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13-1657 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001657 %�4 , Property Address: 78880 SKYWARD WY APN:. 609-480-055-9 -23773 - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 44331 Applicant: T4ht 4 4 4" Architect or Engineer: BUILDING & SAFETY DEPARTMENT . BUILDING PERMIT -------------------------------------------------- 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 Professionals Code, and my License is in full force and effect. License Class: - License No.: - - - - - - - - - - - - - - - Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 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 any Iicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and _ the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason R Date: — 1 Owner: 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 Owner: AMIR IBRAHIM 78880 SKYWARD LA QUINTA, CA (760)413-2727 Contractor: Owner WAY 92253 Lic. No.. --- --- VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/16/14 --------------- - - - 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 and policy number are: ' Carrier / 2010 Policy Number E FOOTAGE _ 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 1 should become subject to the workers' compensation provisions of Section.,. 3700 of the Labor Cod I shall forrthwgp'y th those provisions. - Date:-NApplicant: - 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. 1 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 center upon the above-mentioned property f/0(� mspeclion purpo$$•-�/ Date:l�� ` _tiignature (Applicant or Agent): /Y/S l Application Number . . . 13-00001657 Permit . . . .ROOM ADDITION 2013 Additional desc . Permit Fee . . . . 243.10 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/12/14 C Qty Unit Charge Per Extension 1.00 120.1200 LS MISC ROOM ADDN, 1ST 100 SF 120.12 2.00 61.4900 ---------------------------------------------------------------------------- EA MISC ROOM ADDN, ADDL 500 SF 122.98 Permit ELECTRICAL 2013 Additional desc Permit Fee . . . . 143.00 Plan Check Fee .00 Issue Date . . . . - Valuation . . . . 0 Expiration.Date 11/12/14 Qty Unit Charge Per Extension 1.00, 143.0000 ---------------------------------------------------------------------------- LS ELEC NEW RES, FIRST 1 KSF 143.00 Permit . . . 'MECHANICAL 2013 Additional desc . . Permit Fee . . . . 23.84 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/12/14 Qty Unit Charge Per Extension 1.00 11.9200 EA MECH APPL REP/ALT 11.92 1.00_ 11.9200 EA MECH VENT FAN 11.92 Permit PLUMBING 2013 Additional desc . Permit Fee 83.44 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 11/12/14 . Qty Unit Charge Per Extension 4.00 11.9200 EA PLBG FIXTURE/TRAP 47.68 2.00 11.9.200 EA PLBG ROOF DRAIN 23.84 1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92 ---------------------------------------------------------------------------- Special Notes and Comments ENCLOSE COURTYARD May 7, 2014 10:18:39 AM jjohnson. ---------------------------------------------- --------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 LQPERMIT LQPERMIT Application Number . . . . . 13-00001657 --------------------------------------- Other Fees . . . . ---------- HOURLY PLAN CHECK -- ------ - 350.00 PLAN CHECK, ELECTRICAL 47.19 PLAN CHECK, ROOM ADDITION 203.06 PLAN CHECK, MECHANICAL 9.54 PLAN CHECK, PLUMBING 83.44 STRONG MOTION (SMI) - RES 4.43 Fee summary ----------------- Charged ---------- Paid ---------- Credited -------------------- Due Permit Fee Total 493.38 .00 .00 493.38 Plan Check Total .00 .00 .00 .00 Other Fee Total 699.66 .00 .AO 699.66 Grand Total 1193.04 .00 .00 1193.04 Bin # Qty of La Quinta -Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # leg � 6 Project Address: -477 Owner's Name: -, 7., Y,7 "7 - A. P. Number:2929 Address: - D skil Legal Description:S (At" LIP— Contractor:—Telephone:wo City, ST, Zip: Z4 Address: Project Description: City, ST, Zip: Telephone:.3. . . . . . . . . . . . . . . . State Lic. # -City Lic. #.. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: x Construction Type: cupan:cy: State Lic. #: Project type (circle one): New Add'n Alter Repair D=6 Name of Contact Person: / 12 bz Sq. Ft.: .J�J # Stories: # Units: Telephone. #,of Contact Person: (151 W10-6,13 Estimated Value of Project: jcacq t9v i 10 APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Reqld Rcc1d TRACKING PERMIT FEES Plan Sets Plan Check submitted__-----, Item Amount* -Structural calcs. Reviewed, read or corrections PI., Check Deposit Truss Cales. Called Contact Plan Check Balance. JTitle 24 CaIcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue fElectrical Subcontactor Li'st Called Contact Person kh, Plumbing q Grant7— Deed Plans picked up S.M.I.SMl H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctio issue9JJ7JJq Dcv* eloper Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees —rTot-I Permit Fees Y',/ Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: . EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.20 X 775 S.F. or $2,480.00 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 Cash/Amir Ibrahim By Check No. Bank Name/Recipient of Certificate Telephone 760/413-2727 Residential Fee collected lexem d by PatriCi Barbuzza Payment Recd ~`r: $0.00' $2 480.00 Over/,&i er Signature f P,�� z, NOTICE: Pursuant to Government Code Section 66 (d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road O Date 5/13114 La Quinta, CA 92253 BERMU DADUNES � RANCAN WEL S !� INDIAN WELLS 1 No. 32088 (760) 771-8515 d��, L y IND OTALM �Q D Owner Amir Ibrahim APN # 609-480-055 Address 78880 Skyward Way Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # No. of Units Type Residential Addition Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 78880 Skyward Way 775 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: . EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.20 X 775 S.F. or $2,480.00 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 Cash/Amir Ibrahim By Check No. Bank Name/Recipient of Certificate Telephone 760/413-2727 Residential Fee collected lexem d by PatriCi Barbuzza Payment Recd ~`r: $0.00' $2 480.00 Over/,&i er Signature f P,�� z, NOTICE: Pursuant to Government Code Section 66 (d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID without embossed seal Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting t YOUNG ENGINEERING SER MES w . r �s 77-682 Country Club Dir. Ste., B, Palm Desert, CA 92211 ph. (760)772-51,07 fax (760) 345-7620 Letter of Transmittal To: City of La Quinta Today's Date: 5-5-14 78-495 Calle Tampico City Due Date: 5-5-14 'La Quinta, CA 92253 Project Address: 78-880 Skyward Way Attn: Angelica Plan Check #:' 13-1657 Submittal: ❑ 1st r] 4th ' - ❑ 2nd ❑ 5th ®_ 3'd ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or 4UPS) ❑ Your Pickup Includes: # :Of Descriptions: Includes: # Of ;Descriptions: Copies: Copies: ❑ Structural Plans ® 1 Revised Structural Plans ❑ Structural Calculations ® 1 Revised Struct. Calcs ' ❑ Truss Calculations Floor ❑ Revised Truss and Roof y . ❑ Soils Report ❑ Revised Soils Report =" ® 1. •' Structural • Comment List/ ❑ Approved Structural Plans Reponses ® 2 Redlined Structural Plans ❑ Approved Structural Calcs ® 1 Redlined Structural Calcs ❑ Approved Truss Calcs ❑' Redlined Truss Calcs ._. ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other:' Comments: Structural content is approvable. ` y If you have any questions, please call ' Time =.75 HR' This Material Sent for: ❑ Your Files ® Per Your Request ❑ Your Review ❑ Approval ` ❑ Checking ❑ At the request of: ' Other: ❑ By: Kathryn Samuels - Palm Desert Office: ® (760) 772-5107 Other: ❑ f P.O. BOX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY O WNER' S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IWORT NT! NOTICE TQ PROPERTY OWNER Dear Property Owner. An. application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at Vire am providing you with an Owner -Builder Acknowledgment and Information -Verification Form to make you aware of your responsibilitiesand possible risk you may incur by having this -permit issued in your name as the Owner -Builder. We will not issue a building -permit until you have read, initialed your. understand of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this -notice unless you, the property owner, obtain the prior approval of the permitting authority. DfRECUOIVS: Read and initial each statement below to signify you understand or verify this information. Al1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance -coverage for injuries to workers 'on my property. 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. A13. I understand as an "Owner -Builder' I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. &4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. PVV5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value= of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. �- 6. I understand if I am considered an "employee" under state and federal law, I must register with the state and federal: government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment; compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk V,� 7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract witha' licensed general building Contractor. A18- I understand as an Owner -Builder if I sell the property for which this permit is issued, I .may be he'd liable, for any financial or personal_ injuries wstained. by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. &r' 9. I understand I may obtain more information regarding my obligations as an "employee' from the Internal Rteueiiue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cstb.ca.gov for more information about licensed contractors. &10.1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible . for proposed construction activity at the following address: r i 1. I agree that, as the party legally and fwaucially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. F1 12. I agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you tmntract with someone who does not have a license, die Contractors' State License Board may be unable to st-ru midi 9..VfivancW LOSS you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in�civil court- It is also important for you to. understand that if an milicamod Contractor or employee of that individual or firm is injured while working on your property; you may be heldliable for damages. If you obtain a permit as Owner -Builder and wish to hire Coniraebors, you will be responsible for ver&1ing whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing.&c..permiL Note. A copy of *e propert3+ owner's driver's Ikensei form nuns or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of owner � property Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execgtion of which I understand. is my personal responsibility, I hereby authorize -the following person(s) to act as my agent(s) to apply for, sign, and file'the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: . ._ ., '_:.... 1. y • - ,' _ ._Y CITY. OF LA QUINTA STUB-CONTRACTOR, LIST . Eke( ��� ��✓ -� S�ku'�^'� w�-y PERMIT NUMBER ' �� �' 1 �T 7 OWNER ,��L%-�!�' ..BUILDER s JOB ADDRESS be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized of work This form in,a of work and/or the voidance shall stoppage Any changes to this list must be approved by the Building Division prior to commencement of work..Failure'to comply will result on this job. For ' below must be completed by applicant. "On File" isnot an acceptable response. n re uested information matin Ilcable trade, a q ., of build q P rm i t. ,. ...... Tr / Cla a titin each ch a :::.::::::::::::::.:..:.:::.:::::::::::::::::::.>.:.::::::::::::::::::::::::::::.:::.::::.:::::. ... ice ns e r L St M6- e to s COO"* ::.:::. . ..:::.::::.::.:,:::::.:.::::::::::::::::::.:.;:::::;.:<.>.:.... Wor kers Co m ensat ion. Insur.an . P kens e..:::::.:... Business. l ..................... ..... Con t ractb r 1 ade. ssific C om P a n Y Name 'on Classification ificati • be r Licen 5 e Number I E x'�. Dat e r C ar rier Name - is Number Policy Varies) (For at V ) Exp. Date x x/ xx xx License Number ' xx x x ) Exp. Date x xx x x / ) 1 x / _ - _ _ r e. A B C - 8 xx xxx `1 x 1 x z xx xx ) aIC om Stat Fund, nd C 1 e. 9 .S P rm - c t EARTHINORKI:G.;;7.:.1.:::::.::::: tw , CONCRETE (C 8) (� �CtJa ' ' .. FR A fNG: C =5 ' - 5 3 - ,. . ....... STRUCT • MASONRY (C ) jC 36) s 1,11 i ICC ]l D r 77,P- pLl1'M81NG Ch 10C d F 1• G .1 DRYWALL (C 91 •; -* - _ ,.}, HVgC (C ) ' ELE.CTRICAI (C 1:0) a C-� 7�.��C.�� QCgro^c� 17. aZ�'igS 1' 3 f. ROO-PING (C ) r SHEET METAL IG 43):' :? , 4 _ GLAZING lC. 17) C e 6 �� I d �-> . ��a E�c e ? . x NSULATIQN :.;...........;.: { SEWAGrt DISP...IG-��) . f _ PAINTING t _ :"MI:G71LE:(G=541 t • f FE N.CING.(C..13). ' y. >> LAN.R:SOAP:ING:(:C;,2.;.:�;;:>::::: BUILDING ENERGY ANALYSIS REPORT • PROJECT:' Amir�Residence 78880 Skyward Way - La Quinta , CA 92253 �"�`� c �� DVE` PMENT . Project Designer: L2H .Builders & Engineering .2387 W Lincoln St. Banning , CA 92220 • 951:.849.2197 Report Prepared by: Xavier Hernandez Xavier Design, Group 1171.1. Collet Ave. #413 Riverside, CA 92505 • 951.830.2018 ENERGY CONSULTANTS TITLE24CONSU<.TANTS.NET _Job Number: Date: CITY 12/19/2013PDit-Dl O-QUINTA & SAFETY DEPT. Fns rnr!C' , �„- The EnergyPro computer program has been used to perform the calculations summarized in this compliance ort. This Ppgram h authorized by the California Energy Commission for use with both the Residential and Nonresiglential 2008 ilding Energy Efficu This program developed by EnergySoftl LnC IFwwv¢, �st.cor�nr. EnergyPro 5. 1 by Energ Soft User Number. 5487 RunCode: 2013-12-19708:49:35 ID: approval and is y Standards. TABLE OF CONTENTS Cover Page 1 Table of Contents 2 - Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Summary F' 8 . a 6iY LA QlJ9i�i,� 13UILDINO & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY EnergyPro 5.1 by EnergySoft Job Number: ID: User Number. 5487 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Amir Residence Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ® Existing+ Addition/Alteration 11211912013 Date Project Address 78880 Skyward Way La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 4,427 Addition 775 # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes EI No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity ( Features see Part 2 of 5 Status Roof Wood Framed Attic R-19 3,652 Existing Wall Wood Framed R-13 1,894 Existing Slab Unheated Slab -on -Grade None 3,652 Perim = 276' Existing Roof Wood Framed Attic R-30 748 Radiant Barrier Cool Roof New Wall Wood Framed R-13 406 New Slab Unheated Slab -on -Grade None 775 Perim = 51' New FENESTRATION U- Orientation Area(ft) Factor Exterior SHGC Overhang Sidefins Shades Status Right (NE) 98.0 0.550 0.67 none none Bug Screen Existing Left (SlAq 36.0 0.550 0.67 none none Bug Screen Existing Rear (NKK 75.0 0.550 0.67 none none Bug Screen Existing Skylight 27.0 0.390 0.29 none none None New Front (SE) 35.0 0.300 0.30 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 10.0 SEER Setback Existing HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status HVAC Ducted Ducted Attic, Ceiling Ins, vented 4.2 Existing tel" ILA QUINTA I WATER HEATING Guft-ujNVU & SAFETY DEPT, Qty. Type Gallons Min. Eff Di stributionPRO\/ll=n Status I FOR CONSTRUC' i 1 I I DATE B EnergyPro 5.1 by EnergySoft User Number. 5487 Run Code: 2013-12-19T08:49:35 ID: Page 3 of 10 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF-1 R Project Name Amir Residence Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ® Existing+ Addition/Alteration Date 11211912013 SPECIAL FEATURES INSPECTION CHECKLIST The 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'enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. The Roof new R-30 Roof Attic Reflectance = 0.30, Emittance = 0.75 shall be rated and labeled by the Cool Roof Rating Council in accordance with Section 10-113 of the standards. The Roof new R-30 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4.2.2. The Roof new R-30 Roof Attic Concrete Tile (10 #/so Roofing requires verification. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF-4R form for each of the measures listed below for final to be given. � r r r" F LA 6AF APP r%" '- DEPT. OR CONS RU t: DArE Ene Pro 5.1 by Ene Soft User Number 5487 RunCode: 2013-12-19708:49:35 /D: 1 Pa ge 4 of 10 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R Project Name Building Type m Single Family ❑ Addition Alone Date Amir Residence ❑ Multi Family m Existing+ Addition/Alteration 12/19/201 ANNUAL ENERGY USE SUMMARY' Standard Proposed Margin TDV kBtu/ft2- r Space Heating 4.85 4.31 0.54 Space Cooling 100.27 100.63 -0.36 Fans 18.30 18.32 -0.02 Domestic Hot Water 8.24 8.24 0.00 Pumps 0.00 0.00 0.00 Totals 131.67 131.51 0.16 Percent Better Than Standard: 0.1 BUILDING COMPLIES.- NO HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (SE)135 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (SE) 936 35 Fuel Available at Site: Natural Gas (SW). 483 36 Raised Floor Area: 0 ' (Nw) 657 75 Slab on Grade Area: 4,427 (NE) 468 98 Average.Ceiling Height: 9.0 Roof 4,427 27 Fenestration Average U -Factor: 0.51 TOTAL: 271 Average SHGC: 0.62 Fenestration/CFA Ratio: 6.1 REMARKS STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Calilumia A—daNan of Sugdirtg Energy Co Runty Efficiency Standards of the California Code of Regulations. xavterH©mag RO&�1-2tSS0, The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Xavier Design Group L�(i Company 12/192013 Address 11711 Collet Ave. #413 Name Xavier Hernandez City/State/ZipCity/State/Zip Riverside, CA 92505 Phone 951.830.2018 Signed Date The individual with overall design responsibility hereby certifies that the proposed-buildin.gsdesign represented in this set of construction documents is consistent with the other compliancelforms and worksheets, with th spe.%fications, and with an other calculations submitted with this permit application, and recognizes, that_compliafnce�usi-g dub design, duct insulation installation qualityand'build ng�envel'ope is'eRilfing #require sealing, verification of refrigerant charge, installer testing and certification and field verification by an approved HER=S ter" . R0VED Designer or Owner (per Business & Professions Code) FOR CONSTRUCTION Company L2H Builders & Engineering 2387 W Lincoln St. DATE �_ BY Address Name City/State/Zip Banning, CA 92220 Phone 951.849.2197 Signed cens # Date EnemvPro 5.1 by Ene Soft User Number: 5487 RunCode: 2013-12-19708:49:35 ID: Page 5 of 10 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Amir Residence Building Type m Single Family 0 Addition Alone 1 ❑ Multi Family m Existing+ Addition/Alteration Date 2119/201 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Roof 3,652 0.049 R-19 0 22 Existing 4.2.1-A4 E residence Wall 370 0.102 R-13 45 90 Existing 4.3.1-A3 E residence Wall 285 0.102 R-13 225 90 Existing 4.3.1-A3 E residence Wall 582 0.102 R-13 315 90 Existing 4.3.1-A3 E residence Wall 279 0.102 R-13 135 90 Removec 4.3.1-A3 E residence Slab 3,652 0.730 None 0 180 Existing 4.4.7-A 1 E residence Wall 657 0.102 R-13 135 90 Existing 4.3.1-A3 E residence Roof 748 0.031 R-30 0 22 New 4.2.1-A20 E residence Wall 244 0.102 R-13 135 90 New 4.3.1-A3 E residence Wall 1621 0.102 R-13 225 90 New 4.3.1-A3 E residence Slab 775 0.730 None 0 180 New 4.4.7-A1 (E) residence FENESTRATION SURFACE DETAILS ID Type Area LI -Factor SHGC2 Azm Status Glazing Type Location/Comments 1 Window 98.0 0.550 Default 0.67 Default 45 Existing Double Non Metal Clear (E) residence 2 Window 36.0 0.550 Default 0.67 Default 225 Existing Double Non Metal Clear (E) residence 3 Window 75.0 0.550 Default 0.67 Default 315 Existing Double Non Metal Clear E residence 4 Skylight 27.0 0.390 NFRC 0.29 NFRC 0 New Velux Comfort+(74) Lowe2/Arg (E) residence 5 Window 35.0 0.300 NFRC 0.30 NFRC 135 New new windows (E) residence (1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-13 = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window ID Exterior Shade Type SHGC HqA Wd Ove hang Left Fin Right Fin Len Hat I LExt RExt Dist Len Hat Dist Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 None 1.00 5 Bug Screen 0.76 M �' ITNZ nom- II A I ..� L—*--% 114LiIIJ 114 1 I uuiLLJ1 V'.a 8 SAF[- n:zi M ArWr%r��r., � -"kd I--rl�'jk't--M J I r-uh `0 S I v iC B EnergyPro 5.1 by EnergySoft User Number. 5487 Run Code: 2013-12-19708:49:35 ID: Page 6 of 10 CERTIFICATE OF COMPLIANCE: Residential - (Part 5 of 5) CF -1 R Project Name Amir Residence Building Type O Single Family ❑ Addition Alone ❑ Multi Family D Existing+ Addition/Alteration Date 11211912013 BUILDING ZONE INFORMATION System Name Zone Name Floor Area ft New Existinc i I Altered Removed Volume Year Built HVAC (E) residence 3,652 32,868 1998 new add 775 6,975 Totals 1 7751 3,6521 01 0 HVAC SYSTEMS System Name Qty. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status HVAC 1 Central Furnace 80% AFUE Split Air Conditioner 10.0 SEER Setback Existing HVAC DISTRIBUTION System Name Heating Duct Ducts Coolin Duct Location R -Value Tested? Status HVAC Ducted Ducted Attic, Ceiling Ins, vented 4.2 ❑ Existing 13 WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status Standard Gas 50 gal or Le 1 Small Gas Kitchen Pipe Ins 40,000 50 0.58 n/a n/a Existing MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length (ft) C -N.2 a — Didnn ter Insul. Thick. CATY OF LA BUILDING & SAF�P!pe)E:PTPipe S ,stem,Name_ DUIRTA Len th Qt . HP Plenum Outside Buried ❑ P,1,11'M �/It ❑ FOR CONSTR IOM ❑' ❑ OiA I t _ — e EnergyPro 5. 1 by EnergySoft User Number.- 5487 RunCode: 2013-12-19T08:49:35 ID: Pae 7 of 10 l MANDATORY MEASURES SUMMARY: Residential Pae 1 -of 3 MF -1 R Project Name Amir Residence Date 11211912013 'NOTE: Low-rise residential buildings subject to the Standards most comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (") below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they•are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned s aces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified LI -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and enetrations'are caulked and sealed. 118(a): Insulations ecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. ` §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the installation of a Cool Roof is s ecified on the CF -1 R Form. 150(a): Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. " §150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§150(c): Minimum -R-13 insulation in wood -frame wall orequivalent U -factor. *§150(d): Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor. 150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95(2000) when specified on the CF -1 R Form. §150(6): Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0perm/inch and shall be protected from physi6al damage and UV light deterioration. Fireplaces, Decorative Gas Appliances -and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.. . §150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area a and is equipped with a with a readily accessible, operable, and tight -fitting clamper and or a corn bustion-air'control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, -are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: . §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. 150(h): Heating and/or cooling loads are calculated in accordance with ASH RAE; SMACNA or ACCA. 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 1 12 c . §1500)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §1500)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated'on the exterior of the tank. §1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length_ of recirculating sections of hot water pipes are insulated per Standards Table 150-B. §1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi meets the requirements of Standards Table 123-A. If-% ,r... ON . A... .. A .� 1500)3A: Insulation is protected from damage, including that due to sunli Fit! moisture a ui meat' maintenance and wind. §1500)3A: Insulation for chilled water piping and refrigerant suction linesirieludes%al"vaporKretaFclamt:orlis!en`cib'sbd ebtirely in conditioned space. I Alm r"? rn OAF IF— r_ 150 4: Solar water -heating systems and/or collectors are certified by! the Solar R�atjn-an,4,V.tification,C,orp oratiJn'. r r r vvr�uur r %a %.J a IvrvJ EnergyPro5.1 by EnergySoft User Number. 5487 RunCode: 2013-12°19T08:49:35 PD , Page 8 of 10 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF-1 R Project Name Date Amir Residence 11211912013 §150(m)1: All air-distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply-air and return-air ducts and plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct-closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 150(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 150 m 10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low-Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand pe6ods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain. only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line-voltage socket or line- voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw-base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION:.Up to 50 watts for dwelling units less than or equal to 2,500 112 or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi-scene program mable .control=system;`and-a_permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and uiility�rooms; ire high efficacy�an"d controlled,by a manual-on occupant sensor. I _r i §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20` `watts `of. power"per linearfoot of illuminated cabinet. J + o FOR CONSTRUCTION DATE BY EnergyPro5.1 by EnergySoft User Number. 5487 RunCode: 2013-12-19708:49:35 ID: Page 9 of 10 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Amir Residence 12/19/2013 §150(k)l0: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual - on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with §150 k 11. §150(k)l2: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)l3 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)l4: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §130(d). §150(k)l5: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131, 134, and 146. §150(k)l6: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY EnergyPro 5.1 by EnergySoft User Number: 5487 Run Code: 2013-12-19708:49:35 ID: Page 10 of 10 P BUILDING ENERGY ANALYSIS REPORT, ' • RIECEIVED , PROJECT. DEC 2.4.2013 Amir Residence 78880 Skyward Way CITY OF LA QUINTA L Q ; t CA 922 C3 uma, 53 . COMMUNITY DEVELOPMENT Project Designer: L2H'Builders & Engineering 2387 W Lincoln St. , Banning CA 92220 951.849.2197 ' Report Prepared by. Xavier Hernandez Xavier Design Group 11711 Collet Ave. #413 CITY OF LA. QUINTA Riverside, CA 92505. BUILDING & SAFETY REPT. 951.830.2018 APPROVED FOR CO STRUCTION - DA ENERGY CONSULTANTS TITLE24CONSULTANTS.NET V list®� �0OPROFESS��Nq Job (dumber:,7 co 7 Cr C 38252 m * 3 �•�S Date: sqT Cl IL \P - 12/19/2013• FoF CALIFO�a 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 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. Energ Pro 5.1 b Energ Soft. User Number: 5487 RunCode: 2013-12-19T08:49:35 ID: 1 TABLE OF CONTENTS PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Amir Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration 11211912013 Date Project Address 78880 Skyward Way La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 4,427 Addition 775 # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (ftp) Features (see Part 2 of 5) Status Roof Wood Framed Attic R-19 3,652 Existing Wall Wood Framed R-13 1,894 Existing Slab Unheated Slab -on -Grade None 3,652 Perim = 276' Existing Roof Wood Framed Attic R-30 748 Radiant Barrier Cool Roof New Wall Wood Framed R-13 406 New Slab Unheated Slab -on -Grade None 775 Perim = 51' New FENESTRATION U- Orientation Area(ft) Factor Exterior SHGC Overhang Sidefins Shades Status Right (NE) 98.0 0.550 0.67 none none Bug Screen Existing Leff (SW) 36.0 0.550 0.67 none none Bug Screen Existing Rear (Nle 75.0 0.550 0.67 none none Bug Screen Existing Skylight 27.0 0.390 0.29 none none None New Front (SE) 35.0 0.300 0.30 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 10.0 SEER Setback Existing HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status HVAC Ducted Ducted Attic, Ceiling Ins, vented 4.2 Existing WATER HEATING Qty. Type Gallons Min. Eff Distribution Status Energ Pro 5.1 by Energ Soft User Number: 5487 RunCode: 2013-12-19T08:49:35 ID: Page 3 of 10 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Amir Residence Building Type • ® Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 11211912013 SPECIAL FEATURES, INSPECTION CHECKLIST The 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 enforcement agency determines the adequacy,of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. The Roof new R-30 Roof Attic Reflectance = 0.30, Emittance = 0.75 shall be rated and labeled by the Cool Roof Rating Council in accordance with Section 10-113 of the standards. The Roof new R-30 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4.2.2. The Roof new R-30 Roof Attic Concrete Tile (10 Wso Roofing requires verification. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. r Ener Pro 5.1 by Ener Soft User Number: 5487 RunCode: 2013-12-19T08:49:35 ID: Page 4 of 10 5 PERFORMANCE CERTIFICATE: Residential (Part 3'of 5) CF -1 R Project Name Building Type m Single Family ❑ Addition Alone , Date Amir Residence ❑ Multi Family m Existing+ Addition/Alteration 12/19/201 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2 r Space Heating 4.85 4.31 0.54 Space Cooling 100.27 100.63 -0.36 Fans 18.30 18.32 -0.02 Domestic Hot Water 8.24 8.24 0.00 Pumps 0.00 0.00 0.00 Totals 131.67 131.51 0.16 Percent Better Than Standard: 0.1% BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (SE) 135 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (SE) 936 35 Fuel Available at Site: Natural,Gas (SW) 483 36. Raised Floor Area: o (NM i657 75 Slab on Grade Area: 4,427 (NE) 468 98 Average Ceiling Height: 9.0 Roof 4,427 27 Fenestration Average U -Factor: 0.51 TOTAL: 271 Average SHGC: 0.62 Fenestration/CFA Ratio: 6.1% REMARKS .I STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed CABEC to comply with Title 24, Parts 1 the Administrative Regulations and Partthe Calif—AaAs—bOo .6 Efficiency Standards of the California Code of Regulations. xawe,r„„,,,da r ROB-it4fl60 The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company Xavier Design Group GwpG� 12/1912013 Address 11711 Collet Ave. #413 Name Xavier Hernandez City/State/ZipCity/State/Zip Riverside, CA 92505 Phone 951.830.2018 Signed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and recognizes that compliance using duct design, duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Company L2H Builders & Engineering r. Address 2387 W Lincoln St. Name City/State/Zip Banning, CA 92220 Phone 951.849.2197 Signed License # Date Ener Pro 5.1 by Ener Soft User Number: 5487 RunCode: 2013-12-19708:49:35 ID: Pa e 5 of 10 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF-1 R Project Name Amir Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 12/19/2013 OPAQUE SURFACE DETAILS � Surface Ll- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interiorl Frame Azm Tilt Status 4 Location/Comments Roof 3,652 0.049 R-19 0 22 Existing 4.2.1-A4 (E) residence Wall 370 0.102 R-13 45 90 Existing 4.3.1-A3 (E) residence Wall 285 0.102 R-13 225 90 Existing 4.3.1-A3 (E) residence Wall 582 0.102 R-13 315 90 Existing 4.3.1-A3 (E) residence Wall 279 0.102 1 R-13 135 90 Removec 4.3.1-A3 E residence Slab 3,652 0.730 None 0 180 Existing 4.4.7-A1 (E) residence Wall 657 0.102 R-13 135 90 Existing 4.3.1-A3 (E) residence Roof 748 0.031 R-30 0 22 New 4.2.1-A20 (E) residence Wall 244 0.102 R-13 135 90 New 4.3.1-A3 E residence Wall 162 0.102 R-13 225 90 New 4.3.1-A3 (E) residence Slab 775 0.730 None 0 180 New 4.4.7-A1 (E) residence FENESTRATION SURFACE DETAILS ID T e Area LI-Factor SHGC Azm Status GlazingType Location/Comments 1 Window 98.0 0.550 Default 0.67 Default 45 Existing Double Non Metal Clear (E) residence 2 Window 36.0 0.550 Default 0.67 Default 225 Existing Double Non Metal Clear (E) residence 3 Window 75.0 0.550 Default 0.67 Default 315 Existing Double Non Metal Clear (E) residence 4 Skylight 27.0 0.390 NFRC 0.29 NFRC 0 New Velux Comfort+(74) Lowe2/Arg (E) residence 5 Window 35.0 0.300 NFRC 0.30 NFRC 135 New new windows (E) residence (1) U-Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window ID Exterior Shade Type SHGC I-Icit Wd Ove hancl Left Fin Ri ht Fin Len H t LExt RExt Dist Len Hat Dist Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 None 1.00 5 Bug Screen 0.76 Ener Pro 5.1 by Ener Soft User Number: 5487 RunCode: 2013-12-19T08:49:35 ID: Page 6 of 10 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name Amir Residence Building Type © Single Family ❑ Addition Alone ❑ Multi Family © Existing+ Addition/Alteration Date 12/19/201 BUILDING ZONE INFORMATION System Name Zone Name Floor Area ft New Existing Altered Removed Volume Year Built HVAC (E) residence 3,652 32,868 1998 new add 775 6,975 Totals 1 '7751 3,65211 0 0 HVAC SYSTEMS System Name Qty. Heating Type Min. Eff. —Cooling Type Min. Eff. Thermostat Type Status HVAC 1 Central Furnace 80% AFUE Split Air Conditioner 10.0 SEER Setback Existing HVAC DISTRIBUTION System Name HeatingCoolingDuct Duct Ducts Location R -Value Tested? Status HVAC Ducted Ducted Attic, Ceiling Ins, vented 4.2 ❑ Existing WATER HEATING SYSTEMS S stem Name Qty- Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status Standard Gas 50 gal or Le 1 Small Gas Kitchen Pipe Ins 40,000 50 0.58 n/a n/a Existing MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length (ft)o co < Q — System Name Pipe Length Pipe Diameter Insul. Thick. Qty. HP Plenum Outside Buried Ener Pro 5.1 by Ener Soft User Number: 5487 RunCode: 2013-12-19T08:49:35 ID: Pae 7 of 10 MANDATORY MEASURES SUMMARY: Residential Pae f of 3 MF-1 R Project Name Amir Residence Date 12/19/2013 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF-1 R, CF-1 R-ADD, or CF-" 1 R-ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF-1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field-fabricated windows) have a label listing the certified LI-Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a).- §117: Exterior doors and windows are weather-stripped; all hints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF-6R Form. §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the installation of a Cool Roof is specified on the CF-1 R Form. *§1 50a : Minimum R-19 insulation in wood-frame 6eilin6 orequivalent Ll-factor. 150(b): Loose fill insulation shall conform with manufacturer's installed desi n labeled R-Value. *§150(c): Minimum R-13 insulation in wood-frame wall orequivalent Ll-factor. *§1 50d : Minimum R-13 insulation in raised wood-frame floor ore uivalent Ll-factor. 1 50f : Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95 2000 when s ecified on the CF-1 R Form. §150(q): Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. 7-Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory-built fireplaces have a closable metal or glass door covering the entire o eniriq of the firebox. §150(e)1 B: Masonry or factory-built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight-fitting damper and or a combustion-air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. a Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High-Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §1.13(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan-type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than•150 Btu/hr are exempt), and pool and spa heaters. §150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA. §150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §150(j)1A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. s §150(j)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water-heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R-value is indicated on the exterior of the tank. §150(j)2: First 5 feet of hot and cold water pipes closest to water heater tank, non-recirculating systems, and entire length of recirculatinq sections of hot water pipes are insulated per Standards Table 150-B. §150(j)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. §150(i)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. §150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. §150(j)4: Solar water-heating systems and/or collectors are certified by the Solar Rating and Certification Corporation EnergyPro 5.1 by EnergySoft User Number: 5487 RunCode: 2013-12-19708:49:35 ID: Page 8 of 10 MANDATORY MEASURES SUMMARY: Residential Page 2'of 3 MF -1 R Project Name Date Amir Residence 12119/2013 §150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts_. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. I • §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. - 150(m)7: Exhaust fans stems have back draft or automatic clampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 150 m 10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and S a Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only ddrin off-peak electric demand periods. ' §150(p): Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of 150 Residential Lighting Measures: §150(k)1 : High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2. §150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). - §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no,more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. • j, - 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 maybe exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of powerper linear foot of illuminated cabinet. N j Y - EnergyPro 5.1 by EnergySoff User Number: 5487 Run Code: 201 3-12-1 9 70 8:49:35 ID: Page 9 of 10 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Amir Residence 12/19/2013 §150(k)l0: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual - on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with §150 k 11. §150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150(k)l3: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)l3 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)l4: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §130(d). §150(k)l5: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131, 134, and 146. §150(k)l6: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. EnergyPro 5.1 by EnergySoft User Number: 5487 RunCode: 2013-1 2-1 9 70 8:49:35 ID: Page 10 of 10