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04-3479 (SFD)P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760)777;7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Qty Unit Charge 'Per BASE FEE Extension 15.00 BUILDING PERMIT Application Number . . . . . 04-00003479 Date 4/15/04 Property Address . . . . . . 78915 DULCE DEL MAR APN: 643-100-033- - - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 186448 Owner ;:- Contractor BT DEVELOPMENT COMPANY BT DEVELOPMENT COMPANY`, INC.. 30342 ESPERANZA 30342 ESPERANZA RANCHO SANTA MARGARITA, CA RCH SANTA MARGARITA CA 92688 RCH SANTA MARGARITA CA 92688 (949) 888-7141 WCC: STATE FUND WC: 1567447 11/02/04 CSLB: 821545 07/31/05 CCC: B -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Other struct- info . . . . . CODE EDITION 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 625.00 PATIO SQ FTG 376.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2958.00 --------------------- ------------------------------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc , Permit Fee . . . . 944.00 Plan Check Fee .613.60 Issue Date . . . . 10/29/03 Valuation . . . . 186448 Qty Unit Charge Per Extension BASE FEE 639.50 87.00 3'.5000 THOU BLDG 100,001-500,000 304.50 ---------------------------------------------------------------------------- Permit . . . . . MECHANICAL Additional desc Permit Fee . . . . 90.00 Plan Check Fee 22.50 Issue Date . . . . 10/29/03 Valuation . . . . 0 Qty Unit Charge 'Per BASE FEE Extension 15.00 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O y— -3L(77 Applicant: Applicant's Mailing Address: Date: y' r5 - b y Architect or Engineer: —� KF-y/.y 6 Dt�MoA✓l Architect or Engineer's Address: ao 3 a/ &sA-4,✓i,4 tl1,4 ycAo -.5-' Lic. No.: —G SS V n 31 BUILDING PERMIT DECLARATIONS 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 Class �U Date �/.)CV14Contracto OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 penally of not more than rive hundred dollars ($500).): V 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 properly who builds or improves thereon, and who does the work himself or herself or 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.). U 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 theieon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U 1 am exempt under Sec. , B.8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to selt4nsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this pernit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance o1 the work for which this permit is issued. My vv rkers' compensation insurance prier and_policy number are: Carrier Policy Number _/S6 y�h�7 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Date T Applicant 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. 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.). Lenders Name "L Lenders Address A/, Ale, 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 corecL I agree to o r*ty all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon bo ntioned rty for inspection purposes. Date Signature (Applicant or Age NJ y Application Number . . . . . 04-00003479 Page 2 Date 4/15/04 Qty Unit Charge Per Extension 2.00 9.0000 EA MECH FURNANCE <=100K 18.00 2:00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ------7--------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit'Fee . . . . 146.03 Plan Check Fee .36.51 Issue Date . . . . 10/29/03 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2958.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 103.53 625.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.50 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ----------------------------- Permit ... . . . . ----------------------------------------------- PLUMBING Additional desc Permit Fee . . . .207.75 Plan Check Fee 51.94 Issue Date . . . . 10/29/03 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 21.00 6.0000 EA PLB FIXTURE 126.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 2.00 6.0000 EA PLB ROOF DRAIN 12.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER'SYSTEM 9.00 7.00 .7500 EA PLB GAS PIPE >=5 5.25 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Permit . . . . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 126.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge "Per Extension BASE FEE 126.00 ----------------------------------------------------------------------------- Permit . . . . . . GRADING PLAN CHECK a Page. 3 Application Number . . . . . 04-00003479 Date 4/15/04 Additional desc Permit Fee . . . . .00 Plan Check Fee 30.00 Issue Date 10/29/03 Valuation 0 ---------------------------------------- Special Notes and Comments ----------------------------------- SFD - 2958 S'.F. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER --RES 366.00 ENERGY REVIEW FEE 61.36 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE 00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 18.64 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ---------- Paid Credited Due ----------------- Permit Fee Total 1513.78 ------------------------------ .00 .00 1513.78 Plan Check Total. 754.55 750.00 .00 4.55 Other Fee Total 2485.00 .00 .00 2485.00 Grand Total 4753.33 750.00 .00 4003.33 Ou MONT ENGINEERING Consulting Engineers November 3, 2004 Tom Hartung Building Official City of La Quinta Building Department P.O. Box 1504 La Quinta, CA 92253 Re: Site Observation ,74-195 Dulce del Xbr Dear Tom: Per your request, Du Mont Engineering is providing you this letter as an official indication of my site observations of the structural framing for the project mentioned above. It appears that the structural framing complies with the approved construction documents except as noted. Du Mont Engineering has listed the unacceptable findings as follows: 1. No diaphragm blocking. Du Mont Engineering, Inc: has reviewed the City approved calculations and finds item 91 acceptable. If you have any questions or need further information regarding the contents of this letter, please contact this office. Sin r ly, Kevin Du Mont, P.E. Principal ;C Cc: Bill Bowermaster, Developer Mark Trudeau, Developer 30386 Esperanza, Suite #100 Rancho Santa Margarita, CA 92688 Telephone (949) 709-5300 Facsimile (949) 709-5380 Date 4/15/04 No. 25798 Owner BT Development Address city Zip Tract # Type Single Family Residence CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 Lot # No. Street Unit 1 78915 Dulce Del Mar Unit 2 Unit 3 Unit 4 Unit 5 APN # Jurisdiction Permit # Study Area No. of Units S.F. Lot # No. 2958 — Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 BERMUDA DUNES C/) RANCHO MIRAGE INDIAN WELLS PALM DESERT LAQUINTA 10- INDIO 1-1*'(7- 0 643-100-033 La Quinta 1 Street Comments Certs #25797 and 25798 used for Teller's Check #5398462305 in the amount of $13.251.84 S.F. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 2,958 S.F. or $6,625.92 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By TC=orld Savings - Mark Trudeau Check No. 539 846230 5 Name on the check Telephone 949-350-8647 Funding Residential By Dr. Doris Wilson Superintendent Fee collected 1,e,"mpted by Sharon McGilvrey Payment Recd $6,625.92 Over/Under Siinature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above Will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the DistrictCs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting R2CORDING REQUESTED BY: ORANGE COAST TITLE CO. WHEN RECORDED MAIL TO: BT DEVELOPMENT CO. INC. BY: MARK E. TRUDEAU 29851 Aventura ICI Rancho Santa Margarita,Ca.92688 _SPACE DOC," 2003_8S037S 10/28/2003 08:OOA Fee:40.00 Page I of 2 Doc T Tax Paid Recorded in Official Records County Of Riverside Gary L. Orso Assessor, County Clerk & Recorder � 111111111111111111111111111*111111111111111111111111111 M S T PAGE ' SIZE DA PCOR R .-F I W... Riverside County personally known to me (or proved to me on the basis y comm. Expires Jul 2:4,2007 of satisfactory evidence) to be the person(s) whose Lf bEg> A R L 11 that by his/her/their signature(s) on the instrument LOOz'jq Inr sojldx3,wwo:) AVy REFUND I NCHG pers6n(s), acted, executed the instrument. 01woliloo - ollqnd AjojoN 2 The undersigned Grantor(s) declare(s): Documentary transfer tax L is $ 346.50 P ASSESSOR IS PARCEL NO.: 643'-100-040(X)- Signature—n-�-�' computed on full value of property conveye FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged - ANTHONY REED, TRUSTEE hereby GRANT(S) to BT DEVELOPMENT CO. INC. A CA. CORP. The following real property in the La Quinta, Riverside County, State of California:. described as: Parcel 1 and 2 of Parcel Map No. 31599 recorded in Book 227 pages 77-85 inclusive of Parcel Maps, Records of Riverside County, Ca., Date: October 16, 2003 '? A-aal 'ZA�a ANTHON-i-IREED, TRUSTEE STATE OF CXLIFORNIA COUNTY OF k.AQ 7,ZCJ-& On I C3 -- *Z_ Z- – C),�s —before me the undersigned, G R A N T JUDITH ROGERS i0mcommisslon#11426872 I Notary Public - C0111IOMIG Riverside County personally known to me (or proved to me on the basis y comm. Expires Jul 2:4,2007 of satisfactory evidence) to be the person(s) whose Lf bEg> A R L 11 that by his/her/their signature(s) on the instrument LOOz'jq Inr sojldx3,wwo:) AVy REFUND I NCHG pers6n(s), acted, executed the instrument. 01woliloo - ollqnd AjojoN 2 The undersigned Grantor(s) declare(s): Documentary transfer tax L is $ 346.50 P ASSESSOR IS PARCEL NO.: 643'-100-040(X)- Signature—n-�-�' computed on full value of property conveye TITLE ORDER NO.: R-230801-1 computed on the full value less liens or ESCROW NO.: 231552JR encumbrances remaining at the time of sale FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged - ANTHONY REED, TRUSTEE hereby GRANT(S) to BT DEVELOPMENT CO. INC. A CA. CORP. The following real property in the La Quinta, Riverside County, State of California:. described as: Parcel 1 and 2 of Parcel Map No. 31599 recorded in Book 227 pages 77-85 inclusive of Parcel Maps, Records of Riverside County, Ca., Date: October 16, 2003 '? A-aal 'ZA�a ANTHON-i-IREED, TRUSTEE STATE OF CXLIFORNIA COUNTY OF k.AQ 7,ZCJ-& On I C3 -- *Z_ Z- – C),�s —before me the undersigned, Personally appeared Y, JUDITH ROGERS i0mcommisslon#11426872 I Notary Public - C0111IOMIG Riverside County personally known to me (or proved to me on the basis y comm. Expires Jul 2:4,2007 of satisfactory evidence) to be the person(s) whose & WWI 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 signature(s) on the instrument LOOz'jq Inr sojldx3,wwo:) AVy the person(s) or the entity upon behalf of which the �4uno:) eplueAld pers6n(s), acted, executed the instrument. 01woliloo - ollqnd AjojoN 2 zZom I # uo"Luwoo Samoa Huanr Witness my ha and official se 1. Signature—n-�-�' (This area for official notarial seal) MAIL TAX STATEMENTS TO: 29851 Aventura ICI, Rancho Santa,Margarita,Ca.92688 i�- Recorder GARY L. ORSO P.O. Box 751 COU ITY OF RBTERSIDE Riverside, CA 92502-0751 (909) 486-7000 �W ASSESSOR -COUNTY CLER-K-RE COP -DER NOTARY CLARITY Under the provisions of Government Code 27361.7, 1 certify under the penalty of perjury that the notary seal on the document to which this statement fis attached reads as follows: Name of Notary � UJI, �k R, Commission #.- 14 a (99? Place of Execution: CA -7- q' Date Commission Expires: .4-0-7 Date: Signature: ACR 186P-AS4REO (Est. 05L)003) 2 0 & 3 - 850 3 75 2 6" 0 111111 HIM 11111111111111111111111111111111111111 IN 10/28/ 2 0 of 2 8; 00A 10/29/2'003 10:50 17607770957 SCHLICK PAGE 02 IO-ZI-2003 00:54va Froffl-j V W-2MT 07603464349 T-901 P - 001 100Z F-043 LAKE LA ()UNITA ROMEOWNER ASsoculrioN C/O J & W MANAGEMENT P.O. BOX 13" PALM DZURT, CA 92261 (760) W-0349 September 10, 2003 BT DmvIoMent Co 29951 Avurtwo. Suite C Rancho Maprita, Ca 92689 Lots 211 & 212 Dear Mr. Bowtnnaster andTrudeau. The plans suboxitted to the Architct;wral Committee wwe reviewed and dismw�ed. The design for each lot hom was exunined along with the plan, layout and pad loc6tion on eacb lot DT Development submitzed mataial consisting of Sheet PSI Site Pla�; Shects Al and A2 Floor Plan-. and Sheets A3 and A4 Elcvaiions. In addiTion the ovnw submitted a color board for each parcel. Foundation details, Cran" Notes, Mding and Truss ProfdM Roof Fnuning tlan; Construction Details, Electrical Plan-, Meclmnit*l Plan; Plumbing, Ow Piping;.Gr%&Ag Plan Inibratation, Landscape plans and Dock Conidgumbon plans werc not sub6tted. Owner will submit those plans for approval at a later date. Tbc Architectural Conwittee hereby approves the plans as submitted. Final 20. is subjea w- detail plan oubvission. Youravuly, LaIwLaQuinta Azvhit*OWW Committee MSED DESIGN ENGINEERS ENERGY CALCULATIONS RESIDENCE 78-915 Dulce Del Mar La Quinta, CA CITY 0 F LA CjUIN—TA Prepared By; BUILDING & SAFETY DEPT, MSED Design Engineers APpR PO Box 3115 OVED. Cerritos, CA 90703 FOR CONSTRU D 160 ATJ�� 37TION 115 Ffg - M PC '-Z' I V, r CERTIFICATE OF COMPLIANCE: RESIDENTLAL i MWEIMIA Compliance (Package or Computer) Climate Zone ge I of 3) CF -1R 0)-n ,te Building Permit # Plan Check / Date Field Check / Date GENERAL INFOR�TION Average Ceiling Height: ft Total Conditioned Floor Area M-17 ft2 Conditioned Slab Floor Area �=ft2 Building Tvne: Sihgle Family Addition (check one or more) Multi -Family Existing -Plus -Addition Front Orientation: jl��N�orth outh / East / West / All Orientations Number of Stories \-jjaput-%Tont orientation in degrees from True North and circle one) Number of Dwelling Units: I Floor Construction Type: /410atFaised Floor (circle one or both) RADIANT BARRIER (required in climate zones 2, 4, 8-15) Required for this submittal— yes _no BUILDING ENVELOPE INSULATION Ox JAtTdrD -* -2 Component Frame Type Cavity Sheathing Total R- Assembly Location/Comments Type wd = wood - Insulation Insulation Value' U -Factor' (attic, garage, typical, etc.) stl = steel R -Value R -Value Wall C) 7T YTPPTf?�; Wall I Roof cj-f 172: IVFiGpl— Roof Floor Floor I Slab Edge I 'For prescriptive compliance, Total R -Value and Assembly U -Factor are not rgquired for a wood -framed wall that meets cavi!y R-yalu insulation rgguirements for the Prescriptive Package. FENESTRATION 9hadinp, Df-virti-q Compliance Forms ' August 2001 A-2 i - CERTIFICATE OFCOMPLIANCE: RESIDENTIAL (Page 2 of 3) CF -1R Prcj ect 1�2-W-d5 Date HVAC SYSTEMS Note: Input hydr6nic or combined hydronic data under Water Heating Systems, except Design Heating Load. Heating Equipment Type (furnace, heat pump, etc.) Minimum Efficiency (AFUE or HSPF) Distribution Type and Location �ducts, atticoetc.) Duct or Piping R -Value Thermostat Twe, Heat Pump Configuration (sglit or package) MylkA17-- eo�v LIM fliffm 4-2 Cooling Equipment Minimum Duct Heat Pump Type (air conditioner, Efficiency Location Duct Thermostat Configuration heat pump, evap. Cooling) (SEER) (attic, etc.) R -Value Type (split or package) 24LC /0-0 10M 4-2- <rE - bO,- !�ftiT— SEALED DUCTS and TXVs (or Alternative Measures El Sealed Ducts (all climate zones) (installer testing and certification and HERS rater field verification required) 0 TXVs, readily accessible (climate zones 2 and 8-15 only) (installer testing and certification and HERS Rater or field verification required) 0 Refrigerant Charge/Air Flow (climate zone's 2 and 8-15 only) (installer testing and certification and HERS Rater or field verification required) OR N(Altemative to Sealed Ducts and TXVs (see Package C or D Alternative Package Features for Project Climate Zone) Climate Zone Window SHGC Window U -Factor SEER Heating WATER HEATING SYSTEMS Energy' External ]iated- Tank Factor or Tank Water Heater Distribution Number Input (kw Capacity Recovery Standby' Insulation Type Type in Sxstem or Btu/hr) (gallons) Efficiency Loss (%) R -Value <;r— 4 25,CrIll 75 Q-4 I - For small gas storage water heaters (rated inputs of less than orequal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efficiencies. SPECUL FEATUR-ES (add extra sheets if necessary). Package C and D: TXVs, Sealed Ducts, Radiant Barriers (see installation requirements for radiant barriers in Section 8.13 of the 200 1 Residential Manual). Package C: thermal mass (thermal mass type, covering, thickness, and description). W!�t;jp� ov,� di 2 "� Compliance Forms August 2001 A-3 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Project COMPLUNCE STATEMENT V--alp-7 Date CF -1R This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts I 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. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. The undersigned recognize that compliance using duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business and Professions Code) Name: Fitle: Agency: Telephone: (signature / stamp) (date) Documentation Author Name: Vc� Title/Firm: t-t� 11,A aa --Q Address: t CA Telephone: (signature) (date) Compliance Forms August 2001 A-4 MANDATORY MEASURES CHECKLIST: RESIDENTIAL(Page I of 2)MF—lR Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in.the documents or on Us checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if notapplicabl6. DESCRIPTION -DESIGNER ENFORCEMENT Building Envelope Measures: * §150(a): Minimum R-19 ceiling insulation. § 150(b): Loose fill insulation manufacturer's labeled RNalue. * §150(c): Minimum R- 13- wall insulation in wood framed walls or equivalent U -Factor in metal frame walls (does not apply to exterior mass walls). * § 150(d): Minimum R -I 3 raised floor insulation in framed floors. § 150(l): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no givater than 2.0 perm/inch. § I 18: Insulation specified or installed meets insulation quality standards. Indicate type and form. § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Extiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field -fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and scaled. § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only, § 150(0: Special infiltration barrier installed to comply with § 151 meets Commission quality standards. § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control "Z c. Flue damper andcontrol 2. No continuous buming gas pilot lights allowed. Space Conditioning, Water Heating and Plumbing System Measures: § 1.1 0-� 113: RVAC equipment, water beaters, showerheads and faucets certified by the Conunission. § 150(h): Hearing and/or cooling loads calculated in accordance'with ASHRAE, SMACNA or ACCA. 1/1� § 150(i): Setback thermostat on all"applicable heating and/or cooling systems. § 1500): Pipe and tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistan cc of R- 12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks bave R -I 2 external insulation or R -I 6 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections'of hot water systerns. 5. Cooling system piping below 55* F insulated. 6. Piping insulated between heating source and indirect hot water tank. January 4, 2001 MANDATORY MEASURES CHECKLIST: RESIDENTIAL(Page 2 of 2)W—IR Note: Lowrise residential buildings subject to.the Standards must contain these measures regardless of the * compliance approach used. Items marked with an asterisk (#) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When Ws 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. Instructions: Check of initia] applicable boxes Wheh'co'mpleted or enter N/A ifnoi 'applicable. DESCRIPTION DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) § I 50(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirement of the 1998 CMC Sections 601, 603, 604, and Standard 6-3; ducts insulated to a minimurn installed level of R4.2 or enclosed entirely in conditioned space. Openings shall be. sealed with mastic, tape, aerosol sealant� or other duct -closure . system that meets the applicable requirements of UL 18 1, UL 181 A, or UL 18 1 B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned -air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fan systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.- § 114: Pool and Spa Heating Systems and Equipment. 1. System is certified with 78% thermal efficiency� on-off switch, weatherproof bperaring 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 funire 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 central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Brulhr) Lighting Measures: §.150(k)].: Luminaires for geneW lighting in kitchens sh" have lamps with an efficacy of 40 lumenstwart or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily acc ible.lighting control panel at an entrance to the -kitchen. 150(k)2.: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 himens/watt or greater switched it the entrance to the room or one of the alternatives to this ul� I regidrement allowed in § 150(k)Z.; and recessed ceiling fixtures are IC.(insWation.cover) approved. - . - January 4, 2001 2001 Building Energy Standards Page 1 4 8 TABLE I-ZI5—ALTERNATIVE COMEPONENT PACKAGES FOR CLEVIATE ZONE 15 PACKAGE" COM[PONENT C1 D BUILDING ENVELOPE Insulation minimums 2 Ceiling R30 R3 8- R49 R38 Wood -frame walls R19 Rig- R29 R21 "Heavy mass" walls MA C\ �./ NA (R4.76) "Light mass" walls [R6.0] NA NA Below -grade walls NA NA NA RO Slab floor perimeter Raised floors R-7 R0 R; RW R7 R21 NR 2 R19 4Concrete raised floors �1� 4 NA R4 Radiant Barrier REQ GLA23NG Maximum U-A&efactor' 0. 0.66 0.40 0.65 Maximum- total area MmAffiwft tow fieftseuth fikeing aFee Mif� seuth-fiwift� 1�w 9.6% 16%. �Ia IQ- 16% lk ---NR 16% �a ----NR SOLAR HEAT GAIN COEFFICIENT4 South -facing glazing 046 045 0.40 0.40 West-faciiig glazing '946 0.15 0.40 0.40 East-facizig glazing �R -T� 0.40 0.40 North -facing glazing ---NR ---NR ��W.40 THERMAL MASS' MQ ____NR REQ NR Geetilluetts baffier- Air -4e air- heat elEehffil9ff �UR_ --NR MQ. R:EQ -Tk -----NR Ila ----NR SPACE -HEATING SYSTENe Electric-resistaht allowed' No XT-, Ye S7 No If gas, AFUE = 789; ;89; 78% MIN If heat pump, split system HSPF' 6.8 6.8 6.8 MI N Single. package system HSPF — 6.6 MI N SPACE -COOLING SYSTEM If s . plit system A/C, SEER = i0.9 10.0 MI N Refrigerant chage and airflo measurement or Thermo8tatic REQ REO* Mansion valve If single package A/C, SEER .-9-.; ____94 9.7 MIN SPACE CONDITIONING DUCTS Duclgoling RE REQ* DOMESTIC WATER -HEATING TYPE System must meet budget, see A_wy Ainy Any� Any Section 1,51 Q2) 1 and (f) 9J8 _�A__Sali alternative under Package D. alazinLy with a maximum 0.40 11 -factor and maximum 0.30 Solar Heat Gain Coefficient, and.a. 13.0 SEER §pace -cooling system can be substituted for duct sealiniz and ei refrigerant charge and airflow measurement or a thermostatic URansion valve. All other requirements of Package D must be met. Legend: NR = Not Required NA = Not Applicable j JJ� 11 REQ =-- Required MIN = Minimum See notes following Table 1-�Z16 Za-T YIPM 14 11 ue)4 -� 194 �. Table. 3-4: Water Heating Systems that Meet Package Requirements'! One Water Heater - No Auxiliary Credits One Water Heater - Solar Credits 3 3 Water Distribution Recire Systems Water Distribution Heater Energy HWR Pipe No Temp/ Demd/ Heater Energy HVVR Pipe Type 2 CZ Factor 'STD POP Insul Ctrl Timer Temp Type 2 CZ Factor STID POU Insul Recirc Systems No Temp/ Oemd/ Ctrl Timer Temp. SG50 All 0.53 y4 Y Y N 4 N Y SG50 All 0.53 Y Y Y Y Y 0.63 Y Y Y N Y Y 0.63 Y Y Y Y Y Y 0.73 Y Y Y Y Y Y 0.73 Y Y Y Y Y Y QG7 All N Y N N N N SG75 All 0.48 Y Y Y Y Y Y 0.58 Y Y Y N N Y 0.58 Y Y Y Y Y Y 0.68 Y Y Y Y Y Y 0.68 Y Y Y Y Y Y SE All 0.87 N N N N N N SE All 0.87 N Y Y N N Y 0.93 N N N N N N 0.93 Y Y Y N N Y IGO All 0.80 Y Y Y IG All 0.80 Y Y Y IE All 0.93 N N IE All 0.93 Y Y H 1,14 1.80 Y Y Y N N Y HP 1,14 1.80 Y Y Y Y Y Y 2.20 Y Y Y N Y Y 2.20 Y Y Y Y Y Y 2.60' Y Y Y Y Y Y 2.60 Y Y Y Y Y Y HP 2-5,12 1.80 Y Y Y N N Y HP 2-5.12 1.80 Y Y Y Y Y Y 2.20 Y Y Y N Y Y 2.20 Y Y Y Y Y Y 2.60 Y Y Y Y Y Y 2.60 Y Y Y Y Y Y HP 6-11 & 1.80 Y Y Y N N Y HP 6-11& 1.80 Y Y Y Y Y Y 13.15 2.20 Y Y Y ;:Y Y Y 13,15 2.20 Y Y Y Y Y Y 2.60 Y Y Y Y Y Y 2.60 Y Y Y Y Y Y HP 16 1.80 N N N N N N HP 16 1.80 Y Y Y N N Y 2.20 N N N N N N 2.20 Y Y Y N Y Y 2.60 Y Y -Y N N Y 2.60 Y. Y Y Y Y Y f Two Water Heaters - No Auxiliary Credits Two Water Heaters - Solar Credit SG50: All 0.53 N N N N N N SG50 All 0.53 Y Y N N Y 0.63 Y Y Y N N Y 0.63 Y Y Y Y Y Y 0.73 Y Y Y Y N Y 0.73 Y Y Y Y Y Y SG75- All 0.48 N N N N N N SG75 All 0.48 N N N N N N 0.58 N Y N Y Y 0.58 Y Y Y Y Y Y IE All 0.93 N N IE All 0.93 Y' Y HP 1,14 1.80 N N N N N N HP 1,14 1.80 Y Y Y N Y Y 2.20 Y Y Y N N Y 2.20 Y Y Y Y Y Y 0.68 Y Y Y N Y Y 0.68 Y Y Y. Y Y Y SE All 0.87- N. N IN N N N SE All 0.87 N Y Y N N Y 0.93 N N N N N N 0.93 Y Y Y N N Y IG6 All 0.80 N N N IG All 0.80 Y Y Y 2.60 Y Y Y N Y Y 2.60 Y Y Y Y Y Y HP 4,5,12 1.80 N Y N N N Y HP 2-5,12 1.80 Y Y Y Y Y Y' ..2,20. Y Y Y N N Y 2.20 Y Y Y Y Y Y 2.60- Y Y Y 'N N .2.60 'Y Y- 'Y Y'- -Y Y H P 611 1.8.0 -N Y Y N . N Y - HP. -:6-11 A 1.80 Y Y Y N Y Y % 13.15 2.20 Y Y Y N Y Y 13.15 2;20' Y Y Y Y Y Y 2.60 Y Y Y Y Y Y 2.60 Y Y Y Y Y Y HP 16 1.80 N N N N N N HP 16 .1.80 N N N N N N 2.20 N N N N N N 2.20 N Y N N' N N 2.60 N N N N N N 2.60 Y Y Y N N Y NOTES - I . The water -heating systems listed here have been pre -calculated to determine compliance with the water -heating budgets (see Note 4). See Chapter 6 for the complete method, including definitions and installation criteria for all system components. NOTE: All storage tank water heaters with less than 0.58 energy factor are assumed to, have R-12 external tank insulation. This insulation Is a mandatory requirement for storage tank water heaters with an energy factor between 0.63 and 0.579. Notes for Table 3-4 continued on next page Prescriptive Packages July 1, 1999 3-21 PROPOSED CONSTRUCTION ASSEMBLY: RESIDENTIAL FORM 3P Project Title ProjectAddress Documentation. Author Assembly Name Sketch ot Froposed Construction Assembly List of Construction Components Telephone. Assembly Type: (check one) 'Date Building- Permit Plan Check./ Date Field Check / Date Enforcement Agency Use Only Floor Wall Ceiling/Roof Framing Material: Outside Surface Air Film 0-110 2. 0 - I I 1�1 Framing Size: 6) - 0&0 x 4 - Zrl .1 e, f Framing Spacing: 4. inches on center(" o.c.) :Framing Percentage (Fr.%): 01;-1— 22 t2l- 6. (check one) Wall: 15% (16" o.c.) 12% (24" o.c.) 9% (48" o.c.) Floor/Ceiling: 10% (16" o.c.)` 7% (24'� o.c.) '4% (48" o.c.) Wall Weight sf. (Pat kages only) Inside Surface Air Film Total Unadjusted R -Values: R -Value Cavity (Rc) Outside Surface Air Film 0-110 2. 0 - I I 1�1 0 - I lt� 6) - 0&0 3. Zrl .1 e, f �.A L, 4. 45) 141:� 0 &171 415ic> 5. 0-050 e4xe. 01;-1— 22 t2l- 6. 7. Inside Surface Air Film Total Unadjusted R -Values: R -Value Cavity (Rc) Frame (Rf) 0-110 0,110 0 - I I 1�1 0 - I lt� 6) - 0&0 _eq - 6- 00 45) 141:� 0 &171 415ic> Framing Adjustmerit Calculation: x x ( 19S,11019 A V + - a L9 I - Rc I -(Fr.% . 100) I—Rf Fr.% _� 100 July 1, 1999 &&0 0.6,60 sbs _r�,Ocw Rc Rf 1/0, 066 , = I + Total U -Value 0106L I Total U -Value, 11,5&4 - Total R -Value PROPOSED CONSTRUCTION ASSEMBLY: RESIDENTIAL FORM 3R Project Title .'Date Project Address Documentation Author AssemblyName. List of Construction Comoonents Telephone Assembly Type - (check one) I Framing Material: Building Permit # Plan Check Date Fi eld Check / Date Enforccme6t Agency Use Only Floor Wall Ceiling/Roof Framing §ize: x 0, 1-7 0 3. Framing Spacing: inches on center (" o.c.) :5, c�O 064-1-Cf� Aiie— Framing Percentage (Fr.%): .5. 00 t �4 ,;, w L, (check one) Wall: 15% (16" o.c.) 12% (24" o.c.) e-? 9% (48" o.c.) Floor/Ceiling: 10% (16" o.c'.) 7% (24" o.c.). 4% (48" o.c.) Wall ' Weight'/ sf- (Packages only) 2. Outside Surface Air Film —_e2t,04n, ?h-, 0, 1-7 0 3. 0 0 4. :5, c�O 064-1-Cf� Aiie— 1� J2,6, C-6 .5. 00 t �4 ,;, w L, 6. -�2 -k en 7. 8. e-? G V Inside Surface Air Film Rc Rf Total Unadjusted R -Values: R -Value Cavity (Rc) Frame (Rf) 0, 1-7 0 011,10 0.0(,o 0 - 4"Zo 00 0. b0c) e-? G V 1ZG-601G; Rc Rf Framing Adiustment C21culation: x + x I —Rc I - (Fr.% — 100) 1 Rf Fr.% 100 I — Total U -Value July 1, 1999 0 - 0 -$I - Total U -Value Total R -Value 1�1i1-IJ-LUUJ FRI uo-(L Hlvl F. uuc THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN COIvIkORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24, STATE OF CALMORNIA, IN THE BUILDING LOCATED AT: SITE ADDRESS: 78-195 DULCE DEL MAR LA QUINTA, CA. aR WALLS — 2 X 4 MANUF'AC TUBER - CERTAR 'EED 'I`1TICKNESSrME — 5,5" FMERGLASS RI VALUE — R21 CEILINGS BATT: MANUFACTURER— CERTAINTEE)D T51CKNESSfME-12" FIBERGLASS R/VALUE R38 GENERAL CONMkCTOR: B.T.I)EVELOMEEM LICENSE # WSUT.ATION CONTRACTOR: GATEWAY RSrrLAMON, iNC_ LICENSE # 797001 BY TITLE: PR0Dj . -DATE, 5/12105 T Y L. PRODUCTION MGK CERTIFICATE OF FIELD VERIVIC:A11014 AND DIAGNUSTIC IES1-1Nli (rage 1 01 Project Title Date � �'�Ql S � V� I�Y174 �- �i4 Qy�r,4- 1rr,a�R►L TY�.� �C � Project Address YY1f�l� T�9-D�A�U Builder Contact T legpjhone Certifying Signature U Date Firm: - — NCB ' J Street Address: f be. t Copies to: Builder, HERS Provider Builder Na�N C , Plan Number Sample Group Number Sample House Number HERS Provider: Cr4(t�CXX� City/State/Zip: ( A 1=1c HERS RATER COMPLIANCE STATEMENT The house was: /�- Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of CF-6R (Installation Certificate. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) ❑ Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) � S� I GEC, S �� 2 1t Measured Duct Pressurization Test Results (CFM @ 25 Pa) values C Test Leakage Flow in CFMjd�� -- y _ If fan flow is calculated as 400c1in/ton x number of tons enter calculated value here If fan flow is measured enter measured value here s^ Leakage Percentage (100 x Test Leakage/Fan Flow) Check Box for Pass or Fail (Pass% or less) ❑ THERMOSTATIC EXPANSION VALVE ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF-1R and design on plan. 2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF-1R. Measured Fan Flow = Yes for both 1 and 2 is a Pass q�C Fail ❑ ❑ Pass Fail ❑ ❑ Pass Fail Compliance Forms August 2001 A-16 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 2 of 7) CF-4R C?1 s u i., U ^'A - Site Address Permit Plumber REFRIGERANT CHARGE AND AIRFLOW MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves � �� C Outdoor Unit Serial # D 7IL 7 O Location 5[Z� Outdoor Unit Make g"J"t- Outdoor Unit Model m ye Cooling Capacity Btu/hr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (.[Dr— (must be checked monthly) Standard Char a and Airflow Measurement outdoor air -bulb 55 OF and above : Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF-6R before starting this procedure. If outdoor air dry-bulb is below 55 OF rater shall return to verify charge and airflow at a time when temperature is 55 °F or greater. ❑ Yes ❑ No A copy of CF-GR (Installation Certificate) has been provided th refrigerant charge an airflow measurement documented. �— Measured Temperatures 7S Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator en(ering) air dry-bulb temperature (Tretum, db) WOF Return (evaporator entering) air wet -bulb temperature (Tretum, wb) 62, OF Evaporator saturation temperature (Tevaporator, sat) C,0 OF Suction line temperature (Tsuction, db) � of Condenser (entering) air dry-bulb temperature (Tcondenser, db) 7%1_ °F Superheat Charge Method Calculations for Refrigerant Charge Actual Superheat = Tsuction, db — Tevaporator, sat OF Target Superheat (from Table 1) of Actual Superheat — Target Superheat OF (System passes if between -5 and +5°F) Temperature Split Method Calculations for Adequate Airflow Actual Temperature Split = T return, db - Tsupply, db Z /— OF Target Temperature Split (from Table 2) OF Actual Temperature Split - Target Temperature Split OF (System passes if between -30F and +3°F or, upon remeasurement, if between -30F and -25°F) Standard Charge and Airflow Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated System Passes /< Yes or no Compliance Forms v Q August 2001 o,0y0s 2_ A-17