SMI)
- RES
1.58
Fee summary Charged
----------------- ----------
Paid Credited
---------- --- ------
----------
Due
Permit Fee Total 257.26'
.00
.00
257_.26•
Plan Check Total 128.97
.00
.00
128.9.7
Other Fee 'Total 12.70
.00
.00
12.70•
Grand Total 398.93
.00
.00
398.93
I
Bin #„
City of La .Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Off- 3 S
Project Address: 5'L 1;
A. P. Number: _ , , OZ
Legal Description:
Owner's Name:
Address:. 5l l< Yt16 ei
J LA City, ST; Zip: -3
Contractor:.
Contractor:
C(/
Address: —6 cl J
City, ST, Zip:
q.la_ 3 .
Telephone: �
Project Description:
Telephone: 7 (s
-
State Lic. # : City Lic: #..
Arch.; Engr., Designer: %�kk. e A C6Av_
Address: 7
a .
City, ST, Zip: `� Z J
Telephone:
State Lic. #:
Name of Contact Person: S
lt2�
Construction Type: Occupancy:
Project.type (circle one): New . ild' A1�r Repair Demo
Sq. Ft::
# Stories: Z
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT:. DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACIQNG .
Plan Check submitted .
PERMIT FEES
Item'' Amount
Plan Check Deposit
Structural Calcs.
Reviewed, ready for correcirons ; 2
Truss Calcs.
Called Contact Person j
Plan Check Balance
Energy Calcs.
Plans picked up,, %
Construction
Flood plain plan
Plans resubmitted IL
Mechanical
Grading plan
2•" Review, readyor correctionsfiss
Electrical
Subcontactor List
Called Contact Pe rso 2�
Plumbing
Grant Deed
Plans picked up'S
M I
H.O.A. Approval.
Plans resubmitted
Grading
IN HOUSE:-
7rd Review, ready for correction issue
Developerlin p Fee
Planning Approval
Called Contact Person
A.LP.P.
_
Pub. Wks. Appr
Date of permit issue
—
I
School Fees
•
-
/
�
,
U
�El S
FI
Total Permit Fees
1�24(a� KFC,3�l)io�
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments ;
i
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 236 S.F. or $0.00 have been paid for the property listed above and that
I
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By Exempt - Rick Morris Check No. `
Name on the check Telephone
Funding Exempt
By Dr. Sharon P. McGehee
Superintendent
Fee collected /exem by S r Ivrey Payment Recd 1$0.0,0-'
Ever/Under."- =
Signature
NOTICE: Pursuant to Government Code Section 66020(d)( , this 'll serve to notify you that the 90 -day approval period in which you'may protest the fees o `
r other payment identified above will begin to run from the date which the building or installation permit for this project is issued, or from the date on which I)
those amounts are paid to the District(s) or to another public entity authorized to collect them on the Districtfs) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
i
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting I
r
TITLE. 24 REPORT
a
tM l
Title 24 Report
PRESCRIPTIVE PACKAGE D ALTERNATIVE
CITY OF LA QUINTA
BUILDING & SAFM DEPT,
e�PPP, VES
Title 24 Re rt f6�'P C, -)NST UCTI N
DATF �2-rb �$ BYRICK& SHELLY ORRI__
51-525 Avenida Juarez
La Quinta, California
Project Designer:
Stephen R. Nieto
South West Concepts. Inc
78-115 Calle Estado, Ste. 201
La Quinta, CA 92253
Report Prepared By:
Stephen R. Nieto
Date:
01/04/2008
JAN 4 M8
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 5) CF -1R
Pr6ject Title
PROPOSED ADDITION FOR RICK & SHELLY MORRIS
Date
01/04/2008
Building Permit #
Pr oj,ect Address
51-525 AVENIDA JUAREZ, LA QUINTA, CA 92253
4
Plan Check / Date
Documentation Author
SOUTH WEST CONCEPTS, INC.
Telephone
760 564-4707
Field Check / Date
Compliance Method (Prescriptive)
PACKAGE D
Climate Zone
15
Enforcement Agency Use Only
Altetnative Component Package Method: (check one) C D ./ 4Alternative)
• 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 Appendix B Table 151-C Footnotes 8-14 in the Residential Compliance Manual (RCM)
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) 236 ft'
Average Ceiling Height: 10'-6" ft
Check Applicable Boxes
Building Type: (check one or more) Single Family Multifamily ✓ Addition 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 in the RCM.)
• Maximum Allowed Total Fenestration Area 47.2 ft'(from WS -4R)
• Maximum Allowed West Facing Fenestration Area 11.8 ft'(from WS -4R)
• Number of Stories: 1 Number of Dwelling Units: 1
• Floor Construction Type: Slab Raised Floor (circle one or both)
• Front Orientation: 3150 North / South East West: All Orientations (input front orientation in degrees
from True North and circle one).
® RADIANT BARRIER (check box if required in climate zones 2 4 8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
Type
(Wood or
Metal)
Cavity
Insulation
R -Value
Continuous
Insulation
R -Value
Assembly U -
factor (for wood,
metal frame and
mass
assemblies)'
Joint Roof Radiant Location
.Appendix Barrier Comments
IV Installed (attic, garage,
Reference Yes or No typical. etc.
Wall
2X6 WOOD
R-21
NONE
N/A LIVING ZONE
Wall
Roof
2X12 WOO
R-38
NONE
0.025
IV.1 YES LIVING ZONE
Roof
Floor
-Floor
,51ab Edge
1) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. U -factors can not exceed
prescriptive value to show equivalence to R -values.
This column is for the Inspector to verify installation of roof radiant barrier.
Residential Compliance Forms December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF -1R
Project Title
Date
PROPOSED ADDITION FOR RICK & SHELLY MORRIS
01/04/2008
]RHESTRATION PRODUCTS - U -FACTOR AND SHGC
i
1� W FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R - must be included for New
Construction, Additions and Alterations.
1
2
Fenestration
#/Type/Pos.
(Front, Left,
Rear, Right,
Skylight)
Orien-
tation,
N, S, E, W'
area
ft'
U -factor'
U -factor
Source' SHGC'
SHGC
Sources
Exterior
Shading/Overhangs6''
✓box if WS -3R is
included
RIGHT
N
20 SQ. FT.
0.55
NFRC R04032 0.26
NFRC R04032
❑
FRONT
E
14 SQ. FT.
0.55
NFRC R04032 0.26
NFRC R04032El
❑
El
11
El
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(03C 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 I I 6
4) Enter values in this column from NFRC or from Standards Default Table 1.16B or adjusted SHGC from WS -3R
5) Indicate source either from NFRC or Table I I6B.
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading
devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment
Type and Capacity
f imace, heat pump, boiler, etc.)
Minimum Distribution
Efficiency Type and Location
AFUE or HSPF ducts attic etc.
Duct or Piping Thermostat
R -Value Type
Configuration
(split or package)
EXISTING
Cooling Equipment
Type and Capacity Minimum
(A/C, heat pump, evap. Efficiency
cooling) SEER or EER
Distribution Type
and Location Duct or Piping
ducts, attics, etc.) R -Value
Thermostat
Tye
Configuration
(split or package)
EXISTING
Residential Compliance Forms
December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF -1R
Project Title
Date
PRQPOSED ADDITION FOR RICK & SHELLY MORRIS
01/04/2008
�c,FULl,' u LPu%_ i J anu l Ays for Anernatlye 1yleasures)
A'§ikned CF -4R Form must be provided to the building department for each home for which the following. are required.
I e I
❑
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)
❑
Installer te ting 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
EXISTING
verification required.)
VK
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.
❑
No ducts installed.
❑
New ducts from existing s ace conditioning equipment, not exceeding 40 ft. in length.
❑
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
EXISTING
Residential ACM Manual. 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.
�WAI K n A11AU JYJlEl N
I V/ I
®
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
Number
in System
not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Standby'
Loss %
Manual. No water heating calculations are required, and the system complies automatically.
EXISTING
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
submittal.
Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units
❑ +
Systems serving single dwe ling units (See RM Table 5-4, Alternative Water Heating Systems for recirculation requirements.)
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Rated
Input'
(kW or
Btu/hr)
Tank
Capacity
(gallons)
Energy
Factor' or
Thermal
Efficiency
Standby'
Loss %
Tank
External
Insulation
R -Value
EXISTING
system Serving multlnie dwelling unite (See Re.quiential Mamial CP( tine 5 1 1)
Water Heater
Type
Distribution
Type
Number
in System
Rated
Input'
(kW or
Btu/hr)
Tank
Capacity
(gallons)
Energy
Factor' or
Thermal
Efficiency
Standby'
Loss %
Tank
External
Insulation
R -Value
EXISTING
1) rvr bi,laai gas siUrage water nesters kratea inputs or Less tnan or equal to /-*),UUU t3tu/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 December 2005
1
8
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 5) CF -1R
Project Title Date
PROPOSED ADDITION FOR RICK & SHELLY MORRIS 01/04/2008
SPECIAL FEATURES REQUIRING BUILDING OFFICIAL or HERS RATER VERIFICATIOr
Indicate which special features are part of this project. The list below only represents special features relevant to the
preQcriptive method. (Check Applicable boxes)
Category
Building Official
Verification of
Special Features
HERS Rater
Verification
HERS Rater
Diagnostic
Testing
Measure
Ducts
❑
Y
100% of ducts in crawlspace / basement
❑
Y
Buried ducts
❑
Y
Diagnostic supply duct location, surface area, and R -value
❑
Y
Duct increased R -value
❑
Y
Duct leakage
❑
Y
Ducts in attic with radiant barriers
❑
Y
Less than 12 ft. of duct outside conditioned space
❑
Y
Non-standard duct location
❑
Y
I Supply registers within two ft. of floor
Envelope
❑
Y
Air retarding wrap
❑
Y
Cool roof
❑
Y
Exterior shades
❑
Y
High thermal mass
❑
Y
Inter -zone ventilation
❑
Y
Metal framed walls
❑
Y
Non -default vent heights
❑
Y
Quality insulation installation
❑
Y
Radiant barrier
❑
Y
Reduced infiltration (blower door). May also require mechanical ventilation.
❑
Y
Solar gain targeting (for sunspaces)
❑
Y
Sunspace with interzone surfaces
❑
Y
Vent area greater than 10%
HVAC E
ui ment
❑
Y
Adequate air flow
❑
Y
Air conditioner size
❑
Y
Air handler fan power
❑
Y
High EER
❑
Y
Hydronic heating systems
❑
Y
Mechanical ventilation
❑
Y
Refrigerant charge
❑
Y
Thermostatic expansion valve (TXV)
❑
Y
Zonal control
Water Heater
❑
Y
Combined hydronic
❑
Y
High EF for existing water heaters
❑
Y
Non-NAECA water heater
❑
Y
Non-standard water heaters (wh/unit)
❑
Y
Water heater distribution credits
Residential Compliance Forms
December 2005
I
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 5 of 5) CF -1R
Project Title
PROPOSED ADDITION FOR RICK & SHELLY MORRIS
Date
01/04/2008
Specie, Remarks
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and specifications needed to comply with Title
24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement
them. This certificate has been signed by the individual with overall design responsibility. The
undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge
and TXVs, insulation installation quality, and building envelope sealing require installer testing and
certification and field verification by an approved HERS rater.
Designer or Owner(per Business and Professions Code Documentation. Author
Name:
STEPHEN R. NIETO
Name:
STEPHEN R. NIETO
Title/Firm:
SOUTH WEST CONCEPTS, INC.
Title/Firm:
SOUTH WEST CONCEPTS, INC.
Address:
78-120 CALLE ESTADO SUITE 206
Address:
78-120 CALLE ESTADO SUITE 206
LA QUINTA CA, 92253
LA QUINTA CA, 92253
Telephone:
(760)564-4707
Telephone:
(760)564-4707
License #:
GC# 523837
License : (if applicable) GC 3837
(signature)
(date)
(signature)
(date)
Enforcement Agency
Name:
Title
Agency:
Telephone:
'gnature / stamp)
Comments:
Residential Compliance Forms December 2005
MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 1 of 2) MF -1R
Project Title
PROPOSED ADDITION FOR RICK & SHELLY MORRIS
Date
01/04/2008
114 U. LUw-nye res,UcnUa, owrU,ngs suDiect to me manaaras must contain these measures regaraiess of the compliance approach used
More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*) below.
When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum
component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this
checklist only.
Instructions: Check or initial applicable boxes when or check NA if not applicable and included with the permit application documentation.
DESCRIPTION
NA
Designer
Enforce -
ment
Building Envelope Measures:
Ve
V/
lo/
• §150(a): Minimum R-19 in wood frame ceiling insulation or equivalent U -factor in metal frame ceiling.
❑
Wr
❑
§150(b): Loose fill insulation manufacturer's labeled R -Value:
Wr
❑
❑
• §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply
to exterior mass walls
11❑
• §150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor.
❑
❑
§ 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
1. Masonry and factory -built fireplaces have:
a. closeable metal or glass door covering the entire opening of the firebox
�"
❑
❑
b. outside air intake with damper and control, flue damper and control
❑
❑
2. No continuous burning gas pilot lights allowed
Cl
Wr
❑
§ 150(f): Air retarding wrap installed to comply with § 151 meets requirements specified in the ACM Residential Manual.
Wr
❑
❑
§ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
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§ 1500) : Slab edge insulation - water absorption rate for the insulation material alone without facings no greater than
water vapor performance rate no greater than 2.0 perm/inch.
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§ 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include CF -6R
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§116-17: Fenestration Products, Exterior Doors, and Mltration/Exfiltration Controls.
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
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2. Fenestration products (except field -fabricated) have label with certified U -factor, certifies Solar Heat Gain
SHGC and infiltration certification
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3. Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed
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Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission.
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§ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE. SMACNA or ACCA.
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§ 150(i): Setback thermostat on all applicable heating and/or cooling systems.
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§ 1500): Water system pipe and tank insulation and cooling systems like insulation.
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1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation
an installed thermal resistance of R-12 or greater.
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2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation orEl
internal insulation and indicated on the exterior of the tank showingthe R -value.
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3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness:
1. Fust 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length
recirculatingsections of hot water pipes shall be insulated to Table 150B.
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2. Cooling System piping (suction, chilled water, or brine lines), piping insulated between heating source and
hot water tank shall be insulated to Table 150-B and Equation 150-A.
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4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A.
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Residential Compliance Forms
December 2005
L
VIANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 2 of 2) MF -1R
DESCRIPTION
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Enforce -
Designer
ment
' Space Conditioning, Water Heating and Plumbing System Measures: (continued)
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5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
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-z& Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in
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7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation.
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' § 150(m): Ducts and Fans
1. All ducts and plenums installed, sealed and insulated to meet the requirement of the CMC Sections 601, 602, 603, 604, 605
and Standard 6-5; supply -air and retum-air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed
entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable
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requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is
used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used.
2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than
sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and
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platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause
reductions in the cross-sectional area of the ducts.
3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
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such tae is used in combination with mastic and draw bands.
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4. Exhaust fan systems have back draft of automatic dampers.
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5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
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dampers.
6. Protection of Insulation. insulation shall be protected from damage, including that due to sunlight, moisture, equipment
maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water
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retardant and provides shielding from solar radiation that can cause degradation of the material.
7. Flexible ducts cannot have porous inner cores.
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§114: Pool and Spa Heating Systems and Equipment.
1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the
'heater,
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weatherproof operating instuctions, no electric resistance heating and no pilot light.
2. System is installed with:
a. at least 36" of pipe between filter and heater for future solar heating.
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b. cover for outdoor pools or outdoor spas.
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3. Pool system has directional inlets and a circulation pump time switch.
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§ 115: Gas fired fan -type central furnaces, pool heaters, spa heaters, or household cooling appliances have no continuously
burning pilot light, (Exception: Non -electrical cooking fiances with pilot < 150 Btu/hr
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§ 118(i): Cool Roof material meets specified criteria
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Residential Lighting Measures:
§ 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as
outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater
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are electronic and have an output fi-equency no less than 20 kHz
§ 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table
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luminaire has facto installed HID ballast
§150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as
determined in § 130 (c), of pemumently installed luminaires in kitchens may be in luminaires that are not high efficacy
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provided that these luminaires are controlled by switches separate from those controlling the high efficacy
luminaires.
§ 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms & utility rooms shall be high efficacy
luminaires. OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on
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automatically or have an always ono tion.
§1500k 4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry moms, and utility
rooms shall be high efficacy luminaires (except closets less than 70fP): OR are controlled by a dimmer switch OR are
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by an occupant sensor that complies with Section 119(d) that does not tum on automatically or have an always
on option.
§ 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are
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airtight to ASTM E283 and labeled as air tight A to less than 2.0 CFM at 75 Pascals.
§ 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on
the same lot shall be high efficacy luminaires (not including lighting around swimming pools / water features or other
680 locations)
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OR are controlled by occupant sensors with integral photo control certified to comply with Section
119d:
§150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147.
Lighting for parkinggarages for 8 or more vehicles shall have lighting that complies with Sec. 130 131, and 146.
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§150(k)8: Permanently installed Iighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or
more dwelling units shall be high efficacy hm»naires OR are controlled by occupant sensor(s) certified to comply with Section 119(d).
Residential Compliance Forms
December 2005