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14-0034 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 us . T4t!�-4-4Q" Application Number: 14-00000.034 Property Address: 52690 AVENIDA VILLA APN: 773 -304 -010 -14 -000000 - Application description: ' REMODEL - RESIDENTIAL Property Zoning:. COVE RESIDENTIAL Application valuation: 90000 Applicant: /� Architect or En ineer. 440 L_ A4_ ------------------ LICENSED CONTRACTOR'S DECLARATION r BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner. SANCHEZ XAVIER 52608 AVENIDA RUBIO LA QUINTA, CA 92253 . 0 Contractor: ABARCA CONSTRUCTION 79154 OLITE CT BERMUDA DUNES, CA 922 3 (760)766-5088 Lic. No.: 884767 w I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B icense No.: 884767 pate:.2 6 ntractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation„ will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code:- The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of gfggerty who builds nr imnrnvrc therenn. and mihn rnntry r.. fnr rho projvvty with a eentraatac(a) Ii4oi,,56J pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: t - 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: " t Lender's Address: fi VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/22/14 JA 2-3 20:11, CITYOeL QlllNwa I ..... � - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for. which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXE11fPT . Policy Number EXEMPT I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section /,37,00 of the Labor Code, I shall forthwith comply with those provisions. KDate: (&F, � Applicant: �!1 WARNING: /FAILURE TO SECURE WORKERS' 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 [coli Neisun upun wuuse WIWI UOS applleatlon Is. Inane, bath per -son at whose requesi 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 employeesfor any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all -- city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property fora spection purposes. xDate: Signature (Applicant or Agent):%�— LQPERMIT - Application Number 14-00000034 ------ Structure Information FIRE DAMAGE RESTORATION ----- Other struct info . . CODE EDITION 2013 # BEDROOMS 3-.00 Permit . . REMODEL 2013 .,Additional desc . Permit Fee 91.52 Plan Check Fee'. .00 Issue Date .` Valuation 0 Expiration Date .. 7/21/14 Qty. `Unit Charge Per Extension 1.00 48.6200 LS: MISC REMODEL, 1ST 100 SF 48.62 2.00 21.4500 EA MISC REMODEL, ADDL 500 SF 42.90 . Permit . . . PLUMBING 2013 Additional desc . Permit Fee 95.36 Plan Check Fee .. .00 - Issue Date Valuation . . 0 Expiration Date 7/21/14 Qty Unit Charge Per Extension F 7.00 11.9200 EA PLBG FIXTURE/TRAP 83.44 " 1.00 11.9200 EA PLBG WATER INST/ALT/REP ---------------------------------------------------------------------------- 11.92 Permit . . MECHANICAL 2013 Additional desc . Permit Fee 107.26 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 7/21/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 1.00 35.7500 EA MECH AIR HANDLER,- 35.75 2.00 '11.9200 EA MECH VENT FAN 23.84 1.00 11.9200 EA MECH EXHAUST HOOD 11.92 Permit . . . ELECTRICAL 2013- 013Additional Additionaldesc-. Permit Fee 143.00 Plan Check Fee .00 - Issue Date . . . Valuation . . . 0 Expiration Date 7/21/14 Qty Unit Charge Per Extension LQPERMIT .. Application Number . . . 14-00000034 Permit ELECTRICAL 2013 Qty Unit Charge Per Extension 1.00 143.0000 LS ELEC NEW RES, FIRST 1 KSF 143.00 ----------------------------------------------------------------- Special Notes and Comments FIRE -DAMAGE RESTORATION TO CONDITIONED FLOOR AREA ONLY [CONVENTIONAL] REMOVE AND REPLACE MECHANICAL, ELECTRICAL ANDII PLUMBING INSTALLATIONS, ROOFING AND TRUSSES, AND INSULATION AND DRYWALL. DOES NOT INCLUDE ALTERATION TO EXTERIOR WALLS OR WINDOWS, OR ADDITIONAL SQUARE FOOTAGE_ 2013 CALIFORNIA BUILDING CODES. January 22, 2014 4:34:44 PM AORTEGA ------------------------------------------------ - Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 4.00 PLAN CHECK, ELECTRICAL 47.19 PLAN CHECK, REMODEL 167.31 PLAN CHECK, MECHANICAL 50.06. PLAN CHECK, PLUMBING 95.36 STRONG MOTION (SMI) - RES 9.00 Fee summary Charged Paid Credited Due -------- ---------- Permit Fee Total 437.14 .00 ---------- ---------- .00 437.14 Plan Check Total .00 .00 .00 .00 Other Fee Total 372.92 .00 .00 372.92 Grand Total 810.06 .00 .00 810.06 LQPERMIT - - . Bin # S 0ty Of La Quinta Building 8f Safety Division • P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # sq Project Addresses SZ _ ( Owner's Name: lE A. P. Number: + Address: rJ z_ �c� O AV ENt V l LL Legal Description: 1 ' City, ST, Zip: Contractor: Telephone:_ - fAddress: 1� _ —� ��• CpV :Project-Description: C City, ST, Zip: k j,. l O C1Z2� 3 Telephone: `f (oO—Z la �o - SO :.;:.:<<::::zx:;:g::>:::>,:<:>; ::<>< State-L-ic. #k:: 8-� r'E -? QP—j City Lia #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone:: ><: . . '$' %"'" ''"""'"""'' """""^"'^' .:•;.>>:>>»;�>?rs:.,:;�<::;:?><ProJect Construction Type: Occupancy: State Lic. #: tYPa (circle one): New Add'rAlter Repair Demo Name: of Contact Person:=-p����F—�� j-��� Sq. #Stories: #'Units: Telr phone #,of Contact Person;,? Coo= f t9� _ S p �� C Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'.d 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 2qd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3W Review, ready for correctio ss Developer Impact Fee Planning Approval Called Contact Person, A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees s Total Permit Fees r I I1yhD1� — S'[l2 taws, � �yA� • �+� T,0 tS,srG'' Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 1 of 5 Project Name: i Climate Zone # Fire Damage Repair 5 1 # of Stories General Information Site Address:52-690 Avenida Villa Enforcement Agency:COLQ DatE:January 22, 2014 Building Type[@Single Family �J Multi Family Circle the Front Orientation: N, E, S, W, or degrees Conditioned Floor Area (CFA): 1,242 Project Type: J Alterationsxl Envelope J Fenestration x Roof W HVAC Framing Replacement or Change Out El Duct Replacement M Water Heater NOTE: This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below,, Assembly Alteration J Opening of framed cavity alone—Alterations that involve the opening of the framed cavity ofa wall, ceiling, or floor must install the mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A —C and enter mandatrry insulation value in Column H. 0 Replacement of entire assembly— Replacement of an entire wall, ceiling, or floor assembly requires the instcllation of Component Package- D insulation values in Table 151-C. Fill in Columns A — J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B C D E F G I H I I 11 J Proposed See Note Standard Values From JA4 Table in Furring Space from Reference Framing Thickness, Joint A endix Table 4.3.13 Framed Continuous JA4 Proposed Tag/ Assembly Name IDS or Type 2 Material and Size Spacing, or Other' U- factor4 JA4 Table Cavity Insulation Numbers R-value6 R-Valie7 Assembly Cell Value8 Assembly U-factor9 Wall Wood 2x4 16" oc o c •2 H o 13 Mass Roof Wood Truss 24" oc 2 38 SolThickness �;o T e Number' ¢ > c x ° ° ,�LL) Q ent Note: For furred assemblies, accountingfor Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculatingArred walls use the Mass and Furring Construction table below. 1. For Tag/ID indicate the identification name that matches the building plans. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc... Indicate in column G the Frame in and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possibleframe type assemblies. 3. Enter the thickness for mass in inches or Spacing between framing members enter; 16"or 24"OC; or Other for all other assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... 4. Based on the Climate Zone; enter the equivalent U factor found in JA4 Table based on the R- Value from Table 151-B, C or D 5. 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 for the proposed assembly; otherwise, enter "0". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply. Furring Strips Construction Table for Mass Walls Only A I B I C I D I E F G H I J I K L Proposed Properties of Masonry and Concrete Walls From Reference Added Interior or Exterior Insulation XY Q in Furring Space from Reference Q Joint Appendix Table 4.3.5, 4.3.6, 4.3.7 Joint A endix Table 4.3.13 N 9 Ucn" _ O \ Assembly o c •2 H o „ Mass Name or JA4 Table 2 b ot SolThickness �;o T e Number' ¢ > c x ° ° ,�LL) Q ent -A` 50 \; OP Registration Number: 2008 Residential Compliance. Forms Registration Date/Time: HERS Frovider: August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 2 of 5 Project Name:Climate Zone #15 # of Stories Fire Damage Repair � Mass and furring Strips Construction(footnotes) 1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Wall:, Etc. Additional assemblies can be found Reference Joint Appendix JA4. 2. This is the U -Factor based on the thickness of the assembly in inches. 3. The R -value of the insulation to be added on the interior or exterior of the assembly. 4. The Calculated R- Value is the R -value of the furred out section of the assembly. .-6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column added to Column I. Column K is the inverse from column J. 7. Insert the calculated U- actor value on to the Opaque Sur ace Details in Column J FENESTRATION PROPOSED AREAS ❑J 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 50ft2 or less of window area —Newly installed windows shall meet the U -Factor and SHGC Valw requirements of Component Package D in Table 151-C. 0 Adding more than 50fe 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 1517C. Complete the Altered Fenestration Allowed Area Tcble on Page 2 of the CF -IR -ALT Orientation Fenestration Type and Frame Window, Glass Door or Skylight) (North, East, South, West) PropsedAreal Maximum U -factor , 3 Maximum NFRC or Default SHGC2.3, ° Values Existing Windows to Remain E F G Allowed Existing Fenestration Toty Area CFA of Entire % of Fenestration Area Fenestration Albwed Proposed Areae Dwelling 1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less that 50% 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 louver Ufactor andlor a lower SHGC value than that specified on the*CF-1R ALT Form. 4. Submit a completed WS -31? Form if a reduced SHGC is calculated with exterior shading. 5.If applicable at this stage enter "NFRC" for NFRC Certified windows or are CEC "Default " valuesfound in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 50ft2 of fenestration is added) A B C D E F G Allowed Existing Fenestration Toty Area CFA of Entire % of Fenestration Area Fenestration Albwed Proposed Areae Dwelling CFA Area Removed Area Added(A--x B) (E -D) + C Total Fenestration Area (ft') .20 > West Fenestration Area (Required In .05 > CZ's 2,4&7-15)— 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. West facing glazing area removed cannot be "counted" twice. " In order to distribute the west glazing area removed to the other orientations, input the west glazing area removed in the Total Fenestration Area row, column D. 3. Include the Proposed Area of the West facing fenestration in both Area columns below. 4. To meet compliance, the Proposed Area -must be less than orequal to the Total Allowed Area or BOTH the Totcl and West Fenestration Areas. Registration Number: Registration DatelTime: HERS Frovider: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 3 of 5 Project Name: Climate Zone # # of Stories Fire Damage Repair 115 1 ROOFING PRODUCTS (COOL ROOFS) §15109i2 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or mora than 1,000 fiz, whichever is less, the new roofing area must meet the roofing product "Cool Roof' requirements of §152(b)1Hi,152(b)IHit, or 152(b)IHiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(i) are not applicable. Do not fill table below. Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. -JJool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than 5lb/ft2. Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12) Insulation with a thermal resistance of at least 0.85 heft •°FBtu or at least a 3/4 inch air -space is added to the roof deck over an attic; or J Existing ducts in the attic are insulated and sealed according to §15l(f)10; or In climate zones 10, 12 and 13, with 1 ftZ of free ventilation area of attic ventilation for every 150 ft2 of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or J Building has at least R-30 ceiling insulation; or J Building has radiant barrier in the attic meeting the requirements of § 151(02; or Q Building has no ducts in the attic; or Q In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)1Hiii, Low -slope roof (pitch <_ 2:12) 0 Building has no ducts in the attic. Other Exceptions. J Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. l Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft2 _ is exempt from the be ow Cool Roof criteria. Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, Check the applicable box below if Exem t from the Roofing Products "Cool RoofRe uirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number < 2:12 > 2:12 < 51b/ft>_ 5lb/ft ' Type2 Reflectance 3i4 Emittance SRI5 © Q Q ❑4 ❑ ❑J ❑J ❑J�,aa O ❑ ❑J ❑ LI a 0 a a D D p p4 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroo`s. org/products/search." 2. Indicate the type of product is being used for the roof top, i.e. single ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0,7(pinirial - 0.2) to obtain a calculated aged value. Where pis the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at http://www.energy.ca.gov/title24/and enter the resulting value in the SFJ Column above and attach acopy of the SRI- Worksheet to the CF -JR. Yo apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage ecommended by the coatings manufacturer and meet minimum performance requirements listed in § 1.18(i)4. Selec- the applicable coating: J Aluminum -Pigmented Asphalt Roof Coating J Cement -Based Roof Coating J Other Registration Number: Registration Date/Time: HERS P-ovider: 2008 Residential Compliance Forms August 2009 i -n Prescriptive Certificate of Compliance: Residential CF -1R -ALT Residential Alterations age 4 of 5 Project Name: Fire Damage Repair Climate Zone N. 5 # of Stories 1 HVAC SYSTEMS - HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be Heating Equipment Type and Capacity 1.2,3 Minimum Duct or Piping Configuration Efficiency Distribution Insulation Thermostat (Central, Split, AFUE or HSPF Type and Location R -Value Type Space, Package or H dronic Heat Pump 7.7 Ducts/Attic R-8 Setback Split 1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception. 3. Refer to the HERS Verification section on Page 4 of the CF -JR -ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc) HVAC SYSTEMS - COOLING Minimum Insulation Type' Standard, Recirculating)2 . Efficiency Cooling Equipment (SEER/EER or\ Type and Capacity 1.2 COP) Distribution Type and Location' Duct or Piping Insulation R -Value Configuration Thermostat (Central, Split, Type Space, Package or H dronic Air -Conditioning 13 Ducts/Attic R-8 Setback Split 1. Indicate Cooling Type (A/C Heat pump, Evap. Cooling, etc) 2. Refer to the HERS Verification section on Page 4 of the CF -IR -ALT Form for additional requirements and che.�k applicable boxes. 3. Indicate Type or Location Ducts, H dronic in Floor, Radiators, etc. WATER HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be gas or propane fired. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground hvt water pipes is required in all component packages in all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Type' Standard, Recirculating)2 . System Capacity (gal) Thermal. Efficiency R-Value3 Existing to Remain 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and i es shall be insulated to meet the requirements of §1500). SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specij ed in this checklist below. These items may require written 'usti kation and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of $151 2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation J YES M NO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation U YES QNO YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation LJ YES [] NO YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. Registration Number: 2008 Residential Compliance Forms Registration Date/Time: HERS Frovider: August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 5 of 5 Project Name: Climate Zone # # of Stories Fire Damage Repair - 5 1 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 bu'lding inspector before final inspection. Duct Sealing & Testing HERS verification is required for this measure. xl YES NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per §152(b)iDii and the newly installed ducts are to be insulated per §151(f)10. Q EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. Mi YES NO 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. J YES ONO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including be replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per § 152(b)1 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. Q EXCEPTION: Duct systems with less than 40 linear feet in' unconditioned space. J EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Refrigerant Charge -Split System HERS verification is required for this measure. J YES Q NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (inclucLng the replacement of the air handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per 152(b)IF. Central Fan Integrated (CFI) 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 requiredpr this measure. XI YES 0 NO YES: In Climate Zones 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 §I52(b)ICi to meet the requirements of §151(f)7B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and com tete. Name: Andrew Abarca Signature: Company:Abarca Construction Date: Address: 79-154 Olite Court If Applicable CEA or[3CEPE (Certification #): City/State/Zip:Indio, CA 92203 Phone: 760-766-5088 Responsible Building Designer's Declaration Statement • I 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. • I 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 approval with this building permit application. Name: Signature: Company: Date: Address: License: City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotlineat:]-800-7;2-3300. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 t A . ,�'•`1a t e � � .G 'r 3 a z .`-- � f �'+ F ��r: �i :.,fit• . J tl�l'�(�•` ' e I 4 i J' .� k Lo W '44- 0 4� C% e'l'. 0. 'USOX. I;5 Q'4 �..y gt tie rt4 J .✓. t, _ T }� •` „�.,« LA QUIN TA, CALfFORNIA•922"47;;150`41 lB.UiLDlNG,& SAFElff-DEPARTMENT s 78 495 CAL-:LE TA-M`PICO:` (7-60).777.70;1`2 f, 6 OF I �' LA QUINTA , CAL'IFOR'N(A.92253 r ,FAXx,.(Z60)�177-7011 } 41 T:RANSMIT'TAL :'TO , O�UNG ❑VCA ❑ESGILi . ❑QOMFLETE PLAN CHECK/N/S -STRUCTURAL z ATTENTION, TODAY'S DATE QUE DATE:, x ''.RROJECT ADDRESVkl S: �' '' , APPLICANT-NAME:'f SUBMITTAL' �lo� �3Ro ❑47+x, QSrH' a a." 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