The URL can be used to link to this page

14-0065 (RER)1.: P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000065 Property Address: 53725 AVENIDA VILLA APN: 774-133-026-12 -000000- Application description: REMODEL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 3500 T4ht 4 4 Q" Applicant: Architect or Engineer: NA - LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT .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: /j License No.: Date Contractor: 451 DECLARATION I hereby affirm under penalty of perjury that'I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires "a permit to • construct,. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the , permit to file a signed statement that he or she is licensed pursuant to'the provisions of.the Contractor's State _ License Law (Chapter 9 (commencing with Section 7000) of.Division 3 of the Business and Professions Code) or that he, she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and �i 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.). ( f) 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 A property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed .�� pursuant to the Contractors' State License Law.). F ) I am exempt under Sec. , B.&P.C. for this reason Dat" e: 7417(—T —T Owner: �l 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 " Owner: MARK STONE 53-725 AVENIDA VI LA QUINTA CA LA QUINTA, CA 92:2 Contractor: Owner WORKER'S COMPENSATION DECLARATION 2/07/14 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. %1 -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 P. 2013 Policy Number - - - - - - - - - - - - - -- certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should be a subject to the workers' compensation provisions of Section 3700 of the Labor Cod sh forthwith comply with those rovi ' s! Date1 1� App lican WARNING: FAILURE TO SECURE WORKER 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000)• IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the ' conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to ent r upon the above-mentioned /property for inspection purposes. Date ignature (Applicant or Agegtl: .-�- C./ g Application Number . . . . . 14-00000065 Permit REMODEL 2013 Additional desc . Permit Fee . . . . -70.07 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 8/06/14 Qty Unit Charge Per Extension 1.00 60.0600 LS- MISC DR/WIN, REPL, 1-7 60.06 .1.00 10.0100 EA MISC DR/WIN, REPL, ADDL 5 10.01 ------------------------------------------------------------ Special Notes and Comments -� INSTALL NEW ENERGY PROFORMANCE RATED WINDOWS AND DOORS. ALL DOORS & WINDOWS WILL BE INSTALLED IN LIKE SIZE OPENINGS February 7, 2014 8:40:24 AM JJohnson. ' ---------------------------------------------------- Other Fees . . . . . BLDG STDSADMIN (SB1473). -------------- 1.00 PLAN CHECK, REMODEL 120.12 Fee summary.. Charged Paid, Credited Due ' Permit Fee Total 70:07 .00 _00 70.07 , Plan Check Total .00 .00 •.00' .00 Other Fee Total 121.12 .00 .'00 121.12 Grand Total 191.19- .00 :.00 191.19 LQPERMIT Bin # City Of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # f Project Address: S� t� G Owner's Name: { A. P. Number: Address: �3 ` Legal Description: Contractor: City, ST, Zip: Telephone Address: oW N 6 6 V t r Project Description: e� wcs 3 n City, ST, Zip: Telephone: ::::::.;:;;}>;>; State Lie. # : City Lie. #: W Arch., Engr., Designer: V �� •� Address: (AJ pp,J W t!1 Ot�r� City., ST, Zip: Telephone:,:».:.};}:.}::..:...>:•}•:::•<.. *'�"•}liri:iii.F.�y�i.;i}'r':ii•�^:�Tiin (i:;:t`f: i.4.:. ...........::. ....::.......:........:......::......:.. Construction Type: Occupancy: State Lie. # ProJect type circle one): New Add'n Alter Repair Demo Name of Contact Person: I t t Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: g12Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount .Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctio /issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: M Reyiew, ready for correctionsCssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees J -P.O. BOX 1504 "LA QUtNTA" CALIFORNIA 92247-1504 BUILDING &"SAFETY DEPARTMENT 18-05 CALLE TAMPIC'O (760),777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 ]NOPERT, YON"'ERIS PACKAGE. Applying for de D-ilsel'olsur"es&Fd"r*"'m":'s*f, -Owner-Builders:- , 1 , dtA . 1 410104 Permits; - pp y RAP-QATANT! N 0-T-ICETO:PRQPER-TX..O,W,NIER DeauVroperty Owner An. amlication--for:a., budding ur n listing, yo as the budder of the Property pernut:has been in yo yourself iMMV16ments spocifiod:ilt. Weare PMviding,' You: wide an Uw�ner Builder Acknawledgmcnt-add Infodmtioti--V6ificatiba-Formto make'. your you awavevf respocisibilities -and possible nskyb% may, incur by WwWk- !hispe=,it-igsuW-.' ybur tiaaio 4s:& Owner -Builder. building!peicinit untilz-have read; initiaWl yotte: understinditig'a f eitch1provision, Y" signed, and returned this form to us at our official address indicated. An agent of the,owncucahn0l, execute .1his-notice unless you, the Property owner, obtain the prior approval of the permitting autbority- V9P P�GMWWAND 61C OV 's ACI Q14 OWL E- AT'IbN dFJP DfftECT70NS: Read irk initial eachstai`einenl be(oiv to signify you iurderstaied or verify this 6ifbrmatbn. &b. I understand afirequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material Personally. 1, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my .property. My 'homeowner's insurance may -not provide coverage --for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance -coverage for injuries to workers -onmy.property. 2. 1 understand building permits are not required to . be signed by property owners* unless they are responsible for the construction and are. not. licensed -assume this respoiqOb .".a Lice Contractor to 3. 1 understand As..g4 ..'Owner -Build&' I am the res record. on the, . responsible party of. permit I understand that.I may protect myself from potential financial risk by hiring a licensed Contractor and having iii� permit filed in his oi. &rIna-ine.,instead of my own. 4. I understand Contractors are required by law to be licensed and bonded' in California and. to list their license numbers on permits and contracts_ 5. 1 understand if I employ or otherwise engage any persons, other than California'licensed Contractors, and the . total value 0 my construction is at least five hundred dollars ($500), including labor and materials, I may. be -considered -an ,employee, under state and federal law. understand if I am..considqred An "employer" under state -'and federal law, 1 must register with the state and federal 6..I understand withhold payroll. taxes.pr9yide workers' compensation disability.tinsurance, and contribute to - unemployment compensation for each "employee." I also . understand my failure to abide by these laws may subject me to serious financial risk - 14 1 understand under California Contractors' StateLicense Law, an Owner -Builder who builds single-family residential tri ores cannot legally build them with the -intent . to offer them for sale, unless all work is performed by licensed subco ' ntractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with 'a licensed general building Contractor. a AILS. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be he -d liable,'for any financial or personal, iyjunes Wstained .by any subsequent owners) that result from any latent construction defects in theme workmanship or mateiiils. k9. I understand I may obtain more information regarding my obligations as an "employer" from the Internet revenue Service, the United States Small Business Administration, the .California Department of Benefit Payments, and the California Division of Industrial Accidents. [ also understand 1 may contact the California Contractors'. State, License Board (CSLBj at 1- 800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors. 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the P le ally and financ'ally ible .for : proposed construction activity, at . -the following address:QX- 1111. I agree that, as.the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requireuteirts that govern Owner=Builders as well as employers. K12. I agree to notify the issuer of this form immediately of any additions; .deletions; or changes to any of the i4f4rrnatioh I ave provided on this form. Licensed contractors are regulated by laws designed to protect the public. -If you•coatract with someone who does. not have a lieense,.•8ie Contractors' State. LicenseZoard-:maybe tmible to You may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court- It is also important for youto:understand that if an Udkeuscd.Contraetor.or employee of that individual or;firm is injured while working on your property; you may beheld liable for damages. If you obtains permit•as Owner -Builder and .wish- hire Contractors, You will be.responsrble for, verifying whedver;or tnot :those Contractors :are properly.l censed and:the.status of their wotkcrs' . compensation wsmmoe.coverage. t , Before x building permit can be issued, this form must be completed and signed by the property owner and returned to the Agency responsible forissuiug:ttie:pec t.:l ote: A copy of tke.property owner's driver'vlicertse, farm riotaMi or other verification acceptable 1„ t/re agency is rcquired'to be prescxtedivhert tfir, permit u. asuid to verify the property owner's signature L Signature of property owner Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACTON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understandis my personal responsibility, I hereby authorize the following persons) to'act as my igent(s) to apply for, sign, and file~the documents necessary. to- obtain an Owner -Builder Permit'for my project_ Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: — Address of Authorized Agent: Tel No I declare under penalty of perjury, that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note:'A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.. Property Owner's Signature: Date: `L� � �' ... (� i ♦• it reC.Y$ =Qualified/Admissiblev" `a(]i = Zone Aa / fifi• ,. • ..'ENERGY JAR • InAll JELDIVEN WINDOWS &-DOORS Steel Door - Wood Edge kNFRC DG Low-E Full-Lite WF JEL-M-2-01868-00001 ' National Fenestration Rating Council° 15483 ENERGY PERFORMANCE RATINGS EVALUACION DE RENDIMIENTO ENERGEnCO U•FACTOR. FACTORL SOLAR HEAT GAIN COEFFICIENT COEFICIANTE:OANANCIA DE ENEROIA SOLAR 0.28 (U.S./I-P) 1 1.59 (Metric/SI) 0.28 .ADDITIONAL PERFORMANCE RATINGS EVALUACION SUPLEMENTARIA DE RENDIMIENTO VISIBLE TRANSMITTANCEAIR TRANSMISION DE LUa VISIBLE LEAKAGE INFILTRATION D'AIR 0.32 1 0.1 (U.S./I-P) 1 0.5 (Metric/SI) Mnbcuer s*fm aea Vele rAV mmmm bI✓FIIC pmeases for wmlmrtg 02 mW peft mce. NERC raecp ale deiermiW ID a hW sel d VC does WWAy d fa emu UVU m vabm am a specdc M-W size. does ml .ffn V airy podud am rd mW Ne airy rmum airy speck use. LLrDAI nmarkcuers flaaNe lm OTC PWO p WWW hufoewIL EsteWmeeVAmeegosram wrowmnhspamArr09Xa MbwdeWCparedetmmwdrelterto=CsipodimLos r&esL%UpmtffPCmn deWma7m pm m m*m Go de wdcm udwh ) m orrmD de pmbum eWft. WK m writs d%,m WAUC o 1 m p3ta me d prAW sea amwm wamlwesabiaOD 6a mn a *W dd kum madLMan= esl MOLCID. www.nfrc.org This fenestration product has been certified by the manufacturer to meet the air infiltration requirements of Section 116(a) 1, 2008 California Building Energy Standards. - Y T H WARNING: Drilling, sawing, sanding or machining wood products generates wood dust, a substance known to the State of California to cause cancer. Use a respirator or other safeguards to avoid inhaling wood dust. "Retain this label and accompanying receipts with your tax materials to claim tax credit, if applicable. See www.jelci-wen.com/taxcredit for full details" 606262 1 120513A S0106 12/05/13 { Prescriptive Certificate of Com liancei Residential CF -IR -ALT Residential Alterations a e 1 of Project Name: / Climate Zone Y N of Stories A-0 9\ r I. c 7��► General information Site Address: 3 f) Enforcement Agency: Date- Framed Continuous JA4 Proposed U- JA4 Tabk Cavity Inmilmion Assembly. Assembt�r Otbe, factor' Numbers R -value° R -Value Cell Value U -factor E F Building Type Singk.Family O Multi Family Circle the Front orientation: N, E, S, W, or degrees Conditioned Floor Arca (CFA): Project Type: O Alterations O Envelope O Fenestration O Roof O HVAC R lacment or Change Out O Duct Replacement O Water Heater 7Xls rm s not to be usedjor NeC w r ulldlWorAddidons Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration O Opening of framed cavity alone - Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the mandatory minimum insulation value per §130 for the altered assembly. Fill in Columns A -C and enter mandatory insulation valet in Column H. O Replacement of entire assembly- Replacement of lin entire wall, ceiling, or floor assembly requires the installation of Component Padres - D insulation values in Table 151-C. Fill in Columns A _ _1 Opaque Surface Detains For the furred of Miss Wails see Furring Construction Table below. A B C D E F G I H I 1. J Pro Standard Values From JA4 Table Fra72iMTbidrnas, Ta�/ Assembly Name MaSpacing; iD or T andor Framed Continuous JA4 Proposed U- JA4 Tabk Cavity Inmilmion Assembly. Assembt�r Otbe, factor' Numbers R -value° R -Value Cell Value U -factor E F G H i J K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Note: Forfunrd aswmMtes, aceoumtirsg jor Conrtmuous lAndadon R -value. see Page JAI -3 and Equation 4-1. For calcvlatag fumed walls use dw AAm ad Farrurg Construction table below. 1. For 7097D indicate the identification name that matches the building plans. 1. Indicate the Assembly Name or type: RooXeiling, Walls, sate the Frame type and Size: For Wood Metal, Metal Buildings, Mass, enter 2W. 2x6, or etc... see JAI for other possible frame type assemblies. 3. Enter the thidawss jor mass in inches or Spacing between framing members enter. 16 "or 24 VC. or Other f for all other assembly description such as Concrete Sandwich Panel, Spandrel Petrel, Logs, Straw Bale Panel and etc.... I. Based on the Climate Zone; enter the Standard U factor from Table 15 1-A C or D for each different assembly Name or type. S. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ". 7. Enter the Continuous Insulation R -value jor the proposed assembly, otherwise,, enter "0" 8. Enter the row and column of the U factor value bared on Column F Table Number and enter the Assembly U factor in Column J 9.77pe Proposed Assembly U factor, Column J, must be equal to or less than tie Standard 11-tartnr in Column F to e,-nmnlv- Furring Strips Construction Table for Mass Walls Onl A I B C I D I E F G H i J K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint A Ppcndix Table 4 3 43.6 4.3.7 b Joint Appendix Table 43.13 v Assembly ' j c F- F `o _u Final Mass Thiclncss, Name. or 1A4 Table �r4 + t Assemb � me > Urfactor Comment Registration Number: Registration Date.Time: 2008 Residential Compliance Forms HERS Provider: August 2009 Frescri tive Certificate of Compliance: Residential CF -IR -ALT Residential AUerations age 2 of Project Name: Climate Zone # # of �tories l- I �3�. .��til � 01111 I T Mass and Furring Strips Construction(footnotes) 1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can found Reference Joint Appendix JA4. 2. This is the U -Factor based on the thickness of the assembly in inches. 3. 71re R -value of the insulation to be added on the interior or exterior of the assembly. lire Calculated R- Value is the R -value of the furred out section of the assembly. -6.7he Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Col added to Column l. Column K is the inverse from column J. . r7. Insert the calculated U- actor value on to the ue Sur ace Details in Column J FENESTRATION PROPOSED AREAS Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table .151-C. The Total Fenestration and West facing Area requirements are not applicable. ❑ Adding 50fe or less ofwindow area —Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. Adding more than 50ftz of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT Orientation Fenestration Type and Frame (North, East, Pro Maximum Maximum NFRC or Default Wow Glass Door or Skylight) South,West) (fi U -factors' 3 SHGC2' 3•' Values Rr .rev\ PO B 3 W,�. 0Nkh s - C D. 1 e (� F 0 G CFA of Allowed Existing 1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 509/6 glass, the fenestration area may be the glass area plus a "2 inch frame " around the glass. 2. Enter value from Component Package D Requirements in Table 151-C. 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower SHGC value than that specified on the CF -IR ALT Form. ' 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.1 applicable a1 this stage enter "NFRC" or NFRC Certified windows or are CEC "Default " valuesfound in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (COmplete if more than 50ft' of fenestration is added) A B C D. E F G CFA of Allowed Existing Allowed Entire %of Fenestration Area Fenestration Area Proposed Area' .4. Dwelling CFA'- s Area' Removeds Area Addedb A x B D + C - Total Fenestration Area z ft West. Fenestration Area" (Required In L CZ's 2,4&7-15 1. The Proposed West Fenestration Area includes West -sloping skylight area and arty other skylight area with a pitch less than 1:12. 2. Enter 209/ when no West orientation restriction or /56/6 when West fenestration is being installed in Climate Zones 2, 4, & 7-15. Note that the maximum allowed fenestration can only be 5% of the CFA as indicated in Column F. Column G must be equal to or less than Column F. 3. In climate zones 2, .4, 7-1 S, no more than 5% of the CFA is allowed for west facing glazing. 4. Existing Fenestration area must be counted toward the maximum allowed 15% or 20% of the whole building and calculated in Column G. The Proposed Area must be less than or equal to Column F. 5. Enter the fenestration removed as part of the alteration if any in column D. 6. Enter the Fenestration area that is being added as part o the alteration. 1008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 5 of Project Name: I V) K P100-1 I k 0 1 1G Climate Zone # N of Stories HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final inspection Duct Sealing & Testing HERS. verification is required for this measure. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if more than 40 lienar feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed, Insulated or sealed with asbestos. OYES QNO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per §152(b)1Di. DYES ONO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replaoement of the air handler, outdoor condensing unit of a split system, cooling or beating coil, or the furnace heat exchanger) the ducts are to be sealed per § 152(b) ] E. ❑ EXCEPTION. Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION: Duct systems with less than 40 linear feet is unconditioned space. rl EXCEPTION: Existing duct systems constructed insulated or sealed with asbestos. Refrigerant Charge -Split System HERS verfication is required jor this measure. ❑ YES ❑ NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system A/C or heat pump, cooling or beating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per § 152(b)1 F. Central Fan Integrated (CF1) Ventilation System and Fan Watt Draw The ventilation requirements of § 150(o) do not apply to existing residential homes. Ducted Split Systems -Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. [:]'YES 13NO YES: In Climate Zoites 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced, the airflow and fan watt draw shall be verified per 152(b) ] Ci to meet the requirements of §151(07B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete- orn tete.Name: Name'. McckJ Sipe: to., Company: Date: Address: n (� � � If Applicable CEA or CEPE / F7�Q� (Certification #): City/Stat ip: � Phone: / � Responsible Building Designer's Declaration Statement • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • ] certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for ap provalwith this building permit application. Name: Signature: Company: Date: Address: License: City/State/Zip: Phone: e • For assistance or questions regarding the Energy Standards, contact -the Energy Hotline at. 1-800-772-3300. 2008 Residential Compliance Forms March 2010 CAJ H(f-6T)C,. / J• -may . L 3 ` 1 • - M, ��' _ R "-ARETY DEPT.- � P P -Ft Y�D.' n1 t� .-t ago�