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13-0078 (RER)e�— - Ca. P.O. BOX 1504 18-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Applicalitibn Number: 13-00000078 Property Address: 51735 AVENIDA VALLEJO, APN: .773-131-026-12 -000000- Application description: REMODEL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 5000 Applicant: TA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect* or Engineer: ------------ 7 ------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and.effect. License Class: 13 LicenseNo,: 899674 Date: ontractor: 0 OER DECLARATION R from t I hereby affirm under penalty of perjury that I am Zeg.5.t from thellcontractor's State License Law for the following reason (Sec. 7031.5, Business and Professions C ode: 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 or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjeFts the applicant to a civil penalty of not more than five hundred dollars ($500) .: 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the.proj'ect (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.). I am exempt under Sec. B.&P.C. for this reason Date: 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: ULTRA INVESTMENTS 1233 VIA PRESA SAN CLEMENTE, CA 92672 (949)443-2401 Contractor: KELLEY CUSTOM BUILDING 42801 PLEASANT HILL PL HEMET, CA 92544 (951)796-7099 Lic. No.: 899674 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 -1 Date: 1/30/13 ----------------------------------------- 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 polic y number are: Carrier EXEMPT — Policy Number EXEMPT 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 subject to the workers' compensation provisions of Section 3700 of the Labor Cod!�U shalp mply with those provisions. , co F Date/3—&—m-policant: COMPE WARNING: FAILURE TO SECLN(E*#WOR S' :'� NSATI C RAGE IS UNLAWFUL, AND SHALL Z' S UP SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Cl IINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of -this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify 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 SqAsquction, and hereby authorize representatives of this cou y e ter upon the above-mentioned �r��, .n Date: Rature (Applicant or A"�gan Application Number . . . . 13-00000078 Structure Information 475SF CASITA CONVERSION/VB/R-3/qL-A ---- Other struct info CODE EDITION - - - - - --- - - - --- - - - - - - - - - - - - - - # BEDROOMS - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - -- 7 - - - - - 1.00 - - - - 7 - - - - - - Permit BUILDING PERMIT. Additional,des'c Permit Fee . . . . 72.00 PlanCheck Fee 46.80, Issue Date Valuation 5000'. Expiration Date 7/29/13 Qty Unit Charge Per Extension BASE FEE 45.00 3.60 9.00001THOU - - - - - - - - - - - - BLDG 2,001-25,0.00 - - - - - --- - - - - - - - - - - - --- - - - - - - - - - - 27.00 - - - - - - - - - - - Permit ELECT ADD/ALT`/REM Additional desc Permit Fee 31.63 Plan'Check'Fee 7.91 Issue Date Valuation 0 Expiration Date 7/29/13 Qty Unit charge Per. Extension BASE FEE 15.00 4.75.00 --------------------------------------------------------------------- ELEC NEW RES 1'OR 2 FAMILY 16.63 --------- Permit . . . . MECHANICAL . Additional desc Permit Fee . . . . 30.50 Plan Check Fee 7.63 Issue - Date . . . . Valuation - Expiration Date 7/29/13 Qty Unit Charge Per Extension BASE FEE 15.00, 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.0'0 ----------------- ---------- EA MECH VENT FAN --------------- ---------------------------------------- 6.50 Permit PLUMBING Additional desc Permit Fee . . . . 43.50 Plan'Check Fee 10.88 Issue Date, :VAluation 0 Expiration Date '�/29/13 Qty Unit Charge Per Extension BASE FEE 15,.00 LQPERMIT Appli6ation--,Nim6er,�* 13-000000718 Permit . . . . . . PLUMBING Unit Charge-' Per Extension _Qty 3. 00' .6.0000 EA PLB FIXTURE 18..00 1.00 7.5000,EA, PLB.WATER HEATER/VENT 7.50 j.00 3�OOOO'EA�� '-.PLB,WATER INSt/ALT/REP 3.00 ------------------------------------- ---------------- Special Notes' and Comments 4-75SF dASITA CONVERSION/VB/R�S-3/CLMS .'A -FR [CONVENTIONAL] CONVERT EXISTING 375SF STORAGE -SHED AM 100SF PATIO�COVER INTO'HABITABLE-CASITA. THIS PERMIT DOES NOT INCLUDE PROVISIONS FOR COOKING. CODE CASE NUMBER 10-0050 JMR] 2010 CALIFORNIA BUILDING CODES..' January 30','2013 4:19 1*'AORTEGA ----------------- -------------- 7 --------- ------ Other Fees .,BLDG STDS ADMIN (SB1473) -------------- .1.00 'ENERGY REVIEW,FEE 4'. 6 8 STRONG m6TION'(SMI) RE S .50* Fee 'summary charged 4% Paid, Credited Due ------------ ---------- ---- ------ --- 7 - - - - 7 -- - - - - - - - - - - 'Perm I it Fee �otal '"'177.6-3 _00 00 177.0 f. Pian -Check Total 7 3-. 2 2 .00 .00 Other Fee Total, �.00 .73.22 6.18, Grand Total t�257.03 ".00 257.03 LQPERMIT Bin .# Oty. of La Qu%lita 1;u11d1ng a Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # (j 7j Project Address: 3 A -v e . V � 1 e O Owner's Name:. _`9'L �t I 'N V -P 50-t me �j A. P. Number. i Legal Description: Contractor: t -e ( V Sim J'A' - p RYt v Ci ty.ST Zip; Saw c �atr J e '7A Telephone: .9�l9 �/Y 3 a�-I O Address: Zip j P eaSP `` .. �0.ce Project Description: City, ST, Zip: e m -e q.,x 5-4 Pe_MI \ Telephone: q!51 'D a x State Lic. #: 7L1 City Lic. C Arch., Engr., Designer Address: ` lA City., ST, Zip: Telephone: �. State Lic. #:' .,`� j,"»'� Name of Contact Person:Sq. Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repan Demo Ft : #Stories : #Units: Telephone # of Contact Person: /L e?q-1 AJ 376 Estimated Value of Project: PPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Recd TRACKING PERMIT FEES Pian Sets Plan Check submitted l Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan r' Review, ready for corrections/issue Electrical Subcontector List Caped Contact Person Plumbing Grant Deed Pians picked up S.M.I. dwb H.O.A. Approval Plans resubmitted Grading . IN HOUSE: ''" Review, ready for correetio u Developer Impact Fee Planning Approval. Called Contact Person 10 A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 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 475 S.F. or $1,520.00 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 - Harry Perkins Check No. - Bank Name/Recipient of Certificate . Telephone 951-566-7278 Funding Residential By Dr. Gary Rutherford �,• �t W Superintendent Fee collected /exempd by Sha n GIIVrey Payment Recd W $0.00 �q� $1,520.00 :Over/ �dr � G Signature �'Ioolt Jt o<0�' NOTICE: Pursuant to Government Code Section 66020(d)Vdan erve 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 thech 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 XVI ED Desert Sands Unified School District 47950 Dune Palms Road Q 9ERMUDADUNES O Date 2/13/13 La Quinta, CA 92253 rn RANCHO MIRAGE b INDIAN WELLS �+ No. 31547 (760) 771-8515 . dva P LA QUINT 4 .RINDIO V � Owner Ultra Investments APN # 773-131-026 Address 51-735 Avenida Vallejo Jurisdiction. La Quinta City La Quinta Zip Permit # Tract # No. of Units 1 Type Detached Guest House Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 51735 Avenida Vallejo 475 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 475 S.F. or $1,520.00 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 - Harry Perkins Check No. - Bank Name/Recipient of Certificate . Telephone 951-566-7278 Funding Residential By Dr. Gary Rutherford �,• �t W Superintendent Fee collected /exempd by Sha n GIIVrey Payment Recd W $0.00 �q� $1,520.00 :Over/ �dr � G Signature �'Ioolt Jt o<0�' NOTICE: Pursuant to Government Code Section 66020(d)Vdan erve 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 thech 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 WP 2NX'r6 o w5 -4 CioStfi AJ!!O% E i �. �' • 1 • I A4 G vii. % ;� +�/ ! ' E/ y 4/ zep S}-0.AV i . \ O S.e'^ \veL.:. 02\ooh e�oL :0 �J_ t • �; • � � ; z . �tVie• L >C .Construction is NOT PERMITTED -"AN ADEQUATELY SIZED DEBRIS CONTAINER • -• - ' ' IS REQUIRED ON THE JOB SITE DURING ALL. ' on the following Code Holidays: PHASES OF CONSTRUCTION AND MUST BE. ;. New Year's Day EMPTIED AS NECESSARY. FAILURE TO DO SO Dr. Martin Luther. l'Gng.lr. Day - MAY CAUSE THE CITY TO HAVE THE CONTAINER President's Day DUMPED AT THE EXPENSE OF THE OWNER/ Memorial Day: CONTRACTOR." ; I Indepondence;Day. Labor DayOF '$30 x _ ` A RE -INSPECTION FEE Veteran's bay*.WILL BE CHARGED IF THE APPROVED ' Thanksgiving Day, •- PLANS AND.JOB CARD,ARE NOt'ON Christmas Day r THE SITE FOR -A `SCHEDULED; INSPECTION..: _ NO EXCEPTIONS! CONSTRUCTION110URS October 1st - Aprnl Monday' Friday: 7:00 a.m. to 5:30 p.m. Saturday: 8:00'a.m. to 5:00 p.m. Sunday: None Government Code.Holidays: None May 1st -,September-30th Monday - Friday: 6:00 a.m. to 7:00 p.m. Saturday: 8:00 a.m. to 5:00 p.m. Sunday: None Government Code Holidayn. None. F LA OUIN�TA _ _ m'' CITY -OF . BUILDING & SAFETY.DEPT -. APP ROVED: �.' FOR -CONSTRUCTION •, . .. DATE '1 9040; DEC 18 2012 . e i t t I J r� z CITY OF`LA QUINTA . , 'BUILDING &' SAFETY DEPT." Y,� 0 APPRO u JFOR CONSTRL CTION OJ DATE B i r 1 1 r I E, R Ria IAJ J 4-v CS C D R.oloop--0-0 1,3 t mi Ail dA, Sic ,.A w C4 tI wl pvc,k-e ue V c L— P 10,0 jfv f' �ec4 9 aid L J. {� ECS �wdla 6 - - C-� 40A (Z oo enr, dA, Sic ,.A w C4 tI wl pvc,k-e ue V c L— P 10,0 jfv f' �ec4 9 aid L Prescriptive Certificate of Compliance: _ CF -1R ADD Residential Additions Pa e.1of5 Site Address: J ti Enforcement Agency: Date:. ` - 51-735 AVENIDA VALLEJO - Framing Thickness, Tag/ Assembly Name 'Material. Spacing, U- ID' or Type 2 and Size or Other' factor° CITY OF LA QUINTA 1/30/2013 Proposed Assembly - U-factor9 1 WALL WOOD 2X4@16 •.102. , 4.3 R-13 N/A 3 General Information '` 2 - - CEILING WOOD 2X10@16 .047 Project Name N/A • 11 Climate Zone # ' i # of Stories CASITA ADDITION 15 1 Building Type Single Family Multi Family Circle the Front Orientation: N, E, S, W or Degrees E - Conditioned Floor Area of Addition ' New Addition Size: Less than or equal to 100 X Less than or equal to 1000 (CFA): Do not use thisform or additions eater than 1000 NOTE: For Alterations to an existing home, submit a completed CF -IR -ALT Form ° -' Exception: Existin HVAC stems that are replaced or altered to serve the addition be included on the CF -IR -ADD Form PRESCRIPTIVE ENVELOPE REQUIREMENTS FOR ADDITIONS ` For -standard wood and assemblies meeting the Cavity R -value only. � t • For 100 ft2 additions; the Proposed values must be equal or greater than the Standard column or when indicated when'using Package D, "Pkg D'•. Enter values in the shaded Proposed Columns. ' • For less than 1,000 ft2 additions must comply with "Pkg D" requirements unless indicated in the Standard Column. To meet "Pkg D" minimum energycompliance re uirements, see RCM Appendix B, Table 151-C or 152 b in the RCM. Enter values in the shaded Proposed Columns. Size of Addition 100 ft2or less Less than 1,000 ft2'' . Component Standard °' 'ter Pro'- osed _r s, Comment Standard y,'„Pro osed Comment Ceiling Insulation _ s y R-19 ._ 4 Minimum Pkg D Table 151-C ' wall Insulation '`' �' fi e ” . R-13 �' ter �'" rr Minimum R-13 in 'R 13 � � °-h �r.� _��' Minimum Floor Insulation R -13m_ b Minimum F Pkg D = , N/A Table 151-C U_ IJ Y, a U_ U- Enter Values From factor SHGC -factor �SHGOZ' factor SHGC factor iriSHGC :`Fenestration -. { Fenestration ,, "19, �' � f 0.40 Pkg D Y;i Enter Values 0.40 Pkg D r nw'40 35 N Proposed Areas' ' pa 2 5 • +�, N�.:G From, "Fenestration s . e of - t Addition Alone " " "'er89 �s�� i2 Enter,Values From Maximum Glazing "„�t 2 c ft ft >_ Proposed' ' x y s " N " "Addition Allow ed '; 'For West -Facing 2} 1*24''ft2, Area 50 �{� cE Areas" tFenestrationAreas .,_ Page 2 of 5 Orientation Page 3 of 5 Radiant Barrier N/A _. Pkg D ..'' Table 151-C - Roofing N/A See Roofing Products Below Pkg D See Roofing Products Below . OPAQUE SURFACE DETAILS For the furred ortioned of Mass Walls see FurringStrips Construction Table below.. A B C D E F_,- G H` I J ti Note Standard Proposed Values From JA4 Table Framing Thickness, Tag/ Assembly Name 'Material. Spacing, U- ID' or Type 2 and Size or Other' factor° - "-Framed , JA4 Table Cavity' Numbers R-valueb Continuous JA4 Insulation Assembly R -Value' Cell Values Proposed Assembly - U-factor9 1 WALL WOOD 2X4@16 •.102. , 4.3 R-13 N/A 3 .102 = 2 - - CEILING WOOD 2X10@16 .047 4.3 R-38 N/A • 11 .047 ITY O LA IIS - � OR CO STRU ION Note: For furred assemblies, accounting jot Continuous Insulation R -value, see Page JA4-3 ¢.Tgygiron 4-l. For calculatingft/�red w the M -sand Furring Construction table below. ' - 5 � r� Registration Number: Registration Date/Time: _ + r HERS Provider: < 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: CF -IR ADD Residential Additions (Page 2 of 5 Site Address: Enforcement Agency: Date: 51-735 AVENIDA VALLEJO CITY OF LA QUINTA 1/30/2013 DOOR W 24 .40 .35 NFRC 1. For Tae/ D 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-C 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 comply. FURRING STRIPS CONSTRUCTION TABLE FOR MASS WALLS ONLY A I B I C I D E F IGI H I I_I J K L M 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 Joint Appendix Table 4.3.13 N N N ti 2 Assembly �, �+ `�- cai ° o F H `o v c '� c ti > �, ? Final Mass Name or JA4 Table .o ? ;, g 5 E c c ' v � Assembly Thickness' T 2 Number' Q > x ` ' z ¢ > U -factor '' Comment � � M 1. Indicate the Mass Thickness from Reference Joint Appendix JA. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate the Frame type and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the Table number that closely resembles the proposed assembly. 4. Enter the row and column of the U factor value. 5. Enter the Effective R -value listed in the JA4 Table Number. 6. The Final Assembly is calculated by using Equation 4-1 or Equation 4-4 of the Reference Joint Appendix JA4. Enter the value in Column L. 7. Insert the Final Assembly U- actor value back on to the Opaque Surface Details table in Column J. FENESTRATION PROPOSED AREAS Orientation Fenestration Type and Frame (North, East, ProposedAreal Maximum Maximum (Window, Glass Door or Skylight) South, West(ft) U -factor" SHGCZ' 3' 4 NFRC or . Default Values' WINDOW/DOOR' E 30 .40 .35 NFRC WINDOW S 12 .40 .35 NFRC DOOR W 24 .40 .35 NFRC Total 66 1. Fenestration area is the area of total glazedproduct (i.e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration area may be the glass area plus 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 SNGC value than that specified on the Fenestration Proposed Area table above. 4. Submit a completed WS -31? Form if a reduced SNGC is calculated with exterior shading. . 5. Ifapplicable at this stage enter "NFRC" or NFRC Certified windows or CEC "Default " valuesfound in Table 116-A or B. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 3 of 5 Site Address: Enforcement Agency: Date: 51-735 AVENIDA VALLEJO CITY OF LA QUINTA 1/30/2013 ADDITION ALLOWED FENESTRATION AREAS Check applicable box below if the roof addition is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the boxes are A B C D E [3 Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria F Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, check CFA of Addition Allowed % Allowed Area Area Z Removed, Maximum Allowed Area Proposed Areas Thermal ftZ of CFA (A x B) ft2 C + D Reflectance 3,4 Table Above ( ) Total Fenestration Area' 444 0.20 89 0 89 >_ 66 West Fenestration Area 444 0.05 24 0 24 >_ 24 (Required In CZ's 2, 4 & 7 -15 D4 D D 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. Glass removed to make way for the addition. 3. For additions less than 1,000 ft1 the standards allows glazing removed during the remodel to be added to the glazing area allowance. The maximum allowed glazing area for the addition is the CFA x 20% + glass removed to make way for the addition. 4. In climate zones 2, 4, 7-15, no more than 5% of the CFA is allowed for west facing glazing plus west facing glass area removed to make way for the addition. The maximum allowed west facing glazing area is the CFA x 5% + west facing glass removed to make way for the addition. 5. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area for BOTH the Total and West Fenestration Areas. ROOFING PRODUCTS (COOL ROOFS) §1511012 Check applicable box below if the roof addition is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the boxes are checked below, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(1) are not applicable. Do not fill table below. 13 Roofing compliance Not Required in Climate Zones 1-12,14, and 16 with a Low -Sloped. Less or 2:12 pitch. D Roofing compliance Not Required in Climate Zones I through 9 and 16 with a Steep -Sloped. Roofs pitch greater than 2:12 and product weight less than 5lb/ft2. [3 Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria El Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft' is exempt from the above 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 e applicable box below if Exempt from the Roofing Products "Cool Roof' Requirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number] < 2:12 > 2:12 < 5lb/ft2 > 51b/ftZ Type2, Reflectance 3,4 Emittance SRIS TILE D Q ® 0 TILE E14 .55 .75 N/A D 1.0 D D D4 D D O D D4 D D D D D4 D D ® D 134 D D ® D D4 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www. coolroofs. org/products/search. phy. 2. Indicate the type of product is being used for the roof top, i.e. single ply roof, asphalt roof, metal roof, etc. 3. 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+0.7(pjnj j; l — 0.2) to obtain a calculated aged value., Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is *a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at hltp://www.energy.ca.gov/title24/and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -I R. 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 §118(1)4. Select the applicable coating: D Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating D Other Registration Number: Registration Date/Time: 2008 Residential Compliance Forms HERS Provider: March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 4 of 5 Site Address: 51-735 AVEN IDA VALLEJO Enforcement Agency: Date: 1/30/2013. CITY OF LA QUINTA HVAC SYSTEMS - HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage DHW heater less than 50 gallons with an energy factor greater than 0.90 maybe used. Hot water pipe insulation from the DHW heater to the Duct or Configuration Heated Slab Insulation Minimum Distribution Piping (Central, Split, Heating Equipment Efficiency Type and Insulation Thermostat Space, Package or Type and Capacity', 2•' AFUE or HSPF Location° R -Value Type H dronic WINDOW TYPE 7.7 DUCTLESS N/A SETBACK PACKAGE Type[ Standard, Recirculatin 2 S stem 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 total capacity < 2 KW or 7,000 Btulhr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(6)3 exception. 3. Refer to the HERS Verification section on Pages 3 and 4 of the CF -JR -ADD Form for additional requirements and check applicable boxes. 4. Indicate Type or Location Ducts, H dronic in Floor, Radiators, etc. HVAC SYSTEMS - COOLING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage DHW heater less than 50 gallons with an energy factor greater than 0.90 maybe used. Hot water pipe insulation from the DHW heater to the kitchens and on all underground hot water pis is required in all comDonent Packa es in all climate zones. Heated Slab Insulation ❑ YES 119 NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards. Configuration Cooling Equipment Type and Capacity 1,2 Minimum Distribution Efficiency Type and SEER/EER or COP Location; Duct or Piping ` Insulation Thermostat R -Value Type (Central, Split, Space, Package or H dronic WINDOW TYPE 13 DUCTLESS N/A SETBACK I PACKAGE Insulation Type[ Standard, Recirculatin 2 S stem 1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc). 2. Refer to the HERS Verification section on Pages 3 and 4 of the CF -IR -ADD Form for additional requirements and check applicable boxes. 3. Indicate Type or Location Ducts, H dronic in Floor, Radiators, etc. R -Value; ELECTRIC WATER HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage DHW heater less than 50 gallons with an energy factor greater than 0.90 maybe used. Hot water pipe insulation from the DHW heater to the kitchens and on all underground hot water pis is required in all comDonent Packa es in all climate zones. Heated Slab Insulation ❑ YES 119 NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation 13 YES NO External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Type[ Standard, Recirculatin 2 S stem Capacity al Thermal Efficiency R -Value; ELECTRIC STANDARD 1 28 .93 N/A 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 water heatingtank and pipes shall be insulated to meet the requirements o ' 150 . 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. Applicable special features shall be marked with a YES and be specified within the plans. Radiant Barrier (Roof) YES JE3 NO Required in Climate Zones 2, 4, and 8-15 for additions larger than 100 fig. Slab Edge (Perimeter) Insulation ❑ YES 119 NO I In Climate Zone 16 under Component Package D, R-7 insulation is required. Heated Slab Insulation ❑ YES 119 NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation 13 YES NO In Climate Zones 1, 2, 11, 13, 14 & 16 R-8 insulation is required, and in Climate Zones 12 & 15 R-4 insulation is required under Component Package D. Thermal Mass - To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. Registration Number: Registration Date/Time: 2008 Residential Compliance Forms HERS Provider: March 2010 Prescriptive Certificate of Compliance:. CF -IR ADD. Residential Additions (Page 5 of 5) Site Address: 51-735 AVENIDA VALLEJO Enforcement Agency: Date: 1/30/2013 I CITY.OF LA QUINTA 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 thebuilding inspector before final inspection. Duct Se tin� & Testing HERS verification is requiredfor this measure. Company: Date: In all Climate Zones, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the addition [3YES NO alone, the ducts are to be sealed and tested per §151(010. City/State/Zip: Phone: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned YES NO space to serve the addition, the ducts are to be sealed and tested per § I 52(b) I D. OEXCEPTION: Existing duct systems 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 that are extended, which are constructed, insulated or sealed with asbestos. agency for approval with this building permit application. Name: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor - Company: Date: condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, the ducts License: City/State/Zip: are to be sealed and tested per §152(b)IE. - [3YES NO [3EXCEPTION: Duct systems that are documented to have been prev * iously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. nEXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. 0 EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Refrige ant Cha ge - Split System HERS verification is requiredfor this measure. ONO In Climate Zones 2 and 8-15, if a newly ducted split A/C or heat pump is installed to serve the addition alone, a refrigerant 13 YES charge measurement shall be verified per §151(f)7A. In Climate Zones 2 and 8-15, if the existing RVAC equipment is replaced (including replacement of the air handler, outdoor [3YES 10 NO condensing unit o f a split �ystem, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, a refrigerant charge measurement shall be verified per §152(b)IF. ' Central Fan Integrated Ventilation System — Airflow and Fan Watt Draw - do not apply for additions 1,000 W or less. Ducted Split S stems - Air Conditioners and Heat Pumps: Airflow and Fan Watt Draw HERS verification is required. In Climate Zones 10 through 15, if a new space -conditioning system (HVAC equipment and ducting) is installed to ser ve the NO . addition alone, the airflow and fan watt draw shall be verified per § 151(07B. In Climate Zones 10 through 15, if the existing space -conditioning system (HVAC equipment and ducting) is replaced and ONO will serve the addition, the airflow and fan watt draw shall be verified per § I 52jb)I F. - Documentation Author's Declaration Statement 9 1 certify that this Certificate of Compliance documentation is accurate and complete. Name: Signature: Company: Date: Address: If Applicable[3 CEA orE3 CEPE (Certification City/State/Zip: Phone: Responsible Building 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 th - e building design identified on this Certificate of Compliance conforin 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: 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. Registration Number: Registration DatelTime: HERS Provider: 2008 Residential Compliance Forms - March 2010