12-0193 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
12-00000193
Property Address:
60614 DESERT SHADOWS DR
APN:
764-270-999-8 -300231-
Application description:
ADDITION - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
22300
Ta�/ 4 4 Q"
Applicant: Architect or Engineer:
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 Professionals Code, and my License is in full force and effect.
License Clas B. icense : 834358
%< Date: Contractor:'_
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to filea signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) I, as owner of the property, or my employees with wages'as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ ) I am exempt under Sec. , BAP.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.I.
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
VERN & TAMI MOORE
60614 DESERT SHADOWS DRIVE
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/18/12
D eFn
Contractor:
KELLNER, JEFFREY F. APR 18 2012 IU
CITY OF LA QUINTA
FINANCE DEPT.
PO BOX 245
RANCHO MIRAGE, CA 92270
(760)774-5333
Lic. No.: 834358
------------------
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. -
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 310269700-01
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 s bject to the workers' compensation provisions of Section
3 00 of theLabor shall f ith comply with those provisions.
�ale: e7�ApplicARNING: FAILURE TO .RE RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO MINAL 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 con tructiDn, and hereby authorize representatives
of this count to nter upon the above-mentioned propert r i e n rposes.
)t ate: Signature (Applicant or Agent):
Application Number . . . . . 12-00000193
Structure Information 276SF CASITA/VB/RES-3/CLASS A- FR [ENG]
Other struct info . .
. . . CODE EDITION 2010
# BEDROOMS
1.00
FLOOD ZONE NO
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
276.00
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
234.00 Plan Check Fee
152.10
Issue Date . . . .
Valuation . . . .
22300
Expiration Date . .
10/15/12
Qty Unit Charge
Per
Extension
BASE FEE
45.00
21.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
189.00
Permit
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee
24.66 P1an'Check Fee
6.17
Issue Date . . .
Valuation . . . .
0
Expiration Date
10/15/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
276.00 .0350
----------------------------------------------------------------------------
ELEC NEW RES - 1 OR 2 FAMILY
9.66
.Permit
MECHANICAL
Additional desc .
Permit Fee . . . .
37.00 Plan Check Fee
9.25
Issue Date . . . .
Valuation . . . .
0.
Expiration Date
10/15/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
1.00 6.5000
EA MECH AH <=10K CFM
6.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH VENT FAN
6.50
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
42.00 Plan Check Fee
10.50
Issue Date . . . .
Valuation
0
Expiration Date
10/15/12
LQPERMIT
Application Number . . . . . 12-00000193
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
BASE FEE
15.00
4.00 6.0000 EA PLB FIXTURE
24.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and Comments
276SF DETACHED CASITA/VB/RES-3/CLASS
A -FR [ENGINEERED] THIS PERMIT DOES NOT
INCLUDE BLOCK WALLS. 2010 CALIFORNIA
BUILDING CODES.
April 17, 2012 4:54:02 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
15.21
STRONG MOTION (SMI) - RES
2.14
Fee summary Charged Paid Credited
----------------- ------ - --- -------- - - ---------- ----------
Due
Permit Fee Total 337.66 .00 .00
337.66
Plan Check Total 178.02 .00 .00
178.02
Other Fee Total 18.35 .00 .00
18.35
Grand Total 534.03 .00 .00
534.03
LQPERMIT
`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
LEVELONEAMOUNT:
LEVELTWOAMOUNT:
MITIGATION AMOUNT:
COMM/IND. AMOUNT:
DATE:
RECEIPT:
CHECK#: 7INITIALS
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Date: April 18, 2012
Owner's Name: Vern & Tami Moore Phone No. (
Project Address: 60-614 Desert Shadows Dr., La Quinta, CA 92236
Project Description: Detached Casita to Existing House
APN: 764-330-008 Lot #'s:
Type of Developmen Residential !XX Commercial Industrial
uare eet of Building Area:
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: _ l �_ 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 Gov. Code Project Agreement Existing Not Subject to Fee
17620 65995 Approval Prior to 1/1/87 Requirement
Note:
Number of Sq.Ft. 276 Seniors -only fee.
Amount per Sq.Ft. $0.47
Amount Collected $129.72
Building Permit Application Completed: Yes/No
By: Elsa F. Esqueda, Director of Facilities and Maintenance
Certificate issued by: Marcela Valdez, Construction Analyst 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 n ice 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 No ice shall erve 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 performan ny 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.
M V:c/mydocs'dev fees/cerci f icate of compliance lorm updated 3-2007 11/2010
02/28/2012 TUE 8:32 PAX 760 777 6097 Trilogy La Quinta
Trilogy
I`ehruary 23, 2012
Vern Moore
Tamara Moore
31 Fairway
Douglas, WY 82633
Property: 60614 Desert Shadows Dr
Account: 015000020394
Dear Vern Moore:
Z001/002
CONDITIONAL APPROVAL.
Weare pleased to inform you that your plans for installation of"I Casita in the front yard to include landscape
and irrigation modifications, received on 02/21/2012. -have lien approved by the Design Review Committee
with the Jbllowing conditions: 7, 8, 9, 11, 12, 13, 15, 16, 17, 19, 21 and 23. All front yard landscaping and
repair of irrigation must comply with the Design Review Guidelines. The gate must meet all design and
color guidelines and owner must provide a detail.design before installation for approval (sec attached
copy).
Please note: Any damages caused by contractor due to construction must be repaired; all irrigation and
landscape shall be restored to original condition.
'this approval do not constitute consent by the Association for the applicant to encroach, trespass, or build
on any property other than that of the applicant. This approval is related solely to the items reserved for
approval by the CC&R's in accordance wvith the Architectural Guidelines. The approval does not extend to the
quality of work done by your architect, or contractor, or to any structural engineering, soils engineering, or site
grading -and drainage design. You are urged to obtain the services of a state licensed professional for consultation
as needed.
The Design Revicw Committee is composed of volunteers. As such, it does not review applications to ensure
compliance with building codes, or other local or state laws. Please he advised that this approval does not relieve
you from obtaining any necessary building permits from the governmental agencies involved to ensure
compliance with these codes. Any violations of these ordinances will be your responsibility to correct. _"Thank
you for your patience in this matter and for complying with the Association's policies and standards.
SiIt�efY/iullfeview
f
Fol' ll Committee
Balry StereCCAM,tCMCA, AMS
Communis Manager
EIICIOSUre5
cc: Board of Directors
Design Review Committee
'rroogy at (,a Quinta Maintenance Assoc.
Prgfessiomd)*r khmi grd hi' Action Nru/.urr{p Alunngc urenG hie.
60-750 Trilogy Parkway, LaQuinta. CA 92253-7717
Phonc:760-777-6059 Fax: (760) 564-2474
www.actionIif!.com
02/28/2012 TUB 8:33 FAX 760 777 6097 Trilogy La Quinta Q002/002
TRILOGY AT LA QUINTA H.O.
CONDITIONS OF APPROVAL
Property Add res s: 100 / j�� �C�C�Cr�� pate Reviewed: Z 2•'� /�_
Condition,.
Your plans have. hccr, aliproved, provided that you meetthe items dice ked below and all world is consistent With th;,
of Approve -al
Design GuicJclincs.
1
,flW patio cower- material must be Alum11a wood or other similar• wood like c011st•uctio11. Roofing maienak shall
match die rool'material ol•dic dwelling or be open wood lattice
2
'I'hc color of' the patio cover matches die home's stucco, accent, tasc•.ia or white,
3
Any patio cover or awning to be installed and attached to the home must be installed in such a nimmer that it
doc; not compromise the integrity of die water permeability of the home.
4
Du( to the patio cover's size it must be constructed with variable lieigltLs or must Ix coustructed in Iwo sections
►vich a separation iu between
5
The size ol, the patio cover is limited to die size of die proposed patio slab.
1'hc proposed retractable awning may 1101. be a striped awwaing. It must be a neutral color that blends V11—id, the
6
hon le. Please submit a sample ol, die labric.
7
0btun services of a state licensed prolessio11al for consultation. —
8
Obttin uecessiuy building its from the c iq of La C1uiitt�-I meeting setback requirements per city axle end
manuain the existing drainage.
9
Maintain positive drainage in accordance wide t1m Trilogy Design Guidelines (Section 3.8).
10
The screen door must be die color of the house stucco or be black.
11
ur ergroun< c rauiage is installed, die dram needs to terminate ui die grass swa e and be flush Mili-0 to lu an
/\
crap :ed with a pop -tip drain cover.
Pool, spa, Fountain, and air conilibonil g equipment set backs must comply widi City of' L Qui 1 a, fwll
�(
12
equi )ment. sl►all be located, screened,or recessed in a manner so as to not be viewable from any lot or st.reci and
' \
the i,oise from die. equipment attenuated liar die ad,javent Iroperty 0Wuers. Pool set backs >u•e G" for hardsc•ape
and 18" for water title.
j
13
The color o!• Clic proposed concrete is natural or a neutral tone.
I...
14
Real yard rna) not exceed 70X6 hardscape and must have a minimum of 30Wr solbscape, measured liont the rear
builc.ing• lace of wall to the side property lines.
15
_
Pml.osed planbug meets w4adi die Trilogy Rear Yard Minimum Planting Requirements standards and all plants
are included on the Revised Approved Plaut List contained in die Design Guidelines.
16
_
The proposed wall or iron work to match the existing developer retaining wall iu material, style and color or shall
}
h
be CJ -.e ,•azee. Paint color specified in the guidelines.
Replace block wall per Shea Horries standard block a,dll specification, if'removrng.uiy portion ol•bloc.k w.w",ill to
17
gain wcess to rear or side yard (requires inspection of* rebar before crap is installed).
18
_
Refe.- to Exhibit. "1" in die Design Guidelines. (Block Wall Design).
—
X
19
«she n work is completed, please submit Nonce. ol' Cornpletion form attached.
20
Maks sure reu yaj-d property line phis (mu -kers) remain during construction (applies to golf* course lots (.)III.)
t
21
All omtractors roust meet die Association representative prior to commencing construction.
r
22
Resubmit showing drainagre llow/plaits.
X 1
23
S(:e t,otcs ou plaits (ifany) —
j
24
Ani inidependenl irrigabon controller must be used for die rear yard, it cannot be tied into die lront yard.
i_ Notes GL r,Zo��f yl4-(LD (,AN�Sc'AQt.yG-�I leri t�/� m� �/12c�c<1^r�u�
f.
497,
/,.wS50:iAnC.+St �•,og,• w is CV-�IONRGHn ECiUlia(!pAc FamsiCond�a+t a agaova�
stn.# %
City. Of U QuInta
Building a Safety Div m
Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253.:(760) 777-7012
Building Permit' Application and Tracking Sheet
PerrNt #P.O
rO
Iti
Project Address: (P t 4 bES EA S Jr AD DkA5 DA_Owner's
Name:..Jp NJGoI�e�
A. P. Number. (014 330 DO 8
Address: -Dry l j 'S•11h,00U,6 DA--
[City.
Legal Description:
ST. Zip: LA 1//A,11,4 CR
Contractor. \J r—k-1 C,o_f.)S j
Address: PD ZyJ
Telephone:
Project Description:
City, ST, Zip: 9&kJC 44-0 J
) Ai S T1W&r/__%� 6AS-1 74 r.J.
Telephone: 760 77 5333
aA�/
State Lie. # : City Lie. M.
M T(�/ i / S �„�U- U$ S G�,5—
Artfi., Engr., D� f���q nJ Cbl R.l_S' 0..3 .:. -
- .. •
Address: 2 J Z j IJ �T%R AS o L ✓e_ -
City, ST. Zip: P, 4c..y S'PF�i n/GS Gq 9Z2_,,�. z
Telephone: N U 72 g I6SL
State Lie. M w '
Construction Type: , Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Storiess"
Name of Contact Person: DE .4
Telephone # of Contact Person:
Estimated Value of Project 30 000
APPLICANT: DO NOT WRITE BELOW THIS UNE
se
Submittal
Req'd
Reed
TRACMG PERMIT FEES -
Pian Sets
Plan Cheek submitted W. Amount
Structural Cales.
P
Reviewed, ready for corrections Plan Check Deposit. .
Truss Calcs.
Called Contact Person Plan Check Balance.
Tide 24 Calcs.
a
Plans picked up t7 Construction
Flood plain plan
Pians resubmitted.' . Mechanical
Giading plan
2'! Review, ready for cozrectio e 1 �1 Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plana picked up MI.
H.O.A. Approval
Plans resubmitted Grading
IN ROUSE:-
1rd Review, ready for eorrecdonsAssae Developer Impact Fee
Planning Approval.
Called Contact Person .P.
Pub. VVks. Appr
Date of permit issue
School Fees
Total Permit Fees
44A :�� / � P Ifo
�"Vl, • u5 `"VL
t°1a
I BUILDING ENERGY ANALYSIS REPORT
PROJECT:
Moore Residence
60-614 Desert Shadows
La Quinta, CA
0
Project Designer:
RECEIVED
MAR 0 2 2012
BY:
Report Prepared by:
Joan D. Hacker
Insu-form, Inc.
77-810 Las Montanas Road, Suite 201
Palm Desert, Ca 92211
760-345-1352
Job Number:
Date:
2/23/2012
CITY OrLA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC — www.energysoft.com.
EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 20 1 2-02-23 71 7:20:23 ID:
I , TABLE OF CONTENTS I
Cover Page 1
Table of Contents 2
Form CF -1 R Certificate of Compliance 3
Form MF -1 R Mandatory Measures Summary 8
HVAC System Heating and Cooling Loads Summary 11
User Number: 2655
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF-1 R
Project Name
Moore Residence
Building Type m Single Family O Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
2/23/2012
Project Address
60-614 Desert Shadows La Quinta
California Energy Climate Zone
CA Climate Zone 15
Total Cond. Floor Area
277
Addition
n/a
# of Stories
1
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes ❑ No HERS Measures -- If Yes, A CF-4R must be provided per Part 2 of 5 of this form.
❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION
Construction Type
Area Special
Cavity (ft) Features see Part 2 of 5
Status
Wall Wood Framed
R-19 470
New
Roof Wood Framed Attic
R-38 277 Radiant Barrier
New
Slab Unheated Slab-on-Grade
None 276 Perim = 15'
New
FENESTRATION U-
Orientation Area Factor
Exterior
SHGC Overhang Sidefins Shades
Status
Front (w) 19.5 0.740
0.70 2.0 none Bug Screen
New
Leff (N) 24.0 0.740
0.70 2.0 none Bug Screen
New
Right (S) 6.0 0.740
0.70 2.0 none Bug Screen
New
Right (S) 9.0 0.740
0.70 2.0 none Bug Screen
New
HVAC SYSTEMS
Ot . Heating Min. Eff Cooling Min. Eff Thermostat
Status
1 Room Heat Pump 6.59 COP Room PTAC without Sic 10.0 EER Setback
New
HVAC DISTRIBUTION
Location Heating
Duct
Cooling Duct Location R-Value
Status
Gasita Ducted
Ducted Attic, Ceiling Ins, vented 8.0
New
WATER HEATING
Ot . Type Gallons Min. Eff Distribution
Status
1 Instant Gas 0
0.83 No Pipe Insulation
New
Ener Pro 5.1 by EnergySoft User Number: 2655 RunCode: 2012-02-23T17:20:23 ID:
Pa e 3 of 11
PERFORMANCE CERTIFICATE: Residential Part 2 of 5) CF -1 R
Project Name
Moore Residence
Building Type ® Single Family 0 Addition Alone
1 ❑ Multi Family 0 Existing+ Addition/Alteration
Date
12/23/2012
SPECIAL FEATURES INSPECTION CHECKLIST
The enforcement agency should pay special attention to the items specified in this checklist. These items require special written
justification and documentation, and special verification to be used with the performance approach. The enforcement agency
determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of
the special justification and documentation submitted.
The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential
Appendix RA4.2.2.
HERS REQUIRED VERIFICATION
Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a
completed CF -4R form for each of the measures listed below for final to be given.
Ener Pro 5.1 by Ener Soft User Number: 2655 RunCode: 20 1 2-02-23 71 7:20:23 ID: Pa e 4 of 11
PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF-1 R
Project Name
Building Type m Single Family ❑ Addition Alone
Date
Moore Residence
El Multi Family ❑ Existing+ Addition/Alteration
2/23/2012
ANNUAL ENERGY USE SUMMARY
Standard Proposed Margin
TDV kBtu/V r
Space Heating 0.36 1.27 -0.90
Space Cooling 131.05 150.88 -19.83
Fans 23.50 32.33 -8.82
Domestic Hot Water 76.08 37.01 39.07
Pumps 0.00 0.00 0.00
Totals 231.00 221.48 9.51
Percent Better Than Standard: 4.1 %
BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation: (tM 270 deg Ext. Walls/Roof Wall Area Area
Number of Dwelling Units: 1.00 (W 104 20
Fuel Available at Site: Natural Gas (N) 160 24
Raised Floor Area: 0 (E) 104 0
Slab on Grade Area: 276 (S) 160 15
Average Ceiling Height: 9.0 Roof 277 0
Fenestration Average U-Factor: 0.74 TOTAL: 59
Average SHGC: 0.70 Fenestration/CFA Ratio: 21.2%
REMARKS
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and specifications needed
to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the
Efficiency Standards of the California Code of Regulations.
The documentation author hereby certifies that the documentation is accurate and complete.
Documentation Author
Company Insu-form, Inc.
2/23/2012
Address 77-810 Las Montanas Road, Suite 201 Name Joan D. Hacker
City/State/ZipCity/State/Zip Palm Desert, Ca 92211 Phone 760-345-1352 Signed Date
The individual with overall design responsibility hereby certifies that the proposed building design represented in this set
of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and
with any other calculations submitted with this permit application, and recognizes that compliance using duct design,
duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require
installer testing and certification and field verification by an approved HERS rater.
Designer or Owner (per Business & Professions Code) Dean.Cirkm
Company 2125 N. GmW Avwut
Address NamePc4n S*qs, CA 922K
City/State/Zip Phone )G0 7 .�� License # Date
EnemyPro 5.1 by EnemySoft User Number- 2655 RunCode: 2012-02-23717:20:23 ID: Page 5 of 11
CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R
Project Name
Moore Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family 0 Existing+ Addition/Alteration
Date
1212312012
OPAQUE SURFACE DETAILS
Surface U Insulation Joint Appendix
Type Area Factor I Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments
Wall 85 0.074 R-19
270 90 New 4.3.1-A5 Casita
Wall 136 0.074 R-19
0 90 New 4.3.1-A5 Casita
Wall 104 0.074 R-19
90 90 New 4.3.1-A5 Casita
Wall 145 0.074 R-19
180 90 New 4.3.1-A5 Casita
Roof 277 0.025 R-38
270 0 New 4.2.1-A21 Casita
Slab 276 0.730 None
0 180 New 4.4.7-A1 Casita
FENESTRATION SURFACE DETAILS
ID Type Area Ll -Factor' SHGC
Azm Status Glazing Type Location/Comments
1 Window 19.5 0.740 NFRC 0.70 NFRC 270 New IWC 6200 Alum/Clear Casita
2 Window 24.0 0.740 NFRC 0.70 NFRC 0 New IWC 6200 Alum/Clear Casita
3 Window 6.0 0.740 NFRC 0.70 NFRC 180 New IWC 6200 Alum/Clear Casita
4 Window 9.0 0.740 NFRC 0.70 NFRC 180 New IWC 6200 Alum/Clear Casita
(1) Ll -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value
2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
Window
ID Exterior Shade T e SHGC H t Wd
Ove hanq Left Fin Ri ht Fin
Len H t LExt RExt Dist Len H t Dist Len H t
1 Bug Screen 0.76 6.5 3.0
2.0 0.1 2.0 2.0
2 Bug Screen 0.76 8.0 3.0 2.0 0.1 2.0 2.0
3 Bug Screen 0.76 3.0 2.0 2.0 0.1 2.0 2.0
4 Bug Screen 0.76 2.0 4.5 2.0 0.1 2.0 2.0
Ener Pro 5.1 by Ener Soft User Number: 2655
RunCode: 2012-02-23717:20:23 10: Page 6 of 11
CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R
Project Name
Moore Residence
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
2123/2012
BUILDING ZONE INFORMATION
System Name Zone Name New
Floor Area ft
Existina I Altered Removed Volume Year Built
Casita Casita
277
2,489 1996
Totals 0 277 01 0
HVAC SYSTEMS
System Name of . Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status
Casita 1 Room Heat Pump 6.59 COP Room PTAC without Sid 10.0 EER Setback
New
HVAC DISTRIBUTION
System Name Heating Cooling
Duct
Duct Location
Ducts
Tested? Status
-R-Value
Casita Ducted Ducted Attic, Ceiling Ins, vented 8.0
❑ New
❑
❑
WATER HEATING SYSTEMS
S stem Name
Ot .
Type
Distribution
Rated
Input
Btuh
Tank
Cap.
al
Energy
Factor
or RE
Standby
Loss or
Pilot
Ext.
Tank
Insul. R-
Value
Status
Takagi T•K3-Pro
1
Instant Gas
No Pipe Insulation
199,000
0
0.83
n7a
n/a
New
MULTI -FAMILY WATER
HEATING
DETAILS
HYDRONIC
HEATING SYSTEM
PIPING
Control
Hot Water Piping Length
ft
o
v N
a
System Name
Pipe
Len th
Pipe
Diameter
Insul.
Thick.
Ot . HP
Plenum Outside Buried
❑
Ener Pro 5 1 by Ener Soft User Number: 2655 RunCode: 2012-02-23T17:20:23 ID:
Page 7 of 11
MANDATORY MEASURES SUMMARY: Residential (Page 1 of 3 MF -1 R
Project Name
Moore Residence
Date
2/23/2012
NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of
the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF -
1 R -ALT Form) shall supersede the items marked with an asterisk (') below. This Mandatory Measures Summary shall be incorporated
into the permit documents, and the applicable features shall be considered by all parties as minimum component performance
specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R
Form with plans.
Building Envelope Measures:
116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified LI -Factor, certified Solar Heat Gain
Coefficient SHGC , and infiltration that meets the requirements of 10-111(a).
117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed.
4118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form.
§118(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the
installation of a Cool Roof is specified on the CF -1 R Form.
*§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent 1.1 -factor.
§150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value.
*§1 50 c : Minimum R-13 insulation in wood -frame wall orequivalent LI -factor.
*§1 50 d : Minimum R-13 insulation in raised wood -frame floor orequivalent Ll -factor.
150(f): Air retarding wrap is tested labeled and installed according to ASTM E1677-95 2000 when specified on the CF -1 R Form.
150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance
rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is
equipped with a with a readily accessible, operable, and tight-titting tight-fittingdamper and or a combustion -air control device.
§150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the
outside of the building, are prohibited.
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy
Commission.
§113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release
valve, backflow prevention, pump isolation valve, and recirculation loop*connection requirements of §113 c 5.
§115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances
(appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and
spa heaters.
150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA.
4150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c).
§150(j)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped
with insulation having an installed thermal resistance of R-12 or greater.
§1506)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water
tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the
tank.
§150(j)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of
recirculating sections of hot water pipes are insulated per Standards Table 150-B.
§150(j)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot
water tank shall be insulated to Table 150-B and Equation 150-A.
§150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table
123-A.
150(j)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
§150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in
conditioned space.
§1500)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
EnergyPro 5.1 by EnergySoff User Number: 2655 RunCode: 2012-02-23T17:20:23 10: Page 8 of 11
MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R
Project Name
Date
Moore Residence
2/23/2012
§150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections
601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-
4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the
applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is
used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used
§150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed
sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may
contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area
of the ducts.
§150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
unless such tape is used in combination with mastic and draw bands.
150(m)7: Exhaust fans stems have back draft or automatic dampers.
§150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
dampers.
§150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar
radiation that can cause degradation of the material.
150 m 10: Flexible ducts cannot have porous inner cores.
§150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air
Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation
required in Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency
Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and
shall not use electric resistance heating ora pilot light.
§114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction
and return lines, or built-up connections for future solar heating.
114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover.
§114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or
programmed to run only during off-peak electric demand periods.
150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150
Residential Lighting Measures:
§150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies
contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2.
150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d).
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than
20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain
only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line -
voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a
medium screw -base socket.
150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k).
150(k)7: All switching devices and controls shall meet the requirements of §150(k)7.
§150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be
exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a
manual -on occupant sensor.
§150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of
illuminated cabinet.
EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 2012-02-23T17:20:23 ID: Page 9 of i t
MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R
Project Name
Date
Moore Residence
1212312012
§150(k)l0: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms
shall be high efficacy.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on
occupant sensor certified to comply with the applicable requirements of §119.
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual -on occupancy sensor.
§150(k)11: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms,
closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be
allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual -
on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage_ building less
than 1000 square feet located on a residential site is not required to comply with §150 k 11.
§150(k)l2: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters
Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air
leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between
the luminaire housing and ceiling.
§150(k)l3: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more
dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that
they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor,
and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management
control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor
luminaires used to comply with Exceptionl to §150(k)l3 may be controlled by a temporary override switch which bypasses the motion
sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed
luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not
be high efficacy luminaires.
§150(k)l4: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no
more than five watts of power as determined according to §130(d).
§150(k)l5: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable
requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable
requirements of Sections 130, 131, 134, and 146.
§150(k)l6: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more
dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided
that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119.
EnergyPro 5.1 by EnergySoR User Number: 2655 RunCode: 2012-02-23717:20:23 ID: Page 10 of 11
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
Moore Residence
Date
2/23/2012
System Name
Casita
Floor Area
277
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
1
COIL COOLING
CFM Sensible
Total Room Loads 353 7,028
Return Vented Lighting o
Return Air Ducts 406
Return Fan 0
Ventilation o 0
Supply Fan 0
Supply Air Ducts 406
TOTAL SYSTEM LOAD 7,840
PEAK COIL HTG.
PEAK
Heating System
Latent CFM
Sensible
Output per System 15,100
6741 136
4,982
Total Output Btuh 15,100
Output Btuh/s h 54.6
190
Cooling System
0
Output per System 17,500
0 0
0
Total Output Btuh 17,500
674
0
Total Output ons 1.5
190
Total Output Btuhls ft 63.3
Total Output s ft[Ton 189.6
1 5,363
Air System
CFM per System
300
HVAC EQUIPMENT SELECTION
Airflow cfm
300
CARRIER 51QGB3183 13,159
1,797
9,431
Airflow ctm/s ft
1.08
Airflow cfmfron
205.7
Outside Air %
0.0%
Total Adjusted System Output 13,159
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK
1,797 9,431
Aug 3 PM Jan 1 AM
Outside Air cfm/s ft 0.00
Note: values above given at ARI conditions
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating Peak
26 OF 69 OF
Outside Air Ar
0 cfm Supply Fan
300 cfm
69 OF
69 OF 105 OF
Heating Coil
104 OF
J ROOM., .
70 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak
112 / 78 OF 76163
1110
Outside Air
0 cfm
76/63°F
.4
OF 76 / 63 OF 55 / 54 OF
0 � -
c
Supply Fan Cooling Coil 56 / 54 OF
300 cfm
48.7% ROOM `-
75/62°F
3 .4
EnergyPro 5.1 by EnergySoR User Number: 2655 RunCode: 2012-02-23T17:20:23 ID:
Page 11 of 11