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05-1688 (SFD)M P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00001688 Property Address: 52520 AVENIDA VILLA APN: 773-304-001-2 000000 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: COVE RESIDENTIAL Application valuation: 178592 Applicant: Architect or Engineer Lic. No.: OOR ,SQUARE Owner: DOUGLAS BIRDSELL P.O. BOX 630. LA QUINTA, CA 92247 IRDSELL BUILDERS, JOSEPH P.O. BOX 680 1 045 LA QUINTA, CA 92247 (7.60)360-2301 - En���N?e Lic. No.: 811293 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/31/05 ------------------------------ LICE SED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury at I icensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: - Section 7000) of Division 3 of Bu ness d ofessionals Code, nd my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B License 811293 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is c, ,Z /�q Date: ���{,JJ Co �t\ ct i) - y _� issued. ' .t . I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 1XJ + _ Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier ROSTEN INS Policy Number 2292649105 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify.that, in the performance of the work for which this permit is issued,.l shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to be me subject to the workers' compensation laws of California, permit to file.a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State andagree that, if I shou a ome ubject to the worke s' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the La or e, I tall for ith co ly with 'Ne provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by I _ O any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date -r -A ' 1 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 WARNING: FAILURE TO SECURE O ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS I$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.. 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.). APPLICANT ACKNOWLEDGEMENT (_ f I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. - IMPORTANT Applicationishereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractors) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant, to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, 1 1 I am exempt under Sec. 8.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: � LQPER-kllT of La Ouinta, 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 formation is correct. I agree to comply with all city and county ordinances and state laws relating to bur ing c truction, and hereby authorize representatives of this county to enter upon the above-mentioned ro arty f�or�Nn purpos s. Date: i • _ &.-SignatulApplicant or Agent • - N. Application Number . . . . 05-00001688 Permit. . . BUILDING PERMIT Additional desc' . Permit Fee 916.00 Plan Check Fee 595.40 Issue Date• Valuation . . . 178592 Expiration Date :. 2/27/06 _ Qty Unit Charge Per Extension BASE FEE 639.50` - 79.00 3.5000 THOU BLDG 100,0017500,000, 276.50 Permit I. . . MECHANICAL Additional-desc . Permit Fee . . . . 9.0.00 Plan Check Fee 22.50 Issue Date . . . . Valuation' 0 Expiration Date 2/27/06 Qty. Unit Charge Per Extension BASE FEE 15.00 •2.00 9.0000 EA MECH <=100K 18.00 2.00 9.0000 EA MECH _FURNACE B/C <=3HP/106K BTU 18.00 5.00 6.5000..EA MECH VENT FAN 32.50 1.00 6.5000 EA MECH EXHAUST HOOD" 6.50 ---.------------------------------------------------------------------------ Permit ELEC-.NEW RESIDENTIAL Additional desc . Permit Fee 137.03., Plan. Check Fee 34.26 Issue Date Valuation 0 Expiration Date 2/27/06 Qty •Unit Charge Per Extension BASE FEE 15.00 2615.00 ..0350 ELEC NEW RES - 1 OR 2 FAMILY 91.53 775.00 .0200. ELEC GARAGE OR NON-RESIDENTIAL 15.50 1.00 15.6000 EA ELEC TEMPORARY POWER POLE 15.00 Permit PLUMBING Additional desc - Permit Fa© . . . 1GG:50 Placa Chock Pee 41.67 Issue Date Valuation 0 " Expiration Date 2/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 LQPERNIIT - .. . Application Number 05-000016'88 Permit . . . PLUMBING Qty Unit Charge Per Extension 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 8.00 .7500 EA PLB GAS PIPE >=5 6.00. 1.00 15.0.000 EA PLB GAS METER 15.00 -------------- Permit GRADING PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .0.0 Issue Date . . . . Valuation . . . . .01 Expiration Date ., 2/27/06 Qty Unit Charge Per Extension. BASE FEE 15.00. Special Notes and Comments, 2615 S.F. SFD PERMIT DOES NOT INCLUDE POOL/SPA OR DRIVEWAY APPROACH. INCLUDES 380 L.F. BLOCK WALL.6''HIGH (ORCO .SYSTEM) Other Fees ART IN PUBLIC,PLACES-RES. 20.00 " DIF COMMUNITY CENTERS -RES 97.00 CIVIC CENTER - RES 366.00 ._DIF ENERGY REVIEW FEE 59.54 DIF FIRE PROTECTION -RES 97.00 DIF.LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 17.85 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due • J --------------- --- ---------------------- ---------- ---------- Permit Fee Total 1324.53 .00' .00 1324.53 Plan Chook Total G03.70 250.00 .00 443.79 Other Fee Total 2502.39 .00 .00 2502.39 Grand Total 4520.71 250.00 .00 4270.71 LQPERDIIT., - ----------- Li Certificate of Occupancy.Wx1 0U. U 14 V OF Building & Safety Department j .7 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: 52-520 AVENIDA VILLA Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-1688 41 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC M 81 Owner of Building: BIRDSELL BUILDERS, INC. Address: P.O. BOX 630 City, ST, ZIP: LA QUINTA, CA 92253 By: KIRK KIRKLAND W4 Date: APRIL 28, 2006 Building Official POST IN A CONSPICUOUS PLACE' `' A . ?�A .moo �'�" P.O. BOX 1504 AP LIGATION ONLY ' Building 78-495 CALLE TAMPICO Address �� Z G 0 L= // /'� t�1 LA OUINTA, CALIFORNIA 92253 Owner a uG�� s 3//� i75 LJ-� BUILDING: TYPE CONST. 0 A,5 1-:' OCC. GRP. Mailing I Address ' �'3 �', A.P. Number "GU Z 30K Z City JZ�Tel. Legal Description'LA 6a / t /� 2 2 517 7,10 77/ �yy/ 1 P Project Description �i Aa c?1 �: yl�iic 4 %dCJ Ltil v' Contractor Address City Zip Tel. State Lic. City Sq. Ft. No. No. Dw. & Classif. �7 / •2W 3 3 Lic. # Size Stories Units Arch., Engr., NewX Add ❑ Alter ❑ Repair ❑ DemolitiorlIK Designer LQo c1 Address Tel. r %�� , c_ iL l'..0 "'o City Zip State /Fcv CAI c e__ Lic. # .,LICE SEO CONTRACTOR'S DECLARATION I hereby afiir thatriam li ense nder provisiorlS of Chapter 9 (commencing With Section 2- 00) Q� 7(1of DlVisio 3 of the,Bu iness d Professions\Code, and my license is in full forced effect. !� �� SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also PERMIT AMOUNT requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis Plan Chk. Dep. 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). Plan Chk. Bal. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do • 04 the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Profes- Const. sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided Mech. that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of Electrical proving that he did not build or improve for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct Plumbing the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does S.M.I. not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) Grading ❑ 1 am exempt under Sec. B. & P.C. for this reason , Driveway Enc. � Date owner Infrastructure �\ WORKER'S COMPENSATION. DECLARATION J ` I hereby affirm that I have a certificate f risent to selFinsure, or a certificate � f Worker's 1 Compensation Insurance, or a certified c p t reo - Sec. 00, a or Code.) \ Policy No. Company ❑ Copy is filed with the city. ❑ Certi iel& y is hereby furnished. .aL CERTIFICATE OF EXEMPTION FROM TOTAL WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100; valuation REMARKS or less). 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 Workers' Compensation Laws of Calrfornia. Date Owner NOTICE TO APPLICANT.. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ZONE: BY: Minimum Setback Distances: CONSTRUCTION LENDING AGENCY Front Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work Rear Setback from Rear Prop. Line for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Side Street Setback from Center Line Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to Side Setback from Property Line expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. FINAL DATE INSPECTOR agree to comply with all e`y c(Zunty ordinanc@s and state laws relating to building construction, and hereby uth ze r pr sentatives oft is city to enter the above-mentioned property for inspection p os s. @'i Issued by: Date Permit Signature of applicant 1 11 ✓ DatIS &J Mailing Address V Validated by: City, State, Zip Validation: WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE Comments At the present time; the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/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 foEowing reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 2,615 S.F. or $5,857.60 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 OC/EI Paseo Bank - Doug Birdsell Check No. 475058097 Name on the check Telephone 409=7070 Funding Residential By Ar. Doris Wilson ; Superintendent i t y� Fee collected /exempt rly Sha n IVrey Payment Recd .00 $5,857.60 P. �Cver/Undea,� n, SignatureW 7 ;i ao NOTICE: Pursuant to Government Code Section 6 (d)(1), this 'I 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) behalf, wbichever 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 47950 Dune Palms Road < BERMUDA DUNS Date 8/17/05 La Quinta, CA 92253 V= RANCHO MIRAGE tJ INDIAN WELLS No. 27548 (760) 771-8515v?(� d PALM DESERT LA QUINTA -ZINDIO o L E Owner Douglas Birdsell APN # 773-304-001 Address Jurisdiction La Quinta City Zip Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 52520 Avenida Villa 2615 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time; the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/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 foEowing reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 2,615 S.F. or $5,857.60 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 OC/EI Paseo Bank - Doug Birdsell Check No. 475058097 Name on the check Telephone 409=7070 Funding Residential By Ar. Doris Wilson ; Superintendent i t y� Fee collected /exempt rly Sha n IVrey Payment Recd .00 $5,857.60 P. �Cver/Undea,� n, SignatureW 7 ;i ao NOTICE: Pursuant to Government Code Section 6 (d)(1), this 'I 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) behalf, wbichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting Aug.'15 05 10:36a Birdsell JUL-27-2005 69:58 FORESITE ESCROW, INC ?ecordirig Requested By klVirst American Title Company Riverside Resale AND wilEN RGMKOED INATL 70: - , DOUGLAS D.'BIRDSELL P.:O. BOX 530 LA QUINA, Ca 92247 A.P.N.; 773-3044001.9 TRA 'CjLtS a a 760-360-2366 p.l I . ,.760 773 9289 P.01i01 DDC It 2005LO373289 ®sil��0s �e:eea eea:T.eC! Pape 1 of 1 Ooe'T Tan pard ReCOrded in Cfflej&i RC Ordr, County of Aiversido , Cerra U. WJard ASSaaSor, C%Pjn y Cierlc b R4m*rder 1l�l�lIhII�1l1 flill lilt I R III IF ■ouo wa rr... THE UNDINUIGNED CPANTOWA OMC'rwBE(s) THAT DOCUMWTAAT TRAMPER TAX IS: COUNTY 1203.50 1 T I [ 1 J rampuoed on full value 01 proppuury ropveyed, or i1 •_ 11 [[ computed on full value lestc va7ne of Qtt1s or etocvmbtances rcmdining at tilde oTBnle, Sic uraueorporato area: (XI City of U�j ,and . FOR A VALUABLE CONSIDERATION. Receipt of which is herchy. aebo0wledged, 7vbn F. Piggen, an Unmarried Maa lteieby.GRANT(S) to . DODCLAS D. ISMSELL, A Single Man she JbUowing described property ie the City of U Qolnta. Conttty of Riverside State of (aWfortua: Loc Z in Block 105 of Santa Carmtlita al Vale ia► inta flak No. 11 W Lae Ut dr Ls Qt , Y Qullata. Cottr.ty of Rrvtam'ide, as per map r=rded to Hook 18, Page(r) 75. or HApe In she Office of We Cai uty Recorder of Bald County. TIFic Jo.OF Docur= Dau: April la, 2005 : STATE OP 93 'J I X53 CO tJNT y OY{. On AQ „L a o y tS trcfote mc.le�fiiZ�t2,v PtMrJly app.4 OcrmAa)fr lura +a to am fur pm -ad to mo oa tae aMrl3 or evidence) to be 1W potroaW a,Lae name(i) iOae aVbfre*W to- 166 witain dmftff m and aeln+atcledeed to me that helAdtlwy executod the um In hh/her d4rauftrhed rapaeky(ea} inA that by ioslbcdibe r i puwr.W on the 4uuu nem We pmon(s) Otthe tmib Won beamil erwDled me petronW ectad exaurdtle wavmeat. Wr1NW my,ltand MW al5eial ststl. illi: arra rer olrciel mucoid seal.: _ ... ........... ;.r 6AR8ARKJ V VY► rLvelside Cac>'eltr � x a 20;7 Mail Talc Summents to: SAM$ AS ABOVE pr Addze98 Notcd Beloa. Descript(on:. Riverside, CA Document -Year. Doc/D 2005.373289 Paye: 1 of 1 Order: lac Comment.' TOTAL P.01 r Rug 02 05 03:18P Birdsell 760-360-2366 P.6 STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE CITY OF LA QUINTA 1 On June 21-2005 .2005 before me, Regenia Hensley, Notary Public, personally appeared DOUGLAS R. EVANS personally known to me to be the person whose name is subscribed to the within instrument and acknowledged., to me that he executed the same in his authorized capacity, and that by his signature on the ins- rument the person or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal'. (Seal) ' REGENIA FIEN Y RE IA HENSLEY Cbmrr6onJ11521423 Notory Pubic - Caefoa�la Notary Public fllverst a county Commission # 1.521423 ..M Eresoct2s•2aos Expiration: October 23, 2008 I IIIIII IIII�II ILII IIII VIII VIII IIIIII III VIII IIII IIII 07/86/' 883 es esa 3 o£4 Rug.02 05 03:17.p Birdsell 760-360-2366 p.2 DOC SS 2005-0538390 07/06/2005 08:001, Fee:NC 1 Page i of 4 Recorded in Official Records 'RECORDING REQUESTED BY:. county of Riderside Larry W. Ward Assessor, County Clerk 8 Recorder ,Douglas/Birdsell I It1111 P.O. Box 630 IIIIIII�IIIIIIIIIIIIIII La Quinta, CA 92247 WHEN RECORDED PLEASE MAIL TO: Douglas Birdsell P.O. Box 630 M $ U PAGE ' SIZE DA PGOR NOGOR SMF MISC. A R 7OPY I -LONG REFUND ,NGHG EXAM La Quinta, CA 92247 �1e COVENANT AND AGREEMENT RESTRICTING THE USE OF THE RESIDENCE AT 52-520 AVENIDA VILLA, LA QUINTA, CALIFORNIA This Covenant and Agreement are made and executed this 201h day of June by Douglas Birdsell, as the. recorded -owner(s) of. the property described herein. "Thea City of ,La Quinta, a Municipal Corporation, is • hereby made a party, to this ,Agreement for the purposes set forth below. The, undersigned hereby certifies that he/she is the property owner of the following described real property in the City of.'La Quinta, County .of Riverside, State of California: r LOT 2, BLK. 105 MB 018/075 SANTA CARMELrrA VALE r. LA QUINTA UNIT 11, in the City of to Quinta, County of Riverside, State of California 1 In consideration of the City of La Quinta issuing a building permit for certain. improvements which will be constructed on said property, the undersigned does hereby covenant and agree to, and with said City, to restrict the use of said property as follows: 1 . The' guest .house may not be rentednor sold independent of the main single- family residence (Minor Use Permit No. 2005-651; 2: No kitchen or cooking facilities shall be constructed in tf'e guest house per the provisions of Chapter 9.30.030 (RL Zone District) and 9.60. 1'10 (Guest Houses) of the La Quinta Municipal Code; 3. 'All on-site facilities are intended for the sole occupancy of` the property owner(s), guests, and caretakers: (i:e., a maid and/or housekeeper, etc.); and, 4: The guest house shall be used primarily, as a sleeping facility, and shall be maintained in accordance with all .zoning and other codes as set forth in the rescinded; , revoked, modified, or otherwise amended or :changed, without .the expressed written consent of the City first being obtained. _ -Y In the event that the owners, their heirs, assigns or -successors in interest, shall fail to perform any obligation hereunder, they hereby agree to pay all costs and expenses incurred by the. City' of La Quinta in securing performance of such obligation,, including attorney's fees. By. 1 .. �irid,[,4.PflS�GL Signatures) Printed Name of all owner(s) Dated: ��/3 Rug -02 05 03-.1.8p CALIFORNIA ALL-PURPOSE. ACKNOWLEDGMENT v,yr�,r�,::� r.: ^<,•.Nt?t.:c:.cx',:15:4'�:�.'^:��:ti�:V^:�r�.'::'Cti'�..�.�,�C'� :C`�� ` ��,��: 4�.•ti;C`•G<^.'.'C?l:C�t���.'�r.�:�r '^: �: tib. `:��'?.`� :`'��: : '-� �4'�.:V`.":�. `:'.�"-^i ;. rt ', State of California II ss. County of p_xr s d '. I •v� J 1 ,ti I On e, O.aoQ�, before me, y-'� � Title Officer 'Jane Doe, Notary Public') •Date- ' - � Name and of (e.g., ` personally appeared I -le -l' Name(s) of Signer(s) r� ❑ personally known to me . s -roved to me on the basis of satisfactory evidence to be the person(A) whose named) are subscribed to the within instrument and <h AN* t GREE Cd+n+>r # 1477M acknowledged to me than /she/they executed F Note Aib�c - Ccllotnto Rtveti(de Countycapacity the same in is er/their authorized . • 1 ��' s), and that by gi her/their MVCon�'E' signature on the, instrument the person(K, or. T the entity upon behalf of which the person( acted - executed the instrument. WITNESS my hand and official -seal. �4 Place Notary Seal Above Signature of No uol' C OPTIONAL r Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another do.:ument. .1 <� Description of AttachedDocument Title or Type of Document: C15-1 4L-,, -(- c T-e.0—vnV- Document Date:%oo9 Number of Pages:' Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer • Si ner's Name: ` Individual Top of thumb here ^.; O Corporate Officer — Title(s): ❑ Partner — ❑ Limited L General ❑ Attorney in Fact '` ❑ Trustee X. ❑ Guardian or Conservator ❑ Other: Signer Is Representing: - ®1999 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chalwronh, CA 913132402 • w nationalnctary.oig Prod. No. 5907 Reorder:_ Call TOtFFre9 1-800-876.6827 2005-0538390 I VIII IIIIIII IIID IIII VIII VIII IIIIII III 111111111 IIIA e 60A 07/06/40of' 4 APR -18.-2906 07:28 AM Plan Number Sample C3roup Number Sample Hausa Number / Ider: C NeEof 5 . Streat Addmas: fi 4l��evr( Cl�'G / Pr aly)Staump: /–a Copies to: Builder, HERS Provider HERB RATER The house was:fig-Tested O Approved as part of sample testing, but was not lasted As the HERS rater providing diegnostic testing and field verification, I Ceffly that the houses identified on this form coty with the diagnostic Casted compliance requirements as checked on this form. Distribution system Is fully ducted (i.e., does not use building Cavitiesas plenums or pietform returns In lieu of ducts) Where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands ,are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. F. 162 ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maxlmurn 6% Duet Leakage) , Duct PressurizW*n Test Results (CFM C 25 Pe) Measu. ed values Test Leakage Flow In CFM if fan flow Is calculated as 400cWton x number of tons enter —�'— calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) _ �� Check Box for Pass or Fail (Passim or less) (3 d Pass Feil VALVE 0XV) or ❑ No Thermostatic Expansion Valve (or Commission approved 9&- Lin equivalent) is installed and Access Is provided for Inspection 13 Yes is a pass 'Pass Feil 13MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1 • 0 Yes O No ACOA Manual D Design requirements have been met (rater has veritled that actual Installation matches values in CF -1R and design on plan. .2. O Yes D No TXV is installed or Fan flow has been verified. If no TXV, verged fan flow matches design from CF -1 R. Measured Fan Flow "N. Yes for both 1 and 2 Is a Pass Pass Fail Jun 22 06 04:02p Birdsell Owner, QUINTA DEPARTMENT 2 IUEST LINE 13 DOUGLAS BIRDSELL Contractor JOSEGH BIRDSELL BUILDERS Permit Number 05-1688 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52-520 AVE. VILLA 2615 S -F. SFD PERMIT INCLUDES 380 LF. 6' HIGH RLQ!gK WALL•• (ORC� SYSTE.M). PERM T -]DOES NS OT INCLUDE POOL OR DRIVEWAY APPROACH TYPE OF INSPEC'nON DATE INSP. TEMPORARY POWER iETBACKS J/G PLUMBING / WASTE J/G ELECTRICAL / GROUNDING G =0OTINGS / STEEL DO NOT POUR CONCRETE UNTIL ABOVE SI NED 300F NAIL / PRE -ROOF JKAY TO WRAP 17 c =RAMING COMBINATIO ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL NSULATION COVER NO WORK UNTIL ABOVE SIGNED NTERIOR GYP. BD. DRYWALL D(TERIOR LATH iAS TEST ;EPTIC ABANDONMENT iEWER CONNECTION 'EPTIC / GREASE INTERCEPTOR Ic MASONRY INSPE TIONS ZOOTINGS / STEEL IOND BEAM _ POOL / SPA / WATER FEATURE INSPECTIONS BING FINAL INSPECTIONS EMP USE OF PERMANENT POWER —/ 7 n r 'UBLIC WORKS DEPARTM NT *MMUNITY DEVELOPME DEPT. 'INAL/JOBCOMPLETEDk A ABOVE APPROVALS DO' INCLUDE RIGHT TO TURN ON UTILITIES OR O ua uuinta, uH yzzoo (760) 590-9501 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION a ,Y nxmll 5, gY S7 Job Number: ' Date: 8/30/2005 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 2001 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC (415) 883-5900. EnergyPro 3.1 By EnergySoft _ Job Number: User Number: 5961 n 3. .� '. � Certificate'of Compliance: Residential (Part 1 of 2) CF -1 R Joe Birdsell Wood 8/30/2005. Project Title Wood Date Villa La .QUinta n/a Building Permit # Project Address Jason Campanella (760) 590-9501 Plan check / Date Documentation Author Computer Performance Telephone 15 Field Check 1 Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only f SF U -Factor GENERAL INFORMATION 4 Yes / No Total Conditioned Floor Area: 2,615 ft2 Average Ceiling Height: 10.0 ft Total Conditioned Slab Area: 2,615-f? 0.37 Building Type: Screen ❑ (check oneor more) ❑ x❑ Single Family Detached ❑ Addition 10.0 X❑ Single, Family Attached ❑ Existing Building Bug ❑ Multi -Family" ❑ Existing Plus Addition Q Front Orientation: (West) 270 deg Floor Construction Type: ® Slab Floor .Number of Dwelling Units: 1.00 Number of Stories: 1 Raised Floor Component Type Frame Type Const. Assembly U -Value R-13 Wall w/1" EPS Wood 0.059 R-38 Roof (R.38.2x14.16) Wood 0.028 Slab On Grade n/a 0.756 Slab On Grade n/a 0.756 Location/Comments (attic, garage, typical, etc.) Exterior Wall Exterior Roof Exposed Slab w/R-0 0 Perimeter Insulation Covered Slab w/R-0.0 Perimeter Insulation Shadina Devices rcrv�� i RATION Type Orientation Area Fenestration Exterior Overhang Side Fins f SF U -Factor SHGC Shading Yes / No Yes / No Front (West) l 38.0 0.46 0.37 Bug Screen ❑ FKI ❑ x❑ Right (South) ? 10.0 0.46 0.37 Bug Screen ❑ Q ❑ Rear (East) 38.0 0.46 0.37 Buq Screen ❑ x❑ ❑ FxQ Left (North) 10.0 0.46 0.37 Bug Screen ❑ • X❑ ❑ 0 Right (South) 144.0 0.61 0.39 Buq Screen Q ❑ ❑ 0 Rear (East) 144.0 0.61 0.39 Bug Screen x❑ ❑ ❑ Right (South) 108.0 0.60 0.37 Buq Screen ❑ 0 ❑ El Front (West) 48.0 0.61 0.39 Bug Screen ❑ x❑ ❑ Left (North) 53.0 0.60 0.37 Bug Screen ❑ Q ❑ 0 Rear (East) 26.0 0.60 0.37 Bug Screen 7❑ x❑ ❑ x❑ Left (North) 20.0 0.46 0.37 Bug Screen RX El E1 -Q Front (West) 48.0 0.61 0.39 Bug Screen 0 ❑ ❑x❑ Run Initiation Time: 08/30/05 01:05:59 Run Code: 1125389159 Ener Pro 3.1 B Ener Soft User Number: 5961 Job Number: Pa e:3 of 1T Certificate of Compliance: Residential (Part 1 of 2) CF -1R Joe Birdsell Type Orientation 8/30/2005 Project Title Side Fins Date Villa La Quinta Yes / No Building Permit# Project Address Jason Campanella (760) 590-9501 Plan Check I Date Documentation Author Computer Performance Telephone 15 Field Check 1 Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only ❑ ❑ GENERAL INFORMATION ❑❑, Total Conditioned Floor Area: 2,615 ft2 Average Ceiling Height: 10.0 ft Total Conditioned Slab Area: 2,615 ft2 Building Type: ❑❑ (check one or more) El 1:1 R ❑ Single Family Detached ❑ Addition ❑ ❑ X❑ Single Family Attached ❑ Existing Building ❑ Multi -Family ❑ Existing Plus Addition 3 Front Orientation: (West) 270 deg Floor Construction Type: ® Slab Floor Number of Dwelling Units: 1.00 ❑ Raised Floor Number of Stories: 1 . BUILDING SHELL INSULATION Const. I - component Frame Assembly Location/CommentsT Type U -Value. (attic, garage, typical, etc.) bhaciinq uevlces FENESTRATION Type Orientation Area Fenestration Exterior Overhang Side Fins SF U -Factor SHGC Shading Yes / No Yes / No Skylight 4.0 0.68 0.37 None ❑ 0 ❑ R 1 ❑ ❑ ❑ ❑ El 1:1 ❑❑, El El 0 El El ❑❑ El 1:1 R ❑ ❑ ❑ ❑ ❑ ❑ ❑ 3 ❑. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ El ❑ ❑ ❑ Run Initiation Time: 08/30/05 01:05:59 Run Code: 1125389159 Ener Pro 3.1 ' By Ener Soft User Number: 5961 Job Number: Pa e:4 of 17 Certificate of Compliance: Residential- (Part 2 of 2) CF -1 R Joe Birdsell 8/30/2005 Date Project Title HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Deign Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location / pump, etc.) (AFUE/HSPF)(ducts, attic, etc.) R -Value Type CDmments rentral Furnace 80%AFUE mets in Attic _ 42 Setback AIVANA central� l Gu_rnace 80% AFUE nucts in Attic 4 2 Setback AIVANA Cooling Equipment Minimum Type (air conditioner, Efficiency Duct Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type CDmments Split Air Conditioner 13.8 SEER Split Air Conditioner 13 B SIFFIR Ducts in Attic ni ctc in Attic 42 49 S .thac.�__k Sethack _ ANPANA AKPANA WATER HEATING SYSTEMS Rated 1 Tank Energy Fact! 1 External Water Heater Water Heater Distribution Type # in Input Syst. Btu/hr Cap. (gal) or RecovBry Standby Tank Insul. Efficiency Loss (%) R -Value System Name fType Fye.4A Smith FSC�50_ 224 Small Gas Standard �_ 40 000 �Q 0.55 n/a 12 0 'V` 1 For small'gas storage (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 and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. ww w r IZ� mCIYIPAMM131 COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with ritle 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has beer signed by the individual with overall design responsibility. The undersigned recognize that compliance using duct sealing and TXV's requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Documentation Author Name: Title/Firm Address: Name: Taylore Bruce Title/Firm: Address: Telephone: Lic. (signature) (date) Enforce nt Agency Name: _ Title/Firm: Address: Telephone_ Telephone: (signature) Jason Campanella 50-855 Washington St. 4149 La Quinta CA 92253 EneravPro 3'1 By EnergvSoft User Number: 5961 Job Number: Page:5 of 17 Certificate of Compliance: Residential (Addendum) CF -1R Joe Birdsell Da8/30/2005 te Project Title 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 ,.,..., &I ;!A; nr rincinn fhnt ntharwisa rmmnlies enforcement agency determines the aaequacy ui uir jUbL R.0 W"p v" s ,��•-- based on the adequacy of the special justification and documentation submitted. Plan Field The DHW System "A.O.Smith FSG -50-224" Energy Factor = 0.550. An EF below 0.58 requires an R-12 External Blanket. The HVAC System "AMANA" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual. HIGH MASS Design(see C -2R) - Verify Thermal Mass: 1315 sqft Exposed Slab Floor, 3.50" thick at Zone 1 The HVAC System "AMANA" includes credit for a Radiant Barrier installed per Section 8.13 of.the Residential Manual. HIGH MASS Design(see C -2R) - Verify Thermal Mass: 1300 sqft Covered Slab Floor, 3.50" thick at Zone 2 HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R. Plan I Field The HVAC System "AMANA" includes Refrigerant Charge and Airflow Credit (or a TXV). A certified HERS rater must provide verifification of the TXV, or measure the Refrigerant Charge and Airflow. The HVAC System "AMANA" is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -6R Form. The HVAC System "AMANA" includes Refrigerant Charge and Airflow Credit (or a TXV). A certified HERS rater must provide verifification of the TXV, or measure the Refrigerant Charge and Airflow. The HVAC System "AMANA" is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -6R Form. EneravPro 3.1 By EnergySoft User Number: 5961 Job Number: Page:6 of 17 Mandatory Measures Checklist: 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. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. 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 a..,... ..ti....,.. e1e ...h.— in fho rin, imonts nr nn this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures a'§150(a): Minimum R-19 ceiling insulation. ❑ § 150(b): Loose fill insulation manufacturer's labeled R -Value: *§150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). *§1 50( d): Minimum R-13 raised floor insulation in framed floors or equivalent. §150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. § 118: Insulation specified or installed meets insulation quality standards. Indicate type and 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. 2. Fenestration: products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows. weatherstripped; all joints and penetrations caulked and sealed. ❑ §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ § 150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. ❑ § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and -factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures ❑ § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. ❑ § 150(h): Heating and/or cooling loads calculated in accordance with ASH RAE, SMACNA or ACCA. ' ❑ § 150(i): Setback thermostat on all applicable heating and/or cooling systems. §1500): Pipe and Tank Insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. , 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55 degrees F. insulated. 6. Piping insulating between heating source and indirect hot water tank. EnergyPro 3.1 By EnergySoft User Number: 5961 Job Number: Page:7'of 17 Mandatory Measures Checklist: Residential (Page 2 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. 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 onlv, DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) F'§ 150(m): Ducts and Fans 1. Al ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with masticq tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181 B. 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. Building cavities shall not be used for conveying conditioned air. 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 drawbands. 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 Goth back rubber adhesive duct tapes unless such a tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilation systems serving conditioned space have eitherautomatic 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 but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as aboveor painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. §114: -Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating, and no pilot. 2. System is installed with at least 36" of pipe between filter and heater for future solar, cover for outdoor pools or spas. 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 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) E§118 (f): Cool Roof material meet specified criteria Lighting Measures El§150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt for or greater general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. §150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. 3.1 By EnergySoft User Number: 5961 Job Number: Page:8 of 17 Computer Method. Summary (Part 1 of 3) C -2R ,loe��rdsPll 8 Project Title J_3012 0-5 Date -Villas i a CJ.u;n#a Project Address Building Permit # _Jas-m-Cam�aella (760 590-9501 Documentation am Telephone Plan Check/Date �omRuter�e.>foxmaacs 15 Field Check/Date Compliance Method (Package or Computer) Climate Zone Source Energy Use Standard Proposed ' Compliance (kBtu/sf-yr) Design Design Margin Space Heating . 1.21 1.52 -0.31 Space Cooling 32.13 29.98 2.15 Domestic Hot Water 10.90 10.42 0.47 Totals 44.23 41.92 2.31 Percent better than Standard: Call— 942 _0_Q59 _9.0 90 5.2% Total Conditioned Floor Area: 2,615 ft2 Floor Construction Type: ❑ Raised FloorX❑ Slab Floor Building Type: Single Fam Attached Building Front Orientation: (West) 270 deg Total Fenestration Area: Number of Dwelling Units: 1.00 Total Conditioned Volume: 26,150 ft 3 Number of Stories: 1 Total Conditioned Slab Area:2,615 ft 2. BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. . Area AMANA 1315 _13,150 -D-50- C.onditioned——S.e.tb.ack_ —2 —o1.a AMANA 1,30 ___1300 _Q.50_ —Cnnditioned_. _S.etback _2 n/a OPAQUE SURFACES Solar Act. Gains Type Area U -Fac. Azm. Tilt Y / N -Wall 31 _0.059 ___2.Z0_ 90 Wall 31 0 0.59_ --- 180 —90 -Wall_ 31 _0_059 9Q 90 Wall_ 31 —0-0-59- 0 —90 Wall_ 129 —0-059 18() 90 _ci[alt_ 32 0059 90_ _90 -Call_ __86 052 X80 90 Wall 324 = QLE9 —270 90 Wall_ 55 ---005-9- 0 90 _Rool— 1 .315 0028_ 0 0 Mall— 197 0-052 0 20_ Wall 2.Z9 0.052 90 90 Wall— 6.7 —0059 18.0_ _90 Wall— 34 0.059 _g0 —g.0. Wall_ 95 005 '_ 0 _90 Call— 942 _0_Q59 _9.0 90 Mall_ x.56 00522 X80 _9.0 Wall_ 32 0 059 _270 90 BooL_ x,298 _0_020 13-13 Wall w/1" EPS Form 3 Reference 1: Location / Comments EnergyPro 3.1 By EnergySoft User Number: 5961 Job Number 'Page:9 of 17 ufaII ❑ w/1" EPS R-14 WalLgy/1" EPS R-13 �allwL11EP-S_ r�r�� Lnl ❑ ❑ X13 Wall w/1" EPS R-13 Wall w/1" EPS ❑ R-13 WaltwLL" EPS ❑ R-13 Wall w/1" EPS ❑ B13_L1LWtwL1!LEES ❑ B -1-3-N_ aII_wJLEP_S ❑ B-33-Rooi(.R- a 8- 2 x14 16) ❑ R131 &ll wLL" ESS IN ❑ R-13 WA_wL1_" EPS ❑ 13-13 Wall w/1" EPS DCI ❑ -13 WaILwJ]-EES ❑ B13_WalEwLL" Ees ❑ R_1' _Wa1LwJLEES X ❑ B-_13 W__aILwLL" EeS x ❑ R_J3_WalLruLLEes O❑ g3liBos�i(B.Os..2X1416) ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _ 1: Location / Comments EnergyPro 3.1 By EnergySoft User Number: 5961 Job Number 'Page:9 of 17 Computer Method Summary (Part 2 of 3) C -2R Joe Birdsell 8/30/2005 Project Title Date FENESTRATION SURFACES U- Act. Glazing Type Location/ # Type Area Factor SHGC Azm. Tilt rr)mmantc 15Lindo FJont-(1�Lesi� _10...0 _0A6D_ _0-Z 270 _90. Double-N.onMtLClear_Default_ 2 Window Right (South) 10.0 0.460 0.37 180 90 Double NonMtl Clear Default -zone-1- Zone 1 3 Window Rear (East) 10.0 0.460 0.37 90 90 Double NonMtl Clear Default Zone 1 4 Window Left (North) 10.0 0.460 0.37 0 90 Double NonMtl Clear Default Zone 1 5 Window Right (South) 96.0 0.610 0.39 180 90 Double NonMtl Clear Default Zone 1 6 Window Rear (East) 48.0 0.610 0.39 90 90 Double NonMtl Clear Default Zone 1 7 Window Riaht _(South) 18.0 0.600 0.37 180 90 Double NonMtl Clear Default Zone 1 8 Window Right (South) 36.0 0.600 0.37 180 90 Double NonMtl Clear Default Zone 1 5 Window Front (Wes4 4.0 0.460 0.37 270 90 Double NonMtl Clear Default Zone 1 1Q Window Front (West) 6.0 0.460 0.37 270 �Q Double NonMtl Clear Default Zone 1 11 Window Front (West) 4.0 0.460 0.37 270 90 Double NonMtl Clear Default Zone 1 12 Window Front (West) 6.0 0.460 0.37 270 90 Double NonMtl Clear Default Zone 1 1a Window Front (Wect� &0_ 0.460 03Z 27Q _R0 DD_ub1.e_blo0M 1_C1.eaLDeiaulL_ -Zone-l_ 14 Window Front (West) 48.0 0.610 0.39 270 90 Double NonMtl Clear Default Zone 1 15 Window Left (North) 20.0 0.600 0.37 0 90 Double NonMtl Clear Default Zone 1 16 Window Left North 33.0 0.600 0.37 0 90 Double NonMtl Clear Default Zone 2 17 Window Rear (East) 8.0 0.600 0.37 90 90 Double NonMtl Clear Default Zone 2 18 . Window Rear (East) 6.0 0.600 0.37 90 90 Double NonMtl Clear Default Zone 2 19. Window Rear (EastY 4.0 0.460 0.37 90 90 bauble NonMtl Clear Default Zone 2 20 Window Rear (East) 4.0 0.460 0.37 90 90 Double NonMtl Clear Default Zone 2 21 Window Rear (East)4.0 0.460 0.37 90 90 Double NonMtl Clear Default Zone 2 22 Window Right (South) 48.0 0.610 0.39 180 90 Double NonMtl Clear Default Zone 2 23 Window Rear (East) 96.0 0.610 0.39 90 90 Double NonMtl Clear Default Zone 2 24 Window Left (North) 20.0 0.460 0.37 0 90 Double NonMtl Clear Default Zone 2 25 Window Rear (East) 6.0 0.600 0.3790 90 Double NonMtl Clear Default Zone 2 26 Window Rear East 6.0 0.600 0.37 90 90 Double NonMtl Clear Default Zone 2 27 Window Rear (East) 4.0 0.460 0.37 90 90 Double NonMtl Clear Default Zone 2 28 Window Rear (East) 4.0 0.460 0.37 90 90 Double NonMtl Clear Default Zone 2 29 Window Rear (East) 4.0 0.460 D.37 90 90 Double NonMtl Clear Default Zone 2 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 Buq Screen 0.76 5 Bug Screen 0.76 8.0 12.0 10.0 0.1 10.0 10.0 6 Bug Screen 0.76 8.0 6.0 10.0 0.1 10.0 10.0 7 Bug Screen 0.76 8 Bug Screen 0.76 9 Bug Screen 0.76 10 Bug Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 13 du- 0.76 14 Bug Screen 0.76 15 Bug Screen 0.76 16 Bug Screen 0.76 17 Bug Screen 0.76 18 Bug Screen 0.76 19 Bug Screen 0.76 20 Bug Screen 0.76 21 Bug Screen 0.76 22 Bug Screen 0.76 8.0 6.0 10.0 0.1 10.0 10.0 23 Bug Screen 0.76 8.0 12.0 10.0 0.1 10.0 10.0 24 Bug Screen 0.76 5.0 4.0 10.0 0.1 10.0 10.0 25 Bug Screen 0.76 26 Bug Screen 0.76 27 Bug Screen 0.76 28 Bug Screen 0.76 29 Bug Screen 0.76 un ni is i ime 3 5 07.01 un Cod • 112 410495 EnergyPro 3.1 By EnergySoft User Number: 5961 Job Number: Paoe:10 of 17 Computer Method Summary (Part 2 of 3) C -2R Joe Birdsell 8/30/2005 Project Title Date FENESTRATION SURFACES U- Act. Glazing Type Location/ # Type Area Factor SHGC Azm. Tilt Comments _3Il Window—ReaL___-(East 40 _0_.6Q ____D_37 _9.0_ _9A. DaubleSlonMtMeaLDefault_ June 2 31 Window Right (South) 18.0 0.600 0.37 180 90 Double NonMtl Clear Default Zone 2 32 Window Right (South) 36.0 0.600 0.37 180 90 Double NonMtl Clear Default Zone 2 33 Window Front (West) 48.0 0.610 0.39 270 90 Double NonMtl Clear Default Zone 2 34 dight Left (North) 4.0 ---------- 0.680 0.37 0 0 Double NonMtl Clear Default Zone 2 INTERIOR TERIOR AND EXTERIOR SHADING 7- Window Overhang Left Fin Right Fin Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. RExt Dist Len Hgt Dist Len Hgt 30 Bug Screen 0.76 31 Bug Screen 0.76 32 Bug Screen 0.76 33 Bug Screen 0.76 8.0 6.0 10.0 0.1 10.0 10.0 34 None 1.00 Run Initia ion Tim 0 0/05 07:01:35 Run Cod • 1125410495 EnergyPro 3.1 By EnergySoft User Number: 5961 Job Number: Paae:11 of 17 Computer Method Summary (Part 3 of 3) C -2R Joe Birdsell 8/30/2005 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location. Type (so (in.) Cap. Cond. Form 3 Reference R -Val Comments oacret Heapeight _1,.315. -3-50 --28: -0.98. n/a Concrete Heavyweight 1.300 3_50 28 0.98 n/a 0 Zone 11S1ab-o-Grade 2 Zone 2 / Slab on Grade PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments HVAC SYSTEMS T Heating Equipment' Minimum Distribution Type ' Type (furnace, heat Efficiencyy and Location Duct Thermostat Location / pump, etc.) (AFUE/HSPF)(ducts/attic, etc.) R -Value Type Comments Central Furnace " 80° AFUE Ducts in Attic 4.2 Setback AMANA Central Furnace . 80%AFUE Ducts in Attic 4.2 Setback AMANA Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency. Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc,) R -Value Type Comments -Split Air Conditioner 13.8 SEER Ducts in Attic 4.2 Setback AMANA Split Air Conditioner 13.8 SEER Ducts in Attic 4.2 Setback AMANA WATER HEATING SYSTEMS Water Heater Water Heater Distribution Rated' Tank Energy Facts 1 Tank Insul: # in Input Cap. or Recovery Standby R -Value System Name Type- Type Syst (Btu/hr) (gal) Efficiency Loss (%) Ext. A.O.Smith FSG -50-224 Small Gas Standard 1 40,000 50 0.55 n/a 12 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. REMARKS - Run Initiation Time: 08/30/05 07:01:35 Run Code: 1125410495 EnergyPro 3.1 By EnergySoft User Number: 5961 Job Number Page:14 of 17 Computer Method Summary (Addendum) C -2R Joe Birdsell 8/30/2005 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 hncad nn fha -dcn��� .,f ♦ti : i :.. a:c:__a:-- - .. . --- ---, - _ , , . .... �...... c���.. —u—cnaauvn auunnuea. Plan Field The DHW System "A.O.Smith FSG -50-224" Energy Factor = 0.550. An EF below 0.58 requires an R-12 External Blanket. The HVAC System."AMANA" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual. HIGH MASS Design(see C -2R) - Verify Thermal Mass: 1315 sqft Exposed Slab Floor, 3.50" thick at Zone 1 The HVAC System "AMANA" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual. HIGH MASS Design(see C -2R) - Verify Thermal Mass: 1300 sgft Covered Slab Floor, 3.50" thick at Zone 2 HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R. I plan Fialrl The HVAC System."AMANA" includes Refrigerant Charge and Airflow Credit (or. a TXV). A certified HERS rater must provide verifification of the TXV, or measure the Refrigerant Charge and Airflow. The HVAC System "AMANA" is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -6R Form. The HVAC System "AMANA" includes Refrigerant Charge and Airflow Credit (or a TXV). A certified HERS rater must provide verifification of the TXV, or measure the Refrigerant Charge and Airflow. The HVAC.System "AMANA" is using reduced duct leakage to comply and must have diagnostic site testing of duct leakage performed by a certified HERS Rater. The results of the diagnostic testing must be reported on a CF -6R Form. EnergyPro 3.1 By EnergySoft User Number 5961 Job Number:Page: 13 of 17 [HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Joe Birdsell 8/30/2005 SYSTEM NAME FLOOR AREA AMANA 1,315 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 Heating System Output per System 35,000 Total Output (Btuh) 35,000 Output (Btuh%sgft) 26.6 Cooling System Output per System 47,000 Tntal Mitnnf rRfnhl e7 nnn :ATING SYSTEM PSYCH 26.0 of 69.3 of Outside Air 0 cfm 69.3 of ;OGLING Ic 11.0 / 77.6 of Outside Air 0 cfm 74.9/53,3 of Supply Fan 855 cfm 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 ISensiblel Latent I CFM Sensible IA RCE48A2` 35,080 0 35,000 Total Adjusted System Output 35,080 0 35;000 (Adjusted for Peak Design Conditions) 69.3 of =1 107.8 of Heating Coil PSYCHROMETRICS (Airstream 1 74.9 / 53.3 of 74.9 / 53.3 of TIME OF SYSTEM PEAK I Aug 2 pm I I Jan 12 am e of Supply Air Ducts 107.1 of ROOMS 70.0 of Return Air Ducts peratures at Time of Coolin( 36.3 / 34.5 of Supply Fan Cooling Coil 855 cfm 3.1 By EnergySoft User Number: 5961 Job Number: VU a Supply Air Ducts 37.2 / 35.0 of 21.5% R.H. ROOMS 74.0/52.9 of HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME Joe Birdsell SYSTEM NAME AMANA ENGINEERING CHECKS Number of Systems 1 Heating System Output per System 35,000 Total Output (Btuh) 35,000 Output (Btuh/sgft) 26.9 Cooling System Output per.System 47,000 Total Output (Btuh) 47,000 Total Output (Tons) 3.9 Total Output (Btuh/sgft) 36.2 T Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD DATE 8/30/2005 FLOOR AREA 1,300 COIL COOLING PEAK COIL HTG. PEAK CFM I Sensiblel Latent CFM Sensible 67 27,074 3,326 624 23,807 0 1,354 1,190 0 0 0 0 0 0 0 0 0 1,354 1,190 29 7s 3 32626,188 Airflow (cfm) 855 AMANA RCE48A2' 37,180 0 35,000 Airflow (cfm/sgft) 0.66 Airflow (cfm/Ton) 218.3 Outside Air (%) 0.0 Total Adjusted System Output 37,180 0 35,000 (Adjusted for Peak Design Conditions) Outside Air (cfm/sgft) 0.00 TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am Note: values above given at ARI conditions EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26.0 of 68.7 of 68.7 of 107.2 of x� fjsi Outside Air _,�� Supply Air Ducts 0 cfm Supply Fan Heating Coil 105.8 of 855 cfm ROOMS 68.7 of 70.0 of Return Air Ducts ;DOLING 11.0 / 77.6 of Outside Air 0 cfm 79.5/57.3 of 3.1 M PSYCHROMETRICS (Airstream Temperatures at Time of Cooli 79.5 / 57.3 of 79.5 / 57.3 of ® 38.6 / 36 9 OF Supply Fan Cooling Coil 855 cfm User Number: 5961 Return Air Ducts Job Number: Supply Air Ducts 40.1 / 37.8 of 24.7% R.H. ROOMS 78.0 / 56.7 of Paae:15 of 17 1 r ROOM LOAD SUMMARY FKUJEGT NAME DATE Joe Birdsell 8/30/2005 SYSTEM NAME AKAANA FLOOR AREA IJIJ ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME Zone 1 ROOM NAME Zone 1 Mult. 1 CFM 404 I SENSIBLE 15,817 LATENT 0 CFM 404 SENSIBLE 15,817 LATENT 0 CFM. 304 SENSIBLE 12,034 PAGE TOTAL aoa 15,817 0 TOTAL 404 15,817 0 30412,034 304 12,034 i EnergyPro 3.1 By EnergySoft User Number 5961 Job Number: Page 16 of 17 ROOM LOAD SUMMARY PROJECT NAME Joe Birdsell SYSTEM NAME AMANA DATE 8%30/2005 FLOOR AREA 1,300 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME ROOM NAME Mult. CFM SENSIBLE LATENT CFM SENSIBLE LATENT CFM SENSIBLE Zone.2- Zone 2 1 671 27,074 3,326 671 27,0:.4 3,326 624 23,807 PAGE TOTAL 1 671 27,074 3,326IF TOTAL 1 671 27,074 3,326 624 23,807 624 23,807 EnergyPro 3.1 By EnergySoft User Number: 5961 Job Number: Page 17 of 17