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06-3059 (SFD)a P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t!t 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00003059 Property Address: 53100 AVENIDA VILLA APN: 774-064-004-20 -000000- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: COVE RESIDENTIAL Application valuation: 107330 Applicant: Architect or Engineer: Lic: No.: OOR SQUARE FOOT ----------------- 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: B License No.: 812160 Date: contractor: �y�J1KY V ^ WCA.Zk4> M,( #e0,lnU"'E- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The ' Contractors' State License Law does not apply to an owner of property who builds or improves 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed . pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: BUILDING HORIZONS INC 42600 COOK ST STE 120 PALM DESERT, CA 92211 II Contractor: , BUILDING HORIZONS 42600 COOK STREET, #12 PALM DESERT, CA 92211 (760)340-4748 Lic. No.: 812160 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/21/06 SEP 2 2 2006 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 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 GRANITE STATE Policy Number WC1887182 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to'the workers' compensation provisions of Section a-�//�� 3/f7000., Applicant:of the Labor Code, I shall forthwith comply with those provisions. 1'" `& ' Date: �(�,, `•ri/%�� WARNING: FAILURE TO SECURE WORKMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned propert r inspection purposes. Date:Signature (Applicant or Ag Application Number . . . . . 06-00003059 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 667.50 Plan Check Fee 433.88 Issue Date . . . . Valuation : . . . 107330 Expiration Date . . 3/20/07 Qty Unit Charge Per Extension BASE FEE 639.50 8.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 28.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 59.00 Plan Check Fee 12.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/20/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 ---------7------------------------------------------------------------------ 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 97.66 Plan Check Fee 24.42 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/20/07 Qty Unit Charge Per Extension BASE FEE 15.00 1665.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 58.28 469.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.38 1.00 ---------------------------------------------------------------------------- 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . GRADING PERMIT Additional desc ... Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/20/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- LQPERI%IIT Application Number 06-00003059 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 123.00 Plan Check Fee 30.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/20/07 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 6.0000 EA PLB FIXTURE 54.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 1665 SF. SFD PERMIT DOES NOT INCLUDE POOL/SPA OR DRIVEWAY APPROACH OR BLOCK WALLS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 43.39 DIF FIRE PROTECTION -RES 140.00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 10.73 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 962.1.6 .00 .00 962.16 Plan Check Total 501.55 .00 .00 501.55 Other Fee Total 3770.12 .00 .00 3770.12 Grand Total 5233.83 .00 .00 5233.83 LQPERMIT 07i7 L City of La Quinta Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:5 3—) QU l LLA Owner's Name: bw' A. P. Number: Address: SA/Y Legal Description: Contractor: lr L City, ST, Zip: Telephone: �340 -- -� g Address: `Z�GU't� �6��5�q �1�I Project Description: S _ City, ST, Zip: �PA-LI/11 �5� L/� (�Zl 1 h CJ /JS �'L"(� (5/J Telephone: 60 _`340 --41+ 5&A ®yes <:>.J State Lic. # City Lic. #:66-1 3bb Arch., Engr., Designer: q> ` �ct �" S Com' Address:s 2 �'I j�AGn1S /'Zj 3c� City, ST, Zip: ULC,- VA GA- `(22 $4 -- Telephone: State Lic. #: Construction Type: 0 O FACA4*ccupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Y��N ✓-�� V/U W ��� W ,` Sq. Ft.: Cp (p # Stories: # Units: Telephone # of Contact Person bO 2-9'-!37- 2 3'� 40 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACIONG PERMIT FEES Plan Sets Plan Check submitted Item Amount 92- Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked up . Construction Flood plain plan Plaus resubmitted Mechanical Grading plan 2"" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted GradiEg IN HOUSE:- Jnd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.I. Pub. Wks. Appr Date of permit issue School Fees Total Iermit Fees JV,%f 1 E p 8C w BERMUDA DUNES r RANCHO MIRAGE it INDIAN WELLS i! PALM DESERT '► • LAOUINTA .a �1p INOIO y� August 28, 2006 Mr. Todd Berg Executive Director Desert Sands Unified School District 47-950 Dune Palms Road • La guinta. California 92253 • (760) 777-4200 Boys & Girls Club of Coachella Valley Building Horizons 42-600 Cook St., Suite 120 Palm Desert, CA 92211 Dear Mr. Berg: Thank you for your recent letter requesting a waiver of Developer Fees for the 2006/2007 1,665 sq ft project located at: 53-100 Avenida Villa in La Quinta Desert Sands Unified School District is proud to support your organiza_ion and therefore will grant exemption of developer fees for this location. We look forward to collaborating with you again in the future for the benefit of the children that we jointly serve. Please call me at (760) 771-8515 with any further questions or concerns. Best regards, Nov Peggy Reyes Director, Facilities Services PR/sm Unit 1 53100 Avenida Villa Unit 2 Unit 3 Unit 4 Unit 5 Comments Boys & Girls Club 1665 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered paiiios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 1,665 S.F. or $0.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Exempt - Todd Berg Check No. Name on the check Telephone 340.4748 Funding Exempt By Dr. Doris Wilson Superintendent Fee collected /exempte by ar M Ivrey Payment Recd 1$0.00 Over/Under Signature C JAf NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behatf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy- Applicant/Receipt Copy -Accounting CERTIFICATE OF COMPLIANCE Desert Sands Unified School District C �4 o 47950 Dune Palms Road ¢ BERMUDA DUNES r Date 8/29/06 La Quinta, CA 92253 Cn RANCHO MIRAGE C7 {C INDIAN WELLS No. 28867 (760) 771-8515 �� PLA QUDESERT �y �PINDIO y� a Owner Building Horizons APN # 774-064-004 Address 42-600 Cook Street, Suite 120 Jurisdiction La Quinta City Palm Desert Zip 92211 Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 53100 Avenida Villa Unit 2 Unit 3 Unit 4 Unit 5 Comments Boys & Girls Club 1665 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered paiiios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPT This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.00 X 1,665 S.F. or $0.00 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Exempt - Todd Berg Check No. Name on the check Telephone 340.4748 Funding Exempt By Dr. Doris Wilson Superintendent Fee collected /exempte by ar M Ivrey Payment Recd 1$0.00 Over/Under Signature C JAf NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behatf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy- Applicant/Receipt Copy -Accounting ♦ /j// a, rix �j `� ` � - NUNN , c •- MEN NONE r ■@INE ' lJ N 01 Romp, t_ it � • �- Certificate of Occupancy _QUM& OFBuilding & 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: 53-100 AVENIDA VILLA Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-3059 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RC Owner of Building: BUILDING HORIZONS INC Address: 42-600 COOK ST. STE 120 City, ST, ZIP: PALM DESERT, CA 92211 By: STEVE TRAXEL Date: JULY 19, 2007 Building Official POST IN A CONSPICUOUS PLACE I TITLE 24 REPORT I Title 24 Report for: Building Horizons 53-100 Avenida Villa La Quinta, CA 92253 Project Designer: Design Concepts 56-020 Santa Fe Trail Ste. A Yucca Valley, CA 92284 (760) 365-8742 Report Prepared By: Brad Stone BREEZE AIR CONDITIONING 75-145 ST. CHARLES PLACE PALM DESERT, CA 92211 (760) 346-0855 Job Number: Date: 8/17/2006 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE 11,06 BY ,11 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 4.1 by EnergySoft Job Number. User Number: 3665 TABLE OF CONTENTS I 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 1 2 3 7 9 10 I EnergyPro 4.1 by EnergySoft Job Number: User Number: 3665 Certificate Of Compliance : Residential (Part 1 of 4) CF -1 R _B_uildin klomnns 1,665 ft2 8/17/2006 Project Tie OOA��nidaVilla -La_Quin a ft2 Raised Floor Area: Da:e Project Address Slab on Grade Area: 1,665 Buli ding Permit # -BR-REEZE-91B_CQND1I ONING 8.6 (760) 346-0855 Number of Dwelling Units: Documentation Author Telephone Pla.i Check/Date _EnerCjy_P_CO 15 Field Check/Date Comphigrice Method Climate Zone TDV EnergyUse Standard Proposed Compliance (kBtu/sf-yrDesign Design Margin Space Heating 2.05 3.06 -1.02 Space Cooling 49.61 48.82 0.80 Fans 7.41 7.00 0.41 Domestic Hot Water 12.79 12.40 0.39 Pumps 0.00 0.00 0.00 Totals 71.86 71.28 0.58 Percent better than Standard: 0.8% Building Type: [X-] Single Family ❑ Multi Family Building Front Orientation: Fuel Type: Fenestration: I►Til,14l ❑ Addition ❑ Existing + Add/Alt (W) 270 deg Natural Gas Area: 169 ft 2 Avg. U: 0.38 Total Conditioned Floor Area: 1,665 ft2 Existing Floor Area: n/a ft2 Raised Floor Area: 0 ft2 Slab on Grade Area: 1,665 ft2 Average Ceiling Height: 8.6 ft Number of Dwelling Units: 1.00 Ratio: 10.2% Avg. SHGC: 0.23 Number of Stories: 1 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area HVAC -11 s65 1431 _1.00_ rnnditioned--Sethark -2 -n OPAQUE SURFACES Insulation Act. Type Frame Area U -Fac. Cay. Cont. Azm. Tilt Root_ -Wood- --1-665_ -0_025 R-3.8_ _R=0...0 270_ 0 Wall- Wood_ 400 --CQ62 R_21 R-0.0 x_90 Wall_ Wood- _287 _00,62 R_21 R-0-0 -go 90 Wall_ -Wood- 42n -0-0&9_ -R21_ R-0-0 180 9.0 Wall_ Wood_ _320 -0.Q62 -R21_ R-0.0 -27.0, 91) Door None 20 X450 done_ R-0.0 270 9.0 Door None_ 18 145.0_ done_ R0.0 -2709.0 Gains Condition Y / N Status JA IV Reference Location / Comments New 01-A1A ntire ResidPn&P New _0,9:26 .EntireBesidence New 02A6 Entire Residence New 09-A6 Enti[e_ResidPnc - New 09-A6 Entire Residence New 28-A1 Entire Rees.idence New 28-A1 EntireResid .n e EnergyPro 4.1 by EnergySoft User Number: 3665 Job Number. Pew 3 of 10 1 Certificate Of Compliance : Residential (Part 2 of 4) CF -1 R Building Horizons 8/17/2006 Project Title Da -e FENESTRATION SURFACES True Cond. Location/ # Type Area U -Factor' SHGC2 Azm. Tilt Stat. Glazinq Type Comments _L _(indow Left_(N)_ —20.0_ _0..380 -IFRC 0-23 NFRC 0 —9.0_ New Milgard Glazing 2 Window Left (N)_ 6.0 0.380 NFRC 0_23 NFRC 0 90 New Milgard Glazing_ Entire _Residence Entire Residence 3 Window Left (NN_ 20.0 0.380 NFRC 0_23 NFRC 0 90 New Milgard Glazing Entire Residence 4 Window Left (N) 6.0 0.380 NFRC 0_23 NFRC 0 90 New Milgard Glazing Entire Residence 5 Window Rear (E) 53.4 0.380 NFRC 0_23 NFRC 90 90 New Milgard Glazing Entire Residence 6 Window Right (S)_ 40.0 0.380 NFRC 0_23 NFRC 180 90 New Milgard Glazing Entire Residence 7 Window Front (W)_ 20.0 0.380 NERC 0_23 NERC 270 90 New Milgard Glazing Entire Residence 8 Window Front (W) 4.0 0.380 NFRC 0.23 NFRC 270 90 New Milgard Glazing Entire Residence 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 1168. INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. RExt. Dist. Len. Hgt. Dist. Len. Hgt. 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 I Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 THERMAL MASS FOR HIGH MASS DESIGN Type Area Thick. Heat Inside (so (in.) Cap. Cond. R -Val. JA IV Reference Condition Status Location/ Comments PERIMETER LOSSES Insulation Condition Location/ Type Length R -Val. Location JA IV Reference Status Comments Slab Perimeter 61 None No Insulation 26-A1 New Entire Residence Slab Perimeter 145 None No Insulation 26-A1 New Entire Residence Run Initiation Time: 08/17/0613:49:42 Run Code: 1155847782 EnergyPro 4.1 by EnergySoft User Number: 3665 Job Number. Page:4 of 10 Certificate Of Compliance : Residential (Part 3 of 4) CF -1 R Building Horizons 8/17/2006 Project Title Da:e HVAC SYSTEMS Heating Minimum Cooling Minimum Condition Thermostat Location Type Eff Type Eff Status Type HVAC -1 Split Heat Pump 6.80 HSPF Split Heat Pump 10.5 SEER New Setback HVAC DISTRIBUTION Location Heatina Cooli HVAC -1 Ducted Ducted Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. Duct Duct Condition Ducts Location R -Value Status Tested? Attic 6.0 New Yes WATER HEATING SYSTEMS Ratedl Tank Energy Standbys Tank Insul. Water Heater # in Input Cap. Condition Factor Loss R -Value System Name Type Distribution Syst. (Btu/hr) (gal) Status or RE 1 (%) Ext. AMERICAN G62 -50T35 -3N"' Small Gas No Pipe Insulation 1 35,000 50 New 0.60 n/a n/a Multi -Family Central Water Heating Details Hot Water Pump Hot Water Piping Length (ft) Add 1/2" Control # HP Tvae In Plenum Outside Buried Insulation 1 For small gas storage (rated input - 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. COMPLIANCE STATEMENT This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and hof the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual wifi overall design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXV3, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater - Designer or Owner (per Business & Professions Code) Name: Title/Firm: Design Concepts Name: Title/Finn: Address: Telephone: Documentation Author Name: Brad Stone Title/Firm: BREEZE AIR CONDITIOJING Address: 75-145 ST. CHARLES PLACE PALM DESERT, CA 922-1 Telephone: 760 346-0855 zZ����� (signature) (date) Certificate Of Compliance: Residential (Part 4 of 4) CF -1 R Building Horizons 8/17/2006 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 based on the adequacy of the special justification and documentation submitted. I The Roof "R-38 Roof Attic" includes credit for a Radiant Barrier installed per Section 3.3.3 of the Residential Manua. 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 theCF-4R Plan Field Installation certificate. The HVAC System "HVAC -1" incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the CF -4R. The HVAC System "HVAC -1" incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostat c Expansion Valve. I EnergyPro 4.1 by EnergySoft User Number: 3665 Job Number: Page:6 of 10 1 Mandatory Measures Summary: Residential (Page 1 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercede the items marked with an asterisk (') below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes when completed or check N/A if not ENFORCE - applicable. N/A DESIGNER MENT Building Envelope Measures *§ 150(a): Minimum R-19 in wood ceiling insulation or equivalent U -factor in metal frame ceiling. ❑ 0 ❑ § 150(b): Loose fill insulation manufacturer's labeled R -Value: ❑ ❑ ❑ �§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not ❑ ❑X ❑ apply to exterior mass walls). ❑ Q ❑ �§ 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: ❑ ❑x ❑ a. closable metal or glass door covering the entire opening of the firebox ❑ 1XI ❑ b. outside air intake with damper and control, flue damper and control ❑ ❑X ❑ 2. No continuous burning gas pilot lights allowed. ❑ 9 ❑ § 150(f): Air retarding wrap installed to comply witl§ 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 El O El CF -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 ❑ Q ❑ Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ ❑X ❑ Space Conditioning, Water Heating and Plumbing System Measures § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. ❑ ❑X ❑ § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑ ❑X ❑ § 150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ ❑X ❑ § 1500): Water system pipe and tank insulation and cooling systems line insulation. ❑ Q ❑ 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with ❑ ❑X ❑ 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 ❑ ❑x ❑ 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 ❑ ❑X ❑ 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 ❑ ❑X ❑ 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 ❑ ❑X ❑ maintenance, and wind. 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed ❑ Q ❑ entirely in conditioned space. 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation. ❑ ❑ ❑ EnergyPro 4.1 by EnergySoft User Number: 3665 Job Number. Page:7 of 10 Mandatory Measures Summary: Residential (Page 2 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance a 3proach 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 'f not ENFORCE - applicable. N/A DESIGNER MENT Space Conditioning, Water Heating and Plumbing System Measures (continued) § 150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602: 603, 604, ❑ ❑X ❑ 605, and Standard 6-5: supply -air and retum-air ducts and plenums are insulated to a minumum installed level ci 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 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other tian ❑ ❑X ❑ sealed sheet metal, duct board or Flexible duct shall not be used for conveying conditioned air. Building cavities End ❑ ❑ ❑ support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed t.) cause b. Cover for outdoor pools or outdoor spas. ❑ ❑ ❑ reductions in the cross-sectional area of the ducts. ❑ ❑ ❑ § 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuous ❑ © ❑ 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(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ ® ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Wafts or greater are ❑ ❑X ❑ 4. Exhaust fan systems have back draft or automatic dampers. ❑ X❑ ❑ luminaire has factory installed HID ballast. 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually ooerating ❑ Q ❑ dampers. § 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy tumnaires. ❑ ❑X ❑ 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment ❑ X❑ ❑ maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is wafer always on option. § 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and ae ❑ X❑ ❑ retardant and provides shielding from solar radiation that can cause degradation of the material. § 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings oc the ❑ FAI ❑ same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other Article ❑ ❑ ❑ 7. Flexible ducts cannot have porous inner cores. ❑ ❑ ❑ Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Section 130, 131, and 146. § 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside o- 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 continuous ❑ © ❑ 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)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ ® ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Wafts 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 150-0 ❑ 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 de ermined ❑ 191 ❑ in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacp luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires. § 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy tumnaires. ❑ ❑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 looms shall be high efficacy luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR are ❑ Q ❑ controlled by an occupant sensor that complies with Section fl 9(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 ae ❑ X❑ ❑ certified to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals. § 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings oc the ❑ FAI ❑ same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d). § 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 14:. ❑ ❑ ❑ 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 orvmore ❑ ❑ ❑ dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with Section 119(d). EnergyPro 4.1 by EnergySoft User Number: 3665 Job Number: Page:8 of 10 Residential Kitchen Lighting Worksheet WS -5R Building Horizons 8/17/2006 Project Title Dare At least 50% of the total rated wattage of permanently installed luminaires In kitchens must be In luminaires thst are high efficacy luminaires as defined in Table 150-0. 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. High Effficacy Luminaire Type High Efficacy? Watts Quantity Wats Other Watts Flourescent Can Light Yes X No 26.0 x 1 = 26 or Flourescent Surface Mount Yes X No 64.0 x 2 = 128 or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or YesNo x = or Yes No x = or Yes No x = or Total A: 154 B: 0 COMPLIES IF A >_ B YES ® NO ❑ EnergyPro 4.1 by EnergySoft User Number: 3665 Job Number: Paw:9 of 10 1 4 . HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Building Horizons 8/17/2006 SYSTEM NAME FLOOR AREA HVAC -1 1,665 Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM Sensible Latent CFM I Sensible 1,053 17,700 3,211 1,772 24,050 0 1,607 1,614 0 0 100 3,851 1,483 100 4,597 0 0 1,607 1,614 24,766 4,694 F7731,876 LENNOX HP29-060/CB29M-65 40,690 8,576 34,976 Total Adjusted System Output 40,690 8,576 34,976 (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 67.1 of 83.5 of 83.5 of O Supply Air Ducts Outside Air 100 cfm 82 8 of Heating Coil Supply Fan 2000 cfm ROOMS 70.0 OF 69.2 of 11.0 / 77.6 of >—:11 Outside Air 100 cfm 74.8/63.2 of f% Return Air Ducts `i res at Time of Coo 76.6/64.1OF M 57.4/56.5OF Cooling Coil 0 Supply Fan 2000 cfm 57.4 / 56.5 of Supply Air Ducts 58.2/56 .7 of 54.5% R.H. ROOMS 74.0/62.9OF h Return Air Ducts 11I EnergyPro 4.1 by EnergySoft User Number: 3665 Job Number. Paoe:10 of 10 1