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11-0112 (AR)P:O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 -Application Number: 11-00000112 Property Address: 61744 TOPAZ DR - APN: 764-280-999-135 -3002377 Application description: ADDITION RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: MATTINGLY & PETROTTA LIVING 31297 GANADO DR RICH PALOS V S•T;CZ-, 90275 (310) 544--162fill VOICE (760) 77.7-7012 FAX (760) 777-7011 ' INSPECTIONS (760) 777-7153 Date: .3/22/11 Application valuation: 30000 _ �1 ' Contractor: g .Applicant: Architect or Engineer: KELLNER,, J FF EY F � 23 201' -PO BOX -245 RANCHO MI GE, :NTA (760)774-533 \ i Lio. No-.: 834358 ^-�•- ----------------------------------- LICENSED CONTRACTOR'S DECLARATION - �. WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: - Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect: - I have.and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class:. 13 L�nse No.: 834358 - for by Section 3.700 of the Labor Code, for the performance of the work for which this permit is '� Y.I.ssued. Date: `L /r tractor: - �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 OWNER -BUILDER DECLARATION - - insurance carrier and policy number are: ' I hereby affirm under penalty of pafj_ ry that I am exempt from the Contractor's State License Law for the Carrier STATE FUND' - • Policy Number 310269700-01 following reason (Sec. 7031 .5, Business and Professions Code:. Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is. issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License'Law (Chapter 9. (commencing with Section.7000) of Division'3 of the Business and Professions Code). or 3700 of the Labor Code, I It forthw' - omply wit those provisions. that he or -she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty -of not more than five hundred dollars ($500).: ate: (_ I I, as owner of the property, or my employees with wages as their, sole compensation, will do the work, and - ' the structure is not intended or offered for sale (Sec. 7044,:6usiness and Professions Code: The. WARNING: FAILURE TOU ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an' owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRI. AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his ocher own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES. AS PROVIDED FOR IN improvements are not intended or offered for sale. It, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. •IMPORTANT Application is hereby made to the. Director of Building and Safety for a permit subject to the_ • ' 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions -and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made,' each person at whose request and for 'pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am'exempt under Sec. , BAP.C. for chis reason 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. Date: Owner: 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 . • CONSTRUCTION LENDING AGENCY permit to cancellation. - I heieby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.).' - city'and county ordinances and state laws relating to. building construction, and hereby authorize representatives' . of this coon y to a ter upon eabove-mentioned property f m cti urposes. Lender's Name: - - . • - - - - 1 n/ ate: ignature (Applicant or Agent): . Lender's Address:' k„/ ip - - LQPERMIT - - Application Number 11-00000112 Structure Information •202SF CASITA ADDITION/VB/RES-3/CL-A[ENG]----- other struct info CODE EDITION 2010 # BEDROOMS 1.00" 1 FLOOD ZONE NO 1ST FLOOR.SQUARE FOOTAGE 202.00 -------------------- ----------------- ---------------------------- Permit . . . BUILDING PERMIT Additional desc .' Permit Fee . . 284.50 Plan Check Fee 184.93 Issue Date Valuation . . 30000 Expiration Date 9/17/11 Qty Unit Charge Per Extension BASE FEE 252.00 5:00. 6:5000 THOU BLDG 25,001-50,000 32.50 ' Permit .. .ELECT - ADD/ALT/REM Additional desc . Permit Fee 22.07 Plan Check .Fee 5.52 Issue Date Valuation . ..' 0 Expira'tion,Date '. .9/17/11 Qty Unit Charge, Per Extension BASE FEE 15.00.` 202.00. .0350 ELEC'NEW RES -.1 OR 2 FAMILY 7.07' Permit . . MECHANICAL. `. Additional desc . Permit Fee- 35.00 Plan Check Fee 8.75 Issue Date Valuation 0 Expiration Date .. 9/17/11 Qty Unit Charge Per Extension BASE FEE' 15.00. 1.00 4.5000 EA, MECH VENT INST/ DUCT ALT 4.50 1.00 9.0000 EA MECH B/C <=aHP/LOOK BTU 9:00 ..1.00 6:5000`EA MECH VENT FAN. 6.50 Permit PLUMBING. Additional desc . Permit Fee 36..00 Plan Check Fee .. 9.00 Issue Date Valuation 0 Expiration Date,.. 9/17/11 LQPERMIT Application ,Number 11-00000112 Permit . . . ..... PLUMBING Qty Unit.Charge Per. Extension _. BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 1:00 3.0000 EA PLB WATER INST/ALT/REP --------------------------------------------------------------------------------- -3•.0.0 Special Notes and-Comments. '202SF CASITA ADDITION WITH REMODEL AT EXISTING BEDROOM/VB/RES-3/CLASS A-FR_ , [ENGINEERED] THIS PERMIT•DOES NOT' INCLUDE-THE RELOCATION OF EXISTING ' MECHANICAL,-tLECTRICAL OR PLUMBING INSTALLATIONS. 2010 CALIFORNIA BUILDING CODES. March 21, 2011 2:23:56,PM AORTEGA , - ... . Other Fees BLDG STDS ADMIN (SB1473) 2.00 ENERGY REVIEW FEE 18.49 STRONG MOTION (SMI). - RES -3.00 Fee, summary 'Charged Paid Credited ---------------------- - -------=--------------------------- Due Permit Fee Total 377.`5.7 00 .00 377.57 : Plan Check Total .208.20. .00 ..00 208.20.. Other.Fee Total 23.49 .00 .00 23.49 Grand Total609.26 .00 .00 609.26 B' # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # V Project Address: LVI7 L1 4 20 P Az Name: H wTTI `f' ?a-;r(L,-TTA A. P. Number: 70 LJ - 23 Address: (p l 7 Ltq • j O P AZ a, Legal Description: LaT )35 TL 3 00 z3-1 City, ST, Zip: Contractor. Telephone 3 t� ~5 "4 -% 6Z4o Address: Pp b?p 2 Lk — Project Description: City, ST, Zip: ZqcI4-o gZ2-70 ADDWb"U -l--'PJ Telephone: 7&01-% +� 5333. N-`. o f fit,,..` .: : ;:} ::.,r: •� <:.: :::}}::; �,tiwi;1�.;•.,j rFri rvf�•i%S'� State Lie. # : 0.5-z City Lie. #; fib. S 3 15 Arch., Engr., Designe11r: DE-" CAr u,-- a J Address: Z j� r � 1(LA�3 O ti �✓� City., ST, Zip: Telephone: -7 Igo %% 1 Io�`L .. y„: Construction Type: Occupancy: State Lic. Project type (circle one): New dd'n Alter Repair Demo Sq. Ft.: �' t� # Stories: j #Units: i Name of Contact Person: C,4�r(�gl��c�-� Telephone # of Contact Person: '%(o O''� g 11R Estimated Value of Project: (j APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections 2 Sbtl Plan Check Deposit Truss Calcs.tai Called Contact Person SWOM I Plan Check Balance. Tide 24 Calcs. Plans piqed up- Construction • Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review, ready for correctio s Electrical � Subcontactop List Called Contact Person Plumbing AA 14 Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '”' Review, ready for correc 'ons/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 1 7_ pf;F, ��tt"D) siz-,ag-7per, 3�2a,�Zo��- Ns�snR' r�Mltiw� Joseph & Paula Mattingly 31297 Ganado Drive Rancho Palos Verdes, CA 90275 Property Address: 61744 Topaz Drive CONDITIONAL APPROVAL Dear Mr. & Mrs. Mattingly: We are pleased to inform you that your plans for, construction of a new casita and front yard re -landscaping, received on 12/07/2010, have been approved by. the Designmi Review Committee per, your submittal with the following condition(s): 8,9, 11,12,15, 17,18,19 and 23 (see attached copy). Please note: Any damages caused by contractor due to construction must be eepaired;'all irrigation and landscape shall be restored to original"condition. This approval does not constitute consent.by the Association for the applicant to encroach, trespass, or build on any property other than that of 'the applicant.. This approval is related. solely, to the. items reserved for approval by the CC&R's in accordance with the Architectural Guidelines. The approval does not extend to the quality of work done by your architect, or contractor, or to any structural engineering, soils engineering, or site grading and drainage design. You are urged 'to obtain the services of a state licensed professional for consultation as needed. The Design Review Committee is composed of volunteers. As such, "it does not review applications to ensure compliance with building codes, or other local or state laws. "Please be advised that this approval does not relieve you from obtaining any necessary building permits from the governmental agencies involved to ensure compliancewith these codes. Any violations of these. ordinances will be your responsibility to correct. Thank you for your patience in this matter and for complying with the Association's"pohcies'and standards. Sincerely, For the esign v ew Committee Barry Sterett, CAM,.CMCA, AMS Association Business Manager Enclosures cc: Board of Directors Design Review Committee "Professionally Managed by Action Property Management, Inc. 60-750 Trilogy Parkway, La Quinta, CA 92253-7717 760-777-6059 800-400-2284 760-777-6097 fax - www.actionlife.com TRILOGY'AT LA QUINTA ,,1 ((-``'�" CONDITIONS OF J Property Address: �..Y l- T `"i Loo 2? le„ i, H.O.0`1` t Date Reviewed: Conditions your plans have been approved, provided that you meet the items checked below and all work is consistent with the of Approval Design Guidelines dated April 20, 2005, contained in the TLQMA Handbook: The patio cover material must be Alumnawood or other similar wood like construction. Roofing materials shall 1 match the roof material of the dwelling or be open wood lattice 2 The color of the patio cover matches the homes stucco, tri, accent, fascia or white. Any patio cover or awning to be installed and attached to the home must be installed in such a manner that it 3 does not compromise the integrity of the water permeability of the home. Due to the patio covers size it must constructed with variable heights or must be constructed in two sections with 4 a separation in between 5 The size of the patio cover is limited to the size of the proposed patio slab. The proposed retractable awning may not be a striped awning. It must be a neutral color that blends with the 6 home. Please submit a sample of the fabric. 7 Obtain services of a state licensed professional for consultation. Obtain necessary building permits from the 5i of La Quint meeting setback requirements per city code and $ maintain the.existing drainage. 9 Maintained positive drainage in accordance with the Trilogy Design Guidelines (Section 3.8). 10 The screen door must be the color of the house stucco or be black. 11 If underground drainage is installed, the drain needs to terminate in the grass swale and be flush with the turf Pool, spa, fountain, and air conditioning equipment set backs must comply with City of La Quinta codes. All equipment shall be located, screened, or recessed in a manner so as to not be viewable from any lot or street and 12 the noise from the equipment attenuated fro the adjacent property owners. Pool set backs are 6” for harscape and 18" for water line. 13 The color of the proposed concrete is natural of a neutral tone.' Rear yard may not exceed 7096 hardscape and must have a minimum of 3096 softscape, measured from the rear 14 building face of wall to the side property lines. Proposed planting meets with the Trilogy Rear Yard Minimum Planting Requirements standards and all plants 15 are included on the Revised Approved Plant List contained the Design Guidelines. The proposed wall or iron work to match the existing developer retaining wall in material, style and color or shall 16 be the Frazee Paint color specified in the guidelines. Replace block wall per Shea Homes standard block wall specification, if removing any portion of block wall to 17 gain access to rear or side yard (requires inspection of rebar before cap is installed). 18 Refer to Exhibit "Fin the .Design Guidelines. Block Wall Design). 19 JWhen work is completed, please submit Notice of Completion form attached! 20 IMake sure rear yard property line pins (markers) remain during construction (applies to golf course lots only) 21 JAR contractors must meet the Association representative prior to commencing construction. 22 lResubmit showing drainage flow/plans. X 23 1 See notes on plans (if any) 24 JAn independent irrigation controller must be used for the rear yard, it cannot be tied into the front yard. Notes N.iAS 0MTMmT,uM at to UUmMCHRECTURALWRC FQMWC"R66" of Approval Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Pae 1 of 5) Project Name:Climate 7 -ane # # of Stories i 1eJ6 Z- c-772.0 j i ,A /�CCJ / S /le General Information Site Address:&/ 7yy %OP�Z 9 Zz�3 Enforcement Agency:e� T Date: Building Type Single Family ❑ Multi Family Circle the Front Orientation: N, E, S, W, or degrees Conditioned Floor Area (CFA): �'� _ Project Type: Alterations Envelope Fenestration Roof HVAC JA4 Replacement or Change Out Duct Replacement Water Heater NO This forin is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration Opening of framed cavity alone— Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A —C and enter mandatory insulation value in Column H. ❑Replacement of entire assembly — Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component Package- D insulation values in Table 151-C. Fill in Columns A —J. Opaque SU face Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B I C D E F G I H I I J Proposed S"Note Standard Values From JA4 Table Framing Thickness, Framed Continuous JA4 Proposed Tag/ ID' Assembly Name or T Z Material Spacing, U- JA4 Table Cavity and Size or Other factor° Number' R-value6 Insulation R -Value' Assembly Row/Cols Assembl U -facto F Lt1AL L WD IC - I L 12-/1 K L nnii Proposed Properties of Masonry and Concrete Added Interior or Exterior insulation ' Walls From Reference in Furring Space from Reference Joint Appendix Table 4.3.5, 4.3.6, 4.3.7 1 Joint Appendix Table 4.3.13 Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page J.44-3 and Equation 4-1. For calculating furred walls use the ,Nass and Furring Constriction table below. 1. For Tag/ID indicate the identification name that matches the building plans. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate in column G the Frame material and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... 4. Based on the Climate Zone; enter the equivalent U factor found in JA4 Table based on the R -Value from Table 151-B, C, or D 5. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ". 7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0 ". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comp . Registration Number: Registration Date/Time: ' HERS Provider.-'. W -QA*AVGNM 2008 Residential Compliance Forms March 2010 oD Furring Strips Construction Table for Mass Walls Onl A I B I C 1 D. 1 E F I G I H I J I K L nnii Proposed Properties of Masonry and Concrete Added Interior or Exterior insulation ' Walls From Reference in Furring Space from Reference Joint Appendix Table 4.3.5, 4.3.6, 4.3.7 1 Joint Appendix Table 4.3.13 U o f U > U • IIAssembly y -v LL ° c o o. t �- ° U„ g o •' °' " I a LA QUIN Mass Name or JA4 Table ? ° ,°, E E A ss m Thickness' Type2 Number' ¢ > S E w ` 3 J Q > ����-....��©� nt I fUFI>�td _ C A(MGnTeV r) Cl: Registration Number: Registration Date/Time: ' HERS Provider.-'. W -QA*AVGNM 2008 Residential Compliance Forms March 2010 oD bJ Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 2 of 5 Project Name: Climate Zone # # of Stories MATTin)G LL rT2oT7 A /s— ass and Furring Ships Construction(footnotes) 1. Indicate the type ofassembly to inchude; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can befound Reference Joint Appendix JA4. 2. This is the U -Factor based on the thickness of the assembly in inches. 3. The R -value of the insulation to be added on the interior or exterior of the assembly. . The Calculated R-Vahte is the R -value of the furred out section of the assembly. .-6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Cohum added to Column I Cohn K is the inverse from column J. 7. Insert the calculated U- actor value on to the Opaque Sur ace Details in Colamn J FENESTRATION PROPOSED AREAS Q Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Valtue requirements of Component Package D in Table 151-C. The Total Fenestration and West -/acing Area requirements are not applicable. la Adding 50ft2 or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. Q Adding more than 50ft2 of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT B Orientation D Fenestration Type and Frame Window, Glass Door or Skylight) (North, East, South, West) PropsedAreaMaximum Maximum NFRC or Default U -factor 3 SHGC'' 2.4 Values tU /AM0w ,y Ac s 5 18 0 Allowed Existing . 0 � Allowed Entire % of Fenestration Area FIRM A 1. Fenestration area is the area of total glazed product (i.e. glass phis frame). Exception: When a door is less than 50% glass, the fe alion area may be the glass area phis a "2 inch frame" around the glass. 2. Enter value from Component Package D Requirements in Table 151-C. 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower SHGC value than that specified on the CF -IR ALT Form. 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.1fapplicable at this stage enter "NFRC" for NFRC Certified windows or are CEC "Default " values ound in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (Com tete i more than SO offenestration is added) A B C D E F G CFA of Allowed Existing Allowed Entire % of Fenestration Area Fenestration Area Proposed Area 1.4 Dwelling CFA'-' Area Removed` Area Added (A x B) (E -D) + C Total Fenestration Area 2. l West Fenestration Area • (Required In CZ's 2, 4 & 7 -15) 1. The Proposed West Fenestration Area includes West -sloping skvlight area and anv other skylight area with a less than 1:12. pitch 2. Enter 20% when no West orientation restriction or 15% when West fenestration is being installed in Climate Zones 2, 4, & 7-15. Note that the maximum allowed fenestration can only be 5% of the CFA as indicated in Column F. Cohumn G must be equal to or less than Column F. 3. In climate =ones 2, 4, 7-15, no more than 5% of the CFA is allowed for west facing glazing. 4. Existing Fenestration area must be counted toward the maximum allowed 15% or 20% of the whole building and calculated in Cohmuu G. The Proposed Area must be less than or equal to Column F. 5. Enter the fenestration removed as part of the alteration if any in column D. 6. Enter the Fenestration area that is being added as part of the alteration. Registration Number:. Registration Dat&Time: HERS Provider: 2008 Residential Compliance Fornis Murch 2010 4e Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 5 of 5 Project Name: Climate Zone # # of Stories / Y / /n/6- L T.eO /S I / HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before f nal inspection. Duct Sealing & Testing HERS verification is required for this measure. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per § 152(b)l Dii and the newly installed ducts are to be insulated per §151(f)10. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. OYES ONO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per § 152(b)1 Di. ❑YES ❑NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per § 152(b) I E. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. rl EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Refrigerant Charge - Split System HERS verification is required for this measure. 0 YES ❑ NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per § 152(b)IF. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation requirements of § 150 o do not apply to existing residential homes. Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. ❑ YES ❑ NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced, the airflow and fan watt draw shall be verified per § 152(b) lCi to meet the requirements of § 151(07B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate an ete. Name- MOAAJ C412i-SoJ Signa e Company7f: Date: 1)a/6.✓ S -V,0-10 - 3-3 14 Address: 2124—Al. 6�12-43—o+L, A&` if Applicable CEA orLICEPE (Certification #): Ci /State/Zi i9`� P�.✓6s 4-4- `7'4 Phone: 176o 77e1,(-s2-- 7e/652_Responsible ResponsibleBuilding Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts I and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: �5A azE Signature: Company: Date: Address: License: City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300. Registr atldn Number: Registration Date/Time: HERS Provider: ; 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 3 of .S Project Name: Climate Zone 14 $1 of Stories �/97✓/✓/ �L it �S— ROOFING PRODUCTS (COOL ROOFS) §1511012 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000ft2, whichever is less, the new roofing area must meet the roofing product "Cool Roof' requirements of §151(b)1Hi, 152(b)IHii, or 152(b)IHiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof 'requirements. Note: /fairy one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(1) are not applicable. Do not fill table below. Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. ❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than 5lb/ft2. Alternatives to §152(b)IHi and §152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr•R2•°F/Btu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to § 151(f)10; or ❑ In climate zones 10, 12 and 13, with 1 112 of free ventilation area of attic ventilation for every 150 ft2 of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or ❑ Building has at least R-30 ceiling insulation; or ❑ Building has radiant barrier in the attic meeting the requirements of § 15l(f)2; or ❑ Building has no ducts in the attic; or ❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)1Hiii, Low -slope roof (pitch:5 2:12) ❑ Building has no ducts in the attic. Other Exceptions ❑Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft2 is exempt from the below Cool Roof criteria. Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, Check the applicable box below if Exem t from the Roofing Products "Cool Roof' Re uirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product [D Number < 2:12 > 2:12 < 5lb/ft2 > 5lb/ft2 T 2 Reflectance 3.4 Emittance SRI5 ❑ ❑ ❑ ❑ in, ❑ ❑ ❑ ❑ E ❑ ❑ ❑ ❑ ❑° ❑ ❑ ❑ ❑ ❑� ❑ 1 ❑ ❑ 1 ❑ ❑4 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.oMIRroducts/search.12h 2. Indicate the type of product is being used for the roof top, i.e. single ply roof, asphalt roof, metal roof, etc. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+01(pintua1 - 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if rhe .•Iged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRi- Worksheet at hrrp://www.energ.ea.gov/tille24/and enter the resulting value in the SRi Column above and attach atopy of the SRI- Worksheet to the CF -JR. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in § 1 18(1)4. Select the applicable coating: Aluminum -Pigmented Asphalt Roof Coating 0 Cement -Based Roof Coating Other Reguira Numbei r: Registration DSte/Time: _' HERS Provider:.' - 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: Residential CF -IR -ALT. Residential Alterations Page 4 of 5 Project Name: Climate Zone h # of Stories Rog i G i4 XF.S � HVAC SYSTEMS - HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydropic space heating. Individual dwelling DHW heaters must be gas or propane fired. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground hot water pipes is required in all Minimum Duct or Piping Configuration Heating Equipment Type and Capacity 1•r•3 Efficiency AFUE or HSPF Distribution Type and Location Insulation R -Value Thermostat Type (Central, Split, Space, Package or H dronic Energy Factor or Insulation Typel (Standard, Recirculatin )2 System Capacity (al) Thermal Efficiency R-Value3 1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if Iota! capacity < 2 KW or 7,000 Btulhr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception. 3. Refer to the HERS Verification section on Page 4 of the CF -JR -ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc) HVAC SYSTEMS - COOLING Minimum 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and pipes shall be insulated to meet the requirements of§l506f). Efficiency Duct or Piping Configuration Cooling Equipment Type and Capacity 1.2 (SEER/EER or COP) Distribution Insulation Thermostat Type and Location R -Value Type (Central, Split, Space, Package or H dronic) 1. Indicate Cooling Type (A/C, Neat pump, Evap. Cooling, etc) 2. Refer to the HERS Verification section on Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes. 3. Indicate Type or Location (Ducts, H dronic in Floor, Radiators, etc. WATER HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydropic space heating. Individual dwelling DHW heaters must be gas or propane fired. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground hot water pipes is required in all component packages in all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Typel (Standard, Recirculatin )2 System Capacity (al) Thermal Efficiency R-Value3 1. indicate Type (Storage Gas, Heat Pump, Instantaneous, etc) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and pipes shall be insulated to meet the requirements of§l506f). SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written justification and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of § 151 2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation UYES UNO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation YES O YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab insulation UYES NO YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. Regishndori Number ti. t i* >t. < Regisfraflon Dot :, n �. e/Trme r PIERS Priovider e n 2008 Residential Compliance Forms March 2010