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05-5043 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00005043 Property Address: 575-7-0 INTER-LACHEN APN: 762-180-022- - Application description: ADDITION - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 16791 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 �ClasbB �fLicense/N'�o.: 744540 ate:Contractor. AM 'V ee (� sX - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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—) Las owner of the property, or my employees with wages as their sole compensation,, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds orimproves thereon, and who contracts for the projects with a contractor(s) licensed. pursuant to the Contractors' State License Law.). 1 I I am exempt under Sec. , B.&P.C. for this reason 'bate: 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: M/M ROGER SCHLESINGER 57-570 INTERLACHEN LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/17/06 Contractor: NEXT STEP CONSTRUCTION 78825 VIA VENTANA LA QUINTA, CA 92247 �� 1 f41666 (760)275-7889 ' Lic. No.: 744540 - - C1OF lA[]Iu..__ ----------------------------------------------- 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 EXEMPT Policy Number EXEMPT I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forth th comply with those//Wno/vissiio+ns.s. /� Date: Applicant: DEQ_ % /V fisc r s l C C)jJJ I , 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. 1 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 constructi�^, and hereby authorize representatives of this county to enter upon the above-mentioned property forr..innss�pe 1`-' purposes. Date:.. . ignature (Applicant or Agent): ,./ r►%w+-¢�� r _ Application Number . . . . . 05-00005043 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 180.00 Plan Check Fee 117.00 Issue Date Valuation . . . . 16791 Expiration Date 10/14/06 Qty _ Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 135.00 Permit . . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 29.28 Plan Check Fee 7.32 Issue Date . . . . Valuation 0 Expiration Date 10/14/06 Qty Unit Charge Per Extension• BASE FEE 15.00 408.00 .0350 ---------------------------------------=------------------------------------ ELEC NEW RES - 1 OR 2 FAMILY 14.28 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 46.00 Plan Check Fee 11.50 Issue Date . . . . Valuation 0 Expiration Date 10/14/.06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 2.00 6.5000 ---------------------------------------------------------------------------- EA MECH VENT FAN 13.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 45.00 Plan. Check Fee 11.25 Issue Date Valuation . . . . 0 Expiration Date 10/14/06 Qty Unit Charge. Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 3.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 9.00 ----------------=---------------------------------------------------=-------- Special Notes and Comments 408 sq. ft. adition under existing roof LQPERMIT Application Number . . . . . 05-00005043 ---------------------------------------------------------------------------- Special Notes and Comments line convert garage to living space. and patio addition.March 22, 2006 9:46:3.6 AM jjohnson ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 11.70 STRONG MOTION (SMI) - RES 1.67. Fee summary Charged Paid Credited Due - ---------- Permit Fee Total 300.28 ---------- ---------- .00 ---------- .00 300.28' Plan Check Total 147.07 .00 .00 147.07 Other Fee Total 13.37 .00 .00 13.37 Grand Total 460.72 .00 .00 460.72 `Bim# 40 4 vV City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet PeFmit # �� Project Address: 57_ 570 ,� J TER Z A e 4 EN Owner's Name: My-. i M rs . Rager r SC n l e 51 r e Y A. P. Number: 7(.2-190-.6 omp> 6i�Fi Address: 5 7. 5 701 h e, IACt:' f�leiV1 Legal Description:City, ST, Zip: 'i.O' Q.Ct,4,yl�pt CA 9 22 $ 5 3 Contractor: A ex l#';KrST,6P C,,+t7c elephone: Address: Project Description: City, ST, Zip: Ml vl D ✓ GtGL •�! ✓Lt - Telephone: .. ]City State Lic. # : 7tlV Yo Lic. #: Arch., Engr., Designer: C—I VM J 1 ?g 1 h ,(,(d 10 -- r00Aj-(6 A-, Address: 73 _ 312 C.02 CU D r • i l u . to q - pa7-( b City, ST, Zip: PX6 JJmes'/At CA g2260 1 Telephone: 760 _ 9_ 5 91 & Construction Type: Occupancy: State Lic. #: Project type (circle one): New dd' Alter Repair Demo Name of Contact Person: 14a m 1 Sq. Ft.: p # Stories: # Units: Telephone # of Contact Person: %P6— 771,519(p Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE I! Submittal Req'd Recd TRACKING PERMIT FEES 2 Plan Sets Plan Check submitted ( tem Amount 2 Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Pers 10 1 Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctins/issueraz, Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- "d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees f Total Permit Fees I �S els ('� �/eQ,exo,o- (,IS r j Dogs 44IC6 Pis Pcap �p F roachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/MD. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: RogerSchlesinge Owner's Name: Roger Schlesinger Project Address: 57-570 Interlachen, La Quinta, CA Project Description: Room Addition APN: 762-180-022 Tract #: Date: April 17, 2006 Phone No. ( Lot #'s: Type of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 480 sq. feet Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign op behalf of the owner/developer. Dated: 04/17/06 Signature: a.— *********************************************************************** SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code Project 65995 Approval 480 sq. ft. $ 0.00 $ 0.00 Agreement Existing Not Subject to Fee Prior to 1/1/87 Requirement Note: Pursuant to AB -181, any mobilehomes being replaced or relocated within the same school district are exempt from developer fees. Any additions of 500 sq. ft. or less is also exempt from developer fees. (Unless additions are on a structure that is under construction.) Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services Certificate issued by: Leticia C. Torres, Facilities Analyst Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMVN.T"OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. "v1 V:�hss} lt;�sr'de� CLe:� el iif i:at.e of amtplianc� i:unn rahle;'('C� [?tit.dcsc 1/16/03 T I TITLE 24 REPORT I Title 24 Report for: MR. & MRS. ROGER SCHLESINGER 57-570 INTERLACHEN, PGA WEST LA QUI NTA, CA 92253 Project Designer: SHENASI DESIGN STUDIO 46-045 OCOTILLO DR. #2 PALM DESERT, CA 92261 (760) 779-5996 Report Prepared By: ADRIANA GIL Adriana Gil 7 :-854 Velie Way Ste. #8 Palm Desert, CA 92260 (760) 404-7917 Job Number: LA QUINTA ADY295-1005 CITY OF BUILDING & SAFETY DEPT* AP P ROVEION Date: FOR CON ST DATE3 6 BY 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 2005 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC - www.energysoft.com. . EnergyPro 4.0 by EnergySoft Job Number ADY295 1005 - User Number: 5553 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 7 HVAC System Heating and Cooling Loads Summary 9 } EnergyPro 4.0 by Energysoft Job Number: ADY295-1005 User Number: 5553 Certificate Of Compliance : Residential (Part 1 of 3) CF -1 R MR & MRS- ROGER SCHLESINGER ❑ Addition n/a 11/13/2005 Project Title Building Front Orientation: (South)180 deg Date 57-570 INTER[ ACHEN. PGA VVES_T LA-aWhLTA Fenestration: ft Number of Dwelling Units: Project Address 53 ft 2 Avg. U: 0.34 Ratio: 13.0% Avg. SHGC: 0.28 Building Permit # Adriar_ta-Gil Zone Name ---- (715 -T917 H VAS -Split System Documentation Author -%A04 Telephone Plan Check/Date -ErLp- rPro ❑❑ 15 ❑ ❑ - -- - - - Field Check/Date Compli ce Method Climate Zone Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 0.14 0.12 0.02 ❑❑ Space Cooling 71.94 68.43 3.51 Not Valid for permit Fans 10.25 10.19 0.06 Domestic Hot Water 0.00 0.00 0.00 applications submitted on or Pumps 0.00 0.00 0.00 after 01/23/06 because Totals 82.33 78.74 3.59 Energy Budget is based on Percent better than Standard: 4.4% SEER 10. Building Type: Single Family ❑ Addition n/a ❑ Multi Family ❑ Existing + Add/Alt Building Front Orientation: (South)180 deg Fuel Type: ft2 Natural Gas Fenestration: ft Number of Dwelling Units: Area: 53 ft 2 Avg. U: 0.34 Ratio: 13.0% Avg. SHGC: 0.28 BUILDING ZONE INFORMATION ❑❑ Zone Name ---- Floor Area Volume -- - ' 40 _3,268 H VAS -Split System ---- - - Total Conditioned Floor Area: 408 ft2 .Existing Floor Area: n/a ft2 Raised Floor Area: 0 ft2 Slab on Grade Area: 408 ft2 Average Ceiling Height: 8.0 ft Number of Dwelling Units: 1.00 F-1 Number of Stories: 1 # of Thermostat Vent Units Zone Type Type Hgt. Area 100 Conditioned--Sethack- 2 -nla OPAQUE SURFACES Insulation Act. Gains Condition Type Frame Area U -Fac. Cay. Cont. Azm. Tilt Y / N Status JA IV Reference_ Location_ / Comments ❑ New _02-A11 Whale Root Wood- x.08_ _0 029- -R-38_ -M-O_ -91-18 /all- Wood 71 -0-102. -RS3- _ LO -0- -31.5-_9.0 IX Wall Wood 18.0 -0102-R_13_-R_0.0_-225-_9D X YVall- Wood- 32 -0.102 -R-1.3_ _R_0.0_ 45 90 IX uu ❑ New 0.9_A3 Whole ❑New -09-A3 Whole ❑ New .09-A3 Whole -_ ❑❑ F-1 F1 ❑❑ F-1 F-1 ❑❑ ❑❑ ❑❑ ❑❑ ❑ ❑ - -- - - - uu ❑❑❑❑ ❑❑ Run Initiation Time: 11/13/0523:22:35 Run Code: 1131952955 EnergyPro 4.0 by EnergySoft User Number: 5553 Job Number: ADY295-1005 Page:3 of 9 Certificate Of Compliance: Residential (Part 2 Of 3) CF=1 R MR. & MRS. ROGER SCHLESINGER 11/13/2005 Project Title Date FENESTRATION SURFACES True Cond. Location/ # Type Area U-Factorl SHGC2 Azm. Tilt Stat. Glazing Type Comments .L Window Left (Noodhwest) 53.3 _0.340 -NERC 1028 .NERC _315 _911 New—BETTER BUILT Vinyl Iow-E_ Whole 1. Indicate source either from NFRC or Table 116A. ' 2. Indicate source either from NFRC or Table 116B. 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 6.7 8.0 2.0 0.1 2.0 2.0 THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Type (sf) (in.) Cap. Cond. R -Val. Condition JA IV Reference Status Location/ Comments Concrete, Heayyweight 408 PERIMETER LOSSES Type Length 3.50 28 0_98 0 Insulation R -Val. Location 26-A1 New Condition JA IV Reference Status Whole / Slab on Grade Location/ Comments Slab Perimeter 42 None No Insulation 26-A1 New Whole Run Initiation Time: 11113/0523:22:35 Run Code: 1131952955 EnergyPro 4.0 by EnergySoft User Number: 5553 Job Number: ADY295-1005 Paae:4 of 9 Certificate Of Compliance : Residential (Part 3 of 3) CF -1 R MR. & MRS. ROGER SCHLESINGER 11/13/2005 Project Title Date HVAC SYSTEMS Heating Minimum Cooling Minimum Condition Thermostat Location Type Eff Type Eff Status Type HVAC Split System Central Furnace 80% AFUE Split Air Conditioner 12.5 SEER New Setback HVAC DISTRIBUTION Duct Duct Condition Ducts Location Heating Cooling Location R -Value Status Tested? HVAC Split System Ducted Ducted Attic 8.0 New No Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. WATER HEATING SYSTEMS Rated' Tank Energy Standby' Tank Insul. Water Heater # in Input Cap. Condition Factor Loss R -Value System Name Type Distribution Syst. (Btu/hr) (gal) Status or RE 1 (%) Ext. Multi -Family Central Water Heating Details Hot Water Pump Hot Water Piping Length (ft) Add 1/2" Control # HP Type In Plenum Outside Buried Insulation 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. COMPLIANCE STATEMENT This certificate of compliance lists the building features and 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 recognizes that compliance using duct design, duct seating, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Name: Documentation Author Name: ADRIANA I Title/Firm: SHENASI DESIGN STUDIO Title/Firm: Adriana Gil Address: 46-045 OCOTILLO DR. #2 Address: 74-854 Velie Way Ste. #8 PALM DESERT, CA 92261 Palm Desert, CA 92260 "I elephone: (760) 779-5996 Lic. #: _ , It,�� (sign re 1 r (irate) Enforcement Agency Name: Title/Firm: . Address: Telephone: Telephone: (760) 404-7917_" b 11 3 LY (signs re) (date) Certificate Of Compliance : Residential (Addendum) CF -1 R MR: & MRS. ROGER SCHLESINGER 11/13/2005 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 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 Not Valid for permit applications submitted on or after 01/23/06 because Energy Budget is based on SEER 10. The Roof "R-38 Roof (R.38.2x4.24)" includes credit for a Radiant Barrier installed per Section 3.3.3 of the Residential Manual. HIGH MASS Design - Verify Thermal Mass: 408 sqft Exposed Slab Floor, 3.50" thick at Whole HERS Required Verification Items in this section require field testing and/or verification by a certified home energy rater under the supervision of a CEC- approved HERS provider using CEC approved testing and/or verification methods and must be reported on the CF -4R Plan Field installation certificate. I Run Initiation Time: 11/13/05 23:22:35 Kun t;ooe: ii-3iu5zy55 1 I EnerovPro 4.0 by EneravSoft User Number: 5553 Job Number: ADY295-1005 Page:6 of 9 Mandatory Measures Summary: Residential (Page 1 of 2) MF -1 R NOTE: Low-rise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercedes the items marked with and asterisk (') below. 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 when completed or check N/A If not ENFORCE - applicable. N/A DESIGNER MENT Building Envelope Measures ia iou(ay Minimum H-19 in wood ceiling insulation or equivalent U -factor in metal frame ceiling. u Ll u § 150(b): Loose fill insulation manufacturer's labeled R -Value: LXI U U § 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not. ❑ ❑X ❑ apply to exterior mass walls). § 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor. 0 ❑ ❑ § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: n n n a. closable metal or glass door covering the entire opening of the firebox LX_ J b. outside air intake with damper and control, flue damper and control ❑X ❑ ❑ 2. No continuous burning gas pilot lights allowed. Q ❑ ❑ § 150(f): Air retarding wrap installed to comply with §151 meets requirements specified in the ACM Residential Manual. ❑X ❑ ❑ § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. R ❑ ❑ § 150(1): Slab edge insulation - water absorption rate for the insulation alone without facings no greater than 0.3%, water vapor ❑X ❑ ❑ permeance rate no greater than 2.0 perm/inch. ❑X ❑ ❑ § 118: Insulation specified or installed meets insulation installation quality standards. Indicate tvae and include n r, ❑ CF -6R Form: ^. § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls. n (-1 n 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. ❑X _ ❑ ❑ 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain ❑X ❑ ❑ Coefficient (SHGC), and infiltration certification. Q ❑ ❑ 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑X ❑ ❑ Space Conditioning, Water Heating and Plumbing System Measures § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. ❑X ❑ ❑ § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑X ❑ ❑ § 150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ 0 ❑ § 1500): Water system pipe and tank insulation and cooling systems line insulation. 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation N El 11having an installed thermal resistance of R-12 or greater. 2. Back-up tanks for solar systems, unfired storage tanks. or other indirect hot water tanks have R-12 external n n n insulation or R-16 internal insulation and indicated on the exterior of the tank showing the R -value. 3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire ❑X ❑ ❑ length of recirculating sections of hot water pipes shall be insulated to Table 1508. 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and ❑X ❑ ❑ indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. 4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A. ❑X ❑ ❑ 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, ❑X ❑ ❑ and wind. 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed n (-1 n entirely in conditioned space. 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation. ❑X ❑ ❑ EnergyPro 4.0 by EnergySoft User Number. 5553 Job Number: ADY295-1005 Page:7 of 9 Mandatory Measures Summary: 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. More stringent compliance requirements from the Certificate of Compliance supercede the items marked with an asterisk (•) below. 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 when completed or check N/A if not ENFORCE - applicable. NIA DESIGNER MENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) § 150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, ❑X ❑ ❑ 605, and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minumum installed level of R4.2 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 181A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. 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. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than X❑ ❑ R. sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and ❑X ❑ ❑ support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause ❑X ❑ ❑ reductions in the cross-sectional area of the ducts. ® ❑ ❑ 3. 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. Q ❑ ❑ 4. Exhaust fan systems have back draft or automatic dampers. ® ❑ ❑ 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating ® ❑ ❑ dampers. 6. Protection of Insulation. 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 degradation of the material. ❑ ❑X ❑ 7. Flexible ducts cannot have porous inner cores. ® ❑ ❑ § 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pilot light. 7 Ryctpm is inMallprt with - N1 ❑ ❑ a. At least 36" of pipe between filter and heater for future solar heating. ® ❑ ❑ b. Cover for outdoor pools or outdoor spas. ❑X ❑ ❑ 3. Pool system has directional inlets and a circulation pump time switch. ❑X ❑ ❑ § 115: Gas fired fan -type 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 (i): Cool Roof material meets specified criteria Q ❑ ❑ Lighting Measures § 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table X❑ ❑ ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Wafts or greater are electric and have an output frequency no less than 20 kHz. § 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, Q ❑ ❑ luminaire has factory installed HID ballast. § 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined ❑ ❑X ❑ in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires. § 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires. ❑X ❑ ❑ OR are controlled by an occupant sensor(s) ceritfied to comply with Section 119(d). § 150(k)4: Permanently installed luminaires located other than in kichens, bathrooms,garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR are ❑ ❑ controlled by an occupant sensor that complies with Section 1`19(d) that does not turn on automatically or have an always on option. § 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are ❑X ❑ ❑ certified to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals. § 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the ❑ ❑ same lot shall be high efficacy luminaires (not including lighting around swimming poolstwater features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d). § 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147. ❑X ❑ ❑ Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Section 130, 131, and 146. § 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more X❑ ❑ ❑ dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with Section 119(d). EnergyPro 4.0 by EnergySoft User Number: 5553 Job Number: ADY295-1005 Page:8 of 9 FVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE MR. & MRS. ROGER SCHLESINGER 11/13/2005 SYSTEM NAME FLOOR AREA HVAC Split System 408 ENGINEERING CHECKS 11SYSTEM LOAD Number of Systems 1 Heating System Output per System 32,000 Total Output (Btuh) 32,000 Output (Btuh/sgft) 78.3 Cooling System Output per System 18,600 Total Output (Btuh) 18,600 Total Output (Tons) 1.5 Total Output (Btuh/sgft) 45.5 Total Output (sgff/Ton) 263.5 Air System CFM per System 650 Airfiow (cfm) Airflow (cfm/sgft) o5u 1.59 Airflow (cfm/Ton) 419.4 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 I Sensible Latent CFM I Sensible 455 7,943 1,34 117 5,54 0 1,086 607 0 0 0 0 0 0 0 32,000 0 TIME OF SYSTEM PEAK Aug 2 pm 0 1,086 607 10,1161 1 34 6 755 York H4DH018/P4HUA08LO32 U&H I 13.519 2,975 32.000 Total Adjusted System Output (Adjusted for Peak Design Conditions) 13,519 2,975 32,000 TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26.0°F 69.1°F 69.10F 115.40F Air O� Supply Air Ducts Outside 0 cfm Supply Fan Heating Coil 114.5 °F, 650 cfm ROOMS 69.1 OF 70.0 °F 11.0 / 77.6 OF Outside Air 0 cfm 77.6/64.5 °F h Return Air Ducts 'I PSYCHROMETRIC 77.6 / 64.5 OF 77.6 / 64.6 OF M 58.0 / 57.0 OF Supply Fan Cooling Coil 650 cfm 1% Return Air Ducts 4 Supply Air Ducts 59.6 / 57.6 of 52.4% R.H. R007M7S71 76.0 / 64.0 OF EnergyPro 4.0 by EnergySoft User Number. 5553 Job Number. ADY295-1005 Page:9 of 9