13-0080 (RER)P.O. BOX 1504 VOICE (760) 777-7012,
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 77777153 ,
BUILDING PERMIT
Date: 7/01/13
-Application Number: 13-00000080 Owner:
Property Address: 52545 AVENIDA VILLA SCOTT DEREK
APN: 773-303-026-1 -000000-"
000000 54350 AVENIDA VILLA
Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL (760) 989-2888
Application valuation: 18000 - s
p o
• Contractor:
Applicant: Architect or Engineer: Owner
His
CITY OF L:DEPT.
IV7IGl//"` 4�c-� FINANC
--------------------------------------
' LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION -
1 hereby affirm under penalty of perjury that I am licensed 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 the Business and Professionals Code, and 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: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
- issued.
Date: Contractor:' - r _ 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
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 2010 Policy Number ---------------
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, I shall not employ any r
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 become 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 and agree that, if I should become subject to the workers' 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 Labor Code, I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
`aplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: Applicant: `
I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure isnot intended or offered for sale (Sec. 7044, Business and ProfessionsCode: The, WARNING: FAILURE TO SECURE WORKERS' 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 ($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
.J�J�I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the .
�7/ 7naa Riwinets and Prnfecsinns enr1P: Thp. Gnntrartnr5' Stain LirenAf Law does ngt aguly to an owner of conditions and restrictions set forth on this application.
.1;4i� property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose requrs3t Sid 18r
pursuant to the Contractors' State License Law.). " T whose benefit work is performed under or pursuant to any permit issued as a result of this application,
O I am exempt under Sec. B:&P.C. for this reason -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.
Date: Lt/1 0 ne _ 1 2. Any permit issued as a result of this application becomes null and void if work is not commenced
ti/ within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject ,
• CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the. I certify that I have read this application and state that the above information is correct. I agree to comply with all,, _
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives
�.. of this county to enter.upon the above-mentioned property for inspectio urposes.
. � tender's Name:Date:- ++ `,
. - (�y Signature
77
Lender's Address:
LQPERMIT
Application;Number . . 13-00000080
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . 189.00 Plan Check
Fee
122.85
Issue Date . . . . Valuation
. . .
18000
Expiration Date 12/28/13
Qty Unit Charge Per
Extension
BASE FEE:
45.00
16.00 9.0000 THOU BLDG 2,001-25,000
-----------------------
144.00
Permit . . . ELECT - ADD/ALT/REM
_
Additional desc .
Permit Fee . . . 26.00 Plan Check,
Fee
6.50
Issue Date . . . . Valuation
0
Expiration Date 12/28/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 11.0000 EA ELEC'MISC
----------------------------------------------------------------------------
_
11.00
Permit . . . MECHANICAL
Additional desc .
Permit Fee 50.00 Plan Check
Fee
12.50
Issue Date . . . . Valuation
. . . .
0
Expiration Date .. 12/28/13
Qty Unit Charge Per
Extension
BASE 'FEE
15.00
_1.00 9.0000 EA MECH APPL REP/ALT/ADD
9.00
3.00 6.5000 EA MECH VENT FAN
19.50
1.00 6.5000 EA MECH EXHAUST HOOD
---------------------------------------------------------------------
6.50
Permit PLUMBING
Additional desc
Permit Fee . . . . 69.00 Plan Check
Fee
17.25
Issue Date Valuation
0
Expiration Date 12/28/13
Qty unit Charg4 per
ExtengiQn
BASE FEE
15.00
8.00 6.'0000 EA PLB FIXTURE
4.8.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00,
------------------------------------------------------------------------------
Special Notes and Comments
Remodel kitchen: add new french doors
- LQPERMIT
< Application Number . . . . . 13-00000080
-----------------------------------------------------------------------------
Special Notes and Comments
and windows, new-gas line, insulation,
repair drywall, repair water lines. Per
2010 California Building Codes.
Investigation fees waived by Greg
Butler.
June 28, 2013 8:13:57 AM jjohnson.
- Edited July 1, 2013 3:15 PM gbutler.
--------------=
---------------------
--
-----------=----------------------------
Other Fees . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW
FEE
12.29
STRONG MOTION
(SMI) - RES
1.80
Fee summary Charged' Paid Credited
---------
Due
-----------------
Permit Fee Total 334.00 .00
.00
334.00
Plan Check Total 159.10 .00
.00
159.10
Other Fee Total 15.09 .00
.00
15.09
Grand Total .508.19 .00
.00
508.19
Bin. #
Citjr of La Quanta
Bul ding & Safety Dfv[sion
Perinit #
P.O. Box 1504,78-495 Caffe Tampfco
U.Qufnta, CA 92253 -:(760) 777-7012
Building Permit Application' and Tracking Sheet
Project Address: `�� L Z
7'Ownees Name:. G�
A P. Number
Address: r 3-5
Legal Description:
City, ST, Zip:
Contractor.
t
Telephone: 2-009
Address: 1
Project Description:
L
city, ST, zip:
Telephone:
State Lia # : City Lie ff:
r
Arra., Fag, Designer:
� G
Address:
U' W
City., ST, Zip:
7+
Telephone:
Construction Type:. 0=panv_ : 1 .w�_ 70 1
State Lta t1.
Project type (circle one): New Add'n Alta rrepiPDemo
Name of Contact Person: �� SGG
Sq. Ft.: #Stories:
a Units:
Telephone B of Contact Person Z
Estimatod Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
q Submittal Req'd Reed TRACMG • PERMIT FEES
Pian Seta
--F
Plan Check submitted
Amoaac
Structural Cales
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Catled Contact Person
Plan Check Balance_
Title 24 Calci.
Plans picked up -
Pians rctubtaliw.' D CIO J j
l
2`! Review, ready. _/ r rection a
Canstrnctlon
Flood plain plan
FMcch2lkll
:
Electrical
Grading plan
Subeontaetor t
fis
Called Contact Person ®
Plumbing
Grant Deed
Plans picked up
SELL
ILO. Approval
Plans resubmitted ��
Grading
INROUSE:-
Review; ready for correction e 6
Developer Impact ?a
Plauning Approval
Called Contact Person
A.I.P.P.
Pub. WW. Appr
Date of permit Issue
School Fees
Total Permit Fees
TO Issue
2
pyUI�S
i
moo®
t
� / I
• a
/ I
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPIco
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY O'WNER'S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for OW'
ner-Bullders Applying for Construction Permits
11kM7ANT1 NOTICE TQ ISR p TY QWN�R
Dear Property Owner.
An. application for a building permit has been submitted mi your name listing yourself as the builder of the property
improvements specified at
We ane PMVKfing you with an Owner -Builder Acknowledgment-and•lafmnatien Verification Form to make you avini m of your
responsibilities and possible risk you'may incur by having this permit -issued in your name as die
Owns -Builder. We unit not issue a-budiding.permit until you have read, initialed your. understanding of each'provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless You, the property owner, obtain the prior approval of the permitting authority.
DIREMONS. Read and-kiticd each swment-bretow' d signify you mufersumd or ve#ythis b formadon.
I understand a frequent 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 personalty. 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
on,my. property-
�2. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility..
3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
m if from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
p2I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
ts and contracts.
. I understand if 1 employ or otherwise engage any persons, other than California. licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
1I understand if I am considered an "employee' under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, 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
_I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
S16 tures cannot .legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors 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.
Van8cial
I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
or personal. ygjuries sustained by any subsequent owner(s) that result from any latent construction defects in the
worlananship or materials.
9 " understand I may obtain more information regarding my obligations as an -employee' from the Lntereal Kev+enue
rvace, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
�0. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construction activity at the following address:
LZ 1 L I agrees that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
�12. I agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the information I
have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, Bre Contractors' State License Board may be tunable to assist you with any financial loss
you may sustain as a result of a complaint Your only remedy against unlicensed Contractors may be in-6vil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured wbile w�abng
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Condors,
You will be responsible for verffYing whedwr or not those Contractors are property ticeosed and the stratus of their workers'
compensation ia9nramoe coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issaiag.dw permlL Note: A copy of dee property owam's dWvm-'s&Must farm X@0R*adr4 or
other verification aecepURlc to dee agency is required to be presented when des permit is irsua to verify die pmpery
owner's signature.
Signature of property owner Date.
Note: The following Authorization l4or7n 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.
AUTRORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I herby authorize
the following pemson(s) to act as my agent(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:
yrwr- 3 .i.• .y a .
52545 VILLA, LA QUINTA CA
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SLI'011VG DOORS —
ON-SEP'PERMITi' -
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� '•,, *r ,ice �. � rr �' Y � �. * � r�,„ �,
EV1/ WALLS ONrSEP:PERIVIIT
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CITY OF �A ' UI
Q' wNTA
COMMUNITY DEVELOPMENT
��k t it �-�•k,;�.itt, � 4 f .w.. ,t tw }r .s F` r j.r,'.. >
' Irl •�� �� .• , .. - _ ' ` .. r ...
Areas of work
KITCHEN
Replaced angle stops at sink '
replace sink and cabinets ,
removed rotted pantry and island
r extend ex low.wall at old pantry to meet ceiling
. removed damaged and sagging dropped ceiling
removed cockroach infested sheetrock at walls
st ze
��� -. (it t.�n� X14. �tL�► -20 % W
BATH 1
Removed rotted cabinets
:removed infested sheetrock -
.there were no�inks or toilet
replaced.angle stops + `
capped piping at one lav
replace damaged and leaking water lines at shower
replaced light fixtures on existing wiring .
added cement backer board to shower area in lieu of old sheetrock
BATH 2
• r same as work in bath I except this bath will get a new tub '
replace leaking plumbing lines a lav locatiom
r
e ace water heater r ce leaking copper y
replac ing plumbing lines at laundry -
replace existing gas line to water heater
moved infested sheetrock
added 4 foot high trim wall to cover the piping
had furnace and AC serviced
THROUGH OUT , RECEIVED
there was no flooring so all new wood will be installed
except baths which will be tiled
MAY 1.3 2013
• CITY OFLA QUINTA
COMMUNITY DEVELOPMENT
51?
CONSTRUCTION INNOVATION
6.
�n_an n��noawu1. nruroaearcw vvao ? � � `$ �
88 y^
8a
}.`€,
� roti^i^�
�
12
- "•�
ur. ese�ere osl[c rm.ser.�r vvc: nnnacas i � � @ ^
�
^ �
�
RECEIVEDI
'
-
MAY 1.3 2013
_
j•
eIHA epivand
g�
,
CITY OF LA- QUINTA
CL zz
El
El
n-
I BUILDING ENERGY ANALYSIS REPORT I
Of-
SX
►1T`� SAFE D
,u�►-oiN
ICN
SAPPR TE
Fog CON
PROJECT:
Avenida Villa
52-542 Avenida Villa
La Quinta, CA 92253
Project Designer:
Sipovac Construction Inc.
72-651 Theodora Lane
Palm Desert, CA 92260
760-360-9700
Report Prepared by:
Sipovac Construction
Job Number:
422013
I
RECEIVED
JUN 13 2013
CITY OF LA QUINTA
r COMMUNITY DEVELOPMENT
pp,?E
2 Date:
6/12/2013
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 2008 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC — www.energysoft.com.
EnergyPro 5.1 by EnergySoft User Number: 5289 RunCode: 2013-06-12714:41:21 ID: 422013
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF-1 R
Project Name
Avenida Villa
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ® Existing+ Addition/Alteration
Date
6/12/2013
Project Address
52-542 Avenida Villa La Quinta
California Energy Climate Zone
CA Climate Zone 15
Total Cond. Floor Area
1,650
Addition
0
# of Stories
1
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes ❑ No HERS Measures -- If Yes, A CF-4R must be provided per Part 2 of 5 of this form.
❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION
Construction Type
Area Special
Cavity Features see Part 2 of 5 Status
Wall Wood Framed
R-19 1,072 Existing
Door Opaque Door
None 19 Existing
Slab Unheated Slab-on-Grade
None 1,650 Perim = 0' Existing
Roof Wood Framed Attic
R-30 1,650 Existing
FENESTRATION U-
Orientation Area(ft) Factor
Exterior
SHGC Overhang Sidefins Shades Status
Left (S) 16.6 0.180
0.34 none none Bug Screen New
Rear (W) 80.0 0.180
0.34 none none Bug Screen New
Rear (W) 40.0 0.990
0.76 none none Bug Screen Removed
Rear (lM 9.0 0.340
0.35 none none Bug Screen New
Rear (W) 12.0 1.040
0.76 none none Bug Screen Removed
Rear 24.0 0.550
0.67 none none Bug Screen Removed
Right (N) 40.0 0.340
0.35 none none Bug Screen New
Right (N) 40.0 0.550
0.67 none none Bug Screen Removed
Left (S) 32.0 0.340
0.35 none none Bug Screen New
Left (S) 30.0 1.040
0.75 none none Bug Screen Removed
HVAC SYSTEMS
Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status
1 Packaged Heat Pump 8.00 HSPF Packaged Heat Pump 14.5 SEER Setback
Existing
HVAC DISTRIBUTION
Location Heating
Duct
Cooling Duct Location R-Value Status
HVAC System Ducted
Ducted Attic, Ceiling Ins, vented 8.0
Existing
WATER HEATING )F LA QUANTA
City. Type Gallons Min. Eff Distribution , g q Ap:F:Tv nppf3itatus
1 Small Gas 40
0.59 Kitchen Pipe Ins 7ROVE D Alte ed
Ener Pro 5.1 by Ener Soft User Number: 5289 RunCode: 2013-06-12714:41:21 ID: 422013' --Parge 3 of 11
PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R
Project Name
Avenida Villa
Building Type ® Single Family ❑ Addition Alone
1 ❑ Multi Family ® Existing+ Addition/Alteration
Date
1611212013
SPECIAL FEATURES INSPECTION CHECKLIST
The 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 enforcement agency
determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of
the special justification and documentation submitted.
Compliance for all orientations is specified, see section 151 (c) 2 of the Standards and section 7.6.2 of the Residential Compliance Manual.
HERS REQUIRED VERIFICATION
Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a
completed CF -4R form for each of the measures listed below for final to be given.
!A MINTA
G & SAFETY DEPT.
7)ROVED
Ener Pro 5.1 by Ener Soft User Number.- 5289 RunCode: 2013-06-12714:41:21 ID: 422013 pVPa 4 of 11
PERFORMANCE CERTIFICATE: Residential Part 3 of 5 CF -1 R
Project Name
Building Type m Single Family ❑ Addition Alone
Date
Avenida Villa
1 ❑ Multi Family m Existing+ Addition/Alteration
6/12/2013
ANNUAL ENERGY USE SUMMARY
Standard Facing Margin Facing Margin Facing Margin Facing Margin
TDV kBtu/ft2- r North East South West
Space Heating 3.94 0.81 3.13 1.69 2.25 3.07 0.86 1.51 2.42
Space Cooling 108.44 83.01 25.43 77.77 30.68 77.97 30.48 76.16 32.29
Fans 23.74 18.47 5.28 17.24 6.51 17.25 6.49 16.98 6.76
Domestic Hot Water 20.51 17.71 2.80 17.71 2.80 17.71 2.80 17.71 2.80
Pumps 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Totals 156.64 120.00 36.64 114.40 42.24 116.00 40.64 112.36 44.27
Percent Better Than Standard: 23.4% 27.0% 25.9% 28.3%
BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation: All Four orientations Ext. Walls/Roof Wall Area Area
Number of Dwelling Units: 1.00 (E) 0 0
Fuel Available at Site: Natural Gas (S) 613 49
Raised Floor Area: 0 (M 321 89
Slab on Grade Area: 1,650 (N) 335 40
Average Ceiling Height: 8.0 Roof 1,650 0
Fenestration Average U -Factor: 0.25 TOTAL: 178
Average SHGC: 0.34 Fenestration/CFA Ratio: 10.8%
REMARKS
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and specifications needed
to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the
Efficiency Standards of the California Code of Regulations.
The documentation author hereby certifies that the documentation is accurate and complete.
Documentation Author
Company Sipovac Construction
6/12/2013
Address Name
City/State/ZipCity/State/Zip Phone Signed Date
The individual with overall design responsibility hereby certifies that the proposed building design represented in this set
of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and
with any other calculations submitted with this permit application, and recognizes that compliance using duct design,
duct sealing, verification of refrigerant charge, insulation installation quality, and building envelo a sealing require
installer testing and certification and field verification by an approved HERS ra er.
K f• OF LA QUI NTA
Designer or Owner (per Business & Professions Code) _ 'UG &SAFETY DEPT.
Company Sipovac Construction Inc.
Address 72-651 Theodora Lane Name Bob Sipovac
Y Y
City/State/Zip Palm Desert, CA 92260 Phone 760-360-9700 Signed License # Late
BY
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11
CERTIFICATE OF COMPLIANCE:
Residential Part 4 of 5 CF -1 R
Project Name
Avenida Villa
Building Type m Single Family ❑ Addition Alone
1 ❑ Multi Family 2 Existing+ Addition/Alteration
Date
1611212013
OPAQUE SURFACE DETAILS
Surface
Type Area
U- Insulation Joint Appendix
Factor Cavi Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments
Wall
345
0.074 R-19
1801 90 Existing 4.3.1-A5 South
Wall
90
0.074 R-19
270 90 Existing 4.3.1-A5 West
Wall
95
0.074 R-19
180 90 Existing 4.3.1-A5 South
Wall
1 142
0.074 R-19
270 90 Existing 4.3.1-A5 West
Wall
295
0.074 R-19
0 90 Existing 4.3.1-A5 North
Wall
105
0.074 R-19
180 90 Existing 4.3.1-A5 East
Door
19
0.500 None
180 90 Existing 4.5.1-A4
Slab
1,650
0.730 None
0 180 isting 4.4.7-A1
Roof
1,650
0.031 R-30
0 0 Existin 4.2.1-A20
FENESTRATION SURFACE DETAILS
ID
I Type
Area U -Factor SHGC2
Azm Status Glazing Type Location/Comments
C
'Door
16.6 0.180 NFRC 0.34 NFRC
180 New new single door Zone Kitchen
B
Door
40.0 0.180 NFRC 0.34 NFRC
270 New new fr. Double Non Metal Clear Zone Dining Room
Door
40.0 0.990 Default 0.76 Default
270 Removed Old Non Metal Clear Sliding do Zone Dining Room
2
JWndow
9.0 0.340 NFRC 0.35 NFRC
270 New new Single Metal Clear window Zone Kitchen
Window 1
12.0 1.040 Default 0.76 Default
270 Removed old Single Non Metal Clear wind Zone Kitchen
A
Door
40.0 0.180 NFRC 0.34 NFRC
270 New new fr. Double Non Metal Clear Zone Bedroom #3
Window
24.0 0.550 Default 0.67 Default
270 Removed old Double Non Metal Clear wini Zone Bedroom #3
3
Window
20.0 0.340 NFRC 0.35 NFRC
0 New new window Double Metal Cleat Zone Bedroom #2
Window
20.0 0.550 Default 0.67 Default
0 Removed old Double Non Metal Clear win Zone Bedroom #2
4
Window
20.0 0.340 NFRC 0.35 NFRC
0 New new window Double Metal Cfqat Zone Kitchen #1
Window
20.0 0.550 Default 0.67 Default
0 Removed old Double Non Metal Clear win Zone Bedroom #1
1
Window
32.0 0.340 NFRC 0.35 NFRC
180 New new window Double Metal Clear Zone Living Room
Window
30.0 1.040 Default 0.76 Default
180 Removed old Single Non Metal Clear wind Zone living Room
(1) Ll -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value
2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Window
Exterior Shade Type SHGC H t Wd
Ove hang Left Fin Right Fin
Len H W LExt RExt Dist Len Hot Dist Len H t
1
Bug Screen
0.76
2
Bug Screen
0.76
3
Bug Screen
0.76
4
Bug Screen
0.76
5
Bug Screen
0.76
6
Bug Screen
0.76
7
Bug Screen
0.76
8
Bug Screen
0.76
9
Bug Screen
0.76
10
Bug Screen
0.76
11
12
Bug Screen
Bug Screen
0.76
0.76
a
13
Bug Screen
0.76
A
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CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5
CF -1 R
Project Name
Avenida Villa
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
1611212013
BUILDING ZONE INFORMATION
System Name Zone Name New
Floor Area ft
Existing Altered Removed Volume Year Built
HVAC System Dwelling
1,650
13,200 1987
Totals 0 1,650 0 0
HVAC SYSTEMS
System Name Ot . Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status
HVAC System 1 Packaged Heat Pum 8.00 HSPF Packaged Heat Pump 14.5 SEER Setback
Existing
HVAC DISTRIBUTION
System Name Heating Cooling
Duct
Duct Location R -Value
Ducts
Tested? Status
HVAC System Ducted Ducted Attic, Ceiling Ins, vented 8.0
❑ Existing
WATER HEATING SYSTEMS
S stem Name
Qty.
Type
Distribution
Rated
Input
Btuh
Tank
Cap.
al
Energy
Factor
or RE
Standby
Loss or
Pilot
Ext.
Tank
Insul. R-
Value
Status
Whirlpool 8FG1F4040S3
1
Small Gas
Kitchen Pipe Ins
40,000
40
0.59
n/a
n/a
Altered
Default Gas Prior to 1999
1
Small Gas
pre -altered for Above
28,000
50
0.53
n/a
n/a
MULTI -FAMILY WATER
HEATING
DETAILS
HYDRONIC
HEATING
SYSTEM PIPING
Control
Hot Water Piping Length
ft
o
is
Q —
1ip
, System Namg)F a
Q���
i�r��t�r'
Insul.
hick.
Ot . HP
Plenum Outside Buried
❑
'ING
RV
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7 of 11
MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R
Project Name
Avenida Villa
Date
1 6/12/2013
NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of
the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF -
1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated
into the permit documents, and the applicable features shall be considered by all parties as minimum component performance
specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R
Form with plans.
Building Envelope Measures:
116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified LI -Factor, certified Solar Heat Gain
Coefficient SHGC and infiltration that meets the requirements of 10-111 (a).
117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed.
118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form.
§118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the
installation of a Cool Roof is specified on the CF -1 R Form.
*§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent LI -factor.
150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value.
*§1 50 c : Minimum R-13 insulation in wood -frame wall orequivalent Ll -factor.
*§1 50 d : Minimum R-13 insulation in raised wood -frame floor orequivalent LI -factor.
150(f): Air retarding wrap is tested labeled, and installed according to ASTM E1677-95 2000 when specified on the CF -1 R Form.
150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance
rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is
equipped with a with a readily accessible operable, and tight -fitting damper and or a combustion -air control device.
§150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the
outside of the building,are prohibited.
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy
Commission.
§113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release
valve backflow prevention, pump isolation valve and recirculation loop connection requirements of §113(c)5.
§115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances
(appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and
spa heaters.
150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA.
150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c).
§150(j)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped
with insulation having an installed thermal resistance of R-12 or greater.
§150(j)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water
tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the
tank.
§150(j)2: 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 are insulated per Standards Table 150-B.
§150(j)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot
water tank shall be insulated to Table 150-B and Equation 150-A.
§1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table
123-A.
150(j)3A: Insulation is protected from damage, including that due to sunlight, moisture, a ui mtn tot na ce d '
§150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retarcla is i
conditioned space. i i SAFEM4 DEPT
150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Ce ' ' at' Cort
i
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BY l
MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R
Project Name
Date
Avenida Villa
1611212013
§150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections
601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -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 tape is
used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used
§150(m)1: 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.
§150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
unless such tape is used in combination with mastic and draw bands.
150(m)7: Exhaust fans stems have back draft or automatic dampers.
§150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
dampers.
§150(m)9: 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.
150 m 10: Flexible ducts cannot have porous inner cores.
§150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air
Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation
required in Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency
Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and
shall not use electric resistance heating ora pilot light.
§114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction
and return lines or built-up connections for future solar heating.
114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover.
§114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or
programmed to run only during off-peak electric demand periods.
150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150
Residential Lighting Measures:
§150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies
contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2.
150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d).
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than
20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain
only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line -
voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a
medium screw -base socket.
150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k).
150(k)7: All switching devices and controls shall meet the requirements of §150(k)7.
§150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be
exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a
manual -on occupant sensor.
§150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 was wer er ' ar o
illuminated cabinet.
DING & SAFETY DEPT.
PPROVED
,R CONSTRUCTION
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BY I
L_
MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R
Project Name
Date
Avenida Villa
1611212013
§150(k)l0: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms
shall be high efficacy.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on
occupant sensor certified to comply with the applicable requirements of §119.
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual -on occupancy sensor.
§150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms,
closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be
allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual -
on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less
than 1000 square feet located on a residential site is not required to comply with §150 k 11.
§150(k)l2: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters
Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air
leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between
the luminaire housing and ceiling.
§150(k)l3: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more
dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that
they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor,
and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management
control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor
luminaires used to comply with Exceptionl to §150(k)l3 may be controlled by a temporary override switch which bypasses the motion
sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed
luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not
be high efficacy luminaires.
§150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no
more than five watts of power as determined according to §130(d).
§150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable
requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable
requirements of Sections 130 131 134 and 146.
§150(k)l6: 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. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided
that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119.
F �A QUI NTA
I & SAFETY DEPT.
-3ROV/ED
,DNSTRUCTION
BY
EnergyPro 5.1 by EnergySoff User Number: 5289 RunCode: 2013-06-12T14:41:21 /D: 422013 Page 10 of 11
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
Avenida Villa
Date
6/12/2013
System Name
HVAC System
Floor Area
1,650
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
1
COIL
CFM
Total Room Loads 1,118
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation 0
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COOLING
PEAK COIL HTG.
PEAK
Heating System
Sensible
Latent CFM
Sensible
Output per System 45,500
22,013
2,436 289
12,037
Total Output Btuh 45,500
0
Output Btuh/s ft 27.6
1,271
460
Cooling System
0
0
Output per System 46,500
0
0 0
0
Total Output Btuh 46,500
5,705
2,436
-5,705
Total Output Tons 3.9
1,271
460
Total Output Btuh/s ft 28.2
Total Output s ft/Ton 425.8
1 30,259
1 7,252
Air System
CFM per System
4,375
HVAC EQUIPMENT SELECTION
Airflow cfm
4,375
ICP Commercial PDS448***K**'C' 19,327
19,861
28,418
Airflow cfm/s ft
2.65
Airflow cfmffon
1,129.0
Outside Air %
0.0%
Total Adjusted System Output 1 19,327
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK
19,861
Aug 3 PM
28,418
Jan 1 AM
Outside Air cfm/s ft 0.00
Note: values above given at ARI conditions
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating Peak
26 OF
Outside Air
0 cfm
68 OF
68 OF 106 °F 107 OF
C
Heating Coil Supply Fan
4,375 cfm 107 F
ROOM
68 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak
112/78`F
Outside AirAr
0 cfm
75 / 62 °F"Ni
75/62°F 55/54°F 56154°F
t p QTA
Cooling Coil Supply Fan "J 6 5 T. 4,375 cfm FETY
�• 46.8 %
STRUOT
,_ BY
EnergyPro 5.1 by EnergySoft
User Number. 5289 RunCode: 2013-06-12714:41:21 /D: 422013
"— Page 11 of 11