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08-1794 (AR)llh P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-4bt 4 4 Q" Application Number: i 08-00001794 Property Address: 60562 WHITE SAGE DR APN: 764-270-999-109 -300231- Application description: ADDITION - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY. RES Application valuation: 17049 pllcant: Architect or gineer: ------------------ 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 Cl a B License No.: 834358 Date O Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perju that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Owner: DICK ROUS 60562 WHITE SAGE DRIVE LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/03/08 D o Contractor: KELLNER, JEFFREY DEC 0 PO BOX 245 032008 RANCHO MIRAGE, CA 92270 (760)774-S333 CITY OF LA QUINTA Lic. No.: 834358 FINANCEnror ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number EXEMPT I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agreethat, if I shou become subject to the workers' compensation provisions of Section 3700 of the Labor Co I s II forthwn! omply with those provisions. Date: -12 ",6Applicant: WARNING: FAILURE TO SEG RE WO RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being - performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives ofthis county nteerr upon the above-mentioned propert inspecti rposes. Date: Z 6 d Signature (Applicant or Agent): Application Number . . . . . 08-00001794 Structure Information 211SF ADDITION/VB/RES-3/CL A -FR [ENG] Other struct info . . . . . CODE EDITION 2007CODES # BEDROOMS 1.00 FLOOD ZONE NO --------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 7 ------------------------------- 211.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 189.00 Plan Check Fee 122.85 Issue Date . . . . Valuation . . . . 17049 Expiration'Date . . 6/01/09 Qty Unit Charge Per Extension BASE FEE 45.00 16.00 ---------------------------------------------------------------------------- 9.0000 THOU BLDG 2,001-25,000 144.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 22.39 Plan Check Fee 5.60 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/01/09 Qty Unit Charge Per Extension BASE FEE 15.00 211.00 ---------------------------------------------------------------------------- .0350 ELEC NEW RES - 1 OR 2 FAMILY 7.39 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 26.00 Plan Check Fee 7.63 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/01/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/'DUCT ALT 4.50 .00 9.0000 EA MECH APPL REP/ALT/ADD .00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 6.50 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 36.00 Issue Date Expiration Date . . 6/01/09 - LQPERMIT Plan Check Fee Valuation . . 9.00 0 Application Number . . . . Permit . . . . . . PLUMBING 08-00001794 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 211SF CASITA ADDITION/VB/RES-3/CLASS A [ENGINEERED] VERIFICATION OF EMERGENCY MEANS OF EGRESS FROM EXISTING BEDROOM IS REQUIRED. THIS PERMIT DOES NOT INCLUDE BLOCKWALLS. 2007 CALIFORNIA BUILDING CODES. APPROVED BY AO FOR JLJ. December 2, 2008 11:34:15 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 12.29 STRONG MOTION (SMI) - RES 1.70 Fee summary Charged Paid Credited Due Permit Fee Total 273.39 .00 .00 273.39 Plan Check Total 145.08 .00 .00 145.08 Other Fee Total 13.99 .00 .00 13.99 Grand Total 432.46 .00 .00 432.46 LQPERMIT ,Bin # City of La Quinta Building U Safety Divisio,a P.O. Box 1504, 78-495 Calle a ampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �'`, Project Address: G Owner's Name ," US A. P. Number: ��� _ Q 9,0 Address�p��� Q N Legal Descri tion: c g P JAG Contractor. � -Pese City, ST, Zip: d •�.� 3 Telephone: �/ 4 Address: -Aly Project Description: City, ST, Zip2 Telephone: 3 State Lie. # : 3 City Lic. #: Arch., Engr., Designer: Address: ��� �• S d 4v� City, ST, Zip-/ S O G'A• �62 Telephone: Zd 3 State Lic. #: - Name of Contact Person�p w d� Construction Type:����-- Occupancy: Project type (circle one): � Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 9 -- Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check sub mi Item Amount Structural Caics. Reviewed, re dy for corrections '( Plan Check Deposit Truss Calcs. Called Cont ct Person Plan Check Balance Energy Calcs. Plans picked up OR.tX4.1 ^+ Il'I�j Construction Flood plain plan Plans resubmitted 11110/0 mechanical Grading plan 2"° Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: " Review, ready for corrections/' ue Developer Impact Fee Planning Approval Called Contact Person A.I,P.P. Pub. Wks. Appr Date of permit iss e ( l School Fees -IY f OL o a er I431 NfS RF1 u�13 RAN�5 Ri:--- 1 � 9 IV�S ARRA ebb �� W JPrL0- N6'&a toyrrthca Nov 15 08 07:23a Richard J. Rous 760' 715402 p.1 N AGTIC7N Trilogy at La Quinta Maintenance Associaton September 25, 2008 Richard & Sheryl Rous 60562 White Sage Drive La Quinta, CA 92253 property Address: 60562 White Sage Drive CONDITIONAL APPROVAL Dear Mr. & Mrs. Rous: We are pleased to inform you that your plans for adding a casita to house, modifying irrigation, landscape and installing exterior low voltage lights, received on 0912412008, have been approved by the Deign Review ee Committee per your submittal with the following condition(s): 8, 19, and 23 (sattached co Repair front landscape to original condition. This approval does 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 solel ✓ to the items reserved for approval by the CC&R's in accordance with 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 Review 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 be advised that this approval does not relieve you from obtaining any necessary building permits from the governmental agencies involved to ensure ions of these ordinances will be your responsibility to correct. Thank compliance with these codes. Any violat you for your patience in this matter and for complying with the Association's policies and standards. Sincerely, Fo a Desi eview Committee d Bary Ste Association Business Manager Enclosures Professionally !Managed by Action Property Management, I. -1c. 60-750 Trilogy Parkway, La Quinta, C.4 922.13-7717 760-777-6059 800-400-2284 760-?77-6097fox www.actionlife.com THE CASSIUS TOTAL A/C AREA 2,185 SQUARE FEET Optional Guest 2 At Den ITRNING OOM Optional Radius Bay At Morning Room ------------ MORNIN OOM Optional Box Bay At Morning Room -------------- MASTER SUITE Optional Radius Bay At Master Suite OPTIONAL FEATURES f.1.lVAllON A ------------- COVERED PATIO 1 lJ ENTRY MOF�NIh ROO M DINING I ROOM i LAUNDRY ab�t `-y BATH ff p COURTYARD Cd 2-CAfRI GARAGE GOLF U LJ CART H li -- LAN --- - --r' I Ir=I WALK-IN Roser t ' ------------- COVERED PATIO 1 lJ ENTRY MOF�NIh ROO M DINING I ROOM i LAUNDRY Optional Attached 6sita M- =L;c- .:^i. arcnitectural designs and other Information are preliminary and subject to change or substitution without notice or obligation. Q ab�t ff p COURTYARD 2-CAfRI GARAGE GOLF U LJ CART H li Optional Attached 6sita M- =L;c- .:^i. arcnitectural designs and other Information are preliminary and subject to change or substitution without notice or obligation. Q I k TITLE 24 REPORT I Title 24 Report for: Rous Residence 60562 White Sage Drive La Quinta, CA Project Designer: Report Prepared By: Joan D. Hacker Insu-form, Inc. 41-921 Beacon Hill, Suite A Palm Desert, CA 92211 (760) 779-0657 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DA �2'BY —&—_ Job Number: Date: 10/8/2008 is 1 ocr271008 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 Buil Jing Energy Efficiency Standards. This program developed by EnergySoft, LLC - www.energysoft.com. EnergyPro 4.4 by EnergySoft Job Number: User Number: 2655 1 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 Room Load Summary 1 2 3 7 9 10 EnergyPro 4.4 by EnergySoft Job Number: User Number 2655 Certificate Of Compliance : Residential (Part 1 of 4) CF -1 R Rnl►S ResidenCp 2,427 ft2 ❑ Multi Family Q Existing + Add/Alt Existing Floor Area: 2,216 ft2 10/8/2008 Project Title Fuel Type: Natural Gas Slab on Grade Area: 2,427 ft2 Fenestration: Average Ceiling Height: Date 60562 VVI -lite Sebe- Move I a Quinta Ratio: 16.8% Avg. SHGC: 0.70 Number of Stories: 1 BUILDING ZONE INFORMATION # of Thermostat Project Address Zone Name Floor Area Volume Units Zone Type Type I wing Zone 9427 21 R32 1 nn _r'onditioned Setback Hgt. Area 2 -nla OPAQUE SURFACES Insulation Act. Gains Condition Building Permit # Insu-fnrm Inc Wall Wnnd 136 n n74 R_1q R -n n 115 _g0 ®❑Naw 09-A5 Addition (760) 779-0657 Documentation Author Door None 40 0 rQQ None- R-0 n 315gn ® ❑Fxisting 28-A4 Existing I iving Telephone Plan Check/Date FnPravPro Compliance Method Will Wond 259 0 110 R-11 R -n n 45 9 ® ❑Fxisting 09-A2 Fxisting I iving CA Climate- lone- 15 Climate Zone Field Check/Date Wall Wood 263 0 110 R_l l R_n 0 275 �0 ®❑Fxisting 09-A2 Existing I iving Roof Wood 2 216 0 049 R_19 R-0 0 1 �� ®❑ n1. -A4 FxistingI ''vinA TDV Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin F-1 F-1 Space Heating 3.08 3.19 -0.11 Space Cooling 159.64 142.89 16.76 ❑❑ Fans 22.35 19.95 2.40 Domestic Hot Water 11.66 11.66 0.00 Pumps 0.00 0.00 0.00 Totals 196.74 177.69 19.05 better than Standard: 9.7% Building Type: [j] Single Family ❑ Addition Total Conditioned Floor Area: 2,427 ft2 ❑ Multi Family Q Existing + Add/Alt Existing Floor Area: 2,216 ft2 Building Front Orientation: (NW) 315 deg Raised Floor Area: 0 ft2 Fuel Type: Natural Gas Slab on Grade Area: 2,427 ft2 Fenestration: Average Ceiling Height: 8.9 ft Area: 408 ft2 Avg. U: 0.79 Number of Dwelling Units: 1.00 Ratio: 16.8% Avg. SHGC: 0.70 Number of Stories: 1 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type I wing Zone 9427 21 R32 1 nn _r'onditioned Setback Hgt. Area 2 -nla OPAQUE SURFACES Insulation Act. Gains Condition Type Frame Area U -Fac. Cay. Cont. Azm. Tilt Y / N Status JA IV Reference Location / Comments Wall Wnnd 136 n n74 R_1q R -n n 115 _g0 ®❑Naw 09-A5 Addition Wall Wond 99 0074 R-19 R_0 0 45 90 ®❑NB -mL -09-A5 Addition Roof Wond 211 0 025 R_38 R_0 0 315 o®❑New 01-A18 Additinn Wall Wnnd 483 0 110 R-11 R -n n 315 90 ® Fxisting n9 -A2 Fxisting I iving Door None 40 0 rQQ None- R-0 n 315gn ® ❑Fxisting 28-A4 Existing I iving Wall Wond 100 0110 R-11 R_n 0 315 90 ® ❑New 09-A2 Fxisting Iiving Will Wond 259 0 110 R-11 R -n n 45 9 ® ❑Fxisting 09-A2 Fxisting I iving Wall Wnnd 285 0 11n R-11 _R-0 n 135 qjl ® ❑Fxisting 119-A2 Existing I iving Wall Wood 263 0 110 R_l l R_n 0 275 �0 ®❑Fxisting 09-A2 Existing I iving Roof Wood 2 216 0 049 R_19 R-0 0 1 �� ®❑ n1. -A4 FxistingI ''vinA ❑Exist ,inn ❑❑ ❑❑ ❑❑ F-1 F-1 ❑❑ ❑❑ ❑❑ F-1 El ❑❑ ❑❑ ❑❑ I EnergyPro 4.4 by EnergySoft User Number: 2655 Job Number: Pape:3 of 10 1 Certificate Of Compliance : Residential (Part 2 of 4) CF -1 R Rous Residence Condition Status Location/ Comments PERIMETER LOSSES 10/8/2008 Project Title Condition Location/ Date FENESTRATION SURFACES JA IV Reference Status Comments Slab Perimeter 33 None No Insulation 26-A1 True Cond. Location/ # Type Area U-Factorl SHGC2 Azm. Tilt Stat. Glazing Type Comments -1- Window Front (NNW) 240 0 7q0 116_A _Q10 116-R 315 _9L New DnuhlP Metal Clear Addition 2 Window Left (NE) 24.0 0.790 116-A 0.70 116-B 45 90 New Double Metal Clear Addition 3 Window Front (NW) 26.7 0.790 116-A 0_70 116-B 315 90 Existing Double Metal Clear Existing Living 4 Window Front (NW) 24.0 0.790 116-A 0_70 116-B 315 90 RemovedDouble Metal Clear Existing Living 5 Window Left (NE) 13.4 0.790 116-A 0_70 116-B 45 90 Existing Double Metal Clear Existing Living 5 Window Left (NE) 18.0 0.790 116-A 0.70 116-B 45 90 Existing Double Metal Clear Existing Living Z Window Left (NE) 6.0 0.790 116-A 0_70 116_B 45 90 Existing Double Metal Clear existing Living 8 Window Left (NE) 24.0 0.790 116-A 0_70 116-B 45 90 Existing Double Metal Clear Existing Living 3 Window Rear (,SE) 8.0 0.790 116_A 0.70 116_B 135 90 Existing Double Metal Clear Existing Living _. Window Rear (SE) 24.0 0.790 116-A 0.70 116_B 135 90 Existino Double Metal Clear Existing Living 11 Window Rear (SE) 25.0 0.790 116-A 0_70 116-B 135 90 Existing Double Metal Clear Existing Living 12 Window Rear (SE) 15.0 0.790 116-A 0_70 116-B 135 90 Existing Double Metal Clear Existing Living 13. Window Rear (SE) 150 079 116_A _Q2D 116_B 135 qn Existing Double Metal Cl=ar Existing Living 14 Window Rear (SE) 64.0 0.790 116-A 0_70 116-B 135 90 Existing Double Metal Clear iving ExistingLiving 15 Window Rear (SE) 64.0 0.790 116-A 0_70 116-B 135 90 Existing Double Metal Clear Existing Living 16 Window Right (SW) 24.0 0.790 116-A 0_70 116-B 225 90 Existing Double Metal Clear Existing Living 17 Window Right (SW) 3.0 0.790 116-A 0_70 11F, -R 225 90 Existing Double Metal Clear Existing Living 18 Window Right (SW) 24.0 0.790 116-A 0_70 116-B 225 90 Existing Double Metal Clear Existing Living AR Window Right (SW) 6.0 0.790 116-A 0.70 116_B 225 90 Existing Double Metal Clear Existing Living 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 1168. INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. REA. Dist. Len. Hgt. Dist. Len. Hgt. 1 Bug Screen 0.76 6.0 4.0 2.0 0.1 2.0 2.0 2 Bug Screen 0.76 6.0 4.0 2.0 0.1 2.0 2.0 3 Bug Screen 0.76 6.8 2.0 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 6.8 2.0 2.0 0.1 2.0 _2.0 6 Bug Screen 0.76 6.0 3.0 2.0 0.1 2.0 2.0 7 Bug Screen 0.76 2.0 3.0 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 4.0 2.0 2.0 0.1 2.0 2.0 10 Bug Screen 0.76 8.0 2.0 2.0 0.1 2.0 2.0 11 Bug Screen 0.76 5.0 5.0 2.0 0.1 2.0 2.0 12 Bug Screen 0.76 5.0 3.0 2.0 0.1 2.0 2.0 13 Bug Screen 0.76 5.0 3.0 2.0 0.1 2.0 2.0 14 Bug Screen 0.76 8.0 8.0 2.0 0.1 2.0 2.0 15 Bug Screen 0.76 8.0 8.0 2.0 0.1 2.0 2.0 16 Bug Screen 0.76 4.0 6.0 2.0 0.1 2.0 2.0 17 Bug Screen 0.76 1.0 3.0 2.0 0.1 2.0 2.0 18 Bug Screen 0.76 6.0 4.0 2.0 0.1 2.0 2.0 19 Bug Screen 0.76 3.0 2.0 2.0 0.1 2.0 2.0 THERMAL MASS FOR HIGH MASS DESIGN Type Area Thick. Heat Inside (sf) (in.) Cap. Cond. R -Val. JA IV Reference Condition Status Location/ Comments PERIMETER LOSSES Insulation Condition Location/ Type Length R -Val. Location JA IV Reference Status Comments Slab Perimeter 33 None No Insulation 26-A1 New Addition Slab Perimeter 90 None No Insulation 26-A1 Existing Existing Living Run Initiation Time: 10/08/08 15:57:06 Run Code: 1223506626 EnergyPro 4.4 by EnergySoft User Number: 2655 Job Number: Page:4 of 10 Certificate Of Compliance : Residential Part 3 of 4) CF -1R Rous ResidenceDate 10/8/2008 Project Title HVAC SYSTEMS Heating Minimum Cooling Minimum Condition Thermostat Location Type Eff Type Eff Status Type Living Zone Central Furnace 78% AFUE Split Air Conditioner 12.0 SEER Existing Setback HVAC DISTRIBUTION Duct Duct Condition Ducts Location Heating Cooling Location R -Value Status Tested? Living Zone Ducted Ducted Attic 2.1 Existing No Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. WATER HEATING SYSTEMS Water Heater Name Tvpe Distribution Rated Tank Energy Tank Insul. # in Input Cap. Condition Factor Standby R -Value .qv -,t (Btu/hr) (qal) Status or RE Loss (%) Ext. Standard Gas 50 gal or Less Small Gas No Pipe Insulation 1 40,000 50 Existing 0.53 n/a n/a Multi -Family Central Water Heating Details Hot Water Pump Hot Water Piping Length (ft) Add 1/2" Control # HP Type In Plenum Outside Buried Insulation COMPLIANCE STATEMENT This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them.This certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Name: Title/Firm: _ 125 N Gir eel Avenue Address: Palm pppgS. CA 092262 4eorne**f��� Lic. #:D- - 6) (date) Enforcement Agency Name: Title/Firm: Address: Telephone: (signature) (date) Documentation Author Name: Joan D. Hacker Title/Firm: Insu-form Inc. Address: 41-921 Beacon Hill Suite A Palm Desert CA 92211 Telepho : (760) 779-0657 - (signa re) (date) Certificate Of Compliance : Residential (Part 4 of 4) CF -1 R Rous Residence 10/8/2008 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement aaencv determines the adeauacv of the iustification, and may refect a building or desiqn that otherwise complies cased on the adequacy of the special justification and documentation submitted. I Plan Field The HVAC System "Existing HVAC' is designated as 3 Phase, or is Exempted from the NAECA 13 SEER requirement. HERS Required Verification Items in this section require field testing and/or verification by a certified home energy rater under the supervision of a HERS provider using approved testing and/or verification methods. Plan Field EnergyPro 4.4 by EnergySoft User Number: 2655 Job Number: Page:6 of 10 1 Mandatory Measures Summary: Residential (Page 1 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercede the items marked with an asterisk (') below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Check or initial applicable boxes or check NA if not applicable and included with the permit application documentation. N/A DESIGNER ENFORCE - MENT Building Envelope Measures ❑ ❑x ❑ 1150(a): Minimum R-19 in wood ceiling insulation or equivalent U -factor in metal frame ceiling. ❑ ❑X ❑ § 150(b): Loose fill insulation manufacturer's labeled R -Value: ❑ ❑ ❑ «§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not ❑ ❑X ❑ apply to exterior mass walls). ❑ ❑ ❑ �§ 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor. ❑ ❑ ❑ § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. ❑ ❑x ❑ 1. Masonry and factory -built fireplaces have: ❑ ❑X ❑ a. closable metal or glass door covering the entire opening of the firebox ❑ ❑ ❑ b, outside air intake with damper and control, flue damper and control ❑ ❑ ❑ 2. No continuous burning gas pilot lights allowed. ❑ ❑ ❑ § 150(f): Air retarding wrap installed to comply with §151 meets requirements specified in the ACM Residential Manual. ❑ ❑ ❑ § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ ❑ ❑ § 150(1): Slab edge insulation - water absorption rate for the insulation alone without facings no greater than 0.3%, water vapor ❑ ❑ ❑ permeance rate no greater than 2.0 perm/inch. ❑ Q ❑ § 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include ❑ O ❑ CF -6R Form: ❑ ❑X ❑ § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration 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 ❑ FRI ❑ Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ ❑X ❑ Space Conditioning, Water Heating and Plumbing System Measures § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. ❑ Q ❑ § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑ ❑x ❑ § 150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ ❑X ❑ § 1500): Water system pipe and tank insulation and cooling systems line insulation. 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation ❑ ❑x ❑ having an installed thermal resistance of R-12 or greater. 2. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external ❑ Q ❑ insulation or R-16 internal insulation and indicated on the exterior of the tank showing the R -value. 3. The following piping is insulated according to Table 150 -AIB or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire ❑ Q ❑ length of recirculating sections of hot water pipes shall be insulated to Table 150B. 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and ❑ ❑X ❑ indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. 4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A. ❑ ❑ ❑ 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, ❑ Q ❑ and wind. 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed ❑ ❑ ❑ entirely in conditioned space. 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation. ❑ ❑ ❑ EnergyPro 4.4 by EnergySoft User Number: 2655 Job Number: Page:7 of 10 Mandatory Measures Summary: Residential (Page 2 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercede the items marked with an asterisk (') below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes when completed or check N/A if not ENFORCE - applicable. N/A DESIGNER MENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) § 150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, ❑ ❑X ❑ 605, and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minumum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed ❑ ❑X ❑ 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. 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive ❑ ® ❑ duct tapes unless such tape is used in combination with mastic and draw bands. 2. System is installed with: ❑ ® ❑ 4. Exhaust fan systems have back draft or automatic dampers. b. Cover for outdoor pools or outdoor spas. 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating ❑ ® ❑ dampers. § 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously ❑ ® ❑ 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment ❑ ® ❑ maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water ❑ Lighting Measures retardant and provides shielding from solar radiation that can cause degradation of the material. § 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ ® ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are electric ❑ ® ❑ 7. Flexible ducts cannot have porous inner cores. § 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, ❑ ® § 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the ❑ ❑ ❑ heater, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: ❑ ❑ ❑ a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. ❑ ❑ ❑ 3. Pool system has directional inlets and a cir•:ulation pump time switch. ❑ ❑ ❑ § 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously ❑ ® ❑ burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) § 118 (i): Cool Roof material meets specified criteria ❑ ❑ ❑ Lighting Measures § 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ ® ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are electric and have an output frequency no less than 20 kHz. § 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, ❑ ® ❑ luminaire has factory installed HID ballast. § 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined ❑ a ❑ in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires. § 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires. ❑ Q ❑ OR are controlled by an occupant sensor(s) certfied to comply with Section 119(d). § 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR are controlled ❑ ❑X ❑ by an occupant sensor that complies with Section 119(d) that does not turn on automatically or have an always on option. § 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are ❑ ❑X ❑ certified to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals. § 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the ❑ R ❑ same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d). § 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147. ❑ ❑ ❑ Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Section 130, 131, and 146. § 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more ❑ ❑ ❑ dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with Section 119(d). EnergyPro 4.4 by EnergySoft User Number: 2655 Job Number: Page:8 of 10 1HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Rous Residence 10/8/2008 SYSTEM NAME FLOOR AREA Livinq Zone 2,427 TING SYSTEM PSYCH 26.0 of 65.1 of Outside Air 0 cfm 65.1 of Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM Sensible Latent CFM I Sensible 1,936 44,913 3,462 901 39,150 0 10,595 6,752 0 0 0 0 0 0 0 0 0 10,595 6,752 66,1021 3,4621 E7;;;55 Existing HVAC 51,341 0 70,000 Total Adjusted System Output 51,341 70,000 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12m RICS (Airstream Tem 65.1 of ® 115.70F Supply Fan Heating Coil 1300 cfm Supply Air Ducts 110.8 of ROOMS 70.0 of Return Air Ducts I [COOLING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Coolina Peak) 11.0/77.6OF 85.7/62.4OF 85.7/62.3OF . 48.5/46.7OF Outside Air O 0 cfm Supply Fan 1300 cfm 85.7/62.4 of Cooling Coil h Return Air Ducts 4 Supply Air Ducts 56.2 / 50.2 of 33.5% R.H. ROOMS 78.0 / 59.7 of EnergyPro 4.4 by EnergySoft User Number: 2655 Job Number: Paae:9 of 10 1 ROOM LOAD SUMMARY PROJECT NAME Rous Residence DATE 10/8/2008 SYSTEM NAME Livinq Zone FLOOR AREA 2,427 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME ROOM NAME Mult. CFM SENSIBLE LATENT CFM SENSIBLE LATENT CFM SENSIBLE Addition Addition 1 297 6,884 962 297 6,884 962 101 4,389 ExistingLiving1 Existing Living 1,640 38,028 2,500 1,640 38,028 2,500 800 34,761 PAGE TOTAL 1 1,936 44 913 3,462 1 901 TOTAL 1 1,936 44,913 3,462 901 39,150 39,150 EnergyPro 4.4 by EnergySoft User Number: 2655 Job Number: Page: 10 of 10