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06-2282 (AR)44 P.O.. BOX 1504 VOICE OCE (760) 777-7012. 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Application Number: 06-00002282 Owner: Date: 7/19/06 Property Address: 79350 SIERRA VISTA JON GAW APN: 604-440-035-35 -27519 - 79-350 SIERRA VISTA Application description: ADDITION - RESIDENTIAL LA ,QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Other struct info . . . . . C Application valuation: 10063 Contractor: Applicant: Architect or Engineer: Owner D DITION 20 00 1 1 2006 Lic. No.: E FOOTAGE NTA CITY OF LA QC., LICENSED CONTRACTOR'S DECLARATION 1 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 Prnfemsinnals Code. and my License is in full force and effect. License Class: - - - - - - - - - - License"No.: E FOOTAGE ' Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the . P ermit to fil a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License L (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by . - an a licant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within -one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve forthe purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law doe's not apply to an owner of 'property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ' (_ 1 I am exempt under Sec. , BAP.C. for this reqs n Date: -06 Own ' 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: ' LQPERMIT --------------- - - - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 yCd will maintain workers' compensation insurance, as required by Section 3700 of the Labor for the performance of the work for which this permit is issued. My workers' compensation nce carrier and policy number are: ' Carrier 1 . 00 Policy Number NO 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, d agree that, if I should become subject to the workers' compensation provisions of Section DatQn4 70L0 of the Laboorr'Co(:Irhall forthwit ply vyr{�t� those provisions. V wgpplicant: i 11 • - • (/IL/`% . WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES.AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' APPLICANT ACKNOWLEDGEMENT IMPORTANT. Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is'made, each person at whose request and for whose benefit work.is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and 'employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify th t I have read this application and state that the above information is correct. I agree to comply with all city and c unty rdinances and state laws relating to buildin constructio hereby authori representatives of is c my t enter upon the above-mentioned pro or ectio p ores. �C�ignature (Applicant or Agen c� Application Number 06=00002282 . Permit BUILDING.PERMIT Additional desc .. Permit Fee126.00. Plan Check Fee 81.90 Issue Date . . . . Valuation . . . . 10063 Expiration Date.. 1/15/07 Qty Unit Charge Per Extension BASE FEE 45.00- 9.00, 9.0000 THOU. BLDG 2,001-25,000 .81.00 Permit ELECT - ADD/ALT/REM Additional desc . Permit Fee . . 25.15 Plan Check Fee 6.29 Issue.Date Valuation 0 Expiration Date 1/15/07 Qty Unit Charge Per Extension BASE FEE. 15.00 290.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 10.15 Permit.. . . MECHANICAL Additional desc . Pormit Fee 24.00 Plan check Fee'. b.d0 Issue Date . . . . Valuation 0 Expiration Date .1/15/07 • Qty Unit Charge Per Extension BASE FEE 15.00 1.00. 9.0000 EA MECH APPL REP/ALT/ADD -------------------- 9.00 -----------------------------------------. Special Notes -and Comments CONVERT GARAGE TO LIVING SPACE 290 SQ. FT.July 19, 2006 3:50:15 PM JJOHNSON ----------------------------------------------- Other Fees ENERGY REVIEW FEE 8.19 STRONG MOTION (SMI) --RES 1.00 Fee summary _ Charged Paid Credited Due --------------------- Permit Fee Total 175.15 :'00 ---------- .00 175.15 - Plan Check Total 94.19„ .00 ..00 94.19 Other Fee Total'. 9:19- .00.. .00 9.19 Grand Total 278.53 .00 .00 278.53 LQPERAIIT - .. . 7tt .Bin # .6� City of La. Quinta . Building U Safety Division P•0: Box 1504, 78-495 Calle Tampico' La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #, 0&.;2282. Project Address: e rrA � sJ,4 Owner's Name: w A. P. Number. Address: -193 50, S i e !` Vi$ �A Legal Description:). Ctty, ST, Zip: k A A.1)Contractor: �N ¢d v i Id Qom, Address: —7 q,.3 5 0. S ;e r rA 5 JA 'Telephone: %bo 3 q 3-7q 8 8• � d Project Description: ' oN V e✓'t, City, ST, Zip: GA ,Ga✓'A l N lO oN i tGed o ) Telephone: State Lic. # : 1-1//J City Lie. #: IVB Arch., Engr., Designer: A .' b.p,,. Address: °, Ci ty, ST Zip Telephone: Lt ( - 2 � Vl) Construction Type: i�b�� S7✓!Ld Occupancy: State Lic. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: A b e,.% J b�� v� CA(( -Sq. Ft.: `�. �'� # Stories: # Units: 11/4 Telephone # of Contact Person: . Estimated Value of Project: APPLICANT:'DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets / Plan Check submitted Item Amount Structural Calcs. Reviewed, readfor corrections Plan Check Deposit Truss Calcs. Called Contact Person Z Plan Check Balance Energy Cslcs. Plans picked_ up Construction 9 Flood plain plan. Plans resubmitted 3 Mechanical Grading. plan 2"Review, ready for correctio /issue 7 C) Electrical Subcontactor.List Called Contact Person % umbing Grant Deed' Plans picked up ' H.O.A. Approval ' Plans resubmitted Grading INHOUSE:- 7n° Review, ready for correctisrssue Planning Approval Called Contact Person A.LP.P. . Pub. Wks. Appr Date of permit issue School Fees ' Total Permit Fees Date 7/24/06 No. 28717 Owner Jon Gaw Address 79350 Sierra Vista City La Quinta Zip 92253 Tract # Type Residential Addition CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 Lot # No. Street S.F. Unit 1 79350 Sierra Vista 290 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Addition Garage Conversion may' BERMUDA DUNES r Qn RANCHO MIRAGE d INDIAN WELLS 'ter C✓i. PALM DESERT LA OUINTA ..�y INDIO J APN # 604-440-035 Jurisdiction La Quinta Permit # Study Area No. of Units 1 Lot # No. Street S.F.. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions undber 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 290 S.F. or $0.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Exempt - Albert Johnson Check No. Name on the check Telephone 760.413.2840 Funding Exempt By Dr. Doris Wilson Superintendent A4�'. F�r Fee collected /exempte by S aro MCGi Recd K.0 -0 - Payment n '� E over/untder' Signatur "�r • �� NOTICE: Pursuant to Government Code Section 66020(d)(1), this will s notify you that the 90 -day approval period in which you may protest the fees r 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 authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy'- Applicant/Receipt Copy - Accounting fa 1W A RE -INSPECTION FEE OF $30 WILL BE -CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED, t4 R' C INSPECTION. _3 A- NO EXCEPTIONS! "AN ADEQUATELY SIZED DEBRIS CONTAINER REWIRED ON THE JOB SITE DURING ALL i2 PHAS STRUCTION AND MUST BE EMPTIED AS NECES MAY CAUSE THE CITY TO HAVE THE E TO DO so 22CO S F THE OW CONSTRUMOTqHOUM DUMPED AT THE EXPENSE O October lef - A _21,2n . C.'nIVTR WMD UU"bE1U1.;L1U11 i on the followi New Year's Dr. Martin President's Memorial D Indepenclon Labor Day Veteran's NOT rcnm"-F g Code Holidays Day Day OF - — - - Y: to 5:30 p.M !!On -Friday; 7:00 iLnL 8.-eo Day a -am tu a;UU P.M6 S Sunda None Government Code Holidays: 'None'. Luther 1Qng,?.,. Fly May 1st - September 30th Bxs�sf a3 Day c� 6� Monday - Friday: 6:00 am. to 7:00. p.m* Saturday: 8:00 a.m. to 5:00 p.m. ce Diy- Sunday: - None Government Code Holidays: None iY 9 Day 7 x 16 (�. Artite doae A*.S,*4,f W1 Li i i Christmas Day CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY P-LuAVO.-J. -0 6`3-.q> 3 - 2,$ Y i) sp rv, axs .1 A -Y—OF-I A OHINTA I Nates rr I w 0O 0 APCF 4 C41 Or a d- �06 UF. Sl 5-r �Vq X014, Al ti - v i. S i A New /W I pvdcL,,,3-6 szFcL. z � UAIvcw t4L,)m,;oe,,4 c o,v OLiclv,,f Ap'e 10M fd,AI' r—,4) - 4,1-:J V- Sllb 114A4 /illbiUVO v cul -A47 V� I SkA ble I UILDING&SAFMDEPt PPROVED. %:, COMSTRUCTION VilAO-4- gl,O# poor DATE Fns w� to e se T pAc Asci 71-0— qi3 2 9-'40 12 WAti w.J Ov BY AFCI ,7..m 1 MIN AT 7 0 -d eui1sQ -yZ6 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Project Title Date Project Address /35Z S;e✓r�� (r�,\i Q,, A -1 Documentation Author Telephone 1 r, -,t Zi G® E•Ca 1—Obit S Compliance Method (Prescriptive) Climate Zone age 1 of 5) CF -1R Building Permit # Alternative Component Package Method: (check one) C D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF 1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) ;Cl 0 ft' Average Ceiling Height: __ 9— ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA) ftz Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ----(20% X CFA) ftz ❑ Building Type: (check one or more) Single Family Multifamily ✓ Addition Alteration (If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories:_ 1 Number of Dwelling Units: s I L Floor Construction Type:_ Slab/Raised Floor (circle one or both) Front Orientation: I G North / outh East / West / All Orientations (input front orientation in degrees from True North and circle one). ✓ El RADIANT BARRIER (required in climate zones 2,4.8-15) OPAOUE"'SURFACES INCLUDING OPAQUE DOORS M r-% I �onentj ! (Wall;l FFamee Assembly U- 6> Floor, =TYpe Cavity Continuous factor (for wood, metal frame and Joint Appendix Roof Radiant Barrier Location Comments Edge. (Wood or `� Insulation Insulation ti mass IV Installed (attic, garage, ors 1Vletal R -Value R -Value assemblies)' Reference Yes or No ical etc. T—v a :Lr Y I )�'` 03L Mei cc: Jsu 1) Sge'Joint Anpendizc-LV ' . : ection IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms April 2005 4 L CERTIFICATE OF COMPLIANCE: RESIDENTIAL Proiect Title l9z i � A-77-77, , 2 of s) CF -1R Datel, 7 2.7 FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ 15 FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be included for New Construction, Additions and Alterations. Fenestration #/Type/Pos. (Front, Left, Rear, Right, Skylight) Orien- tation, N, S, E, Wt Exterior Shading/Overhangs6• 7 Area U -factor SHGC ✓ box if WS -3R is ft' U -factor' Source SHGC4 Source' included �rvn ii.., r — 15-7- lu F RG . l-1 G PJ FP_� ❑ Duct Location Duct Thermostat Configuration 13 SEER or EER attic, etc. R -Value Type 13 . _. 13 V' m t-1, ,, o� 4 0 - cQ c.. c + a vtr'c� 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when the pitch is less than 1:12. See § 151(f)3C and in Section 3.2.3 of the Residential Manual 2) Enter values in this column are either NFRC Rated value or from Standards default Table I I6A. 3) Indicate source either from NFRC or Table 116A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -311. 5) Indicate source either from NFRC or Table 116B. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7). See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment Type and -Capacity fumace, heatpump,, boiler,etc. Minimum Distribution Efficiency Type and Location Duct or Piping Thermostat Configuration AFUE or HSPF) ducts, attic, etc. R -Value Type split or package) ii.., r �0 O �tiC itiJOf►t •l -o h�cAGl ep� Duct Location Duct Thermostat Configuration coQlin k.7 SEER or EER iMEMENEWWW WtM.■Mi I Cooliif��Eq^�}i i menta �afie Minimum Xype V . 1 C, h pts qr -ap. � Efficiency , Duct Location Duct Thermostat Configuration coQlin k.7 SEER or EER attic, etc. R -Value Type slit or package) . _. V' m t-1, ,, o� 4 0 - cQ c.. c + a vtr'c� I Residential Compliance Forms April 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF -1R Project Title Add IDate 1_d7177-77. 1.7-77. SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following. are required. ❑ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) Installer testi n and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field Water Heater verification required.) Number CUD V K% ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. f% vas For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. W A'rVD LYV A TiArn (vt70'r I %f v Systems serving single awelling units Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per ❑ dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed. ❑ Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Water Heater Manual. No water heating calculations are required, and the system complies automatically. Number Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved ❑ Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the Standby' submittal. ❑ Check box to verify that a time control is required for a recirculating system pump for a system serving multiple in System units Distribution Efficient Systems serving single awelling units P-mi—lu Ws vinuatuUttipic awelung units Rated Energy Tank Water Heater Distribution Number Input' (kw or Tank Capacity Factor' or Thermal Standby' External Insulation Type/Fuel Type Type in System Btu/hr(gallons) Distribution Efficient Loss % R -Value i5xl 6-h-1 Standby' External Insulation m, Type in System Bm/hr (gallons)Efficient Loss % R -Value I Z -n ¢° W i ('� D P-mi—lu Ws vinuatuUttipic awelung units Ir . 01 5,,14u ra5ptvAagc, water neaters tratea inputs or less than or equal to 75,000 Btu/hr), electric resistance, and hrat pumrCwattc t eAp_, ) st Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 B,", ), lisf atedgaputj recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated ,QpDtragd Thermal Efficiencies. _Pipe Insulation_ itchelln lines >3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/a inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B. /residential Compliance Forms April 2005 'Tl r Rated Energy Factor' Tank Water�eateloZ O Distribution Number Input' (kW or Tank Capacity or Thermal Standby' External Insulation m, Type in System Bm/hr (gallons)Efficient Loss % R -Value I Z -n ¢° W i ('� D I C rq Ir . 01 5,,14u ra5ptvAagc, water neaters tratea inputs or less than or equal to 75,000 Btu/hr), electric resistance, and hrat pumrCwattc t eAp_, ) st Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 B,", ), lisf atedgaputj recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated ,QpDtragd Thermal Efficiencies. _Pipe Insulation_ itchelln lines >3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/a inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B. /residential Compliance Forms April 2005 rl CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 5) CF4R Project Title Cic�w i�r.�G�rtiDate - p SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are partof this project. The list below represents special features relevant to the Prescriptive and Performance Methnd V/ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF -IR Radiant Barriers CF -1R 4kA+- ❑ Exterior Shades WS -4R N/A; Performance Calculation ❑ Cool Roof Required. Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation System Require ; Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation Required. Attach Run to Forms. ❑ Gas Cooling N/A; Performance Calculation Required. ❑ Buried Ducts N/A; Indicate on building plans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. ❑ Multiple Water Heaters Per See Table 5-13 or use Dwelling Unit Performance Calculation and attach Run to Forms. ❑ Central Water Heating System - Performance Calculation and Serving Multiple Dwellings attach Run to Forms. ❑ Non-NAECA Large Water Heater CF -IR See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use O Instantaneous Gas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms ❑ )Wood Stove Boiler Performance Calculation and Q7 attach Run to Forms - I m _C OOOZ 74 Residential Compliance Forms idicate to the HERS Rater which credits are art of this project and need Required Forms if applicable) Descri CF -6R part 4 of 12 CF -6R' art 5 of 12 Valve CF -6R part 6 of 12 September 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL '(Page 5 of 5) CF -IR Project TitleDate w AUdi A-. 6/3�avo�; COMPLIANCE STATEMENT This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Enforcement Agency { COMM Residential Compliance Forms � r s y � .. 'fir date)'" = > April 2005 (j MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page I of 2) MF -1R Project. Title Date 61kili Mda�-,r, E 3 gvo6 Note: Low-rise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*) below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or check NA if not applicable. DESCRIPTION NA Designer `: Entoree `"--meuf Building Envelope Measures: ✓ ✓ ✓_ • §150(a): Minimum R-19 in wood frame ceiling insulation or equivalent U -factor in metal frame ceiling. ❑ Er . El' §150(b): Loose fill insulation manufacturer's labeled R -Value: ❑ ❑, * §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). ❑ ❑ * § 150(d): Minimum R-13 raised floor insulation in Gamed floors or equivalent U -factor. ( ❑ ❑.';..,; §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. closeable metal or glass door covering the entire opening of the firebox [� ❑ ❑; b. outside air intake with damper and control, flue damper and control E ❑ 2. No continuous burning gas pilot lights allowed. ❑ § 150(f): Air retarding wrap installed to comply with § 151 meets requirements specified in the ACM Residential Manual. [� ❑ ❑ ::. _ §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ § 150(1) : Slab edge insulation - water absorption rate for the insulation material alone without facings no greater than 0.3%, water vapor permeance rate no greater than 2.0 pertntinch. d ❑ O §118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include CF -6R Form: ❑ § 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. ❑ [.7� ❑ ' Space Conditioning,—Water-I��a ' ,g and Plumbing System Measures: §110-§10: JVAC equipmen der eters, showerheads and faucets certified by the Energy Commission. ❑ [� ❑' : § 150(h): 1Healmg and/6r coolirada s c culated in accordance with ASHRAE, SMACNA or ACCA. [r ❑ -; .. §150(i): S�ettilIack therinosta[op al ap is ble heating and/or cooling systems. (� ❑ ❑ : §150(1): Wath st t'" � sy errL�pjpe�and anli'ip'�ul tion and cooling systems line insulation. ❑ 0 1. Storage als water �t� tedjwit` �i an Ener Factor less than 0.58 must be externally wrapped with insulation having a tailed r��ialaresjstap�' ce R-12yor greater. ❑ ❑ 2. Back-up taFs for so stems �r�f d torage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 int.mal insula ' and indlcited o the exterior of the tank showing the R -value. ❑ 0' 3. The folio ipipingst j g insula edec rdng to Table 150-A/B or Equation 150-A Insulation Thickness: 1. Fi t 5 feet of of c 4atir ipes closest to water heater tank, non -recirculating systems, and entire length of re Fit ulatin sections of ot'wae i es shall be insulated to Table 150B. ❑ ❑ 2. Cooli g system piping (suction, chilled water, or brine lines), piping insulated between heating source and indire t of watg�tank-shalt be`in'sulated to Table 150-B and E uation 150 A. ❑ 0. 4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A. ❑ Residential Compliance Forms April 2005 MANDATORY. MEASURES SUMMARY: RESIDENTIAL (Page 2 of 2) MF -1R Space Conditioning, Water Heating and Plumbing System Measures: (continued) Enforce_ NA✓ Desi ner meat 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. ❑ ❑ 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in conditioned space. ❑ ❑ 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation. LJ ❑ ❑ • §150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirement of the CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable ❑ d ❑ requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings ter than 1/4 inch, the combination of mastic and either mesh or tape shall be used. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and ❑ �( support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause L:1 ❑ 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 to is used in combination with mastic and draw bands. ❑ E ❑ 4. Exhaust fan systems have back draft or automatic dampers. ❑ ❑ 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated �( -dampers. u ❑ , 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water ❑ d ❑ retardant and provides shielding from solar radiation that can cause degradation of the material. 7. Flexible ducts cannot have porous inner cores. ❑ ❑ § 114: Pool and Spa Heating Systems and Equipment. 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pflot light. ❑ ❑ 2. System is installed with: 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 fan -type 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 ❑ ❑ i §118(i): Cool Roof material meets specified criteria ❑ ❑ Residential Lighting Measures: §150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (1324/1326). Ballast for lamps 13 watts or greater ❑ d ❑ are electronic and have an output frequency no less than 20 kHz §150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table �-�{ 150-C luminaire-has-facto installed`HID allast u ❑ § 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as Nna r 9 determined inI§ 130 (c), of permanentlyms Iled luminaires in kitchens maybe in luminaires that are not high efficacy luminaires, pd ❑ Prov that these lumiffavesrar controlled by switches separate from those controlling the high efficacy luminaires. r f §I50(k)3: Permanently installed -luminaires inbathrooms, garages, laundry rooms utility rooms shall be high efficacy luminaires. OR afe con led c up sensor(s) to Section on certified comply with 119(d) that does not turn on [� ❑ ❑ automaticallyOr have an a,7 0 a son o trop. , §150(k)4: Perm ntly inst@led=luminaires oc ted other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be�ii�h effica-lumina#,�seex�xce e): t closets less than 70fOR are controlled by a dimmer switch OR are ❑ controlled by an0 upant'see'ne aveomp ie with Section 119(d) that does not turn on automatically or have an always ono tion. i § I50(k)5: Lum' ai es that a eyrecessed,into°' s lated ceilings are approved for zero clearance insulation cover (IC) and are ASTM ❑ ❑ certified airti t 3 and -16b led a air tight AT to less than 2.0 CFM at 75 Pascals. §I50(k)6: Lumi ' ' es provi8'n rou dqo� hg tin and permanently mounted to a residential building or to other buildings on the same lot sh�l e high e�caluinires of including lighting around swimming pools/water features or other Article 680 loc�ti OR �y ❑ ❑ ns) are controfl'eb be • upant sensors with integral photo control certified to comply with Section —i 119(d). y §150(k)7: Lighti g for parking lots for 8 or mor vehicles shall have lighting that complies with Sec. 130, 132, and 147.El Li htin for a1in ara es or 8 or more vehicles shall have lighting that complies with Sec. 130, 131, and 146. ❑ ❑ § 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with ❑ ❑ Section 119(d). Residential Compliance Forms April 2005 FENESTRATION — MAXIMUM ALLOWED AREA WORKSHEET WS -4R Project Title Date G�,,.a A��;�,��• 6 3 ac�o� FENESTRATION PRODUCTS — NEW CONSTRUCTION- NEW BUILDINGS Use this table for new building constnlction to acro fnr fnf�l h,,;l.l:« , o% A B C .,......,,..",,,, vu,luul D io v1 1c11cJU E QUVll. F #/Type/Pos. Total Total Fenestration F F Total Percent of G Total % of (Front, Left, Orientation Fenestration, for N, S, E CFA West Facing Fenestration Rear, Right, West Facing Orientations Area (ft2) Fenestration' Including West S li t) Area fie ft . New C/E x 100% D/E x 100% + F North n Rear, Right, N, S, E, W CFA � z Fenestration South' Fenestration East North West S uth t4 Area (ft2) Addition (ft) TM, (F/C)x 100% (F/C)x 100 ast CJ East East estZ " —{ West • I .= 1a..111s al ca --A�VUU5.1-ro 01 I.rA m ciunate zones 1, 4, and 7-15, the performance approach must be used. 2) If total percent of fenestration exceeds 20% including West facing orientations then performance approach must be used. West facing area includes skylights tilted to the west or tilted in any direction when the pitch is less than 1:12 for Package D only. . FENESTRATION PROIniTC Tc – NFW CnNC9r1D1rThT7n1&T A 111r%79r1r/l.T1 ✓ ❑Less than 100 ft2, Less than or Equal to 1000 ft2 ❑ Greater 1000 if A ftz B C D E F G H E F G H I OO fin CFA lstmg Z _ Removed Removed Area Proposed p° Installed #/Type/Pos. Total % of Fenestration',2 I ntatioJW Addition's Fenestration Total % of Total % of Fenestratio (Front, Left, Orientation Addition's . New Area Removed to Total Area West Facing n Rear, Right, N, S, E, W CFA � z Fenestration make way for Fenestration Fenestration North Skylight) S uth t4 Area (ft2) Addition (ft) (D + E) (F/C)x 100% (F/C)x 100 ast CJ East East estZ " —{ West North —I Total Total Total El Ai- South 0qC10 -;? i�:-T a �� East Wese v 1) Add'f th dd 1 Total Gj o i tons at a ess than 50 of fenestration area are exempt from the maximum total area limits. See Table 8-2 in RM. 2) If the addition has a floor area equal to or less than 1,000 ftz, the maximum allowed fenestration % may be increased to by the amount of glazing removed in the wall that separates the addition from the existing house. See Table 8-2 in RM. 3) If the addition-has-wfloorarea great r than to 1,000 ft2, must meet Package D requirements. See Table 8-2 in RM. 4) West facing aFea includes s1 dighilted to the west or tilted in any direction when the pitch is less than 1:12 for Package D. FENEST O ROUT S: ALTERATIONS Use this table foir alteration's!tnFan ex s no hnihi;no .vhA— f.—+-44— A B 70 C D Lulluvwbj MV ULUng removea ana/or added. E F G H I OO fin CFA lstmg Z _ Removed Removed Area Proposed p° Installed Proposed Total Net Installed Fenestration Total % of Fenestration',2 I ntatioJW Orientation New Area W -'1 (ft2) Orientation (ft2) H / A C-E+G Max of 20% orth C North North S uth t4 South South ast CJ East East estZ " —{ West West —I Total Total Total IN Um— Cn A2_ _r c_ _ _I ..11.11 .Jv 11 v1 l lore vl leTlesaanon area is added to an existing building, then the fenestration must meet the requirements of Package D. The area requirement for the total fenestration area for the whole building, including the added fenestration, must not exceed 20% otherwise the Performance Approach must be used. Note: The 5% west facing limit is exempt. See Section 8.3.3 in R the M for further details. westaential Compliance Forms April 2005