11-1255 (SFD)P.O. BOX 1504
�-78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:11-00001255
___
Tluy';4
4Qut«tw
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Property Address: 52355=AVENIDAWELASC0
APN: 773-264-016-5 -00000.0-
Application description: DWELLING SINGLE FAMILY DETACHED
Property Zoning: COVE RESIDENTIAL
Application valuation: 122223
Applicant: / Architect or Engineer: +
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. .
License Class: License No.:
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 70001 of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption: Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty'of not more than five hundred dollars ($500).:
1—) 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.).
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.).
(_ 1 I am exempt under Sec.. , B.&P.C. for this reason
ate:2
' CONSTRUCTION LENDIRG 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.).
L wner:
Lender's Name:' • ►1 a
Lender's Address:
LQPERMIT
Owner:
EMBERS GROUP INC.
42-575 MELANIE PL SUITE
PALM DESERT, CA 92211
(760)568-2850
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/23/12
Contractor. rID �] X17
Owner
p 3 23 2012
C17Yr�,I.A;�
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 Policy Number J
AI 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
/ ��337000�of the Labor ode all forthwith comply with those provisions.
Q6fa: ��"� I`� plicant:
/WARNING: FAILURE TO SECURE WORKERS' COMPENS TION 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
of this county to enter upon the above-mentioned propeo* fo�Mio s`S.
i
a[ure (Applicant or Agentl:
LQPERMIT
Application Number
11-00001255
Structure Information
Construction Type
TYPE V, UNPROTECTED.
Occupancy Type . .
. . DWELLG/LODGING/LONG <=10
Other struct info . .
. . . CODE•EDITION .2010
# BEDROOMS
3.00
FIRE SPRINKLERS YES
GARAGE SQ FTG
449.00
PATIO SQ FTG
136.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
1882.00.
Permit . . .
BUILDING PERMIT
Additional desc
Permit Fee . . . .
667.50 Plan Check Fee
433.88
Issue Date
Valuation . . . .
107651
Expiration Date
8/21/12
Qty Unit Charge
Per
Extension
BASE FEE
639.50
8.00 3.5000
THOU -BLDG 100,001-500,000
28.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
65.50 Plan Check Fee
16.38
Issue Date . . . .
Valuation
0
Expiration Date
8/21/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
•9.00
1.00 9.0000
EA MECH B/C <-=3HP/100K BTU,
9.00
•4.00 6.51000
EA MECH VENT FAN
26.00
1.00 6.5000
--------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
104.85 Plan Check Fee
26.21
Issue Date . . .
Valuation . . . .
0
Expiration Date
8/21/12
Qty Unit, Charge
Per
Extension.
BASE FEE
15.00
1882.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
65.87
449.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL.
8.98
LQPERMIT
Application Number .
. . . . 11-00001255
Permit . . . . . .
ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
1.00 15.0000
EA ELEC TEMPORARY POWER POLE
•.15.00
Permit - -PLUMBING
Additional desc .
Permit Fee
128.'25 Plan Check Fee
32.06
Issue Date . . . .
Valuation
0
Expiration Date
8/21/12,.
Qty Unit„Charge
Per
Extension
BASE FEE
15.00
10.00 6.0000
EA PLB FIXTURE
60.00
1.00 15.0000
EA' PLB BUILDING SEWER
15:00
1.00 7.5000
EA PLB7'WATER HEATER/VENT
7.50
1.00 3.0000
EA PLB WATER.INST/ALT/REP
3.00 '
1.00 9.0000.EA
PLB LAWN SPRINKLER SYSTEM
9.00
5.00 .7500
EA PLB GAS PIPE >=5
3.75
1.00 15.0000
EA PLB GAS METER
15.00
Permit
GRADING PERMIT
Additional desc .
Permit Fee
15.00 Plan Check Fee
.00
Issue Date . . .
Valuation
0
Expiration Date
8/21/12
^s Qty Unit Charge
Per
Extension
BASE -FEE
15.00
Special Notes and Comments
1882 SF SFD, TYPE V=B
W/. FIRE
SPRINKLERS,• R-3 OCC.
**PERMIT DOES NOT
INCLUDE.BLOCK WALLS,
FENCES, SWIMMING
POOLS, SPA, BBQ'S and
DRIVEWAY
APPROACH** 2010 CODES
1/24/2012 OUTSTANDING
PLAN CHECK FEES
FROM APP 10-655 PAID.
BHANADA f-
----------------------------------------------------------------
Other Fees .,
BLDG STDS ADMIN. (SB1473)
5.00•
DIF COMMUNITY CENTERS -RES
74.00,
DIF CIVIC CENTER - RES
995..00
ENERGY REVIEW FEE
43.39
DIF FIRE PROTECTION -RES.
140.00
DIF LIBRARIES-- RES
355.00
MULTI -SPECIES (MSHCP) FEE
521.00 ,
• LQPERMIT
,
Application Number
. .
11-00001255
----------------------------------------
Other Fees . . . .
.
-
DIF PARK MAINT FAC RES
22.00
DIF PARKS/REC.- RES
892.00
STRONG MOTION (SMI) - RES
12.22
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary
Charged
Paid Credited
-- - - - - - - ------ - - - - ----
Due
--- - - - - -
-----------------
Permit Fee Total
----------
981.10
.00 .00
.
981.10
Plan Check Total _
•508.53
250.00 .00
258.53
-Other Fee Total
5056.61
.00 .00
5056.61
Grand Total
6546.24.
250.00 .00
6296.24.
r-
A
LQPERNI[T
ng
Aririr rcz
Aririracc v
Ivlalllrry Z 5
Address 7,
TAREA�
Titvz 4 4 Cl/
P.O. BOX 1504
78-495 CALLE TAMPICO
. ve kse 0 LA QUINTA, CALIFORNIA 92253
It-Ja55
APPLICATION ONLY
BUILDING: TYPE CONST. OCC. GRP
/�,(J A.P. Number
Z�� I Legal Descri
Ad0157--n,91dkfe A&P -S
OLOILU ���. -y
& Classif. 6��d Lic. #
Arch., Engr.,
Designer/ ADA
I /�7
_DliJ / D r�
/� I Al Z�C.✓ I Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) ofDIM t o Business d essior s C c1, a my II se i in full c d/
effect. �i
SIGNATOR DAT
WNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that he 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).
O 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 Profes-
sions Code: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon and who does such work himself or through his own employees, provided
that such improvements are not intended or offered for sale. If, however, the building or im-
provement is sold within one year of completion, the owner -builder will have the burden of
proving that he 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 Contractor's License Law does
not apply to an owner of property who builds or improves thereon, and who contracts for such
projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 the permit is for one hundred dollars ($100) valuation
or less).
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to Workers' Compensation Laws of
California.
Date Owner
NOTICE TO APPLICANT.' If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work
for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Project Descri
SFt. ) L Stories
Size
New Add ❑ Alter ❑
No. Dw.
Units
Repair ❑ Demolition ❑
Gi i V ?.i� •dti
—NIV }
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE
Date 2/6/12
No. 31202
CERTIFICATE OF COMPLIANCE w�1Fsc�
Desert Sands Unified School District` z4eso
47950 Dune` Palms Road Q BERMUDA DUNES r
rA RANCHO MIRAGE d
La Quetta, CA 92253 INDIAN WELLS
dt}> P AT
LA QUINTy
f (760) 771-8515 Ir INDIA A
O
Owner Embers Group, Inc.
APN # 773-264-016
Address 42-575 Melanie PI. Suite S
Jurisdiction La Quinta
City Palm Desert Zip
Permit #
Tract #
No. of Units
Type Single Family Residence
Lot # No. Street S.F.
Lot # No: Street S.F.
Unit 1 52355 Avenida Velasco 1882
Unit 6
Unit 2 -
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.97 X 1,882 S.F. or $5,589.54 have been paid for the property listed above and that'
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By C/C- Rabobank - Bruce Maize Check No. 010004724
Name on the check Telephone 760/568-2850
Funding Residential
By Dr. Sharon P. McGehee
Superintendent
Fee collected /exempted by Petrie a Barbuzza Payment RecdSo.00 7-,-� �
$5,589.54 ver/ljnti�i� `,
"a �r•
Signature
G t �
NOTICE: Pursuant to Government Code Section 66920(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees
or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on
which those amounts are paid to the Dishict(s) or to another public entity authorized to collect them on the District(s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting
IN COOPERATION.WITH
THE-,CALIF-ORNIA DEPARTMENT.OF FORESTRY AND FIRE PROTECTION
.77-933 Las Montanas Rd.,•Ste',.#201; Palm Desert, CA 92211-4131's Phone, -(760)863-8886''
s«.
Fax (760) 863-7072
www.rvcfire.org
PROUDLY SERVING THE
UNINCORPORATED AREAS
December 15, 2011
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
DYNAMIC FIRE SPRINKLER OF CALIFORNIA INC
CAUMEsa
7343 ORANGEWOOD DRIVE SUITE A
CANYON LAKE
RIVERSIDE, CA 92504
C OAC H E LLA
_
DESERT Hot SPRINGS
Re: Residential Fire Sprinkler Plan Review
EASTVALE
52-355 Avenida Velasco
INDIAN WELLS
The above referenced sprinkler plans have been reviewed and are acceptable by the
INDIO
Riverside County Fire Department and are approved with the following conditions:
LAKE ELSINORE
LA QUINTA
MENIFEE
1) Approval of these plans does not include the piping of the underground system.
MORENO VALLEY
PALM DESERT
-
PERRIS
2) Permanently marked identification signs shall be attached to all control valves.
RANCHO MIRAGE
RUBIDOUx CSD
3) A sign shall be located adjacent to the alarm belt worded as follows:
SAN JACINTO
SPRINKLER FIRE ALARM -.WHEN BELL RINGS CALL 911
TEMECULA
WILDOMAR
4) A warning sign, with minimum '/4 inch letters, shall be affixed adjacent to the '
main shutoff valve and shall state the following: .
BOARD OF
SUPERVISORS:
WARNING: The waters stem for this home supplies sprinklers that
Y pp .es firesp •
require certain flows and pressures to fight a fire: Devices that restrict the flow
BOB BUSTER
DISTRICT 1
or decrease the pressure or automatically shut off the water to'the fire sprinkler
system, such as water softeners, filtration systems, and automatic shut-off valves,
JOHN TAVAGLIONE
' DISTRICT 2
shall not be added to this system without a review of the fire sprinkler system by
afire protections specialist. DO NOT remove this sign.
JEFF STONE
DISTRICT 3
JOHN BENOIT
DISTRICT 4
MARION ASHLEY .
DISTRICT 5
rot
f OccupancyCertificate oF
r
C
OF Building Y p & Safety Department
f
This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the
2007 California Building Code, certifying that, at the time of issuance, this structure was in
j
compliance with the provisions of the Building Code and the various ordinances of the City,
regulating building construction and/or use.
j
BUILDING ADDRESS: 52-355 AVENIDA VELASCO
x j
j
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 11-1255
i
Occupancy Group: R-3 Type of Construction: V-B Land Use Zone: RC
Sprinkler& Installed: YES Sprinklers Required: YES Occupant.Load: 10
1
Owner of Building: EMBERS GROUP INC
Address: 42-575 MELANIE PL STE S
City, ST, ZIP: PALM DESERT, CA 92211
Greg Butler By: STEVE TRAXEL
3
r;
�i
Building Official Date: JUNE 29, 2012
t
'
POST IN A CONSPICUOUS PLACE
4
_ f �
CITY OF LA QUINTA SUB -CONTRACTOR LIST!
JOB ADDRESS SZ -3 �� �`r �V� UiiClSe0 PERMIT NUMBER OWNER %1i� /� [,Y�� N& BUILDER �&&
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to cornmencement of work. Failure to comply will result in a stoppage of work and/or the, voidance
of building permit.. For each. applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
..Trade / Classification Contractor State:Contractor's. License 1No kers Compensation Insurance Gi:: .Business License..
Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date
(e.g. A, B, C-8) (xxxxxx) Ocx/xx/xx.) I (e.g. State Fund, CalComp) (Format Varies) (xxlxx/xx) (xxxx) (xx/xx/xx)
u
EARTHWORK (C-12)
G( S a C.1/lf �l
J`1Y �lP�
Lr�; �� �'
� �G' /tSPr' 1"1 �� �(J
/�� �� 7
Z' i3
.CONCRETE (C-8)
S a'� i✓
��
G �.�/
5 ✓/'�JT
(7 % �/Y C� Z3
>�' �' �OI/��/
FRAMING (C-5)
iz�;l��n� V��(lf FG�19 SC`l/S �t���/
�
9 I
SC Us vf1Z ��y� � L�10�
/�-;� !(J � f �
�'����`
.STRU.CT. STEEL (G=51)
MASONRY (C-29)
V Cs ���� �
l• ' L
7 / O 6 19
/✓7el-1-3
%!/1' CtJ� �� rJ`t�!" �,J
-� J"h- ��
3 %._/
PLUMBING (C-36)
8 • 2, L
`}i%ys9�(/
���•�� 'Z
--/L
LATH, PLASTER (C-35)
t� --z l�'-S
�i ' . 7
[l�ll� r�Z
`�jC� �.S
JCC' (.0:
:DRYWALL (C-9)�l
� ,t�
/V
0A�
HVAC (C-20)
f
V20&
C- Z!J
G/�
l %r
G !�� ) &��/ i�J"�
iYl /i1�hl%
ELECTRICAL (C-10)
Z
7 2-
ROOFING (C=39)
Sl'
!/
5 "✓/''lam
C� �L h / C�
L"7 ��/� M747 -Z
AR -12 -
. -/Z.SHEET
.SHEETMETAL (C-43)
FLOORING:. -IC -115)
lv/✓L a?VK&
��
C(/ � "i "JJ
•% '��i
Cf j'i �'l ( l' a
�"� C�
� ��
GLAZING. (C717)
r G(3�/�l GVJ
C
rCiOe 5/ e
INSULATION; (C-2)
�nCf�u�
Z i yl
L;- ��"
/ ' 'i%!! `' 1' ' _L Cyd &q ,
�� D�
3-3/4,2
SEWAGE DIS.P. (0-42)
PAINTING (C-33)
C�
��� iJ0
9Y
/
i .l �i �` /����
��®"! 7 �%C%��
Li 20`15
CERAMIC TILE (C-54)
4.1-(YG�1�
y�rG/.�'i /�
CABINETS (C-6)
/I `
• �!!i
J
!�/ � I!/G� W//'yC
FENCING (C-13)
LANDSCAPING (C-27)
044h L�C'
L " Z
��d 6
/�' "��
AGI C'� /�/V�y�
" Z._.
POOL (C-53) _
�� {�Yv�L
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U '/�/
GLf _ "- 1�+�' ,,
:3'.5S
�L
u
u
Plans 1.4 & 1.4 flat roof t
La Quinta -
Climate Zone 15•
` 2008 Ener -Code Com liance • ,
BEG Project No.: 20052
Revised: Report: Reflects Attic Ventilation'of 1/300
Empire West Development, Inc.'
Len Nobel Co.
pNST�VG / 1 2011
Zo��Y By; •
DAT -
¢yam `I ti�
1
' Heritage Energy Group, LLC,.'
September 7, 2011
F
Title 24 Energy Calculations u
Tel: (949)7,89-7221 / Fax: (949) 789-7222
CERTIFICATE,OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page•l
Project Title.........: Plan 1.4 r , Date..09/07/11 13:24:11
Project Address..:..... La Quinta Cove ******
la quinta *v8.1*
Documentation Author... Sam Maimone
;'Heritage Energy Group,,,LLC
470 Wald'
" Irvine, -CA' 92618
(949),789=7221
Climate -Zone Jr,
Building Permit.#
Plan Check /Date
Field Check/ Date_
t
Compliance Method...... MICROPAS8 v8.-1 for 2008 CEC Standards (r03)'
MICROPAS8 v8.1 File720052P1- Wth-CTZ15S08
User#-MP0940• User -Heritage Energy Group, LL Run -
MICROPAS8'ENERGY.USE SUMMARY
Energy Use- Standard Proposed Compliance Percent
'(kTDV/,sf=yr) Design ..Design Margin Improvement
.Space Heating`{' ... 3:06 3.48 e -0.42 -13.7%
Space cool in : g. _. 75.35 75.45 - -0.10 -0.10
�7 Ventilation`}Fans. 0.91 0.191 0. 00 0.0%
Water�Heating -PI.• 16.92 15.52 1 40 8 3%
x NorthTotal' 96'2.4 9,53.36' 0.88
0. 9
' 1•p' ' .�}'•' _, L 3..,y� p•"•"• �yy.Y6.} k -p }�' M's� t }3. M•v
Space;Heating. { .'��` X3.06Y 4 23 : �F" 1{ 171A el�
„, 38.28
,,,}..°
Space Cool mg ,,.. r` '. 35 „ ,' 72 `'36'- 2 9,9 4'-0-
7t5 ,
Ventilati,6 ,Fanst"I ( t0 3'x,0 00 0:�0 4
Water eating` +a #x:16 '92�'-1�5 52 1 40 ' r ; 83°
,.
C ;East Total
r , 96 24 t
�s .93' 02.
t-.r:P 2� 3 2 `=�
3.3%
' z, Spaces e H ea ..
3.06
•4.72
-1.66
-54 2%
.,,. �
Spade-,:C6oling "' ...
75.35
72.;41
2.94
3.9%
Ventilation 'Fans: .rr ...
0.91
0.91
0.00
0.0%
Water Heat in ...
16.92
15.52:
8.3%
.1.40
S/o i't" �'Tota1
96.24
93.56
'2.68
'2.8%
Space Heating..........
-3.06
3.62
-0.56
-18.3%
Space Cooling..........
75.35.
71.09
4.26
.
5.7%.
Ventilation Fans.......
0.91
0.91
0.00
0.0%
Water Heating....... ...........
16.92
15:'52
1.40'
8.3%
West Total96.24
91.14
5.10
5.3%
,
*** B.ui-lding
complies with
Computer
Performance
:*** WERS.Verification Required for
Compliance
Reg: 211-N0046434A-000000000-0000 Registration Date/Time: 2011/09/07 16:40:22 HERS Provider: 'Ca10ERTS; Inc
I
CERTIFICATE OF -COMPLIANCE: RESIDENTIAL COMPUTER METHOD, CF -1R Page,2
Project Title.......... Plan 1.4 Date..09/07/11' 13:24:11
GENERAL INFORMATION
HERS Verification.......... Required
Conditioned Floor -Area ..... .1882 sf •
Building Type .............. Single Family•Detached
Construction Type ......... New-
• Natural Gas at Site ....... Yes, -
Building Front Orientation. Cardinal_- N;'E,S,W
Number of Dwelling Units...••l
Number of Building Stories.* 1 ,
Weather Data Type.......... FullYear '
Y ' a r•
Floor Construction -Type.... Slab On Grade ;
Number of Building Zones. 1 '
-Conditioned Volume.......:. 18820 cf '
Slab-On-Grade,Area......... 1882'sf ,
Glazing Percentage......... 16.8 % of -.floor area- ,
Average Glazing U -factor:.. 0.32 Btu/hr-sf-F
Average Glazing SHGC......... a0.28
Avera ge.•_Ceiling,Height ..... 10 ft
y' BUILDING ZONE INFORMATION
,�'">""�w rT Yr Floor' '` • # of # of Cond- Thermo rVent Vent Verified
Area.rlVolume•"Dwell" Peop= it- stat Height Area Leakage' -or
Zone Type (8f) Unit---- •Units -__.le- - ioned •Type (ft) (sf) Housewrap
A.. '+r t ., ,:.At i•_', - - 3' s'.r ,T• ., }!Y . �•,1. t .a �+ iy�.+j • t `pier` >.t' a; pT'� t
Residence 1882 18820 1 0.0 . .r5 0* Yes*Setback• �(,42,.0ti Standard 3 SLA
W.
ATTIC AND ROOF DETAILS E
r .
�•. r.:;.., e Fra e R R.
t �
�* .� µ Roofs , Roof . Re-_ Em1 ss=�'FrameSpac" Value, Value Vent
Mass cRise fleet ivity Depth ing Above Below Area Vent
' ., ,
Roof Ty" pT'�(lb%sgf:t.)'" ance', (in. j (in.) Deck. Deck Ratio High
Til'eY Heay, 12 0.10 0.85 3.5 24 oc 0.00 0.00 1/300 0.00
n OPAQUE SURFACES,
U- Sheath- Solar Appendix
Frame Area fact --Cavity ing Act Gains JA4'• Location/ '
Surface Type (sf)• or R -vat R-val Azm Tilt Reference Comments
• 1 Wall Wood 298 0.1021 13• 0 -.180 90 Yes 4.3.1Y A3'
2• Wall Wood ' 385 0.102' 1.3 0 270 90 Yes 4.3.1 A3•
,3 Wall Wood 152 0.102 13 0 0 90 Yes 4.3.1 A3.
4 Wall Wood • ; 390 0.102 -13 0- 90 90 .Yes 4.3.1 A3
5 Wall Wood 207 0.102 13 0 0 90 No. 4.3.1 A3'
6 AtticRad Wood 1882 0.025 X38' .0 n/a 0 -.Yes '4 .2 . 1• A21 '
ti
Reg: 211 ,N0046434A-000000000-0000 Registration Date/Time: 2011/09/07 16:40:22 HERS Provider: Ca10ERTS, Inc
• ti "
• CERTIFICATE.OF COMPLIANCE: RESIDENTIAL.'COMPUTER+METHOD CF-1R Page 3
Project-Title ............ Plan 1.4'• 4-Date..09/07/11 13:24:11 '
OPAQUE•SURFACES
U,- Sheath- I. Solar Appendix
Frame Area fact- Cavity ing Act Gains JA4' Location/
Surface Type (sf) or R-val R-val Azm Tilt` Reference Comments'" ;
7 Door Wood' 12 0.500 0 0 270 90 Yes, 4.5.1 A4
8 Door Wood. 18 •0 .500 0 --o 0 90 No 4.5.1 A4
PERIMETER• LOSSES r +I
• Appendix
Length F2 Insul Solar 'JA4 RLocation/
Surface (ft) - Factor R-val Gains Reference Comments
9 SlabEdge 177 0.730 R70/Oin No 4.4.7 Al Standard Slab Edge
• FENESTRATION'SURFACES� r
Exterior w
J' rea U- Act Shade '
Orientation {sf) factor SHGC Azm Tilt 'Type Location/Comments '
%. Wind4Baek` (S) 25:.0 0.340 0.300'180` 90, Standard 1/Vinyl Frm/Oper/Low-E
2\2 Door Back "(S) 21:.4 0.270 0.210 180 90 Standard 2/French Door -low-e
••3, Win acs (S) • ,810 X340, 0.30A 1,8044-9.0 Standard./;Vinyl Frm/Oper/Low-E
< 4�,Door.Back _ (S) 48 0/0 33'0 0 00 180.J 90� StaAdard; 4YVinyl'�,Frame/S G D. /Low
• 5 Wind,rRight-- (W) 20/Oif0 340`01300 2R 0{ 90 >' Stan dard't6ZYinyl Frm/,Oiler /Low -E
6 Wind ;Right 25 6x b 3 4 0` 0. 30027x0 90<Standard7 /VinyltL Frm/.Open/Low xE,�
7 Wind Right, �(W) r' 150 0 0 340, 0.300 270 90 iStaridard' 8/UiLn 1 Frm/0 er/Lo"w E "''
9Wirideftor -Fr-ont(E) ry'30 0`.+0'340,0.300903 9.0 Standard•`102yVnylhFDm/pe�/'Low-E
14 Wind Left` (E)' s,='20 0 0 340.0 300 :90 90-PsS-tared rd? 13%Vinyl Frm/Oper/Low-E
11 W�iny�d- .Left (E)' 20 0''0 340 0.300 90 •90 Standard 14/VinylPFrm/Oper/Low-E
OVERHANGS ,
Window - Overhang
:°Area Left Right
Surface `('sf) Width Height Depth Height Extension Extension
5 Window 20:0 n/a 5 1'.5 •1 ' n/a' , n/a
6 Window 25.0 n/a 5 1.5 1 n/a n/a
' 7 Window 50.0• n/a 15 1.5 1 n/a n/a
8 Door 48.0 n/a 8 8 1 n/an/a
• 9 Window 30.0 n/a • 5 ' 1 . 5 1 # ' ' n/a n/a
10 Window 20.0 n/a 5 �' 1.5 1' n/a n/a
11 Window'- 20.0. n/a 5 1.5 1• n/a n/a
Reg: 211-N0046434A�000000000-0000 Registration Date/Time: 2011/09/07-16:40:22 HERS Provider: Ca10ERTS, Inc
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METfkOD• CF -1R Page 4
Project Title.....'..... Plan 1.4 Date..09/07/11 13:24:11
-SLAB SURFACES
Area
Slab Type (sf)
Standard Slab' -1882 '
HVAC -SYSTEMS ` �-
1
-Verified
Maximum
Verified Total
Number Verified Verified. Cooling Verified Rated
a System of Minimum HighEff,Refrig.,Charge Coil Fan Watt Cooling
Type Systems Efficiency EER or CID Airflow' Draw 'Capacity
Furnace.. 1 0.800 AFUE n/an/a n/a n/a n/a
ACSplit 1 '14.00 SEER' 12' Yes, No No No
' HVAC ^SIZING,
' • ' . Verified `
"'� Total Sensible Design -t • Maximum
Heating Cooling f Cooling Cooling
System Load Load Capacity Capacity,
Type '=amu;/�ti /)But )(B►t.)
2.T
Furnace 31338, r ri/a n/a �� n/a
zr ACSp1=it i' n/a, '25972 4,1 32231 rf n/aY
f --,-- T
,��
)Orientai�=ao. Maxmum Front Facing 0 deg(N)
t Sizing Location rLA��QUINTA� a ,
q'r. 4:: h"y4•..
Winter OutsideDes3gn� �. 26F•: ��,�= .p ;`•
Win ter 1nsicle Design....... 70 F
Summer Outside Design.. 111 F
Summer Inside Design. ... 75 F• '
Summer Range ............... 34 F `r _
DUCT SYSTEMS
Verified Verified Verified ,
System Duct Ducti Duct Surface Buried,
Type. Location R -value Leakage Area Ducts
Furnace --Attic R-6 Yes No No
ACSplit.. Attic R-6 Yes' No No
y t ,
Reg: 211-N0046434A-000000000-0000' Registration Date/Time: 2011/09/01 16:40:22.' HERS Provider: Ca10ERTS, Inc
CERTIFICATE OF COMPLIANCE: RESIDENTIAL'•COMPUTER METHOD_ CF, -1R Page 5
Project Title.......... Plan 1.4 Date..09/07/11 13.24:11
INFILTRATION TESTING DETAILS '
r Blower Door Blower Door
Leakage Target Leakage Minimum
(CFM50h/SLA) .(CFM50h/SLA)
~ 1478 /,3.0 739 / 1'.5
i
FAN SYSTEMS'
Flow* Power
System Type (cfm) .(W/cfm)
Standard 56.32 25
`WATER HEATING SYSTEMS
4 4 Number Tank External
Heater in Energy Size Insulation
Tank Type-T.yP e Distribution•Type +System .Factor w(gal) R=value
.,
K
A^.
1 Storage••:F..Gas:t. Standard ` 1 0.62 50 R-n/a
SPECIAL FEATURES AND MODELING ASSUMPTIONS•
3 *** Items in;Sthissection should. be documented_on_the plansow
, ***
** installed fto-manufa;ctu�rer ands CECC, spec of ications,;ands;
. ** erified }}during, plan check ands field inspection ***
414,
This is a multiple orientation building: Thisrpriritout'is for th'efront
facin NorthC
This building', incorporates a"Radiant:Bar` it er if •_ '
.. _ ..,
HERS REQUIRED VERIFICATION
***.Items.in this section require field testing and/or
*** veri`ficat on by a certified home energy rater under ***
***'the.sup'ervision-of a CEC-approved HERS provider using ***
*** CEC approved testing and/or verification methods and ***
*** must be reported on -the CF -4R installation certificate. ***
This building incorporates HERS verified Building Envelope Sealing.
Target and'Minimum-CFM values measured at 50 pascals are.shown in
INFILTRATION •TESTING DETAILS above. If the measured CFM50h is above
the target, then corrective action must be taken to reduce the
infiltration and then retest. Alternatively, the 'compliance
calculations could be redone without infiltration testing.
This building.incorporates a HERS verified Improved Refrigerant Charge test
or the 'installation of'a HERS verified Charge Indicator Display.(CID)..If a
Reg: 211-N0046434A-000000000-0000 Registration Date/Time:,2011/09/07 16:40:22 HERS Provider: Ca10ERTS, Inc
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 6
Project Title.......... Plan 1.4 Date..09/07/11 13':24':ll
HERS REQUIRED VERIFICATION-
cooling•system'is not installed, then HERS verification is notnecessary.,•' I
This building incorporates HERS verified High Energy Efficiency Ratio (EER)'.
This building incorporates HERS verified Duct'Leakage. Target'11eakage is
calculated and documented on the,CF-4R. If the'measured CFM is above the
target, then corrective action must be taken to reduce the duct leakage and
then must•be retested.'Alternatively, the compliance calculations could'be
redone without duct testing. If ducts are not installed, thenHERS
verification is not necessary.
n REMARKS
^� . -+' ` _ �� `iii �yi»�r�r� •�_'`Y 1. -fii��! w��+':�':'r�Y��.�°' �..-„�f�'1'
71
.,}Y .,..:.. r^_g ivi': gT• {'�`'M• `' -'Ycc .'++F,:_.7s� '§+,'c•'- r.xkRf; ..�'•gF.'',`fF.M;'+` .,'tiro-.-,q:�
A
r 1 '
S- -
Reg: 211=N0046434A-000000000-0000 Registration Date/Time: 2011/09/07 16:40:22-HERS'Provider: Ca10ERTS, Inc•
r
CERTIFICATE•OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 7
Project Title...., ...: Plan 1.4 Date..09/07/11 13:24:11
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
;,specifications" needed to comply with'Title-24,•Parts 1 and 6 of the.
California Code of,:Regulations, and'the administrative regulations to -
implement them. This certificate has been signed by the • individual ••with
.overall design responsibility.
DESIGNER or OWNER DOCUMENTATION AUTHOR
Name.-... Name.... Sam Maimone '
Company. Empire West Development Company. Heritage•Energy Group, LLC _
Address. 42575 Melanie Place #S Address. 470 Wald -
Palm Desert CA 92211 Irvine,:CA 92618
Phone... 760 568-2850 Phone..'. (949) 789-7221"_'•
,License.
Signed.. Signed..
(date) (date)
ENFORCEMENT AGENCY
Name
,•Agency.- ';�- ,. •
' Signed:.
(date)
77
i
Electronically Signed at Ca10ERTS.com by Bruce D Maize (Empire West Development, Inc.) 9/7/2011
Electronically Filed by Sam Maimone and Authenticated at CalCERTS:com - 9/7/2011
"'Reg: 211-N0046434A-000000000-0000Registration Date/Time: 2011/09/07 16:40:22' -HERS Provider: Ca10ERTS; Inc
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1
Project Title.......... Plan 1.4 flat Date..09/07/11 13:25:59
Project Address........ La Quanta -Cove _.
la quinta *v8.1* -
Documentation Author... Sam Maimone ****** Building Permit #
Heritage Energy Group; -.LLC
470 Wald-. Plan Check '/ Date
Irvine, CA, 92618 1 ,
-(949) 789-7221 Field Check/Date
Climate Zone...........' 15 t
Compliance Method...... MICROPAS8 v8:1 for 2008 CEC,Standards (r03)
MICROPAS8 v8.1 File-20052P1F Wth-CTZ_l5S08
User#-MP0940 User-Heritage.Energy Group, LL Run-
MICROPAS8 ENERGY USE SUMMARY
.Energy Use .,Standard Proposed -Compliance Percent'
(kTDV/sf-yr) F7 Design Design Margin Improvement
Space Heatin.g'.x> .` .. 2.81 3'.70 -0.89 -3'1.7%.
Space Cooling::` :' ' 75.49 74.-.42 •1.07 1.4%
Ventilatioln Fans... 0.91 0.91 0.'00 0.0%
Waferr`4Heating . .. 16.92 15.52 1.40 '8.3%
North -Total 96-.13 h. 94. 55. .1 .58 .. 1.6%
.
Space Heating °'w far2.81 ; 4 19 ;. � S .38 9:10
Space Coo*.ng / `75.49 70 +66 4 83
Vent lation Fans � � '° 0.91 , .; 0!91 �0 t00 `� 0"'0 o%�•a k.
Water Heating �`. w`' 16 `92� +�1)552 1� 40 ;'483
-xr, 3v.4
�. u zE ' Total 96 ;* 1'3. *_. ,; 91:28 t ., : 4T85 5.1%
Y-Spac� ting ry. 2.81 - '4.27 -1 46 -52.0
:Spac:e'Coolfi'ng`' ... 75.49 71.47 4:02 5.3
Ventilat1 n' -Fans: ``' ... -0.91 0 : 91 0.00' 0.0%
Water Heating'-.,. ... 16.92 15.52 1.40 8:3%
,South Total 96.13 92:17 3.96 4.1
Space Heating............ 2.81 .3.58 -0.77 -27.4%
Space -Cooling ....... 75.49 70.46 .5.03 6.7%
Ventilation Fans....... 0.91 0.91 0.00 0:0%
Water Heating.......... 16.92 151.52 1.40 8.3%
West Total 96.13 90.•47 5.66 5.9
*** Building complies with Computer Performance ***
*** HERS Verification Required~for Compliance ***
Reg: 210-N0008581B-000000000-0000, Registration Date/Time: 2010/06/22 13:59:25 'HERS Provider: Ca10ERTS, Inc
r
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2
Project Title.... Plan 1:'4 flat' Date..09/07/11 13:25:59
GENERAL*.INFORMATION
HERS Verification...,....... Required
r Conditioned Floor Area.'.... 1882 sf ,
Building type ........... 'Single Family Detached a.
Construction Type ......... New,
Natural Gas at Site Yes
Building Front Orientation.. Cardinal - N,E,S,W
Number of Dwelling Units... 1 ,
Number of Building Stories. 1
Weather Data Type.......... FullYear
Floor Construction Type.... Slab On Grade
Number of Building Zones... 1
Conditioned Volume......... 18820.cf
Slab -On -Grade Area......... 1882 sf
Glazing Percentage......... 16.8 % of floor area
Average Glazing U -factor... 0.32 Btu/hr-sf-.F s
Average Glazing •SHGC.... ,.! 0.28 '
Average.Ceiling Height..... `10 ft
BUILDING -ZONE INFORMATION
# of # of Cond- Thermo- Vent Vent Verified .
Areai•Volume Dwell Peop= it-' stat 'Height Area' Leakage or
Zone Typ (sf)".,��.�:• �(cf:)'• Units-.. le Toned T e ft), (sf) Housewrap
-•mo i ,;ap - ;--Fw :w:. � '^s" is ('�• �;..
Residence 1882 618820 1 00 "5.`0 YesSetback ,2 .0 Standard 3 .SLA
� a� � Erse � •� t � `�`x t.�; a .., � . _ � ��•�;,.-ter, �
OPAQUE. -'SURF
t
• _, `U- =Sheatli
h w .Sobar` ApPen`dix
FrameArea fact , Cavity 'ing Act Gas A'4 Location/
;...
Surface Type•.(sf) or • R-val R-val'Azm Tilt Reference Comments
1 Wa11�° `. ,Wood 29.8 0.102 13 0 180 90 Yes 4°:3.1 A3
all :Wood' °38;5 0.102 13 0 .270 90 Yes :4.3.1 A3 r
3 Wall ' Woody :•1Y52 0.102 13 0 0 90 Yes 4.3.1 A3
4 Wall Woods- 390 0.102 13 0 90 90 Yes -4.3.1 A3 ;
5 Wall Wood"''207 0.102 13 "0 0 90 No 4.3.1 A3. "
6 RoofRad Wood, 1882 0.029' 38 0 0• 5 Yes 4.2.2 A18
7 Door Wood' 48.0.500 0 0,. 270 90 Yes 4.5.1 A•4
8 Door Wood 18 0.5W 0 •- 0 0 90 Noy% 4. 5'. 1 A4
Reg: 210-N0008581B-000000000-0000 Registration Date/Time: 2010/06/22 13:59:25' HERS Provider:-Ca10ERTS, Inc
CERTIFICATE OF COMPLIANCE: RESIDENTIAL.COMPUTER METHOD CF -1R• Page 3'
Project Title.:........ Plan 1.4 flat Date..09/07/11 13:25:59
PERIMETER LOSSES
Appendix
Length F2 Insul', Solar' JA4 Location/'
Surface (ft) Factor R-val Gains Reference Comments-
9
omments-9 SlabEdge 177 0.730 R-0/Oin No 4.4.7 Al ',",Standard Slab Edge t
FENESTRATION SURFACES r
Exterior
Area U- Act Shade
Orientation (sf) factor SHGC Azm Tilt Type Location/Comments
1 Wind Back (S) 25.0 0.340 0.300 180 90 Standard 1/Vinyl Frm/Oper/Low-E ,
2 Door Back (S) 21.4 0.270 0.210 180 90 Standard 2/French Door,low-e
3'Wind Back '(S) 8.0'0.340 0.300 180*.90 Standard 3/Vinyl Frm/Oper/Lbw-E
4 Door Back. (S) '48.0 0.330 0.300 180 90 Stanaard 4/Vinyl Frame/S.G.D./Low
5 Wind Right (W) 20.0 0.340 0:300 270. 90 'Standard 6/Vinyl Frm/Oper/tow-E
6 Wind Right'(W. 25.0 0.340 0.300 270 90 -Standard 7/Vinyl Frm/Oper/Low'E
7 Wind Right. (,W 50.0 0.340-.0.300,270 90 Standard 8/Vinyl Frm/Oper/Low-E
8 Door Front AN). `48.0.0.270 0.210 0 '90 Standard 10/French Door low -e
9 Wind Lefty ` (E) 30..0 0.340 0.300 9'0 90' Standard 12/Vinyl. Frm/Oper/Low-E
10 W rid~te.ftr.(E)' 20:.0.0.340 0.300 90' 90, Standard 13/Vinyl Frm/Oper/Low-E
All Wind Left (E)- -20:0 0.340 0.300 90 •90 Standard 14/Vinyl Frm/Oper/Low-E
SLAB SURFACES.
17
(';Area AI., •,; . ,_� _�
�!t Slab; Type' . "F,(sf)
-AN ti � Standard, Slab 14882 F
HVAC' SYSTEMS
^r Verified
Maximum
Verified Total
-
Nu'ml?er ,, jVerified Verified. Cooling Verified Rated
System, of Y` Minimum , HighEff 'Refrig'Charge Coil, Fan Watt Cooling' -
Type Systems Efficiency EER or CID Airflow Draw Capacity
Furnace 1' 0.800 AFUE n/a n/a n/a n/a' n/a ,
ACSplit 1 14.00 SEER 12 Yes No No, No. "
_ t w .•
Reg: 210-N0008581B-000000000-0000 Registration Date/Time: 2010/06/22 13:59:25' HERS Provider: Ca10ERTS,' Inc
• - y f - i
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER -METHOD CF -1R Page 4
Project Title.:........ Plan 1.4 flat' Date..09/07/11 13:25:59
HVAC SIZING
a Verified
Total Sensible "Design Maximum
Heating Cooling Cooling- Cooling ti
System. Load Load Capacity, Capacity -
Type' (Btu/hr) (Btu/hr) ,(Btu/hr) (Btu/hr)
Furnace 32427 n/an/a n/a
ACSplit n/a- 25999 32264 ,, n/a
Orientation of Maximum..... Front Facing 0 deg (N)
Sizing Location............ LA QUINTA•
Winter Outside Design...... 26 F
Winter Inside Design..:.... 70 F
Summer Outside Design...... 111 F
Summer•Inside Design....... 75 F
` Summer Range.:... 34 F
DUCT SYSTEMS "
` Verified Verified Verified
System DuctDuct Duct Surface Buried
Location R -value Leakage Area Ducts
Furnace �:Ai ttic R-6 Yes No No
k
ASplitAtt(tc ku :.R6`" lyYf �o No
9.1 �r; INFILTRATION ; TESTBNGDETk*ILSh Ot
101f =Blower, DooBlower Door
s a
Leakage -Target -Leakage Minimum n
(CFM50h/SLA)•R,.. k•(CFMSOh/'SLA). ` an
, .
F.' t 1478/ 3.0 739 / 1.5
° s FAN SYSTEMS
Flow Power
' ;.System Type' (cfm) (W/cfm)
• t
- •
Standard. 56.32 :25 '
' Reg: 210-N0008581B-000000000-0000 Registration Date/Time: 2010/06/22'13:59:25 HERS Provider: Ca10ERTS, Inc'
,
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD 4 _CF-1R. 'Page 5
Project-Title ........Plan 1.4 flat Dafe..09/07/ll 13':25:59
WATER HEATING SYSTEMS
`Number Tank External
Heater in Energy Size Insulation
•Tank Type' Type Distribution Type System, Factor (gal) R-value
1'Storage Gas Standard 1 0.62 50' R-n/a
. - a
SPECIAL FEATURES AND MODELING ASSUMPTIONS
*** Items in this section should be documented on'the plans, ***
*,** installed to manufacturer and CEC specifications, and ***
*** verified during plan check and field inspection.
This is a multiple orientation building. This printout is for the•front-
facing North.
This building incorporates a Radiant Barrier.,
' HERS REQUIRED VERIFICATION _
. �, ,tom , � = v - •
K
*** Items'-in this.section require field..te`sting and/or. ***
"`' wr**;*'�verificat" n by a certified home energy rater under *.**
*** the supervision of'a CEC-approved HERS.provider using ***
*** CEC approved_4testing and/or'ver.ificatd on, methods and ***
• *** must be,reported on tne�,CF 4R installatiion-certificate. ***
-Th's building_3? corporates HERS erified Bui?lding Envelope Sea4ling;
'Target„ and Mifn !64CFM values :,measured -at 50 'paacals are,,ishown.-in
INF,ILTRAT.I.ON+'.TESTINGS DETAILS „above t I}fjthe•measured CFM50h is above
al�y ter- R. z s
the ^;target,l-men * corrective action must bei taken .to _reducethe
in'filtration••and:then retest ' Alterna.tively,'°ttie .'compl`ance• 1,.•e
calculations could, be redone without 1.infiltration testing. r
. ,,...._.� �.., x , ,
This` bifi1di\ng a HERS verified Improved Refrigerant Charge test
or the installation of a HERS verified Charge Indicator°Display (CID). If a
cooling system ds.,,,not installed, then 'HERS verification is not necessary:
4 t
This building incorporates-HERS verified High Energy Efficiency Ratio (EER).
..This building incorporates HERS verified Duct Leakage. Target leakage is
calculated and documented on,the CF-4R. If the measured CFM is above the :.
target, then corrective action must be taken to reduce the duct leakage and
then must be retested. Alternatively, the compliance calculations could be
,,redone without duct.testing..If ducts are not installed, then HERS
verification is not necessary.
r
Reg: 210-N0008581B-000000000-0000 Registration Date/Time:'2010/06/22 13:59:25 HERS Provider: Ca10ERTS, Inc
CERTIFICATE OF`COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R• Page 6
Project Title ............ Plan 1.4 flat Date..09/07/11 13:25:59•
REMARKS
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
specifications needed to.•comply with Title -24, -Parts 1- and 6 of the
California Code of Regulations, and the administrative 'regulations to
implement_ them. This certificate has been'signed by -the individual with
overall design' responsibility.
DESIGNER or,OWNER DOCUMENTATION AUTHOR ,
Name.... Name. .. Sam Maimone
Company. Empire West Development Company. Heritage•Energy Group, LLC „
` Address.•5005,E:^Calle San Raphael# Address. 470 Wald,
Palm ;Springs CA 92264 Irvine, CA 92618
Phone...' 760°`778=.4'416 Phone... (949)1 789-7221
,,;License . '
\Signed. t3 Signed.:.
44,1' (date_) (date) .
. { ENFORCEMENT AGENCY ,
�, � �4+" �"`^�.,.,. ^�•,i.y. ,
Name�
,Agency'X.
:,, 3 �,�;�'° :I.��' •^ "F�+i:�'"r�-'uyr�,, �N.'", �^r �•-�'�, ��,., FSK.
j," Phone
..... s
z Signed ..
ry k • :1 +¢' (date) • f
y
Electronically Signed at CalCERTS.com by Bruce D Maize (Empire. West Development, Inc.) 9/7/2011
Electronically Filed by Sam Maimone and Authenticated at CalCERTS:COm - 9/7/2011
Reg: 210-N0008581B-000000000-•0000 Registration Date/Time: 2010/06/22 13:59:251 .HERS Provider: CalCERTS, Inc
Mandatory Measures Summar MF -1R
Residential (Page 1 of 3
Site Address: Enforcement Agency: Date:
NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed,
regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1R,
CF -IR -ADD, or CF -IR -ALT Form) shall supersede the items marked with an asterisk(*) below. This Mandatory Measures
Summary shall be incorporated into the permit documents and the applicable features shall be considered by all parties as minimum
component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all
applicable sections of the MF -IR Form with plans.
DESCRIPTION
Building Envelope Measures:
§ 116(a)1: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient
SHGC , and infiltration that meets the requirements of §10-111(a).
§117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed.
§118(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form.
§118(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the installation of
a Cool Roof is specified on the CF -1R Form.
*§150(a): Minimum R-19 insulation in wood -frame ceiling or equivalent U -factor.
§150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value.
*§150(c): Minimum R-13 insulation in wood -frame wall or equivalent U -factor.
*§150(d): Minimum R-13 insulation in raised wood -frame floor or equivalent U -factor.
§150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95(2000) when specified on the CF -1R Form.
§ 150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§ 150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no
eater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
§150(e)IA: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§150(e)1B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped
with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device.
§150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor, air is vented to the outside of the
building, are prohibited.
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission.
§113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve,
backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5.
§ 115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an
electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool ands a heaters.
§ 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA.
§ 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section I I2(c).
§1500)IA: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with
insulation having an installed thermal resistance of R-12 or greater.
§ 1506)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12
external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank.
§1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections
of hot water pipes are insulated per Standards Table 150-B.
§ 1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank
shall be insulated to Table 150-B and Equation 150-A.
§ 1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A.
§ I500)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
§ I500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space.
2008 Residential Compliance Forms August 2009
Mandatory Measures Summar MF -1R
Residential (Page 2 of 3
Site Address: Enforcement Agency: Date:
§ 1500)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
Ducts and Fans Measures:
§150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602,
603, 604, 605 and Standard 6-5; supply -air and return -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
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 eater than 1/4 inch, the combination of mastic and either mesh or tape shall be used
§ 150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal,
duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support 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.
§ 150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape
is used in combination with mastic and draw bands.
§ 150(m)7: Exhaust fan systems have back draft or automatic dampers.
§ 150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.
§ I50(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam
insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that
can cause degradation of the material.
§ 150(m)10: Flexible ducts cannot have porous inner cores.
§ 150(0): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in
Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in
Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§ 114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations;
an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use
electric resistance heating ora pilot light.
§ 114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return
lines, or built-up connections for future solar heating
§ 114(b)2: Outdoor pools or spas that have a heat pump or gas heater shall have a cover.
§ 114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or
programmed to run only during off-peak electric demand periods.
§150(p): Residential pool systems or equipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150(p).
Residential Lighting Measures:
§150(k)l: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in
Table 150-C and is not a low efficacy luminaire asspecified by § 150(k)2.
§150(k)3: The wattage of permanently installed luminaires shall be determined as specified by § 130(d).
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high
efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line -voltage
lamp holder; OR shall be rated to consume no more than five watts of power as determined by § 130(d), and shall not contain a medium
screw -base socket.
§150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of § 150(k).
§ 150(k)7: All switching devices and controls shall meet the requirements of § 150(k)7.
§150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft? or 100 watts for dwelling units larger than 2,500 fie may be exempt
from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor, dimmer, energy management system (FMCS), or a multi -scene programmable control system; and all permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a
manual -on occupant sensor.
§ I50(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated
cabinet.
§150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high
efficacy.
2008 Residential Compliance Forms August 2009
f
Mandatory Measures Summar •M&IR
Residential (Page 3 of 3
Site Address: Enforcement Agency: Date:
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on
R. occupant sensor certified to comply with the applicable requirements of § 119. r
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual -on occupant sensor.
§150(k)] 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundryrooms, closets, and utility
rooms shall be high efficacy luimnaires.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch
that complies with the applicable requirements of § 119, or by a manual -on occupant sensor that complies with the
applicable requirements of § 119.
EXCEPTION 2: Lighting in detached storage building less than 1.000 square feet located on a residential site is not required to comply
with § 150 k 11:
§150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or
other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then
2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing
and ceiling.
§150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling
units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot
shall be high efficacy. ;
EXCEPTION 1: Permanently installed outdoor. low efficacy luminaires shall be allowed provided that they are controlled by a manual
on/off switch,'a motion sensor not having an override or bypass switch that disables the motion sensor; and one of the
following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an
energy management control system (FMCS) not having an override or bypass switch that allows the luminaire to be
always on "
EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to § 150(k)13 may be controlled by a temporary override switch
which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six
hour's.
EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of
the California Electric Code need not be high efficacy luminaires.
§ ] 50(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five
watts of power as determined according to § 130(d).
§ 150(k)15: Lighting for parking lots and carports with a total of for 8 or more,vehicles per site shall comply with the applicable requirements in
Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of
Sections 130, 131, 134, and 146
§ 150(k)] 6: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units
shall be high efficacy luminaires.
EXCEPTION: Permanently installed low efficacy luminaires shall be'allowed provided that they are controlled by an occupant sensors)
` certified to comply with the applicable requirements of §119. .
Mandatory Measures Summar •M&IR
Residential (Page 3 of 3
Site Address: Enforcement Agency: Date:
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on
R. occupant sensor certified to comply with the applicable requirements of § 119. r
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual -on occupant sensor.
§150(k)] 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundryrooms, closets, and utility
rooms shall be high efficacy luimnaires.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch
that complies with the applicable requirements of § 119, or by a manual -on occupant sensor that complies with the
applicable requirements of § 119.
EXCEPTION 2: Lighting in detached storage building less than 1.000 square feet located on a residential site is not required to comply
with § 150 k 11:
§150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or
other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then
2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing
and ceiling.
§150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling
units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot
shall be high efficacy. ;
EXCEPTION 1: Permanently installed outdoor. low efficacy luminaires shall be allowed provided that they are controlled by a manual
on/off switch,'a motion sensor not having an override or bypass switch that disables the motion sensor; and one of the
following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an
energy management control system (FMCS) not having an override or bypass switch that allows the luminaire to be
always on "
EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to § 150(k)13 may be controlled by a temporary override switch
which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six
hour's.
EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of
the California Electric Code need not be high efficacy luminaires.
§ ] 50(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five
watts of power as determined according to § 130(d).
§ 150(k)15: Lighting for parking lots and carports with a total of for 8 or more,vehicles per site shall comply with the applicable requirements in
Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of
Sections 130, 131, 134, and 146
§ 150(k)] 6: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units
shall be high efficacy luminaires.
EXCEPTION: Permanently installed low efficacy luminaires shall be'allowed provided that they are controlled by an occupant sensors)
` certified to comply with the applicable requirements of §119. .
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-ENV-20
Building Envelope Sealing (Page 1 of 1)
Site Address:
52355 Avenida Velasco, La Quinta, CA, La Quinta CA 92253
(1)
Enforcement Agency:
City of La Quinta
Permit Number:
11-1255
Building Envelope Sealing
Diagnostic Testing Results
CFM50H = the measured airflow in cubic feet per minute (cfm) at 50 pascals for the dwelling with air distribution registers unsealed. SLA =
3.819 x (CFM50 H / Conditioned Floor Area in ft2) per Residential ACM Manual Equation R3-16
Building Envelope Leakage CFM50H as measured using a blower door diagnostic device
1. Enter the blower door leakage target CFM50H value for compliance from the CF-1R
(cfm).
1478
2. Enter the blower door leakage minimum CFM50H value corresponding to 1.5 SLA
from the CF-1R (cfm).
739
3. Enter the measured CFM50H value from the blower door test (cfm) 1237
4. The leakage test passes if the measured envelope leakage CFM50H value from row is 3
less than or equal to the value required for compliance from row 1, otherwise the test
fails.
check/enter Pass or Fail
Pass Fail
5. If measured CFM50H from row 3 is less than the minimum CFM50H value corresponding to
1.5 SLA from row 2:
check/enter < 1.5 SLA, otherwise check/enter ≥1.5 SLA
< 1.5
SLA*
≥ 1.5
SLA
*Advisory note to builder and enforcement agency: If row 5 indicates "< 1.5 SLA", it is critical to ensure that combustion and solid-fuel
burning appliances in the dwelling are provided with adequate combustion and ventilation air and vented in accordance with manufacturers'
installation instructions and all applicable codes as specified by ASHRAE Standard 62.2 Section 6.4. Additional information about
compliance with this requirement is given in Section 4.6.5 of the Residential Compliance Manual under the topic of Combustion and
Solid-Fuel Burning Appliances.
DECLARATION STATEMENT
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 the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater).
The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the
installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified
on the Certificate(s) of Compliance (CF-1R) approved by the local enforcement agency.
The information reported on applicable sections of the Installation Certificate(s) (CF-6R), signed and submitted by the person(s)
responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF-1R) approved by the
enforcement agency.
Builder or Installer information as shown on the Installation Certificate (CF-6R)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Dynamic Heating & Air
Responsible Person's Name: CSLB License:
Randy Downs 918498
HERS Provider Data Registry Information
Sample Group # (if applicable): N/A tested/verified dwelling not-tested/verified dwelling in
a HERS sample group
HERS Rater Information CalCERTS Certificate # CC1-1798666657
HERS Rater Company Name:
Energy Driven Solutions, Inc.
Responsible Rater's Name:Responsible Rater's Signature:
David Bricker David Bricker
Responsible Rater's Certification Number w/ this HERS Provider:Date Signed: 6/22/2012
CC2004131
_____________________________________________________________________________________________________________________
Reg: 211-N0046435A-E2000007A-E20A Registration Date/Time: 2012/06/25 11:39:01 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20
Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2)
Site Address:
52355 Avenida Velasco, La Quinta, CA, La Quinta CA 92253
(1)
Enforcement Agency:
City of La Quinta
Permit Number:
11-1255
Enter the Duct System Name or Identification/Tag: 1
Enter the Duct System Location or Area Served: whole house
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the
dwelling.
This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also
for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or
replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil,
plenums, etc.) if those parts are accessible and they can be sealed.
Duct Leakage Diagonstic Test - completely new or replacement duct system
Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the
VLLDCS criteria or one of the three calculated leakage rates described below.
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for
verified low leakage ducts in conditioned space is shown in the special features section of the CF-1R, the
leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must
be entered for Allowed Leakage.
Allowed
Leakage
(CFM)
Allowed leakage calculation – (select one calculation method from this section). Use 6% (leakage factor =
0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be
specified by the CF-1R to be less than 6%, in which case the user-specified leakage rate must be used in the
calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is
reported on the CF-1R as 3%, then use a leakage factor of 0.03 in the calculations below.
Cooling system method:
Nominal capacity of condenser in Tons 5 x 400 x leakage factor = 120 CFM
Heating system method:
21.7 x Output Capacity in Thousands of Btu/hr x leakage factor = CFM
Measured airflow method (RA3.3):
Enter measured fan flow in CFM here x leakage factor = CFM
Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage
pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa).
Actual
Leakage
(CFM)
List Actual Leakage from duct leakage test(CFM) 61
Pass if Actual Leakage is less than Allowed Leakage Pass Fail
For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke
test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet
(air handler cabinet), and not from other accessible portions of the duct system. A HERS rater must verify the
installation (No sampling allowed).
List Actual Leakage from smoke test(CFM)
Pass if all accessible leaks (except for existing air handler) are sealed using smoke Pass Fail
_____________________________________________________________________________________________________________________
Reg: 211-N0046435A-M2000005A-M20A Registration Date/Time: 2012/06/25 11:40:09 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20
Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2)
Site Address:
52355 Avenida Velasco, La Quinta, CA, La Quinta CA 92253
(1)
Enforcement Agency:
City of La Quinta
Permit Number:
11-1255
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct
leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to
meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position
during duct leakage testing.
All supply and return register boots must be sealed to the drywall
New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts.
Mastic and draw bands must be used in combination with Cloth backed, rubber adhesive duct tape to seal leaks at
duct connections.
DECLARATION STATEMENT
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 the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater).
The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the
installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified
on the Certificate(s) of Compliance (CF-1R) approved by the local enforcement agency.
The information reported on applicable sections of the Installation Certificate(s) (CF-6R), signed and submitted by the person(s)
responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF-1R) approved by the
enforcement agency.
Builder or Installer information as shown on the Installation Certificate (CF-6R)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Dynamic Heating & Air
Responsible Person's Name: CSLB License:
Jason Dawes 918498
HERS Provider Data Registry Information
Sample Group # (if applicable): N/A tested/verified dwelling not-tested/verified dwelling in
a HERS sample group
HERS Rater Information CalCERTS Certificate # CC1-1798666657
HERS Rater Company Name:
Energy Driven Solutions, Inc.
Responsible Rater's Name:Responsible Rater's Signature:
David Bricker David Bricker
Responsible Rater's Certification Number w/ this HERS Provider:Date Signed: 6/22/2012
CC2004131
_____________________________________________________________________________________________________________________
Reg: 211-N0046435A-M2000005A-M20A Registration Date/Time: 2012/06/25 11:40:09 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23
Verification of High EER Equipment (Page 1 of 1)
Site Address:
52355 Avenida Velasco, La Quinta, CA, La Quinta CA
92253
Enforcement Agency:
City of La Quinta
Permit Number:
11-1255
Verification of High EER Equipment
Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling
units with multiple systems, the procedures must be applied to each system separately. As many as 4 systems in the
dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the
dwelling as applicable.
1 System Name or Identification/Tag 1
2 System Location or Area Served whole house
3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12
4 Make and Model Number of the installed Outdoor Unit Carrier
24ABC660
5 Make and Model Number of the installed Inside Coil Carrier
ASFM6024A36GDVS
6 Make and Model Number of the installed Furnace or Air Handler. Carrier
58STX110-1-22
7 Minimum Equipment EER required for compliance as reported on
the CF-1R 12
When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance
credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure.
When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be
verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure.
8
If the Certified EER Rating in row 3 is equal to or greater than
the required minimum EER in row 7, the unit complies.
If the unit complies enter Pass
PASS
DECLARATION STATEMENT
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 the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater).
The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the
installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified
on the Certificate(s) of Compliance (CF-1R) approved by the local enforcement agency.
The information reported on applicable sections of the Installation Certificate(s) (CF-6R), signed and submitted by the person(s)
responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF-1R) approved by the
enforcement agency.
Builder or Installer information as shown on the Installation Certificate (CF-6R)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Dynamic Heating & Air
Responsible Person's Name: CSLB License:
Jason Dawes 918498
HERS Provider Data Registry Information
Sample Group # (if applicable): N/A tested/verified dwelling not-tested/verified dwelling in
a HERS sample group
HERS Rater Information CalCERTS Certificate # CC1-1798666657
HERS Rater Company Name:
Energy Driven Solutions, Inc.
Responsible Rater's Name:Responsible Rater's Signature:
David Bricker David Bricker
Responsible Rater's Certification Number w/ this HERS Provider:Date Signed: 6/22/2012
CC2004131
_____________________________________________________________________________________________________________________
Reg: 211-N0046435A-M2300006A-M23A Registration Date/Time: 2012/06/25 11:45:05 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5)
Site Address:
52355 Avenida Velasco, La Quinta, CA, La Quinta CA
92253
Enforcement Agency:
City of La Quinta
Permit Number:
11-1255
Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for
compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with
the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized
for compliance.
As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for
any additional systems in the dwelling as applicable.
Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement
Sensors (STMS)
Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is
required for compliance, TMAH are also required for compliance. STMS are only required for completely new or
replacement space-conditioning systems that utilize prescriptive compliance method.
TMAH - Access Holes in Supply and Return Plenums of Air Handler
System Name or Identification/Tag 1
System Location or Area Served whole house
1 Yes No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and
labeled according to Figure in Section RA3.2.2.2.2.
2 Yes No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum
and labeled according to Figure in Section RA3.2.2.2.2.
Yes to 1 and 2 is a pass.Enter Pass or Fail Pass Fail
STMS - Sensor on the Evaporator Coil
System Name or Identification/Tag 1
3 Yes No
The sensor is factory installed, or field installed according to manufacturer's
specifications, or is installed by methods/specifications approved by the Executive
Director.
4 Yes No
The sensor wire is terminated with a standard mini plug suitable for connection to a
digital thermometer. The sensor mini plug is accessible to the installing technician
and the HERS rater without changing the airflow through the condenser coil
5 Yes No When attached to a digital thermometer, the sensor provides an indication of the
saturation temperature of the coil.
Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not
applicable. Otherwise enter Pass or Fail N/A Pass Fail
STMS - Sensor on the Condenser Coil
System Name or Identification/Tag 1
6 Yes No
The sensor is factory installed, or field installed according to manufacturer's
specifications, or is installed by methods/specifications approved by the Executive
Director.
7 Yes No
The sensor wire is terminated with a standard mini plug suitable for connection to a
digital thermometer. The sensor mini plug is accessible to the installing technician
and the HERS rater without changing the airflow through the condenser coil
8 Yes No When attached to a digital thermometer, the sensor provides an indication of the
saturation temperature of the coil.
Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not
applicable. Otherwise enter Pass or Fail N/A Pass Fail
_____________________________________________________________________________________________________________________
Reg: 211-N0046435A-M2500008A-M25A Registration Date/Time: 2012/06/25 11:48:42 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms March 2010
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5)
Site Address:
52355 Avenida Velasco, La Quinta, CA, La Quinta CA
92253
Enforcement Agency:
City of La Quinta
Permit Number:
11-1255
Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F)
Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential
Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for
any additional systems in the dwelling as applicable.
The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure.
The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test.
If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure.
Space Conditioning Systems
System Name or Identification/Tag 1
System Location or Area Served whole house
Outdoor Unit Serial # 1912E23576
Outdoor Unit Make Carrier
Outdoor Unit Model 24ABC660A
Nominal Cooling Capacity Btu/hr 60000
Date of Verification 6-22-2012
Calibration of Diagnostic Instruments
Date of Refrigerant Gauge Calibration 06-15-2012 (must be re-calibrated monthly)
Date of Thermocouple Calibration 06-15-2012 (must be re-calibrated monthly)
Measured Temperatures (°F)
System Name or Identification/Tag 1
Supply (evaporator leaving) air dry-bulb
temperature (T supply, db) 60
Return (evaporator entering) air dry-bulb
temperature (Treturn, db) 83
Return (evaporator entering) air wet-bulb
temperature (T return, wb) 65
Evaporator saturation temperature
(T evaporator, sat) 48
Condensor saturation temperature
(Tcondensor, sat) 105
Suction line temperature (Tsuction ) 64
Liquid Line Temperature (Tliquid) 95
Condenser (entering) air dry-bulb
temperature (T condenser, db) 93
_____________________________________________________________________________________________________________________
Reg: 211-N0046435A-M2500008A-M25A Registration Date/Time: 2012/06/25 11:48:42 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms March 2010
INSTALLATION CERTIFICATE CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5)
Site Address:
52355 Avenida Velasco, La Quinta, CA, La Quinta CA
92253
Enforcement Agency:
City of La Quinta
Permit Number:
11-1255
Minimum Airflow Requirement
Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge
Verification. The temperature split method is specified in Reference Residential Appendix RA3.2.
System Name or Identification/Tag 1
Calculate: Actual Temperature Split = Treturn, db
- Tsupply, db 23.00
Target Temperature Split from Table RA3.2-3
using Treturn, wb and Treturn, db 22.1
Calculate difference: Actual Temperature Split -
Target Temperature Split = 0.9
Passes if difference is between -4°F and +4°F or,
upon remeasurement, if between -4°F and -100°F
Enter Pass or Fail
PASS
Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the
airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is
measured, the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below.
Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton)
System Name or Identification/Tag
Calculated Minimum Airflow Requirement (CFM)
Measured Airflow using RA3.3 procedures (CFM)
Passes if measured airflow is greater than or
equal to the calculated minimum airflow
requirement.
Enter Pass or Fail
Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used
for fixed orifice metering device systems
System Name or Identification/Tag
Calculate: Actual Superheat =
Tsuction - Tevaporator, sat
Target Superheat from Table RA3.2-2 using
Treturn, wb and Tcondenser, db
Calculate difference:
Actual Superheat - Target Superheat =
System passes if difference is between -6°F and
+6°F
Enter Pass or Fail
_____________________________________________________________________________________________________________________
Reg: 211-N0046435A-M2500008A-M25A Registration Date/Time: 2012/06/25 11:48:42 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms March 2010
INSTALLATION CERTIFICATE CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5)
Site Address:
52355 Avenida Velasco, La Quinta, CA, La Quinta CA
92253
Enforcement Agency:
City of La Quinta
Permit Number:
11-1255
Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used
for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems.
System Name or Identification/Tag 1
Calculate: Actual Subcooling =
Tcondenser, sat - Tliquid 10.0
Target Subcooling specified by manufacturer 9
Calculate difference:
Actual Subcooling - Target Subcooling = 1
System passes if difference is between
-4°F and +4°F
Enter Pass or Fail
PASS
Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for
thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems.
System Name or Identification/Tag 1
Calculate: Actual Superheat =
Tsuction - Tevaporator, sat 16.0
Enter allowable superheat range from
manufacturer's specifications (or use range
between 3°F and 26°F if manufacturer's
specification is not available)
3-26
System passes if actual superheat is within the
allowable superheat range
Enter Pass or Fail
PASS
_____________________________________________________________________________________________________________________
Reg: 211-N0046435A-M2500008A-M25A Registration Date/Time: 2012/06/25 11:48:42 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms March 2010
INSTALLATION CERTIFICATE CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5)
Site Address:
52355 Avenida Velasco, La Quinta, CA, La Quinta CA
92253
Enforcement Agency:
City of La Quinta
Permit Number:
11-1255
Standard Charge Measurement Summary:
System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil
airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all
applicable verification criteria must be re-measured and/or recalculated.
System Name or Identification/Tag 1
System meets all refrigerant charge and airflow
requirements.
Enter Pass or Fail
PASS
DECLARATION STATEMENT
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 the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater).
The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the
installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified
on the Certificate(s) of Compliance (CF-1R) approved by the local enforcement agency.
The information reported on applicable sections of the Installation Certificate(s) (CF-6R), signed and submitted by the person(s)
responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF-1R) approved by the
enforcement agency.
Builder or Installer information as shown on the Installation Certificate (CF-6R)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Dynamic Heating & Air
Responsible Person's Name: CSLB License:
Jason Dawes 918498
HERS Provider Data Registry Information
Sample Group # (if applicable): N/A tested/verified dwelling not-tested/verified dwelling in
a HERS sample group
HERS Rater Information CalCERTS Certificate # CC1-1798666657
HERS Rater Company Name:
Energy Driven Solutions, Inc.
Responsible Rater's Name:Responsible Rater's Signature:
David Bricker David Bricker
Responsible Rater's Certification Number w/ this HERS Provider:Date Signed: 6/22/2012
CC2004131
_____________________________________________________________________________________________________________________
Reg: 211-N0046435A-M2500008A-M25A Registration Date/Time: 2012/06/25 11:48:42 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms March 2010
Riverside County Fire Department Fire Protection Planning Section
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Building Plan Check Fees Paid
Building Plan Check Fees Not Paid
Other Fees
Fees Not Required
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any questions, please contact the
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County Fire Protection
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