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05-1233 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: <0_5=000_01233--, Property Address: 51480 CALLE-HUENEME APN: 770-164-011-14 -000000- Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM DENSITY RES Application valuation: 162718 Applicant: Tiht 4 XP Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DETACHED Architect or Engineer L�, 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. ,6ieensg.C,lass: B C9 Li nse No.: 529362 ('Contract 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).: (_) 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.). (_ 1 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. , 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/17/05 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 STATE FUND Policy Number 182973805 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 CFI , I shall f rthwi c°O' py with hose provisions. �e:�/�icant:� y l��j 2-1 `J 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 ($100,000). 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 construction, and hereby authorize representatives Xi this county to enter upon the above-mentioned prop for insp tion ur/p/As bat6�Signature (Applicant or Agent): 1 Owner: DYCK JOHN P a a a ntractor: AUG 18 2005 0 00 JACKSONCTION, BUTCH DIO, CA 92201 CityOP'LAiQUINTA 760)272-7127 PINANCED@PT ic. No.: 529362 L�, 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. ,6ieensg.C,lass: B C9 Li nse No.: 529362 ('Contract 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).: (_) 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.). (_ 1 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. , 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/17/05 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 STATE FUND Policy Number 182973805 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 CFI , I shall f rthwi c°O' py with hose provisions. �e:�/�icant:� y l��j 2-1 `J 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 ($100,000). 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 construction, and hereby authorize representatives Xi this county to enter upon the above-mentioned prop for insp tion ur/p/As bat6�Signature (Applicant or Agent): 1 Application Number . . . . . 05-00001233 ------ Structure Information• 2435 SQ. FT. SFD. ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 3.00 ' FIRE SPRINKLERS NO GARAGE SQ FTG 834.00 PATIO SQ FTG 533.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2435.00 +: Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 860.00 Plan Check Fee 559.00 Issue Date . . . . Valuation . . . . 162718 Expiration Date 11/30/05 Qty Unit Charge Per Extension BASE FEE 639.50 63.00 3.5000 THOU BLDG 100,001-500,000 220.50 �s---------------------------------------------------------------------------- - Permit . . . ELEC-NEW RESIDENTIAL - Additional desc . •• ¢) Permit Fee 131.91 Plan Check Fee 32.98 ,._ Issue Date . . . . Valuation . . . . 0 Expiration Date 11/30/05 Qty Unit Charge Per Extension r. BASE FEE 15.00 2435.00 .0350 ELEC NEW RES .--1 OR 2 FAMILY 85.23 834.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.68 1.00 15.0000 ----=--------------------- EA ' ELEC TEMPORARY POWER.POLE -------------------------------------- 15.00 ------------ Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/30/05 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 - Permit . . . . . . MECHANICAL 4 LQPERMIT Application Number . . . . . Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 83.50 Issue Date . . . . Expiration Date . . 11/30/05 05-00001233 Plan Check Fee . . 20.88 Valuation . . . . 0 Qty Unit.Charge Per Extension Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 _ 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 --------------------------7------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . PLUMBING 3.00 1.00 Additional desc . . PLB LAWN SPRINKLER SYSTEM 9.00 7.00 Permit Fee . . . . 159.75 Plan Check Fee 39.94 Issue Date . . . . PLB GAS METER . Valuation . . . . 0 Expiration Date . . 11/30/05 2435 SQ. FT. SFD THIS C,w LQYERMIT Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 2.00 6.0000 EA PLB ROOF DRAIN 12.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 -1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 7.00 .7500 EA PLB GAS PIPE >=5 5.25 1.00 15.0000 EA PLB GAS METER . 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 2435 SQ. FT. SFD THIS PERMIT DOES NOT INCLUDE POOL & SPA BLOCK WALLS OR DRIVEWAY APPROACH. 4/8/05 2:05:53 PM JJOHNSON ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 _ DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 55.90 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 16.27 DIF STREET MAINT FAC -RES 15.00 I i, LQPERMIT Application Number . . . . . 05-00001233 ---------- ----------------------------------------------------------------- Other Fees . . . . . . . . . DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ---------- Paid Credited -------------------- Due ----------------- Permit Fee.Total 1250.16 ---------- .00 .00 1250.16 Plan Check Total 652..80 250.00 .00 402.80 Other Fee Total 2477.17 .00 .00 2477.17 Grand Total 4380.13 250.00 .00 4130.13 _ P.O. BOX 1504 Building �`� ��f �CA� �,� Huetv4 UINT CE CALIFORNIATAMPIO Address v �—ii LA QUINTA, CAORNIA 92253 Owner,.�/�1 -�./C)QAJ ���C BUILDING: TYPE CONST. Mailing -7 70 , �L Address A.P. Number Ci y Zip Tel. - - _� Legal Description Contractor p Project Description ^S /3 UT,- G, 8 PcKeA- ��� sT City Z'I� ZC�/' Tel. State Lic. / (' City S Ft. L/ No. & Classif.-�z1, Lic. # sze �/ f �� Sto 15 Arch.,,Engr., New ❑ Add ❑ Designer � GA i Cc -Pm .,.... � %..OikC Zo 56 y -y7o City ZipState vw—A �/. Lic. # LICENSED CONTRACTOR'S DECLARATION Ill,I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Sectio 00) of Division 3 of the Business and Professions Code, and my license is in full force a efVct. SIGNATURE O&ATE OWNER -BUILDER DECLARATION I reby affirm that I am exempt from the Contractor's License Law for th ollowing reason. Sec. 7031.5, Business and Professions Code: Any city or county whit requires a permit t onstruct, alter, improve, demolish, or repair any structure, prior to its i uance also requires t applicant for such permit to file a signed statement that he is licen d pursuant to the provisi s of the Contractor's License Law, Chapter 9 (commencing with action 7000) of Division 3 o he Business and Professions Code, or that he is exempt there/r m, and the basis for the allege exemption. Any violation of Section 7031.5 by any applicant f r a permit subjects the applicant t a civil penalty of not more than five hundred dollars ($50 ❑ I, as owner of a property, or my employees with wages as their sol compensation, will do the work, and the tructure isnot intended or offered for sale. (Sec. 70 4, Business and Proles- sions Code: The C tractor's License Law does not apply to an ow r of property who builds or improves thereon nd who does such work himself or through h' own employees, provided that such improveme is are not intended or offered for sale. 1/, owever, the building or im- provement is sold wit 'n one year of completion, the owner- ilder will have the burden of proving that he did not ild or improve for the purpose of sa ❑ I, as owner of the prop y, am exclusively contracting wit icensed contractors to construct the project. (Sec. 7044, B mess and Professions Code: a Contractor's License Law does not apply to an owner of pr any who builds or improve hereon, and who contracts for such projects with a contractor(s) an ad pursuant to the C ntractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. fo his reason Date -Ow WORKER'S C MPE ATION DECLARATION 1 hereby affirm that I have a certitic a consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified y thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ rtifie copy is hereby furnished. CERTIFATE OF EMPTION FROM WORKE 'COMPEN TION INSURANCE (This section need not be comp ted if the permi 's for one hundred dollars ($100) valuation or less). I certify that in the perto ante of the work fo which this permit is issued, I shall not employ any person in any m ner so as to become su 'act to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT If, alter making this Certificate Exemption you should become subject to the Worker Compensation Provisions of the bor Code, you must forthwith comply with such prov ions or this permit shall be deemed re oked. CONSTRUCTION LENDING AGENCY /LendNa ereby affir that there is a construction lending agency for the erformance of the work ch this p mit is issued. (Sec. 3097, Civil Code.) 's Nam 's Ad ass is is building permit when properly filled out, signed and validate and is subject to ion work thereunder is suspended for 180 days. e ify that I have read this application and state that the above inform 'on is correct. o comply with all city and county ordinances and state laws relatin to building ction, and hereby authorize representatives of this city to enter the abov mentioned for inspection purposes. ure of applicant Date Addressate, Zip WHITE = BUILDING DEPARTMENT Estimated Valuation 0s _ / z 3� APPLICATION ONLY OCC. GRP. No. ter ❑ Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE Summit Structural Engineering 106 E. Park Street, Ste: 206 McCall, ID'83638 (866)862-8148 (208).634-8148 Fax (208) 630-5790 April 19, 2005 Trussworks 75-110 St. Charles Place, Ste 11a Palm Desert, AZ 92211 Attn: Truss Designer Subject: Roof Truss Shop Drawings and Calculations Dyke Residence — WO B6255, La Quinta, CA Dear Truss Designer, The roof truss drawings by Trussworks Truss Co. for the subject project were received by our office on April 17, 2005, and are approved. The .submittal has been reviewed for general conformance to the design concept of the project structural plans. The fabrication processes,, rocesses, techniques of construction, dimensions, and quantities are not a part of this review. Since the shop drawings were reviewed only for general conformance with the structural plans, unless variations from the structural plans have been clearly indicated, we may not have listed them. Our review of these drawings does not relieve the truss engineer and the framing contractor from complying with the structural plans Yours truly, SUMMIT STRUCTURAL ENGINE .Benjamin Her , c:\2005jobfiles\sd-236\236—truss2.doc Residential: Commercial. Industrial. Land Develooment TITLE 24 REPORT Title 24 Report for: Mr. & Mrs. J.P. Dyck 53-480 Avenida Velasco La Quinta, CA 92253 Project Designer: Stephen R. Nieto 78-120 Calle Estado, Suite 206 La Quinta, CA 92253 760-564-4707 Report Prepared By: Bill Van Wyhe South West Concepts 78120 Calle Estado, Suite 206 La Quinta, CA 92253 (760) 564-4707 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CON TRUCTION Job Number: � DA 3269 Date: 3/22/2005 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 2001 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC (415) 897-6400. EnergyPro 3.1 By EnergySoft Job Number. 3269 User Number. 5970 TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Checklist 6 Form C -2R Computer Method Summary 8 HVAC System Heating and Cooling Loads Summary 12 El EnergyPro 3.1 By EnergySoft Job Number. 3269 User Number. 5970 Certificate of Compliance: Residential (Part 1 of 2) CF -1 R Mr. & Mrs J P Dyck 3/22/2005 Project Title Date 53-480 Avenida Velasco La Quinta Project Address Building Permit # South West Concepts (760) 564-4707 Plan Check / Date Documentation Author Telephone Computer Performance 15 Field Check / Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 2,435-f? Average Ceiling Height: 10.6 ft Total Conditioned Slab Area: 20435 ft2 Building Type: (check one or more) © Single Family Detached ❑ Addition ❑ Single Family Attached ❑ Existing Building ❑ Multi -Family ❑ Existing Plus Addition Front Orientation: (_West) 270 deg Floor Construction Type: ® Slab Floor Number of Dwelling Units: 1.00 Number of Stories: 1 ❑ Raised Floor Component Type Frame Type Const. Assembly U -Value Slab On Grade n/a 0.756 R-21 Wall (W.21.2x6.16) Wood 0.059 R-38 Roof (R.38.2x4.24) Wood 0.024 Solid Wood Door None 0.387 FENESTRATION Location/Comments (attic, garage, typical, etc. Exposed Slab w/R-0.0 Perimeter Insulation Exterior Wall Exterior Roof Exterior Door Shading Devices Type Orientation Area Fenestration Exterior Overhang Side Fins SF U -Factor SHGC Shading Yes / No Yes / No Left (North) 24.0 0.50 0.59 Bug Screen 0 ❑ ❑ x❑ Rear (Southeast) 48.0 0.50 0.59 Bug Screen X❑ ❑ ❑ x❑ Right (Southwest) 128.0 0.50 0.59 Bug Screen x❑ ❑ ❑X❑ Right (Southwest) 37.0 0.87 0.59 Bug Screen 91 ❑ ❑X❑ Front (Northwest) 27.5 0.50 0.59 Bug Screen X❑ El❑ x❑ Front (West) 5.0 0.87 0.59 Bug Screen 0 ❑ ❑ X❑ Front (West) 33.0 - 0.50 0.59 Bug ScreenX❑ ❑ ❑X❑ Right (South) 69.0 0.50 0.59 Bug Screen X❑ ❑ ❑ x❑ Rear (East) 60.0 0.50 0.59 Bug ScreenX❑ ❑ ❑ x❑ Rear (East) 72.2 0.57 0.55 Bug Screen X❑ El X❑ - El El El F] El El ❑❑ Run Initiation Time: 0312210515:14:15 Run Code: 111153325 Ener Pro 3.1 By Ener Soft User Number. 5970 Job Number. 3269 Pa e:3 of 13 Certificate of Compliance: Residential (Part 2 of 2) CF -1 R Mr. & Mrs J P Dyck 3/22/2005 Project Title Date HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location / pump, etc.) (AFUE/HSPF)(ducts, attic, etc.) R -Value Type Comments Nnna n/a nucts in Attic 42 Sethaok Rag HVAC Central Eurnace 80% AFUE nuns in Atti . 42 Sethar Rps HVAC Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type Comments Split Air Conditioner 12.0 SEER Ducts in Attic 42 Sethnck Res HVAr Split Air Conditioner 12 0 SFFR Picts in Atti . 42 Sethack Rpg HVAC WATER HEATING SYSTEMS I Rated 1 Tank Energy Fact! 1 External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value A n' SMITH FPS -50-224 ,Small Gas Standard _ 1 43 000 50_ 0.60 n/a n/a 1 For small gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognize that compliance using duct sealing and TXV s requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Documentation Author Name: Title/Firm: Stephen R. Nieto Address: 78-120 Calle Estado, Suite 206 760-564-4707 Lic. #: 3 ZZ/oJ (date) Eftforcement Agency Name: Title/Firm: Address: Telephone: Name: Bill Van Wvhe Title/Firm: South West Concepts Address: 78120 Calle Estado, Suite 206 La OOnta, CA 92253 Telephone: 564-4707 3/22/,f r (sig lure) _ _ - (date) L-- [EneravPro 3.1 By EnerovSoft User Number. 5970 Job Number. 3269 PageA of 13 Certificate of Compliance: Residential (Addendum) CF -1 R Mr. & Mrs J P Dyck 3/22/2005 Pmiect Title Date Special Features and Modeling Assumptions The local 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 local 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. plan Field The HVAC System "Res. HVAC" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual. HIGH MASS Design(see C -2R) - Verify Thermal Mass: 909 sqft Exposed Slab Floor, 3.50" thick at Living/Dining/Kitchen HIGH MASS Design(see C -2R) - Verify Thermal Mass: 1526 sqft Exposed Slab Floor, 3.50" thick at Bedrooms/Baths/Laundry HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R. plan Field The HVAC System 'Res. HVAC' includes Refrigerant Charge and Airflow Credit (or a TXV). A certified HERS rater must provide verification of the TXV, or measure the Refrigerant Charge and Airflow. The HVAC System 'Res. HVAC' is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -6R Form. The HVAC System "Res. HVAC' includes Refrigerant Charge and Airflow Credit (or a TXV). A certified HERS rater must provide verification of the TXV, or measure the Refrigerant Charge and Airflow. The HVAC System "Res. HVAC' is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -6R Form. r r Run Initiation Time: 0312210515:14:15 Run Code: 1111533255 EnergyPro 3.1 By EnergySoft User Number. 5970 Job Number. 3269 Page:5 of 13 Mandatory Measures Checklist: Residential (Page 1 of 2) MF -1 R NOTE: Lowdse residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter NIA if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures "§150(.): Minimum R-19 ceiling insulation. § 150(b): Loose fill insulation manufacturer's labeled R -Value. §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does 0 " not apply to exterior mass walls). ❑ "§150(d): Minimum R-13 raised floor insulation in framed floors or equivalent ❑§150(1): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. a§ 118: Insulation specified or installed meets insulation quality standards. Indicate type and forth. ®, § 116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ § 150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. ❑ Gas Logs. §150(e): Installation of Fireplaces, Decorative Gas Appliances and 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures a§110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. © § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE. SMACNA or ACCA. a§150(i): Setback thermostat on all applicable heating and/or doling systems. FXJ §1500): Pipe and Tank Insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined intemal/extemal insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55 degrees F. insulated. 6. Piping insulating between heating source and indirect hot water tank. EnergyPro 3.1 By EnergySoft User Number. 5970 Job Number. 3269 Page:6 of 13 Mandatory Measures Checklist: Residential (Page 2 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether thev are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or Initial applicable boxes or enter NIA if not applicable. DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) a-§150(.): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with doth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. 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. 3. Joints and seams of duct systems and their components shall not be sealed with doth back rubber adhesive duct tapes unless such a tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilation systems serving conditioned space have eitherautomatic or readily accessible, manually operated dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. ❑ § 114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating, and no pilot. 2. System is installed with at least 36" of pipe between filter and heater for future solar, cover for outdoor pools or spas. a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. X❑ §115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) ❑§118(f): Cool Roof material meet.specified criteria Lighting Measures - ® §150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. §150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. 3.1 By EnergySoft User Number. 5970 Job Number. 3269 Page:7 of 13 Computer Method Summary (Part 1 of 3) C -2R Mr Q Mrs ,J_P nV rk 3/22/2005 Project Title Date y53-4811 Avenida Velasrn I a Qltinta Project Address Building Permit # c -4707 Plan Check/Date „„4h West Carimpts (760) 564 Documentation Author Telephone ('omputer Performanr� __..__, rt��.,,�ro15 a Field Check/Date Source Energy Use Standard Proposed. Compliance (kBtu/sf-yr) Design Design Margin Space Heating 1.01 0.21 0.80 Space Cooling 31.53 32.63 -1.10 Domestic Hot Water 11.57 10.18 1.39 Totals 44.11 43.02 1.09 Percent better than Standard: 2.5% BUILDING COMPLIES Total Conditioned Floor Area: 2,435 ft2 Floor Construction Type: ❑ Raised Floor ❑X Slab Floor Building Type: Single Fam Detached Building Front Orientation: (West) 270 deg Total Fenestration Area: 20.7% 25,714 ft 3 Number of Dwelling Units: 1.00 Total Conditioned Volume: Number of Stories: 1 Total Conditioned Slab Area: 2,435 ft 2 BUILDING ZONE INFORMATION # of Zone Name Floor Area Volume Units Zone Type Thermostat Type SPthark 4 _tthark Vent Hat. Area n n/a Solar OPAQUE SURFACES Act. Gains Type Area U -Fac. Azm. Tilt Y / N Form 3 Reference Location / Comments Computer Method Summary (Part 2 of 3) C -2R Mr. & Mrs J P Dyck 3/22/2005 Project Title Date FENESTRATION SURFACES U- Act. Glazing Type Location/ # Type Area Factor SHGC Azm. Tilt Comments L 2 Window left Window Rear (North) (Southeast) 48.0 0 s;nn 0.500 n 5g 0.59 _� 135 � 0. nnuhle Metal Tinted ( ow ) 90 Double Metal Tinted (Low e) 7nne 1 Zone 1 3 Window Right (Southwest) 21 0 0.500 0.59 225 90 Double Metal Tinted (Low e) Zone 1 4 Window Right (Southwest) V 37.0 0.870 0.59 225 90 Double Metal Tinted (Low e) Zone 1 3 Window Front (Northwest) V 27.5 0.500 0.59 315 90 Double Metal Tinted (Low e) Zone 1 6 Window Front est) 1 5& 0.870 0.59 270 90 Double Metal Tinted (Low e) Zone 2 L Window Front est) 33.0 0.500 0.59 270 90 Qouble Metal Tinted (Low e) Zone 2 8 Window Right (South) 15.0 0.500 0.59 180 90 Double Metal Tinted (Low e) Zone 2 3 Window Right (South) 9.0 0.500 0.59 180 90 Qouhle Metal Tinted (ow ) Zone 2 7one 1Q Window Right Window Right (South) 25.0 (South) 20.0 0.500 0.500 0.59 0.59 180 180 90 nnuhle Metal Tinter) ow -) 90 Double Metal Tinted (Low e) 2 Zone 2 -U 12 Window Rear (East) 48.0 0.500 0.59 90 90 Double Metal Tinted (Low e) Zone 2 _1a 14 Window Rear Window Rear (East) 722 _(East) -,J 12.0 0.570 0.500 0.55 0.59 -90 90 qn nnuhle NonMtl Tinted Default 90 Double Metal Tinted (Low e) 7one 2 Zone 2 INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. REA Dist. Len. Hgt. Dist. Len. Hgt. 1 Bug Screen 0.76 4.0 6.0 1.0 0.1 2.0 2.0 2 Bug Screen 0.76 8.0 6.0 1.0 0.1 2.0 2.0 3 Bug Screen 0.76 8.0 8.0 4.0 0.1 4.0 4.0 4 Bug Screen 0.76 3.2 16.0 4.0 0.1 4.0 4.0 5 Bug Screen 0.76 5.5 5.0 1.0 01 2.0 2.0 6 Bug Screen 0.76 1.3 5.0 12, 0- -= _iu 7 Bug Screen 0.76 5.5 6.0 1.0 0.1 2.0 2.0 8 Bug Screen 0.76 5.0 1.5 1.0 0.1 2.0 2.0 9 Bug Screen 0.76 3.0 3.0 1.0 0.1 2.0 2.0 10 Bug Screen 0.76 5.0 5.0 1.0 0.1 2.0 2.0 11 Bug Screen 0.76 5.0 2.0 1.0 0.1 2.0 2.0 12 Bug Screen 0.76 8.0 6.0 6.0 0.1 6.0 6.0 13 Bug Screen 0.76 8.5 8.5 1.0 0.1 2.0 2.0 14 Bug Screen 0.76 4.0 3.0 1.0 0.1 2.0 2.0 Run Initiation Times 03122/05 15-14:15 Run Code: 1111533255 EnergyPro 3.1 By EnergySoft User Number. 5970 Job Number. 3269 Page:9 of 13 If_mmIrliluter Method Summary (Part 3 of 3) C -2R Mr. & Mrs. J.P. Dyck Date 3/22/2005 Project Title THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Type (sf) (in.) Cap. Cond. Form 3 Reference Inside Location R -Val. Comments 7nnp 1 / erab r_radp ron retc•�te Hea%8meight Concrete. egvyweight q09: 1,526 -a-M 3.50 a -Ua n/a 28 0_98 n/a an 0 Zone 2 / Slab on Grade PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Location / pump, etc.) (AFUE/HSPF)(ducts/attic, etc.) R -Value Type Comments None n/a Ducts in Attic 4-2 Setback Res HVAC Central Furnace 80%AFUE Ducts in Attic 4.2 Setback Res. HVAC Hydronic Piping pipe Pipe Insul. System Name Length Diameter Thick. Cooling Equipment, Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc,) R -Value Type Comments Sunlit Air Conditioner 12.0SEER Ducts in Attic 4.2 Setback —Res. HVAC Split Air Conditioner 12.0 SEER Ducts in Attic 4.2 Setback Res. HVAC WATER HEATING SYSTEMS Rated' Tank Energy Fact! 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency Loss (%) Ext. A.O. SMITH FPS -50-224 Small Gas Standard 1 43.000 50 0.60 n/a n/a 1 For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For. instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. Run Initiation Time: 0312210515:14:15 Run Code: 1111533255 EnemyPro 3.1 ' By EnergySoft User Number 5970 Job Number. 3269 Page: 10 of 13 Computer Method Summary (Addendum) C -2R Mr. & Mrs J P Dyck 3/22/2005 Project Title Date Special Features and Modeling Assumptions The local 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 local - _ _e_ _____--� _-.___.. J_�_�...:w_.. 41..E .�dei...�e.. of tion i—Mcation and may reieet a building or design that otherwise complies enrorcernena agency ueae11on1oa u�a a..cyuovY ...... ......__. _.., _.._ ...-, - - -- - - based on the adequacy of the special justification and documentation submitted. Plan Field The HVAC System 'Res. HVAC' includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual. HIGH MASS Design(see C -2R) - Verify Thermal Mass: 909 sqft Exposed Slab Floor, 3.50" thick at LivinglDining/Kitchen HIGH MASS Design(see C -2R) - Verify Thermal Mass: 1526 sqft Exposed Slab Floor, 3.50" thick at Bedrooms/Baths/Laundry HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R.. Plan I Field The HVAC System 'Res. HVAC' includes Refrigerant Charge and Airflow Credit (or a TXV). A certified HERS rater must provide verification of the TXV, or'measure the Refrigerant Charge and Airflow. The HVAC System 'Res. HVAC' is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -6R Form. The HVAC System "Res. HVAC' includes Refrigerant Charge and Airflow Credit (or a TXV). A certified HERS rater must provide verification of the TXV, or measure the Refrigerant Charge and Airflow. The HVAC System "Res. HVAC' is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -6R Form. Run Initiation Time: 03/22/0515:14:15 Run Code: 1111533255 EnergyPro 3.1 By EnergySoft User Number. 5970 Job Number: 3269 Page: 11 of 13 [HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Mr. & Mrs. J.P. Dyck 3/22/2005 SYSTEM NAME FLOOR AREA Res. HVAC 909 RING CHECKS Number of Systems 1 Heating System Output per System 0 Total Output (Btuh) 0 Output (Btuh/sgft) 0.0 Cooling System Output per System 40,000 Total Output (Btuh) 40,000 Total Output (Tons) 3.3 Total Output (Btuh/sgft) 44.0 Total Output (sgftrron) 272.7 Air System CFM per System 0 Airflow (cfm) 0 Airflow (cfm/sgft) 0.00 Airflow (cfm/Ton) 0.0 Outside Air (%) 0.0 Outside Air (cfm/sgft) 0.00 Note: values above given at ARI conditions (EATING SYSTEM PSYCHROMETRICS 26.0 of 70.0 of Outside Air 0 cfm 70.0 of Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM I Sensiblel Latent CFM Sensible 613 15,008 423 L 216 9,198 0 750 460 0 0 0 0 0 L 0 0 0 0 750 460 16,508 423 10118 CARRIER 38BRGO4230 33,011 1,179 0 Total Adjusted System Output 33,01 1,179 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am Heating Coil Supply Air Ducts 110.0 of ROOMS 70.0 of Return Air Ducts `S DOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 111.0/77.6OF 78.0/62.3OF 55.0/53.7OF Supply Air Ducts —10 Outside Air 0 cfm Cooling Coil 55.0 / 53.7 of 41.2% R.H. ROOMS 78.0 162.2 of 78.0/62.2 °F � Return Air Ducts `S EnergyPro 3.1 By EnergySoft User Number: 5970 Job Number. 3269 Page:12 of 13 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Mr. & Mrs. J.P. Dyck 3/22/2005 SYSTEM NAME FLOOR AREA Res. HVAC 1,526 Number of Systems 1 Heating System Output per System 35,000 Total Output (Btuh) 35,000 Output (Btuh/sgft) 22.9 Cooling System Output per System 58,000 Total Output (Btuh) 58,000 Total Output (Tons) 4.8 Total Output (Btuh/sgft) 38.0 Total Output (sgff/Ton) 315.7 Air System CFM per System 855 Airflow (cfm) 855 Airflow (cfm/sgft) 0.56 Airflow (cfm/Ton) 176.9 Outside Air (%) 0.0 Outside Air (cfm/sgft) 0.00 Note: values above given at ARI conditions Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM ISensiblel Latent I CFM Sensible 20,4991 710 10 824 CARRIER 38HDC06032 43,474 0 111.0/77.60F 79.0/53.6°F 79.0/53.6 OF 31.2 /29.3 OF Total Adjusted System Output a3,a7a 0 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm 35,000 35,000 Jan 12 am EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heatin Peak 26.0 OF 69.5 OF 69.5 OF 107.9 OF Supply Air Ducts Outside Air '.Os 0 cfm 107.4 OF Supply Fan Heating Coil 855 cfm ROOMS 69.5 OF 70.0 OF Return Air Ducts OOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Coolin Peak 111.0/77.60F 79.0/53.6°F 79.0/53.6 OF 31.2 /29.3 OF Supply Air Ducts _ 0' Outside Air 0 cfm Supply Fan Cooling Coil 32.3 / 29.9 OF 855 dm ROOMS 15.1% R.H. of 78.0/53.2°F 79.0/53.6 Return Air Ducts ' EneravPro 3.1 By EnemvSoft User Number. 5970 Job Number. 3269 Pane: 13 of 13