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10-0243 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253.- ___7 2253.- _`~7 Application Number: 10-00000243 � Property Address: 52905-HUMBOLDT BLVD APN: 767-880-011- - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 12500 .. ..--APPlicant: -- ------- Architect or Engineer: A Vgi LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 rofessionals Code, and my License is in full force and effect. License Class: jB C110 License No.: 746198 Date: ' `� I!/C ctor. 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 i 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.). ' 1_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the Work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Owner: JACK & KAREN FRIEDMAN VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/21/10 r --————————————————————————————————————————————_- - WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: 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 0002239-2009 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, andagree that, if I shout become subject to the workers' compensation provisions of Section 3700 of the Labor Co shall forthgjth comply with those provisions. Dat Zt/ ' pApplicant: 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 a above information is correct. I agree to comply with all city and county ordinances and state laws relating to ilding construction, and hereby authorize representatives of -this c my to enter upon the above-mentioned pr e y for inspectiorfpurposes. Date: L_ ignature (Applicant or Agen --Contractor: A & M CONSTRUCTION 7" :5 P.O. BOX 366 CN2 U-; LA QUINTA, CA 92247 a (760)564-4832 Lic. No.: 746198 to r --————————————————————————————————————————————_- - WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: 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 0002239-2009 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, andagree that, if I shout become subject to the workers' compensation provisions of Section 3700 of the Labor Co shall forthgjth comply with those provisions. Dat Zt/ ' pApplicant: 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 a above information is correct. I agree to comply with all city and county ordinances and state laws relating to ilding construction, and hereby authorize representatives of -this c my to enter upon the above-mentioned pr e y for inspectiorfpurposes. Date: L_ ignature (Applicant or Agen Application Number . . . . 10-00000243 ------ Structure Information 85 SF CLOSET ADDITION ----- Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type . . . . . DWELLG/LODGING/CONG <=10 Other struct info CODE EDITION 2007/08 ENERGY # BEDROOMS .00 . FLOOD ZONE NA GARAGE SQ FTG .00 PATIO SQ FTG .00 1ST FLOOR SQUARE .FOOTAGE 85.00 2ND FLOOR SQUARE FOOTAGE ---------------------------------------------------------------------------- .00 __Permit-,.-- _�_: - _;BUILDING' PERMIT Additional desc . Permit Fee . . . . 144.00 Plan Check Fee 93.60 Issue Date . . . . Valuation 12500 Expiration Date.. 12/18/10 Qty Unit Charge Per Extension i BASE FEE 45.00 11.00. .9.0000 THOU BLDG 2,001-25.,000 ---------------------------------------------------------------------------- 99.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 17.98 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/18/10 Qty Unit Charge Per Extension BASE FEE 15.00 \ 85.00 .0350 ELEC NEW RES = 1 OR 2 FAMILY 2.98 --------------------------------=-------------------------------------------- Special Notes and Comments 85 SF CLOSET ADDITION TO EXISTING 5259 SF SFD PER STRUCT..ENGINEERED PLANS. R-3 OCCUPANCY, TYPE VB CONSTRUCTION. 2007 CODE / 2008 ENERGY. ----------------------------------------------------------------=----------- Other Fees. . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 9.36 STRONG MOTION (SMI) - RES 1.25 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 161.98 .00 .00 161.98 Plan Check Total 98.10 .00 .00 98.10 LQPERNIIT I LQPERMIT Application Number . . . . . 10-00000243 •Other Fee Total 11.61 :00 Grand Total 271.69 .00 .00 11.61 .00 271.69 Bin # Qty of La uin to Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # `O 1 Project Address:T© f Owner's Name:TinMAIJ A. P. Number: f dol o/ � Address:' Legal Description: �% 9� City, ST, Zip: ► OW 6' , zz �y Contractor:{ Address: Telephone:;>;s00:3::�>';�<:;::.:::::•..>':>:{.:>::�:: Project Description: 5" J4, City, ST, Zip: ADPt r/q/17 4t `1 //� I "' V / / VC7 Telephone: P �;} ... \ryi'?.'.:n>,.:':`•.(4;••i'y{v?n .rY.'':Y4;:.. State Lic. # : City Lic. #: - - Arch., Engr., Designer: Address: I �-K� 1►' ��J City., ST, ZiP t4 it y q .�3 Telephone: AO S 70 State Lic. #: >n::......; ::.:{:{Y:o-x zM.:.n >' Y:v>>.:> :>:.::.H:?:•`•:;�>;>".;<<'.:fi`�'° ? �> w,#`:V>":'{:'<:'>:::':s`.>:.:;'{ ::;;s,t , Construction Type: Occupancy. Pro'ect a circle one New Ad Alter Repair Demo Name of Contact Person: �� Sq. Ft.: 5 # Stories: # Units: Telephone # of Contact Person:76 0 5 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd' TRACKING PERMIT FEES Plan Sets Pia- Check submitted �em Amount Structural Calcs. A • Reviewed, ready for corrections Plan Check Deposit Truss Calcs. 1 Called Contact Person Pian Check Balance Title 24 Calcs. Plans picked up N C �.,- Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21" Review, ready for correctio issue ?, Electrical Subcontactor List Called Contact Person Z Plumbing Grant Deed Plans picked up Ll I S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for corrections/issuc Developer Impact Fee Planning Approval Called Contact Person A,I,P,P, Pub. Wks. Appr Date of permit issue Schodl Fees Total Permit Fees 3/30 QTc q1 /4; �A3� 4-11 ✓t*�'s , Prescriptive Certificate of Compliance: CF -1R ADD Residential Adikions (Page 2 of Site Address: Enforcement Agency: Date: 52-905 Humbolt Blvd. La Quinta, CA 4/7/2010 Furrin Stn s Construction Table for Mass Walls Onl A I B I C I D I E F I G I H 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 y p 'u°o 4 In T v U Assemblyw ° [ `o U > Final Mass Thickness' Name or JA4 Table ¢ > c ° ' ¢ ? U -a ' Assembly e' Number' W U-factor6 Comment 1. Indicate the Mass Thickness from Reference JointAppendix JA. 2. Indicate the Assembly Name or type: Roof/Ceiling, {falls, Floors, Slabs, Crawl Space, Doors and etc... Indicate the Frame type and Size: For Wood Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the Table number that closely resembles the proposed assembly. 4.Enter the row and column of the U factor value. Enter the Effective R-valuelisted in the JA4 Table Number. 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 FinalAssembly U- actor value back on to the Opaque Surface Details table in Column J. FENESTRATION PROPOSED AREAS Orientation Fenestration Type and Frame (North, East, PropsedArea' Maximum Maximum NFRC or (Window, Glass Door or Skylight) South West 62 U -factors, I SHGCZ' 1,4 Default Values5 Window East 1.5 sq. ft. 0.33 0.31 NFRC Total 1.5 sq. ft. 1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration area may be the glass area plus a "2 inch frame " around the glass. 2. Enter value from Component Package D Requirements in Table 151-C. 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower SHGC value than that specified on the CF -IR ADD Form. 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.1 applicable at this stage enter "NFRC" for NFRC Certi ted windows or CEC "De ault" valuesfound in Table 116-A or B. Registration Number: Registration DatalTimc: HERSProvider: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 3 of Site Address: Enforcement Agency: Date: 52-905 Humbolt Blvd. La Quinta, CA 4/7/2010 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 C3 Roofing area covered by building integrated, photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria F Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, check CFA of Addition All % Allowed Area Area Removed2 Total Area Allowed 3 a Proposed Area3,4 Thermal of CFA (A x B) < 5lb/tie > 51b/ft2 (C + D) Reflectance 3A (Table Above) Total Fenestration Area 85 sq. ft. 13 121 >_ 1.5 sq. ft. West Fenestration Area'85 (Required In CZ's 2, 4 & 7 -15) sq. ft. 05 4.25 sq. ft. 0 4.25 sq. ft. > _ 0 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. West focing glazing area removed cannot be "counted" twice. " In order to distribute the west glazing area removed to the other orientations, input the west glazing area removed in the Total Fenestration Area row, column D. 3. Include the Proposed Area ofthe Westfacingfenestration in both Area columns below. 4. To meet compliance, the Proposed Area must be less than or equal to the Total Allowed Area for BOTH the Total and West Fenestration Areas. ROOFING PRODUCTS (COOL ROOFS) §151(pn 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(i) are not applicable. Do not fill table below. O Roofing compliance Not Required in Climate Zones 1-12, 14, and 16 with a Low Slope. Less or 2:12 pitch. E3 Roofing compliance Not Required in Climate Zones 1 through 9 and 16 with a Low -Sloped. Roofs pitch greater than 2:12 and product weight less than 5]b/ft2. C3 Roofing area covered by building integrated, photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria O Roof constructions that have thermal mass over the roof membrane with at least 25 lb1f is exempt from the above Cool Roof criteria. Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, check e applicable box below if Exempt from the Roofing Products "Cool Roof' Requirement: Roof Slope . Product Weight Product Aged Solar Thermal CRRC Product ID Number' < 2:12 > 2:12 < 5lb/tie > 51b/ft2 T e2 Reflectance 3A Emittance SRI 0972-0002 13 121 24 0.33 0.88 35 ❑ ❑ ❑ ❑ ❑a ❑ ❑ ❑ ❑ ❑a ❑ ❑ ❑ ❑ T 1 ❑a 1. The CRRC Product ID Number can be obtainedfrom the Cool Roof Rating Council's Rated Product Directory at www.coolroots.org/products/search thp 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(fttnki°i — 0.2) to obtain a calculated aged value. Where pis the Initial Solar Reflectance. . 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://wwrv.etzerrv.cakov/title24/ and enter the resulting value in the SRI Column above and attach atopy of the SRI- Worksheet to the CF -IR. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other Registration Number 2008 Residential Compliance Forms Registration Date/Time: HERS Provider: August 2009 Prescriptive Certificate of Compliance: CF -111 ADD Residential Additions (Page 4 of Site Address: Enforcement Agency: Date: 52-905 Humbolt Blvd. La Quinta, CA 4/7/2010 HVAC SYSTEMS - HEATING List water heaters and boilers for both domestic hot water (DMV) heaters and hydropic space heating. Individual dwelling DHW heaters must be gas or propane fired, and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground hot water pipes is required in all com onent packages h7 all climate zones. Duct or Configuration Minimum Distribution Piping (Central, Split, Heating Equipment Efficiency Type and Insulation Thermostat Space, Package or Type and Capacity"" (AFUE or HSPF) Location' R -Value Type Hydronic) Existing Capacity (gal) Thermal Efficiency R-Valuc3 Existing 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 -1R -ADD Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc) HVAC SYSTEMS - COOLING 1. Indicate Type (Storage Gas, HeatPump, 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 ' . Configuration Coo Equipment Minimum Distribution Duct or Piping (Central, Split, Type and Capacity''' Efficiency Type and Insulation Thermostat Space, Package or SEER/EER or COP Location3 R -Value Type Hydronic) Existing 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, Hydronic in Floor, Radiators, etc) WATER HEATING List water heaters and boilers for both domestic hot water (DMV) heaters and hydropic space heating. Individual dwelling DHW heaters must be gas or propane fired, and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground hot water pipes is required in all com onent packages h7 all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Tvvel (Standard, Recirculating)' System Capacity (gal) Thermal Efficiency R-Valuc3 Existing 1. Indicate Type (Storage Gas, HeatPump, 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. Radiant Barrier (Root) 0 YES ❑ NO YES: Required in Climate Zones 2, 4, and 8-15 for additions larger than 100 ft Slab Edge (Perimeter) Insulation ❑ YES ONO YES: In Climate Zone 16 under Component Package D, R-7 insulation is required. Heated Slab Insulation ❑ YES ® NO YES: Slab edge insulation re uired for heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation ❑ YES 0 NO YES: In Climate Zones 1, 2, 11, 13,14 & 16 R-8 insulation is required, and in Climate Zones 12 & 15 R-4 insulation is required under r omponent Package D. hermal Mass - To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. Registration Number: Registration Date/Time: 2008 Residential Compliance Forms HERSProvider: August 2009 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 5 of Site Address: Enforcement Agency: Date: 52-905 Humbolt Blvd. La Quinta, CA 4/7/2010 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 Sealing & Testing HERS verification is required for this measure. ❑ YES 0 NO YES: In all Climate Zones, if a new space-conditiawig system (HVAC equipment and ducting) is installed to serve the addition alone, the ducts are to be sealed and tested per § 151(f)l0. ❑ YES 0 NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space to serve the addition, the ducts are to be sealed and tested per §152(b)] D. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed, Insulated or sealed with asbestos. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the fumace heat exchanger) and will serve the addition, the ducts are to be sealed and tested per § 152(b)] E. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Refrigerant Charge - Split System HERS verification is required for this measure. ❑ YES ONO YES: 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(f)7A. ❑ YES 0 NO YES: In Climate Zones 2 and 8-15, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition a refrigerant charge measurement shall be verified per § 152(b)IF. Central Fan Inte rated Ventilation System — Airflow and Fan Watt Draw - do not apply for additions 1,000 ttZ or less. Ducted Split Systems -Air Conditioners and Heat Pumps: Airflow and Fan Watt Draw HERS verification is required. ❑ YES 0 NO YES: 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( 7B. ❑ YES 0 NO YES: In Climate Zones 10 through 15, if the existing space -conditioning system (HVA quipment and ducting) is replaced and will serve the addition, the airflow and fan watt draw shall be verified per §1 (b)1 F. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate agAAKRkplete. Name: Stephen Nieto Signature: Company. South West Concepts, Inc. Date: Address 78-115 Calle Estado, Ste 102 If Applicable CEA or ❑ CEPE (Certification #): City/State/Zip: La Quinta, CA 92253 Phone: (760) 564-4707 Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. i • I 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 specifications submitted to the enforcement agency for approval with this budding permit application. Name: Stephen Nieto Signature: Company. South West Concepts, Inc. Date: Address: 78-115 Calle Estado, Ste 102 License: City/State/Zip: Lauinta, CA 92253 Q Phone: (760)564-4707 For assistance or questions regarding 1heEnergy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: 2008 Residential Compliance Forms Registration Date/Time: HERSProvider: August 2009 Solar Reflective Index (SRI) Calculation Worksheet SRI -WS Computer Generated Form Date: 04/08/2010 Climate Zone: 15 Building Type: Residential J Nonresidential Project Name: Friedman Closet Addition Project Address: 52-905 Humbolt Blvd., La Quinta, CA 92253 Roofing Products (Cool Root) Roofing products with high solar reflectance and thermal emittance are referred to as "Cool Roof', which refers to an outer layer or exterior surface of a roof. As the term implies, the temperature of a cool roof is lower on hot sunny days than for a conventional roof, reducing cooling loads and energy required to provide air conditioning. The benefit of a high reflectance surface is obvious: while dark surfaces absorb the sun's energy (visible light, invisible infrared, and ultraviolet radiation) and become hot, light-colored surfaces reflect solar energy and stay cooler. However, high emittance is also important. Emittance refers to the ability of heat to escape from the surface once it is absorbed. Surfaces with low emittance (usually shiny, metallic surfaces) contribute to the transmission of heat into the roof components under the roof surface. The heat can increase the building's air conditioning load, resulting in increased energy costs and detracting from the comfort level of the home. High-emittance roof surfaces give off absorbed heat relatively quickly through the path of least resistance: upward and out of the building. Rating and Labeling Roofing products that are used for compliance �.a Initial Weathered Solas Reflectance 0.00 Pending with the standards (prescriptive and performance Thermal Emittance 0.00 Pending approaches) are required to be tested and labeledCR Rated Product ID Number by the Cool Roof Rating Council (CRRC). _ _ _ _ Roofing product manufacturers must have their Cool_ ROOT: RAPING COUNCIL ® Licensed Seller ID Number — — -- roofing product tested for solar reflectance and Classification Production Line Cool Roof Rating Council ratings are determined for a Sated set of conditions, and may not be appropriate for determining seasonal energy perfomtance. The actual effect of solar reflectance and thermal emittance thermal emittance, and be labeled accordin to 9 CRRC procedures. See example of a CRRC on building performance may vary. label at right. 9 Manufacturer of product stipulates that these ratings were determined in accordance with the applicable Cool Roof Rating Council procedures. CRRC-1 Label Attached to Submittal (Note: If no CRRC-1 label is available, this compliance method cannot be used and another method is required to meet compliance ) CRRC Product ID Number Manufacturer Brand Model Product Type 0972-0002 Clay Tile Venture, Inc. Redland Clay tile old Sedona Tile Roof Slope Product Weight SRI Calculations 52:12 >2:12 < 5lb/sq ft z 51b/ ft Aged Relfectance CRRC listed Aged Solar Initial Solar Calculated Aged Solar Thermal Listed with Reflectance Reflectance Reflectance Emittance CRRC? ,U Q (Z' = No - - . "0:39: 0.33 Solar Reflective 35 Index 2008 Residential and Nonresidential Roof Certificate December 2009 APR -21-2009 10:06 AM �s, �CERTIFICAT-E-OF FIELD v or Rater Firm 5troet Address:7 q A, �n LION & DILAGN _ Z � eT Tel TESTING Builder or I Climate Sample or P.04 CF -4R le% to: BUILU&M.4 aC-aI- HERS RATER C PLIANCE STATEMENT ✓ Approved as pan of sample testing, but was not tested The house Was: ✓ Tested d Appy As the HERS rates providing dies with iagnoitic testing and field v� : otm. The ttiWat rathouse must check and vctif�y that thform enew the diagnostic tested compliance requirements as checked on building The IRS distribution system is Pully ducted and coned tape is used before A CF -4R -6Rmay be released i every le and tested rater must not release the CF -4R until a properly completed and signed CF -6 has been received for t e camp buil i s, he installer has provided a copy of CF -6R (Installation Certificate)- platform returns in lieu of ducts). ew ducts are fully ducted (i.e ,does not use building Cavia alplenums,, m�tiG turd draw bands are used in combination with New ducts with cloth backed, rubber adhesive duct tape is ci tri backed rubber adhesive duct tape to seal leaks at duct cotmeetions.). N 1Mu RjQUIRE TS FOR DUCT LEAKAGE REpUCTION COMPLIANCE CR1t.D17 1M da RC4.3. procedures for field verification and diagnostic testing of air distribution systema at�available in Appendix Ouot Diagnostic Leakage Testing ReSWU G �► NEW CONSTRUCTION: Measured Duct Pressurization Test Results 0M @ 2S Pa) Values 1 Enter Tested Leakage Flow in CM 0 r.1..,,1et,.r1 rNtn.ninal. ✓ O Cooling ✓ D Heahna) or +� Measured 2 �-� ✓ Enter Total Fan Flow in CFM: 3 Pasa if Leakage Percentage < G% [ 100 x(Line 1) / ALTERATIONS: Duct S Nem and/or MVAC Equl went Chan e -Out $4Duct ter Tested Leakage Plow in CFM from CF -6R: PreaTest of Existing Duct System Alteration and/or EquipmentChange-Outter Tested Leakage Flow in CFM: Final Test of New Duct Syat Albr Duct S stm Altarahnn and/or ui ment Chan a-Out.nter Reduction in Leakage for Altered D►ut System (-_.�imt 4) Min 6 (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicab ) Entire New Duct System - Pass if Leakage Peroentage < 0% 8 l0p x ine I! 5/ Linn 0 2)11 TEST OR VERIFICATION STANDARDS: For Altered Duct System an e Use one or the following four Teat or Verification Standards for com Ila 9 Pass if Leakage Percentage < 15% [100 x L —(Line 10 Pass if Leakage to Outside Percentage < 10% (100 x [__(Line 7) Pass if Leakage Reduction Percentage > 6W* [100 x L— _(Line 6) 11 and Verification by Smoke Test and Visual Inspection ine # 2)11 1 �, S stem Pri to r Duct S st r RVA Equlpm It (Line 2)11 (Line 2) (LinVO 4)11 Pass if One of Lines 09 through 0 I t Re.videnrial Compliance Forms # � � gg ��6(V 5,' 5% .-# 3 5'6 - /.z OV -- yr, 77v O Fail ✓ ✓ C3 Pass 0 Fail ❑ Pass ❑ Fail ❑ Pass 0 Fail Cl Pass ❑ Fail 0 Pass 0 Fail -' c Z17,0 l)ecember JUUJ APR -21-2009 10:06 AM P.05 As the HERS rater providiatg diagnostic testing and field veri$ashon, I certify that the the di �"ostic tested compliance requirements as checked of, this form ✓ JZ The installer has provided a copy of CF -6R Rnstallation Certificate). ✓ ;HRrRMOSTATIC EXPANSION VALVE (TXT Proeedms for fre)d verification of the? roamtic uVansion valves taro available in RALE, Appendix Rl. u Acctsas is provided for inspection, The ptooedure shall consist of ✓ 13 Q No visual verification than the TXV is intalled on the system and �natatlation of the atswific_ ui ent shall be vezii"ied _ ✓ ❑ REFRIGERANT CHARGE MEASUREMENT ,4 r......., c_ A. rnntinn gvatenhs without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Date of Verification Date of Refriserant Gauge Calibration Date of Thermocouple Calibration (must be checked monthly) (must be checked monthly) . '�I •anfwMPnt In ed � sir { r, i b s� ��d abOY@�: Note: The system should be installed and charged in accordance v44h the ma shall be documented on CF•6R before starting this procedure..Ifu door air Charge Measure Procedure ✓ Cl Yes 13 No A copy of s sp V15*0rater ns and installer verification bele shall use the Alternative April 2005Residewhd C'omplkmce F'urmS APR -21-2009 10:07 AM CERTIFICATE OF FIELD VE J Project Address Auilder Contact D� n HERS Rater / 'ATION & DIAGNOSTIC TES 13ui Telephone I Pia Telephone Sat Date Sat Yl P.06 Firm Street Address: City/ tate/iip: Co fes to: BUILDER► HERS PROVIDER AND DEPARTMENT DEPARTM HERS RATER CPLIANCE STATEMENT The house was: ✓ Tested ✓, © Approved as part of sample testing, but was not tested As the PIERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the di* nostic tested compliance requirements as checked on ft form. ✓ 0 The installer has provided a � of C1:-611 Int�llation Certificate ✓ © ADEQUATE AIRFLOW V1I:RIFICATION Pmcadures for field verification and dig tic testing ofadegete airftaw are available in RACM, Appendix RE4.1. Method For Airtivw Measurement ❑ Yes 1 ❑ No Duct design exists on plana O RE4,1,1 Diwwostic Pan Flow Usinlz Flow Capuke d RE4.1.2 Diagnostic Fan Flow UsingPlenum Pr u Matohi O RE4.1.3 Dis nostic Fan Flow UsiBA Flow (Xi Meas emelt Total CFM Megan aw: Tom; cfm/ton ✓ Vol ✓ D Yes O No Measured airflow is greater than th criteria in Table RV -2 © E3 ✓ Q MAXIMUM COOLING CAPACITY gra avaiJtahla in PvnnOdlirae fnr dnlar»finninv mar um C001inS lo& capacih'_ — J ✓ G Yes D No Adequate airflow verified (see adeq a airflow cr it) 2 ✓ ❑ Yes D No Refrigerant charge or TXV 3 ✓ [7 yes i7 No Dint leakage reduction credit veri ed 4 ✓ D Yes ©No Cooling capacities of installed Sys ems J!; to tximu coo ngindicated on the Performance's C -IR RF7 . 5 ✓ o Yes ClNo If the cooling capacities of inst4 ed sys > than aximum cooling capacity in the CF-lk then the electrical input for the installed systems must be:g to electrical input in the CF -I R and RF' -4. �/ Ve _ Q ❑ " yes to I and 3• and Yes to either 4 or 5 is s sa Pass Fail ✓ )WHIGH EER AIR CONDITIONER Prrn:edijees or vera nation are available in, II ✓ es ❑ No I EER values 2 ✓ Yes 1 D No I Fors lits i 3 1 ✓ 1 CrTes I D No J Time Delay Residential Compliance Forms X`. vnITS 1, Appendix R1. _ stalled systems match the CF- tR indoor coil is matched to outdoor a y Verified of Required) Yes to 1 and Z: and 3 (If Requi FA Dewinber 1003