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04-3953 (AR)BUILDING & SAFETY DEPARTMENT 15O �4 (760).777-7012 :)f 0.01 '51CA L L E TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . t004-00003953 Date 5/07/04 Property Address 81105 SHINNFCOCK HILLS APN: 762-340-012-20 -29147 Application description . . . ADDITION - RESIDENTIAL Property Zoning . . ... . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 60000 Owner Contfactor ------------------------ z o ­ WESLEY ANTHONY T f?/I q,.4.45 13 HIGH MEADOW LN AMHERST NH 3031 ------ Structure Information 549 SQ. FT. CASITA ADD. ----- Construction Type . . . . . TYPE V - NON RATED,* Occupancy Type . . . . . . DWELLG/LODGING/CONG� <=10 Flood Zone . . . . . . N09 -AO FLOOD ZONE Other struct info . . . . CODE EDITION 2001 CBC # BEDROOMS 1.00 FLOOD ZONE NO GARAGE SQ FTG 22..00 PATIO SQ FTG 51.00 FIRST FLOOR SQ FTG 549.00 ----------------------------------------------------------------- --------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 459.50 'Plan Check Fee 298.68, Issue Date . . . . Valuation 60000 Qty Unit Charge, Per Ex-tbnsion "BASE -N FEE?` 414.5 0 10.00 4.5000 THOU BLDG 50,001-100,000 45.00 ---------------------------------------------------------------------------- Permit . . . . . .. ELECT ADD/ALT/REM Additional desc,..'. Permit Fee . . . . 207.59 Plan Chock Fee 51:90, Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00- 5490.00 .0350 ELEC NEW RES - 1 OR..2 FAMILY 192.15 22.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL .44 - Permit . .. . . . . MECHANICAL P.O. Box 1504 • �/ VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: D 4 -3q53 Applicant: Applicant's Mailing Address: Date: 0 - Architect or Engineer: Architect or Engineer's Address: Lic. No.: i , BUILDING PERMIT DECLARATIONS 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 Licen is in full force and effect. �D / License Class " License No. 5111 a Date S Z/—O�Contractor 5euTWtfItAl' )CLS' !7Ev /NC OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): (_•) 'j, as owner of the property, or my employees'wiih wage's as their sole compensation, will do the work, and the structure is not intended or offered.for sale (Sec. 7044, C` Business and Professions Code: The Contractois' State License Law does not apply to an owner of property who builds or improves thereon, .andwho does the work himself or herself or 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 wH have the burden of proving that he or she did not build or improve for the purpose of sale.). _U 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec'.17044, 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.). U I am exempt under Sec. B.& P.C. for this reason Date Owner WORKERS' 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 proyided-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 Laboi Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Polii,`rwalm--m 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 shall forthwith comply with those provisions. Date s2 �' G 1 Applicant SOK C /�.t� %�l L J. WARNINGt FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT•AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address 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, indemnity and hold harmless the.City of La Ouinta, 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 up the a -mrd property for inspection purposes. Date S 7► ( - 0'4 Signature (Applicant or Agent): '• '�. ` , r is R: :, �``''f,°! - . !: ... -1� ,: `°i' h+ S 5; Ei.,' • •� 'Pi: 't+ .'1 .r� -. •�'. t. r ?. ' ._ .. .. '!•-.- ., +. ,. _ ,- .. +'I, �., _. •..tf ... 1. Page 2 Application Number :� ;;- 04-00003953 Date 5/07/04 ..._..�__�_. _ ...__....-._ .. - .... - -.._.... _ ._.Additional-desc Permit Fee 33 .00 ' ' Plan Check Fee 8.25 Issue Date 0 Qty Unit Charge Per _. _ --__Extension BASE FEE 15.00 1.00 9.0000 EA MECH.•FURNAC,E <.=100K 3..00 1.00 9.0000 EA.. _. MECH.,$jC <=3HP/100K BTU 9.00 q'r }; ---.------,.--------- .-------------.- PermitPLUMBING .-,-------�c--.---,-r'`,;}°�c�'•---- Additional desc Permit Fee 45.00 Plan- Che`c'k Fee .T-1 5 Is Date Val.ii ation: 0 l,.. .ue Qty Urit .'.CYiarge:.er. Extension BASK" FEE' ` :15 . 0 0 4.00 6.0000 EA PLB FIXTURE 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3..:00 ---------------------------------------------------------------------------- Special Notes and Comments ..-..,,,;.;:;,,: ; :,� .. .: ....... ..... ... 54 9 SQ. FT. ITA• •'ABD„I,TI:ON,"•- _ 5 .CAS ------- --- ------------------ .777-77. t1. _. .. _—,- Other Fees . . . . . . ' . . ENERGY REVIEW FEE '29.87 STRONG MOTION ;:L+SMI) • .. ''.',-RES. :. ,ie-^.; 6-00 _ Fee summary Charged. Paid Credited Due -- - - - - - - - - - - - - - ------ - - - - ------ - - - - ------ - - - - - - Permit Fee Total 74.5.09 - :00' .00 ---------- 745-:-0-9 " Plan Check•.:Tot.aL ;_:,:� .,;:37©.0.8; _.. :. prp �..:;:: 00 ... .. =370:.0;8 .. Other =Fee To'aY+ . .. _ _....•0;:... 35:8700. x35:.$7: Grand Total 1151.04 .00 .00 1151.04 t . City of La Quinta 04tooils Building,.& Safety Division P..o. -eo Permit # x..1504, 78=495. Calle Tampico U Quinta, CA 92253 - (760) 777-7012 '7 Building Permit Application and Tracking Sheet . >< Project Address: 9 • I p S V't- `Cs Owvner's Name: A. P. Number2' Address:. Legal Description- T : 2 - f -t ecity, ST. Zip: X Contractor. b �i (L( S FTelcchone: Description: Telephone: 7�� i� ='~ . Construction T V — ;�. .. .. YPe= occupancy: State Lic. #: Pro'ea 1 X Name of Contact Person: X Telephone # of Contact Person: # Submittal Req'd Plan Sets Structural Cales. Truss Cales. Energy Cales. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees type Address: >� —C `�J X City, ST, Zip: Rec'd X Telephone: 01 A State Lic. # Item Amount Arch., Engr., Designer. 7'4% Address: 2¢ City, ST, Zip: V Description: Telephone: 7�� i� ='~ . Construction T V — ;�. .. .. YPe= occupancy: State Lic. #: Pro'ea 1 X Name of Contact Person: X Telephone # of Contact Person: # Submittal Req'd Plan Sets Structural Cales. Truss Cales. Energy Cales. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees type J tctrc a oney New Add n Alter Repair Demo Sq. FL: # Stories: #Units: stimated Value of Protect: (rj Q >� —C `�J APPLICANT: DO NOT WRITE BELOW THIS LINE Rec'd TRACKING PERMIT FEES 01 Plan Check submitted a�f' a Item Amount aReviewed, ready for corrections Plan Check Deposit Plan Check Balance Called Contact Person aPlans picked up Construction �— Plans resubmitted Mechanical Y' Review, ready forcorrectio issue Electrical Called Contact Person Plumbing S.111.1. Plans picked up Plans resubmitted Grading Review, ready for correetiotnlissue Called Contact Person Date of permit issue Developer Impact Fee A.I.P.P. Total Permit Fees f Cdikhellii'Valley .Unified School District P.O. Box 847, Thermal, CA 92274 -(760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPFR FFFC PATT) AREA: AMOUNT ' LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMIIND. AMOUNT: DATF: RECEIPT- CFYFCK H- INITIAIS- CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Date May 14, 2004 Owner's Name: Anthony Wesley Phone No. 771-3497 Project Address: 81-105 Shinnecock Hills La Quinta, CA Project Description: Casita addition APN: 762-340-012 Tract #: Type of Development: Residential XX Commercial Lot #'s: Industrial Total Square Feet of Building Area: 549 sq.ft. Certification of Applicant/Owners: The person signing certifies that thea ve informa ' n is correct and makes this statement under penalty of perjury and'further represents that he/she is authorized to #n on beh f o, th weer/developer. Dated: May 14, 2004 Signature: ' **********************************V*************-nl******************** SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Note: Number of Sq.Ft. 549 Amount per Sq.Ft. 2.68 Amount Collected $ 1,471.32 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services Certificate issued by: Elvira Mattson, Office Technician = Signature: c Not Subject to Fee NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. MV:c/mydocs/devfees/certificate of compliance form tables.doc 1/16/03 T TITLE 24 REPORT Title 24 Report for:FDA _=6 esley Residence J .,.''Shinnecock Hills DDE ta, CA �# 0� •3gS3 Project Designer: 0 Report Prepared By: Joan D. Hacker Insu-form, Inc. 68-255 Corta Road Cathedral City, CA 92234 (760) 324-2046 Job Number: 4 .. r - - Date: 2/9/2004 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2001 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC (415) 883-5900. EnergyPro 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 8 HVAC System Heating and Cooling Loads Summary 12 Room Load Summary ' ,r- 13 s EnergyPro 3.1 By EnergySoft Job Number: User Number: 2655 -Certificate of Compliance: Residential .1. (Part 1 of 2) CF -1 R 2/9/2004 Date Building Permit # Insu-form, Inc. (760) 324-2046 Plan Check / Date Documentation Author Telephone Computer Performance 15 Field Check / Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION __�) Total Conditioned Floor Area: 549 ft2 Average Ceiling Height: 9.0 ft Total Conditioned Slab Area: ft Building Type: (check one or more) X❑ Single Family Detached © Addition ❑ Single Family Attached ❑ Existing Building ❑ Multi -Family ❑ Existing Plus Addition Front Orientation: (North) 0 deg Floor Construction Type: ® Slab Floor Number of Dwelling Units: 0.25 Number of Stories: 1 ❑ Raised Floor Const. Component Frame Assembly Location/Comments Type Type U -Value (attic, garage, typical, etc.) Slab On Grade n/a 0.756 Exposed Slab w/R-0.0 Perimeter Insulation R-19 Wall (W.19.2x6.16) Wood 0.065 Exterior Wall R-38 Roof (R.38.204.16) Wood 0.028 Exterior Roof FENESTRATION Shading Devices Type Orientation Area Fenestration Exterior Overhang Side Fins SF U -Factor SHGC Shading Yes / No Yes / No Right (West) 24.0 0.57 0.36 Bug Screen x❑ ❑ ❑ x❑ Left (East) 24.0 0.64 0.63 Bug Screen x❑ ❑ ❑ X❑ Left (Southeast) 80.0 0.62 0.44 Bug Screen X❑ ❑ ❑ X❑ Right (Northwest) 6.0 0.57 0.36 Bug Screen X❑ ❑ ❑ X❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Run Initiation Time: 02/09/04 23:32:44 Run Code: 1076398364 Ener Pro 3.1 By Ener Soft User Number: 2655 Job Number. Pa e:3 of 13 -Certificate of Compliance: Residential (Part 2 of 2) CF -1 R Wesley Residence 2/9/2004 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 C:Pntral FurnarP 80% AFUE Ducts in Attic 42 Setback Room Addition 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 Setback Room Addition WATER HEATING SYSTEMS Rated 1 Tank Energy Fact! 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 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. REMARKS GUMPLIANGE 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. 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) Documentation Author Name: A-0 WJ E.3 W, Name: Joan D. Hacker Title/Firm: -4- Title/Firm: Insu-form, Inc. Address: MA Address: 68-255 Corta Road �Z Cathedral City, CA 92234 Telephone: 7 a.c n2 Telephone: (760) 324-2046 Lic. #: B �ro�3� 'f W[0 (ot `(sig ture) (date) Enforcement Agency _Name: Title/Firm: Address: Telephone: IEnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page:4 of 13 1 Certificate of Compliance: Residential (Addendum) CF -1 R Wesley Residence 2/9/2004 Date Project Title 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 _ _ _ _�__..__•. _s •:. :.. ra ..:.... -A- raiarf n hnildinn nr desian that otherwise complies OnTOTGUMVI:I CIUVIIUp 4GL—I�I.I�ii •..v a...vy....v) ......� ���-...-_•-_--. - based on the adequacy of the special justification and documentation submitted. Plan Field HIGH MASS Design(see C -2R) - Verify Thermal Mass: 549 sqft Exposed Slab Floor, 3.50" thick at Room Addition HERS Required Verification -1-0 __.,.......4... Ok- of 9 CFC annrnved HERS I nese Teatures must oe GurTmmou a::u:v: .ca.c.... .......... _.._ ._._. _..__- _--- _-.--- -- provider. The HERS rater must document the feel verification and diagnostic testing of these measures on a form CF -6R. plan Field The HVAC System 'Room Addition" 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."Room Addition" 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. Run Initiation Time: 02109104 23:32:44 Run Code: 1076398364 EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page:S of 13 Mandatory Measures Checklist: Residential (Page 1 of 2) MF -1 R 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 N/A if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures a "§150(a): Minimum R-19 ceiling insulation. § 150(b): Loose fill insulation manufacturer's labeled R -Value. "§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). ❑ "§ 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent. §150(1): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no ❑ greater than 2.0 perm/inch. §118: Insulation specified or installed meets insulation quality standards. Indicate type and forth. ® §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit 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(8): 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. ❑ § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built 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 Measures § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. a§ 150(h): Heating and/or cooling loads calculated in accordance with ASH RAE, SMACNA or ACCA. a§ 150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ §1506): 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 intemal/extemal insulation. 4. All buried or exposed piping insulated in recirculating sections of hot 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 Mandatory Measures Checklist: Residential (Pa.ge 2 of 2) MF -1 R 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 N/A If not applicable. DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) M`§ 150(m): Ducts and Fans 1. Ali 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, UL181A, 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 shall not be used for conveying conditioned air. 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 drawbands. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and 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. Joints 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. 5. Gravity ventilation systems serving conditioned space have eitherautomatic or readily accessible, manually operated dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. 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. . ❑§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. 2. 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. ❑ §115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) ❑ §118 (f): Cool Roof material meet specified criteria Lighting Measures §150(k)1: Luminaires for general lighting'in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. ED§150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. 3.1 By EnergySoft User Number. 2655 Job Number. Page:7 of 13 Computer Method Summary (Part 1 of 3) C -2R M- -es Residence 2/9/2004 Project Ti le Date ��0.9 Shinaeco_ck�W a_Q u i nta Project Address Building Permit # 111s_u-form, InC_ (760) 324-2046 Documentation Author Telephone Plan Check/Date Compuier�etfo :;nrp 15 Field Check/Date Compliance Method (Package or Computer) Climate Zone Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 4.03 2.98 1.05 Space Cooling 49.11 50.13 -1:03 Domestic Hot Water 0.00 0.00 0.00 Totals 53.14 53.11 0.03 BUILDING COMPLIES GENERAL INFORMATION rX-] Slab Floor Conditioned Floor Area: 549 Floor Construction Type: ❑ Raised Floor Building Type: Single Fam Detached Building Front Orientation: (North) 0 deg Total Fenestration Area: 24.4% Number of Dwelling Units: 0.25 Total Conditioned Volume: 4,941 Number of Stories: 1 Slab Floor Area: 549 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area RO.OmAddition 549 4 941 —0..25_ Conditioned Sethack _2 —n/� Solar OPAQUE SURFACES Act. Gains Type Area U -Fac. Azm. Tilt Y / N Form 3 Reference Location / Comments Computer Method Summary (Part 2 of 3) C -2R Wesley Residence 2/9/2004' Project Title Date FENESTRATION SURFACES U- Act. Glazing Type Location/ # Type Area Factor SHGC Azm. Tilt Comments -I- Window -Right (West) 8 0_ 0.570_ 0.36 AZO_ _9D. Better Built Wjndows Boom Addition 2 Window Left (East) 24.0. 0.640 0.63 90 90 Better Built Windows Room Addition 3 Window Left (Southeast) 80.0 0.620 0.44 135 90 Better Built Windows Room Addition 4 Window Right (West) 4.0 0.570 0.36 270 90 Better Built Windows Room Addition 5 Window Right (West)_ 12.0 0.570 0.36 270 90 Better Built Windows Room Addition 6 Window Right (Northwest) 6.0 0.570 0.36 . 315 90 Better Built Windows Room Addition INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. REA Dist. Len. Hgt. Dist. Len. Hgt. 1 Bug Screen 0.76 4.0 2.0 2.0 0.1 2.0 2.0 2 Bug Screen 0.76 8.0 3.0 2.0 0.1 2.0 2.0 3 Bug Screen 0.76 8.0 10.0 2.0 0.1 2.0 2.0 4 Bug Screen 0.76 2.0 2.0 2.0 0.1 2.0 2.0 5 Bug Screen 0.76 2.0 3.0 2.0 0.1 2.0 2.0 6 Bug Screen 0.76 2.0 3.0 2.0 0. 20 2 0 EnergvPro 3.1 By EnergvSoft User Number: 2655 Job Number: Page:9 of 13 Computer Method Summary (Part 3 of 3) C -2R Wesley Residence 2/9/2004 Project Title I Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (sf) (in.) Cap. Cond. Form 3 Reference R -Val. Comments Concrete, Heavyweight _549 _3_5Il --28. -0-% n/a 0 RODm Addition / SIa6 on Grade PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments $lab Perimeter 22 0.76 0.0 0 Room Addition 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 central Furnace 80% AFUE Ducts in Attic 4.2 Setback Room Addition Hydronic Piping Pipe Pipe Insul. 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 Conditioner 12.O SEER Ducts in Attic 4.2 Setback Room Addition 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. 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, list Rated Input, and Recovery Efficiency. REMARKS _ a • r Computer Method Summary ;(Addendum) } C -2R Wesley Residence 2/9/2004 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 adeauacv of the iustification. and may reiect a building or design that otherwise complies N based on the adequacy of the special justification and documentation submitted. Plan Field HIGH MASS Design(see C -2R) - Verify Thermal Mass: 549 sgft Exposed Slab Floor, 3.50" thick at Room Addition W � , HERS Required Verification E' 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 form CF -6R. I Plan I Field The HVAC System "Room Addition" 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 "Room Addition" is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage t performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -6R Form. a i A. ' ` r y , 1 Run Initiation Time: 02109104 23:32:44 Run Code: 1076398364 EnergvPro 3.1 By EnergySoft User Number. 2655 Job Number: Page: 11 of 13 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Wesley Residence 2/9/2004 SYSTEM NAME FLOOR AREA Room Addition 549 Number of Systems 1 Heating System Output per System 37,000 Total Output (Btuh) 37,000 Output (Btuh/sgft) 67.4 Cooling System Output per System 29,000 Total Output (Btuh) 29,000 Total Output (Tons) 2.4 Total Output (Btuh/sqft) 52.8 Total Output (sgftrron) 227.2 Air System CFM per System 1,215 Airflow (cfm) 1,215 Airflow (cfm/sqft) 2.21 Airflow (cfmfTon) 502.8 Outside Air (%) 0.0 Outside Air (cfm/sgft) 0.00 Note: values above given at ARI conditions (EATING SYSTEM PSYCHROMETRICS 26.0 OF 69.5 OF 69.5 of Outside Air ,@ 0 cfm 69.5 of Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM I Sensible Latent I CFM I Sensible 1,208 14,403 1,200 442 12,974 0 720 649 0 0 0 0 0 0 0 0 0 720 649 15844 1,200 14,271 BDP CO. 563AN030-A 15,922 11,633 37,000 Total Adjusted System Output 15,922 11,633 37,000 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am Supply Fan Heating Coil 1215 cfm 98.10F �% Return Air Ducts 11 Supply Air Ducts 97.6 of ROOMS 70.0 of I DOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 111.9 / 77.6 of 78.6 / 69.1 of 78.6169.1 of 66.2 / 65.0 of Supply Air Ducts Outside Air O 0 cfm Supply Fan Cooling Coil 66.8 / 65.2 of 1215 cfm 63.7% R.H. ROOMS 78.6/69.10F 78.0/68.9OF h Return Air Ducts `S I EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page: 12 of 13 1 ROOM LOAD SUMMARY PROJECT NAME Wesley Residence DATE 2/9/2004 SYSTEM NAME Room Addition FLOOR AREA 549 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME ROOM NAME Mult. CFM SENSIBLE LATENT CFM SENSIBLE LATENT CFM SENSIBLE Room Addition Room Addition 1 1,208 14,403 1,200 1,208 14,403 1,200 442 12,974 PAGE TOTAL 1 1,208 14,403 1;200 442 12,974 TOTAL 1 1,208 14,403 F 1,200 442 12,974 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page: 13 of 13