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0105-246 (SFD)LICENSED CONTRACTOR DECLARATION `_Thereby 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 '1P4a �0:� P 1 Hilt:{ t{2.t 'Date Signature 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: ,t ( ) 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). V) I, as owner of the property, am exclusively contracting with licensed /contractors to construct the project (Sec. 7044, Business & Professionals Code)., r rl ( ) I am exempt under Section B&P.C. for This reason re Date Mg.a ,., 6 .1 Signature of Owner ,p;Mfi�, ✓'� W "It . f r 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: - Carri& Policy No. KrAM1"'T (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 maner so as to become subject to the Workers' compensation laws of California, and agre;6_ thp�if I should become subject to the workers' compensation pro�isic•ns'of io 3700 of the Labor , Code, I shall forthwith comply with those Provisions. Date, -�! Applicant_` 3� /Warnin_FaJure to secure Worke.rs'rCompensation 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, interesttand attorney's fees. IMPORTANT Application is hereby made to the Director of for a permit subject to the conditions and restrictionsJMr1h on application. 1. Each person upon whose behalf this application is mad c person at whose request and for whose benefit work is performed un or ursuant to any permit issued as a result of this applicaton agrees to, hall, indeMAV & hold harmless the City of. La-Quinta;. its officers, agent and , ployees. 2. Any permit issued as a result of this application becom s null nd void if work is not commenced within 180 days from date of i suance o � OF permit, or cessation of work for 180 days will subject per •t to cancellatiOnINAN I certify that I have read this application and state that the above Information Is correct. I 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 jrispection purposes. Signature (Owner/Agent)'"� ^ �"' Date BUILDING -PERMIT PERMIT# DATE VALUATION LOT �41� TRACT $41118=31110 21 29147-1 JOB SITE r APN ADDRESS OWNER 14 CONTRACTOR / DESIGNER / ENGINEER -OM1 03"+1u PAR:O#. RS LW KAM',ii:M CO'rT9TRUM OAT;iNC 5;31,3 6). 307JIM ct @� BTUA 9 PiD LAOX 3" T.x'�+ 1.1A1rt°l�, .. CA. 92,253LAQLYAa`3°.�1. CA 5%22:43 ('16O) 4832 f.'BLH 3231 USE OF PERMIT SPD • PEP -MIT DOES Nt' r Iit1CL,UDE BLOCK WAIJA P'OOJ, OR d3k'tVY.WAY APPROACH CUSTOM CONSTRUCTION 4,IYA2,00 OF PORCH/PATIO 69100 S' • -- 0ARAGEFCARPORT (Sid Is,845.60 4 osr 0111 CONS, RUCTION 408,M3.00 eESTRIA11M C0No;13'13UC` ION FU 101-000-4,19-000 5021100 PLAN CHECK MapTi 01.00CI-439-319 01,X7.70 M=k3ANa<rCAI,FEE 101-000-421-000 "SOIJ00 F'UCTfUCAL W. 101 -OW-42.0000 $23,90 'L Ftelsl>� FEV 101-000-419--000 $241.2$ 1;TROtaOMOTION PU- MWD 101-000-241 Gt'4ACiR01;o'er . , 1433=f1Ga 12 C10 O.Oti Dwacipm IMPACT 111PL $490,700 AM N PUBLIC PLACN. - KE,$U 701-000-255-000 $321,311 z E92001 c► r. Ccs RUMIOu.AaM XLW IM11M, M PRE -PPM PM 1190.00 A DUINTA ` UTAL F1+, �. QT`3'0=6 DIM 24 OW 16,12ZM E DEPT RECEIPT DATEBY DATE FINALED INSPECTOR 11 INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS I MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation 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 POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: 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 Utility Notice (Perm) 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 Date Signature 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 herby 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 Policy No. bYJ4;iri%N6"� i. (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 I orkers' compensation laws of California, and agree that if I should become Subject to the workers' compensation provisions of Section 3700 of the Labor Code,.1 shall forthwith comply with those provisions. Date: Applicant 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. I 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. Signature (Owner%Agent) Date 'M PERMIT# p� .6/,t. BUILDING PERMITF ~ DATE VALUATION LOT * 'TRACT � 10, r- JOB SITE ADDRESS yJ��ywQ @D •-iX.Y.. , s (1t PAY- .Y1 ''I r 1 rAP 761 -KM-01 OWNER - CONTRACTOR/DESIGNER/EN INEER- OW.J.W;NPYPARI�tdMW11,C, X&FUJF'i:1. AC 011FRTRIPM7014INC 55.161 NOU'.ITIMM IMAZ 110 BOX W LAQ:07N'" A CA 922413 ].,A,.Q'f INT'A CA 922S3 (760)564.483.2 , Csvi 3237 USE OF PERMIT .SEATS - PE� , AUT DOES INO T' INCLUDE BLDCK WllaT,i.Sy, POO OR DRIV'EW.t i AT'pP�, ACTS. CUSTOM f: aNSTRUC1014 4,922,00 33Fr PORC±lT/iG'AT'TO 692.00 STS C1.;<l.11AO&CA1t3'ORT OSTM 15399160 E9X&4A3,7D COST OF C01gMZ TC'n0.K 40811123.00 PERNUT B%2? SUMMARY WHISTT3 UC` MA SSPE 101 "'100.41 B-000 $.11MI.00 PLAN r;.HI+ ,,K Ifft 101.000-439-318 $T; n?o M WHMI C°ML FEE 101.000.421-000 MIR 1,1.EC.`°fRIVAL AX 101-000420-000 $145.99 T'LRaMBIWO Fad 101.00.0-419-000 $201.21 . STRONG 14.0! ION FEE - RESTD 1101AM-241-000 OR.,n,UTAK1 FFF. 101.000.422.000 W.00 DEVIU,t`PI?'OP. IMPACT IFEE" SRT WPUDIAC PLAC real - RESIr 701.000.255.000 MYB-'MTAL CC?R8TRIXa`a'AT0H AND PLAN rMMWK LEN PRE -?AM FErZ $0.00 WTAL I? '1` 1W.16 DUE now so,126,60 RECEIPT DATE BY DATE FINALED INSPECTOR. m rem NZ10161 OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms &Footings _ Slab Grade ��/�� /L ��/ 1' pJ Ducts Return Air Steel Combustion Air Roof Deck _ _ /fJJ�f Exhaust Fans 0. K. to Wrap `Qr F.A.U. Framing /` i Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath _ �/� 0 Drry�yw��..alllpl - Int. LathETI _ 7 2i 6J l?, 6l-2 - d / QIL Final _ Final POOLS - SPAS BLOCKWALL APPROVALS 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 � Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection /Z�� Encapsulation Gas Piping Gas Test _ Appliances Final COMMENTS.- OMMENTS: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 Utility Notice (Perm) Coachella Valley Un'"' I School District P.O. Box 847, Thex ,real, CA 92274 (760) 399-5137, Ext. 235 This Box For Distnct Use Only DEVELOPER FEES PAID ARE& AMOurrr: RCPT CK r. CAsfi D UIS: DAM CERTIFICATE OF COMPLIANCE (California Education Code 1.7620) Project Name: Date: May 25, 2001 Owner's Name: M §kopf Partners, LLC Phone No. 771-1761 Project Address: 55-161 Southern Hills, I a Qui nta a .CA 9995 (PGA WPctc Project Description: Si nil p Family Dwpl l i n9 APN: Tract #: Lot #'s: Type of Developme Residential XX ommercial Industrial o quare eet of Building Area: 4,922 Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and ftirther represents that he/she is authorized to sign on behalf die owner/developer. Dated: v ( Signature: *rrrrrrrrr*rrrrrrrrrrrrrrrrrrrrrrrrrrw,err►wwitwif*rtww,►*i*rir*rw*rrw*r SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE OJECT HAVE BEEN OR WELL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project 17620 65995 Approval Number of Sq.FL 4,922 Amount per Sq.Ft. S 3.34 Amount Collected $ 16.439.48 Building Permit Application. Completed: Yes/No Agreement Existing Not Subject to Fee Prior to 1/1/87 Requirement Note: By: Foch "Tut" Pensis Assistant S gerintendent Administrative Services Administrator in Charge Certificate issued by: Marcel a Valdez Signature: 1— Facilities Clerk NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly BW 3081, effective January 1, 1997, requires that this District provide (1)La writteb notice to the project appellan4 at the time of payment of school fees, mitigation payment or other erections ("Fees"), of the 904ay period to protartheelmposition 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 thereo4 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 fortb. 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. Rev. 09/27/99 '02/26/1994 23:45 7146321314 -HOAK & SHAH ASSOC. PAGE 01 ' 'HOAK & ,SHAH ASSOCIATES,. Inc. n CONSULTING ENGINEERS 3920,E. Coronado Street, Suite 203, Anaheim,, CA. 92807 Phone:. (714) 632-1865 Fax: (714) 632-1314 . FsMay 31, 2001 City of La Quinta.' Building and Safety Departrrient -• Project Address: The Summit at PGA West 81-095 Sbinnecock Hills (Lot 21) ' La Quints, Ca. Subject: Truss Layout and Calculations: E - Dear Plan Examiner: Our office reviewed the Roof Truss Layout and Calculation prepared by "Spates Fabricaiors,'; and theJayout and calculations are in substantial compliance with structural design. Y l ' Do not hesitate to call our office;",for questions regarding this. Thank You, Q�OFESgb HOAK & SHAH ASSOCIATES, Inc, � No. C 056112 Satish Shah P.E. _ EMLfb 1 CIVIL OP � . Post -110 Fax Note 7871 Date 5 31 D I pa 01 )' To. J yyl JQ' From l�'/4 r 1$ FI s 1401 Co�Drpt. • Co. i Phone! Phone r Fax r 760) 171- S O ^ • Fax M t CAV.,Y SMA 54b -502-4* F:U0TS\L0T-2ATRUSS-11TR Certificate of Occupancy City of La Quinta Building and. Safety Department Of This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS,: 81-095 SHINNECOCK HILLS Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0105-246 Occupancy Group: R=3 Type of Construction: VN Land Use Zone: RL Owner of Building: WEISKOPF PARTNERS, LLC Address: 55-161 SOUTHERN HILLS City: LA QUINTA, CA., 92253 By: BILL GORDON Date: 3/11/02 Building Official POST IN A CONSPICUOUS PLACE Elm I -t 05/23/01 05:48 09493482409 FOUND ENERGY 10 003 Certificate of Compliance: Residential (Part 1 of 2) CF -IR The Summit at PGA West - Lot 21 / Plan 3 05/23/2001 Project Tine Date La Quinta. CA Project Address Building Permit # Foundation Energy (949) 348-2414 plan Check f Date , Documentation Author Telephone I Computer Performance 15 1 Field Check / Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Labeled Fenestration Total Conditioned Floor Area: 4.922 ft2 Total Conditioned Slab Area: 4,9,2.2 ft2 Building Type: (check one or more) Single Family Detached (SFD) ❑ Addition Alone �❑ Single Family Attached (SFA) _❑ Existing Building U Multi -Family L✓ Existing Plus Addition Front Orientation: (North) 340 deq Floor Construction Type: Slab Floor Number of Dwelling Units: 1.00 Number of Stories: _ 1 f Raised Floor FENESTRATION Shading Devices (Type Orientation Area Labeled Fenestration Const. Exterior Component Frame Assembly Location/Comments Type _ Type U -Value (attic, garage, typical, etc.) R-19 Wall (W.19.2x6.16) Wood 0.065 Exterior Wag Solid Wood Door Wood 0.387 Exterior Door Slab On Grade n/a 0.756 Covered Slab w/R-0.0 Perimeter Insulation R-38 Roof (11.38.204.16) Wood 0.028 Exterior Roof - FENESTRATION Shading Devices (Type Orientation Area Labeled Fenestration Interior Exterior Overhang Side Fins I (SF) U -Value SHGC (roller blind, etc.) (shadescreen etc_) Yes / No Yes / No Rear (South) _ 451.5 0.62 __ 0.40 _, Drapery Bug Screen - X ❑ ❑ X❑ Rear (Souk_ 183.5 1.19 • 0.83Drapery _- Bun Screen EX I 1-1 E1111 aI Richt (West) 122.5. _ 1.19 _ 0.83 Drapery Bug Screen 7 f❑ ❑ LJ Right (West) 15.0 _0_72 0.73_ Drapery Bug Screen Xz ❑ ❑ X❑ Front (North) 0.72 _ 0.73 _ Drapery Bug Screen [X ❑ ❑ XQ i Front (North) 116.0 0.62 0.40 _ Drapery Bug Screen aj ! ❑ Ex] Front (North) 52.0 1.19 0.83 Drapery Bug Screen X� ( ❑ C Left (East) _72.5 1.19 0.83 _Drapery Bug Screen❑ X ❑ 51 Left (Southeast) 38.0 _ 0.55 0.65 _ Drapery Bug Screen T, ❑ ❑ .FRI Right (West) 32.0 0.62 0.40 Drapery Bug Screen 19) ❑ ❑ C Left (East) 38.0 0.55 0.65 Drapery Bug Screen X❑ ❑ ❑ EXI Left (East) _ 76.0 0.62 0.40 Drapery Bug Screen � ❑ ❑I ;K _ Run Initiation Time: 0623101 04:08:31 Run Code: 9906 6111 �EnemyPm 2.1 By E.nerayse User Number. 3412 _Job Number: MTZPGA21 Page:1 of 10 05/23/01 05:48 V9493482409 FOUND ENERGY 'Q004 Certificate of Compliance: Residential (Part 1 of 2) CF -111 The Summit at PGA West - Lot 21 ! Plan 3 Project Title La Quinta. CA Project Address - - Foundation Energy _949) 348-2414 Documentation Author Telephone Computer Performance 15 Compliance Method (Package or Computer) CI'unate Zone _ 05/23/2001 Date F — f - Building Permit # 1 Plan Check I Date -- Field Check I Date " Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 4.9.22 ft2 Labeled Fenestration Total Conditioned Slab Area: 4.922_ft2 Overhang Side Fins Building Type: U -Value SHGC (roller blind, etc.) Lshadescreen, etc.) (check one or more) Yes I No Skylight 16.0 17X Single Family Detached (SFD) r '` Addition Alone ' 7 I`j 0 Single Family Attached (SFA) ❑ Existing Building , Multi -Family ❑ Existing Plus Addition 1 ❑ Front Orientation: (North) 340 deg Floor Construction Type: • Slab Floor Number of Dwelling Units: 1.00 ❑ Number of Stories: 1 i Raised Floor BUILDING SHELL INSULATION _ Const. Component Frame Assembly Type — _ Type U -Value FENESTRATION Location/Comments attic, garage, typical, e Shading Devices Type Orientation Area Labeled Fenestration Interior Exterior Overhang Side Fins (SF) U -Value SHGC (roller blind, etc.) Lshadescreen, etc.) Yes / No Yes I No Skylight 16.0 0.94 0.60 !_ None None 7 I`j ❑ ;� - - 0i f r, 1 ❑ — -.- _ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ -❑ ❑ ❑ F -- -- - ---- ❑ ❑. El_ EJ El❑ ❑ ❑ ❑ i ❑ ❑ F i -------- _ _ __ — ❑ ❑ ❑ Run Initiation Time: 05123101 04:08:3199081 .—R4ln C�.a 6111�.. EnergyPro 21 By ErwgySoft User Number: 3412 Job Number: MTZPGA21 Page:2 of 10 __J 05/23/01 05:48 $9493482409 FOUND ENERGY 0005 Certificate of Compliance: Residential (Part 2 of 2) CF -1 R. The Summit at PGA West - Lot 21 / Pian 3 05/23/2001 Project Title oar - e HVAC SYSTEMS Note: Input Hydroale or Combined Hydmigc dare under Water Heating Systems. except 0-10 Heating Load. Heatingg Equipment _ Minimum Distribution . Type and Duct or Type (furnace, heat Efficiency pump, etc.) cy Location _ (AFUE/HSPF)(ducts, attic, etc.) Pipin� Thermostat Location / R-Vaue Type Comments Caul Franc» 800% AFUE Duet_a in Attic 42 Setback LIVING HVAC Central_Eumace 80°h AFUe 11u= in Attic 42 Setback _ SLEEPING HVAC, Cooling Equipment Minimum Duct Type (air conditioner, EfficiencyLocation heat pump, evap. cooling) (SEER) (attic, etc.) Duct Themiostat Location / R -Value . Type Comments • 9pIitAir Conditioner _A 2.0 SEER Dticts _ 42 Setback LIVING HVAC Spl'¢ Air C0Lpner 2-Q_ S FR Ducts in Attic 42 Seth k —a&_— $L FFpINC+ HVAC WATER HEATING SYSTEMS 1 Rated 1 TankEnergy Water Heater Water Heater Distribution # in Facts Input Cap. or Recovery Standby External Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value FPCR-50- ; Gas Recir��me+Temo 1_ 46 000 __� 0.65_ n/a nla L1SMITH SMRH FPCR-50- Small Gas StandardZJ4 _ t _ 46.000 50 _ 0.65_ Na Na 1 For small gas storage (rated inputs of less than or equal to 75,000 Bkdhr), electric resistance and heat pump water heatam. fist energy factor. For large gas storage water heaters (rated viput of greater than 75.000 Bhft), fist Rated Input, Recovery Effici6roy and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. REMARKS COMPLIANCE STATEMENT This certificate of compliance fists the building features and performance specifications needed to comply with Titre 24, Pacts 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. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business a Professions Code) Documentation Author, Name: _alwd Name: aenito Ramirez Title/Fimt: Southern Hills Development Inc. Title/Firm: Foundation Enerav _ Address: 55161 Southern Hills _ Address. 27660 Marguerite Pkwy. Suite 124 La Quints CA 92253 _ Mission Viejo, CA 92692 Telephone: 760-771-176 Telephone:9i 4g) 348-2414 Lic. #: (9n) (date) (signature) date) � Enfore nt Agency . . Address: _ Telephone: 21 BY EMY� _ User Number. 3412 Job Number. MTZPGA21 Page:3 of 10 05/23/01 05:48 e9493482409 FOUND'ENERGY 0 006 Certificate of Compliance: Residential (Addendum) CF -IR irr- I rr�+w ■-I11 I�r � I � ■ • /I1� I i rurrl II � Ilrrr eiu r� �.-�� ■ r- � �� The Summit at PGA West - Lot 21 / Plan 3 05/23/2001 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified to this checklist These items require special written justification and documentation, and special verification to be used with the performance approach. The local • - entorcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies WSW on the adequacy of the special jusbfecahwm and documermanon summated. Plan, Field The HVAC System "LIVING HVAC" must meet all CEC Criteria for a Zonally _Controlled system serving only Living Areas. The HVAC System "SLEEPING HVAC'• must meet all CEC Criteria for a Zonally Controlled system serving only Sleeping Areas. ' - f HERS Required Verification These features must be confirmed andfor tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the verWicab and diagnostic testing of these measures on a form CF-GIL •x ' Plan Field _ I - I 21 By EnergySoft User Number. 3412 Job Number: MTZPGA21 PVe:4 of 1C 05/23/01 05:48 $9493482409 FOUND ENERGY Q007 Mandatofy, Measures Checklist: -Residential MF -'I 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 sbingent compliance requirements Med on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component specifications. DESCRIPTION Instructions: Check or initial applicable boxes or. enter NIA if not applicable. DESIGNER ENFORCEM Building. Envelope Measures X1160(.): Minimum R-19 ceTug insulation in wood frame assembly, or equivalent U -value. , § 150(b): L. fill insulation rrtarhufaehaeals labeled R -.h.. §150(c): Minimum R-13 wall insulation in framed waft or epulvalent U -value (does not apply to exterior mass waft). X '§ 150(d): Minimum R-13 raised floor inwlation in wood trained floors; I T 4 I wi): Slab edge ittsulatiori - water absorption tate < 0.3%. water vapor transmission rate < 2.0 perrnfetch. FkJ 5118: Insulation specified or installed meets quality standards. Indrata type and form. X §116-17: Fenestration Products. Exterior Doors and Infittrat�/Eftlation Controls 1. Doors and windows betveeen conditioned and unconditioned spaces designed to thrid air leakage. 2. Manufactured fenestration products labeled with oertified U -value, SHGC. mai infiltration eenifiaition. 3. Exaehor.doors and windows weathersbipped; all joints and penetrations caulked and sealed. h §150(g): Vapor barriers mandatory in Cfirriate Zymes 14 and 16 only. § 150(f): Special infiltration barrier installed to oo nPlY with Section 151 meeta Commission quality standards. -� § 150(e): installation of Fireplaces, Decorative Gas Appliances and tis Logs. 1. Masonry and factory -bud fireplaces have closable doors, outside air intake with damper and control, and flue damper and control; 2 No continuous burning gas pilots allowed. 1�_-- i Space Conditioning, Water Heating and Plumbing System Measures X §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commessimr. X §150(h): Healing and/or tooting Loads calculated in accordance with ASHRAE. SMACNA or ACOA. X § 150(i): Setback thermostat on all applicable heating and/or ung systrrns. IC §150(j): Pipe and Tank Insulation h ' 1. Storage gas water heaters with less than 0.58 anergy factor shall be externally wrapped with R-12 2. Back-up tanks for solar system, unfired storage tanks, or other indirect tot water tanks have R-12 external insulation or R-16 combined internallexfernal insulation, piping between haat source and tank insulated. 3.Insulation an the fast Sof pipes closest to water heater tank, ron.recir oulatng systems (R-4 or greater), burred or exposed piping in recirculating sections of hot water systems. coofing system piping below 55 deg F. j X *6150(m): Ducts and Fans 1 1. AN ducts and plenums constructed, installed, insulata0. fastened, and sealed to comply with the ICB01997 UMC settlors 601603; dui insulated to a minimum installed R-4.2 or ducts enclosed entirely within conditioned spate_ Openings shall be I sealed with mastic, tape aerosol sealant or other duct closure system that meats the appficable requirements of ULt 81. UL181 S. or UL1 Bi B and other applicable specified test for long %icy given in 150(m). , li 2 Exhaust fans systems have back draft at automatic dampers. 3. Gravity ventilating systems servng conditioned space have either automatic or readily accessible, manually operetsd dampers. §114: Pool and Spa Heating Systams and Equipment 1. Certified with 78% thermal efficiency. on-off switch, weattterpmof instnsci ons, no plot or electric resistance heating. 2. System is installed with at least 36- of pipe between fitter and heater, cover for outdoor pools or spas_ 3. Pool system has directional intab and a circulation pump time switch. i § 115: Central Furnaces, pool heaters: spa Treaters or household cookirsg appliances have no. int plot fight. I e Lighting Measures IIS X § 150(k)l: Lumina res for general lighting in kitchens shall hove lamps with an efficacy 40 lumenahorn or greater for general 1 j_ lighting lin kitchens. This general fighting shag be controlled by a switch on a readily accessible fighting conte pane! et an entrance to the kitchen. X 150(k)2: Rooms with a shower or bathtub must eitherhays at least one tuminsire with Tamps with an ef(cary of 401umenshnratt i or greater switched at Vie entrance to the room or one of the attemative to this requirement allowed in 150(k)'2.; and recessed ceiling are IC (insulation cover) approved. EnergyPro 2.1 By EnergySoft User Number. 3412 Job Number: MTZPGA21 o—s..s in 7 05/23/01 05:48 V9493482409 FOUND ENERGY Z008 Computer Method Summary (Part 1 of 3) C -2R She Summit at PGA west - I of 21 / Plane_- 05/23/2001 Project Trite `—_ Date -La_QLinta, CA I -- _ Project Address _ { Building Permit # Fo11ndation FnergvPI _ _ (949) 348-2414 I j Documentation Author Telephone SS Computer Performance Compliance Method (Package or Computer) 15 Field Check/Date Climate Lone Source Energy Use Standard Proposed Compliance (kBtWsf-yr) Desio-n Design Margin - Space Heating 3.68 4.90 -1.23 Space Cooling 36.96 34.84 2.13 Domestic Hot Water 5.79 5.69 0.09 Totals 46.43 45.44 _ _ 0.99 Conditioned Floor Area: 4,922 Floor Construction Type: [X] Slab Floor Building Type: Single Fam Detached �J Raised Floor Building Front Orientation: (North) 340 deg Number of Dwelling Units: 1.00 Total Conditioned Volume: 57,247 Number of Stories: 1 Slab Floor Area: 4,922 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type I Type _HgL Area 1 MNr. HVAC_ _ 1077 _ 2a627 � 1 wing 1 wing$ t1�_ nJA -SLEEPING HVAC _ 2 650 _?$ R2D 0.54 Sleeping _ Steeori mast n/a OPAQUE SURFACES Solar Act. Gains Type Area U -Val. Azm. Tilt Y / N Wag 183 _ 0.065 _160 90 wan --= aW5 340 _90 flnnr 48 0.382 X40 --0 MR —348 0-065 _70 —SQ Roof _2.2Z2 x.428_ —340 72 Wall 3L 0.065 115 go Wall 103 _-.QQK 160 �90 wall --l= 0.065 _ 250 go ,Wales_ 302 0 W5 —3-44 _90 Ro..of ---Z.WA 0.028 340 `22_ Form 3 Reference R-19 Wall (10192x6.16) RASWaN (W-19 1W R-19 WaH 19 2+16) Sofid Wood Door R-19 WaH (W 19 2x6.16 _ R -3R Rnof (R 38 2v1 a 16) R-19 Wall (W.19.M 16) R-19 VV It ON 192x6 1 r2) _ R-19 WaH (VV _192n6.1R.) R-19 Wa0 (5�9-27di_161 R-19 WaH(16[ 19.ac616j _ R -38R Roof (R -3A 204.16) Location / Comments 1 dnsiZone II nri47pne _ 1 wing 7nna _ Living Zone tu®8 Zone _- f.i+ring Zone Sleeping Zone Slee -ping Zone Sleepiinn 7nne _ Steeping 7nne SleepingZoZone .Steppin8 Zone I EnergyPro 2.1 By EnergySoR User Plumber. 3412 Job Number. MTZPGA21 Paoe:6 of 10 05/23/01 05:48 $9493482409 FOUND ENERGY z 009 Computer Method Summary (Part 2 of 3) C -2R The Summit at PGA West - Lot 21 / Plan 3 05/23/2001 Project Trtie _ Date - FENESTRATION SURFACES U -Value Act. Glazing Type Location/ # Type Area SHGC Am. Tift Comments i_ Window Rear (Rin _12,5-0_620 0.40 160 r oW E % grad . . n 7- 2 Window Rear (South) 80.0 0.620 0.40 160 _90 90 Low E Sauared Li Ma Zane 3 Window Rear(South, _80.0 0.620 0"49 160 _o Low E Sq red Jbbn Zone 4 Window Rear (South) 46.0 _1.190 -0.83 160 90 Sin a Mtl Uncoated Defautt Jorma Zane 3 Window Rear (South) 26.5 1.190 0.83 _-6Q 90 Single Mtl Uncoated Defaultna Zone 6 Window Rear Doth) _ 36.0 1.190 Q@3 160 __ 90 Sftle Mt! Uncoated Defauft tom- L yl (South) _ 46 Q 0,620 _ 0.40 160 - 9 Im B Sgtmred 8 Window Rear _S( outh) 56.0 0.620 _ 0.40 160 90 Low E Squared J,Mna Zone 2 Window Rear (South) 32"0 _QMk _a4Q 160 9Q L&w E Squared &nn 7nnP -IQ 1(Nindow Rear (6pydb) 19.0 0.620 - 0.46 160 _ 90 Low E Smmmd l a,n.n 7nno 11 Window Rear (South) 46_0 0.620 0.40 160 90 Low E Squared �i w am 12 Window Right (West) 36.0 1.190 _ 0.83 ZSO 14 Single Mtl Uncoated Default r;vinn .+. 1a Window Right„(gym 15.0 --0720L 0.73 ---2$.Q_ 90 Double Mtl Unmated Default 14 Window Right (West) 36.0 1.190 0.83 250 9 Single Mtl Uncoated Default Lnenn 7nnP 15 Window Front (North) 12.0 0.720 0.73 340 90 Double Mtl Uncoated Default 1 &gZane 16 Window Front RMNorth 80.0 0.620 0.40 34Q,_ _ 90 Low E SgUaned 1=n 7nne 1Z _Window Front (North) 52.0 1.190 0.83 340 90 Sin (e Mtl Uncoated Derauft Loring Zone t$ Window Left East 46.0 1.190 0.83 _ 70 _ 90 Stele Mtl Uncoated Defauft LWna Zone ]Q Window Left (F. � _t.1S9 0.83 90 Sinle Mtl Uncoated. Default 1 hrinn 7- 20 Window Left (Southeast) 38.0 0.550 0-65 115 90 Double NonMt! Clear Default Sleeoha Zone 21 Window Rear (South) 80.0 0.620 0.40 _ 160 90 Low E Squared Sleealnu Zone 2Z Window Rear _(South) 75.0 1"l -9Q 0.83 160 _ Single Mtl Ungpyfed Default JbMin.7nnn 23 Window Right (West) 50.5 1.190 0.83 250 90 Single Mtl Uncoated Default Sleeping Zone 24 Window Right (West) 12.0 0.620 _ 0.40 250 Law E Squared Slaensra Zone 2S Window Right 0±91 12.0 0.620 0.40 250 -900 90 Low E Squared Sleepem Zone 26 Wmdow Right (West) 8.0 0.620 _ 0.40_40 250 90 Low E Squared SIRanInne 27 Window Front (North) 18.0 _ 0.720 0.73 3 90 Double Md Uncoated Defautt 5fee 'ping one 28 Window Front North 36.0 0.620 _ O j 340 90 Low E Squared Sleeping Zoite 2s Window Left(Eastt 38.0 0.550 0"65 70 90 Double NonMtl Clear Default SleeDha Zone INTERIOR AND EXTERIOR SHADING # Interior Shade Type YP SHGC Exterior Shade T Window. Overhang Left SHGC Hgt d en. _ Fin Riaht Fin 1 t 1 Draper 0.68 Bug Screen 0.76 2.5 5.0 14.5 1. 14.5 14.5 2 Drapery 0.68 Bug Sdreen 0.76 10.0 8.0 12.0 1.0 12.0 12.0 3 Drapery 0.68 Bug Screen 0.76 10_0 8.0 14.5 1.5 14.5 14.5 4 Drapery 0.68 Bou Screen 0.76 81� A2 -Q 1 "0 1 Drapery 0.66 Bug Screen JaQ - _ 0.76 76 . 3 5 8.0 10 8"0 8.0 i 6� Drapery 0.66 Bug Screen _ 0.76 7.6 " tq 8.0 Q - 7 Ore��L _ 0.68 Bug Screen 0.76 _g_4 9.1 5.0 12.0 1.0 12.0 12.0_- T Drapery 0.68 Bug Screen 0.76 7.6 7.4 8.0 1.0 8.0 8.0 9 Draper 0.68 Bug Screen 0.76 7.6 4.22 8.0 1.0 8.0 8.0 10 Drapery 0.68 Bug Screen _ 0.76 _ 2.5 7.4 14.5 1"5 14.5 14"5 y 11 Drama ery 0.68 Bug Sween 0.76 9.1 5.0 14._5 1.5 14.5 14.5 __ 12 Drapery 0.68 Bug Screen 0.76 7.6 4.8 7.0 25 7.0 7.0 13 Drapery 0.68 Bug Screen 0.76 5.0 3"0 2.5 2.5 2.5 2.5_- 14 Drapery 0.68Bug Screen 0.76 6.0 4_5 1.5 2.0 1.5 1.5 15 Drapery 0.688Scxeen 0.76 4.0 3.0 1.5 2.0 1.5 1.5 _ 16 Drapery 0.68 Bug Screen _ 0.76 8.0 10.0 6.5 2.0 6.5 6.5 17 Drapery 0.68 Bug Screen _ 0.76 _ 8.0 6.5 1.5_ 2A 1.5 1.5 _ 18 Drapery 0.68 Bug Screen 0.76 _ 9.1 5.0 1.5 1.0 1 .5 _ _ _ 19 Drapery 0.68 Bug Screen _ 0.76 _7.5 _ 7.6 2.5 7"0"0 25 7.0 7.0 _ _ '"- 20 Drapery _ 0.68 Bug Screen 0.76 _ 8.0 6.0 1-5 1.0 1 -f.-5 1.5 _ _ _ _ 21 Drapery 0.68 Bug Screen 0.76 _ 10.0 8.0 5.0 1.0 6.0 6.0_- _ 22 Drapery 0.68 Bug Screen 0"76 9.1 8.1 6.0 1.06"0 6.0 23 Drapery 0.68 Bug Screen 0.76_ 9.1 5.5 1.5 2.0 1.5 1.5 24 Drapery 0.68 Bug Screen 0.76 4.0 3.0 1.5 2.0 1.5 1.5 25 Draper , 0.68 Bug Screen 0.76 4.0 3.0 1.5 2.0 1.5 1 26 Drapery 0.68 Bun Screen 0.76 "5 4.0 2.0 1.5 2.0 1.5 1.5 27 Drapery _ 0.68 Bug Screen 0.76 4.5 4.0 1.0 1.0 1.0 1.0 28 Drapery _ 0.68 Bug Screen 0.76 6.0 6.0 2.0 1.0 2.0 2.0 29 Draper 0.68 Bug Screen -- - _0.76 8.0 &0 1-5 1.0 1.51.5 -- - 21 By FnprWSnff User Number" 3412 .lob Number. MTZPGA21 - __ Paoe:7 of 10 05/23/01 05:48 $`9493482409 FOUND ENERGY m Q010 The Summit at PGA West - Lot 21 / Plan 3 0.68 Bug Sween 0.76 05/23/2001 Project Title -- 0.68 Gua Screen 0.76 _ _ 6.0 2.0 1.5 2.0 1.5 1.5 32 Drapery piie _ 0.76 FENESTRATION SURFACES 33 None 1_00 None 1.QO _ _ U -Value Act. Glazing Type Location/ # Type Area SHG_C_ AZm, Tilt Comments Aft Window Left __4r -26V 4.0 _0620_ __0_¢Q _ 70 ___2ft 1 ow r- Stp,ared Steeping Zone — 31 Window Left (East) 12.0 0.620 0.40 _ 70 90 Low E Squared Steeping Zone 32 Window Left (Easta 60.0 _0 620 0.40 ___ 70 90 Low E Sgored Steeping Zone 33 Skylight Front (North, 16.0_ 0.940 080 340_ 22 Double Md Teded Default Sleeping Zone INTERIOR AND EXTERIOR SHADING # Interior Shade Type SHGC E) Wndow Overhang Left Fin Right Fin _ rapery 0.68 Bug Sween 0.76 2.0 20 1.5 2.. 1_5 1.5 31Drapery -- 0.68 Gua Screen 0.76 _ _ 6.0 2.0 1.5 2.0 1.5 1.5 32 Drapery 0.68 Bup Sween _ _ 0.76 5.0 120 1.5 2.0 1.5 1_5 33 None 1_00 None 1.QO _ _ Run Code: 99D61ts111 __ Run Iniliation Time 05/23nl1 04 08 �1 FnergyPro 2.1 gy F eMyRoH User Number. 3412 .bb Number. MTZPGA21Pe -8 of 10 VA 05/23/01 05:48 $9493482409 FOUND ENERGY- I Q011 Computer Method Summary (Part 3 of 3) C -2R The Summit at PGA West - Lot 21 / Plan 3 05/23/2001 Project Titte Date THERMAL MASS FOR HIGH MASS DESIGN and Location Area Thick. Heat Inside Location Thr a (sf) (in_) Cap. Cond. Form 3 Reference R -Val. Comments PERIMETER LOSSES Comments F2 Insulation 80-%LAFUE_ ,Type Length Factor R -Val. Depth Location / Comments __.42— Sgfack _ Slab perimeter 145 0_76 0.0 0 Living Zone Y _ Slab Perimeter 255 0_76 0.0 0 Sleepbg Zone Ducrs in Attic HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat EfFiciencyy and Location Duct Thermostat Location I pump, etc.) (AFLI=F)(ducts/attic, etc.) R -Value Type Comments Central Furnace _. 80-%LAFUE_ Ducts in Attic __.42— Sgfack LIVING HVAC Central Fumape_ 80%AFUE Ducrs in Attic 4.2 Setback SLEEPING HVAC Pipe Hydronic Piping pipe Insul. System Name Length Diameter Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location J heat pump, evap. cooling) (SEER) (attic, etc,) R-ValueType _Comments Split Air Conditioner Quos to Attic _ 4.2 _ _tback LIVING HVAC Split Air Conditioner 12.0 SEE Ducts in Attic 4.2 Setback SLEEPING HVAC 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 {°!o) Ext. A O SMITH . FPCR-50-234 Small Gas Rech me+Temn 1 46.000 5o 0.65 n/a__ n/a A O SMITH EEC -R& -U34 Small Gas Standard 1 _ 46;000 50 0.65 n/a n/a 1 For small gas storage (rated input c- 75000 Stu/hr), electric resistance and heat pump water heaters, fist energy tactor. For large gas storage water heaters (rated input > 75000 Shr/hr), fist Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency_ 05/23/01 -05:48 $`9493482409 FOUND ENERGY, 0 012 Computer Method Summar- (Addendum) C2 -R ■�I n 11■■■I iii Ir r��l I ■ I I 1 ■ ■ 1�- ��■��■ The Summit at PGA West - Lot 21 / Pian 3 _ 05/23/2001 " 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 rosea on me aaequacy or me specs■ tusuncaoon arra accumemauon suorr noes. _ i Plan Field The HVAC System 'LMNG HVAC" must meet all CEC Criteria for a Zonally Controlled system serving only Living Areas. _ The HVAC System 'SLEEPING HVAC" must meet a0 CEC Criteria for a ZonaAy Controlled system serving only Sleeping Areas. i HERS Required Verification , These features must be eoMnned and/or tested by a certified HERS rater under the supervision of a CEC approved HERS proviaer. r ne ntnu rarer must aocumem me nero venncauon ana magnosnc ttesung of these measures on a form CF-sm r Plan Field ' f i i - i b I _ _ l Run Initiation Time: 0512,110104:08:31 Run Code: 990618111 Er gyPro 21 By EnergyStM - User Number. 3412 - _ - Job Number. MTZPGA21—Page:10 of 10 v '