11-0243 (AR)'i'' - - ,�
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: —1.i-000. 00243
Property Address: 51355 CALLE`HUENEME
APN: 770-163-018-6 -000000-
Application description: ADDITION- - RESIDENTIAL
Property Zoning: MEDIUM DENSITY' RES
Application valuation: 7436
T-iht 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
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: License No.:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he 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 _ 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.l. "
(y 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions : The Contractors' State License Law does not apply to an owner of
property who builds or improv ther on nd who contracts for the projects with a contractors) licensed
pursuant to the Contractors' Ptate Li s Law.). -
I—) I am exempt under Sec. _/ , B. .0 or this reason
Date: 1�50 ne
I hereby affirm under penalty of perjury
work for which this permit is issued (Sc
Lender's Name:
Lender's Address:
LQPERMIT
CONSTRUCTION LENDING AGENCY
there is a construction lending agency for the performance of the
)97, Civ. C.)•
Owner:
GIRONDA JOHN
51355 CALLE HUENEME
LA QUINTA, CA 9
(
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/14/11
'3
n e
11 ;
JAN 17 2012 �
CITY OF ILA CAUINTA
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.
1 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 Policy Number
I certify that, in the perforrdl
ce of the work for which this permit is issued, I shall not employ any
person in any manner to become subject to the workers' compensation laws of California,
and agree that, if ecome subject to e -workers' compensation provisions of Section
3700 oft or�Ilhallfort comply with those provisions.
af3 tri 1 (I�►v 2— t� .
WARNING: FATLURE77—SECUVIEORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI��P�7INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDINON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABO ODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT. Application is 4reby 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 t ve information is correct. I agree to comply with all
city d county ordinances and state laws relating to ' in c struction, and hereb a representatives
of is unty to enter u on the above-mentioned ns io
Date: !/ Signature (Applica
Application Number . . . . . 11-00000243
Structure Information 130SF ADDITION/VB/RES-3/CLASS A -FR [ENG] -----
Other struct info CODE EDITION
2010
# BEDROOMS
1.00
FLOOD .ZONE
NO
1ST FLOOR SQUARE FOOTAGE
130.00
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 99.00 Plan Check Fee
64.35
Issue Date . . . . Valuation
7436
Expiration.Date 11/22/11
Qty Unit Charge Per
Extension.
BASE FEE
45.00
6.00 9.0000 THOU BLDG 2,001,25,000
---------------------=------------------------------------------------
54.00
------
Permit ELECT - ADD/ALT/REM
Additional desc ..
Permit Fee . . . . 19.55 Plan Check Fee
4.89
Issue Date . . . Valuation
0
Expiration Date 11/22/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
130.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY
4.55
----------------------------------------------------------------------------
Special Notes and Comments
130SF ADDITION AT MASTER/VB/RES-3/CLASS
A -FR [ENGINEERED] THIS PERMIT DOES NOT
INCLUDE MECHANICAL OR PLUMBING
INSTALLATIONS. 2010 CALIFORNIA BUILDING
CODES.
May 26, 2011 4:55:26 PM AORTEGA
-----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
6.44
STRONG MOTION (SMI) - RES
.74
Fee summary Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total 118.55 .00 .00
118.55
Plan Check Total 69.24 .00 .00
69.24
Other Fee Total 8.18 .00 .00.
8.18
Grand Total 195.97 .00 .00
195.97
LQPERMIT
Bin # (�
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit mit Application and Tracking Sheet
Permit #
s
Project Address: 1 — �'CAIT ry$
Owner's Name: J �. 0
A. P. Number: ? V t ?' -- l
Address: 5° l iJ 55 C \1 Q
Legal Description:
Contractor:
City, ST, Zip: C
Telephone' `�
Y 3':
Address:
Project Description:
City, ST, Zip:
1 b
ikif•\if?/• ?i:;:i{i:.i.f.:fiii%f .+:v`.u{'�r
Telephone:
/�+n'•'Y.'.4Jf��'vf�.i:�:i �l�i:{%t lti:ifi i::f :::
V
State Lie. # : City Lie.
Arch., Engr., Design • IPWv
City., ST, Zip -1-1,014
Telepho
N+X`ri�{ is y•:.,
State Lie. # ;c:
,, :i.;..
Name of Contact Pers . A"3
Occupancynsrcone
Project type (circle one): New dd'n Alter Repair Demo
Sq. Ft.: l a
# Stories:
# Units:
Telephone # of Contact Person: -333
Estimated Value of Project: �• d U r
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIONG
PERMIT FEES
Plan Sets
Plan Check submitted 3 /
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up �Z
Construction
Flood plain plan
Plans resubmitted
8
Mechanical
Grading plan
20° Review, ready for correctionsfissue
Tall
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Review, ready for correctioo su
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
41 i ff
q6 IUtt - Plus MI.E i4�Po. t
- QWAfo%Ma -cb *49 nW *40
n..ts og : Fizz OW K4W Wr Be"
64 stow SeTs k
���`� OPW(u a& wauv
P.O. Box 1504
LA QUINTA; CALIFORNIA 922474504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER' S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Perinits
111 UA TI NOTERTY OWl�1ER
Dear Property Owner
Ari. application €or a building permit has sub in your name yo elf as the builder of .the p€aperty
improvements specified at 51713
L14 (9
(�
We are providing you with an Owner -Builder Acknowledgment -and Informati6a Verification Fo to make you aware:of your
eespensibilities and possible risk you may incur by having this -permit -issued in your name as the
Owner -Builder. We will noVissue a building. permit until you�have read, initialed yourunderstanding, of ea&provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this, -notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OZ'S AeENO•%%EJ)0MT AND VggWAT10N4F UW0RM`I WN
D&ECUONS: head and initialeach statenrentkefo —m signify you understand or very this enformadon.
�1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk forany injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfullY acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
'on my party
�.2. I understand building permits are not required to -be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
�. I understand as an "Owner -Builder' I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
`4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
J�5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
J° . C I understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk
�7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot .legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
Otnan8cial
understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
or personal. (r�j.uries susfained by any subsequent �owaer(s) that result from any latent construction defects in the
workmanship or materials:
��9• I understand I may obtain more information regarding my obligations as an ,employee, from the IntmW Rownue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CS .LM at 1-
800-321-CSLB (2752) or www.cstb.ca gov for more information about licensed contractors.
<1;__10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party le all finantolly responsible r /pf°posed cons etion activity at the following address:
Imo' �1� .
I agree that, as the party legally and fmaucially responsible for this proposed construction activity,.l will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
_<_9�_12.1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to'any of the information I
have provided on this form Licensed contractors are regulated by taws designed to protect the public. If you contract with
someone who doesnot have a license,. the Contractors' State License Board may be unable to &wtt you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in,civit court. It is also
important for you to: understand that if an unlioansed Contractor or employee of that individual or firth is injured wbile w0ddng
on your property, you may be held, Eiatsle for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for verdying vAmdm or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing,t4<per Note: A copy of the property owner's diiver'aMeftsr;, fMM n0tadcatloN or
other verification acceptable tors required to be presented when the pemnit is inued to verify the' PlVe '
owner's signature.
Signature of
Date: /2
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNEWS BEIIAI<•P
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature..
Property Owner's Signature:
Date:
I
�>� CITY OF LA QUINTA SUB-CONTR C/T�OR LIST D
JOB ADDRESS l iliTtE RMIT NUMBER OWNER- Ywdmb 9—ikCA®� BUILDER P� '>u 1 OZe—
This form shall be oosted on the job with the Building In2pection Gard at all times in a conanicuous place. Only persons appearing on this list or their employees are authorized to
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the void
of building permit. For each applicable trade all information requested below must be completed by annlicant *On PIP" ic not an arr Pntal,IP rPcnnn¢P
Trade / Classification
Contractor
State Corttraetor s.lieet�se
Workers tion Insur Ma .
auskieas Licef►se
[PC
Company Name
RCIation
C-8)
Ucense Number
(xxxxxx)
Ezp. Date
(xx/xx/xx)
Carrier Name Policy Number
(e.g. State Fund, CalComp) (Format Varies)
Exp. Date
(xx/xx/zx)
License Number
(xxxx)
Exp. t
Ixx/xx
ARTHWORK.(C-121
Q(J�/
ONCRETE IC -8)'
FRAMING (C-51
C j
STRUCT; STEEL-(Cr51)
MASONRY (C-29)
O
PLUMBING (C-36)
LATH. PLASTER (C-35)
DRYWALL (C-9)
Q(J
+r
HVAC (C-20),
ELECTRICAL (C-10).
ROOFING (C-38)
I
SHEET METAL (C•43)
N A
FLOORING (C-16)
GLAZING (C-17)
f\j �
17H.St1SATION W-21
DI%tJ
SEWAGE DISP. (C•42)
LDA
PAINTING (C-33)
UAJ L iL
CERAMIC TILE 1C. 1541
CABINETS (C-6)
C�-"j tJ L7, -P -
FENCING (0-13)
(�
LANDSCAPING (C 271
POOL (C-63)- '
m -y
BUILDING ENERGY ANALYSIS REPORT
PROJECT:
Gironda Residence
51-355 Calle Hueneme
La Quinta, CA
Project Designer:
Report Prepared by:
Joan D. Hacker
Insu-form, Inc.
77-810 Las Montanas Road, Suite 201
Palm Desert, Ca 92211
760-345-1352
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
Job Number: APPROVED
FOR CONSTRUCTION
Date: DATE 5 Til BY
5712%201-1
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC — www.energysoft.com.
EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 2011-05-12712:24:18 ID:
I
0
TABLE OF CONTENTS
Cover Page 1
Table of Contents 2
Form CF -1 R Certificate of Compliance 3
Form MF -1 R Mandatory Measures Summary 9
HVAC System Heating and Cooling Loads Summary 12
EnergyPro 5.1 by EnergySoft Job Number: ID: User Number: 2655
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name
Gironda Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family ® Existing+ Addition/Alteration
Date
5/12/2011
Project Address
51-355 Calle Hueneme La Quinta
California Energy Climate Zone
CA Climate Zone 15
Total Cond. Floor Area
1,953
Addition
130
# of Stories
1
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes IZI No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form.
❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION
Construction Type
Area Special
Cavity Features see Part 2 of 5 Status
Slab Unheated Slab -on -Grade
None 1,823 Perim = 185' Existing
Wall Wood Framed
R-19 1,159 Existing
Roof Wood Framed Rafter
R-38 1,823 Existing
Roof Wood Framed Rafter
R-38 C 130 New
Wall Wood Framed
R-19 124 New
Slab Unheated Slab -on -Grade
None 130 Perim = 9' New
FENESTRATION U-
Orientation Area Factor
Exterior
SHGC Overhang Sidefins Shades Status
Front (E) 21.0 0.710
0.73 2.0 none Bug Screen Existing
Front (E) 35.0 0.710
0.73 2.0 none Bug Screen Existing
Front (E) 10.0 0.710
0.73 2.0 none Bug Screen Existing
Left (S) 25.0 0.710
0.73 2.0 none Bug Screen Existing
Left (S) 9.0 0.710
0.73 2.0 none Bug Screen Existing
Left (S) 24.0 0.710
0.73 2.0 none Bug Screen Existing
Left (S) 45.0 0.710
0.73 8.0 none Bug Screen Existing
Rear (W) 16.0 0.710
0.73 2.0 none Bug Screen Existing
Right (N) 10.0 0.710
0.73 2.0 none Bug Screen Existing
Right (N) 16.0 0.710
0.73 2.0 none Bug Screen Existing
Right (N) 4.0 0.710
0.73 2.0 none Bug Screen Existing
HVAC SYSTEMS
Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status
1 Central Furnace 78% AFUE Split Air Conditioner 12.0 SEER Setback
Existing
HVAC DISTRIBUTION
Location Heating
Duct
Cooling Duct Location R -Value Status
Living Zone Ducted
Ducted Attic, Ceiling Ins, vented 4.2
Existing
WATER HEATING
Ot . Type Gallons Min. Eff Distribution Status
EnergyPro 5.1 by Ener Soft User Number.' 2655 RunCode: 2011-05-12712:24:18 ID:
Page 3 of 12
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name
Gironda Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family ® Existing+ Addition/Alteration
Date
5/12/2011
Project Address
51-355 Calle Hueneme La Quinta
California Energy Climate Zone
CA Climate Zone 15
Total Cond. Floor Area
1, 953
Addition
130
# of Stories
1
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form.
❑ Yes El No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION Area Special
Construction Type Cavity Features see Part 2 of 5 Status
FENESTRATION U- Exterior
Orientation Area Factor SHGC Overhang Sidefins Shades Status
Right (N) 16.0 0.710 0.73 2.0 none Bug Screen Existing
Front (E) 10.0 0.500 0.33 10.0 none Bug Screen New
Front (E) 35.0 0.500 0.33 10.0 none Bug Screen New
Rear 16.0 0.500 0.33 2.0 none Bug Screen New
HVAC SYSTEMS
Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status
HVAC DISTRIBUTION Duct
Location Heating Cooling Duct Location R -Value Status
WATER HEATING
City. Type Gallons Min. Eff Distribution Status
Ener Pro 5.1 by EnergySoft User Number.' 2655 RunCode: 2011-05-12712:24:18 0:
Page 4 of 12
PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R
Project Name
Gironda Residence
Building Type ® Single Family ❑ Addition Alone
1 ❑ Multi Family ® Existing+ Addition/Alteration
Date
1 5/12/2011
SPECIAL FEATURES INSPECTION CHECKLIST
The enforcement agency should pay special attention to the items specified in this checklist. These items require special written
justification and documentation, and special verification to be used with the performance approach. The enforcement agency
determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of
the special justification and documentation submitted.
HERS REQUIRED VERIFICATION
Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a
completed CF -4R form for each of the measures listed below for final to be given.
Ener Pro 5.1 by Ener Soft User Number: 2655 RunCode: 2011-05-12712:24:18 ID: Page 5 of 12
PERFORMANCE CERTIFICATE: Residential Part 3 of 5 CF -1 R
Project Name
Building Type m Single Family ❑ Addition Alone
Date
Gironda Residence
❑ Multi Family 10 Existing+ Addition/Alteration
1511212011
ANNUAL ENERGY USE SUMMARY "
Standard Proposed Margin
TDV kBtu/ft2- r
Space Heating 3.18 3.05 0.13
Space Cooling 123.85 122.00 1.86
Fans 27.06 26.64 0.42
Domestic Hot Water 18.25 18.25 0.00
Pumps 0.00 0.00 0.00
Totals 172.34 169.94 2.40
Percent Better Than Standard: 1.4%
BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation: (E) 90 deg Ext. Walls/Roof Wall Area Area
Number of Dwelling Units: 1.00 (E) 290 111
Fuel Available at Site: Natural Gas (S) 450 103
Raised Floor Area: 0 (tM 435 32
Slab on Grade Area: 1,953 (N) 400 46
Average Ceiling Height: 8.0 Roof 1,953 0
Fenestration Average U -Factor: 0.67 TOTAL: 292
Average SHGC: 0.65 Fenestration/CFA Ratio: 15.0%
REMARKS
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and specifications needed
to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the
Efficiency Standards of the California Code of Regulations.
The documentation author hereby certifies that the documentation is accurate and complete.
Documentation Author
Company Insu-form, Inc.
1 011
Address 77-810 Las Montanas Road, Suite 201 Name Joan D. Hacker
City/State/ZipCity/State/Zip Palm Desert, Ca 92211 Phone 760-345-1352 Si Date
The individual with overall design responsibility hereby certifies that the proposed building design represented in this set
of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and
with any other calculations submitted with this permit application, and recognizes that compliance using duct design,
duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require
installer testing and certification and field verification by an approved HERS rater.
Designer or Qwn- 63er Business & Professions Code)
Stan o a us�ky
Company 80338 Ave. Santa Belinda /
5! � 1
Address Indio, CA 92203 Name 1 /
City/State/Zip (760) 333-9998 Phone Signed License # Date
Ene Pro 5.1 by EnerqySoft User Number: 2655 RunCode: 2011-05-12712:24:18 ID: Page 6 of 12
CERTIFICATE OF COMPLIANCE:
Residential
(Part4 of 5 CF -1 R
Project Name
Gironda Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family m Existing+ Addition/Alteration
Date
1511212011
OPAQUE SURFACE DETAILS
Surface
Type Area
U Insulation
Factor Cavity Exterior Frame Interior Frame Azm
Joint Appendix
Tilt Status 4 Location/Comments
Slab
1,823
0.730 None
0
180 Existing 4.4.7-A 1
Existing Living
Wall
154
0.074 R-19
90
90 Existing 4.3.1-A5
Existing Living
Wall
347
0.074 R-19
180
90 Existing 4.3.1-A5
Existing Living
Wall
304
0.074 R-19
270
90 Existing 4.3.1-A5
Existing Living
Wall
354
0.074 R-19
0
90 Existing 4.3.1-A5
Existing Living
Roof
1,823
0.028 R-38
90
0 Existing 4.2.2-A 19
Existing Living
Wall
260
0.074 R-19
180
90 Removec 4.3.1-A5
Existing Living
Roof
130
0.028 R-38 C
90
0 New 4.2.2-A19
Addition
Wall
25
0.074 R-19
90
90 New 4.3.1-A5
Addition
Wall
45
0.074 R-19
270
90 New 4.3.1-A5
Addition
Slab
130
0.730 None
0
180 New 4.4.7-A1
Addition
Wall
54
0.074 R-19
270
90 New 4.3.1-A5
Addition
FENESTRATION SURFACE DETAILS
ID
Type
Area U -Factor
SHGC2
Azm Status
Glazing Type
Location/Comments
1
Window
21.0 0.710 1 Default
0.73 Default
90 Existing
Double Metal Clear
Existing Living
2
Window
35.0 0.710 Default
0.73 Default
90 Existing
Double Metal Clear
Existing Living
3
Window
10.0 0.710 Default
0.73 Default
90 Existing
Double Metal Clear
Existing Livin
4
Window
25.0 0.710 Default
0.73 Default
180 Existing
Double Metal Clear
Existing Living
5
Window
9.0 0.710 Default
0.73 Default
180 1 Existing
Double Metal Clear
Existing Living
6
Window
24.0 0.710 Default
0.73 Default
180 Existing
Double Metal Clear
Existing Living
7
Window
35.0 0.710 Default
0.73 Default
180 Existing
Double Metal Clear
Existing Living
8
Window
10.0 0.710 Default
0.73 Default
180 Existing
Double Metal Clear
Existing Living
9
Window
16.0 0.710 Default
0.73 Default
270 Existing
Double Metal Clear
Existing Living
10
Window
10.0 0.710 Default
0.73 Default
0 Existing
Double Metal Clear
Existing Living
11
Window
16.0 0.710 Default
0.73 Default
0 Existing
Double Metal Clear
Existing Living
12
Window
4.0 0.710 Default
0.73 Default
0 Existing
Double Metal Clear
Existing Living
13
Window
16.0 0.710 Default
0.73 Default
0 Existing
Double Metal Clear
Existing Living
14
Window
10.0 0.500 NFRC
0.33 NFRC
90 New
IWC 6200 /Low -E
Addition
15
JWndow 1
35.0 0.500 NFRC
0.33 1 NFRC
90 New
IWC 6200 /Low -E
Addition
16
JWndow 1
16.0 0.500 1 NFRC
0.33 1 NFRC
270 New
IWC 6200/Low-E
Addition
(1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value
2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Exterior Shade Type SHGC
Window
H t Wd
Ove hanq Left Fin
Len I H t LExt RExt Dist Len
Right Fin
H t Dist Len H t
1
Bug Screen
0.76
7.0 3.0
2.01 0.1
2.0 2.0
2
Bug Screen
0.76
7.0 3.0
2.0 0.1
2.0 2.0
3
Bug Screen
0.76
2.0 5.0
2.0 0.1
2.0 2.0
4
Bug Screen
0.76
5.0 5.0
2.0 0.1
2.0 2.0
5
Bug Screen
0.76
3.0 3.0
2.0 0.1
2.0 2.0
6
Bug Screen
0.76
4.0 6.0
2.0 0.1
2.0 2.0
7
Bug Screen
0.76
7.01 5.0
8.0 0.1
8.0 8.0
8
Bug Screen
0.76
2.01 5.0
8.0 0.1
8.0 8.0
9
Bug Screen
0.76
2.01 8.0
2.0 0.1
2.0 2.0
10
Bug Screen
0.76
4.0 2.5
2.0 0.1
2.0 2.0
11
Bug Screen
0.76
4.0 4.0
2.0 0.1
2.0 2.0
12
Bug Screen
0.76
1.0 4.0
2.0 0.1
2.01 2.0
13
Bug Screen
0.76
4.0 4.0
2.0 0.1
2.0 2.0
14
Bug Screen
0.76
2.0 5.0
10.0 0.1 10.0 10.0
15
JBug Screen
0.76
7.0 5.0
10.01 0.1 10.0 10.0
16
JBug Screen
1 0.761
2.01 8.0
2.01 0.1
2.0 2.0
EnergyPro
5.1 by EnergySoft User Number. 2655 RunCode: 2011-05-12712:24:18 ID:
Page 7 of 12
CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5
CF -1 R
Project Name
Gironda Residence
Building Type ❑ Single Family ❑ Addition Alone
❑ Multi Family 10 Existing+ Addition/Alteration
Date
1511212011
BUILDING ZONE INFORMATION
System Name Zone Name
Floor Area
New Existina Altered Removed Volume Year Built
Living Zone Existing Living
1,823
14,584 1979
Addition
130
1,040
Totals 1 130 1,8231 01 0
HVAC SYSTEMS
System Name Qty. Heating Type
Min. Eff. Cooling Type Min. Eff. Thermostat Type Status
Living Zone 1 Central Furnace
78% AFUE Split Air Conditioner 12.0 SEER Setback
Existing
HVAC DISTRIBUTION
System Name Heating
Duct
Coolin Duct Location R -Value
Ducts
Tested? Status
Living Zone Ducted Ducted Attic, Ceiling Ins, vented 4.2
❑ Existing
WATER HEATING SYSTEMS
S stem Name
Qty.
Type
Distribution
Rated
Input
Btuh
Tank
Cap.
al
Energy
Factor
or RE
Standby
Loss or
Pilot
Ext.
Tank
Insul. R-
Value
Status
Standard Gas 50 gal or Le
1
Small Gas
Kitchen Pipe Ins
40,000
50
0.53
n/a
n/a
Existing
MULTI -FAMILY WATER
HEATING
DETAILS
HYDRONIC
HEATING
SYSTEM
PIPING
Control
Hot Water Piping Length
ft
C:
0
i�
v U)
a —
System Name
Pipe
Length
Pipe
Diameter
Insul.
Thick.
Qty.FHP
Plenum Outside Buried
Ener Pro 5.1 by Ener Soft User Number 2655
RunCode: 2011-05-12712:24:18 ID:
Page 8 of 12
MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R
Project Name
Gironda Residence
Date
5/12/2011
NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of
the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF -
1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated
into the permit documents, and the applicable features shall be considered by all parties as minimum component performance
specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R
Form with plans.
Building Envelope Measures:
116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain
Coefficient SHGC and infiltration that meets the requirements of 10-111 (a).
117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed.
118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form.
§118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the
installation of a Cool Roof is specified on the CF -1 R Form.
*§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor.
§150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value.
*§150(c): Minimum R-13 insulation in wood -frame wall orequivalent U -factor.
*§1 50 d : Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor.
150(f): Air retarding wrap is tested labeled and installed according to ASTM E1677-95 2000 when specified on the CF -1 R Form.
150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance
rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is
equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device.
§150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the
outside of the building, are prohibited.
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy
Commission.
§113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release
valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5.
§115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances
(appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and
spa heaters.
150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA.
150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c).
§1500)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped
with insulation having an installed thermal resistance of R-12 or greater.
§150(j)l B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water
tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the
tank.
§1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of
recirculatinq sections of hot water pipes are insulated per Standards Table 150-B.
§150(j)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot
water tank shall be insulated to Table 150-B and Equation 150-A.
§150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table
123-A.
§150(i)3A: Insulation is protected from damage, including that due to sunlight, moisture equipment maintenance and wind.
§150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in
conditioned space.
150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
EnergyPro 5.1 by EnergySoft User Number.' 2655 RunCode: 2011-05-12712:24:18 /D: Page 9 of 12
MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R
Project Name
Date
Gironda Residence
5/1212011
§150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections
601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-
4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the
applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is
used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used
§150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed
sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may
contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area
of the ducts.
§150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
unless such tape is used in combination with mastic and draw bands.
150(m)7: Exhaust fans stems have back draft or automatic dampers.
§150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
dampers.
§150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar
radiation that can cause de radation of the material.
150 m 10: Flexible ducts cannot have porous inner cores.
§150(0): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air
Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation
required in Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency
Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and
shall not use electric resistance heating ora pilot light.
§114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction
and return lines, or built-up connections for future solar heating.
114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover.
§114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or
programmed to run only during off-peak electric demand periods.
150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 .
Residential Lighting Measures:
§150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies
contained in Table 150-C and is not a low eff icacy luminaire asspecified by §150(k)2.
§150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d).
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than
20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain
only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line -
voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a
medium screw -base socket.
150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k).
150(k)7: All switching devices and controls shall meet the requirements of §150(k)7.
§150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be
exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a
manual -on occupant sensor.
§150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of
illuminated cabinet.
EnergyPro 5.1 by EnergySoff User Number: 2655 RunCode: 2011-05-12712:24:18 ID: Page 10 of 12
MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R
Project Name
Date
Gironda Residence
1511212011
§150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms
shall be high efficacy.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on
occupant sensor certified to comply with the applicable requirements of §119. 1
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual -on occupancy sensor.
§150(k)11: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms,
closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be
allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual -
on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less
than 1000 square feet located on a residential site is not required to comply with §150 k 11.
§150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters
Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air
leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between
the luminaire housing and ceiling.
§150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more
dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that
they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor,
and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management
control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor
luminaires used to comply with Exceptions to §150(k)13 may be controlled by a temporary override switch which bypasses the motion
sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed
luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not
be high efficacy luminaires.
§150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain -a screw -base socket, and consume no
more than five watts of power as determined according to §130(d).
§150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable
requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable
requirements of Sections 130, 131, 134, and 146.
§150(k)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more
dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided
that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119.
EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 2011-05-12712:24:18 10: Page 11 of 12
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
Gironda Residence
Date
5/12/2011
System Name
Living Zone
Floor Area
1,953
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
1
COIL
CFM
Total Room Loads 852
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation 0
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COOLING
PEAK COIL HTG.
PEAK
Heating System
Sensible
Latent CFM
Sensible
Output per System 80,000
27,744
2,980 457
26,763
Total Output Btuh 80,000
0
Output Btuh/s ft 41.0
2,353
1,901
Cooling System
0
0
Output per System 58,000
0
0 0
0
Total Output Btuh 58,000
0
2,980
0
Total Output Tons 4.8
2,353
1,901
Total Output Btuh/s ft 29.7
Total Output s ft/Ton 404.1
1 32,449
1 30,565
Air System
CFM per System
1,300
HVAC EQUIPMENT SELECTION
Airflow cfm
1,300
Existing HVAC 47,043
0
80,000
Airflow cfm/s ft
0.67
Airflow cfm/Ton
269.0
Outside Air %
0.0%
Total Adjusted System Output 47,043
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK
0 80,000
Aug 3 PM Jan 1 AM
Outside Air cfm/s ft 0.00
Note: values above given at ARI conditions
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating Peak
26 OF 69 OF
Outside Air
0 cfm Supply Fan
1,300 cfm
69 OF
69 OF 126 OF
Heating Coil
125 OF
ROOM
70 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak
112/78°F 80/59°F 80/59°F 46/44°F
Outside Air c
0 cfm Supply Fan Cooling Coil 47 / 45 OF
...... .. ........ .
1,300 cfm
30.2% [ROOM
80/59°F 78/59°F
EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 2011-05-12712:24:18 /D:
Page 12 of 12