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10-1338 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00001338 Property Address: 80180 VIA PESSARO APN: 777-210-017- - - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 19156 T414t 4 4 Q" Applicant: Architect or Engineer: 011- afP BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- 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: License No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to 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 (5500).: ( _) 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 contractors) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C.!.o3 this reason �� Date• �'/ ��/f � 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: STEVE GROSSLIGHT 80-180 VIA PES SARO LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/04/11 ° Contractor: 011 Owner FIFFEB 2 nP 111 Al 041NTA ----------------------------------------------- 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 Policy Number I c=at, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to he ter ' compensation provisions of Section /3700 of the Labor Code, �l forth com it ose provisions. 1Date: � tom/ ff licant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATI COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building truction, and her horize representatives oft 's county to enter upon the above-mentioned proper,spection purpo Date: ?'6�lgnature (Applicant or Agent): �-• Application Number . . . . . 10•-00001338 ------ Structure Information 313 SF GARAGE CONV ----- Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type . . . . . DWELLG/LODGING/CONG <=10 Other struct info . . ---------------------------------------------------------------------------- . . . CODE EDITION 2007/08 ENERGY Permit . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee 31.35 Plan Check Fee 7.84 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/03/11 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 3.00 .4500 ----------------------------------- EA ELEC DEVICE/FIXTURE >20 ---------------------------------------- 1.35 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . . 19156 Expiration Date 8/03/11 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 162.00 Permit .MECHANICAL Additional desc . . Permit Fee . . . . 30.50 Plan Check Fee 7.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/03/11 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 4.5000 EA MECH VENT INST/ DUCT ALT 9.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH VENT FAN 6.50 Permit. . . . . PLUMBING Additional aesc Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/03/11 Qty Unit Charge Per Extension LQPERMIT Application Number . . . . . 10-00001338 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension . BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE . 18.00 ---------------------------------------------------------------------------- Special Notes and Comments 313 SF GARAGE CONVERSION TO RES. OFFICE W/ BATHRM. R-3 OCCUPANCY, TYPE V -B CONSTRUCTION. 2007 CODES 2008 ENERGY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 13.46 STRONG MOTION (SMI) - RES 1.92 Fee summary Charged Paid Credited Due ----------------------------------------------- Permit Fee Total 301.85 .00 ---------- .00 301.85 Plan Check Total 158.27 .00 .00 158.27 Other Fee Total 16.38 .00 .00 16.38. Grand Total 476.50 .00 .00 476.50 LQPERMIT a Bin # City of LQ Quinta Building & Safety Division Permit #P .O. P.O. Box 1504, 78-495 Cale Tampico La Qulnta, CA 92253 - (760) 777-7012 l� Building Permit Application and Tracking Sheet Project Address:90 f G © lw Owner's Name: A. P. Number: 77-,210 r• d17 Address: 11/!4 Legal Description: City, ST, Zip: f/1 4 Contractor: Address: I Iue All "IC& Project Description: r City, ST, Zip:r Construction i 6 IN�o � A16o" 4W Telephone: • ..f � o/� 1!�� ��/i� State Lic. # : City Lic. Arch., Engr., Designer: JC LJ Address: % 115 (.tl6,� City, ST, Zip: ,,�/� U I 1 �' r � e/A 42C5 Telephone: State Lic. #: Name of Contact Person: ^f r t / AG/irO Construction Type: Project type (circle one): New Add'n Repair Demo Sq. Ft„ #Stories: # Units: Telephone # of Contact Person: Grant Dad Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal R"'d Reed TRACKING PERMIT FEES Pians resubmitted Plan Setsp� Grading Plum Check aubmi Item Amount Structural Calcs. Planning Approval Reviewed, ready forlorrectiooa Plan Check Deposit Truss Coles.Called Contact Person / Plan Check 3alance, Total Permit Fees I Iue All "IC& Oj Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'' Review, ready for correcdonaRssue Electrical Subcontactor List Called Contact Person Plumbing Grant Dad Plans picked up S.M.L • H.O.A. Approval I Pians resubmitted Grading IN HOUSE:- 3" Review, ready for correctlonsAssuc Developer impact Fee � Planning Approval Called Contact Person A.LP.P. Pub. Wits. Appr Date of permit issue School Fees Total Permit Fees Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVELONEAMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT: CHECK#: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Date: February 2, 2011 Owner's Name: Grosslight Family Trust, 7339 E. Bayfront, Newport Beach, Ca 92662 Phone No. (760) 275-4971 Project Address: 80-180 Via Pessaro, La Quinta, CA Project Description: Conversion of Garage into Office/Bathroom APN: 777-210-017 Tract #: Type of Development: Residential xx Commercial Total Square Feet of Building Area: 313 Sq.Ft. 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: February 2, 2011 Signature: *********************************************************************** SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected 313 $-0- $-0- Gov. Code Project 65995 Approval Building Permit Application Completed: Yes/No By: Jamie T. Brown, Asst. Supt., Business Services Certificate issued by: Elsa F. Esqueda, Director of Facilities Agreement Existing Not Subject to Fee Prior to 1/1/87 Requirement Note: Pursutant to AB 181, Conversion of Garage to a residential area 500: square feet or less, is exempt from paying school fees. Date: 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. �Il ;c/mydocsftlt:� 1'e.:�/c�a ti(icace of compliance form updatcd -2007 11/2010 P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT t' PROPERTY OWNER'S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits I1Wf1RT NT! NOW -E TO PROPERTY OWNER Dear Property Owner: An. application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at 6O- / s$o ✓rR P�,�a,F.v QvI,JL-4 c.G We are providing you with an;6 Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a buildingpermit until you have rend, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless You, the property owner, obtain the prior approval of the permitting authority. DIREC OM. Read and initial each statement below to signify you understand or vtr#ythis irrfonnmon. '/ 1. I understand a frequent practice of unlicensed persons is to have the property ovraer obtain an "Owner-Buildee' building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries- I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my proper' - 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a Licensed Contractor to assume this responsibility. 11 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. `� 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 5. 1 understand if I employ or otherwise engage any persons, other than California liceased Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, ! may be considered an "employer" under state and federal law. /' 6. I understand if I am considered an "employee' tinder state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurancz, and -contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk- 7. isk 7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot .legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed fourwithin any calendar year. or all of the work is performed under contract with a licensed general building Contractor. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable' for any financial or personal. igjuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. u/ 9. I understand I may obtain more information regarding my obligations as an "employee' from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSILB) at 1- 800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors. 1*1 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the ply legally and financially responsible for proposed construction activity at the following address: agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. !/ 12. 1 agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license,. the Contractors' State License Beard may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court- It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property; you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be r� for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing..&e.permkL Note: A copy of dw property owner's di*er-'sRcense, form,otarieatiarn; or other verification acceptable to theg ey is be p ented when the permit is issued to verify the property owner's signature. Signature of property owner41k,Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understandis my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): (SA16sge:; Project Location or Address: 80 " / epy/Q. t40_5SSS~4 4A Q LT(f_ M p � Name of Authorized Agent: dpae-Sf- s....1e� �e7ty3, Tel No 7(0 0 Address of Authorized Agent:./ I declare under penalty of perjury that I am the property owner for the address listed above and I personally felled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature - Property Owner's Signature: I Date: CITY OF LA QUINTA SUB -CONTRACTOR LIST. JOB ADDRESS 801A0 PERMIT NUMBER OWNER -V97za- This form shall be posted on the job with the BuBdina lnsReall2n Card at all times In 'a conspicuous Waco: Only persons appearing on this list or their employees are authorized to work on this job. Any changes to tPis list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information- requested below must be completed b applicant. *On File' is not an acceptable r2=2. ....... ...... ..... ..... . . . . . . . . . . . . . ......... . . . . . . . ...... ...... ..... . ............. iAid"IMI'll, 01 todhmw Name chadricadm Umme awmber Exp. Date C*dw N" rofty Number Exp. Date Lk*nse Number Exp. Deft ... ..... .. (e.g. A, B. C -M IXUDWO (xxhmhm) (e.g. State Furs$, CdComp) ('Fwn;at Varies) (XXIJMIXXI (XXXK) (Xxh091xx) CONE,R .. ...... ...... . . /Yc" 105 a4 (_0 060ZClArC e' 690 tars eo 1G 00006 4 Z/f.' 0 -CW6 56*59 t`/5 (/I 0&1" 07 ZIW63 A*_0 X.AZMM.4' V .. . . .......... ............. ... . .. ... . ... /4'e 0-'YCZ~5 we -a- (I -0660 7-15S 4-6:11 CAS... ... . ... .. . .......... .. ��� CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS PERMIT NUMBER /Q -/93E3 OWNER 449-S"Qlvr" „BUILDER f This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade / Classification Contractor State Contractor's License Workers Compensation Insurance City Business License Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-12) C NCRETE (C-8) r FRAMING (C-5) �,d�.�/,A-1 C- , �d���� /,?•3hl �De3S'a/a 337 3o ►/ STRUCT. STEEL (C-51) MASONRY (C-29) UMBING (C-36) ,¢t,, ��,,.fe,.� 9Z3�2o ro 3/./ - l�$h`l g �•�1•/z LATH, PLASTER (C-35) DRYWALL (C-9) HVAC (C-20) ELECTRICAL (C-10) ROOFING (C-39) SHEET METAL IC -43) FLOORING (C-15) , GLAZING IC -17) INSULATION (C-2) SEWAGE DISP. (C-42) PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-6) l' FENCING (C-13) LANDSCAPING (C-27) POOL (C-53) • I BUILDING ENERGY ANALYSIS REPORT I PROJECT: Steve Grosslight-addition 80-180 Via Pessaro La Quinta, CA 92253 Project Designer: South West Concepts 78-115 Calle Estado La Quinta, CA 92253 (760) 564-4707 Report Prepared by: Tim Scott Scott Design and Title 24, Inc, 77-085 Michigan Drive Palm Desert, Ca 92211 (760) 200-4780 RECEIVED DEC 0 8 2010 BY: Job Number: Date: 12/7/2010 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE 11 'L0 19011 BY _-71&4' 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. EnemvPro 5.1 by EnerovSoft User Number. 6712 Run Code: 2010-12-07715:14:57 ID: I PERFORMANCE CERTIFICATE: Residential Part - of 5 CF -1 R Project Name Steve Grosslight-addition Building Type m Single Family ® Addition Alone ❑ Multi Family 0 Existing+ Additicn/Alteration Date 12/7/2010 Project Address 80-180 Via Pessaro La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area Addition 313 0 # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity f Features see Part 2 of 5 Status Roof Wood Framed Attic R-38 313 Existing Wall Wood Framed R-21 437 Existing Door Opaque Door None 24 Existing Wall Wood Framed R-21 192 New Slab Unheated Slab -on -Grade None 313 Perim = 184' New FENESTRATION U- Exterior Orientation Area(ft) Factor SHGC Overhang Sidefins Shades Status Rear (N) 4.0 0.340 0.33 none none Bug Screen Existing Front (S) 30.0 0.340 0.33 none none Bug Screen Existing Left (lAq 42.6 0.340 0.33 2.0 none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 93% AFUE Split Air Conditioner 14.0 SEER Setback Existing HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status A/C 1 Ducted Ducted Attic, Ceiling Ins, vented 8.0 New WATER HEATING City. Type Gallons Min. Eff Distribution Status EnergyPro 5.1 by EnergySoft User Number. 6712 RunCode: 2010-12-07T15:14:57 ID: Page 3 of 14 LJ • • PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R Project Name Steve Grossiight-addition Building Type m Single Family m Addition Alone 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 12/7/2010 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. HIGH MASS Design - Verify Thermal Mass: 22.0 ft2 Covered Slab Floor, 3.500" thick at Addition HIGH MASS Design - Verify Thermal Mass: 291.0 ft2 Exposed Slab Floor, 3.500" thick at Addition HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. The HVAC System A/C 1 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is squired to verify that duct leakage meets the specified criteria. I EnemyPro 5.1 by EnemySoft User Number., 6712 RunCode: 2010-12-07715:14:57 ID: Page 4 of 14 • • C PERFORMANCE CERTIFICATE: Residential Part 3 of 5) CF -1 R Project Name Building Type m Single Family m Addition Alone Date Steve Grosslight-addition ❑ Multi Family ❑ Existing+ Addition/Alteration 1121712010 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 15.00 13.28 1.72 Space Cooling 133.80 134.60 -0.80 Fans 32.99 32.92 0.07 Domestic Hot Water 0.00 0.00 0.00 Pumps 0.00 0.00 0.00 Totals 181.78 180.80 0.99 Percent Better Than Standard: 0.5 BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (S)180 deg Ext. Walls/Roof Wall Avea Area Number of Dwelling Units: 0.20 (S) 210 30 Fuel Available at Site: Natural Gas (►M 155 43 Raised Floor Area: 0 (N) 210 4 Slab on Grade Area: 313 (E) 155 0 Average Ceiling Height: 10.0 Roof 313 0 Fenestration Average U -Factor: 0.34 TOTAL: 77 Average SHGC: 0.33 Fenestration/CFA Ratio: 24.5 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 Scott Design and Title 24, Inc, - 12/7/2010 Address 77-085 Michigan Drive Name Tim Scott Cit State/Zip Palm Desert Ca 92211 Phone (760) 200-4780 Signed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with thes ecifications, and with any other calculations submitted with this permit application, and recognizes that compliaace ing duct design, duct sealing, verification of refrigerant charge, insulation installation quality, and building envelDpe eating require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Company South West Concepts Address 78-115 Calle Estado Name Steve Nieto /2 7.Zo/D City/State/Zip La Quinta, CA 92253 Phone (760) 564-4707 Signed License # Date Enem YPro 5.1 by En Soft User Number. 6712 RunCode: 2010-12-07715:14:57 ID: Page 5 of 14 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF-1 R Project Name Steve Grosslight-addition Building Type m Single Family m Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1121712010 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Roof 313 0.026 R-38 0 20 Existing 4.2.1-A9 Addition Wall 182 0.069 R-21 0 90 Existing 4.3.1-A6 Addition Door 24 1.450 None 0 90 Existing 4.5.1-A1 Addition Wall 155 0.069 R-21 90 90 New 4.3.1-A6 Addition Wall 180 0.069 R-21 180 90 Existing 4.3.1-A6 Addition Wall 37 0.069 R-21 270 90 New 4.3.1-A6 Addition Wall 75 0.069 R-21 270 90 Existin 4.3.1-A6 Addition Slab 22 0.730 None 0 180 New 4.4.7-A1 Addition Slab 291 0.730 None 0 180 New 4.4.7-A1 Addition FENESTRATION SURFACE DETAILS ID Type Area U-Factor SHGC Azm Status Glazing Type Location/Comments 1 Window 4.0 0.340 NFRC 0.33 NFRC 0 Existing Double Tinted-Window Addition 2 Window 30.0 0.340 NFRC 0.33 NFRC 180 Existing Double Tinted-Window Addition 3 Window 4.0 0.340 NFRC 0.33 NFRC 270 Removed Double Tinted-Window Addition 4 Window 4.0 0.340 NFRC 0.33 NFRC 270 Removed Double Tinted-Window Addition 5 Window 42.6 0.340 NFRC 0.33 NFRC 270 New Double Tinted-Doors Addition • (1) U-Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window ID Exterior Shade Type SHGC HqA Wd Ove hanq Left Fin Right Fin LenH t LExt REM Dist Len Hat Dist Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 8.0 5.3 2.0 0.1 2.0 2.0 • EnergyPro 5.1 by EnergySoft User Number: 6712 Run Code: 2010-12-07T15:14:57 ID: Page 6 of 14 • C • CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name Steve Grosslight-addition Building Type O Single Family m Addition Alon 9 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1121712010 BUILDING ZONE INFORMATION System Name Zone Name Floor Area New Existina I Altered Removed Volume Year Built A/C 1 Addition 313 3,130 2008 Totals 01 3131 01 0 HVAC SYSTEMS System Name Qty. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status A/C 1 1 Central Fumace 93% AFUE Split Air Conditioner 14.0 SEER Setback Existing HVAC DISTRIBUTION System Name Heating Duet Cooling Duct Location R -Value Ducts Tested? Status A/C 1 Ducted Ducted Attic, Ceiling Ins, vented 8.0 m New WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby _oss or Pilot Ext. Tank Insul. R- Value Status CEC Standard MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control E E � 0) w(L Hot Water Piping Length ft o a — System Name Pipe Length Pipe Diameter Insul. Thick. QT Plenum Outside Buried ❑ 01 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ EnemyPro 5.1 by EnemySoft User Number: 6712 RunCode: 2010.12-07715:14:57 ID: Page 7 of 14 14 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name teve Grosslight-addition Date 12/7/2010 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 com )onent 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)1: Doors and windows between conditioned and unconditioned spaces are manufactured to limit ar leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U-Factcr, 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 Insulating Material. Indicate type and include on CF -611 Form. §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirenents of §118(1) when the installation of a Cool Roof is specified on the CF -1 R Form. *§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent U -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 U -factor. *§1 50 d : Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor. 150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95 2000 when specified on the CF -1 R Form. 150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioraton. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 (e)IA: 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 ed with a with a readilyaccessible, operable, and tight -fitting damper and or a combustion -air control device. e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that irdoor air is vented to the e of the building, are prohibited. e Conditionin , Water Heatin and Plumbin S stem Measures: F�'Ziaoc' §113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy ission. §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(.,,)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/hi are exempt), and pool and spa heaters. 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA. 150(i): 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. §1506)113: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, ar 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 recirculating sections of hot water pipes are insulated per Standards Table 150-13. §1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. 150(j)3A: Insulation is protected from damage, including that due to sunlight, moisture equipment maintenance and wind. §1500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. 150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro5.1 by EnergySoR User Number: 6712 Run Code: 2010-12-07T15:14:57 ID: Page 8 of 14 MANDATORY MEASURES SUMMARY: Residential Pae 2 of 3 MF -1 R Project Name Date teve Grosslight-addition 12/712010 §150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the recuirements 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 accesside, 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 end 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 he Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 . Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an ou7put 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 §1":0(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controll Rd 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. EnergyPm 5.1 by EnergySoif User Number: 6712 RunCode: 2010.12-07T15:14:57 ID: Page 9 of 14 L MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date teve Grosslight-addition 1 12/7/2010 §150(k)l0: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual - on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with §150 k 11. §150(k)l2: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the -luminaire housing and ceiling. §150(k)l3: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential 'buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shal' be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)l3 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)l4: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §130(d). §150(k)l5: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply -with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131, 134, and 146. §150(k)l6: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaire3 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 EnergySoff User Number: 6712 RunCode: 2010-12-07715:14:57 ID: Page 10 of 14 r 4 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name teve Grosslight-addition Date 12/7/2010 System Name A/C 1 Floor Area 313 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL COOLING CFM Sensible Total Room Loads 331 7,682 Return Vented Lighting 0 Return Air Ducts 443 Return Fan 0 Ventilation 0 0 Supply Fan 0 Supply Air Ducts 1 443 TOTAL SYSTEM LOAD 1 8,569 PEAK COIL HTG. PEAK Heating System Latent CFM Sensible Output perSystem 51,000 981 280 11,619 Total Output Btuh 51,000 Output Btuh/s ft 162.9 571 Cooling System 0 Output perSystem 36,000 0 0 0 Total Output Btuh 36,000 9811 0 Total Output ons 3.0 571 Total Output Btuh/s ft 115.0 Total Output s ft/Ton 104.3 1 12,762 Air System CFM perSystem 1,200 HVAC EQUIPMENT SELECTION Alrflow cfm 1,200 Existing A/C 3 Ton 28,770 Total Adjusted System Output 28,770 (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 2,090 51,000 2,090 51,000 Aug 3 PM Jan 1 AM Airflow cfm/s ft 3.83 Airflow cfm/Ton 400.0 Outside Air % 0.0% 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 70 OF 0' Outside Air 0 cfm Supply Fan 1,200 cfm 70 OF 4 Ar - 70 OF 109 OF Heating Coil 109 OF _pp OOM 70 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 113/78°F 78/63°F 78/63°F 56/55°F Outside Air Supply Fan 0 cfm pp y Cooling Coil 56 / 55 OF 1..1..x ............ 1,200 cfm 43.4% - ROOM 78 / 63 OF 781 63 OF EnergyPro 5.1 by EnergySoft User Number. 6712 RunCode: 2010-12-07T15:14:57 ID: Page 11 of 14 1� ROOM HEATING PEAK LOADS Project Name Date Steve GrossGght-addition 12/7/2010 ROOM INFORMATION DESIGN CONDITIONS Room Name Addition Time of Peak Jan 1 AM Floor Area 313.0 ft2 Outdoor Dry Bulb Temperature 26 OF Indoor Dry Bulb Temperature 70 OF Conduction Area U-Value AT *F Btu/hr R-38 Roof Attic 313.0 X 0.0260 X 44 = 358 R-21 Wall 629.4 X 0.0690 X 44 = 1,911 Double Tinted-Window 34.0 X 0.3400 X 44 = 509 Wood Door 24.0 X 1.4500 X 44 = 1,531 Double Tinted-Doors 42.6 X 0.3400 X 44 = 637 Slab-On-Grade perim = 184.0 X 0.7300 X 44 = 5,910 X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = X X = Items shown with an asterisk (') denote conduction through an interior surface to another room Page Total 10,856 Infiltration:[ 1.00 x 1.064 X 313 X 10.00 X 0.312 /60] X 44 = 763 Schedule Air Sensible Area Ceiling Height ACH AT Fraction TOTAL HOURLY HEAT LOSS FOR ROOM 11,619 EnergyPro 5.1 by Energ Soft User Number. 6712 RunCode: 2010-12-07T15:14:57 ID: Page 13 of 14 • C • RESIDENTIAL ROOM COOLING LOAD SUMMARY Project Name Date Steve Grosslight-addition 1 1217/2010 ROOM INFORMATION DESIGN CONDITIONS Room Name Addition Outdoor Dry Bulb Temperature 113 OF Floor Area 313.0 ft2 Outdoor Wet Bulb Temperature 78 OF Indoor Dry Bulb Temperature 78 OF I Outdoor Daily Range. 33 OF Opaque Surfaces Orientation Area U -Factor CLTD' Btu/hr R-38 Roof Attic (N) 313.0 X 0.0260 X 56.0 = 456 R-21 Wall (N) 182.0 X 0.0690 X 23.0 = 289 Wood Door (N) 24.0 X 1.4500 X 23.0 = 800 R-21 Wall (E) 155.0 X 0.0690 X 33.0 = 353 R-21 Wall (S) 180.0 X 0.0690 X 26.0 = 323 R-21 Wall M9 112.4 X 0.0690 X 33.0 = 256 X X = X X = X I J X I= Page Total 2,477 Items shown with an asterisk (') denote conduction through an interior surface to another room. 1. Cooling Load Temperature Difference (CLTD) Shaded Unshaded Fenestration Orientation Area GLF Area GLF Btu/hr Window (N) 0.0 X 18.9 + 4.0 X 18.9 = 76 Window (S) 0.0 X 18.9 + 30.0 X 19.0 = 569 Window 8.0 X 18.9 + 34.6 X 38.5 = 1,483 X + X - X + X = X + X - X + X - X + X - X' + X - Page Total 1 2,127 Internal Gain Btu/hr Occupants 4.0 Occupants X 230 Btuh/occ. = E920 Equipment 1.0 Dwelling Unit X 1,600 Btu = 1,600 Infiltration: 1.064 X 0.87 X 17.13 X 35 = 558 Air Sensible CFM ELA AT TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM 7,682 Latent Gain Btu/hr Occupants 4.0 Occupants X 200 Btuh/occ. = 800 Infiltration: 4,771 X 0.87 X 17.13 X 0.00253 = 181 Air Sensible CFM ELA AW TOTAL HOURLY LATENT HEAT GAIN FOR ROOM 981 EnervyPro 5.1 by Ene Soft User Number: 6712 RunCode: 2010-12-07715:14:57 ID: Pae 14 of 14 a .' . Electronically Signed at Ca10ERTS.com by Stephen Nieto (South West Concepts) 1/19/2011 PERFORMANCE CERTIFICATE: Residential'Part '1 of 5 CF -1 R Project Name Steve Grosslight-addition Building Type m Single Family ® Addition Alone ❑ Multi Family ❑ Existing+ Additibn/Alteration 11212212010 Date Project Address 80-180 Via Pessaro La Quinta California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 313 Addition 0 # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity ( Features see Parl 2 of 5 Status Roof Wood Framed Attic R-38 313 Existing Wall . Wood Framed R-21 437 Existing Door Opaque Door None 24 Existing Wall Wood Framed R-21 192 New Slab Unheated Slab -on -Grade None 313 Perim = 184' New FENESTRATION `lJ- Exterior Orientation:_,.:.Area:(ft?) ctor SHGC OverhangSidefins Shades Status Rear (N) 4 0 A340 0.33 none none Bug Screen Existing c. Roht (S) :. 30 0 33 0 34 0 ;none p none : Bug Screen :., Existing Left: 42 6 ug Green r .,y V, RIC New }� Ix. �E :4.'. �,� ,rT `asf,.s_:= 2ef.7 .:; <,Yfj JS. _�—-``e�, t' -N•. w.nr r��.� :..5 v,+" E" :.,��� !'/ cv� r: 'S .s>n`.f`c`n.:MSA :: t .. .� ..._.._. Ri _ � BY HVAC SYSTEMS uH Qty.' Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 93% AFUE Split Air Conditioner 14.0 SEER Setback Existing HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status A/C 1 Ducted Ducted Attic, Ceiling Ins, vented 8.0 New WATER HEATING Qty. Type Gallons Min. Eff Distribution Status EnergyPto 5.1 by EnergySoft User Number: 6712 RunCode: 2010-12-07715:14:57 ID: Pae 1 of 5 Reg: 210-NO03375BA-000000000-0000 Registration Date/Time: 2010/12/22 19:15:13 HERS: PRovider: CalCERTS, Inc. Electronicallv Sianed at CalCERTS.com by Steohen Nieto (South West Concepts) 1/19/2011 PERFORMANCE CERTIFICATE: Residential Part 2 of 5) CF -1 R Project Name Building Type m Single Family m Addition Alone Date Steve Grosslight-addition ❑ Multi Family 13Existing+ Addition/Alteration 12/22/2010 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. HIGH MASS Design - Verify Thermal Mass: 22.0 ft2 Covered Slab Floor, 3.500" thick at Addition MIM4 Md.Q.0 npeinn _ 1/prif l Thpr nl Mmee. gal nµ2 Frnnepri .Qlmh Flnnr "Z AM" fhir4 mh dririihinn' �.�-z. �.. 6. Y k il}i7y 'wvlik .... L kt# 6d' .a3u4# ,. C m "Y HERSi"REQ,UIRED VERIFICATION � � A Item`s rn th)s section requlrepfield testing and/or yerlficatlon_by a certified HERS Rater The inspector mu, receixe a compieted.GF..,4R.form for eacKM fthe.„measures°listed be.low.for.flnal to tie given: Reg: 210-N003375BA-000000000-0000 Registration Date/Time: 2010/12/22 19:15:13 HERS PRovider: CalCERTS, Inc Electronically Signed at CalCERTS.com by Stephen Nieto (South West Concepts) 1/19/2011 PERFORMANCE CERTIFICATE: Residential Part 3 of 5 CF -1 R , Project Name Building Type m Single Family m Addition Alone I Date Steve Grosslight-addition ❑ Multi Family ❑ Existing+ Addition/Alteration 1121221201C ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 15.00 13.28 1.72 Space Cooling 133.80 134.60 -0.80 Fans 32.99 32.92 0.07 Domestic Hot Water 0.00 0.00 0.00 Pumps 0.00 0.00 0.00 Totals 181.78 180.80 0.99 Percent Better Than Standard: 0.5% BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (S) 180, deg Ext. W411s/Roof Wall Area Area Number -of Dwelling Units: 0.20 (S) 210 30 Fuel Available at Site: Natural Gas 155 43 Raised Floor Area: 0 (N) 210 4 Slab on Grade Area: 313 (E) 155 0 Average Ceiling Height;: 10.0 Roof 313 0 . Fenestration Average U Factor: 0.34 TOTAL 77 . Avera 'e SHGC 0.33 Fenestration/CFA Ratio: 24.5 REMARKS r;> T • W rf h t � x`sc::xL3xi3GGS F .... �' fix.....:.:.... .... : .:._.... ni . .- ..?': !v.. .. :... ...' . .:.:. .. .... ro.... ...•5 . ............ `::::::::...... STATEMENT��OF COMP`L�IANCE r� This certlflcate ofcompliance fists the building features and specifications needed to comply with Title 24Partslthe Administrative Regulations and Part 6 the Efficiency Standards of:aheRCalfornia Code of Regulations. The documentation author he certifies that the documentation is accurate and complete.. Documentation Author Company Scott Design and Title 24, Inc, • 12/222010 Address 77-085 Michigan Drive Name Tim Scott City/State/ZipCity/State/Zip Palm Desert, Ca 92211 Phone (760) 200-4780 Signed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of'construction documents is consistent'with the other compliance forms and worksheets, witi the specifications, and with any other calculations submitted with this permit application, and recognizes that compliance using duct design, duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Company South West Concepts Address 78-115 Calle Estado Name Steve Nieto City/State/Zip La Quinta, CA 92253 Phone (760) 564-4707 Signed License # Date EnemyPro 5.1 by EneMySoft User Number. 6712 Run Code: 2010-12-07715:14:57 ID: Page 3 of 5 Reg:,210-N0,033758A-000000000-0000 Registration Date/Time: 2010/12/22 19:15:13 HERS PRovider: CalCERTS, Inc Electronically Signed at CalCERTS.com by Stephen Nieto (South West Concepts) 1/19/2011 CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R Project Name Steve Grosslight-addition Building Type m Single Family m Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 21221201 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Roof 313 0.026 R-38 0 20 Existing 4.2.1-A9 Addition Wall 182 0.069 R-21 0 90 Existin 4.3.1-A6 Addition Door 24 1.450 None 0 96 Existing 4.5.1-A1 Addition Wall 155 0.069 R-21 90 90 New 4.3.1-A6 Addition Wall 180 0.069R-21 180 90 Existing 4.3.1-A6 Addition Wall 37 0.069 R41 270 90 New 4.3.1-A6 Addition Wall 75 0.069 R-21 270 90 Existing 4.3.1-A6 Addition Slab 22 0.730 None 0 180 'New 4.4.7-A 1 Addition Slab 291 0.730 None 0 180 New 4.4.7-A 1 Addition FENESTRATION SURFACE:DETAILS ID Type AreaU Facto[:: I SHGC Azm Status Glazing Type Location/Comments 1 Krindow 4.0..._:;.0,390... ,NFRC 0.33 NFRC 0 Existing Double Tinted-Iindow Addition W1ndow .:. ,,.. 30 0 : 0 340 'NERC 0.33 NERC 180 Existing Double Tinted -endow Addition 3;knaow -4 0, '...:0 340 'NFRC: 0.33 NFRC 270 Removed Double Tinted -Window Addition 4 IN�ndow 4 0 `:0 340.:NFRC::. 0.33 NERC 270 Removed Double Tinted-Mndow Addition 5 l Indow 42.:6 0 34Q NFRC .. ,.; 0 33 NFRC W 270 ,New .. Double_Tintedrpoors.... _ ,,- _ Addition N. Pil�15 X. kV �,'j;':.g i:'k k'F A : m•. -;:. �+r,`t,c of : a . ' `.,' ' . ;.. . ..A"^'t v. ,?i ..� 4. ufa........ .?fl ... '*'I� ,{t h'. ,�:i .... :.:: :;S'f..,.i . v$„ j -.. ... S 1h ,+t 1 •t :... y ..` .�7�g i.,r:&i#+ Ak .r -.4t s>.R". .,: :; ..:'. ,... 4C '.�d, �. 're` .l :- r t •- Z _ pry, w` g;✓�Ap�ry�ys P.,° FN SC�. 45`V _ �' A %dYm,.9 i :1' 3Y �.t:':�f •�. - '4 t ' moi. � ��', t v, H��N..r. H ':'{ mm .....Wa aG�i \ . R ^s ,,4'f. .; .,:+wrasv'a5iG4 .' :v:n.., `.... ....... ,y %SiE ... ..... .. .. ....... .. .................... ... .... .... k , kff s:a (1) U -Factor Type „�-'1'16'A*"" ,Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116,8=tDefauR Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window Ove hang Left Fin Right Fin ID Exterior Shade Type SHGC Wd Len H t LExt RExt Dist Len H t Dist Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 188. 3 Bug Screen 0.76 4 Bug Screen 0.76 6 Bug Screen 0.76 5.3 2.0 0.1 2.0 2.0 Ene Pro 5:1 by EnergySoft User Number: 6712 RunCode: 2010-12-07715:14:57 ID: Pa4e 4 of 5 Reg: 210-N0033758A-000000000-0000 Registration Date/Time: 2010/12/22 19:15:13 HERS PRovider: Cal CERTS, Inc Electronically Sicined at CalCERTS.com by Stephen Nieto (South West Concents) 1/19/2011 CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5 CF -1 R Project Name Building Type m Single Family m Addition Alone Date Steve Grosslight-addition ❑ Multi Family ❑ Existing+ Addition/Alteration 11212212016 BUILDING ZONE INFORMATION Existing Floor Area RSAf P F `i''_:' F'' ...., i ._ System Name Zone Name New Existing Altered I Remo -ed Volume I Year Built A/C 1 Addition 1 3131 1 1 3.130 2008 MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Hot Water Piping Length E (ft) t o 7 '0 E UJ a` 0 c Pipe Pipe Insul. Control O FHP Plenum Outside Buried — S stem Name Length Diameter Thick. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ EneigyPro 5.•1 by EnemySoft User Number., 6712 RunCode: 2010-12-07715:14:57 ID: Page 5 of 5 Reg: 210-NO03375BA-000000000-0000 Registration Date/Time: 2010/12/22 19:15:13 HERS PRovider: Ca10ERTS, Inc Totals 1 01 3131 01 0 HVAC SYSTEMS r .: l_.. Sstem;Nanie, . _ .:.: O `,i eatin g Tyb e Min. Eff. Cooling Type Min. Eff. Thermostat Type Status ;Central Furnace 93 % AFUE Split Air Conditioner 14.0 SEER Setback Existing RSAf P F `i''_:' F'' ...., i ._ s 5, ✓i. Q'Y '1 T a^ -- ................'^` i , . �.:.yvJ'A �r.•.. �R` YyF� „;,` ik..-z' G` T IMS !� ,.s.�.,aw HVAC'DISTRIB,UTION, ` . ... _.._...:.�sf., :?,._ _ ,...;, , Fr ,'v'".: e�. .r :�.):. `'E a'..fi _.?s::� �:,�t ,:' »"�ir`a;£.9+;�?�r��f �N.. Duf f� Ducts - ` ",Heatin ,,Coo in, h k Duct Location ... R U�lue Tested. Status ,,S stem Name' ............. ..::.. Ducted. r 'a ;,.... •: ': Ducted Attic, Ceiling Ins, vented 8.0 m New .. .... ..... .... .;� .fir •. 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 CEC Standard MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Hot Water Piping Length E (ft) t o 7 '0 E UJ a` 0 c Pipe Pipe Insul. Control O FHP Plenum Outside Buried — S stem Name Length Diameter Thick. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ EneigyPro 5.•1 by EnemySoft User Number., 6712 RunCode: 2010-12-07715:14:57 ID: Page 5 of 5 Reg: 210-NO03375BA-000000000-0000 Registration Date/Time: 2010/12/22 19:15:13 HERS PRovider: Ca10ERTS, Inc