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13-0765 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 13-00000765 79800 JOEY CT 602-390-041- - - REMODEL - RESIDENTIAL LOW DENSITY RESIDENTIAL 20000 Tdlvl �JIL BUILDING & SAFETY DEPARTMENT Architect or Engineer: BUILDING PERMIT --------------------------------------------------- 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:�iB No.: 972105 /Da� —w �/ Contrac ori L( f , OWNER-BUIL!!RCLAR�ATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he 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).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law 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. , BAP.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: t LQPERMIT Owner: LINDA COFEL 79-800 JOEY CT. LA QUINTA, CA 92253 Contractor: B R C CONSTRUCTION PO BOX 491 PALM DESERT, CA 92261 (760)277-8925 Lic. No.: 972105 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/10/13 JUL 10-2013 CITY OF LA QUINTA FINANCE DEPT. ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: ' Carrier EX M Policy Number EXEMPT I certify that, in the performance of the work for which this permit is issued, I shall not employ any `_I 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' compensati ovisions of Section 3/700 of the Labor Code, I shall forthwith comp) i Date:- :w f -Applica WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. 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 a city and county ordinances and state laws relating to building construction, and hereby authorize representativ of this county to enter upon the above-mentioned property for inspection purposes. Daterlo- Signature. (Applicant or Agen Application Number . . . . . 13-00000765 Permit . . . BUILDING PERMIT Additional desc ., . Permit Fee . . . . 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . . 20000 ' Expiration Date 1/06/14 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 162.00 Permit . . . ELECTRICAL 2013 Additional desc . Permit Fee 23.83 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/06/14 Qty Unit Charge Per Extension 1.0.0 23.8300 LS ELEC DEVICES, FIRST 20 ---------------------------------------------------------------------------- 23.83 Permit . . . MECHANICAL 2013 R, Additional desc . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 - Expiration Date 1/06/14 Qty Unit Charge Per Extension 1.00 11.9200 EA MECH•APPL REP/ALT ---------------------------------------------------------------------------- 11.92 Permit . . . REMODEL 2013 Additional desc . Permit Fee . . . . 48.62 Plan Check Fee .00 Issue Date Valuation . . . . 0• Expiration Date 1/06/14 Qty Unit Charge Per ,Extension 1.00 48.6200 LS MISC REMODEL, 1ST 100 SF 48.62 _ ----------=----------------------------------------------------------------- Special Notes and Comments CONVERT GARAGE TO LIVING SPACE 202 SQ. FT. PER 2010 CALIF BUILDING CODES. July 5; 2013 10:26:51 AM jjohnson. ' -----------------_-_-------------------------- - - -- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 13.46 LQPERMIT LQPERMIT Application Number_ . . . . . 13-00000765 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . HOURLY PLAN CHECK 196.00 PLAN CHECK, ELECTRICAL 23.83 PLAN CHECK, MECHANICAL 4.77 STRONG MOTION (SMI) - RES 2.00 Fee summary Charged ---------- Paid ---------- Credited ---- ------ ---------- Due ---------------=- Permit Fee Total 291.37 .00 .00 291.37 Plan Check Total 134.55 .00 .00 134.55 Other Fee Total 241.06 .00 .00 241.06 Grand Total 666.98 .00 .00 666.98 J 7't Bin # Qty of LQ 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 # Project Address: q — V10U C Cc) (/ ' Owner's Name: A. P. Number: Address: )L Jot r G Legal Description: City, ST, Zip: 0 PM Zs3 Contractor: C-0 t/�/G� Telephone: ' IN;.?.:::::<?_..;•!;:.Y,..r' :XXY.e-ss Project Description:" i'Jd I/ t_° Address: too aO . City, ST, Zip: Pr�s Telephone: :aM '; `: ±rs:„>:'.:.:::• f State Lic. # : 7Z (O 5 City Lic. #; Arch„ Engr., Designer: lVe/ 9,04 1105, h r Q v Address: City., ST, Zip: f/ C 72R.0 7 J. Telephone: f#:}<j State Lic. #: �� r#»z'`"''` ' ""} `: kt Name of Contact Person: ConstructionType: Pe: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.:b #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: Z U u Q APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted G 2v Item Amount Structural Calcs. �" Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°” Review, ready for correctio s/issue Electrical Subcontactor List Called Contact Person 79/5 Plumbing • Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`" Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees x I ly C12-16 J% 2 l l3 ff,4)(,)s -A Pwad cam- L6 Pao Co N-rucTo ►ol-S 0 D ca a Date 7/10/13 No. - 31716 Owner Linda Cofel Address 79800 Joey Court City La Quinta Zip Tract # Type Residential Addition CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 Lot # No. Street Unit 1 79800 Joey Court Unit 2 Unit 3 Unit 4 Unit 5 APN # Jurisdiction Permit # No. of Units S.F. Lot # No. 202 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 0 Q BERMUOAOUNES r GO RANCHO MIRAGE b INDIAN WELLS PALM DESERT ,y LA QUINTA .� tf �INDIO e 602-390-041-3 La Quinta 1 Street S.F. RECEIVED JUL 10 2013 Comments Convert Garage to Living Space CITY OF LA QUINTA COMMUNITY Q�VE�C�PTder At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, rest entla a di I 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: Residential Addition 500 Sq Feet or Less EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 202 S.F. or $0.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Exempt - Brenden Ricard Check No. Bank Name/Recipient of Certificate Telephone 760-277-8925 Funding Exempt By. Dr. Gary Rutherford Superintendent �J Payment Recd ' Z. $0.00 Fee collected /exempi by har. cG v eye Mr Over/Under> - Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), t will sery to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on he 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 i o Frn` l COP v Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions(Page 1 of 5 Site Address: 79-800 Joey Ct.,La Quinta CA 92253 Enforcement Agency: Date: June 13,2013 Tag/ 1DI Assembly Name or Type2 Framing Thickness, Material Spacing, and Size or Other3 General Information Project Name Cofer 202 s.f. Addition Climate Zone # 14 # of Stories 1 Building TypeEl Single Family n Multi Family Circle the Front Orientation: N, E, S, W or Degrees South Conditioned Floor Area of Addition (CFA): 202 1 New Addition Size: El Less than or equal to 100 W El Less than or equal to 1000 Do not use this orm or additions greater than 1000 NOTE: For Alterations to an existing home, submit a completed CF -IR -ALT Form. Exception: Existing HVAC systems that are replaced or altered to serve the addition may be included on the CF -1R ADD Form. PRESCRIPTIVE ENVELOPE REQUIREMENTS FOR ADDITIONS For standard wood and assemblies meeting the Cavity R -value only. • 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 energy compliance rei ruirements, see RCMAppendbr B, Table 151-C or §152(b) in the RCM. Enter values in the shaded Proposed Columns. Size of Addition 100 ft2 or less Less than 1,000 ft2 Component Standard Proposed Comment Standard Proposed Comment Ceiling Insulation R-19 Wood/2x4 16" Minimum Pkg D R-38 Table 151-C Wall Insulation R-13 Minimum R-13 R-13 Minimum Floor Insulation R-13 Minimum Pkg D N/A Table 151-C Fenestration U- factor SHGC U- factor SHGC Enter Values From "Fenestration Proposed Areas" Page 2 of 5 U- factor SHGC U- factor SHGC Enter Values From "Fenestration Proposed Areas" Pa e 2 of 5 0.40 Pkg D 0.40 Pkg D 0.40 0.35 Maximum Glazing Area 50 ft2 > — ft2 Addition Alone 40.4 ft Enter Values From "Addition Allowed Fenestration Areas" Page 3 of 5 For West-Fac2ing Orientation N/A ft2 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 portioned of Mass Walls see Furring Strips Construction Table below. A B C D E F G I H I J Proposed see °r` Standard Values From JA4 Table Tag/ 1DI Assembly Name or Type2 Framing Thickness, Material Spacing, and Size or Other3 U- JA4 Table factor4 Numbers Framed Cavity R-value6 Continuous JA4 Proposed Insulation Assembly Assembly R -Value Cell Values U -facto? Roof Woodrrruss 24" .025 4.2.1 38 0. A .025 Wall Wood/2x4 16" .102 4.3.1 13 0 A .102 Note: For furred assemblies,gczounti or o ' tVujr ns e PVe JA4-3 and Equation 4-1. For calculating furred walls use the Mass and Furring Construction table below,1 11 i. &SArt'I � 010 � ED ► OB CONST CTIO Registration Number: eQistration Date/Time: 2008 Residential Compliance Forms HERS Provider: March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 2 of 5 Site Address: 79-800 Joey Ct.,La Quinta CA 92253 Enforcement Agency: Date: June 13,2013 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 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 fame 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 I E F I G I H I I I J I 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 A Assembly ] �o F o m A Final �� Mass Name or JA4 Table �, K y E c Assembly, Thickness Type Number' Q> a d> U-factorb Comment N/A --- --- --- --- --- --- ---I --- I— N/A I I I + 1. Indicate the Mass Thickness f om 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 fame 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 Su ace Details table in Column J. FENESTRATION PROPOSED AREAS Orientation Fenestration Type and Frame (North, East, ProposedAreal Maximum Maximum NFRC or (Window, Glass Door or Skylight) South, West) (ft U-factorz-; SHGC',"' Default Values' Window South 24 0.40 0.35 Default Total 24 1. Fenestration area is the area of total glazed product (i.e. glass plusframe). Exception: When a door is less than 50% glass, the fenestration area may be the glass area plus a "2 inch fame" around the glass. 2. Enter value from Component Package D Requirements in Table 151-C. ��' �� L a 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall'be equivalent to.orlhave - ower07NT) a lower SHGC value than that specified on the Fenestration ProposedArea table above.(s _�4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. r; l SAFE 5. I a licable at this sta a enter "NFRC" or NERC Certi ted windows or CEC `De ault' values1 oun i b! ��t Registration Number: 2008 Residential Compliance Forms Registration Date/Time: COAIeT A cU March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 3 of 5 Site Address: Enforcement Agency: Date: 79-800 Joey Ct.,La Quinta CA 92253 June 13,2013 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 Maximum Allowed Area F Roof constructions that have thermal mass over the roof membrane with at least 25 lb/fig is exempt from the above Cool Roof criteria. CFA of Addition Allowed % Allowed Area AreaZ Removed Proposed Areas Product W of CFA (A x B) f12 C + D (Table Above) Total Fenestration Area3 202 0.20 40.4 0 40.4 > Default West Fenestration Area', N/A 005 --- --- --� N/A (Required In CZ's 2, 4 & 7 -15 . 13' o El 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 1,000f? 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 or BOTH the Total and West Fenestration Areas. ROOFING PRODUCTS (COOL ROOFS) §151(n12 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 f Il table below. LFJ Roofing compliance Not Required in Climate Zones 1-12, 14, and 16 with a Low -Sloped. Less or 2:12 pitch. El Roofing compliance Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped. Roofs pitch greater than 2:12 and product weight less than 5lb/fie. Roofing area covered by building integrated, photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria Roof constructions that have thermal mass over the roof membrane with at least 25 lb/fig 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 he applicable box below if Exempt from the Roofing Products "Cool Roof' Requirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number 5 2:12 > 2:12 < 51b/fi2 > 51b/ftTypeZ Reflectance 3,4 Emittance SRI ® 13 El 1 13 ®4 13' o El ©4 N/A [ Existing Roof] ® © r]4 I E 0 ® [3 © 0 El IT El © []4 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 php. 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(p;�;,;at — 0.2) to obtain a calculated aged value. Where pis 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 http://www.energY ca.Qov/title24/and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -1 R. To apply Liquid Field Applied Coatings, the coating must be applied across the entitle robfiiuffaK aQfn_ee1 thg ess or coverage recommended by the coatings manufacturer and meet minimum performance requirer ienis .>>�c drirr 1Ai e c oa n,g: Q Aluminum -Pigmented Asphalt Roof Coating Q Cement -Based Roof Coat ng k t` tlr E1Y SEP � +.A -tTE Registration Number: Registration Date/Time: 2008 Residential Compliance Forms 1-1fi C.01\iQ- _�- V March 2010 _7� Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 4 of 5 Site Address: 79-800 Joey Ct.,La Quinta CA 92253 Enforcement Agency: nate` June 13,2013 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 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 Minimum Minimum Distribution Piping (Central, Split, Heating Equipment Efficiency Type and Insulation Thermostat Space, Package or Type and Capacity', 1,3 AFUE or HSPF Location' R -Value Type H dronic Existing Existing Ducts in R-8.0 any Setback Split 3. Indicate Type or Location Ducts, H dronic in Floor, Radiators, etc. attic new duct 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 Btu/hr 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 Pages 3 and 4 of the CF -IR -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 hydropic 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 Configuration Cooling Equipment Minimum Distribution Duct or Piping (Central, Split, Type and Capacity 1,2 Efficiency Type and Insulation Thermostat Space, Package or Water Heater Type/Fuel Typel SEEWEER or COP Location R -Value Type H dronic Existing Existing Ducts in R-8.0 any Setback Split Existing --- attic new duct 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. WATER HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydropic 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 pipes is required in all component packa es in all climate zones. Heated Slab Insulation YES EI NO Slab edge insulation required for heated slabs in all Climate Zones. See=c(etaiis iq T-5151-1=1 tandards. Raised Slab Insulation '^� t C ,` Ur— 1 ED YES x NO ® External Tank Water Heater Type/Fuel Typel Distribution Type (Standard, Recirculatin a Number In System Tank Capacity (al) Energy Factor or Thermal Efficient Insulation R-Value3 Existing --- --- --- --- Existing 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 heating tank and i es 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) El ES NO Required in Climate Zones 2, 4, and 8-15 for additions larger than 100 ft Slab Edge (Perimeter) Insulation YES I x NO I In Climate Zone 16 under Component Package D, R-7 insulation is required. Heated Slab Insulation YES EI NO Slab edge insulation required for heated slabs in all Climate Zones. See=c(etaiis iq T-5151-1=1 tandards. Raised Slab Insulation '^� t C ,` Ur— 1 ED YES x NO ® In Climate Zones 1, 2, 11, 13, 14 & 16 R-8 insulation is required, and nlClimatdrZdn:s�2c lei s a i is e•uired under Component Package D. 't DEPT. {. [Thermal Mass - To obtain Compliance Credit for the installation of thermal mass, use the Perfdrmane ! ; _ r.• . Registration Number: Registration Date/Time: 2008 Residential Compliance Forms 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 5 of 5 Site Address: 79-800 Joey Ct.,La Quinta CA 92253 Enforcement Agency: Date: June 13,2013 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 final inspection. Duct Se ling & Testing HERS verification is re uired or this measure. YES EINO In all Climate Zones, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the addition If Applicable EA or EPE alone, the ducts are to be sealed and tested per § 151(f)10. OYES Phone: 760-508-3400 In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on EINO space to serve the addition, the ducts are to be sealed and tested per § 152(b)I D. n EXCEPTION: Existing duct systems to the requirements of Title 24, Parts 1 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: Paul Nelson In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor Company: Nelson Designs Da V June 13,2013 condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, the ducts MYESTO ISL are to be sealed and tested per §152(b)IE. [] EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS City/State/Zip :Apple Valley CA �� =;:�1;'�t��, V(Phone: - " verification in accordance with procedures in the Reference Residential Appendix RA3. El .EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. rl EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. t Refri eranCverification har e - Split System HERS is re uired or this measure. YES nt� _� MNp 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 charge measurement shall be verified per § 151( 7A. DYES In Climate Zones 2 and 8-15, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor EIN0 condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, a refrierant 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 fiz or less. Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow and Fan Watt Draw HERS verification is required. E]YEs ONO In Climate Zones 10 through 15, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the addition alone, the airflow and fan watt draw shall be verified per § 151(f)7B. YES rINO In Climate Zones 10 through 15, if the existing space -conditioning system (HVAC equipment and ducting) is replaced and will serve the addition, the airflow and fan watt draw shall be verified per 152 1F. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate d com1plet4l Name: Paul Nelson'ICUA S' )h i. Company: Nelson Designs ate: June 13,2013 Address: 16169 Siski ou Y If Applicable EA or EPE (Certification #): City/State/Zip:Apple Valley CA Phone: 760-508-3400 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. • 1 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 1 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 specific ions Aibmitted to the enforcement agency for approval with this building permit application. Name: Paul Nelson sip Company: Nelson Designs Da V June 13,2013 Address: 16169 Siskiyou ��e: City/State/Zip :Apple Valley CA �� =;:�1;'�t��, V(Phone: - " For assistance or questions regarding the Energy Standards, contact the Lir—ta r. Registration Number: Registration Date/Time: ERS P iile1.1 U1V 2008 Residential Compliance Forms L'A 1 E M ch 2010