07-1100 (SFD)I
P.O. BOX 1504 4 4.Q"
78495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: ' 07-00001100
Property Address: 80566 VIA PESSARO
APN: 772-500-016- - -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: '352084
Applicant: Architect or+Engineer:
------------------- -- --- --- --------------------
EN CON RACT R'S DE RATION
I hereby affirm under penalty of perjur hat I a icensed rider rovisio f Chapter 9 (commencing with
Section 700 of Divi ion 3 of the 8 iness a rofessio als e, an y License is in full force and effect.
License CI s B Lic se No . 879734
Date: ntractor:
O ER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves 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.).
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( ) I am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lendingagency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.). _
Lender's Name: _
Lender's Address:
LQPERMIT .
Owner:
MR & MRS BRANNAN
10209 60TH ST NE
KIRKLAND, WA 98033
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/23/07
Contractor: (�I
CHEROKEE DSGN & DEV, INC.
73-180 HIGHWAY 111 I
PALM DESERT, CA 92260 ,AUG 23 2007
(760)341-0920
Lic. No.: 879734 C7'y J
er..OF LA
--—————————————————————————————————————————————
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 STATE FUND licy m r 0 Q3 7 9 13-11007
I certify that, in the perfor ce of t e ork fo which his per n issued, I shall not employ any
person in any mann so as to be e subje t tot wart rs' ompensation laws of California,
and agree that, if hould becom ubiect t the off
pensation provisions of Section
r00 of the La r Code, I shall rthwith mpl wirovisions.
Date: V Applicant:
WARNING: FAILURE TO SECURE WORK S' COMPENSATION C VERAGE 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 Ouinta, its officers, agents and employees for any act or omission rZethe work being
performed under or following issuance of this per
2. Any permit issued as a result of this
app
aY becom null d void f ot commenced
within 180 days from date of issuance o uch permit, r ce sation o w80 days w' subject
permit to cancellation.I certify that I have read this application and state th t the above inf ation is c rece to c y with all
city and c my ordances and state laws relating t building constr ion nd rebze r ntatives
of this my tje�eir upon the above-mentioned pro for ins i purpo 's.Dat • ignature (Applicant or Agent):
Application Number . . . . . 07-00001100
------ Structure Information 4,006SF DWELLING/V-NR/RES-3/CLASS
A -FR -----
Other struct.info
CODE EDITION 2001/2005
# BEDROOMS
3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
862..00
PATIO SQ FTG
865.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
3482.00
-----------------------------------------------------
2ND FLOOR SQUARE FOOTAGE
-----------------------
524.00
Permit . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1525.00 Plan Check Fee
.991.25
Issue Date . . . .
Valuation
352084
Expiration Date
2/19/08
Qty Unit Charge
Per
Extension
BASE FEE
639.50
253.00 3.5000
-------=--------------------------------------7-----------------------------
THOU BLDG 100,001-500,000
885.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
187.45 Plan Check Fee'.
46.86
Issue Date'
Valuation . . . .
0
Expiration Date
2/19/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4006.00 .0350
ELEC NEW RES.- 1 OR 2 FAMILY
140.21
862.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
17.24
1.00. 15.0000
--------------------------
EA ELEC TEMPORARY POWER POLE
--------------------------------------
15.00
------ - - - - - -
Permit . .
Additional desc .
Permit Fee . . .
Issue Date . . .
Expiration Date .
GRADING PERMIT
15.00
2/19/08
Plan Check Fee .
Valuation . . .
Qty Unit Charge Per Extension
BASE FEE 15.00
----------------------------------------------------------------------------
Permit . . . MECHANICAL
Additional desc . .
LQPEINIIT
Application Number .
. . . . 07-00001100
Permit . . . .
MECHANICAL
Permit Fee
162.50 Plan Check Fee
40.63
Issue Date . . . .
Valuation . .
0
Expiration Date
2/19/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
5.00 9.0000
EA MECH FURNACE <=100K
45.00
1.00 4.5000
EA MECH VENT INST/ DUCT ALT
4.50
4.00 9.0000
EA MECH B/C <=3HP/100K BTU
36.00
l.UU 16.5000
EA MECR B/C >3-15HP/>lUUK-5UUKHTU
1b.5U
6.00 6.5000
EA MECH VENT FAN
39.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
240.75 Plan Check Fee
60.19
Issue Date . . . .
Valuation
0
Expiration Date
2/19/08
Qty Unit Charge
Per.'
er
Extension
BASE FEE
15.00
26.00 6.0000
EA PLB FIXTURE
156.00
3.00 7.5000
EA PLB WATER HEATER/VENT
22.50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
4.00 3.0000
EA PLB GAS PIPE 174 OUTLETS
12.00
11.00 .7500
EA PLB GAS PIPE >=5
8.25
1.00 15.0000
EA PLB GAS METER
15.00
----------------------------------------------------------------
Special Notes and Comments
------------
4,006SF DWELLING/V-NR/RES-3/CLASS
A -FR.
THIS PERMIT DOES NOT
INCLUDE
BLQCKWALLS, POOL AND
SPA OR DRIVEWAY
APPROACH. 2001 CBC, CMC,
CPC, 2004 CEC,
2005 ENERGY. August 23,
2007 8:36:11 AM
AORTEGA
-----------------------------.--------------------------------------
Other Fees . . . .
. . . . .ART IN PUBLIC PLACES -RES
---------
380.21
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
99.13
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
15.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF.PARKS/REC - RES
892.00
LQPERMIT
Application Number . . . . . 07-00001100
--------------------
Other Fees . . .
. . . . .
---------------------------------
STRONG MOTION (SMI) - RES
35.20
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
.1930.00
Fee summary
-----------------
Charged
----------
Paid Credited
'Due
Permit Fee Total
2130.70
------------------------------
.00 .00
2130.70
Plan Check Total
1138.93
750.00 .00
388.93
Other Fee Total
5004.54
.00 .00
5004.54
Grand Total
8274.17
750.00 .00
7524.17
LQPERMIT
It
ucr cw cc.rvu ice. vv r ww Juu.J r 1 J 1 UUj`IU GIYU11`IGGiClIYU JC rHUG CIL
77-804 Wildcat Dr., Ste. C, Palm Desert, CA. 92211
February 28, 2008
Tom Hartung
Building Official
City of La Quinta
Re: Brannan Residence — 80-566 Via Pessaro La Ouinta,Ca
Dear Mr. Hartung,
(760) 360-5770 fax (760)
We have performed Structural Observation per C.B.C. section 1702 and, find it be in General Conformance
with the approved City plans and calculations with the exception of the following items:
1. Install 3-2x6 studs at left side of plumbing penetration in shear wall #42 at the Garage. Epoxy
5/8" diameter all -thread 10" into footing using Simpson SET epoxy for PHD2 hold-down at new
3-2x6 studs. (special inspection required for epoxy)
2. Install LTP4 at 24" o/c at truss over beam (R8) in the garage.
3. Replace EC column cap at Trellis Parking, trellis beam to post to a CC column cap.
4. Replace bent stab bolt at door side of shear wall #12 at rear of Master Suite. Epoxy 5/8" diameter
all -thread 10" into footing using Simpson SET epoxy. (special inspection required for epoxy)
5. Install HD5A or PHD5A at shear wall #37. Epoxy 5/8" diameter all -thread 10" into footing using
Simpson SET epoxy. (special inspection required for epoxy)
6. Provide MST72 strap at end of hip beam (R6) and (R6A) strap post to beam to post. Install PHD2
hold down on 6x6 post that is supporting hip beam (R6) and (R6A). Epoxy 5/8" diameter all -
thread 10" into footing using Simpson SET epoxy. (special inspection required for epoxy)
7. Install PHD2 hold down on 6x6 post at right side of beam (R16). Epoxy 5/8" diameter all -thread
10" into footing using Simpson SET epoxy. (special inspection required for epoxy).
8. Install 5/8" diameter "red heads" at 48" o/c along sill plate of wall below windows along front
elevation of Casita Bedroom #3.
9. Install CS16 coil strap at sill plate break at shear wall #33 in the Casita Bedroom #3: Extend strap
to end of shear wall and 32" past other end of sill plate break.
10. At shear wall #6 at Bonus Room, install coil strapping on exterior side of shear wall above and
below the high windows.
11. Along girder drag truss at shear wall #1 at rear of Bonus Room provide 2x flat on top plate of wall
to side of bottom chord of the girder drag truss (GDT) nail 2x flat to top plate using 16d at 3" o/c
and LTP4 connector from 2x plate to bottom chord of truss at 16" o/c.
The roof and floor diaphragm nailing was not observed. Roof was covered and stacked, and the floor had
gyperete topping installed at time of structural observation.
Please note that this letter does not relieve the City or the Special Inspectors from determining compliance
with the approved structural plans. The above items are to be inspected and signed off by the city inspector.
If you have any questions please call.
Bin #
Ci of LQ Quinta
Building eX Safety Division
P.O. Box 1504, 78-495 Calle Tampico D e
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Trackin he%pR 10 2007
Permit #
p�
Project Address:' • S� �p v1A /OSS �
Owner's Name:.
A. P. Number: ? d��
NCE DEPT.
Address: 101 � ^% qpk
Legal Description: 74*G7 .?rf Lc (
City, ST, Zip: .k//j,k G✓4 . Q 8033
Contractor: cwt
Telephone: LO(- T?L`/ /
Project Description:
Address:
City, ST, Zip: (A► 4FZ 060
-��✓�►'Ct� c. Jr /?i ccv!GJ_ .
Telephone: �� 69ZC)
p.Q.
State Lie. #: Q f �/ �3 City Lic. #: 16 Z Mg
Arch., Engr., Designer: o/vi S. t-0-#a%A(i
Coachella Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
v11TIGATION AMOUNT:
COMM/IND. AMOUNT:
DATE:
RECEIPT:
:HECK N:
INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: The Hideaway 08/03/07
Owner's Name: Mr. & Mrs. Brannan (Cherokee Homes) Phone No. 760 -
Project Address: 80-566 Via Pessaro, La Quinta, CA 92253
Project Description: 1 Dwelling Unit
APN:
777-160-016
Tract #:
Residential il Commercial
Total Square Feet of Building Area: 4,006 sq. ft.
Certification of Applicant/Owners: The person signing certifies t
penalty of perjury and further represents that he/she is authoriz9d to sign
Dated: 08/03/07
Signature:
Lot #'s:
Industrial
is coyeiect'and makes this statement under
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *'s * * * * * * * * * * * * * * * * = * * * * * * * * * * * * * * * *
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project Agreement Existing Not Subject to Fee
17620 65995 Approval Prior to 1/1/87 Requirement
Note:
Number of Sq.Ft. 4,006 sq. ft.
Amount per Sq.Ft. $ 3.48
Amount Collected $ 13,940.88
Building Permit Application Completed: Yes/No
By: Carey M. Carlson, Asst. Supt., Business Services
Certificate issued by: Elsa F. Esqueda Signatur .
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment )f 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 ierein 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. At such time as this Certificate expires, if a building permit has not been ::sued for the project that is the subject
of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
�tl';crmy�locs'c!e� Ees%czrti6calCe of' compliance Purrs talblesTO USE-Joc 1/16/03 T
NEW ('?=.r.' IJRY --TLV.. COMPANY
RiECCROING REQUESTED BX:
r,Sv, • entury Title Company - Riverside Tide
ORDER NO.: 5',600.35
ESCROW NO.: 33050405-SVO
AND WHEN RECORDED MAIL TO:
Randall Brannan
Marylou Brannan
10209 Northeast 60th Street
Kirkland, WA 98033
4oC a� Z005-04ZS687
05/27/2005 08:00A Fee:13.00
Page 1 of 3 Doc T Tax Paid
Recorded in Official Records
County of Riverside
Larry W. Ward
Assessor, County Clerk & Recorder
1111111111111111111111111111111111111111111111111111111
�J II PAGE �- S2E I oA I PCOR 11 NOCOR I SMF I M,Sc.
17e -,q! C>ZV— 1 0I '4 I i2 I L I COPY inner ;E)
GRANT DEED t ~AM
THE UNDERSIGNED GRANTOR(S) DECLARE(S) that documentary transfer tax is $687.50 (County) $.00 (City) I T
( X) computed on full value of property conveyed, or
( ) computed on full value less liens or encumbrances remaini!ig at time of sale
( X) City of La Quinta
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Desert Development Inc., a
California Corporation,
hereby GRANT(S)to Randall C. Brannan and Marylou Guthrie Brannan, Trustees of the
Randall and Marylou Brannan Property Trust
the following described real property in the City of La Quinta, County of Riverside, State of California:
Please see attached Exhibit "A"
Dated: April 7, 2005
STATE OF CALIFORNIA
COUNTY OF I{ 1 ✓t?1A c
on _ ! ':I:%r ; I =i ;). J �)i Y > before me I v 154-L ' r
Personally appearedU r i rl --- --
Personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(,$) whose name(,5) iJarg subscribed to the
within instrument and acknowledged to me that�fie/she/tpey executed the
same in hisPieytheir authorized capacity(ies), and that by 'his/#teyt ww—
signature(s) on the instrument the person( or the entity upon behalf of
which the person(5) acted, executed the instrument.
WITNESS my hand and official seal.
Signature "'k.
`�1'�2:—
Uoyd 6�', lj
CHRIS70PHE11 .4�_ICOTTComrrissir*n r
3 ti; Notrry Pumic - Cniftmila
CLY1Comm r
F�'r Aug Z7,2005
Grant Deed – Individual (290) 10-04 MAIL TAX. STATEMENTS AS DIRECTED ABOVE
NC,C .
(This area for official notary seal)
Exhibit "A"
PARCEL NO. 1
Order No. 5150035
LOT 174 (THE "LOT") OF AMENDED TRACT NO. 29894-2 AS SHOWN ON SUBDIVISION MAP (THE
"MAP") RECORDED ON DECEMBER 12, 2002, IN BOOK 327, PAGES 56 TO 88„ INCLUSIVE, OF
MAPS, IN THE OFFICE OF THE RIVERSIDE COUNTY RECORDS.
PARCEL NO. 2:
NONEXCLUSIVE EASEMENTS FOR ACCESS, INGRESS, EGRESS, DRAINAGE, MAINTENANCE,
REPAIRS AND FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION.
,- Certificate of Occupancy0
4hf ot
Irxnwoanhn �'4'
G� OF T9� Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 80-566 VIA PESSARO
Use' classification: SFD Building Permit No.: 07-1100
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Buildinq: MR. & MRS,_.BRANNAN Address: 80-566 VIA PESSARO
City, ST, ZIP: LA QUINTA CA 92253
By: STEVE TRAXEL
Date: SEPTEMBER 17, 2008
Building Official
POST IN A CONSPICUOUS PLACE
ITITLE 24 REPORT I
Title 24 Report for:
Brannan Residence
80-566 Via Pessaro
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
Job Number:
Date:
7/30/2007
�� 3 � 2007
BY D
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATER�PkB Y
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 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC - www.energysoft.com.
EnergyPro 4.3 by EnergySoft Job Number: User Number: 2655 1
I TABLE OF CONTENTS
Cover Page
Table of Contents
Form CF -1 R Certificate of Compliance
Form MF -1 R Mandatory Measures Summary
Form WS -5R Residential Kitchen Lighting
HVAC System Heating and Cooling Loads Summary
Room Load Summary
Form ECON-1 Energy Use and Cost Summary
1
2
3
9
11
12
15
18
EnergyPro 4.3 by EnergySoft Job Number: User Number: 2655 1
Certificate Of Compliance :
Residential
(Part 1 of 4) CF -1 R
Biann.an_Etesidenc_e
n/a
ft2
7/30/2007
Project Title
ft2
Slab on Grade Area:
Date
-8D-5. B-Vjawessaro--a_Q.uiota
Average Ceiling Height:
12.9
ft
Project Address
1.00
Buildin3 Permit #
las-LL-form Inc_
(760) 779-0657
Documentation Author
Telephone
plan Check/Date
FnPravPro
Compliance Method
15
Climate Zone
Field Cleck/Date
TDV Standard
Proposed
Compliance
(kBtu/sf-yr) Design
Design
Margin
Space Heating 5.09
6.06
-0.97
Space Cooling 75.38
70.10
5.28
Fans 10.71
11.42
-0.71
Domestic Hot Water 6.03
8.50
-2.47
Pumps 0.00
0.00
0.00
Totals 97.21
96.09
1.12
Percent better than Standard:
1.2%
Building Type: FX]Single Family
❑ Multi Family
Building Front Orientation
Fuel Type:
Fenestration:
❑ Addition
❑ Existing + Add/Alt
(SW) 225 deg
Natural Gas
Area: 908 ft2 Avg. U: 0.59
Ratio: 22.7% Avg. SHGC: 0.46
Total Conditioned Floor Area
4,006
ft2
Existing Floor Area:
n/a
ft2
Raised Floor Area:
0
ft2
Slab on Grade Area:
3,482
ft2
Average Ceiling Height:
12.9
ft
Number of Dwelling Units:
1.00
Number of Stories:
2
BUILDING ZONE INFORMATION # of
Zone Name Floor Area Volume Units
OPAQUE SURFACES Insulation Act.
Type Frame Area U -Fac. Cay. Cont. Azm. Tilt
AALall- Wood- 220 n n69 R-21 R_n n 995 q.0
Wall Wood 584 -0 069 _R-91 R_0 0_ 315 9Il
Wall Vk=d_ ---6L9_ -0...069_ -R21 R-0 0 x.5_ 9.0
-Wall Wnnd _-snn n n69 X21 R -n n I359II
Roof WIVood- _524 -L_0.25- _B_3.8 R-0 0 45_ 0
Wall Wond 345 0 069 R-21 R-0.0 725 90
Wall Wood 594 n 069 R_21 R -n n 31.5 $Q
MALat] Wnnd 632 -0069_ R-21 R -n 0 4,S 9()
WQ/all Wand 6o0 -0-.0.69- -R-21 R_0 0_ 115 _gIl
Roof Wood 446 -0_095 R_38 R-0 0 450
Wall Wood S69 -0 069_ R-21 R-0 0 _225 9r)
_ zoL- Nnne 30 n 500 �Nf)ne_ -09_-225_ 90
Wall Wood 8D- -Q..O.69R-21 R -n 0_-315 90
Wall W/1Lnnd PBZ -0_0.69- -R-21 -R-D.-O- x.5- 90
Roof Wood 1016 -0.025_ R_38 R-0 L_ 45 n
Zone Type
rnnd timed_
Conditioned_
�ond4tioned
Thermostat
Type
Setback
:;ethack_
Setback
Vent
Hgt. Area
8 n/a
8 -n/e
8 _n/a
Gains Condition
Y / N Status JA IV Reference Location / Comments
New 09-A6 SFrnnd Stogy
New 09-A6 Secand Story
New 9.9=A6 Second Story
New 09-A6 Seonnd Stnry
New n1 -A18 Second Story
New 09-A6 Giest House
New ng -A6 GJEst liousP
New 09-A6 sliest HougP
New 09-A6 Gest House
New 01-A18 (,.jest Hnuse
New n9 -A6 WLI.'hnle House
New 28-A4 WNhnle Hnuse
New n9 -A6 Wd'hole House
New 09-A6 W'hool HHn ice
New 09-A6 \&'hole House
New 01-A18 Whole House
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Paae:3 of 18 1
'Certificate Of Compliance : Residential (Part 2 of 4) CF -1 R
Brannan Residence 7/30/2007
Project Title Date
FENESTRATION SURFACES
True Cond.
# Type Area U -Factors SHGCZ Azm. Tilt Stat. Glazing Type
Location/
Comments
-1-
Window Leff (NW)
160 0 59D NFRC_-0-45 MERG 115_ 0.0_ NemL-IWC 69nn Alum/I ow -F
Second Story
2
Window
Rear
(NE)
71.0 0.590 NFRC 0.45 NFRC 45 90 New IWC 6200 Alum/Low-E
Second Story
• 3
Window
Front
(SW)
25.0 0.590 NFRC 0.45 NFRC 225 90 New IWC 6200 Alum/Low-E
Guest House
" 4
Window
Left
(NW)
6.0 0.590 NFRC 0.45 NFRC 315 90 New IWC 6200 Alum/Low-E
Guest House
415
Window
Rear
(NE)
48.0 0.590 NFRC 0.45 NFRC 45 90 New IWC 6200 Alum/Low-E
Guest House
• 6
Window
Front
(SW)
15.0 0_590 NFRC 0_45 NFRC 225 90 New IWC 6200 Alum/Low-E
Whole House
L
Window
Front
(SW)
3.0 0.599 NFRC 0.x.5 NFRC _225 _M_ New IWC 6200 Alum/Low-E
Whole House
fA 8
Window
Front
(SW)
15.0 0.590 NFRC 0.45 NFRC 225 90 New IWC 6200 Alum/Low-E
Whole House
%-9-
Window
Front
(,SW)
48.0 0.599 NERC Q45 NFRC -225_ 00 New IWC 6200 Alum/Low-E
Whole House
•1Q
Window
Left
(NW)
3.0 _0_5M NFRC 0-45 JCC -315 90 N.ew IWC 6200 Alurnlow-E
Whole House
11
Window
Left
(NW)
6.0 0_590 NFRC 0_45 NFRC 315 90 New IWC 6200 Alum/Low-E
Whole House
012
Window
Left
(NW)
25.0 0.590 NFRC 0.45 NFRC 315 90 New IWC 6200 Alum/Low-E
Whole House
$1.3
_WnrInw Left INVV)_25.Q
_0_5.9_0 NFRC, 0_A5 _NERC _315 __R0 Nexr_L)<V_CO200 Ali m/Low-E
Whole House
• 14
Window
Left
(NW)
84.1 0.590 NFRC 0_45 NFRC 315 90 New IWC 6200 Alum/Low-E
Whole House
615
Window
Left
(NW)
27.0 0.590 NFRC 0.45 NFRC 315 90 New IWC 6200 Alum/Low-E
Whole House
16
Window
Rear
(NE)
3.0 0.590 NFRC 0_45 NFRC 45 90 New IWC 6200 Alum/Low-E
Whole House
617
Window
Rear
(NE)
144.0 0.590 NFRC 0_45 _N= 45 90 New IWC 6200 Alum/Low-E
Whole House
•18
Window
Rear
(NE)
170.0 0.590 NFRC 0.45 NFRC 45 90 New IWC 6200 Alum/Low-E
Whole House
•-19
Window
Rear
(NE)
48.0 0_590 NFRC 045 NFRC 45 90 New IyyC_6200 Alum/Low-E
Whole House
1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 1168.
INTERIOR AND EXTERIOR SHADING
Area Thick. Heat Inside
Condition
Location/
Type
(sf)
(in.) Cap. Cond. R -Val.
JA IV Reference
Window
Comments
Overhang
Left Fin Right Fin
#
Exterior Shade Type
SHGC
Hgt.
Wd.
Len.
Hgt. LExt.
RExt. Dist. Len. Hgt. Dist. Len. Hgt.
1
Bug Screen
0.76
2.0
2.0
2.0
0.1 2.0
2.0
2
Bug Screen
0.76
6.8
5.4
2.0
0.1 2.0
2.0
3
Bug Screen
0.76
5.0
2.5
2.0
0.1 2.0
2.0
4
Bug Screen
0.76
--30
__2_0
2.0
0- 2.0
_2.0
5
Bug Screen
0.76
9.0
6.0
2.0
0.1 2.0
2.0
6
Bug Screen
0.76
6.0
2.0
2.0
0. _2_0
2.0
7
Bug Screen
0.76
2.0
1.2
2.0
0.1 2.0
2.0
8
Bug Screen
0.76
6.0
2.0
2.0
0.1 2.0
2.0
9
Bug Screen
0.76
9.0
6.0
2.0
0.1 2.0
2.0
10
Bug Screen
0.76
2.0
1.5
2.0
0.1 2.0
2.0
11
Bug Screen
0.76
2.0
3.0
2.0
0.1 2.0
2.0
12
Bug Screen
0.76
5.0
5.0
2.0
0.1 2.0
2.0
13
Bug Screen
0.76
5.0
5.0
2.0
0.1 2.0
2.0
14
Bug Screen
0.76
10.0
8.5
20.0
0.1 20.0
20.0
15
Bug Screen
0.76
9.0
3.0
20.0
0.1 20.0
20.0
16
Bug Screen
0.76
2.0
1.5
2.0
0.1 2.0
2.0
17
Bug Screen
0.76
9.0
16.0
15.0
0.1 15.0
15.0
18
Bug Screen
0.76
10.0
17.0
12.0
0.1 12.0
12.0
19
Bug Screen
0.76
9.0
3.0
2.0
0.1 2.0
_
2.0
THERMAL MASS FOR HIGH MASS DESIGN
Run Initiation Time: 07/30/07 13:56:44 Run Code: 1185829004
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:4 of 18
Area Thick. Heat Inside
Condition
Location/
Type
(sf)
(in.) Cap. Cond. R -Val.
JA IV Reference
Status
Comments
Frame Wall, Stucco
220
0.25 21 0_47 0
09-A6
New
Second Story / Exterior Mass
Frame Wall, Stucco
584
0.25 21 0_47 0
09-A6
New
Second Story / Exterior Mass
Frame Wall, Stucco
609
0.25 21 0_47 0
09-A6
New
Second Story / Exterior Mass
Frame Wall, Stucco
600
0.25 21 0_47 0
09-A6
New
Second Story / Exterior Mass
Frame Wall, Stucco
395
0.25 21 0.47 0
09-A6
New
Guest House / Exterior Mass
PERIMETER LOSSES
Insulation
Condition
_ocation/
Type
Length
R -Val. Location
JA IV Reference
Status
:.omments
Slab Perimeter
25
None No Insulation
26-A1
New
Guest House
Slab Perimeter
63
None No Insulation
26-A1
New
"Vhole House
Slab Perimeter
150
None No Insulation
26-A1
New
Whole House
Run Initiation Time: 07/30/07 13:56:44 Run Code: 1185829004
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:4 of 18
Certificate Of Compliance : Residential (Part 2 of 4) CF -1 R
Brannan Residence
Project Title
7/30/2007
Date
FENESTRATION SURFACES
# Type Area LI -Factor' SHGCZ
True
Azm. Tilt
Cond.
Stat. Glazing Type
Location/
Comments
X24
-Wmd.aw--3e.ar(NE)
48_0_ _0-5RO-NFRC__0-45 -NERC 4.9-aQ-New-MLC-620.0-AIumtLow-F
(so
Whole House
• 21
Window Right (SE)
18.0 0.590 NFRC 0_45 NFRC
135
90 New
IWC 6200 Alum/Low-E
Whole House
• 22
Window Right (SE)
24.0 0.590 NFRC 0_45 NFRC
135
90 New
IWC 6200 Alum/Low-E
Whole House
023
Window Right (SE)
24.0 0.700 NFRC 0_70 NFRC
135
90 New
Glass Block
Whole House
W24
Window Right (SE)
12.0 0.590 NFRC 0_45 NFRC
135
90 New
IWC 6200 Alum/Low-E
Whole House
22
Bug Screen
0.76
6.0
2.0
2.0
0.1 2.0
1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 1168.
INTERIOR AND EXTERIOR SHADING
Area Thick. Heat
Inside
Condition
Location/
Type
(so
(in.)
Window
Cond. R -Val.
Overhang
Left Fin Right Fin
#
Exterior Shade Type
SHGC
Hgt.
Wd.
Len.
Hgt. LExt.
REA Dist. Len. Hgt. Dist. Len. Hgt.
20
Bug Screen
0.76
9.0
6.0
2.0
0.1 2.0
2.0
21
Bug Screen
0.76
3.0
2.0
2.0
0.1 2.0
2.0
22
Bug Screen
0.76
6.0
2.0
2.0
0.1 2.0
2.0
23
Bug Screen
0.76
-8-0
---3-0
9
0, 2.0
2.0
24
Bua Screen
0.76
4.0
3.0
2.0
0.1 2.0
2.0
THERMAL MASS FOR HIGH MASS DESIGN
Run Initiation Time: 07/30/07 13:56:44 Run Code: 1185829004
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:5 of 18
Area Thick. Heat
Inside
Condition
Location/
Type
(so
(in.)
Cap.
Cond. R -Val.
JA IV Reference
Status
Comments
Frame Wall, Stucco
594
0.25
21
0_47 0
09-A6
New
Guest House / Exterior Mass
Frame Wall, Stucco
632
0.25
21
0_47 0
09-A6
New
G uest House / Exterior Mass
Frame Wall, Stucco
600
0.25
21
0_47 0
09-A6
New
Guest House / Exterior Mass
Frame Wall, Stucco
569
0.25
21
0_47 0
09-A6
New
Whole House / Exterior Mass
Frame Wall, Stucco
480
0.25
21
0.47 0
09-A6
New
Whole House / Exterior Mass
PERIMETER LOSSES
Insulation
Condition
Location/
Type
Length
R -Val.
Location
JA IV Reference
Status
Comments
Run Initiation Time: 07/30/07 13:56:44 Run Code: 1185829004
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:5 of 18
Certificate Of Compliance : Residential (Part 2 of 4) CF -1 R
Brannan Residence 7/30/2007
Project Title Date
FENESTRATION SURFACES
True Cond. Location/
# Type Area U-Factorl SHGC2 Azm. Tilt Stat. Glazing Type Comments
1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 116B.
INTERIOR AND EXTERIOR SHADING Window Overhang Left Fn Right Fin
# Exterior Shade Type SHGC 7WgT Wd. Len. Hgt. LExt. REA Dist. Len. Hgt. Dist. Len. Hgt.
THERMAL MASS FOR HIGH MASS DESIGN
Type
Area Thick. Heat
(so (in.) Cap.
Inside
Cond. R -Val.
JA IV Reference
Condition
Status
Location/
Comments
Frame Wall, Stucco
467
0.25 21
0.47 0
09-A6
New
Whole House / Exterior Mass
Frame Wall, Stucco
602
0.25 21
0.47 0
09-A6
New
Whole House / Exterior Mass
PERIMETER LOSSES
Insulation
Condition
Location/
Type
Length
R -Val.
Location
JA IV Reference
Status
Comments
Run Initiation Time: 07130/07 13:56:44 Run Code: 1185829004
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:6 of 18
Certificate Of Compliance : Residential (Part 3 of 4) CF -1 R
Brannan Residence 7/30/2007
Project Title Date
HVAC SYSTEMS
HVAC DISTRIBUTION
Heating
Minimum
Cooling
Minimum
Condition
Thermostat
Location
Type
Eff
Type
Eff
Status
Type
Second Story
Packaged Heat Pump
8.00 HSPF
Packaged Heat Pump
13.0 SEER
New
Setback
Guest House
Central Furnace
80% AFUE
Split Air Conditioner
13.0 SEER
New
Setback
Whole House
Central Furnace
80% AFUE
Split Air Conditioner
13.0 SEER
New
Setback
HVAC DISTRIBUTION
Hydronic Piping Pipe Pipe Insul.
System Name Length Diameter Thick.
WATER HEATING SYSTEMS Rated Tank Energy Tank Insul.
Water Heater # in Input Cap. Condition Factor Standby R -Value
System Name Type Distribution Syst. (Btu/hr) (gal) Status or RE Loss (%) Ext.
A O SMITH FPSH-50-250 Small Gas All Pipes Ins 3 46,000 50 New 0.62 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 Insilation
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 o- the California Code of
Regulations, and the administrative regulations to implement them.This certificate has been signed by the individual with )verall 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 usiness & Professions Code) Documentation Author
Name: 0A-(ZName: Joan D. Hacker
Title/Firm: Title/Firm: Insu-form, Inc.
Address: C' lF hp Address: 41-921 Beacon Hill, Suite A
"13 -IM ftyi�-(111 f" DIES elzT Palm Desert, CA 92211
Telephone:
L
. #: Telephone: 760 779-0657
�N
(signature) (date) (signal re) ate)
Enforcement Agency
Name:
Title/Firm:
Address: STAMP
Telephone:
(signature)
I EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Paae:7 of 18 1
Duct
Duct Condition
Ducts
Location
Heating
Cooling
Location
R -Value Strtus
Tested?
Second Story
Ducted
Ducted
Attic
4.2 New
Yes
Guest House
Ducted
Ducted
Attic
6.0 New
Yes
Whole House
Ducted
Ducted
Attic
6.0 Nevr
Yes
Hydronic Piping Pipe Pipe Insul.
System Name Length Diameter Thick.
WATER HEATING SYSTEMS Rated Tank Energy Tank Insul.
Water Heater # in Input Cap. Condition Factor Standby R -Value
System Name Type Distribution Syst. (Btu/hr) (gal) Status or RE Loss (%) Ext.
A O SMITH FPSH-50-250 Small Gas All Pipes Ins 3 46,000 50 New 0.62 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 Insilation
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 o- the California Code of
Regulations, and the administrative regulations to implement them.This certificate has been signed by the individual with )verall 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 usiness & Professions Code) Documentation Author
Name: 0A-(ZName: Joan D. Hacker
Title/Firm: Title/Firm: Insu-form, Inc.
Address: C' lF hp Address: 41-921 Beacon Hill, Suite A
"13 -IM ftyi�-(111 f" DIES elzT Palm Desert, CA 92211
Telephone:
L
. #: Telephone: 760 779-0657
�N
(signature) (date) (signal re) ate)
Enforcement Agency
Name:
Title/Firm:
Address: STAMP
Telephone:
(signature)
I EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Paae:7 of 18 1
Certificate Of Compliance : Residential (Pa -t 4 of 4) CFA R
Brannan Residence 7/30/2007
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
agency determines the adequacy of the justification, and may reject a building or design that otherwise complies Lased on the
aaequacy of the special justification ano aocumentanon submntea.
Plan I Field
HERS Required Verification
Items in this section require field testing and/or verification by a certified home energy rater under the supervision of a CEC-
approved HERS provider using CEC approved testing and/or verification methods and must be reported on the CF -4R plan Field
installation certificate.
The HVAC System "Second Story" incorporates HERS verified Duct Leakage. Target leakage is calculated and docunented on the
CF -4R.
The HVAC System "Second Story" incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion
Valve.
The Cooling System "Carrier 38YXA03032" includes credit for a 11.2 EER Condenser. A certified HERS rater must fisld verify the
installation of the correct Condenser.
The HVAC System "Guest House" incorporates HERS verified Duct Leakage. Target leakage is calculated and docunented on the
CF -4R.
The HVAC System "Guest House" incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion
Valve.
The Cooling System "Carrier 38ETG03030" includes credit for a 11.4 EER Condenser. A certified HERS rater must feld verify the
installation of the correct Condenser.
The HVAC System "Whole House" incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the
CF -4R.
The HVAC System 'Whole House" incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion
Valve.
The Cooling System "Carrier 38ETG04830" includes credit for a 11.3 EER Condenser. A certified HERS rater must E.eld verify the
installation of the correct Condenser.
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Paoe:8 of 18 1
Mandatory Measures Summary: Residential (Page ' of 2) MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach jsed. More stringent compliance
requirements from the Certificate of Compliance supercede the items marked with an asterisk (') below. When this checklis: 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
ENFORCE -
permit application documentation.
N/A
DESIGNER
MENT
Building Envelope Measures
.§ 150(a): Minimum R-19 in wood ceiling insulation or equivalent U -factor in metal frame ceiling.
❑
Q
❑
§ 150(b): Loose fill insulation manufacturer's labeled R -Value:
❑
❑
❑
e§ 150(.): Minimum R-13 wall insulation in wood framed walls or equivalent LI -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.
1. Masonry and factory -built fireplaces have:
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.
§ 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include
r_1
E
ElCF-6R
Form:
§ 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls.
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
❑
❑X
❑
2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain
Coefficient
❑
❑X
❑
(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.
❑
❑X
❑
§ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA.
❑
Q
❑
§ 150(i): Setback thermostat on all applicable heating and/or cooling systems.
❑
0
❑
§ 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
❑
❑
❑
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
❑
❑
❑
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-A/B 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
❑
❑
❑
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
❑
❑
❑
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,
❑
❑
❑
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 4.3 by EnergySoft User Number: 2655 Job Number:
Page:9 of 18
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 appnach 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 rot 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, 60, 604, ❑ Q ❑
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 syGtem
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, aid 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
a. At least 36" of pipe between filter and heater for future solar heating.
❑ ❑ ❑
support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause
❑ ❑ ❑
3. Pool system has directional inlets and a circulation pump time switch.
❑ ❑ ❑
reductions in the cross-sectional area of the ducts.
❑ ® ❑
burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr)
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.
❑ ® ❑
150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are
4. Exhaust fan systems have back draft or automatic dampers.
❑
❑
❑
5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating
❑
❑
❑
dampers.
provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires.
6. Protection of Insulation. Insulation shall be protected -rom 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
❑ X❑ ❑
are controlled a switch are
controlled by an occupant sensor that complies with Section 1`19(d) that does not turn on automatically or have an
retardant and provides shielding from solar radiation that can cause degradation of the material.
❑ ❑ ❑
certified to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals.
7. Flexible ducts cannot have porous inner cores.
❑
❑
❑
§ 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 circulation 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 Ta ile
❑ ® ❑
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,
❑ X❑ ❑
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
❑ X❑ ❑
in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy lum naires,
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 IuminairE s.
❑ X❑ ❑
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 kichens, bathrooms, garages, laundry rooms, and utility room
shall be high efficacy luminaires (except closets less than 70 ft) OR by dimmer OR
❑ X❑ ❑
are controlled a switch are
controlled by an occupant sensor that complies with Section 1`19(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
❑ ❑ ❑
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
❑ ❑ ❑
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 1 VD(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 Secion
119(d).
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number:
Page: 10 of 18
Residential Kitchen Lighting Worksheet WS -5R
Brannan Residence 7/30/2007
Project Title Date
At least 50% of the total rated wattage of permanently installed luminaires in kitchens must be in luminaires that are high efficacy luminaires
as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately.
Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens.
Luminaire Type
(1) 40w Ln g Cmpt T5 Fluorescent Twin
(44) 4 ft Fluorescent T8 Energy Savings Elec
High Efficacv?
High Efficacy
Watts Quantity Watt= Other Watts
43.0 x 15 = 645 or
104.0 x 2 = 208 or
x = or
X = or
X = or
x = or
X = or
X = or
X = or
X = or
X = or
x = or
X = or
X = or
x = or
X = or
x = or
X = or
X = or
X = or
Total A: 853 B: 0
COMPLIES IF A;-> B YES ® NO ❑
L EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Paoe:11 of 18 1
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
PROJECT NAME DATE
Brannan Residence 7/30/2007
SYSTEM NAME FLOOR AREA
Second Story 524
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
I Sensible
Latent
CFM
I Sensible
1,214
12,856
1,38
298
11,111
0
1,345
718
0
0
0
0
0 0
0
0
0
1,345
718
15,5415 1 38
Carrier 38YXA03032 15,930 12,027
7.5 kW Supplemental Electric
Total Adjusted System Output 15,930 12,027
(Adjusted for Peak Design Conditions)
TIME OF SYSTEM PEAK Aug 2 pm
m
26.0 of 69.5 of 7gl 86.4 OFF,105.6 of
Outside Air
0 cfm
Heating Coil Aux. Heat Coil Supply Fan
1250 cfm
69.5 of
22,485
25,598
48,082
Jan 12 am
105.6 of
-� Supply Air Ducts
105.1 of
ROOMS
70.0 of
K Return Air Ducts 4
(COOLING SYSTEM PSYCHROMETRICS (Airstream TemDeratures at Time of Coolina Peak) I
111.0 / 77.6 of
Outside Air
0 cfm
79.0/69.5 of
79.0 / 69.6 of 67.0 / 65.6 of
Cooling Coil
Supply Fa
1250 cfm
67.0 / 65.6 of
Supply Air Ducts
Fan
68.0/65.9OF
65.0% R.H. ROOMS
78.0 / 69.2 of
H Return Air Ducts '4
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:12 of 18
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY 71
PROJECT NAME DATE
Brannan Residence 7/30/2007
SYSTEM NAME FLOOR AREA
Guest House 446
SYSTEM
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
I Sensible
Latent
CFM
I Sensible
1,257
12,341
1,294
324
11,930
0
1,141
799
0
0
0
0
0
0
0
0
0
1,141
799
14,6241 1,2941
13 528
HVAC EQUIPMENT SELECTION
Carrier 38ETGO3030 15,979 12,478 53,000
Total Adjusted System Output 15,979 12,478 53,000
(Adjusted for Peak Design Conditions)
TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am
EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak
26.0 of 69.5 of 69.5 of - 105.2 OF
O Sapply Air Ducts
Outside Air
0 cfm 104.6 of
Supply Fan Heating Coil
1395 cfm ROOMS
70.0 of
69.5 of
Return Air Ducts 4
(COOLING SYSTEM PSYCHROMETRICS (Airstream Temueratures at Time of Coolina Peak'
11.0 / 77.6 of
�7
Outside Air
0 cfm
78.8/69.4 of
Supply Fan Cooling Coil
1395 cfm
Return Air Ducts
O -uNNiy vu�ta
68.8166.1 OF
54.6% R.H. ROOMS
78.0/69.1OF
I EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:13 of 18 1
WAC SYSTEM HEATING AND COOLING LOADS SUMMARY
PROJECT NAME DATE
Brannan Residence 7/30/2007
SYSTEM NAME FLOOR AREA
Whole House 3,036
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
2,253
52,143
4,163
971
49,202
0
4,823
3,295
0
0
0
0
0
0
0
0
0
4,823
3,295
61,788F 4,1631
55 791
Carrier 38ETGO4830 74,208 7,146 148,000
Total Adjusted System Output 74,208 7,146 148,000
(Adjusted for Peak Design Conditions)
TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am
EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak
26.0 OF 68.9 OF 68.9 OF11&70F
O J Supply Air Ducts
Outside Air
0 cfm 117.6 of
Supply Fan Heating Coil
2790 cfm ROOMS
70.0 OF
68.9 of
�% Return Air Ducts 4
(COOLING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Coolina Peak)
11.0 / 77.6 of 79.6 / 63.0 of 79.6/63.10F ff 54.6/53.30F
Outside Air
0 cfm
79.6 / 63.0 of
Supply Fan Cooling Coil
2790 cfm
Return Air Ducts
Supply Air Ducts
56.3 / 53.9 OF
42.0% R.H. ROOMS
78.0 / 62.5 of
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Paae:14 of 18 1
ROOM LOAD SUMMARY
PROJECT NAME
Brannan Residence
DATE
7/30/2007
SYSTEM NAME
Second Sto
FLOOR AREA
524
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
Second Story
Second Story
1
1,214
12,856
1,381
1,214
12,856
1,381
298
11,111
PAGE TOTAL 1 1,214 12,853 1,381 298 11,111
TOTAL 1 1,214 12,851 1,381 298 117111
EnergyPro By EnergySoft User Number: User Job Number: Page: 15 of 18
7200M LOAD SUMMARY
PROJECT NAME
Brannan Residence
DATE
7/30/2007
SYSTEM NAME
Guest House
FLOOR AREA
446
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
Guest House
Guest House
1
1,257
12,341
1,294
1,257
12,341
1,294
324
11,930
I
PAGE TOTAL
TOTAL
1 1,257
12,341
1,294
324
11,930
1 1,257
12,34-1
1,294
324
11,930
EnergyPro By EnergySoft User Number: User Job Number: Page:16 of 18
IRO -OM LOAD SUMMARY
PROJECT NAME
Brannan Residence
DATE
7/30/2007
SYSTEM NAME
Whole House
FLOOR AREA
3,036
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
Whole House
Whole House
1
2,253
52,143
4,163
2,253
52,143
4,163
971
49,202
PAGE TOTAL 1 2,253 52,14--14,163 971 49,202
TOTAL 1 2,253 52,14 4,163 971 49,202
EnergyPro By EnergySoft User Number: User Job Number: Page:17 0:61 --8
O-NE-RGY USE AND COST SUMMARY ECON-1
(PROJECT NAME IDATE I
Brannan
Rate:
Fuel Type:
007
Rate:
Fuel Type:
STANDARD
PROPOSED
MARGIN
Energy
Use
(kWh)
Peak
Demand
(kW)
Cost
($)
Energy
Use
(kWh)
Peak
Demand
(kW)
Cost
($)
Energy
Use
(kWh)
Peak
Demand
(kW)
Cost
($)
Jan
306
4
265
2
4C•
2
Feb
193
7
160
3
3:,
4
Mar
213
6
160
5
5:
1
Apr
1 562
11
512
9
51
2
May
1,537
18
1,565
16
-281
2
Jun
3,278
19
3,265
17
13
2
Jul
3,967
19
3,929
17
39
2
Aug4,051
18
17
4,135
26
-8.
-9
Sep
2,914
20
2,752
17
162
2
Oct
1,296
16
1,133
14
163
2
Nov
160
4
11bl
4
46
0
Dec
311
5
285
51
26
0
Year
1 787
20
18,276
26
511
-6
Rate:
Fuel Type:
The values shown here are based upon the results of an EnergyPro Compliance energy analysis that uses Title 24 protles as specified in the Residential
ACM manual.
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:18of 18
STANDARD
PROPOSED
MARGIN
Energy
Use
(therms)
Peak
Demand
(kBtu/hr)
Cost
($)
Energy
Use
(therms)
Peak
Demand
(kBtu/hr)
Cost
($)
Energy
Use
(therms)
Peak
Demand
(kBtu/hr)
Cost
($)
Jan
59
80
80
84
-22
-5
Feb
39
71
52
74
-14
-4
Mar
30
66
40
67
-1J
-1
Apr
21
6
28
7
-3
-1
Ma YL
20
5
28
7
-3
-1
Juni
19
5
26
6
-3
1
Jul
18
5
26
6
-.3
1
Auq
18
5
26
6
-3
1
Sep
17
5
25
6
-3
1
Oct
1 18
5
26
6
-3
1
Nov
27
55
38
56
-11
-2
Dec
61
73
831
80
-22
-7
Year
3461
80
479
84
-133
-5
Annual Totals
Energy
Demand
Cost
Cost/s ft
Virtual Rate
Electricity
18,276 kWh
26 kW
0
0.00/s ::t
0.00/kWh
Natural Gas
479 therm
84 kBtu/h
$ 0
$ 0.00/s
0.00/therm
Total
$ ols
0.00/scift
The values shown here are based upon the results of an EnergyPro Compliance energy analysis that uses Title 24 protles as specified in the Residential
ACM manual.
EnergyPro 4.3 by EnergySoft User Number: 2655 Job Number: Page:18of 18
AUG -27-2008 12:03 PM
$ 1 -
P.02
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF4R
Project Address
a-��
L
Measured
Values
Builds ar I tall Nam
uil or I taller Contact
Built
Enter Tested Leakage Flow in CFM:
Telephone
Plan/Permit (Additions or Alterations) Number
RS RaterTelephone
s 7 U
Z
Sample oup Number
2
Compliance Method rescri ivej
Climate Zone 15
Certi ' g Signa
1 Pass if Leakage Percentage < 6% [ 100 x (Lane # 1) / ine # 2)]]
D to
Sample House Number
g'
HERS Provider
Street Address:
/
D ,�i-aGf
4
City/Sta up.
7G
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMiCNT
HERS RATER C PLIANCE STATEMENT
The house was: ✓ ested ✓ O Approved as part of sample testing, but was not tested
As the HERS rater roviding diagnostic testing and field veriltuttion, I certify that the house identified on this form complies with
the diagnostic tea com liance requirements as checked ✓ oat this form. The HERS rater must check and verity that the new
distribution system it fully ducted and correct tape is used before a CF -4R may be released on every tg9md buildinThe HERS
rater must not release the CF -4R until a property completed and signed CF -6K has been received for the sample ZI tested
buil
The installer has provided a copy of CF -6R (Installation Certificate).
5�ew ducts are My ducted (i.e.. does not use building cavities as plenums or phdbrm returns in lieu of duct&).
New ducts with cloth backed. rubber adhesive duct tape is installed„ mastic and draw bands are used in combination with
c jA backed, rubber adhesive duct tape to seal leaks at duct connections.).
✓,171v1mV XUN REQUIREMENTS FOR DUCT LEAKAGZ REDUCTION COMPLIANCE CREDIT
Procedures for field verification and diagnostic testing of air distribution systoms are availab=U�l
ppendix RC4.3.
Duct Diagmostic Lcakaae Testing Results 7/» /? Al/ /a 4
NEW CONSTRUCTION:
Duct Pressurisation Test Results (CFM ® 25 Pa)
Measured
Values
1
Enter Tested Leakage Flow in CFM:
Fan Flow: Calculated (Nominal: I El Cooling V O Heating) or VZrMeasured
2
Enter Total Fan Flow in CFM:
✓ ✓
3
1 Pass if Leakage Percentage < 6% [ 100 x (Lane # 1) / ine # 2)]]
ss 0 Fail
ALTF.RATIONSt Duct 8
yotown and/or HVAC Equipment Clan ut
Enter Tested Leakage Flow in CFM from CF4R: Pre -Tot of Existing Duct SystcT Prior to
4
Duct System Alteration and/or Equipment Change -Out
Enter Tested Leakage Flow in CFM: Find Test of New Duct System or orad ud
s
for Duct 5 stem Alteration and/or rnont a -Out �11�
Enter Reduction in Leakage for Altered Duct System [_(Line # 4) '4'iilc * )]
6
(Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
✓ ✓
g
Entire New Duce System - Pau if Leakage Percentage < 6%
Paas Fail
100 x (Line # 5 / Line4 2
TEST OR VERIFICATION STANDARDS: For Altered Duct System a /or HV C meat Change■Out
✓
Use one of the followingfour Test or Verifleatlon Standards for com i n e:
9 Pass if Leakage Percentage < 15% [100 x [_(Line # 5) / no 2
O Pass O Fail
10 Pass if Leakage to Outside Percentage < 10% [100 x ne # 7 (Line # 2)1]
0 Pass 17 Fail
Pass if Leakage Reduction Percentage > 600A [100 x [-_(Line # 6) / (Line # 4)11
l 1 and Verification b Smoke Test and Visual Inspection
0 pass 0 Fail
Pass if Sealing of all Accessible Leaks and Verification §X Smoke Test and Visual Inspection
O Pass D Fail
Pass if One of Lines # 9 through # 12 pass
0 Pass D Fail
Residential CvmpJi FormsZ -- � / /0-377o /
SEP 112008 tT.3 yx—/xv —//..Z%a
4 5s/OZ-r,
05 'w -/'ov" tit,
%v
December 2005
AUG -27-2008 12:05 PM
V
P.03
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CFAR
Project Address
� � a
Builder N e
Builder ontaet� Telephone
`{
Plan Number
Telephone
IRS Rater
oo 1
Sample Grow Number
Compliance Method (Prescriptive)
Date
Climate Zone 5'
Sample House Number
Certifyi Signaye /�
C
visual verification that the TXV is installed on the system and
Fi
IRS Provider
C_ 14r4f
Street Address:/City
F-7�
Sta t: - 3
n
eT1.f'C•w}T
Copies t0: $UILDIM, HERS PROVIDlLK "U JIIJ"I"J" V Yl.L"�a�a �aava� a
HERS RATER�, �CO�MPLIANCE STATEMENT
The house was: ✓� ested ✓ ❑ Approved as put of sample tasting, but was not tested
As the HERS rater providing diagnostic testing and field verification, I oertify that the house idaitified on this form complies with
the�d' ostic tested compliance requirements as checked on this form.
✓ In The installer has provided a copy of CF -6R (Installation Certificate).
VA THERMOSTATIC EXPAN6ION VALVA; (TXV) 5 46 � f r )& /f!/410
�Proceduresfor field verification of thetwostatic expansion va w.s are cnw Qle tri Rlt
✓ ❑ REFRIGERANT CIIARGE MEASUREMENT
Verification for Required Refri Brant Charl- for 5 lit 8 tem
Smog Cook S toms witho Thermostatic Expansion Valves
Outdoor Unit Serial it
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity
Date of Verification
Date of Refrigerant Gauge Calibration (must be checked monthly)
Data of Thermocouple Calibration (must be checked monthly)
Note: The system should be installed and charged in accordance with
shall be documented on CF -6R before starting this procedure. If ouk
Charge Measure Procedure
is apecifi do and installer verification
below S„ ter shall use the Alternative
in
✓ O Yes No A copy of CF -6R (Installation Certifccajb) has er rovided w�h �tr*01int charge I
-- . a__.....r.._a / 1
Residential Compliance Forms April 2005
Access is provided for inspection. The procedure shall consist of
✓
Yes
O No
visual verification that the TXV is installed on the system and
❑
installation of the ;gggific cQui ent shall be verified.
Yee is a pass
Paas Fail
✓ ❑ REFRIGERANT CIIARGE MEASUREMENT
Verification for Required Refri Brant Charl- for 5 lit 8 tem
Smog Cook S toms witho Thermostatic Expansion Valves
Outdoor Unit Serial it
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity
Date of Verification
Date of Refrigerant Gauge Calibration (must be checked monthly)
Data of Thermocouple Calibration (must be checked monthly)
Note: The system should be installed and charged in accordance with
shall be documented on CF -6R before starting this procedure. If ouk
Charge Measure Procedure
is apecifi do and installer verification
below S„ ter shall use the Alternative
in
✓ O Yes No A copy of CF -6R (Installation Certifccajb) has er rovided w�h �tr*01int charge I
-- . a__.....r.._a / 1
Residential Compliance Forms April 2005
AUG -27-2008 12:07 PM
P.04
HERS RATER LIANCE STATEMZN'It'
The house was; ✓ C6W Tested ✓ ❑ Approved as part of sample testing, but was not testes
As the HERS rater providing diagnostic testing and field verification. I certify that the house identif ed on this fonn complies with
the di§=stjc tested compliance requirements as abeclred on this form
✓ The installer has provided a copy of CF -6R Lnstallation Catifieate .
✓ ❑ ADEQUA'T'E AIRFLOW VERIFICATION
P.-r.dumm for sold verification and dlazwslrc testing 4f ati+ gwte aitjlow are availablei t RACM, .Appendix RE4.1.
✓ ❑ MAXIMUM COOLING CAPACITY
� •_._____, .N....Iw...Jw ..:w.,.....{Y,:1..h/.:sDdr'A.I ItlltilN/tIYR%r3_
1
Method For
AWlaw Measurement
17 No
'f
O Yes
I O No
Duct design exists on plies
O Yes
0
RE4.1.1
Diagnostic Fan Flow Using Flow CAPeove
Hood
0
RE4.1.2
Di ostio Fan plow Using Planuri
Pr urs hgtoNflg
0
RE4.1.3
Diagnostic FanFigwUsing Flow•d
ent
a Yes
amted Akdow:
Total CFM
1 ❑ ❑
—LE
Yes to 1 2 and 3' and Yes to either 4 cr S is a oass
Rated Tons:
cfm/tm
✓
I ❑ Yes 1 0 No
Measured airflow is greater than the criteria in Table RE -2 ❑ ❑
✓ ❑ MAXIMUM COOLING CAPACITY
� •_._____, .N....Iw...Jw ..:w.,.....{Y,:1..h/.:sDdr'A.I ItlltilN/tIYR%r3_
1
✓
❑ Yes
17 No
Adequate airflow verified (see adequate ow credit)
2
✓
O Yes
0 No
Refrigerant charge or TXV
3
✓
O Yes
0 No
Duct leakage reduction credit verified
4
✓
O Yes
0 No
Cooling capacities of installed cyst are a to in Imum coolin ca ity
indicated on the Perfotmoce's CF- and -3
a Yes
D No
If the cooling capacities of installeA systems Are > than maxim ling
capacity in the CF -IR. then the electrical input for the installed systems moat
be:5 to electrical input in die CF -IR and RF -4.
1 ❑ ❑
—LE
Yes to 1 2 and 3' and Yes to either 4 cr S is a oass
I Pass Fail
Residential Compliance Fo»Ms Devember 2005
CV
INSTALLATION CERTIFICATE (Part 1 Of 7) CF 6R
pb - ,SZ
51ta Address -
Permit Number
An installation certificate Is required to be posted at the building site or made available for a9 appropriate Inspectors.
(The fnforination provided on this form Is required; however, use of this form to provide the Informatlon Is optional).
After completion of final Inspection, a copy must be provided to the bulyding department (upon request) and the building owner at occupancy, per Section 10-1031b),
HVAC SYSTEM:
Healing Equipment Number of Efficiency Duct Duct or Sensible
Equip type (pkg-p2L1t- CEC Certifled Mfr Name Identical AFUE etc. Location Piping Heating
ACnr Waaf INimn air —4 AN -A-1 A6...6.._ ...��_ ._ �__--- ..� .... - .-• _ -
A
Sensible °D
Heating
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1, the undersigned, verify that equipment listed above Is: (1) the actual equ f pment Instalred; (2) equivalent to or more efficient than that speclfled In the certificate of
compliance (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for resldentlef buildings; and (3) the equipment meets or exceeds the
appropriate requirements for manufactured devices (from the Appliance Efffclancy Regulations or Part 8, where appifcable.,
Date
XERN'RT LARBY A/C & SHEET METAL
77600 MOUNTAIN viEw
PALM DESERT, CA 92211
76NW-5549
Installing Subcontractor or
General Contractor or Owner
D
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Fdc r UAit 1
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/� O A P4 0:50 812-
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Cooling Equipment
CEC Certified Compressor
Number of
ENlclency
Duct Sensible
Sensible
Equip type (pkg pl
Unit Manufacturer Name
identical
SEER etc.
Location Duct Cooling
Cooling
C
Heat Pump etc.
and Model Number
systems
[page CF -1R
attic etc. R -Value Load
Ca acit
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1, the undersigned, verify that equipment listed above Is: (1) the actual equ f pment Instalred; (2) equivalent to or more efficient than that speclfled In the certificate of
compliance (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for resldentlef buildings; and (3) the equipment meets or exceeds the
appropriate requirements for manufactured devices (from the Appliance Efffclancy Regulations or Part 8, where appifcable.,
Date
XERN'RT LARBY A/C & SHEET METAL
77600 MOUNTAIN viEw
PALM DESERT, CA 92211
76NW-5549
Installing Subcontractor or
General Contractor or Owner
D
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CD
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Sep 09 08 12:32p Charles Scicli
INSTALLAIrION C
760-343-0398 p.1
i of 13)
Site Address PermitNunmtwr
An to stailafzon =tificatc is raquised to be posted at tate building site or made available for ail appropriiate inspocfioas. (The
u format= provided on tins form is required; however, use ofthis fbm to providr, the iftfbrmation is opt eqw.) A ftf
ca mpledon of final snspedon, a copy must be pmvlded w the buiktang dCPWt m = (Von req=) and the iraiiding owner at
occupancy, M Section 10-103(6).
13VAC §XSIMM-
I Halog E4,5141meust
Equip. '#4f bf idawy Diet rbtdw Iiattbg Hasaag
'hTc (104; C8C CwUfeod Mfr Waer,e idenfim] (ARM, cb-- ` Ineudon
Load t
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Coo�nlg Ey'u�rrisc� .
Eq,to. CECC dficdCawp=w #bf Efiad=c;y Duct Goofing C—Ens
Type (Pk . Unit[. CeMn,tand IdeatkW (SF A --)e aAeffiton Drat bond Caaadb
1. > rea& Snearer than or equal tic.
I, tho vademisgnad, verify that equipment Red above is= 1) is the adual equtwocot indWled. 2) equivalexat to or more
c icient than that spocifed in the cmtiiicatr 0fC4MPliaaoe (Farm CF -1R) MAMittrd far Co=Pl;aoCe wig the Energy
Efficiency S for xrsiderrtiat lmfld ng$, and 3) egm;m=2 that mads or exceeds the appropriate rcgt for .
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acvicrs LYY'6m IDC ispptrmact G,ga�ii39L�%s�tftvrsvrr3 vY r>s� Vh rr,.cac a�"}n.+.wr.o..
SignDitae, Date lu t fug Sabeonzraetar (Ca. Name)
OR Gonew Cotabracbar (Co. Kane) OR Owner
itcaar CSC cartific"Fr Tyye (-qmll aaisiou. Mcub u0- bout (kw Vahaaa eieney; SWWW, 7nenilapon
2 For— baa 309r Ve (cared input oflem eta or ogm7 p7 75AW Bux%:)v dfoerckrcdebutrx 0x1 beet pomp Yaw ht=W11, fiat EMCW Fa=.
For Seestsutastooto fP treat irest RcooVay Rf5M=-Y 2rAR rod input.
3. EL -12 CMmoi i MI02ion k Mmutbuy for a 0MV Watrrbcatr�a v�Hsatt euetgy taetorofit� thauDS3.
)Fsaeely & SAowrr Reads:
All ucts and sbowcr stalleed nae certified to the Comm ioq to Title 24, Part 6, Stxtiaa Fil_
67c
i - equipment hofmd. above my sipf aMm is: f) $t£ ac" equ numt ir>s<alled; 2) eTzval=to
oto that is the cest&a3ta of tianoe (norm 0LiK) :ri dfor cotnpnertce win nue
rr �,ty for iepfemial bwl&%: , zod 3) zip meets ar mcce s the gVropriarc
for (fmttt BtcAP1?�Yo»s 0-r Pari b), wlseze applicable
Sigrsatttrr- DaceWURing Subw nhdmr (Co. NaM,e) OR
General Ca au=to r (Co. Nome) M Owner
COPY Td: BW16ng Dgartmcnt
HERS Provider {if aMlimble)
Building Owner at oc--�
Complianoa Fortes Augcfst20D1 A-23
- - Lt_' - V0 I wwJ l I i I I UUIIU L_11UII1LLI\11Yu JG rHUC_ riz
77-804 Wildcat Dr., Ste. C, Palm Desert. CA. 92211
February 28, 2008
Tom Hartung
Building Official
City of La Quinta
Dear Mr. Hartung,
(760) 360-5770 fax
We have performed Structural Observation per C.B.C. section 1702 and find it be in General Conformance
with the approved City plans and calculations with the exception of the following items:
I. Install 3-2x6 studs at left side of plumbing penetration in shear wall #42 at the Garage. Epoxy
5/8" diameter all -thread 10" into footing using Simpson SET epoxy for PHD2 hold-down at new
3-2x6 studs. (special inspection required for epoxy)
2. Install LTP4 at 24" o/cat truss over beam (R8) in the garage.
3. Replace EC column cap at Trellis Parking, trellis beam to post to a CC column cap.
4. Replace bent stab bolt at door side of shear wall #12 at rear of Master Suite. Epoxy 5/8" diameter
all -thread 10" into footing using Simpson SET epoxy. (special inspection required for epoxy)
5. Install HDSA or PHDSA at shear wall #37. Epoxy 5/8" diameter all -thread 10" into footing using
Simpson SET epoxy. (special inspection required for epoxy)
6. Provide MST72 strap at end of hip beam (R6) and (R6A) strap post to beam to post. Install PHD2
hold down on 6x6 post that is supporting hip beam (R6) and (R6A). Epoxy 5/8" diameter all -
thread 10" into footing using Simpson SET epoxy. (special inspection required for epoxy)
7. Install PHD2 hold down on 6x6 post at right side of beam (R16). Epoxy 5/8" diameter all -thread
10" into footing using Simpson SET epoxy. (special inspection required for epoxy).
8. Install 5/8" diameter "red heads" at 48" o/c along sill plate of wall below wind6ws along front
elevation of Casita Bedroom #3.
9. Install CS16 coil strap at sill plate break at shear wall #33 in the Casita Bedroom #3. Extend strap
to end of shear wall and 32" past other end of sill plate break.
10. At shear wall #6 at Bonus Room, install coil strapping on exterior side of shear wall above and
below the high windows.
11. Along girder drag truss at shear wall #1 at rear of Bonus Room provide 2x flat on top plate of wall
to side of bottom chord of the girder drag truss (GDT) nail 2x flat to top plate using 16d at 3" o/c
and LTP4 connector from 2x plate to bottom chord of truss at 16" o/c.
The roof and floor diaphragm nailing was not observed. Roof was covered and stacked, and the floor had
gyperete topping installed at time of structural.observation.
Please note that this letter does not relieve the City or the Special Inspectors from determining compliance
with the approved structural plans. The above items are to be inspected and signed off by the city inspector.
If you have any questions please call.