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07-1002 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-00001002 56240 JACK NICKLAUS 762-070-030- - - ADDITION - RESIDENTIAL LOW DENSITY RESIDENTIAL 39511 Architect or Engi LICENSED CONTRACTOR'S DECLARATION aF:wQ�w BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I �11Af196� V'� �©dJ,I� I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: -B - i License No.: -684857 yyam�,,`` //�� r ,at.. Contractor: 42 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 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 orherself 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—.) 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: 5/15/07 Owner: M/M DON REYNOLDS 56240 JACK NICKLAUS LA QUINTA, CA 92253 Contractor: EDWARDS CONSTRUCTION, BOB 51455 DESERT CLUB DRIVE LA QUINTA,'CA 92253 (760)777-8202. Lic. No.: 684857 ------------------ 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. XI 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 GRANITE STATE Policy Number 3368904 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 i Labor Code, I shall forthwith comp) se provi ' P f1 Date:yApplicant: 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 of this coup Yyo!fe7ter upon the above-mentione pereq�ferin ection ur oses. Date: ✓ y` Signature (Applicant or Agen x LQPERMIT Application Number . . . . . 07-00001002 Permit . . . BUILDING PERMIT Additional desc•. Permit Fee . . . . 349.50 Plan Check Fee 227.18 Issue Date Valuation . . . . 39511 Expiration Date 11/11/07 Qty Unit Charge Per Extension BASE FEE 252.00 15.00 6.5000 - ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 97.50 Permit . . . ELECT - ADD/ALT/REM Additional desc . - s Permit Fee . . . . 32.12 Plan Check Fee .`. 8.03 Issue'Date . . . . Valuation . . . . 0 Expiration Date 11/11/07 Qty Unit Charge Per Extension BASE FEE 15.00 489.00 .0350 ----------------------------------------------------------------------------' ELEC NEW RES - 1 OR 2 FAMILY 17.12 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 39.50 Plan Check Fee 9.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/11/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.000.0 EA MECH FURNACE <=100K 9.00 1.00 9:0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 6.5000 ------------------------=--------------------------------------------------- EA MECH VENT FAN 6.50 Permit . . . PLUMBING Additional desc - Permit Fee . . . . 48.00 Plan Check Fee 12.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/11/07 Qty . Unit Charge Per Extension BASE FEE 15.00 5.00 6.0000 EA PLB FIXTURE 30.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments DETATCHED CASITA 489 SQ. FT.May 15, LQPERMIT Application Number 07=00001002 ---------------------------------------------------------------------------- Special Notes and Comments 2007 11:07:14 AM JJOHNSON ---------------------------------------------------- Other Fees . . . . . . . . ENERGY REVIEW ---------------- FEE -------- 22.72 STRONG MOTION (SMI) - RES 3.95 Fee summary Charged Paid Credited Due Permit Fee Total 469.12 .00 .00 .469.12 Plan Check Total 257.09 .00 .00 257.09 Other Fee Total 26.67 .00 .00 26.67 Grand Total 752.88 .00 .00 752.88 LQPER1%IIT Bin # 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 �Minit # ��'(o°� Project Address:' ner's Name: A. P. Number: ,� Z. �`%� 030 i Legal Description: • f2 -b. 2 Contractor:)" Address: 6--?-4� A P , TV,0 City, ST, Zip: Telephone: t Address: Project Description: City, ST, Zip: Telephone: State Lic. # : City Lic. #: Designer: Ft(��C.�/ Address: 41 Z City, ST, Zip l� Telephone:` y�j a Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: —7 # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIMG . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, readyor correction Plan Check Deposit 49. Truss Calcs. .110 Called Contact Perso Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready f correction /issue Electrical Subcontactor List Called Contact Person f7 Plumbing Grant Deed Plans picked up I(OtD�I S.M.I. H.O.A. Approval 10, 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 Total Permit Fees ,51210,767;e- RFC, 4Z J CONCORDE CONSULTING GROUP, INC. _ ENGINEEERING & CONSTRUCTION MANAGEMENT 3505 CAMINO DEL RIO SOUTH, # 350 SAN DIEGO, CA 92108 PH: (619) 516-3377 FAX: (619) 516-3388 MEMORANDUM/FAX COVER SHEET TO: FROM: ROB PITCHFORD KRIPA COMPANY: DATE: Architect 5/11/07 FAX NUK4BER: TOTAL NO. OF PAGES INCLUDING COVER: 2 $ S 6 1 PHONE NUMBER: SENDER'S REFERENCE NUMBER: C)7-� 3-7, YOUR REFERENCE NUMBER: RE: 56-240 Jack Nicklaus, La Quinta X URGENT X FOR REVIEW X PLEASE COMMENT X PLEASE REPLY Cl PLEASE RECYCLE notes/Comments WE HAVE REVIEWED THE TRUSS DRAWINGS PROVIDED FOR THIS PROJECT. WE FIND THAT THE TRUSS DRAWINGS ARE IN GENERAL CONFORMANCE WITH DESIGN INTENT AND CONSTRUCTION DOCUMENTS PLEASE CALL IF YOU HAVE ANY QUESTIONS THANKS QROFESSIOM • - �Q� � tCRIPgNyglc� w -j S-2654 q Z KRIPANARAYANAN °C Y EXP 6/30/07 = s C/CTUVL OF CAUFOP L FA Ali,, Coachella 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/IND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Residence is at PGA West Date: May 15, 2007 Owner's Name: Don Reynolds Phone No. Project Address: 56-240 Jack Nicklaus Project Description: APN: 762-070-030 Lot #'s: Type of Development: Residential 1 X Commercial Industrial Total Square Feet of Building Area: 489 sq. ft. 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 on behalf of the owner/developer. Dated: May 15, 2007 Signature: 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 65995 489 $3.91 $00000 Project Agreement Existing Not Subject to Fee Approval Prior to 1/1/87 Requirement Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services No e Any addition to a residence that is 500 sq. ft. .or_less is exempt from.developer fees. Certificate issued by: Elvira Mattson, Office Technician Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT 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. vl V:c/mydocs/devfees/certificate of compliance form updated 3-2007 3/9/07 MAIN II II YS¢h`1t Y �•'7n �YiA April 25, 2007 Mr. Don Reynolds 56-240 Jack Nicklaus La Quinta, CA 92253 SUBJECT: MINOR USE PERMIT 07-926 If . CASITA: 56-240 JACK NICKLAUS Dear Mr, Reynolds: Your request for approval of Minor Use Permit 2007-926 allowing the construction of a casita at 56-240 Jack Nicklaus, in La Quinta, is hereby approved. You may now contact the Building & Safety Department for your building permit. Enclosed is the approved original Deed Restriction for this Minor Use Permit. It must be signed by the owner in front of a Notary Public. The original approved documents are then to be.recorded with the County Recorder, with a recorded copy given to the City for our files. The Community Development Department will sign the job card when the recorded copy is received, which would provide our clearance to the Building & Safety Department to issue the building final inspection, Until the recorded copy is received by the Community Development Department, your Minor Use Permit is not complete and a final inspection will not be conducted by the Building & Safety Department Should you have any questions, please call me at (760) 777-7125. Sincerely, O ERIC CEJA Assistant Plan er Attachments - c. Building and Safety Department P.O. lice 1,50.1 - LA Q)►;1NTA, CALIFORNIA 92247-15114 78-49.5 CA1.1,1:, I-A'All-WO - 1,A QUINT;%, (:ALIFc)kNI'l 612253 (7fi0) -7 7 7-700(1 -1-AX (7Go) 777-7101 MAY -11-,200701) 0 ;94 P. 003/005 RECORDING REQUESTED BY: Don Reynolds WHEN RECORDED PLEASE MAIL TO: . Don Reynolds 56-240 Jack Nicklaus La Quinta. CA 92253 COVENANT AND AGREEMENT RESTRICTING THE USE OF THE RESIDENCES AT 56-240 JACK NICKLAUS, LA QUINTA, CALIFORNIA This Covenant and Agreement are made and executed this 25th day of April, 2007_ -by Don Reynolds, as the recorded owner(s) of the property described herein. The City of La Quinta, a Municipal Corporation, is hereby made a party to this Agreement for the purposes set forth below. The undersigned hereby certifies that he/she is the property owner of the following described real property -in the City of La Quinta, County of Riverside, State of California: Tract 28340-1. Lot 26: in the City of La Quinta, County of Riverside, State of Califomla In consideration of. the City of La Quinta issuing a building permit for certain improvements which will be constructed. on said property, the undersigned. does hereby covenant and agree to, and with said City, to restrict the use of said property as follows: The guest house may not be rented nor sold independent of the main single- family residence (Minor Use Permit No. 07-926); 2. No kitchen or cooking facilities ' shall be constructed in the guest house per the provisions of Chapter 9.30.030 (RL Zone District) and 9.60.110. (Guest Houses) of the La Quinta Municipal Code; 3. All on-site facilities are intended for the sole occupancy of the property owner(s), guests, and caretakers (i.e., a maid and/or housekeeper, etc.); and, 4. The guest house shall be . used primarily as a sleeping facility, and shall be maintained In accordance with all zoning and other codes as set forth in the La Quinta Municipal Code, as may be amended from time to time. This Covenant and Agreement shall run with the land and shall be binding upon future owners, their successors, heirs, or assigns, and ourselves, and shall continue in . effect while said accessory building remains on the real property or unless otherwise released by the authority of the City of La Quinta. All leases of said dwelling and/or MIRY-11-,200?(FRI) 0,45. property shall be subject to this restriction. This Agreement shall be entitled to the remedy of injunctive relief in addition of any remedy in law or equity. This Covenant and Agreement and the.provisions hereof are irrevocable, except by the written consent of all parties to the agreement, including the City of La Quinta, a Municipal Corporation. The City shall have the right to enforce. each "and every provision hereof and the parties agree that the Agreement shall not be rescinded, revoked. modified, or otherwise amended or changed, without the expressed written consent of the City first being obtained. In the event- that the owners, their heirs, assigns or successors in interest, shall fail to perform any obligation hereunder, they hereby agree to pay all costs and expenses incurred by the City of La Quinta in securing performance of such obligation, including attorney's fees. By: 1.- 2- 3. .2. 3. Signature(s) Printed Name of all owner(s) Dated: w LestdKnson Date Planning Manager City of La Quinta 2 -�/D 7 NfRY-11- HNFRI) O?A4 P, 005/005 ALL PURPOSE NOTARY ACKNOWLEDGMENT(S) MUST BE ATTACHED IN 8 1/2 X 11" FORMAT, FOR EACH SIGNATURE, STATE OF CALIFORNIA) COUNTY OF RIVERSIDE) ss. CITY OF LA QUINTA) On y ay 4 7 before me. ��ej 0_ n I eTD . Notary Public, personally appeared personally known to me or proved to me on the basis. of sati&Mctory evidence- to be the person(s) whose. name(s) is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity(ies), and that by his/her/their signatures) on the Instrument the person(s); or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal, Signature of the Notary Public EIA NI Canmlulon 0 1723211 NoFU01a . C*UfonUa county Notary ?* Comm, E4*W FQb 2.2011 `arI Concorde Consulting Group Construction Management * Project Management • Architecture / Engineering • Development June 13, 2007 Mr. Robt Pitchford Designer Palm Desert, CA RE: Reynolds,]PROJEC'I'___Structural Observation better Dear Robt, Per our review and yours we find the foundation and framing to be in compliance with the approved plans and in conformance and in with the general construction practices. If you or the contractor �veany questions please feel free to call our offce. O VROFES S-2854 Raj. RaFa Mice - Pt s� sr9 P q�F l/CTUR ��P OF CALFOP CC.ICri 4511 E. Sunnydunes Road Ste # E Palm Springs, CA 92264 Ph: (760) 322-8626 Fax: (760) 416-1893 I N TITLE 24 REPORT h Title 24 Report for: Mr. & Mrs. Don Reynolds-Casita 56-240 Jack Nicklaus La Quinta, CA 92253 Project Designer: Robert A. Pitchford, Design & Drafting 41-625 Eclectic, #A-2 Palm Desert, CA 92260 (760) 346-2856 CITY OF LA QUINTA BUILDING & SAFETY DEFT. Report Prepared B APPROVED Tim Scott FOR CONSTRPTI ON Scott Design & Title 24uAT�(�6. e . •85 Michigan Dr. Palm Desert, CA 92211 (760) 200-4780 Job Number: EAPR 2 6 2 Date: 007 L 4/19/2007 - C he EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is uthorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 Building Energy Efficiency Standards. 1 This program developed by EnergySoft, LLC - www.energysoft.com. it; EnergyPro 4.3 by EnergySoft Job Number: User Number: 6712 TABLE OF CONTENTS Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Summary HVAC System Heating and Cooling Loads Summary Room Load Summary . Room Heating Peak Loads Room Cooling Peak Loads 1 2 3 7 9 10 11 12 EnergyPro 4.3 by EnergySoft Job Number: User Number: 6712 Certificate Of Compliance : Residential (Part 1 of 4) CF -1 R oject Title - 4/19/2007 Date Project Address Building Permit # , ott Design & Title 24 (760) 200-4780 Documentation Author Telephone Plan Check/Date CFm pl a ceMethod Climate Zone Field Check/Date TDV Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 3.18 1.77 1.41 Space Cooling 87.11 83.70 3.41 Fans 12.38 14.08 -1.70 Domestic Hot Water 32.50 32.50 0.00 Pumps 0.00 0.00 0.00 Totals 135.18 132.05 3.13 Percent better than Standard: 2.3% BUILDING COMPLIES - HERS VERIFICATION REQUIRED Building. Type: [X—) Single Family ❑ Addition Total Conditioned Floor Area: 487 ft2 ❑ Multi Family ❑ Existing + Add/Alt Existing Floor Area: n/a ft2 Building Front Orientation: (E) 100 deg Raised Floor Area: 0 ft2 Fuel Type: Natural Gas Slab on Grade Area: 487 ft2 Fenestration: Area: 82 ft2 Avg. U: 0.57 Ratio: 16.7% Avg. SHGC: 0.46 �UILDING ZONE INFORMATION one Name Floor Area Volume OPAQUE SURFACES Insulation Act. Type Frame Area U -Fac. Cay. Cont. Azm. Tilt Rnof Wnnd 487 n 028_ R_38 R_0 n f1 22 Wall Wood 252 0 n6.9 B_21 R-0.0 idgQ Wall— Wood 166 0 069 _ -21 R-0.0 100 gQ Wall Wnnd 255 n n69 R-21 R_0.0 190 An Wall Wood 214 0 069 _ R-21 R-0.0 280 gn Average Ceiling Height: Number of Dwelling Units: Number of Stories: # of Units . Zone Type Thermostat Type Sethack 10.0 ft 1.00 1 Vent Hgt. Area -2 n/a Gains Condition Y / N Status JA IV Reference Location / Comments EnergyPro 4.3 by EnergySoft User Number: 6712 Job Number: Page:3 of 12 1 Certificate Of Compliance : Residential (Part 2 of 4) CF -1 R & Mrs. Don Reynolds -Ca A Title 4/19/2007 Date FENESTRATION SURFACES Location/ Status Comments New Casita True Cond. Location/ # Type Area U-Factorl SHGCZ Azm. Tilt Stat. Glazing Type Comments J__ Window Right (N) _ 15.0n 53o NFRC JJA6 NFC 10_ _0- New Double Thermal Break Tinted Casita 2 Window Right (N) 3.5 0.720 NFRC 0_39 NFRC 10 90 New Glass Block Casita 3 Window Front (E) 48.0 0.580 NFRC 0_46 NFRC 100 90 New Double Non Metal Tinted Casita 4 Window Left (S) 15.0 0.530 NFRC 0_46 NFRC 190 90 New Double Thermal Break Tinted Casita 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 1168. INTERIOR AND EXTERIOR SHADING Window Overhand Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LEA REA Dist. Len Hgt. Dist Len Hgt. 1 Bug Screen 0.76 2 Bug Screen 0.76 Bug Screen 0.76 Bug Screen 0.76 4.0 8.0 2. 0,_1 2.0 2.0 THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Condition Location/ Type (sf) (in.) Cap. Cond. R -Val. JA IV Reference Status Comments PERIMETER LOSSES Insulation Type Length R -Val. Location JA IV Reference Slab Perimeter 68 None No Insulation 26-A1 Slab Perimeter 21 None No Insulation 26-A1 • Condition Location/ Status Comments New Casita New Casita Run Initiation Time: 04/19/07 08:52:28 Run Code: 1176997948 EnergyPro 4.3 by EnergySoft User Number: 6712 Job Number: Page:4 of 12 Certificate Of Compliance : Residential (Part 3 of 4) CF -1 R Title VAC SYSTEMS olds-Casita 4/19/2007 Date Heating Minimum Cooling Minimum Condition Thermostat Location Type Eff Type Eff Status Type HVAC -1 Split Heat Pump 8.30 HSPF Split Heat Pump 14.0 SEER New Setback HVAC DISTRIBUTION Duct Duct Condition Ducts Location Heating Cooling Location R -Value Status Tested? HVAC -1 Ducted Ducted Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. Attic 4.2 New Yes WATER HEATING SYSTEMS Rated Tank Energy Tank Insul. Water Heater # in Input Cap. Condition Factor Standby R -Value System Name Type Distribution Syst. (Btu/hr) (al) Status or RE Loss (%) Ext. Standard Gas 50 gal or Less Small Gas No Pipe Insulation 1 40,000 50 Existing 0.57 n/a n/a 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 REMARKS 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 sealing, 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) Documentation Author Name: Name: Tim Scott Title/Firm: Robert A. Pitchford Deeiwrt Draftin Title/Firm: Scott Design & Title 24 Address: 41-625 c #AZX Address: 77085 Michigan Dr. Pal sertC Palm De ertCA 9 211 Telephone: 7 3 Telephone: 7 -4780 W(d °'](signature) (signatur4FK�� (ate)/. Enforcement Agency Name: Title/Firm: Address: STAMP Telephone: signature) (date) Certificate Of Compliance : Residential (Part 4 of 4) CF -1 R Title 4/19/2007 Date apeciai reatures ana ivwaeiing 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 iuequacy of cne special /usuncauon ana uocumerna[uon suommea. 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- Plan Field -rr.— F1WV .V1 — I -y "=FFI W Vcu Wo L—U anuivI VVI Iwauvn memuub anu mubr ue reporteu on me sr-vrc installation certificate. plan Field he HVAC System "HVAC -1" incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the CF -4R. he HVAC System "HVAC -1" incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion Valve. I he Cooling System "Carrier 25HPA424C31" includes credit for a 11.5 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. I EnergyPro 4.3 by EnergySoft User Number: 6712 Job Number: Page:6 of 12 1 Mandatory Measures Summary: Residential (Page 1 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. • 0 DESCRIPTION Check or initial applicable boxes or check NA if not applicable and included with the ENFORCE - permit application documentation. N/A DESIGNER MENT Building Envelope Measures , § 150(a): Minimum R-19 in wood ceiling insulation or equivalent LI -factor in metal frame ceiling. ❑ ❑X ❑ § 150(b): Loose fill insulation manufacturer's labeled R -Value: ❑ ❑ ❑ *§ 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. ❑ ❑X ❑ § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. ❑ insulation or R-16 internal insulation and indicated on the exterior of the tank showing the R -value. 1. Masonry and factory -built fireplaces have: 3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness: a. closable metal or glass door covering the entire opening of the firebox ❑ ❑X ❑ length of recirculating sections of hot water pipes shall be insulated to Table 150B. b. outside air intake with damper and control, flue damper and control ❑ ❑X ❑ ❑ 2. No continuous burning gas pilot lights allowed. ❑ ❑ ❑ § 150(f): Air retarding wrap installed to comply with §151 meets requirements specified in the ACM Residential Manual. ❑ ❑ ❑ § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ ❑ ❑ § 150(1): Slab edge insulation - water absorption rate for the insulation alone without facings no greater than 0.3%, water vapor ❑ ❑ ❑ ❑ permeance rate no greater than 2.0 perm/inch. ❑ entirely in conditioned space. § 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include ElElCF-6R ❑ ❑ ❑ Form: Page:7 of 12 § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls. 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 Coefficient (SHGC), and infiltration certification. ❑ ❑X ❑ 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ ❑ ❑ Space Conditioning, Water Heating and Plumbing System Measures § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. ❑ o ❑ § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or RCCA. ❑ ❑X ❑ § 150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ ❑X ❑ § 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 ❑ ❑ ❑ having 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 ❑ ❑ ❑ 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 150B. 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and ❑ ❑ ❑ 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. ❑ ❑ ❑ 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, ❑ ❑ ❑ and wind. 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed ❑ ❑ ❑ entirely in conditioned space. 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation. ❑ ❑ ❑ EnergyPro 4.3 by EnergySoft User Number: 6712 Job Number: Page:7 of 12 Mandatory Measures Summarv: Residential (Page 2 of 2) MF -1R 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. N/A 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 R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 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❑ ❑ sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and a. At least 36" of pipe between filter and heater for future solar heating. ❑ ❑ ❑ support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause ❑ ❑ ❑ 3. Pool system has directional inlets and a circulation pump time switch. ❑ ❑ ❑ reductions in the cross-sectional area of the ducts. . ❑ © ❑ burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive ❑ X❑ ❑ duct tapes unless such tape is used in combination with mastic and draw bands. ❑ X❑ ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are 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. provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires. 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 ❑ X❑ ❑ controlled by an occupant sensor that complies with Section ll 19(d) that does not turn on automatically or have an retardant and provides shielding from solar radiation that can cause degradation of the material. 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are ElX ❑ 11§ 7. Flexible ducts cannot have porous inner cores. ❑ § 114: Pool and Spa Heating Systems and Equipment El ❑ 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. 2. System is installed with: 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. ❑ ❑ ❑ § 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 ❑ ❑ ❑ Lighting Measures § 150(k)1: 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 Watts or greater are electric and have an output frequency no less than 20 kHz. § 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, ❑ ❑ ❑ 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. ❑ Q ❑ OR are controlled by an occupant sensor(s) certfied 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 ❑ X❑ ❑ controlled by an occupant sensor that complies with Section ll 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 ElX ❑ 11§ 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 pools/water 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. ❑ ❑ ❑ 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 ❑ ❑ ❑ dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with Section 119(d). EnergyPro 4.3 by EnergySoft User Number: 6712 Job Number: Page:8 of 12 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAMEDATE Mr. & Mrs. Don Re nolds-Casita 4/19/2007 STEM NAME FLOOR AREA HVAC -1 487 M LOAD 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 Sensible Latent CFM I Sensible 425 9,613 299 529 9,903 0 1,155 757 0 0 0 0 0 0 0 0 0 1,155 757 11 1 11 417 HVAC EQUIPMENT SELECTION Carrier 25HPA424C31 20,384 530 16,489 Total Adjusted System Output 20,384 530 16,489 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26.0 OF 69.1 OF 69.10F 88.5 OF Supply Air Ducts Outside Air 0 cfm Supply Fan Heating Coil 87.6 °F 800 cfm ROOMS 69.1 of 70.0 of h Return Air Ducts 4 DOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 110.0/72.50F 76.4/60.5OF 76.4/60.6OF 52.4/51.1OF Supply Air Ducts Outside Air O 0 cfm Supply Fan Cooling Coil 53.8 / 51.7 of 800 cfm 41.7% R.H. ROOMS 76.4/60.5 of 75.0/60.1OF Return Air Ducts EnergyPro 4.3 by EnergySoft . User Number: 6712 Job Number: Page:9 of 12 1 4 ROOM LOAD SUMMARY PROJECT NAME Mr. & Mrs. Don Reynolds-Casita DATE 4/19/2007 STEM NAME HVAC -1 FLOOR AREA 487 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME ROOM NAME' Mult. CFM SENSIBLE LATENT CFM SENSIBLE LATENT CFM SENSIBLE Casita Casita . 1 425 9,613 299 425 9,613 299 529 9,903 PAGE TOTAL 1 425 9,613 299 529 9,903 TOTAL 1 425 9,613 299 529 9,903 EnergyPro By EnergySoft User Number: User Job Number: Page:10 of 12 ROOM HEATING PEAK LOADS Project Title Date r. &Mrs. Don Re nolds-Casita 4/19/2007 Room Information Desi n Conditions Room Name Casita Time of Peak Jan 12 am Floor Area 487 Outdoor Dry Bulb Temperature 26OF Indoor Dry Bulb temperature 70 OF Conduction Area U -Value AT of Btu/hr Glass Block 487.0 X X X X X X X x X X X X x X X X X X X X X X X x X X X x X X X X X x X x X x x 0.0280 X x X X X X x x X X x X X X x X X X X x x X X x X X X X X x X x x x x X X x X 44 = = = = = = = = = = = = = = = = = = = = = = = = = = = 600 251.5 0.0690 44 764 15.0 0.5300 44 350 3.5 0.7200 44 111 166.0 0.0690 44 504 48.0 0.5800 44 1,225 255.0 0.0690 44 774 15.0 0.5300 44 350 214.0- 44 650 perimeter = 68.0 0.7300 44 2,184 perimeter = 21.0 0.7300 44=6 75 items snown wnn an astensK genote conauction tnrougn an interior sunace to another room. Page Total: 8,186 Infiltration: 1.001 X 1.064 X 487 X 10.00 X 0.452 / 6] X 44 = 1 718 chedule Air Sensible Area Ceiling Height ACH DT Fraction TOTAL HOURLY HEAT LOSS FOR ROOM 9,903 EnergyPro 4.3 by EnergySoft User Number: 6712 Job Number: Page: 11 of 12 RESIDENTIAL ROOM COOLING LOAD SUMMARY Project Titlertll r. & Mrs. Don Reynolds- Casita 9/2007 Room Information Desi n Conditions Room Name: Casita Outdoor Dry Bulb Temperature: 11 1O Floor Area: 487 sf Outdoor Web Bulb Temperature: 730F Indoor Dry Bulb Temperature: 75 of Outdoor Daily Range: 340F Opaque Surfaces R-38 Roof R.30.2x12.16 R-21Wall W.19.2x6.16 R-21Wall W.19.2x6.16 R-21 Wall W.19.2x6.16 R-21 Wall W.19.2x6.16 56.0 N 251.5 0.0690 24.3 E 166.0 0.0690 32.6 S 255.0 0.0690 27.1 W Orientation Area X X X X X X X X X x X x U -Factor X X X X X x X X X x X X CLTD 1 N 487.0 0.0280 56.0 N 251.5 0.0690 24.3 E 166.0 0.0690 32.6 S 255.0 0.0690 27.1 W 214.0 0.0690 32.4 48.0X 55.0= 2641 S 15.0X 27.8+ 0.0X 30.2= 416 Items shown with an asterisk (') denote conduction through an interior surface.to another room. 1. Cooling Load Temperature Difference (CLTD) Fenestration • Window Window Window M Window 0 rage I oial Btu/hr 764 422 373 477 478 2 514 Orientation Shaded Area X X X x x X x GLF + + + + + + + Unshaded Area X X X x X X X GLF = = = = = = = Btu/hr N 0.0x 27.8+ 15.0x 31.1= 466 N 0.0x 28.7+ 3.5X 31.5= 110 E 0.0x 28.7+ 48.0X 55.0= 2641 S 15.0X 27.8+ 0.0X 30.2= 416 Page Total 3 633 Internal Gain Btu/hr Occu ants 2 X Occupants X 230 Btuh/occ. = 460 E ui ment B1 x Dwelling Units X 1,6001 Watts/sgft = 1 1,6001 Infiltration: 1.064 X 1.19 X 30.86 X I 1406 Air Sensible CFM ELA �T TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 9,613 Latent Gain Btu/hr Occu ants 0 x Occupants X 200 Btuh/occ. = 400 Infiltration: 4 771 X 1.19 x 30.86 X 0.00058 = -101 Air Latent CFM ELA pw TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 299 EnergyPro 4.3 by EnergySoft User Number: 6712 Job Number: Page: 12 of 12