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12-0444 (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: -------------------------------------------------- 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 t s: B C20 License No.: 878070 g r ZI ate: ^� 06ntractor. 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 thereqn, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason 12-000004-44' 5fi585`'EL'�DORADO DR 777 -350 -011 - ADDITION - RESIDENTIAL LOW DENSITY RESIDENTIAL 10423 wityl 4 4 Q" Architect or Engineer: alA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). ' Lender's Name: Lender's Address: LQPERMIT Owner: TOKARSKI LAWRENCE E VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/05/12 Contractor: NICOL CONSTRUCTION CO 67851 OCOTILLO TRAIL DESERT HOT SPRINGS, CA 2 41 JUL 05 2012 (760)567-0397 Lic. No.: 878070 CITY OF LA QUINTA RWINCE DEPT. ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation irisurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workerscompensation insurance carrier and policy number are: Carrier CNCLD/ST. FUND Policy Number 1960869-2012 I certify that, in the performance of the work for which this permit is issued, 1 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 ofthe abor C shall forthwith comply with those provisions. o6te: / plicanC -� WARNING: FAILU E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 oof/e)U ttis county to enter upon the above-mentioned property f inspection pur oses. Date:?��nature (Applicant or Agent): Application Number . . . . . 12-00000444 ------ Structure Information 129SF ADDITION/VB/RS-3/CLASS A -FR [ENG] ----- Other struct info . . . . . CODE EDITION 2010 # BEDROOMS 1.00 FLOOD ZONE NO ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 129.00 Permit ELECT --ADD/ALT/REM Additional desc . . Permit Fee . . . . 19.52 Plan Check Fee 4.88 Issue Date . . . . Valuation . . 0 Expiration Date 1/01/13 Qty Unit Charge Per Extension BASE FEE 15.00 129.00 .0350 ----------------------------------------------------------------------------- ELEC NEW RES - 1 OR 2 FAMILY 4.52 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 126.00 Plan Check Fee 81.90 Issue Date . . . . Valuation . . . .. 10423 Expiration Date . . 1/01/13 Qty Unit Charge Per Extension BASE FEE 45.00 9.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 81.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date-. 1/01/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST-/ DUCT -ALT .4.50 1.00 6.5000 ----------------------=----------------------------------------------------- EA MECH VENT FAN 6.50 Permit PLUMBING Additional desc . . Permit Fee . . . . 36.00 Issue Date . . . . Expiration Date . . 1/01/13 Qty Unit Charge Per LQPERMIT Plan Check Fee . . 9.00 Valuation . . . . 0 Extension 40 P LQPERMIT Application Number . . . . . 12-00000444 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension BASE FEE -15.00 3.00 6.0000 EA PLB FIXTURE 18.00 1..00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments 129SF ADDITION/VB/RES-3/CLASS A -FR [ENGINEERED] THIS PERMIT DOES NOT INCLUDE BLOCK WALLS. 2010 CALIFORNIA BUILDING CODES. June 28, 2012 9:58:11 AM AORTEGA --------------------- -------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 8.19 STRONG MOTION (SMI) - RES 1.04 Fee summary. Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 207.52 .00 .00 207.52 Plan Check Total 102.28 .00 .00 102.28 Other Fee Total i0.23 .00 .0.0 10.23 Grand Total 320.03 .00 ..00 320.03 P LQPERMIT Bin n O ®f . � 1 _ Battdltjg at• Safety DW&i Dermic # P.O. Box 1504,'78-495 Cane Tamplco IX 4.Qulnta, CA 92253 {760} 777-7012 Building Permit Application, and Tracking Sheet Project,tlddtrss: `•J p (, �• thttnet`s Name:. '� . A. P. Number. ' 35 •O I Address: - L� Legal Description: City, ST, Zip: - � Address: Pmjw4Desctiption: City, 3T, Zip, Q Telephone: State Lia #: City Lia il; �,EW..5 0 - ITelephonc# 115 WQ f"105 I ST,p: J ...:........... O • © Construdion'Ij�pe:.p�eY: 17 : Pmjcct type (circle one): New d' Alter Repair Demo ellar i Person: Sq. FL: 2 # Stories: # Univ: # of Coutect Person: Estimated Value of Project �l'1 p ►G APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Wd Recd TRACMG PER?drrFBES- Pias sets Pias ffitcksabmitted ' Item r Amount stmcht al CoIcs. C�l Reviewed, ready for corrections PLro CheeicDcposit, . Truss Cala. Called Coubmt Person Pisa Check lWance. 'Dde24 Qdca. Plans plaid up ��/O Constractloff Flood piaim pian Plans resubmitttd.. �')' Meebaaical Giading plan Fdeetrieal 2`� Review, ready for correctionE Subcoatactor14vt �f Called ContactPeraon bZ Plumbing Granl Dred Plant picked up S IRLL H.O.A. Approval Plans mubmitted Gradtag * 1 xOUsR.. ''` Reytew; ready for eorrections/issne Devdoper impact Fee PlanalnB Approval. Calted Contact Person .p ~A�•LE.P- Pub. Wks. Appr • Date of permit Issuc i'► School Fees t Tota! Permit Fees 7 - z 5- 8 R2 1% tad. - 6 -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: COMMAND. AMOUNT: DATE: RECEIPT: CHECK A: [INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Mountain Uiew Country Club, Date: July 5, 2012 Owner's Name: Larry Tokarski Phone No. Project Address: 51-585 El Dorado, LaQuinta, CA 92253 Project Description: Addition to existing SFD APN: 777-350-011 Tract #: Type of Development: Residential XX Total Square Feet of Building Area: Commercial 129 Lot #'s: Industrial 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: July 5, 2012 Signature: *********************************1************************************** 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 17620 65995 Number of Sq.Ft. 129 Amount per Sq.Ft. $0.00 Amount Collected $0.00 Project Agreement Existing Not Subject to Fee Approval Prior to 1/1/87 Requirement Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Note: Pursuant to AB 181 any room additions or enclosures of 500 sq. ft. or less are exempt from developer fees. Any mobile homes being relocated within the same school district's jurisdiction are exempt from developer fees. Certificate issued by: Laurie Howard, Secretary Signature: 4a_4�_4 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. 'IV:c/mydocs/devfecs/certillcate of compliance form updated 3-2007 11/2010 JUN/Zb/ZU1Z/'1'hU IU;UI AM The Moiidr,ch Group . PAA K /bU Pb b111 f. LIN The Management Trust .�� MONARCH GROUP DIVISION June 28, 2012 LE TOKARSKI PO BOX 2900 WILSONVILLE, OR 97070 RE: Architectural Submittal for 51585 EL DORADO DRIVE Account ;4x401528 Dear Homeowner. The Architectural Review Committee for MOUNTAIN VIEW HOA has reviewed and APPROVED your architectural submittal for the Utstallation of a 129 sq.ft Addition to the home, per the plans submitted.) have also included the Notice of Completion form to be filled out and turned In when the job is completed. With the following conditions: If there 4s any changing to the exterior materials or color to advise us through an additional Architectural Application. All construction must commend within 120 days pt this approval letter. If construction has not been commenced within the 120 days, such approval shall be deemed withdrawn. ARC approval of plans shall not constitute s representation, warranty, or guarantee that such plans and specifications comply with engineering design practices or zoning and building ordinances, or other governmental agency regulations or restrictions. The ARC shall not be responsible for reviewing,. nor shalt its approval of any plans or design, be deemed approved from the standpoint of structural safety or conformance with building or other codes. By approving such plans and specifications, neither the ARC, the Members thereof, the Association, any Member thereof, their Board of Directors, any Members thereof, or the Declarant assumes any liability or responsibility therefore or for any oefect in the construction or improvement from such plans or specifications. As provided in the CC&R's neither the ARC, the Association, the Board of Directors or the Associatlon or any Members thereof, not the Deelarent or Developer shall be liable to any Member, Owner, Occupant, or other person qr entity for any damage, loss or prejudice s uffered or claimed an account of (1) the approval or disapproval of any plans, drawings, or specificsitlons, whether or not defective, or (2) the construction or performance of any work whether oe not pursuant to the approved plans, drawings, or specifications. Your patience and cooperation with the architectural review process is appreciated. It you have any questions, please contact the association at (760) 776-6100, Extension 333. Sincerety, On behalf of the MOUNTAIN VIEW HOA Architectural Review Committee Heather Yslas i Assistant Manager Jamie Hansen The Management Trust • Monarch Group Division . Enclosures (1) CG: Board of Directors Unit Rio 39755 Berkey Drive, Suits A, Palm Dasert, CA 92211 C0NNE'C1'MFWPMMTmPMDMf58 PM. 7e0.770.5100 FAX 760.778.5111 www.manag ememvusLcom l:'d 2TT2L1LL09L1::01 SS6"SIS09L S1d3ON00 1S3N H1nos:wodi d62:0Z 2To2-s--1nr I BUILDING ENERGY ANALYSIS REPORT PROJECT: Tokarski Residence 51-585 EI Dorado La Quinta, CA Project. Designer: ,JUN 08 2012 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: 5/15/2012 dFF4Z IZ•au4 CITU F LA QUINTA BUILDING & SAFETY DEPT. 'APPROVED FOR CONSTRUCTION DATE 28 ial'L By The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. EnergyPro 5.1 by EnergySoft• User Number: 2655 RunCode: 2012-05-15T14:56:03 ID: I I TABLE OF CONTENTS I 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 1 2 3 10 13 EnergyPro 5.1 by EnergySoft Job Number: ID: User Number: 2655 1 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Tokarski Residence Building Type 0 Single Family ❑ Addition Alone ❑ Multi Family ® Existing+ Addition/Alteration Date 5/15/2012 Project Address 51-585 El Dorado La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 3,414 Addition 129 # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes 0 No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes El No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity fiz Features see Part 2 of 5 Status Slab Unheated Slab -on -Grade None 3,285 Perim = 125' Existing Wall Wood Framed R-13 959 Existing Roof Wood Framed Attic R-22 3,285 Existing Roof Wood Framed Attic R-30 129 New Wall Wood Framed R-13 646 New Slab Unheated Slab -on -Grade None 129 Perim = 26' New FENESTRATION U- Exterior Orientation Area ftz Factor SHGC Overhang Sidefins Shades Status Front (SE) 108.0 0.710 0.73 2.0 none Bug Screen Existing Left (SVM 20.0 0.710 0.73 2.0 none Bug Screen Existing Left (SW) 20.0 0.710 0.73 2.0 none Bug Screen Existing Left (SlAq 21.0 0.710 0.73 2.0 none Bug Screen Existing Left (SKO 46.7 0.710 0.73 2.0 none Bug Screen Existing Left (SW) 15.0 0.710 0.73 2.0 none Bug Screen Existing Rear (NKK 53.4 0.710 0.73 2.0 none Bug Screen Existing Rear (NVI9 53.4 0.710 0.73 2.0 none Bug Screen Existing Rear (NV19 53.4 0.710 0.73 2.0 none Bug Screen Existing Right (NE) 20.0 0.710 0.73 2.0 none Bug Screen Existing Right (NE) 30.0 0.710 0.73 2.0 none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 12.0 SEER Setback Existing HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status Living Zone Ducted Ducted Attic, Ceiling Ins, vented 4.2 Existing WATER HEATING Qty. Type Gallons Min. Eff Distribution Status Ener Pro 5.1 b Ene Soft User Number: 2655 RunCode: 2012-05-15T14:56:03 ID: Pa e 3 of 13 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF-1 R Project Name Tokarski Residence Building Type 0 Single Family ❑ Addition Alone ❑ Multi Family 0 Existing+ Addition/Alteration Date 5/15/2012 Project Address 51-585 El Dorado La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 3,414 Addition 129 # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes El No HERS Measures -- If Yes, A CF-4R must be provided per Part 2 of 5 of this form. ❑ Yes El No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity (ft) Features see Part 2 of 5 Status FENESTRATION U- Exterior Orientation Area ftp Factor SHGC Overhang Sidefins Shades Status Right (NE) 20.0 0.710 0.73 2.0 none Bug Screen New Front (SE) 24.0 0.710 0.73 2.0 none Bug Screen New Front (SE) 14.2 0.710 0.73 2.0 none Bug Screen New Right (NE) 16.0 0.710 0.73 2.0 none Bug Screen New HVAC SYSTEMS QtV. Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R-Value Status WATER HEATING Qty. Type Gallons Min. Eff Distribution Status Ener Pro 5.1 by EnergySoft User Number: 2655 RunCode: 2012-05-15T14:56:03 ID: Page 4 of 13 PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R Project Name Tokarski Residence Building Type ® Single Family ❑ Addition Alone 1 ❑ Multi Family ® Existing+ Addition/Alteration Date 5/15/2012 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. 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 -413 form for each of the measures listed below for final to be given. EnergyPro 5.1 by EnerqySoft User Number: 2655 RunCode: 2012-05-15T14:56:03 /D: Page 5 of 13 PERFORMANCE CERTIFICATE: Residential Part 3 of 5 CF -1 R Project Name Building Type 10 Single Family ❑ Addition Alone Date Tokarski Residence ❑ Multi Family m Existing+ Addition/Alteration 1511512012 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 3.63 3.89 -0.26 Space Cooling 117.43 117.02 0.41 Fans 25.34 25.26 0.08 Domestic Hot Water 11.66 11.66 0.00 Pumps 0.00 0.00 0.00 Totals 158.06 157.83 0.23 Percent Better Than Standard: 0.1% BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (SE) 135 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (SE) 720 146 Fuel Available at Site: Natural Gas (SK9 410 123 Raised Floor Area: 0 (Nuv) 580 160 Slab on Grade Area: 3,414 (NE) 410 86 Average Ceiling Height: 8.0 Roof 3,414 0 Fenestration Average U -Factor: 0.71 TOTAL: 515 Average SHGC: 0.73 Fenestration/CFA Ratio: 15.1% 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. e75115/2012 144L— Address 77-810 Las Montanas Road, Suite 201 Name Joan D. Hacker City/State/ZipPalm Desert, Ca 92211 Phone 760-345-1352 VICIned Date The individual with overall design responsibility hereby certifies that the proposed building design epresented in this set of construction documents is consistent with the other compliance forms and worksheets, we" pecifications, and with any other calculations submitted with this permit application, and recognizes that compliance sing 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) Company Address Name / City/State/Zip Phone Signed License # Date Ene Pro 5.1 by Ene Soft User Number: 2655 RunCode: 2012-05-15714:56:03 ID: Page 6 of 13 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name Tokarski Residence Building Type 0 Single Family 0 Addition Alone 0 Multi Family m Existing+ Addition/Alteration Date 5/15/2012 OPAQUE SURFACE DETAILS Surface Type Area U- Insulation Joint Appendix Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Slab 3,285 0.730 None 0 180 Existing 4.4.7-A1 Existing Living Wall 312 0.102 R-13 135 90 Existing 4.3.1-A3 Existing Living Wall 87 0.102 R-13 225 90 Existing 4.3.1-A3 Existing Living Wall 420 0.102 R-13 315 90 Existing 4.3.1-A3 Existing Living Wall 140 0.102 R-13 45 90 Existing 4.3.1-A3 Existing Living Roof 3,285 0.043 R-22 135 0 Existing 4.2.1-A6 Existing Living Wall 250 0.102 R-13 135 90 Removec 4.3.1-A3 Existing Living Roof 129 0.031 R-30 135 0 New 4.2.1-A20 Addition Wall 262 0.102 R-13 135 90 New 4.3.1-A3 Addition Slab 129 0.730 None 0 180 New 4.4.7-A1 Addition Wall 2001 0.102 R-13 1 225 90 New 4.3.1-A3 Addition Wall 1841 0.102 R-13 45 90 New 4.3.1-A3 Addition FENESTRATION SURFACE DETAILS ID Type I Area U -Factor SHGC2 Azm Status Glazing Type Location/Comments 1 Window 10.0 0.710 Default 0.73 Default 135 Existing Double Metal Clear Existing Living 2 Window 10.0 0.710 Default 0.73 Default 135 Existing Double Metal Clear Existing Living 3 Window 40.0 0.710 Default 0.73 Default 135 Existing Double Metal Clear Existing Living 4 Window 24.0 0.710 Default 0.73 Default 135 Existing Double Metal Clear Existing Living 5 Window 24.0 0.710 Default 0.73 Default 135 Existing Double Metal Clear Existing Living 6 Window 4.0 0.710 Default 0.73 Default 135 Removed Double Metal Clear Existing Living 7 Window 30.0 0.710 Default 0.73 Default 135 Removed Double Metal Clear Existing Living 8 Window 24.0 0.710 Default 0.73 Default 135 Removed Double Metal Clear Existing Living 9 Window 14.2 0.710 Default 0.73 Default 135 Removed Double Metal Clear Existing Living 10 Window 20.0 0.710 Default 0.73 Default 225 Existing Double Metal Clear Existing Living 11 Window 20.0 0.710 Default 0.73 Default 225 Existing Double Metal Clear Existing Living 12 Window 21.0 0.710 Default 0.73 Default 225 Existing Double Metal Clear Existing Living 13 Window 46.7 0.710 Default 0.73 Default 225 Existing Double Metal Clear Existing Living 14 Window 15.0 0.710 Default 0.73 Default 225 Existing Double Metal Clear Existing Living 15 Window 53.4 0.710 Default 0.73 Default 315 Existing Double Metal Clear Existing Living 16 Window 53.4 0.710 Default 0.73 1 Default 315 Existing Double Metal Clear Existing Living (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 ID Exterior Shade Type SHGC Window Hot I Wd Ove hang Left Fin Right Fin Len H t LExt RExt Dist Len Hot Dist Len H t 1 Bug Screen 0.76 5.01 2.0 2.0 0.1 2.0 2.0 2 Bug Screen 0.76 5.0 2.0 2.0 0.1 2.0 2.0 3 Bug Screen 0.76 6.8 2.5 2.0 0.1 2.0 2.0 4 Bug Screen 0.76 6.0 4.0 2.0 0.1 2.0 2.0 5 Bug Screen 0.76 6.0 4.0 2.0 0.1 2.0 2.0 6 Bug Screen 0.76 5.0 2.0 2.0 0.1 2.0 2.0 7 Bug Screen 0.76 5.0 6.0 2.0 0.1 2.0 2.0 8 Bug Screen 0.76 4.0 6.0 2.0 0.1 2.0 2.0 9 Bug Screen 0.76 5.0 2.0 2.0 0.1 2.0 2.0 10 Bug Screen 0.76 5.0 4.0 2.0 0.1 2.0 2.0 11 Bug Screen 0.76 5.0 4.0 2.0 0.1 2.0 2.0 12 Bug Screen 0.76 3.01 7.0 2.0 0.1 2.01 2.0 13 Bug Screen 0.76 6.8 7.0 2.0 0.1 2.0 2.0 14 Bug Screen 0.76 5.0 3.0 2.0 0.1 2.0 2.0 15 JBug Screen 0.76 6.8 8.0 2.0 0.1 2.0 2.0 16 1Bu9 Screen 0.76 6.8 8.0 2.0 0.1 2.0 2.0 EnerqvPro 5.1 by Ener Soft User Number.- 2655 RunCode: 2012-05-15714:56:03 ID: Pae 7 of 13 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF-1 R Project Name Tokarski Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family la Existing+ Addition/Alteration Date 5/15/2012 OPAQUE SURFACE DETAILS Surface U- Type Area Factor Insulation Joint Appendix Cavit Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Type Area LI-Factor' SHGC2 Azm Status Glazing Type Location/Comments 17 Window 53.4 0.710 Default 0.73 Default 315 Existing Double Metal Clear Existing Living 18 Window 20.0 0.710 Default 0.73 Default 45 Existing Double Metal Clear Existing Living 19 Window 30.0 0.710 Default 0.73 Default 45 New Double Metal Clear Existing Living 20 Window 20.0 0.710 Default 0.73 Default 45 New Double Metal Clear Existing Living 21 Window 24.0 0.710 Default 0.73 Default 135 New Double Metal Clear Addition 22 Window 14.2 0.710 Default 0.73 Default 135 New Double Metal Clear Addition 23 Window 16.0 0.710 Default 0.73 Default 45 New Double Metal Clear Addition (1) Ll-Factor Type: 2 SHGC Type: 116-A = Default Table from Standards, NFRC = Labeled Value 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Ove hanq Left Fin Ri ht Fin Len H t LExt RExt Dist Len Hat Dist Len H t 17 Bug Screen 0.76 6.8 8.0 2.0 0.1 2.0 2.0 18 Bug Screen 0.76 6.8 3.0 2.0 0.1 2.0 2.0 19 Bug Screen 0.76 5.0 6.0 2.0 0.1 2.0 2.0 20 Bug Screen 0.76 6.8 3.01 2.0 0.1 2.0 2.0 21 IBug Screen 0.76 4.0 6.0 2.0 0.1 2.0 2.0 22 Bug Screen 0.76 1.3 6.0 2.0 0.1 2.0 2.0 23 Bug Screen 0.76 4.0 4.0 2.0 0.1 2.0 2.0 Ener Pro 5.1 by EnerqySoft User Number: 2655 RunCode: 2012-05-15714:56:03 ID: Page 8 of 13 CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5 CF -1 R Project Name Tokarski Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 5/15/2012 BUILDING ZONE INFORMATION System Name Zone Name Floor Area New Existing Altered Removed Volume Year Built Living Zone Existing Living 3,285 26,280 1987 Addition 129 1,032 Totals 1 1291 3,2851 01 0 HVAC SYSTEMS System Name Qty. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status Living Zone 1 Central Furnace 80% AFUE Split Air Conditioner 12.0 SEER Setback Existing HVAC DISTRIBUTION System Name Heating Duct Cooling Duct Location R -Value Ducts Tested? Status Living Zone Ducted Ducted Attic, Ceiling Ins, vented 4.2 ❑ Existing WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status Standard Gas 50 gal or Le 1 Small Gas Kitchen Pipe Ins 40,000 50 0.53 n/a n/a Existing MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length n _o U) a — System Name Pipe Length Pipe Diameter Insul. Thick. Qty. HP Plenum Outside Buried EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 2012-05-15T14:56:03 /D: Page 9 of 13 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Tokarski Residence Date 5/15/2012 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 U -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. 118(a): Insulationspecified or installed meets Standards for Insulatina 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. 150(a): Minimum R-19 insulation in wood -frame ceiling orequivalent Ll -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. 150(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. 4150(g): 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 qreater 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 -fitting damper 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. 411500): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §1500)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. §1500)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. §1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculatinci sections of hot water pipes are insulated per Standards Table 150-B. §1500)2: Cooling system piping (suction, chilled water, or brine Iines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. §1150(OA: 3A: Insulation is protected from damage, including that due to sunlight, moisture equipment maintenance and wind. §1500)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 EnergySoft User Number. 2655 RunCode: 2012-05-15714:56:03 ID: Page 10 of 13 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date Tokarski Residence 5/15/2012 §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. 4150(p): 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). 4150(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 EnergySoR User Number: 2655 RunCode: 2012-05-15714:56:03 /D: Page 11 of 13 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Tokarski Residence 1 5/15/2012 §150(k)10: 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)12: 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 Exceptions to §150(k)13 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 hi h efficacy luminaires. §150(k)14: 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)15: 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 EnergySoft User Number: 2655 RunCode: 2012-05-15714:56:03 /D: Page 12 of 13 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Tokarski Residence Date 5/15/2012 System Name Living Zone Floor Area 3,414 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total ROOm Loads 2,433 Return Vented Lighting Return Air Ducts Return Fan Ventilation 0 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output per System 70,000 53,709 4,012 1,177 43,957 Total Output Btuh 70,000 0 Output Btuh/s ft 20.5 4,554 3,123 Cooling System 0 0 Output per System 58,000 0 0 0 0 Total Output Stuh 58,000 0 4,012 0 Total Output Tons 4.8 1 4,554 3,123 Total Output Stuh/s ft 17.0 Total output s ft/Ton 706.3 1 62,817 50,203 Air System CFM per System 1,300 HVAC EQUIPMENT SELECTION Airflow cfm 1,300 Existing HVAC 44,953 5,568 70,000 Airflow cfm/s ft 0.38 Airflow cfm/Ton 269.0 Outside Air % 0.0% Total Adjusted System Output 1 44,953 (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 5,568 Aug 3 PM 1 70,000 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 68 OF 0' Outside Air 0 cfm Supply Fan 1,300 cfm 68 OF 68 OF 107 OF Heating Coil 105 OF ROOM - 70 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 112/78°F 80/64°F 80/64°F 55/54°F c Outside Air 0 cfm Supply Fan Cooling Coil 57 / 55 OF 1,300 cfm 43.9% ROOM 80/64°F 78/63°F EnergyPro 5.1 by EnergySoft User Number: 2655 RunCode: 2012-05-15714:56:03 /D: Page 13 of 13