9801-118 (SFD)LICENSED CONTRACTOR DECLARATION
thereby affirm under penalty of perjury that I am licensed under provisions of
tib• Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
C14 W Professionals Code, and my License is in full force and effect.
c7 License # Lic. Class Exp. Date
ILLJr �. §p��; Stir' !'Z v, 1I'3ji
oZ r- Date „ Signature of Contractor
CDOrl�
J U C:) OWNER -BUILDER DECLARATION
W UJ I hereby affirm under penalty of perjury that I am exempt from the Contractor's
U) License Law for the following reason:
Z_ ( ) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
C'') () I am exempt under Section , B&P.C. for this reason
LID
N Date Signature of Owner
ON
rn
Q WORKER'S COMPENSATION DECLARATION
C) Z I hereby affirm under penalty of perjury one of the following declarations:
Lo � O () 1 have and will maintain a certificate of consent to self -insure for workers'
X W compensation, as provided for by Section 3700 of the Labor Code, for the
O J Q performance of the work for which this permit is issued.
ED Q U (`ICf 1 have and will maintain workers' compensation insurance, as required by
O U Q Section 3700 of the Labor Code, for the performance of the work for which this
a rn H permit is issued. My workers' compensation insurance carrier & policy no. are:
1�t Z Carrier Policy No.
J
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) I certify that in the performance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subject to the
workers' compensation laws of California, and agree that if I should become
3 subject to the workers' compensation rovisions,o. Section 3700 of the Labor
Code, IRshall fo hwith comply with�ihls sr9ns.
�fp�:
ate: Z e;�- Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
�\ any permit issued as a result of this applicaton agrees to, & shall, indemnity
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
• correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
thp"above-mentioned.property for inspectio;, urposes. '
'Signature (Owner/Agent) / Date
BUILDINGPERMIT PERMIT# °°NTRDL#
DATE . � VALUATION LOTTRACT
w�,i4�Dt�.vfi h r a ,
�
y✓ H ii
JOB SITE'
APN
ADDRESS
7
OWNER
CONTRACTOR/DESIGNER/ENGINEER
IN11C011 )N I (70!11)
!1'!(''f)1 fr 1�1�� N f 1:11 .
3c%Z W. ik;<ik L;7 ?;i1+v°i1
W ARROW Iivv"x
l.iPl,AND 0A u1_!"y
tTV1A9N'iJ iK-1
f�' tai I�Ez� CTAI,_41 tae
USE OF PERMIT
t.tr It,, iPLJoLL . �b - i+fwi f a NC) t` if,;t,L 4- ii, ItlAx K WriLi S
(At POOL. PLA -M C`lllsCK FW-_JWA <L 5e','o, F'laii K%4:1111LI; )s AfANL
4 l'Ka1�y.r Q} A e�a 4,V .lit)"
1 v��itAtyPs} t4h.)XI' !:i l.tttt Vit;
�y-!TfTIMA` ED M'''T• M'M Nf-,, T 19tUVF1.C1,,N
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i)pp� raaYn�QQ�5 a §§ A
PL ANc CWY `I; Ia P+'� 1 j
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MU, `f1A€4 'AL F14, to] _GrKO-Z?t_0() rJ+`'r`i tiS1
> LK,(. l RWA(, EV 1.0 i 000.440-(J11U S I tq9."i2
Pt,tY!vE�ili`O h r, _ 101-000-414-00) n t I J 00
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ttkMINO CCU sl tf tr°, ',2 (lU 8,
Wf ltH�7'K} yt ! trj$d 9• t j: ��lf it i!i S- w ` Y'-y„t`�
fi}
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,! Nt2 }'�:• � ° k °1 1°'f''(
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• �;�4} tufa
"i'()`TAC >1'FAtIY1C>I;: E iliO
RECEIPT
DATE
BY
DATE NAL
INSPECTOR
y` INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs!_
Forms & Footings
Q
Z� t
Underground Ducts
Ducts
Slab Grade
Main Service
Return Air
Steel
Combustion Air
Roof Deck
_
3 — �',
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
(O —
Compressor
Insulation
=Q-�
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Q —(
Drywall - Int. Lath
—.z — 7 A — J
Final 7^%lam
BLOCKWALL APPROVALS
Final
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain -
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Waste Lines _ o — ���
Gas Test
Electric Final
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Sewer Connection
Pool Cover
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final -
Notice (Gas)
�Utility
� �9`'
j kff
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility :
1 J;;
3
Residence Address: Desert Pride Lot 16 P/ww '960
-
45-275 Sunbrook La Quintan Ca
CERTIFICATION: This is to certify than attic insulation has been installed in conformance with
the coverage than recommendarions on the oppositesire of this mA using 46 bap w
cover 1.38Q% ft: m obtain an R+lahse of 30
Contractor's autthaigzd signature- � ✓dam •
Date June 2, 1998
Installed lett.
Buihim
•
R P"17) O PLUS
(Formerly Cordex)
STABILIZED INSULATION
MANUFACTURED BY
GREENSTONE INDUSTRIES
Atlanta, Georgia - Elkwuod, Virginia • Ft_ Wayne, Indiana
Norfolk, Nebraska - Phoenix, Arizona - Fbrtland, Oregon
ATOMIZED PNEUMATIC APPLICATION COVERAGE CHART
R -Value at
39.6
Net Caverage
No Adjusbned be Trusses
Gross Coverage
75'F Mean
Minimum
ihrcNness
Based an 2 x 6'
Trusses on 16'
MaNei
1.192
Minimum
Temperatire
Waght Per
Centers
Coverage
Square Foot
To Oblain
Instatled
Square
Mirnurn
The Weight Per
Suare
Bags
an Insulation
Inwtatlon
Feet
Bags
Sq. Pl. of
Feet
Required
Re9lstance
Should Nal
Per
Required
Installed
Per
'Per 1,000
(Al of
Be Less than
Sag
Per t.000
nsulation Should
Bag
Square Feet
(Inches)
Square Feel
Not Be Less
Than: lbs
R-50
13.5
20.5
48.8
1.464
21.3
46.9
R-42
11.4
24.4
41.0
1.230
25,6
39.1
R-40
Me
25.6
39.0
1.172
26.9
37,2
R-38
10.3
27.0
37.1
1.113
28.4
35.2
R-32
8.6
32.0
34.1
.937
34A
29.4
11-30
0.1
34.2
29.0
.078
36.5
27,4
R-24
6.5
42.7
23.4
.703
46.4
21,6
R-22
5.9
46.6
21.5
.644
51.0
19,5
R-19
5.1
53.9
18.5
_559
59.6
16.8
R-13
3.5
78.8
12.7
.381
87.0
11.5
R-11
3,0
93.2
10.7
.322
102.8
9.7
Sideways (pressure Filled -density 2.6 PPCF)
• 13 (2 x4)
3.5
39.6
25.3
.758
•20 (2 x 6)
5.5
25.2
1 39.7
1.192
st,
Note: This coverage chart compensates for settling and Is for estimating purposes only.
Stated R -Value is provided by Installing tete required number of bags per 1000 sq. h, at a 19
minimum installed thickness. Installation of the required number of bags may yield more U
than the specilied minimum thickness and minimum welgN per sq. ft, Actual coverage will
be Influenced by job conditions and app(icadon tecthnklues, and may vary as much as 10%
06/02/98 13:11 FAX 760 346 7276 ROVER INSULATION Q02
Builders
Insulation Statement Desert Pride Lot 16.. CertainTeW C .
Su 45-275 Sunbrook
La Quinta, Ca 11`'
InsulSafeill
Fiber Glass Insulation
triauWw to Or hely been Installed with the
manutamiler's recommendations to pro-
vide a value of R using bags
of Insulation to cover square feet of
area at a minimum thicknom of
Inches.
cwo
Batts and Blanket
R -Value
Insulation Thiduresa
W36
IV, tr
R-30
81/4'. 10'
FI -22
6'l;
R-21
5'/;
R-19
61/.'
R-15
3'/;
R-13
Via
A-11
3'/i
Comprise brlth ASTM C 665
Fiber glass batts or rolls have been
Installed in accordance with the manu-
facturer's recQMmandatlon to prp1lde
an R -value of In the ceiling In
the exterior walls, in the floor
wl spa meter:
coraracmr (SW)
F40VER INSULATION A AS^OLMr,Tnr-
ComPany Nanta
June 2, 1998
nate
Builder (SW)
Dale
Thermal Performance — Attic Blowing Application
■ In eocoraMOD with the &an below, you must Install dw mhhnum number d U40 Pl r IXO tlq. d
of net area for each R•Valus listed.
Is The maximum net coverage must not exceed that speoliea for UM R -Value.
■ The instilled instdalbn must be at of above 716 speaW minimum MWMGW for 08111 F}AN&
■ Failure to install the requited minimum weiglll per sq- IL of insuladw et or Wxwo 1116 m0mrta
7licimms will result M reduced R-Yl1W6.
• This product should nol be mixed wim o6wr blown intlaila = of dts 7len W dW= lei DO=
Invalid
A -VALUE
SAGS PER
1000 SO. Fr.
MAXIMUM
80. Fr. PER SAO
MINIMUMGM
POUN F7
11911112 I
THEM=
Tb ablain apar
mif rtw rssitxanca
(R) of
1 g4 R
of ae ww.
Contain of bag
MOM MI ewomm
Moro TAW (14 R)
Oareat t d
t®id� 901
nnbo 1=1111R OW
amdd Ild (f
ftp �
(3011111)
R-60
42.6
23
l AW
a9'
R-49
34.3
29
0,858
low
R-44
31.1
32
0.770
17V
R-38
28.8
30
11665
16 w
R-30
20.8
40
0421
19W
FI -26
18.1
as
0.462
11'
R-22
15.0
67
0.374
ow
R-16
19.2
76
0.330
81d'
R-13
9.0
111
11225
5W
R-11
7.4
130
0.184,
4'1.'
R -Values are dlebwnined in aaoordarm with ASTM C 607 and 518. OMON WO A TN6764
as Type I insulation.
'R' mewv resteMnes to 8861 flow. ThabigtM ft R-V81ue, the WOW file U16uWft POM 1b
get fie marked R -Value. II Is essential Mal Me insulation i6 mete properly -
DANGER: RECESSED LIGHT FIXTURES — TO PREVENT OVERHEATING, DO NOT
INSULATE ON TOP OR WITHIN 3' OF SUCH DEVICES. DOES NOTAPPLY
TO TYPE IC LIGHT FACTURES OR TO FLUORESCENT FIXILRE6 WITH
THERMALLY PROTECTED BALLASTS.
Framing Adjustment
To compensate for framing members the number of bags per 1000 a0. K d rM area d aM pa
reduced as Idiom!
.
Joisl Sufi
Btl�bOedtfd/t�s0.'L
QflvloOtfOld/t®t�L
.1olO2fr0.t}
2' x 4'
0.5
0,4
r 16'
0.8
0.6
2' a 8'
1.1
0�
2'x 10'
1.4
1.0
CeftalnTeed Corporation, P.O. [Dolt 860, Valley Forge, PA 19082
Code No.30.24.092 01996 CenwTaW C pOra W I=
a
3
LI
t -
M
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R
Protect Title Date
Lt'3 —2--7s- SU Qty KI TA, (A
PrAddress Building Permit #
MOM (-41PrM)t
Documentation AuthorTelephone Plan Check / Date
I S Field Check / Date
Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use Only
✓ ❑ Alternative Component Package Method: (ch k (61TY F I VQMWAte ative)
Package C and Package D. choices require R$)�J�LM l &SAF r fl)fiffbiclsting (see CF -1R page 3)
For Package D Alternative see Appendix B able 151];I
�� - V ED
GENERAL INFORMATION FORUCTION.
Total Conditioned Floor Area (CFA) I &D ft, ��Seg e ft
Maximum Allowed West Facing Fenestration Produ - _ _ _ ftz
Maximum Allowed Total Fenestration Products Per Table 151-B or 151 -CV--- (20% X CFA) ft
✓. ❑ Building Type: (check one or more) Single Family MultifamiIy_jZL Addition Alteration
(If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
for Additions and 8.3.3 for Alterations.)
Number of Stories: , Numbeof Dwelling Units:
Floor Construction Type: 31a aised Floor (circle one or both)
Front Orientation: North / South Ea / West / All Orientations (input front orientation in degrees from True
North and circle one).
✓ U RADIANT BARRIER (required in climate zones 2 4 8-151
OPAOUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
'Type
(Wood
or Metal
Cavity
Insulation
R -Value
Assembly U -
factor (for
Continuous. wood, metal
Insulation "frame and mass
R -Value assemblies)'
Joint
Appendix
IV
Reference
Roof Radiant
Barrier
Installed
Yes or No
Location/Comments
(attic, garage,
typical, etc.
goo F
LAI, Cion
bqM6-.a 1z CtF
0P60v.
O
l) UVV Ju11l / VV/-;IIUTA I v III occuvu v../, i v..3 anu tv.4, wnlcn is the basis IOC theU-tactor criterion. U -tactors Can not
exceed prescriptive value to show equivalence to R -values.
Residential Compliance Forms
p pp{t 2 5 2006
March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4)' CF -1R
Project Title
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be included for New Construction,
Additions and Alterations.
Fenestration
#/Type/Pos.
(Front, Left,_
Rear,. Right,
Skylight)N,
Orien-
tation, Area
S, E, W' (ftZ
U -factor
U -factor' Source' SHGC°
Exterior
Shad ing/Overhangs6''
SHGC ✓ box if WS -3R is
Sources included
�i28�+
hit i C� cd
❑
VO PT4 & -
- -bi 0 10. 3
❑
13
13
13
_, -J lAr sta "A V 11V ilk, ruur; ill vv cat-tacurg tenestrarion area it me sxyugnts are tilted to the west or tilted in any direction
when the pitch is less than 1:12. See § 151(f)3C and in Section 3.2.3 of the.Residential Manual
2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A.
3) Indicate source either from NFRC or Table 116A,
4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R.
•5) Indicate source either from NFRC or Table I I6B.
6) Shading Devices are defined in Table 3-3 'in the Residential Manual and see WS -3R to calculate Exterior Shad ing.devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment
Type and Capacity
fumace, heat pump, boiler, etc.
Minimum Distribution
Efficiency Type and Location Duct or Piping Thermostat Configuration
AFUE or HSPF ducts, attic, etc. R -Value Type s lit or package)
52W
Cooling Equipment
Type and Capacity
A/C, heat pump, eva . cooling)
Minimum
Efficiency Duct Location Duct Thermostat Configuration
SEER or EER attic, etc.) R -Value Type (split or package)
Residential Compliance Forms
March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of j4) CF -1R
/-C it GJPcl 5 .. &=1
Project Title Date
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF -4R Form must be:provided to the building department for each home for which the following. are
required.
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes .7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously
❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned
spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D.
WA'FEK HEATING SYSTEMS
Distribution
Type
❑
Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.).
&,
TXVs, readily accessible (climate zones 2 and 8-15 only)
Installer testing and certification and HERS Rater field verification required.)
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification required.)
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes .7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously
❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned
spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D.
WA'FEK HEATING SYSTEMS
Systems serving single dwelling units
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
❑
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Standbyi.
Loss %
not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Manual. No water heating calculations are required, and the system complies automatically.
Check box if system does not meet criteria of"Standard" system, and does not comply with the Preapproved
11Alternative
Water Heating table. In this case, the Performance Method must be used and must be included in the
submittal.
❑
Check box to verify that a time control is required for a recirculating system pump for a system serving multiple
units
Systems serving single dwelling units
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Rated
Input'.
(kW or
Btuthr(gallons)
Tank
Capacity
Energy
Factor' or
Thermal
Efficiency
Standbyi.
Loss %
Tank.
External
Insulation
R -Value
-CAIS I I ./Vil
System serving multiple dwelling units
Water Heater
Type
Distribution
Type
Number
in System
Rated
Input'
(kW or
Btu/hr(gallons)
Tank
Capacity
Energy
Factor' orExternal
Thermal
Efficiency
Standby'
Loss %
Tank
Insulation
R -Value
�rlfV
t. For small gas'storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat
pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000
Btu/hr), list Rated Input, Recovery Efficiency, Thermal'Efficiency and Standby Loss. For instantaneous gas water
heaters, list Rated Input and Thermal Efficiencies.
Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/a
inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B.
Residential Compliance Forms March 2005
r1UJcu i urn Date
SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary)
Indicate which special features are part of this project. The list below only represents special features relevant to the
nrescrintive methnd
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -1R
Refrigerant Charge
CF -6R part 5 of 12
Radiant Barriers
CF -1R
CF -6R part 6 of 12
❑
Exterior Shades
WS -4R
❑
Cool Roof
N/A; Attach CRRC Label to .
Forms.,
❑
Dedicated Hydronic Heating,
Performance Calculation
System
Required; Attach Run to Forms.
❑
Combined Hydronic System
Performance Calculation
Required; Attach Run to Forms.
❑
Gas Cooling
Performance Calculation
Required.
❑
Buried Ducts
N/A; Indicate on building plans.
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distribution
Systems in Residential Manual.
Multiple Water Heaters Per
See Table 5-13 or use
❑
.
Dwelling Unit
Performance Calculation and
attach Run to Forms.
❑
Central Water Heating System
Performance Calculation and
Serving Multiple Dwellings
attach Run to Forms.
❑
Non-NAECA Large Water
CF -1R
Heater
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
❑
Instantaneous Gas Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
❑
Solar Water Heating System
Performance Calculation and
attach Run to Forms
❑
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION
(add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verification.
✓
Feature
Required Forms if applicable)— Description
❑
Duct Sealing
CF -6R part 4 of 12
❑
Refrigerant Charge
CF -6R part 5 of 12
❑
Thermostatic Expansion Valve _
CF -6R part 6 of 12
10
Residential Compliance Forms March 2005
nr ,
MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 1 of 2) MF -1R
kkul
Project Title - Date
Note: Low-rise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent
compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (') below. When this checklist is
incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for
the mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
Instructions: Check or initial applicable boxes when completed or check NA if not'applicable.
DESCRIPTION
NA
Designer
Enforce
-ment
Building Envelope Measures:
✓
✓
✓
• §150(a): Minimum R-19 in wood frame ceding insulation or equivalent U -factor in metal frame ceiling.
§ 150(b): Loose fill insulation manufacturer's labeled R -Value:
0
' § 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply
to exterior mass walls).
• § 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor.
§ 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
1. Masonry and factory -built fireplaces have:
a. closeable metal or glass door covering the entire opening of the firebox
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b. outside air intake with damper and control, flue damper and control
2. No continuous burning gas pilot lights allowed.
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§150(f): Air retarding wrap installed to comply with § 151 meets requirements specified in the ACM Residential Manual.
§ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
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§ 150(1) : Slab edge insulation - water absorption rate for the insulation material alone without facings no greater than
0.3%, water vapor permeance rate no greater than 2.0perm/inch.
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§118; Insulation specified or installed meets insulation installation quality standards. Indicate type and include CF -6R
Form:
§ 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls.
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
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2. Fenestration products (except field -fabricated) have label with certified U -factor, certified Solar Heat Gain
Coefficient SHGC , and infiltration certification.
3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission.
§150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA.
§150(i): Setback thermostat on all applicable heating and/or cooling systems.
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§1500): Water system pipe and tank insulation and cooling systems line insulation.
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1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation
having an installed thermal resistance of R-12 or greater.
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2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or
R-16 internal insulation and indicated on the exterior of the tank showing the R -value.
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3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness:
1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length
ofrecirculating sections of hot water pipes shall be insulated to Table 150B.
2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and
indirect hot water tank shall be insulated to Table 150-B and Equation 150-A.
4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A.
Residential Compliance Forms March 2005
MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 2 of 2) MF -1R
Space Conditioning, Water Heating and Plumbing System Measures: (continued)
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5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
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6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in
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conditioned space.
7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation.
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§150(m): Ducts and Fans
1. All ducts and plenums installed, sealed and insulated to meet the requirement of the CMC Sections 601, 602, 603, 604, 605
and Standard 6-5; supply -air and retum-air ducts and plenums are insulated to a minimum installed level of R4.2 or
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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 eater than 1/4 inch, the combination of mastic and either mesh or tape shall be used.
2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than
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sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and
support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to
cause reductions in the cross-sectional area of the ducts.
3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
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unless such tae is used in combination with'mastic and draw bands.
4. Exhaust fan systems have back draft or automatic dampers.
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5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
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6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture,
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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.
7. Flexible ducts cannot have porous inner cores.
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§ 114: Pool and Spa Heatin 'S stems and Equipment.
1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the
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heater, weatherproof operating instruclions, no electric resistance heating and no pilot light.
2. System is installed with:
a. at least 36" of pipe between filter and heater for future solar heating
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b. cover for outdoor pools or outdoor spas
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3. Tool system has directional inlets and a circulation pump time switch.
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§ 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously
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burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr
§ 118(i): Cool Roof material meets specified criteria
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Residential Lighting Measures:
§ I50(k)l : HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as
outlined in Table 150-C, and do not contain a medium screw base socket (E241E26). Ballast for lamps 13 watts or
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greater are electronic and have an output frequency no less than 20 kHz
§150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table
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150-C, hardwired ballasts and if the ballast is electromagnetic has a medium screw base socket.
§ I50(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the total
rated wattage of permanently installed luminaires (based on no rated wattage of high efficacy lamps) in kitchens
be in luminaires
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that are not high efficacy luminaires, provided that these luminaires are controlled by switches
separate from those controlling the high efficacy luminaires.
§ 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms utility rooms shall be high efficacy
luminaires. OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on
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automatically or have an always ono tion.
§ 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility
rooms shall be high efficacy luminaires (except closets less than 70ft2): OR are controlled by a dimmer switch OR are
by
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E]controlled
an occupant sensor that complies with Section 119(d) that does not tum on automatically or have an always
ono tion.
§ 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are
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rated to ASTM E283 and labeled as air tight-(AT)to less than 2.0 CFM at 75 Pascals.
§ 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings
on the same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other
Article 680 locations)
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OR are controlled by occupant sensors with integral photo control certified to comply with Section
119d.
§ I50(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147.
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Lightingfor Arkin garages for 8 or more vehicles shall have lighting that complies with Sec. 130, 131, and 146.
§ 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or
more dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with
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Section 119(d).
Residential Compliance Forms March 2005