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0403-244 (SFD)LICENSED CONTRACTOR 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 #` Lic. Class Exp. Date, A 'Date Si riature of Contractor, - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&P.C. for this reason Date - Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty, of perjury one of the following declarations: () I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ( ) I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier STATi I:UND Policy No. 229- 001g7V-2003 (This. section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code;�'I shalltforthwith comply, those�pr'o4isions, /Date: (I IApplicarit I ' Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees: IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct;) agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon, the above-mentioned property for inspection purposes' 'A Signature (Owner/Agent)'' �' Date PERMIT# BUILDING PERMIT _ /`•- DATE / ! ` 1 VALUATION LOT 0403-244 TRACT + ��— JOB SITE APN ADDRESS . Z1.VEJ.'fJDA, 11'yAJ,,ES () 774-124-111.1 ,OWNER - CONTRACTOR/DESIGNER/EN 1NEER - PO" it T`itUMCF, DAVM T_, ADDDIO'i ON P.O. BO:r'�'.134 '� 41.7801.7E�'t.4i�I'.CAGF_ DR IA& @•17T1+ ,A CA 922.53 DLPRW+7Jk►.DU 92201 (760)406-7529 CBLO 5724 USE OF PERMIT STi3'C4T.1"-. FAMILY DUkL1.INO 1,453 33A SFI7 PERMIT DOV.13 MOT INCLUr.119 Y)LOCIC WALL, NOO.0 SPA OR til'alVEWA't'` APPROACI•I TRACT CONSTRUCTION 1,49$,09 SF POftCWPATIO 50.00 SF CARAC1WCARPORT 467,00 SF Emmx= i oRr OV C°014'91RtT.4'IT TO,I PF.%t:1V .rr M= SUMMARY CONSTRUCTION FU 101-000-4-38-000 4�iO3.Rtt PLAN CHECK FEE 101-OOOA.39-31$ $SEtb.57 FEIN DEPOSIT 101-000-439.316 4250.00 XvItAC:i. LAICAL 719 101-000.421-000 $60.00 EL,9-:0 RJC,1 L IrE9 101-000-420-000 $110,27 PLUM TJ INC PEI F, 101-000-41.9-000 $130,00 STRONG MOTION ME - RESID 101-000.24.1.000 $0,12 O.EADINCt PUB 101-000.423-000 $15,00 DV,fEt.OPER IMPACT FET: 52,40100 Pt2PCYSE PLAN $100:00 r.WIMUC 11013' A1:`173 PL AW MULX. $3,939.46 IMS FRF,-PATD FEM P 42-50100 MAR 19 2004 YjALPK 'r,T EFs aux $Ow CITY OF LA QUINTA FINANCE DEPT. (RECEIPT DATE'• �� (� BY DATE FINALED. INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs _ Underground Ducts Forms & Footings Ducts Slab Grade / Return Air Steel U Combustion Air Roof Deck Exhaust Fans O.K. to Wrap�! _ �Q F.A.U. Framing Compressor Insulation i s / Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines — - C7 Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Ut. ga, Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utllity Notice (Perm) COMMENTS: J ey � • y. ��� r P.O. BOX 1504 r APPLICATION ONLY Building i \ ` -4 5 CALLE TAMPICO Address , ALIFORNIA 92253 Owner BUILDING: TYPE'CONST. OCC. GRP. Mailing Address . A.P. Number ��T lei. L4 City ' Zip J �- escription gO ontrpretgr , - „64 1 n 'ect Descriptio 4— to Slate Lic. &0 'y' & Classif. O Lic. # Arch., Engr., Designer Address Tel. State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Suslness 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 rile 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 thaf. 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). 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, Suisness and Professions 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 improvement is sold within one year of completion, the owner-bu8def will have the burden of proving that he did not build or Improve for the purpose of sale.) i'1 I, as owner of the property, am exclusively contracting with licensed contractors to con- struct 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.) ` i I I am ex e pt undo Sec. B. & P.C. !or this reason Date WORKERS' 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 (7 Copy is filed with the city. D Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed- if the permit Is for one hundred dollars (S100) valuation or less.) I certify that in the �� performance o hF w c for whf this permit is issued, I shall not employ_041h mammary to oma s j ct to the Workers' Compensation Laws a Date — NOTIC T A CANT: d, atter t !s c emption you sAou subject to the orkers' Compensafiorr provisions of Ne Labor Code, you must /oRAwifA 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 ateMailing Address City, State, Zip . S Z� vvv Ili z -o Sq. Ft. No. o."D New %( Add ❑ Alter ❑ Repair ❑ Demolition ❑ 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 I . PINK = FINANCE Date 3/19/04 No. 25712 CERTIFICATE OF COMPLIANCE �AIEDSc Desert Sands Unified School District zq��o 47950 Dune Palms Road ¢ BERMUDA DUNES e•" La Quints CA 92253 to RANCHOMIRAGE !rf 7 INDIAN WELLSLM (760) 771-8515 �d PALA QUINTAT,�y .01 INDIO0 Owner Power Finance APN # 774-124-018 Address P.O. Box 134 Jurisdiction La Quinta City La Quinta Zip 92253 Permit # 0403-244 Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 6 53593 Avenida Valesco 1498 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the DesertSands 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: EXEMPTION NOT APPLICABLE This certifies that'school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 1,498 S.F. or $3,355.52 have been paid for the property listedabove and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CCNIB-Alissa Waggoner -Alton Check No. 305390 Name on the check Telephone 760-485-3039 ` Funding Residential By Dr. Doris Wilson Supe-rintendent Fee collected /exempted by Yolanda Garcia Payment Recd $3,355.52: " over/under SignatureM- NOTICE: Pursuant to Government Code Section 66020(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 District(s) or to another public entity authorised to collect them r on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated . r Embossed Original- Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting RECORDING REQUESTED BY: STEWART TITLE OF CALIFORNIA, INC. WHEN RECORDED MAEL TO: POWER FINANCE ASSOCIATES, P.O. Box 134 La Quinta CA 92253 501222143' , ORDER NO. - ESCROW NO. 6 9 2 3 7 DOC a 2003—ZWUW 04/30/2003 08:00A Fee:27.00 Page l of 1 Doc T Tax Paid Recorded in official Records County of Riverside Gary L• . Orso. Assessor, County Clerk 8 Recorder � I M s U PAGE SIZE DA PCOR NOCOR SMF NSC. A R L COPY LONG REFUND NCHG EXAM GRANT DEED The undersigned grantor(s) declare(s): A.P.N.: 774124017 018 Documentary transfer tax is $ 9 9.0 0 City. tax $ ( ✓) computed on full value of property conveyed, or , ( ) computed on. full valueless value of liens or encumbrances remaining at time of sale. ( ) Unincorporated area: (•I/) Cityof LA QUINTA and FOR VALUABLE CONSIDERATION, receipt of which is, hereby acknowledged, ERIC E. STAHL AND CHRISTINA M. STAHL, TRUSTEES OF THE STAHL FAMILY TRUST DATED NOVEMBER 27, 1990 FOR THE BENEFIT OF ERIC E. STAHL AND CHRISTINA M.-STAHL hereby GRANTS to POWER FINANCE ASSOCIATES, INC., A CALIFORNIA CORPORATION the following described .eal property in the County of Rive , State of California LOT(S) 5 6, N BLOCK 229 OF UNIT NO. 22, SANTA CARMELITA AT VALE LA QU _A AS PER MAP RECORDED IN BOOK 20, PAGE 24 OF MAPS, IN -VCE OF THE COUNTY RECORDER OF SAID COUNTY DATE: March 17, 2003 STATE OF CALIFORNIA } } ss.. COUNTY OF SW } On %ZU C 'MO3 , before me__MV personally appeared personally known to me (or proved to me on the basis of satisfac- tory evidence) to be the person(s), whose name(s) V/are sub- scribed to the within instrument and acknowledged to me that i6/sV/they executed the same in tds/h�/their authorized capacity(ies), and that by Vs/lift/their signature(s) on the instru- ment the person(s) or the entity upon behalf of which the per- sons) acted,,executed the instrument. WITNESS my hand and official seal. Signature ' NWN�,�' CHRISTINA STAH(t,%TRUSTEE ERIC E. STAH /TRUSTEE UND/1NA1✓a1;tl` Commissional 1324841 Notary Pubsq. ` nlle' SanDim Cogs BAy Comm: Emires Od 9, ZOOS (This area for official notarial seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE e�l RC_ DISTRICT -' PLANNING REVIEW: FORM This form is to be used by CDD staff for review of single family dwellings in th'e RC (Cove Residential) District per Section 9.50.090 of the Zoning Code. Its purpose is to determine: 1) that the proposed housing design does not duplicate the same architectural'.style of any house within 200 feet of the applicant, and/or 2) if there is a need for the applicant to.file for Master Design Guidelines: If the applicant does needto file .a Master Design Guideline, please transmit this information to the Building and Safety Department as. part of your correction list. Please attach additional explanations as necessary. APPLICANT: Uc nh)q- SITE ADDRESS: 4UL Vel a sco APN ~L?�. - �� - 0_1 CASE NO.: g LEGAL: LOT BLOCK 2 9 UNIT 2 Z S.C.@V.L.Q. CHECK AND APPROVED.BY: DATE: Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive Secretary maintains a log book to track applications. and assign case numbers. REQUIRED -ITEM Y N COMMENT/CORRECTION Verify legal and APN information . . Consistent with MDG on file' (as applicable) .MDG filing required (5 filings since 9/3/98) Architectural variety within 200 feet of the surrounding area: Approved by. D 0 Planning Commission OCity Council Community Dev. Dept. Initials Case No: /1C. &Y -9q? E hibieatures ;r 6 Ot er Requirements: CERTIFICATE OF FIELD V Project Title CATION AND DIAGNOSTIC TESTING Builder Con HERS Firm: sC. d ,gSSOGi�%S Street Address: %���Q Copies to: Builder, HERS Provider HERS RATER COMPLIANCE STATEMENT D to wilder Name —' Plan Number Sample Group Number Sample House Number HERS Provider: City/State/Zip: Z'/ Ou /,n T CF -4R The house was: F Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form cnLnpiy with the diagnostic tested compliance requirements as checked on this form. �d�Distribution system is fully ducted (i.e., does not.use building cavities as plenums or platform returns in lieu 9 of ducts) ep�Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. �S MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfm/ton.x number of tons enter / J� calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) Check Box for Pass or Fail (Pass=6% or less) ❑ Pass Fail L;�iHERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent Yes ❑ No Thermostatic Expansion Valve (or Commission approved equivalent) is installed and Access is provided for inspection ❑ Yes is a pass Pass Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in / CF -1 R and design on plan. !V/ 2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design'from CF -1 R. Measured Fan Flow = ❑ ❑ Yes for both 1 and 2 is a Pass Pass Fail _ / LUM 1z ■ ■ ��-a- .�� Certificate of Occupanc Y � f O p ; LICDRAO[AlID �.�� 19Q C� OF - 9► Y Building & Safety Department ' This Certificate is issued pursuant to the requirements of Section 109 of the California Building f Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building Q ' r construction and/or use. BUILDING ADDRESS: 53-593 AVENIDA VELASCO i r Use classification: SINGLE FAMILY DWELLING Building Permit No.: 0403-244 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC 3 Owner of Building: POWER FINANCE Address: P.O BOX 134 i V City, ST, ZIP: LA QUINTA, CA 92253 By: KIRK KIRKLAND Date: SEPTEMBER 10, 2004 Building Official i<< f a r _ POST IN A CONSPICUOUS PLACE TITLE 24 REPORT Title 24 Report for: Thomas Buffin Breeze Mediterranean All Orientations La Quinta, CA. Project Designer: Report Prepared By: Joan D. Hacker Insu-form,- Inc. . 68-255 Corta Road Cathedral City, CA 92234 (760) 324-2046 , 1 Job Number: CITY OF LA QUI(VTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION Date: i DA p r� 2/18/2004 eY`~' The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is i authorized by the California Energy Commission for use with both the Residential and Nonresidential 2001 Building Energy Efficiency Standards. This program developed by EnetgySoft, LLC (415) 883-5900. i -- I EnergyPm 3.1 By EnergySoft Job Number. User Number. 2655 } TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory.Measures Checklist 6 Form C -2R Computer Method Summary g : HVAC System Heating and Cooling Loads Summary 12 Room Load Summary 13 Certificate of Compliance: Residential (Part 1 of 2) CF -1 R Thomas Buffin 2/18/2004 Pmiect Title Date Breeze Mediterranean -All Orientations La Quinta Project Address Build ng Permit # Insu-form. Inc. (760) 324-2046 Plan Check, Date Documentation Author Telephone Computer Performance 15 Field Checki Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 1,498 ft2 Average Ceiling Height: 9.0 ft Total Conditioned Slab Area: 1.498 ft2 Building Type: (check one or more) ® Single Family Detached ❑ Addition ❑ Single Family Attached ❑ Existing Building ❑ Multi -Family ❑ Existing Plus Addition Front Orientation: All Four Orientations Floor Construction Type: ® Slab Floor Number of Dwelling Units: 1.00 Number of Stories: 1 ❑ Raised Floor Component Const. Frame Assembly Lo Type U -Value (attic, Slab On Grade Na 0.756 Covered Slab w/R-0.0 Perimeter Insulation Stab On Grade n/a 0.756 Exposed Slab wIR-0.0 Perimeter Insulation R-13 Wall w11" EPS Wood 0.059 Exterior Wall Solid Wood Door Norte 0.387 i=xtedor Door R38 Roof (R.38.2x14.16) Wood 0.028 Exterior Roof Front FENESTRATION Shading Devices Type Orientation Area Fenestration Exterior Overhang Side Fins S -Factor SHGC Shading Yes / No Yes / No Front 4Q0 0.85 0.59 Bug Screen p ❑ 0 Left 36.0 0.75 0.53 Bug Screen _0 ❑ Q ❑ Q Rear 9.0 0.61 0.60 Bug Screen ❑ © ❑ 0 Rear 80.0 0.85 0.59 Bug Screen ❑ Q ❑ x❑ Rear 16.0 0.75 0.53 Bug Screen [I Q ❑ Q Right 24.0 0.75 0.53 Bug Screen ❑ 0 ❑ 0 Skyrght 36.0 0.36 0.36 None ❑ 0 ❑ 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ o e• •36•Run Code, 1 72583 En ro 3.1BY Enemysoft User Number: 2655 Job Number. e3 Or 13 Certificate. of Compliance: Residential (Part 2 of 2) CF -1 R Thomas Buffin 2/23/2004 Project Title Date HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location / pump, etc.) (AFUE/HSPF) (ducts, attic, etc.) R -Value Type Comments Cp tral Furnas - 80% AFUE Ducts in Attic 4.2 Setback Living Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type Comments Split Air Conditioner 12.0 SEER Ducts in Attic 42 Sethack I iving7nnP WATER HEATING SYSTEMS Rated 1 Tank Energy Facts 1 External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value q C) SMITH PGCG-50-226 Small Gas Pipe Insulation 1_ 40 nan 50 0.62 n/a n/a 1 For small gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. RFM4RKS This report may be used with the corresponding plan by the client for all orientations. GOMPLIANGt b I A I tMtN I 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. The undersigned recognize that compliance using duct sealing and TXV's requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Name: SOUTH WEST CONCEPTS Title/Firm: Address: LA n1 INT- nn 92258 Telephone: Lic. #: (signature) (date) Enforcement Agency Name: Title/Firm: _ Address: Telephone: Documentation Author Name: Joan D. Hacker Title/Firm: Insu-form, Inc. Address: 68-255 Corta Road Cathedral City, CA 92234 Telephone: (760) 324-2046 _. (signature/stamp) (date) Run Initiation Times 02/23104 2019-35 Run Code6 1077596375 EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page:4 of 13 Certificate of Compliance: Residential (Addendum) CFA R Thomas Buffin 2/18/2004 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. Plan Field i :The HVAC System "Living Zone" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual. i HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS A- W.. ..M .- .Qac. 19 W% YVGY...OIR 11.G IICIu Val lllgauun amu ulaunusuc itmiang w tnesu muasur@s on a corm % r -or- Plan I Field The HVAC System "Living Zone" includes Refrigerant Charge and Airflow Credit (or a TXV). A certified HERS rater must provide verifification of the TXV, or measure the Refrigerant Charge and Airflow. The HVAC System "Living Zone" is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -6R Form. i I EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number Page -.5 of 13 -„gyp".f` :•^--� .• . •° Mandatory Measures Checklist: Residential (Page 1 of 2) MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. ' DESCRIPTION Instructions: Check or initial applicable boxes or enter NIA if not applicable DESIGNER ENFORCEMENT Building Envelope Measures J'§150(a): Minimum R-19 ceiling insulation_ I § 150(by hose fill insulation manufacturers labeled R -Value. 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does U not appy to exterior mass walls). Fl*§150(d): Minimum R-13 raised floor insulation in framed floors or equivalent ❑§150Q): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pemUnch. © §118: Insulation specified or installed meets insulation quality standards. Indicate type and forth. ®§116-17- Fenestration Products, Exterior Doors and Infr7trationlEx1iltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to fimit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC). and infiltration certification. ` 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(g). Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ §150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. ❑ 6750(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -butt fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measure §110-13: HVAC equipment,. water heaters. showerheads and faucets certified by the Commission. © § 150(hk Heating and/or cooling bads calculated in accordance with ASHRAE. SMACNA or ACCA. a§ 150 ft Setback thermostat on all applicable heating and/or cooling systems. §1500): Pipe and Tank Insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with Insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank non -recirculating systems. insulated (R-4 or greater) 3. Back-up tanks for solar system. unfired storage tanks. or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of tot water systems. 5. Cooling system piping below 55 degrees F. insulated. 6. Piping insulating between heating source and indirect hot water tank EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page:6 of 13 r Mandatory Measures Checklist: Residential (Page 2 of 2) WAR NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements fisted on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by ail parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere In the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter NIA if not applicable. DESIGNER : ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) X ' '§ 150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of.UL181, ULM& or UL181B. 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. Building cavities shag not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with doth back rubber adhesive duct tapes unless such tape Is used in combination with mastic and drawbands. 2. Building cavities, support platfomu for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shag not be used for conveying conditioned air. Building i 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. 3. Joirds and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such a tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. i 5. Gravity ventilation systems serving conditioned space have eitherautomatic or readily accessible, manually ; operated dampers. 6. Protection of Insulation. Insulation shag be protected from damage. Including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shag be suitable 1 i for outdoor service e. ! g., protected by atuminum, sheet metal, painted canvas, or plastic cover. Cellular foam Insulation shag 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. § 114: Pool and Spa Heating Systems and Equipment - ! 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating Instructions, no electric resistance heating. and no pilot I 7- System is installed with at least 36' of pipe between filter and heater for future solar, cover for outdoor pools or spas. a. At least 36' of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. X i §115: Gas fired oentral furnaces, pont heaters, spa heaters or household cooking appliances have no ! { continuously homing pilot fight (Exception: Non -electrical cooking appliances with pilot < 150 Btultu) 1 i i §118 (f): Cool Roof materiel meet specified criteria -- Lighting Measures J §150(k)1: Luminaires for general fighting in kitchens shag have lamps with an efficacy 40 lumensiWatt or greater for i general fighting In kitchens. This general fighting shag be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. i :X ! 9150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of I i 40 tumensMratt or greater switched at the entrance to the room or one of the alternative to this requirement i -- allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. f I i 3.1 By EnergySoft User Number. 2655 Job Number. Pane -.7 of 13 Computer Method Summary(Part 1 of 3) C -2R Thomas Buffin2/18/2004 te Breeze Mediterranean -All Orientations La Quinta I ° — -- --- -- - - Insu fo rm.Inc. 60) 324-2046 __--�---' --------- (7 Documentation Author Telephone Pian Check/Date Computer Performance 15- - Copllaic Method (Package or Computed _ — Gnats Zone Field Check/Date m _ -- - — - Source Energy Standard Use (kBtulsf-yr) Design Space Heating 1.37 Space Cooling 35.20 Domestic Hot Water -15.78 Totals S;9 Ar. Facing GENERAL INFORMATION North Margin_: 0.97 0.40- 38.88 -3.68' 12.45 3.33%; At2XZ'2 '2 011: Facing East _Margin_: 1.24 0.13' 38.53 -3.33; Facing GENERAL INFORMATION ' South_ Margin 1.50 -0.13' 34.58 0.63, _ 12.45 3.33! At2XZ'2 '2 011: Facing West _ Margin 1.11 0.27 38.61 -3.41' 17 AR 'A R'A This C -2R summarizes the results of a low cardinal orientation analysis. The pages that follow describe the front facing North occurence. This plan has been analyzed with Identical features in all orientations. GENERAL INFORMATION X Slab Floor Conditioned Floor Area: 1,498 - Floor Construction Type: Raised Floor Building Type: Single Fam Detached Building Front Orientation: All Four Orientations Total- Fenestration Aea: 16.1% Number of Dwelling Units: 1.00 . • . Total Conditioned Volume: 13,482 Number of Stories: 1 Slab Floor Area: 1,498 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name_ Floor Area Volume Units Zone Type Type HgL Area LilriogZonp--.. .__ ... - --------- ---- --- �.d4A 13,4W -AIH)- —COnditienad Salba1* OPAQUE SURFACES ----- Solar __-- _--- -- — -- _--- -- _-- Act. Gains Type _—Area U Val. Azm. Tilt Y / N Foran 3 Reference Location / Comments IAlall— . 12A — 0-059 _QM R-13 Wall w/1• FPS 1 ldog 7nnp Door— 20 n 397. n — 0 jSolid wnnd_D= k _ 574 n059 —__gn —gra R-13 Wan will FPS ! Wring Zon SOle wall--- 20' 0-059—lea 90 R-13 Wall w/1" FPS L'cm9 7nnp wan 326 0.059 27 —so R-13 WaH whr-FRS Rf — —1.462 n n7R —2. —n R--I&Roof (R 3R 2:14 1R1 �� 7onp oo— v Man Zone Run htl�iat3on lime• 02ha� � �s �3 un rode• 10/7172583 I EneigyPro 3.1 By EnerwYsoft user Number: 2655 Job Number. Page 80113 ' Computer Method Summary (Part 2 of 3) C -2R Thomas Buffin --_ -_ .-- 2/18/2004 _ Project Title Date FENESTRATION SURFACES Right Fn # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt LExL RExt Dist. Len. Hgt. Dist. Len. HgL 1 Bug Screen 0.76 2 Bug Screen 0.76 U- 3 Bug Screen Act. Glazing Type Location/ # Type Area Factor SHGC Azm. Tilt _ Comments 1 Window_.-Eront___-North) _40A • --0.850- -.-_009 _........0. - 90 VVest-GoasLMndaws--.-..._ - ivingZone--_ _ _.-.__ . _ 2 Window_.•.. Left_ (Easy_ 16,0 0.750 -0.53 - 90 __ 90 West Coast Windows -_____-- Living Zone 3 Window.._.Left _.-_(East) _ 12-0 0.750 _- 0.53 ._90_. _ 90 West Coast Windows Livi_ng_Zone --_ . .- 4 Window (East) - 4.0 0.750 0.53 90_ - 90 West Coast Windows Living Zone.- 5.. Window Left -(Easy _ 4.0 0.750 -0.53 __.. 90 . - 90 West Coast Windows -Liv_ing Zone 6 Window._ Rear (Sour, 9.0 0.610 0.60 180 90 West CoasLWindowws_,.-_-- -�iviog_-QrL .- ---- ------- ---.-.7._. 7-. Window -Real---( SoIft X00 X855) 0.59_ --1$0_ - 90 vvetst- -M -M dAW-s---. -..._ _4iy�n9 zone ...__- -•--- - - --- 8 Window Rear - (South) 40.0 0.850 0.59 180 90 West Coast Windows - _ _ Living Zone__ -_- 9_ r (South) 1.60 0.750 9.53. ----110- 99 VYeatCoast 10 Kind ow - Rig hL.-ZY-Qsil 40 -QJ-W- x,53 X70 go Living Zgftp---_ _._... 11 Window Right V( Vest 4.0 0.750 0.53 90 West Coast Windows _ Living Zone 12 Window Right esti _ 16.0 0.750 0.53 270 90 West Coast Windows Living Zone 13 Sky qht -Right.- Mes31 -3-6-0- x,360 1.36. 970 0 WAst-Coast Windows 1bdng2ane--.-_-_.- _ - INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fn # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt LExL RExt Dist. Len. Hgt. Dist. Len. HgL 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 _ 4_ Bug Screen 0.76- 5 BucL&xeen 0.76 6 Bug -Screen - 0.76 -- - 7 _ Bug Screen -- -- 0-76 -- S Pug SSueen 0.76 _ - --- -- 9 BA_Screen - ---- -- _ 0.76-- -- 10 Bug Screen 0.76 i 11 Bug Screen 0.76. -- -- - - --_ -- --- - - 12 Bug Screen 0.76 13 None 1.00 -- -- -- -- -- - Run Initiation Time: 02H8104 22-:-3-6-:2-3----- Run Code: 1 77172583 I EnergyPm 3.1 By EnergySoft User Number. 2655 Job Number. Paue:9 of 13 { r Method Summary (Part 3 of 3) . G -ZR Thomas Buff n•- — - ---- - -- --- ---- - -- --- — 2/18/2004 _....__...._. ProjedTitle -----------_.._._.._ Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (sf) (in.) Cap. Cond. Form 3 Reference R Val. Comments PERIMETER LOSSES F2 Insulation Type _ _ Length Factor R -Val. Depth Location / Comments S.la_t? Slab-gedmeter...—__-._-- —._21 _026 O.D _0 L•tvi49_Zaae _ ..------ ----------.__—.----- HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Location / pump, etc.) _ (AFUE/HSPF)(ducts/attic, etc.) R -Value Type Comments Ce_ntr_aLEumar_--__—_ 80YAAEtltw= 13mcls_in-Attis _-A.2_ Setback J ivincZone Pipe Pipe Insul. Hydronic Piping System Name _ _ —_Length _Diameter Thick_ ' Cooling Equipment Minimum -Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc,) R -Value Type Comments Split Air QQIjdjtiQngr 12.0 SEF$ Duds in Attic 4.2 Setback j iving2one WATER HEATING SYSTEMS Rated' Tank Energy Facts 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency Loss (%) Ext. A O SMITH PGCG-50-226 _Small Gam Pipe In�y 11 atipn .1 40.000 50 —9-62— _n/a— n/a 1 For small gas storage (rated input <= 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, fist Rated Input, and Recovery Efficiency. REMARKS_ ...---- ..... --- - - - - - i Computer Method Summary (Addendum) - C -2R Thomas Buffin 2/18/2004 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement aaencv determines the adeouacv of the lustification. and may resect a building or design that otherwise complies )ased on the adequacy of the special justification and documentation submitted. IPlan Field The HVAC System 'Living Zone includes credit fora Radiant Barrier installed per Section 8.13 of the Residential Manual HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a forth CF -6R Pian -iField The HVAC System "Living Zone" includes Refrigerant Charge and Airflow Credit (or a TXV). A certified HERS rater must provide verifification of the TXV, or measure the Refrigerant Charge and Airflow. The HVAC System "Living Zone" is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certified HERS Rater. The results of the diagnostic testing'must be reported on a CF -611 Form. Run Initiation Time: 02/18/04 22:36:23 Run Code: 1077172583 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page: 11 of 13 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME 2,05511 Airflow (cfmiscift) 1.3711 DATE Thomas Buffin Outside Air (1/6) 0.0 — Outside Air (cfmiscift) L—.— 2/18/2004 SYSTEM NAME FLOOR AREA iy�incLZorje [ENGINEERING CHECKS [SYSTEM LOAD :Number COIL COOLING PEAK COIL HTG. PEAK Heating System CFM Sensible: Latent CFM Sensible Output per System 80.000:.- Total Room Loads i'm 31,281 3.274 670' 25,246 Total Output (Btuh) 80-000tz':: Return Vented Lighting Q Output (Btuhisqft) 53A::! Return Air Ducts 1,564; 1,262. Cooling System Return Fan 0: 0. Output per System 58.000- Ventilation 0 0 0* 01 Total Output (Btuh) 58,000"! Supply Fan 0;. Total Output (Tons) 4.8i-: Supply Air Ducts 1.564-; 1.262 Total Output (Btuh/sqft) 38.7::: TOTAL SYSTEM LOAD I 34,409', 3,274 Total Output (sqftfron) 309.91: _Air System 41HVAC EQUIPMENT SELECTION CFM per System i 2 055:' Airflow (cf1m) 2,05511 Airflow (cfmiscift) 1.3711 Airflow (cfnVTon) 425.2!1: Outside Air (1/6) 0.0 — Outside Air (cfmiscift) L—.— 0.00 Note: values above given at ARI conditions I liBDP CO. 563AN060-A 36,289: 17.054 00.000; Total Adjusted System Output (Adjusted for Peak Design Conditions)1 36. 17.V541 80.0001 TIME OF SYSTEM PEAK i Aug 2 pm Jan 12 am i 26.0 OF 69.4 OF 69.4 OF M 106.0 OF Outside Air 0 clrn w Supply Fan 2055 cfrn 69.4 of Heating Coil h Return Air Ducts 4 Supply Air Ducts 105.4 OF 1 ROOMS 1 70.0 OF ICDOLING SYSTEM PSYCHROMETRICS (Airstream Temperatures. at Time of Cooling Peak) 111.9 / 77.6 OF I 78.7 / 67.1 OF 78.7/67.1OF E 62.1/61.20F Outside Air 0 ctrn Supply Fan Cooling Coil 2055 clin 78.7 / 67.1 of h Return Air Ducts 4 3.1 By EnergySoft User Number. 2655 Job b Supply Air Ducts U, 62.8 / 61.4 OF i 56-57. R.H. ROOMS's. 78.0166.9 OF of 13 - MWOM LOAD SUMMARY PR • ThomasUE ' 11 SYSTEM NAME Living Zone.. -.,. -•• ••• SUMMARY I ®■ ■� ■i■■■■m� TOTALPAGE SL 1�'� TOTAL �3128®�1 25.2Q EnaMP- 3.1 By EnergySoft user Number: 260 Job Number P"ml3 of 13