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08-1969 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001969' Property Address: 51600 AVENIDA VILLA APN: 773-144-006-19 -000000- Application description: REMODEL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 900 T4*ht. 4 4 Q" Applicant: Architect or Engineer OGv N�A . BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: - License No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or AAA that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001: 1 I, as owner of the property, , 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.). 1 1 I am exempt under Sec. B.&P.C. for this reason Date: 5; ' OADO t�Owner: G iii c<�iCl�Gc�- 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: WHALEY GARY S 51600 AVENIDA VILLA LA QUINTA, CA 92253 Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/24/08 ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number I 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 ubject to the workers' compensation laws of California, and agree that, if I should bec me jest to the workers' compens ion provisions of Section 3700 of the Labor Code orthwith co ly with th pr, ions. Date©/ 1 7 cant: V-7 — 0// j WARNING: FAILURE TO SEC U E RKERS' COMPENSATION COVERA IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C IMINAL PENALTIES AND CIVIL FINES U 0 ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. - I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize ;7rep ofthis county to ter upon the above-mentioned property for 'nsp ion pur ses. Date��� O/ gn ure (Applicant or Agent): Application Number 08-00001969 y ------ Structure Information EXISITING RESIDENCE 1248 SF ----- Other struct info . . . . . CODE EDITION 2007 #-BEDROOMS ----------------------------------------------------------------------------- .00 Permit . . . BUILDING PERMIT Additional desc REPLACEMENT OF 9 EXIST. WDWS Permit Fee . . . . 23.00 Plan Check Fee 14.95 Issue Date . . . Valuation goo Expiration Date 6/22/09 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 2.0000 HIND BLDG 501-2,000 8.00 ----------------------------------------------- ---------------------------- Special Notes and Comments REPLACEMENT OF 9 EXISTING WINDOWS. (MAXIMUM U -FACTOR = .57, SHGC = .40 TABLE 151-C) 2007 ENERGY CODE. ------------------------------------------------------------- Other Fees . . . . . . . . ENERGY REVIEW FEE 1.50 Fee summary Charged Paid Credited ----------------- Due ---------- ---------- ------ - Permit Fee Total 23.00 .00 --- .00 ---------- 23.00 Plan Check Total 14.95 .00 .00 14.95 Other Fee Total 1.50 .00 .00 1.50 Grand Total 39.45 .00 .00 39.45 LQPERMIT OWNER/BLUDER- INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be . aware of.the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer, If you are an employer, you must register with the State and Federal Government as an emplover and you are suviec't ` to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their. work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760)011 �1 S SIGNATURE/DATE PROPERTY ADDRESS v8- /9�9 PERMIT NUMBER(S) bi Bin # Qty of La Quin to b ��, Safe Division Building 8i ty Permit # P.O. Box 1504, 78.495 Calle Tampico f�•'A� ` La Quinta, CA 92253 - (760) 777-7012 d Building Permit Application and Tracking Sheet Project Address: �/ 647 rQr� ��j��- Owner's Name: A. P. Number: 7 7 /4�— o a 6 Address: _'%,6 Legal Description - 1/0 T'' /0 ity, ST, Zip: ' Contractor: Tele h – d/ All p one: .F � Address: _ Project Description: City, ST, Zip: Telephone: � <>:>`J sz`"''..•:.• ,;:;.w; State Lic. # : A City Lic. Arch., Engr., Designer: 1AW.14 2 '15-,Gr//.,Clow Address: ��% `e Fs�• ["3.�,Q�' i'yi..� liri',b/,K! , City., ST, Zip: n/ ` ' .� ✓ � .� Sslt so•2J p7-0 Telephone::>:;:�;.:>L::s;<;<J.;e<:..:.,: �fJ:�;;,:. �A•• Construction Type: Occupancy: }:L'7,.:J�' L}:f } State Lic. #:<•>?;<?>J>:,<>::##:>>?><4s?:>`'.A< , :<};}sx•:•:: �::?•J. Project type (circle one): New Add n Alter Repair Demo Name of Contact Person:L ��� ; l.�i�� Sq. Ft.: /d-%�47 I #Stories: # Units: Telephone # of Contact Person: // ' �� ` .0 /3 Estimated Value of Project: vG �'f0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd RecJd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount. Structural Coles. Reviewed, ready for corrections Plan Check Deposit Truss Coles. Called Contact Person Plan Check Ba:ance Title 24 Coles. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections'ssue ?' Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Pians resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Schodl Fees Total Permit Fees " lz/ hpFp*fp AirtL' sku'hs y bw, ouM . Tit BUILDING & SAFETY DEPARTMENT GREG BUTLER BUILDING & SAFETY MANAGER DIRECT (760) 777-7015 P.O. BOX 1504 OFFICE (760) 777-7019 78-495 CALLE TAMPICO FAX (760) 777-7011 LA OUINTA, CA 92247-1504 EMAIL: gbutier@la-quinta.org LEGAL DESCRIPTION (ABBREVIATED) LOT 19 BLK 111 MB 018/079 SANTA CARMELITA AT VALE LA QUINTA NO 12 . F 3 Appendix A Compliance Forms Compliance Form Length CF -1 Certificate of Compliance: Residential 4 Pages CF -SR - Solar Water Heating Calculation Form 2 Pages MF -1R — Mandatory Measures Summary: Residential 2 Pages , WS-1R—Thermal Mass Worksheet 1 Page WS -2R— Area Weighted Average Calculation Worksheet 1 Page WS -3 Solar Heat Gain Coefficient SHGC Worksheet 2 Page 65i65iD Fenestration — Maximum Allowed Worksheet 1 Page WS-5R—Residential Kitchen Lighting Worksheet 1 Page CF -4R — Certificate of Field. Verification and Diagnostic Testing 8 Pages CF -6R Installation Certificate 12 Pages Overview This appendix includes blank copies of the Residential Compliance Forms. Compliance documentation is completed at the building permit phase, the construction phase, and the testing and verification phase. The,forms and documents submitted at each of these phases are described below. Building Permit Phase Documentation When the performance approach is used, the CF -1R and MF -IR forms are produced by:the compliance software. Thermal Mass and Solar Heat Gain Coefficient calculations are performed internally by the software. Certificate of Compliance -Residential (CF -IR) The CF -1R summarizes the minimum energy performance specifications needed for compliance, including the results of the heating and cooling load calculations. The Standards require that a certificate of compliance be included on the plans (CEC approved performance ACM software automatically generates CF -1R forms, which vary is some respects from the prescriptive CF -1R forms). Solar Water Heating Calculation Form (CF -SR) SF -5 Form This form is used to calculate the percent of domestic water heating that is supplied by solar water heating. The form is used to either calculate the percent of solar contributed by tested solar system. All system or collector data must be'• based on the OG -300 test methods of the Solar Rating and Certification Corporation. Mandatory Measures Checklist (MF -1R) This document is applicable for both prescriptive; and performance compliance. Thermal Mass Worksheet (WS -IR) This worksheet is completed by the documentation author when complying with the prescriptive requements of Package C. Area Weighted Average Calculation Worksheet (WS -2R) This worksheet is used to calculate weight -averaged U -factors for prescriptive envelope compliance. . Solar Heat Gain Coefficient (SGHC) Worksheet (WS -3R) This worksheet is completed by the documentation author when complying with the prescriptive requirements. Fenestration — Maximum Allowed Worksheet (WS -4R) J This worksheet is completed by the documentation author when complying with maximum allowance fenestration when complying with the prescriptive requirements. See Table 15 1 -13 and 151-C'. J Residential Kitchen Lighting Worksheet (WS -5R) This worksheet is completed to determine if kitchen lighting complies with the Standards requirement:;. 2005 Residential Compliance Forms March 2005 n Overview This appendix includes blank copies of the Residential Compliance Forms. Compliance documentation is completed at the building permit phase, the construction phase, and the testing and verification phase. The,forms and documents submitted at each of these phases are described below. Building Permit Phase Documentation When the performance approach is used, the CF -1R and MF -IR forms are produced by:the compliance software. Thermal Mass and Solar Heat Gain Coefficient calculations are performed internally by the software. Certificate of Compliance -Residential (CF -IR) The CF -1R summarizes the minimum energy performance specifications needed for compliance, including the results of the heating and cooling load calculations. The Standards require that a certificate of compliance be included on the plans (CEC approved performance ACM software automatically generates CF -1R forms, which vary is some respects from the prescriptive CF -1R forms). Solar Water Heating Calculation Form (CF -SR) SF -5 Form This form is used to calculate the percent of domestic water heating that is supplied by solar water heating. The form is used to either calculate the percent of solar contributed by tested solar system. All system or collector data must be'• based on the OG -300 test methods of the Solar Rating and Certification Corporation. Mandatory Measures Checklist (MF -1R) This document is applicable for both prescriptive; and performance compliance. Thermal Mass Worksheet (WS -IR) This worksheet is completed by the documentation author when complying with the prescriptive requements of Package C. Area Weighted Average Calculation Worksheet (WS -2R) This worksheet is used to calculate weight -averaged U -factors for prescriptive envelope compliance. . Solar Heat Gain Coefficient (SGHC) Worksheet (WS -3R) This worksheet is completed by the documentation author when complying with the prescriptive requirements. Fenestration — Maximum Allowed Worksheet (WS -4R) J This worksheet is completed by the documentation author when complying with maximum allowance fenestration when complying with the prescriptive requirements. See Table 15 1 -13 and 151-C'. J Residential Kitchen Lighting Worksheet (WS -5R) This worksheet is completed to determine if kitchen lighting complies with the Standards requirement:;. 2005 Residential Compliance Forms March 2005 Field Verification and/or Diagnostic Testing Documentation Certificate of Field verification and Diagnostic Testing (CF -4R) This document is completed by the HERS rater when field verification and/or diagnostic testing is req.iired. These documents include information about the measurements and tests that were performed. The HERS rate- verifies that the requirements for compliance credit have been met. Copies of the CF -4R should be provided to the Builder, HERS Provider and Building Department with a wet signature for every home taking the HERS credit. Construction Phase Documentation Installation certificate (CF -6R) The CF -6R is a set of documents completed by different contractors responsible for installing the water- heating equipment, the windows (fenestration), the air distribution ducts and HVAC equipment, the measures that affect building envelope tightness, the lighting system, and the insulation. This includes the Insulation Certificate (Formerly the IC -1), which is completed by the insulation contractor. r 2005 Residential Compliance Forms March 2005 MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 1 of 2) MF -1R Project Title Date Note: Low-rise 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 supersede 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. Instructions: Check or initial applicable boxes when completed or check NA if not applicable. DESCRIPTION NA Designer Enforce -ment Building Envelope Measures: ✓ ✓ ✓ * § I50(a): Minimum R-19 in wood frame ceiling insulation or equivalent U -factor in metal frame ceiling. El El 11 §150(b): Loose fill insulation manufacturer's labeled R -Value: El 0 11 * § 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). 0 El 11 * §I50(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor. El El E] § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. closeable metal or glass door covering the entire opening of the firebox 0 0 b. outside air intake with damper and control, flue damper and control 0 o E] 2. No continuous burning gas pilot lights allowed. E] 0 11 § 150(f): Air retarding wrap installed to comply with § 151 meets requirements specified in the ACM Residential Manual. E] 0 11 § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. El 0 11 § 150(1) : Slab edge insulation - water absorption rate for the insulation material alone without facings no greater than 0.3%, water vapor ermeance rate no greater than 2.0 perm/inch. 11 . E] § 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include 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. 11 E] 11 2. Fenestration products (except field -fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient SHGC , and infiltration certification. 13 11 11 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 1:1 0 11 Space Conditioning, Water Heating and Plumbing System Measures: §110+13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. 1:1 11 E] §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. El 0 0 §150(i): Setback thermostat on all applicable heating and/or cooling systems. 11 11 11 §1506): Water system pipe and tank insulation and cooling systems line insulation. ❑ E] ❑ 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. 13 11 11 2. Back-up tanks for solar system, 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 showingthe 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. 11 11 11 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. El 11 13 4. Steam hydronic heating systems or hot water systems >1 5 psi, meet requirements of Table 123-A. ❑ 13 ❑ Residential Compliance Forms March 2005 :V MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 2 of 2) MF -1R Space Conditioning, Water Heating and Plumbing System Measures: (continued) NA Designer Enforce ✓ -ment 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. 11 ❑ 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. ❑ ❑ * ' 150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirement of the CMC Sections 601, 602, 603, 604, 605 ❑ ❑ ❑ and Standard 6-5; supply -air and retum-air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tae is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tae shall be used. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes ❑ ❑ ❑ unless such tae is used in combination with mastic and draw bands. 4. Exhaust fan systems have back draft or automatic dampers. S. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated ❑ ❑ dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, ❑ ❑ equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 7. Flexible ducts cannot have porous inner cores. ❑ ❑ ❑ 114: Pool and Spa Heating Systems and Equipment. I. 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 ❑ 0 ❑ 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 Residential 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). Ballast for lamps 13 watts or ❑ ❑ greater are electronic and have an output frequency no less than 20 kHz §I50(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table Cl 11 11 150-C, hardwired ballasts and if the ballast is electromagnetic has a medium screw base socket. § I50(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the total rated wattage of permanently installed luminaires (based on nominal rated wattage of high efficacy lamps) in kitchens 13 0 13 may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires. §150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms utility rooms shall be high efficacy luminaires. OR are controlled by an occupant sensor(s) certified to comply with Section I I9(d) that does not tum on ❑ ❑ ❑ automatically or have an always ono tion. § I50(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70ft'): OR are controlled by a dimmer switch OR are 11 0 11 controlled by an occupant sensor that complies with Section 1 19(d) that does not turn on automatically or have an always ono tion. § 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are rated to ASTM E283 and labeled as air tight AT to less than 2.0 CFM at 75 Pascals. § I50(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 13 ❑ Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119d. § I50(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147. 11 0 Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Sec. 130, 131, and 146. § 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with ❑ Section 119(d). Residential Compliance Forms March 2005 INSTALLATION CERTIFICATE (Page 1 of 12) CF -6R sr -60v eve- ,'Oa GW 6, -e 9�,vXs3 Site Address Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). WATER HEATING SYSTEMS: Distribution CEC Certified Type Heater Mfr Name & (Std, Point- Type Model Number of -Use, etc) If # of Rated Input External Recirculation, Identical (kW or Tank Volume Efficiency Standby Insulation Control Type Systems Btu/hr)�(gallons) (EF, RE)2 Loss (%)2 R-value2 1 For small gas storage (rated input of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor (EF). For large gas storage water heaters (rated input of greater than'75,000 Btu/hr), list Recovery (RE), Thermal Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Thermal Efficiency and Rated Input. 2. R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 0-58. Kitchen Piping: If indicated on the CF -1R, all hot water piping > 3/4 inches in diameter that runs from the hot watef- source to the kitchen fixtures is insulated. Faucets & Shower Heads: Ail faucets and showerheads installed are certified to the Energy Commission, pursuant to Title 24 Part 6, Section 111. Central Water Heating in Buildings with Multiple Dwelling Units (required for prescriptive) ❑All hot water piping in main circulating loop is insulated to requirements of §1500) ❑Central hot water systems serving six or fewer dwelling units which have (1) less than 25' of diatribution piping outdoors; (2) zero distribution piping underground; (3) no recirculation pump; and (4) insulation o■ distribution piping that meets the requirements of Section 1500) ❑Central hot water systems serving more than 6 dwelling units - presence of either a time controll or a time/temperature control 1, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part6), where applicable. Signature, Date COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms V Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner March 2005 INSTALLATION CERTIFICATE (Page --2 o= I2) CF -6R Site Address Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). FENESTRATION/GLAZING: Manufacturer/Brand i Name Product LI -factor Product SHGC # of GROUP LIKE RODUCTS (_< CF -I R value) z (:5CF-1 R value)Z Panes Total Quantity of Area Ecerior Like Product Square Shadirg Device Comments/Location/ (OplionaO Feet or O-erhang Special Features 1. 2. 3. 4. 5. 6. 7. 8. 9., 10. 11. - 12. 13. 14. 15. Use values from a fenestration product's NFRC label. For fenestration products without an NFRC Icbel, use the default values from Section 116 of the Energy Efficiency Standards. z� Installed U -factor must be less than or equal to values from CF -1 R. Installed SHGC must be less that or equal to values from CF -1R, or a shading device (exterior or overhang) is installed as specified on the CF -1R. Alte-natively, installed weighted average U -factors for the total fenestration area are'less than or equal to values from CF -1R. If using default table SHGC values from § 116 identify whether tinted or not. I, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual fenestration product installed; 2) is equivalent to or has a lower U -factor and lower SHGC than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable. Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s . Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms March 2005 INSTALLATION CERTIFICATE (Page 3 o=l 2) CF -6R D Site Address Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be prc+vided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiencyi (AFUE, etc.) >_CF -1R value) Duct Location attic, etc. Duct or Piping R -value Heating Load Btu/hr Heating Capacity Btu/hr Cooling Equipment Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical S stems>_CF-lRvalue) Efficiency (SEER or EER) Duct Location attic etc. Duct R -value Cooling Load Btu/hr Cooling Capacity Btu/hr 1. > symbol reads greater than or equal to what is indicated on the CF -1R value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. 1, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date I COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner j March 2005 I , f• INSTALLATION CERTIFICATE'? (Page 4 0.12) CF -6R Site Address Permit Number' . INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE. -Copies to:'Builder, •HERS Rater, Building Owner at Occupancy and Building Department INSTALLER COMPLIANCE STATEMENT The building was ✓ ❑Tested'at Final ✓ 13, Tested at Rough -in INSTALLER' VISUAL INSPECTION AT FINAL CONSTRUCTION' STAGE: 0 Remove at least one supply and one return register, and verify that the, spaces•between the register -)oot and the interior finishing wall are -properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points- between the air handler and the supply and return plenums to'verify that the connection points are,properlysealed. ❑' Inspect all joints to ensure that no cloth backed rubber;adhesive duct tape is used ' ✓ DUCT LEAKAGE REDUCTION Procedures or ield veri ication.and diagnostic testing of air distributionsystems are available in JWM; Appendix RC4.3 NEW,CONSTRUCTION: ` Duct Pressurization Test Results (CFM @25 Pa) Measured*p 31 Values :1- Enter; Tested LeakageFlow in CFM: . S Fan Flow:. Calculated (Nominal: ✓ ❑ Cooling,✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 2.1.7`cfm/(kBtu/hr) x Heating ' Ca acit •in,Thousands of Btu/hr,'enter total calculated or measured fan - flow in CFM here: ✓ =' ✓ 3 Pass if Leakage' Percentage:5 6% for Final or :5 4% at Rough -in:' El Pass ❑ Fail 100 x Line,#.1 % Line #'2 AL TERATIONS: Duct. System and/or HVAC.Equipment Change -Out P b, Enter Tested Leakage Flow.in CFM from Pre -Test of Existing Duct System Priorto Duct `�, a"' 4 System Alterationand/or Equipment Change -Out. _ ' ,. Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct/' •5 System for Ducts stem Alteration and/or.Equi "ment Change -Out: Enter Reduction in Leakage for Altered Duct System 6 Line # 4 Minus(Line #:5 —(Only if Applicable) , 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable),',,, ✓ ' . ✓ 8100 Entire New Duct System - Pass if Leakage Percentage:5 6% for Final'or:5 4% at Rough -in o- 0 Pass, ❑ Fail x Line.# 5 / Line # 2 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVACI quipment Change -Out .' Use one of the following four Test or Verification Standards for compliance:. 9 ' Passif Leakage` Percentage <_.15%' [100 x [ (Line # 5) / (Line # 2)]] ❑ Pass. ❑ Fail ::10 ' .Pass if Leakage to Outside Percentage :5 10%0 [•100 x [ (Line # ?)7 "(Line # 2)]] a ❑Pass ❑Fail Pass if Leakage Reduction Percentage >_ 60% [10 x [ (Line # 6) / ` (Line.# 4)]] •, ❑Passe❑ Fail. 11 and Verification b Smoke Test and Visual Inspection 12 Pass if Sealin of all Accessible Leaks`and Verification by Smoke Test and -Visual Inspection— °_ ❑ Pass ❑• Fail ` Pass if One of Lines # 9 through # 12 pass 0 Pass ❑ Fail INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R Site Address Permit Number ✓ ❑ THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix R--1. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling 'Systems without Thermostatic F.xnansinn Valves Outdoor Unit Serial # Access is provided for inspection. The procedure shall Location consist of visual verification that the TXV is installed on ✓ 0 Yes ❑ No the system and installation of the specific equipment ❑ ❑ Outdoor Unit Model shall be verified. Cooling Capacity Yes is a pass Pass Fa.:l ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling 'Systems without Thermostatic F.xnansinn Valves Outdoor Unit Serial # Location Return (evaporator entering) air dry-bulb temperature (Treturn, db) Outdoor Unit Make OF Outdoor Unit Model Cooling Capacity Btu/hr Date of Verification OF Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement Procedure (outdoor air dry-bulb 55°F and above) - Procedures for Determining Refrigerant Charge using the Standard Method are available in RA CM, Appendix RD2. Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temaeratures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air dry-bulb temperature (Treturn, db) OF Return (evaporator entering) air wet -bulb temperature (Treturn, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) OF Condenser (entering) air dry-bulb temperature (Tcondenser, db) OF Suaerheat Charge Method Calculations for Refrigerant Charge Actual Superheat = Tsuction, db — Tevaporator, sat OF Target Superheat (from Table RD -2) OF Actual Superheat — Target Superheat (System passes if between -5 and +5°F) '°F Temperature Split Method Calculations for Adequate Airflow' Snlit Methnd Calmdatinn is not nerPccnry ifAdPnuntP AirAnw rrPdit iv tniron Actual Temperature Split = T return, db Tsupply, db OF Target Temperature Split (from Table RD3) OF Actual Temperature Split Target Temperature Split (System passes if between - 3°F and +3°F or, upon remeasurement, if between -3°F and -100°F of Residential Compliance Forms March 2005 INSTALLATION CERTIFICATE (Page 6 of 12) CF -6R Site Address Permit Number Standard Charge Measurement Summary: System shall 'pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken, both' criteria must be remeasured and recalcu*ated. ✓ ❑ Yes ❑ No ' System Passes Alternate Charge Measurement Procedure (outdoor air dry-bulb below 55 °F) Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF76R before starting this procedure. If outdoor air dry-bulb is 53 OF or above, installer shall use the Standard Charge Measure Procedure: Procedures for Determining Refrigerant Charge using the Alternate Method are available in RACM, Appendix RD3. Weigh -In Charging Method for Refrigerant Charge Actual liquid line length: fl Manufacturer's Standard liquid line length: ft Difference (Actual — Standard): ft Manufacturer's correction (ounces per foot) x difference in length = ounces (+ = add) (- = remove) ✓Ieasured Airflow Method for Adequate Airflow Verification available in RACM, Appendbc RD2.6 Calculated Airflow: Cooling Capacity (Btu/hr) X 0.033 (cfm/Btu-hr) = CFM Measured Airflow is CFM (Measured airflow must be greater than the calculated airflow). Alternate Charge Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the'same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated. ✓ ❑ Yes 10 No I System Passes Signature, Date COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner I Residential Compliance Forms March 2005 INSTALLATION CERTIFICATE (Page 7 of 12) CF -6R Site Address Permit Number MISCELLANEOUS CREDITS ✓ ❑ DIAGNOSTIC SUPPLY DUCT LOCATION, SURFACE AREA AND R -VALUE Procedures for field verification and diagnostic lesting for this group compliance credits are available in RACM, Appendix RC, RE & RH. ✓ ❑ LESS THAN 12 LINEAL FEET OF SUPPLY DUCT OUTSIDE OF CONDITIONED SPACE COMPLIANCE CREDIT ✓ ❑Yes I ❑No I Less than 12 lineal feet of supply duct outside of conditioned space. Yes to this compliance credit is a pass ✓ E� Pass ✓ ❑Fail ✓ ❑ SUPPLY DUCTS LOCATED IN CONDITIONED SPACE COMPLIANCE CREDIT ✓❑ Yes ❑ No I Ducts are located within the conditioned volume of building. Yes to this compliance credit is a pass ✓ ON Pass ✓ ❑ Fail 1. Supply duct surface area reduction L 2. Buried supply ducts on the ceiling 3. Deeply buried supply ducts ✓ ❑ DUCT SYSTEM DESIGN VERIFICATION ✓ ❑ Yes ❑ No Adequate airflow verified ✓ ❑ Yes ❑ No The duct system design plan meets the requirements specified in RACM, Appendix RE, Section RE.4.2 ✓ ❑ Yes ❑ No The duct system design plan exists on building plans ✓ ❑ Yes ❑ No Duct sizes, duct system layout and locations of supply & return registers match the duct system design Ian Yes to all is a pass ✓ ❑ Pass ✓ ❑Fail ✓ ❑ SUPPLY DUCTS SURFACE AREA REDUCTION COMPLIANCE CREDIT Attic Crawl Space R-4.2 Deeply Duct Surface Basement Covered Covered Other Diameter Area R.-6.0 Surface Area R-8.0 Surface Area ❑ ❑ ❑ ❑ ❑ ❑ V. - Yes Yes to ducts stem design, supply duct surface area reduction and this compliance credit is a pass ❑ Pass 1 ❑ Fail ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ n n ❑ 1 ❑ n Total Surface Area for Each R -Value = ✓ ❑ Yes I 0 No I Matches Performance's CF -1R? ✓ Yes to all is a pass ❑ Pass ❑ Fail ✓ ❑ BURIED DUCTS ON THE CEILING COMPLIANCE CREDIT ✓ ❑ Yes ❑ No Buried Ducts on the Ceiling ✓ ❑ Yes ❑ No Verified High Insulation Installation Quality ✓ V. - Yes Yes to ducts stem design, supply duct surface area reduction and this compliance credit is a pass ❑ Pass 1 ❑ Fail ✓ ❑ DEEPLY BURIED DUCTS COMPLIANCE CREDIT ✓ ❑ Yes ❑ No Deeply Buried Ducts ✓ ❑ Yes ❑ No Verified High Insulation Installation Quality ✓ ✓ Yes to ducts stem design, supply duct surface area reduction and this compliance credit is a pass ❑Pass ❑ Fail COPY TO: Building Department, HERS Rater, Building Owner at Occupancy Residential Compliance Forms March 2005 INSTALLATION CERTIFICATE (Page s of 12) CF -6R Site Address Permit Number V FAN WATT DRAW Procedures for measuring the air handler watt draw are available in RACM, Appendix RE3.2. ✓ Method For Fan Watt Draw Measurement ✓ ❑ RE3.2.1 Portable Watt Meter Measurement ❑ RE4.1.1 Diagnostic Fan Flow Using ❑ RE3.2.2 Utili ' Revenue Meter Measurement ❑ RE4.1.2 Measured Fan Watt Draw: Plenum Pressure Matching 3 ❑ RE4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement ❑ Yes ✓ ❑ Yes ❑ No Measured fan watt draw is equal to or lower than the fan watt draw documented in CF -1R ❑ Yes ❑ No Cooling capacities of installed systems are:.5 to maximum cooling capacity indicated on the Performance's CF -1R and RF -3. 5 Yes is a ass;PCFail ❑ Yes Measured Airflow: ✓ ❑ 'ADEQUATE AIRFLOW VERIFICATION Procedures for measuring the airflow are available in RACM, Appendix RE3.1. ✓ Method For Airflow Measurement ✓ ❑ Yes ❑ RE4.1.1 Diagnostic Fan Flow Using Flow Capture Hood ❑ RE4.1.2 Diagnostic Fan Flow Using Plenum Pressure Matching 3 ❑ RE4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement ❑ Yes ❑ No Duct design exists on plans ✓ ❑ Yes ❑ No Cooling capacities of installed systems are:.5 to maximum cooling capacity indicated on the Performance's CF -1R and RF -3. 5 ✓ ❑ Yes Measured Airflow: If the cooling capacities of installed systems are > than maximum ✓ ✓ cooling capacity in the CF -1R, then the electrical input for the installed systems must be <_ to electrical input in the CF -1R. ❑ ❑ Yes to 1, 2, and 3; and Yes to either 4 or 5 is a pass Pass Fail ✓ ❑ Yes ❑ No Measured airflow is greater than the criteria in Table RE -2 ✓ ✓ Yes is a pass I Pass Fail ✓ ❑ MAXIMUM COOLING CAPACITY Procedures_for determining maximum cooling load capacity are available in RACM, Appendix RF3. Watts cfm/ton 1 ✓ ❑ Yes ❑ No Adequate airflow verified (see adequate airflow credit) Refrigerant charge or TXV 2 ✓ ❑ Yes ❑ No 3 ✓ ❑ Yes ❑ No Duct leakage reduction credit verified 4 ✓ ❑ Yes ❑ No Cooling capacities of installed systems are:.5 to maximum cooling capacity indicated on the Performance's CF -1R and RF -3. 5 ✓ ❑ Yes ❑ No If the cooling capacities of installed systems are > than maximum ✓ ✓ cooling capacity in the CF -1R, then the electrical input for the installed systems must be <_ to electrical input in the CF -1R. ❑ ❑ Yes to 1, 2, and 3; and Yes to either 4 or 5 is a pass Pass Fail ✓❑ HIGH EER AIR CONDITIONER Procedures or verification are available in RACM, Appendix R/. 1 ✓ ❑ Yes ❑ No EER values of installed systems match the CF -1R 2 ✓ ❑ Yes ❑ No For split system, indoor coil is matched to outdoor coil ✓ ✓ ❑ Yes I ❑ No I Time Delay Relay Verified (If Required) I ❑ I ❑ Yes to 1 and 2; and 3 (If Required) is a pass I Pass I Fail Tests Performed COPY TO: Signature, Date Installing Subcontractor (Co -Name) OR General Contractor (Co. Name) Building Department, HERS Rater, Building Owner at Occupancy Residential Compliance Forms March 2005 v ' INSTALLATION CERTIFICATE (Page 9 of 12) CF -6R U Site Address Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be pr-jvided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). BUILDING ENVELOPE LEAKAGE DIAGNOSTICS ✓ ❑ ENVELOPE SEALING INFILTRATION REDUCTION Procedures for field verification and diagnostic testing of envelope leakage are available in RACM, Appendix RC. . Diagnostic Testing Results ✓ ✓ Building Envelope Leakage (CFM @ 50 Pa) as measured by Rater: 1 ❑ ❑ Measured envelope leakage less than or equal to the required level from ` Yes No CF -1R? ❑ ❑ 2. Is Mechanical Ventilation shown as required on the CF -1R? Yes No 2a ❑ ❑ If Mechanical Ventilation is required on the CF -1R (`Yes' in line 2), hast Yes No been installed? ❑ ❑ Check this box `yes' if mechanical ventilation is required (`Yes' in line 2` 2b. and ventilation fan watts are no greater than shown on CF -1R. Yes No Measured Wags = ❑ 11 Check Check this box "yes" if measured building infiltration (CFM @ 50 Pa) is 3. than the CFM @ 50 values shown for an SLA of 1.5 on CF -1R Yes No If this box is checked no mechanical ventilation is required.)' Check this box "yes" if measured building infiltration (CFM @ 50 Pa) is 4 ❑ ❑ less than the CFM @ 50 values shown for an SLA of 1.5 on CF -'IR, Yes No mechanical ventilation is installed and house pressure is greater than minus 5 Pascal with all exhaust fans operating. Pass if: a. Yes in line 1 and line 3, or ✓ ✓ b. Yes in line 1 and line2, 2a, and 2b, or c. Yes in line 1 and Yes in line 4. ❑ ❑ Otherwise fail. Pass Fail ✓ ❑ I, the undersigned, verify that the building envelope leakage meets the requirements claimed forbuilding leakage reduction below default assumptions as used for compliance on the CF -1R. This is to certify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. (The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or subcontractors certifying that diagnostic testing and installation meet the requirements for compliance credit.) Test Performed Signature COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms Date N Testing Subcontractor (Co. Name) OR General Contractor (Co. Name) March 2005 0 INSTALLATION CERTIFICATE (Page 10 of 12) , CF -6R Site Address Permit NumJer Insulation Installation Quality Certificate ✓ ❑ Description of Insulation, (CF -611, formerly IC -1) signed by the installer stating: insulation manufacturer's name, material identification, installed R -values,, and for loose -fill insulation: minimum weight per square foot and minimum inches ✓ ❑ Installation meets all applicable requirements as specified in the High Quality Insulation Installation Procedures (ACM, Appendix RH) ✓ FLOOR ❑ Yes ❑ No ❑ NA All floor joist cavity insulation installed to uniformly fit the cavity side-to-side and end-to-end ❑ Yes ❑ No ❑ NA Insulation in contact with•the subfloor or rim joists insulated ❑ Yes ❑ I No ❑ NA Insulation properly supported to avoid gaps, voids, and compression ✓ WALLS ❑ ❑ ❑ Wall stud cavities caulked or foamed to provide an airtight envelope Yes No . NA ❑ Yes ❑ No ❑ NA Wall stud cavity insulation uniformly fills the cavity side-to-side, top -to -bottom, and front -to -back ❑ ❑ ❑ No gaps r Yes No NA ❑ Yes ❑ No ❑ NA No voids over 3/4" deep or more than 10% of the batt surface area. ❑ ❑ ❑ Hard to access wall stud cavities such as; corner channels, wall intersections and behind Yes No NA tub/shower enclosures insulated to proper R=Value ❑ ❑ ❑ Small spaces filled ' Yes I No NA ❑ ❑ ❑ Rim -joists insulated Yes No NA ❑ ❑ ❑ Loose fill wall insulation meets or exceeds manufacturer's minimum weight -:per -square -foot Yes No I NA requirement ✓ ROOF/CEILING PREPARATION ❑ Yes ❑ No ❑ NA All draft stops in place to form a continuous ceiling and wall air barrier ❑ Yes ❑❑ No . NA All drops covered with hard. covers . o ❑ Yes ❑ No ❑ NA All draft stops and hard covers caulked or foamed to provide an'air tight envelope ' ❑ ❑ ❑ All recessed light fixtures IC and air tight (AT) rated and sealed with a gaskTt or caulk_ between the Yes No NA housing and the ceiling ❑ Yes ❑ No ❑ NA Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics ❑ Yes ❑ No ❑ NA Eave vents prepared for blown insulation - maintain net free -ventilation area ❑ Yes ❑ • No ❑ NA ' Knee walls insulated or prepared for blown insulation ❑ Yes No ❑NA ❑ Area under equipment platforms and cat -walks insulated or accessible for bbbwn insulation ❑ ❑ ❑ Yes No NA Attic rulers installed Residential Compliance Forms i 0 March 2005 INSTALLATION CERTIFICATE (Page 11 :)£ 12) CF -6R Site Address Permit Number s ✓ ROOF/CEILING BATTS DECLARATION I hereby certify that the installation meets all applicable requirements as specified in the Insulation Installation Procedures. Signature Date Installing Subcontractor (Co. Name) OR General Contractor•(Co. Name) OR Cwner COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms March 2005 ' r Yes No NA No gaps ❑ ❑❑ Yes No NA No voids over'/ in. deep or more than 10% of the batt surface area. ❑ ❑ ❑ Yes No NA I Insulation in contact with the air -barrier ❑ ❑ ❑ Yes No NA Recessed light fixtures covered ❑ ❑ ❑ Yes No I NA Net free -ventilation area maintained at eave vents ✓ ROOF/CEILING LOOSE -FILL ❑ ❑. ❑ Yes No NA Insulation uniformly covers the entire ceiling (or roof) area from the outsideof all exterior walls. ❑ ❑ ❑ Yes No NA Baffles installed at eaves vents or soffit vents - maintain net free -ventilation area of eave vent ❑ ❑ ❑ Yes No NA Attic access insulated ❑ ❑ ❑ Yes No NA Recessed light fixtures covered ❑ ❑ ❑ Yes No NA Insulation at proper depth — insulation rulers visible and indicating proper depth and R -value ❑. ❑ ❑ Yes No NA Loose -fill insulation meets or exceeds manufacturer's minimum weight and :hickness requirements for the target R -value. Target R -value ' Manufacturer's minimum required weight for the target R -value (pounds -per -square -foot). Manufacturer's minimum required thickness at time of installation Manufacturer's minimu•n required settled thickness Note: To receive compliance credit the HERS rater shall verify that the manufacturer's minimum weight and thickness has been achieved for the tar:et R -value. (CF -6R only) DECLARATION I hereby certify that the installation meets all applicable requirements as specified in the Insulation Installation Procedures. Signature Date Installing Subcontractor (Co. Name) OR General Contractor•(Co. Name) OR Cwner COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms March 2005 ' r ra INSTALLATION CERTIFICATE (Page 12 of 12) CF -6R Site Address Permit Numter Number and Street City County Subdivision Lot Number Description of Insulation (Formerly IC -1 Form) 1. RAISED FLOOR Material Thickness (inches) 2. SLAB FLOOR/PERIMETER Material Thickness (inches) Perimeter Insulation Depth (inches) 3. EXTERIOR WALL Frame Type A. Cavity Insulation Material Thickness (inches) B . Exterior Foam Sheathing Material Thickness (inches) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) ` Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) 4. FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 5. CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand Contractor's min installed weighditz lb Minimum thickness inches: Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value 6. ROOF Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. Item #s Signature, Date Installing Subcontractor (Co -Name) OR General Contractor (Co. Name) OR Owner Item #s Signature, Date Installing Subcontractor (Co..Name) OR General Contractor (Co. Narr_e) OR Owner Item #s Signature, Date Residential Compliance Forms Installing Subcontractor (Co. Name) OR General Contractor (Co. Narr_e) OR Owner March 2005 Subject's street view looking to the south Subject's street view looking to the north View of the subject from the west View of the subject from the south View of subject from the north View of the subject from the east. r View o� new window's energy performance rating "ENUMELA- s+ i a �artt!s,�s v�wer�• r' View of the new window's inverted manufacture logo tnit'rBgtbbytAt �� isa.t.... . +. C`orppt'a�titen Ara. 5i s ar ENE. RQ; PERFOFfMAflFCE RATTNG''S PF RFORMAMCE'n?AitN G.`> l m Pk. 49 7 77 6260HS XQ � a- c> View o� new window's energy performance rating "ENUMELA- s+ i a �artt!s,�s v�wer�• r' View of the new window's inverted manufacture logo SKETCH/AREA TABLE ADDENDUM Property Address 51-600 Avenida Villa La Quinta CA 92253 City La Quints County Riverside State California Zip 92253 Borrower ligillil'Clienl Cityof La Quinta UC Address 78.495 Calle Tampico La Quints CA 92253 4iiiiiiiiiUmName GaryS. Whaley 4 WAddress PO Box 900837 San Diego CA 92190 East Due E 50' Fence 26' oF3 o�ea`o° T° f� 3 4) Bath Wit dow s LL BathWlr dow z o� c ° 3 2a`° North 00 a < South 1 Patio i Dining 0 z 'v Entrance ° 11' f 26' Window ° Porch i v • N Y N Garage N M 20'N W N 16' 5 5' 3' 0 0 `V Driveway N 5' 16' Due W 50' 0 0 West so' Comments: Street Scale: 1 = 20 i AREA CALCUTIONS LA SUMMARY LIVING AREA BREAKDOWN ,Code Description Net Size Net Totals Breakdown Subtotals GLAl First Floor 1248.0 1248.0 First Floor 1 GAR Garage 440.0 440.0 26.0 x 48.0 I 1248.0 P/P Porch 242.0 ' Porch 32.0 274.0 LAND Land 500.0 500.0 SITE Subject Site 5000.00 5000.00 OT& ! 320.0 69.0 15.0 ' QW4 404 ' OC LA A & SP►FEv D PT. • BUILDING FOR Ap , ED CONs-rau DATE n' !d �c IS'tli�G 1 Net LIVABLE Area (rounded) 1248 Net SITE Area (rounded) 5000 1 Item (rounded) 1248 GARY WHALEY APEX SOFTWARE EOMW995A A.8100—g NEW 0 U I meixurac,iurn1of Title 24, Sectlon 116 (a) 12001 California Energy Standards 256861.005 I9 09/29108 6221HS #20 6�60HS XOX ES - S ''.;.DO NOT REMOVE LABEL UNTIL FINAL INSPECTION CITY OF to QVINTA r BUILDING & SAFETY D FOR C T• DEP AROuc-rloN 10 Internad"ai Window Corporation NFRC 6260HS Horiz. Slider in Aluminum Frame Grids Low -E National Fenestration RatingCoundP Double Glazing ENERGY PERFORMANCE RATINGS U Factor 0.53 3.0 Solar Heat Gain Coefficient 0.27 (U.SJW) (MetricISI) ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product energy performance. NFRC ratings are deterdned for a fixed set of environmental conditions and a specific product size. NFRC does riot recon nand any product and does not warrant the suitability of any product for any apeciffc use. Consul manufacturer's literature for other product pm(orinanre infornietion. www.nk.o meixurac,iurn1of Title 24, Sectlon 116 (a) 12001 California Energy Standards 256861.005 I9 09/29108 6221HS #20 6�60HS XOX ES - S ''.;.DO NOT REMOVE LABEL UNTIL FINAL INSPECTION CITY OF to QVINTA r BUILDING & SAFETY D FOR C T• DEP AROuc-rloN 10 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Maize I of 4) CF -IR Pro ect Title DocumenAtion Author Telephone Compliance Method (Prescriptive) Climate Zone Enbrcement Agency Use Only ✓ ❑ Alternative Component Package Method: (check one) C D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA)/.g y �ft2 Average Ceiling Height:19 ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C o -- (5% X CFA) 69 ft �•1/`t� Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20% X CFA) ft ✓ O'Building Type: (check one or more) Single Family Multifamily Addition_ K'khaw-wen � (If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet -nd see Section 8.3.2 for Additions and 88.3.3 for Alterations.) Number of Stories: / Number of Dwelling Units:_ Floor Construction Type: (("§`LE-pDRaised Floor jiiLrcle one or both) Front Orientation: North / South / East All Orientations (input front orientztion in degrees from True North and circle one). ✓ ❑ RADIANT BARRIER (required in climate zones 2,4,8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor,— Slab Edge, Doors LFrame Cavity insulation R -Value' Continuous Insulation R -Value Assembly U - factor (for wood, metal frame and mass assemblies)' Joint Appendix IV Reference Roof Radiant Barrier Location/Comments Installed (attic, garage, Yes or No ical, etc. 1) See Joint Appendix IV in Section IV.2, IV.3 and IV.4, which is the basis for the U -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms V CITY OF LA QUANTA BUILDING & SAFETY CEPT. APPROVED FOR CONSTRUCTION DATE—.BY March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) CF -1R .�' Project Title Date f FENESTRATION PRODUCTS - U -FACTOR AND SHGC ✓ ❑FENESTRATION MAXIMUM ALLOED AREA WORKSHEET WS -4R -must be included for New Construction, Additions and Alterations. ���p�•.a- j ) Fenestration #/Type/Pos. (Front, Left, Rear, Right, Skylight) Orien- tation, N, S, E, W1 Area U -factor ft' U-factor2 Source3 SHGC4 SHGC Sources Exterior Shading/Overhangs b' ✓ box if WS -3R is included �"- ff / O, S- ❑ .jam%' . 0 S� o • E3 a5 13 ec. r , — - - — .-- — ❑ 13 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when the pitch is less than 1:12. See §151(f)3C and in Section 3.2.3 of the Residential Manual 2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A. 3) Indicate source either from NFRC or Table I I6A, 4) Enter values in this column from NFRC or from Standards Default Table I I 6 or adjusted SHGC From WS -3R. 5) Indicate source either from NFRC or Table 116B. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment Minimum Type and Capacity Efficiency furnace, heatpump,boiler, etc. �.�FUE or HSPF) Distribution Type and Location ducts, attic, etc. Duct or Piping R -Value Thermostat Type Configuration (split or package) Cooling Equipment Minimum Type and Capacity Efficiency Duct Location A/C, heat pump, eva . cooling) SEER or EER attic, etc. Du Thermostat Configuration R -Value Type (split or package) Residential Compliance Forms V March 2005 n 4 K 0 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) C&M 4•y-4 E 1',1_-� Gess o,o, ems- ��/,���,a,9--1 Project Title V Da ee SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following. are required. OR ❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Proiect Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. rel ,7 For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procecures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) and duct insulation requirements of PacLa a D. WATER HEATING SYSTEMS Distribution Type ❑ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.) ❑ TXVs, read ily`accessible (climate zones 2 and 8-15 only) ❑ Installer testing and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field ❑ verification required.) OR ❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Proiect Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. rel ,7 For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procecures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) and duct insulation requirements of PacLa a D. WATER HEATING SYSTEMS Svstems serving single dwelling unit'§ Distribution Type Number in System Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired v+ater heater per ❑ dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Standby � Loss % not allowed. ❑ Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No Water heating calculations are required, and the system complies automatically. Tank Check box if system does not meet criteria of "Standard" system, and does not comply with th.2 Preapproved ❑ Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the Water Heater submittal. ❑ Check box to verify that a time control is required for a recirculating system pump for a systern serving multiple Capacity units Svstems serving single dwelling unit'§ Svstem serving multiale dwelling units `1_1 Water Heater Type Distribution Type Number in System Rated Tank Capacity Energy Standby � Loss % Tank Input' Tank Factor' ori External Water Heater Distribution Number (kw or Capacity Thermal Standby Insulation Type/Fuel Type Type in S steric i BtAr) allons Efficiency Loss % R -Value Svstem serving multiale dwelling units `1_1 Water Heater Type Distribution Type Number in System RatedEnergy Input' (kW or Btu/hr(gallons) Tank Capacity '-Factor' or &rmal Efficienc Standby � Loss % Tank External Insulation R -Value r 1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For ins-.antaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 00 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Project Title 4 of 4) CF -1R `4 ,o,��Py Dates SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add ex:ra sheets if necessary) Indicate which special features are part of this project. The list below only represents special features relevant to the c.. nt;- —fl—rl ✓ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF -1R Refrigerant Char eCF- ❑ Radiant Barriers CF -1R CF -6R --art. of 12 ❑ Exterior Shades WS -4R N/A; Attach CRRC Label to ❑ Cool Roof Forms. Dedicated Hydronic,Heating Performance Calculation ❑ System Required; Attach Run to Forms. Performance Calculation ❑ Combined Hydronic Syste\ Required; Attach Run to Forms. Performance Calculation ❑ Gas Cooling Re uired. ❑ Buried Ducts N/A; Indicate on building plans. See Section 5.V Distribution ❑ Kitchen Pipe Insulation Systems in Residential Manual. See Table 5-13 or use ❑ Multiple Water Heaters Per Performance Calculation.\ Dwelling Unit attach Run to Forms. ❑ Central Water Heating System Performance Calculation and \ Serving Multiple Dwellings attach Run to Forms. ❑ Non-NAECA Large Water CF -1R \ Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Instantaneous Gas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms Performance Calculation and ❑ Wood Stove Boiler attach Run to Forms SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this pr3ject and need verifir.atinh— ✓ Feature �� Required Forms if applicable) Description ❑ Duct Sealing CF -6R part 4 of 12 ❑ Refrigerant Char eCF- R part 5 of 12 ❑ Thermostatic Expansion Valve CF -6R --art. of 12 Residential Compliance Forms March 2005 SOLAR HEAT GAIN COEFFICIENT WORKSHEET (Page 1 of 2) WS -3R 'roiect Title Date Items 1 through 4 must be completed for glazing/shading combinations by using the Default Table for Fenestration Products (Table 116-B of the Standard), NFRC certified data, or Solar Heat Gain Coefficients Used for Exterior Shading Attachments (Table S-1 below) for the specific conditions indicated (#la or #1 b or #3). General Information la. For Fenestration Products w/NFRC testing and labels: SHGCfen = ©' _ OR 1b. For Fenestration Products without NFRC testing and labels (Table 1 l6 -B of the Standard):SHGCi,n = lc. Frame Type Id. Product Type le. Glazing Type If. Single/Double Pane metal, non-metal, metal w/thermal break operable/fixed (visibly) tinted single pane/doable pane clear (not visibly tinted) 2. Skylight (Y/N (A skylight is fenestration mounted on a roof surface at a slope less than 60° from the horizon.) Combined Exterior Shade with Fenestration Exterior Shade Type: SHGCExterior Shade: (If no exterior shade, assume standard bug screens, SHGCE,1K rshade = 0.76 for ordinary windows. This requirement does not apply to skylights where SHGCIxt,,,iarShade is assumed to be 1.00. If another exterior shade is substituted for bug screens, use one of the values from Table S-1. [( x 0.2875) + 0.75] x = Where: SHGCmax SHGCn,in SHGC,,,ax = Larger of (# 1 a or # 1 b) or #3 Total SHGC SHGC„in = Smal ler c f (# 1 a or # 1 b) or #3 Note: Calculated Solar Heat Gain Coefficient values for Total SHGC may be used directly for prescriptive packages. • Package C Target Value for Total SHGC is 0.38 for Climate Zones 2, 4, 7-15 • Package C Target Value for Total SHGC is 0.42 for Climate Zones 1, 3, 5, 6, 16 • Package D Target Value for Total SHGC is 0.40 for Climate Zones 2, 4, 7-15 Table S-1: Solar Heat Gain Coefficients Used for Exterior Shading Attachments for WS -3R and Computer Performance Methods 1'2 Exterior Shading Device 1) Standard Bug Screens 2) Exterior Sunscreens with Weave 53*16/inch 3) Louvered Sunscreens w/Louvers as Wide as Openings 4) Low Sun Angle (LSA) Louvered Sunscreens 5) Roll -down Awning 6) Roll Down Blinds or Slats 7) None (for skylights only) w/Single Pane Clear Glass & Metal Framing' 0.76 0.30 0.27' 0.13 0.13• 0.133 1.00 1. These values may be used on line 3 of the Solar Heat Gain Coefficient (SHGC) Worksheet (W,53-311) to calculate exterior shading with other glazing types and combined interior and exterior shading with glazing. 2. Exterior operable awnings (canvas, plastic or metal), except those that roll vertically down anc: cover the entire window, should be treated as overhangs for purposes of compliance with the Standards. 3. Standard bug screens must be assumed for all fenestration unless replaced by other exterior shading attachments. The solar heat gain coefficient listed for bug screens is an area -weighted value that assumes that the screens are only on operable windows. The solar heat gain coefficient of any other exterior shade screens applied only to some window areas must be area -weighted with the solar heat gain coefficient of standard bug screens for all other glazing (see Form WS - 2R). Different shading conditions may also be modeled explicitly in the computer performance method. 4. Reference glass for determining solar heat gain coefficients is 1/8 inch double strength (DSS) glass. Residential Compliance Forms March 2005 6 v SOLAR HEAT GAIN COEFFICIENT WORKSHEET (Page 2 of 2) WS -3R Instructions for WS -3R The following explains how to calculate solar heat gain coefficients on WS -3R. The number of each it --m below corresponds to the appropriate item on WS -3R. Enter either: Ia. For products with NFRC testing and labels, enter the product's labeled SHGC as #la. SHGC,,, OR lb. Enter the default SHGCfen from Table 116-13 of the Standards corresponding to the fenestration characteristics described in entries lc, Id, le, and If. Entries for ]c, Id, le, and if are only needed if lb is entered for SHGCfeo• If Ib is entered, then: lc Describe the Frame Type [metal, metal w/thermal break, or non-metal (non-metal ircludes both vinyl and wood)]. Id The Product Type (operable or fixed); le The glazing type (tinted or uncoated). Note that tints or coatings that cannot be easi-y observed by the building official must be classified as "uncoated;" that is, tints must be easily visible to the naked eye. if Single or double pane glazing. For skylights mounted on a roof surface, enter "Y," otherwise enter "N." A skylight is fenestration mounted at a slope less than 60° from the horizon. In a performance compliance, select standard or draperies. This is the only available choice and some compliance tools will eliminate this choice altogether. Describe the exterior shading device in the space provided (e.g., roll down awning). List SH:3CExterior shade, the SHGC of the exterior shade with 1/8" clear single pane glass and metal framing, from Table S-1. Ifa single window or skylight has multiple exterior shades (i.e., shade screens and awnings) use the one shading d -vice with the lower SHGC. If no exterior shade is proposed, assume standard bug screens with a SHGC or 0.76 (or a SFGC or 1.00 for horizontal glazing). This applies to the full area of fixed fenestration products as well as operable. Calculate SHGCshade open using values from Items 3 and either 1 a or 1 b. The result is the combined SHGC of the fenestration product and exterior device with the interior shade open. Residential Compliance Forms March 2005 h �v FENESTRATION - MAXIMUM ALLOWED AREA WORKSHEET WS -4R 1i4/<9c-�� ut/1� l/� mss/ G/�sS ��/�e.�- I aZ a /.z oval Project Title f Date T FENESTRATION PRODUCTS - NEW CONSTRUCTION- NEW BUILDINGS I Ice this tahle for new building construction to account for total building % of fenestration. A B C D E F G #/Type/Pos. (Front, Left, Rear, Right, Skylight) Orientation Total Fenestration, West Facing Area ft2 Total Fenestration for N, S, E Orientations Area ft2 CFA (ft) Total Percent of West Facing Fenestrations (C/E) x 100% Total % of Fenestration2 Including West (D/E) x 100%+ F Total % of West Facing Fenestration IF/C x100% North North South South South South East East East West West East West Totals West" Total 1) If west facing area exceeds 5% of CFA in climate zones 2, 4, and 7-15, the performance approach -rust be used. 2) If total percent of fenestration exceeds 20% including West facing orientations then performance approach must be used. West facing area includes skylights tilted to the west or tilted in any direction when the pitch is less than 1:12 for Package D only. FENESTRATION PRODUCTS - NEW CONSTRUCTION- ADDITIONS ✓ ❑Less than 100 ft2. ❑ Less than or Eaual to 1000 ft2, ❑ Greater 1000 ft2 A B C D E F G H #/Type/Pos. (Front, Left, Rear, Right, Skylight) Orientation N, S, E, W Addition's CFA 1.2 Addition's New Fenestration Area ft2 Fenestration Area Removed to make way for Addition ft2 Total Area Fenestration 2 (D + E) Total % of West Facing Fenestration IF/C x100% Total % of Fenestrationz F/C x100% North South South South South East East West East West West" Total Total Total Total 1) Additions that add less than 50ft2 of fenestration area are exempt from the maximum total area linits. See Table 8-2 in RM. 2) If the addition has a floor area equal to or less than 1,000 ft2, the maximum allowed fenestration % may be increased to by the amount of glazing removed in the wall that separates the addition from the existing house. See Table 8-2 in RM. 3) If the addition has a floor area greater than to 1,000 ft2, must meet Package D requirements. See -able 8-2 in RM. 4) West facing area includes skylights tilted to the west or tilted in any direction when the pitch is less than 1:12 for Package D. FENESTRATION PRODUCTS: ALTERATIONS Use this table for alterations to an existine buildine where fenestrations product windows) a bei■ remove and/oradded. A B C D E F G H I CFA Existing Orientation Existing Area Removed Orientation (ft) Removed Proposed Area Installed (ft2) Orientation Proposed Installed New Area ft2 Total Net Total % of 1,2 Fenestration Fenestration (ft2) H / A C-E+G Max of 20% North North North South South South East East East West West West Total Total Total 1) When 50 ft2 or more of fenestration area is added to an existing building, then the fenestration crust meet the requirements of Package D. The area requirement for the total fenestration area for the whole building, including the added fenestration, must not exceed 20% otherwise the Performance Approach must be used. Note: The 5% west facing limit iE exempt. See Section 8.3.3 in the RM for further details. Residential Compliance Forms March 2005 WINDOW GLASS REPLACEMENT PROJECT: 51-600 AVENIDA VILLA, LA QUINTA, CA 92553 Gary S. Whaley 951.347.0113 CELL gwhaleyAsbcglobal.net Estimated interior measurement -width Estimated exterior measurement -width Estimated Interior measurement -width 92 07/16 inches wide -top 68 06/16 inches wide -interior top 68 00/16 inches wide -exterior top 68 06/16 inches wide -interior middle 68 00/16 inches wide -exterior middle 68 07/16 inches wide -interior bottom 68 00/16 inches wide -exterior bottom Estimated interior measurement -height Estimated exterior measurement -height Estimated Exterior measurement -height 45 08/16 inches height -interior left 45110/ * 16 inches height -exterior right 45 07/16 inches height -interior middle 45 11/6 inches height -exterior middle 45 09/16 inches height -interior right 45 09/16 inches height -exterior left :as: Interior left is stationary,, interior right is slider. 104116 inch clearance at bottom of exterior window due to exterior 2 x 6 wood trim. Estimated interior measurement -width Estimated exterior measurement -width Estimated Interior measurement -width 92 07/16 inches wide -top 92 00/16 inches wide -top 92 04/16 inches wide -middle 92 00/16 inches wide -middle 92 07/16 inches wide -bottom 92 00/16 inches wide -bottom Estimated interior measurement -height Estimated exterior measurement -height Estimated exterior measurement -height Estimated Exterior measurement -height 45 09/16 inches height -left 45 10/16 inches height -right 45 08/16 inches height -middle 45 11/16 inches height -middle 45 09/16 inches height -right 45 10/16 inches height -left Notes: Currently this is a two section window with the slider to the right from interior view; It appears this window needs to be a three section with a slider to each side. Estimated interior measurement -width Estimated exterior measurement -width Estimated Interior measurement -width Estimated Exterior measurement -width 56 08/16 inches wide -top 56 01/16 inches wide -top 56 08/16 inches wide -middle 56 02/16 inches wide -middle 56 08/16 inches wide -bottom 56 01/16 inches wide -bottom Estimated interior measurement -height Estimated exterior measurement -height Estimated Exterior measurement -height 09 09/16 inches height -left 33 09/16 inches height -left 33 11/16 inches height -right 33 06/16 inches height -middle 33 11/16 inches height -middle 33 08/16 inches height -right 33 09/16 inches height -left les: Two section window with slider to the right from interior view 2nd Bedroom Window Estimated interior measurement -width 56 08/16 inches wide -top 56 07/16 inches wide -middle 56 08/16 inches wide -bottom Estimated exterior measurement -width 56 0116 inches wide -top 56 0/16 inches wide -middle 56 0/16 inches wide -bottom Estimated interior measurement -height Estimated exterior measurement -height Estimated Interior measurement -width Estimated Exterior measurement -width 33 09/16 inches height -left 33 11/16 inches height -right 33 08/16 inches height -middle 33 12/16 inches height -middle 33 10/16 inches height -right 33 11/16 inches height -left Notes: Interior left is stationary; interior right is slider. Estimated interior measurement -width Estimated exterior measurement -width Estimated Interior measurement -width Estimated Exterior measurement -width 68 09/16 inches wide -top 68 00/16 inches.wide-top 68 08/16 inches wide -middle 68 01/16 inches wide -middle 68 09/16 inches wide -bottom 68 01/16 inches wide -bottom Estimated interior measurement -height Estimated exterior measurement -height Estimated Exterior measurement -height 09 09/16 inches height -left 33 09/16 inches height -left 33 10116 inches height -right 33 08/16 inches height -middle 33 11/16 inches height -middle 33 10/16 inches height -right 33 11/16 inches height -left Notes: Interior left is stationary; interior right is slider. 6. Master Bathroom Window (North View) Estimated exterior measurement -width Estimated Interior measurement -width Estimated Exterior measurement -width 56 07/16 inches wide -top 44 09/16 inches wide -top 44 00/16 inches wide -top 44 08/16 inches wide -middle 44 00/16 inches wide -middle 44 08/16 inches wide -bottom 44 00/16 inches wide -bottom Estimated interior measurement -height Estimated Exterior measurement -height 09 09/16 inches height -left 09 09/16 inches height -right 09 08/16 inches height -middle 09 10/16 inches height -middle 09 09/16 inches height -right 09 09/16 inches height -left Notes: Frosted window over shower area Notes: Interior left is stationary; interior right is slider. slider is to the the right from interior view 7. Bathroom Window Estimated interior measurement -width 44 09/16 inches wide -top 44 08/16 inches wide -middle 44 08/16 inches wide -bottom Estimated interior measurement -height 09 09/16 inches height -left 09 08%16 inches height -middle 09 08/16 inches height -right Frosted window over shower area slider is to the the right from interior view Estimated Exterior measurement -width 44 0/16 inches wide -top 44 n/16 inrhas wide middle 44 0/16 inches wide -bottom Estimated Exterior measurement -height 09 09/16 inches height -right 09 08/16 inches height -middle 09 09/16 inches height -left Estimated interior measurement -width Estimated exterior measurement -width 56 07/16 inches wide -top 56 00/16 inches wide -top 56 06/16 inches wide -middle 56 00/16 inches wide -middle 56 06/16 inches wide -bottom 56 00/16 inches wide -bottom Estimated interior measurement -height Estimated exterior measurement -height 45 08/16 inches height -left 45 10/16 inches height -right 45 08/16 inches height -middle 45 11/16 inches height -middle 45 08/16 inches height -right 45 10/16 inches height -left Notes: Interior left is stationary; interior right is slider. 19. Kitchen Window Estimated Interior measurement -width Estimated Exterior measurement -width 56 08/16 inches wide -top 56 01/16 inches wide -top 56 08/16 inches wide -middle 56 01/16 inches wide -middle 56 08/16 inches wide -bottom 56 00/16 inches wide -bottom Estimated Interior measurement -height Estimated Exterior measurement -height 33 09/16 inches height -left 33 10/16 inches height -right 33 06116 inches height -middle 33 10/16 inches height -middle 33 08/16 inches height -right 33 09/16 inches height -left les: Interior left is stationary interior right is slider. r' ,.� � r tk .y w^w .,. �. ,., ... �� � � ` • r ,`�� � h°F � ,_ _ y _ ,. _ � __ ,.__. .:;:: - "�' View of the subject from the west View of the subject from the south View of subject from the north View of the subject from the east. 'F .i SM14"9_, View of the new window's inverted manufacture logy View of new window's energy performance rating I INSTALLATION CERTIFICATE (Page 2 o-712) CF -6R Site Address Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). FENESTRATION/GLAZING: Use values from a fenestration product's NFRC label. For fenestration products without an NFRC la:3el, use the default values from Section 116 of the Energy Efficiency Standards. 2) Installed U -factor must be less than or equal to values from CF -1R. Installed SHGC must be less than or equal to values from CF -IR, or a shading device (exterior or overhang) is installed as specified on the CF -IR. Alternatively, installed weighted average U -factors for the total fenestration area are less than or equal to values from CF -IR. If using default table SHGC values from § 116 identify whether tinted or not. I, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual 3enestration product installed; 2) is equivalent to or has a lower U -factor and lower SHGC than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential bLildings; and 3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable. Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature (if applicable) COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor March 2005 Total Manufacturer/Brandi Quantity of Area Ex-erior' Name Product U-factor2 Product SHGC 2 4 of Like Product Square Shading Device Comments/Location/ GROUP LIKE RODUCrS (5 CF -IR value) 5CF-IR value Panes (Optionao (OptionsFeet or Nerhang Special Features 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Use values from a fenestration product's NFRC label. For fenestration products without an NFRC la:3el, use the default values from Section 116 of the Energy Efficiency Standards. 2) Installed U -factor must be less than or equal to values from CF -1R. Installed SHGC must be less than or equal to values from CF -IR, or a shading device (exterior or overhang) is installed as specified on the CF -IR. Alternatively, installed weighted average U -factors for the total fenestration area are less than or equal to values from CF -IR. If using default table SHGC values from § 116 identify whether tinted or not. I, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual 3enestration product installed; 2) is equivalent to or has a lower U -factor and lower SHGC than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential bLildings; and 3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable. Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature (if applicable) COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor March 2005 Note: All values calculated using Window 5.2. fSee http-.//windows.lbi.gov/software/win- dow/window.html and http//windows.tbt.gov/materials/igdb/ for more information on glass 15H]LE LIGHT SOLAR HEAT ININTER optical data and the Windows 5.2 program.) Emittance of ordinary low -e is 0.20. COEFFICIENT AIR/ARGONI Solar Heat Gain Coefficient - ISHGCI. The amount of solar radiation that enters a building as heat. The lower the number, the better the glazing is at preventing solar gain. �, , rl� n ransmission - The portion of energy transmitted in a spectral region from 300 to 700 Ordinary low -e 75% .72 .3501 .44 .63 na eters. This region includes all of the ultraviolet energy and most of the visible spectrum, and will give the best representation of relative fading rates. The lower the number, the better V the glass is for reducing fading potential of carpets and interior furnishings. U -Factor - This represents the heat flow rate through a window expressed in BTU/hr/fl'/°F, using winter weather conditions of 0°F outside and 70°F inside. The smaller the number, the better the window system is at reducing heat loss. Cardinal actively supports and participates in The National Fenestration Rating Council (NFRC). Windows with LoP-366 that are rated and certified by the NFRC can comply with Energy Star" requirements for all climates in the country. (See http://www.energystar.gov/products/windows/ for more information on the Energy Star windows program.)