10-0190 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4:tit 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 10 - 00000190
Property Address: 1_78701 -DEACON DR E
APN:. 770-230-010- - -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 377870
Applicant:
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury.that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
Llcens�ss: B icense No.: 744091
ate ontractor.
OWNER -BUILDER CLARATION
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 ($5001.:
1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and lo
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thgreon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.). .
1 _ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: I
((��
Lender's Address:
LQPERNIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/31/10
Owner:
GERALD & ROSE PAHL
Contractor:
SUN VISTA DEVELO C O$ 2�1�
P.O. BOX 1144
LA QUINTA, CA 92 47 L,mAF
(760) 771-4722 FtlV,a�E FRQUINTA
Lic. No.: 744091 j
------------------
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.
Y -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 STATE FUND Policy Number 0000179-2009'
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
3700 of the Labor Code I shall fort with comply with those provisions.
e: plicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE RAG 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 Ouinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereb uthorize representatives
of
hi ou'111 /ttgoeennter upon the above-mentioned property r ins urpos
%'yy S' ture (Applicant or Agent):
e ..
Application Number . . . . . 10-00000190
------ Structure Information 4359 SF SFD
-----
Construction Type, . .
. . . TYPE V, UNPROTECTED
Occupancy Type . .
. . . DWELLG/LODGING/CONG <=10
Other struct info . .
. . . CODE EDITION 2007/08 ENERGY
# BEDROOMS
3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
892.00
PATIO SQ FTG
615.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
4359.00
Permit
BUILDING PERMIT
Additional desc
4359.SFD W/ CASITA
Permit Fee . . . .
1612.50 Plan Check Fee
1048.13
Issue Date . . . .
Valuation . . . .
377870
Expiration Date
2/27/11
Qty Unit Charge
Per
.Extension
BASE FEE
639.50
278.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
973.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
142.50 Plan Check Fee
35.63
Issue Date . . . .
Valuation
0
Expiration Date
2/27/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 9.0000
EA MECH FURNACE <=100K
27.00
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
2.00 16.5000
EA MECH B/C >3-15HP/>100K-500KBTU
33.00
8.00 6.5000
EA MECH VENT FAN
52.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW•RESIDENTIAL
Additional desc .
Permit Fee . . . .
212.71 Plan Check Fee
53.18
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/27/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4359.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
152:57
LQPERMIT
`" -
Application Number . . . . . 10-00000190
Permit ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
1507.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
30.14
1.00 15.0000
----=-----------------------------------------------------------------------
EA ELEC TEMPORARY POWER POLE
15.00
Permit . . .
PLUMBING
Additional.desc..
Permit Fee . . . .
219.00 Plan Check Fee
54.75
Issue Date
Valuation . . . .
0
Expiration Date
2/27/.11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
22.00 6.0000
EA PLB FIXTURE
132.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 6.0000
EA PLB ROOF DRAIN
6.00
2:00 7.5000
EA PLB WATER HEATER/VENT
15.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
12.00 .7500
EA PLB GAS PIPE >=5
9.00
1.00 15.0000
----------------------------------------------------------------------------
EA PLB GAS METER
15.00
Permit . . .
GRADING PERMIT
Additional desc .
Permit Fee . . .
15.00 Plan Check Fee
.00
Issue Date
Valuation . . . .
0
.Expiration Date ..
2/27/11
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Special Notes and Comments
4359 SF SFD (RESIDENCE:
3625 SF, CASITA:
734 SF)R-3 OCC. TYPE
V -B CONSTRUCTION.
2007 CODES/2008 ENERGY.
2008 DIF.
**PERMIT DOES NOT INCLUDE
BLOCK WALLS,
FENCES, POOLS, SPA, DRIVEWAY APPROACH OR
BBQ'S**
-------------------------------------------------------=--------------------
Other Fees . . . . .
. . ART IN PUBLIC PLACES -RES
444.68
BLDG STDS ADMIN (SB1473)
16..00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
104.81
DIF FIRE PROTECTION -RES
140.00
LQPERMIT
Application Number . . . . . 10-00000190
----------------------------------------------------------------------------
Other Fees
.,. . . . .
DIF
LIBRARIES -.RES
355.00
DIF
PARK MAINT FAC
- RES
22.00
DIF
PARKS/REC - RES
892.00
STRONG MOTION (SMI)
- RES
37.79
DIF
STREET MAINT FAC -RES
67.00
DIF
TRANSPORTATION
- RES
1930.00
Fee summary
-----------------
Charged
----------
-7 --------
Paid Credited
----------
Due
Permit Fee Total
2201.71
.00
----------
.00
2201.71
Plan Check Total
1191.69
750.00
.00
441.69
Other Fee Total:
5078.28
.00
.00
5078.28
Grand Total
8471.68
750.00
.00
7721.68
LQPERMIT
Building / S 70
Address VV
TitT 4 4 " 10-190
P.O. BOX 1504 APPLICATION ONLY
/�'/�48-495 CALLE TAMPICO
G� QUINTA, CALIFORNIA 92253
vwryar ? P.SL AHL
Mailing
Address � /
�.{
Contractor 1n I ^ /
�'�
State Lia Ulty
& Classif. Lic. #
Arch., Engr.,
Designer 5% /4 0/5
Jy1rs a� 6-T-1,440 70 r" ,4`W
Q/11411✓,nq 1- r-IGL5-1' I Li -c.-#
Y LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis
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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon and who does such work himself or through his own emplo ees, provided
that such improvements are not intended or offered for sale. If, however, the building or im-
provement is sold within one year of completion, the owner -builder will have the burden of
proving that he did not build or improve for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct
the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves thereon, and who contracts for such
projects with a contractor(s) licensed pursuant to the Contractor's License Law)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less).
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to Workers' Compensation Laws of
California.
Date Owner
NOTICE TO APPLICANT.' If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work
for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 6 r a�y1dl ' /
Ogal Description 7 ly l /
Description
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE—
Issued by:
Validated by:—
Validation:
YELLOW = APPLICANT
INSPECTO
Date Permit
PINK = FINANCE
Sq. Ft.
Size
No. / No. Dw.
Stories Units
/
New Add ❑
Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation
G�d QrfO
U
PERMIT
AMOUNT
Plan Chk. Dep.
rW
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
•�'.t, J
i
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE—
Issued by:
Validated by:—
Validation:
YELLOW = APPLICANT
INSPECTO
Date Permit
PINK = FINANCE
Comments Above square footage includes detached casita
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.97 X 4,359 S.F. or $12,946.23 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By CC/1 st Bank - Bill Leddy Check No. 95053
Name on the check Telephone
Funding Residential
By Dr. Sharon P. McGehee
Superintendent
Fee collected /exempt y Sha r n ilvre Payment Recd $0.00 ".
$12,946.23 ;;Aver/Uhaer,
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will sery to otify you that the 90 -day approval period in which you may protest the fees
or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on
which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting
RECORDING REQUESTED BY:
Lawyers Title - IE
WHEN IkECORDED MAIL THIS DOCUMENT
AND TAX STATEMENTS TO:
Gerald Pahl, President
14 PINE COURT N.E.
MEDICINE HAT, AB, CANANDA, i T1 C1 R3
Order No.: 69690167
Escrow No.: PDL10215-CM
A.P.N.: 770-230-010
DOC # 2009-0457762
09/02/2009 08:00A Fee:9.00
Page 1 of 1 Doc T Tax Paid
Recorded in Official Records
County of Riverside
Larry U. Ward
Assessor, County Clerk & Recorder
11111111111111111111111111111111111111111111111111 IN
S R U PA,E SIZE DA MISC
LONG
RFD COPY
A L 4+5 426 COR COR
SMF
NCHG exnM
UNI
V71
CTY
T? . 0Z0—j'Z2 GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX IS $594.00
21 City of La Quinta 008
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Carey G. Martz, a married man as his sole and separate property ,J
hereby GRANT(S) to 494 803 Alberta Ltd. J
the following described real property in the County of Riverside, State of California
LOT 20 OF TRACT NO. 24870-1, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF
CALIFORNIA, AS PER MAP RECORDED IN BOOK 263, PAGE(S) 76 THROUGH 90 OF
MISCELLANEOUS MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.
Dated: June 25, 2009
State of California
County of Leos Angeles j ss
On July 13, 2009 before me
FRANCENE D. URALMAN
a Notary Public, personally appeared
who proved to me on the basis of satisfactory evidence to be
the person(4 whose name!) is/are subscribed to the within
Instrument and acknowledged to me that he/shefthey
executed the same in his/hedtt;e1L„authorized capacity(ies)
and that by his/herftheir signature) on the instrument the
person(, or the entity upon behalf of which the person (s),
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is true
and correct.
WITNESS y ha d a d official seal.
Signature
Signature o6iy
1
Care) d. MarTz
FRANCENE O. URgLIy►AN
NOTARY PUSUC - CAU
COMMISSION f 172at
LAS ANGELES COUNTY
Mr Comm. Exp. Fetuuary 1Z, II011
web 12�? tt
(This area for official notary seal)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
...JOVEN ENGINEERING
S t r u c t u r a I E ng e i
9 n e r n g
-�--- P.O. Box 5098 La Quinta, CA 92248-5098 (760) 408-6441
May 27, 2010
City of La Quinta
Building & Safety Department
78-495 Calle Tampico
La Quinta, CA 92253-1504
Attn.. Department of Building and Safety
Ref: Pahl Residence
78-701 Deacon Drive East
La Quinta, CA
Plan Check No. 10-190
Subject: Roof Truss Calcs
Dear Sirs,
Job No. 10-552
We have been provided with Truss Calculations pckage provided by Spates Fabricators to be
used for referenced project. We have reviewed Truss layout and Calculations and find them to
be in general agreement with the design intent for this project.
If you have further questions, please feel free to call.
Sincerely,
Joven Eng n efing
Pa.
osephR. Venuti, C.E. 41210
C: JOV HN706$ bqO S52 I RU$SR- I Will)
nn CITY OF LA QUINTA SUB -CONTRACTOR• LIST
JOB ADDRESS 78- 74 1. ace -1i PERMIT NUMBER OWNER BUILDER
This form shall be posted on thgjob with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Trade / Classif'rcat!on
Contractor
State Contractor.`.s..licoose
Wot**rs Co nso0on insurance
Ci Business iicartSa
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xr/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/x
License Number
(xxxx)
Exp. Date
(xx/xx/xx)
EAftTHWORK (C.1.24
'7b'4Td ><r/o add
(f3
3QZL $
3 //
s'�j7a TiJ-!1D
Z3 B �/L �%
7 °/ /�
/
/D77 �f�
.3/
CONCRETE. (C=8I
D /Q d
lig
O`�
Y if Z %
L� /L
TbG��r�''/��J,G`
GvS(m0 / 79 ��
7 Z /(
/OS 37
Z ll�
FRAMING (C-5)
STnue.r. STEu (C::S1)
MASONRY (C-29) ..
PLUM81NG (C -36)
f}- G„c_Qpy��--
LATH, PLASTER .C45)
DRYWALL (C-9) >...
HVAC (C-20)
ELECTMCAL (C-10)
-A-9— b-c-QI-[,cr
ROOFING (C-39)::
SHEET META1;�{G43}
Ff:O(3R(NG (Cw151
GLAZING IC -17)
INSt1,UET1ON cc..t-Z
.SEWAGE WSP. (C d2}
0A1N*11NG (C-33)
CERAMIC TILT -IC -6.4)
CABINETS (C-6).
FENCING (CA3)
LANDSCAPINQ (C-27)
ei
POOL (C-53)
604' ��'�
�-��
S /�%�
ld
Cc�73 1�
'0.,o(U rl a'L � `'� r iy/ •i darts �iyca' e' / 27� `.�65�Z- /o -7 �h , r,
�G�3��ir
2 Z6 0516 So —/e,/ 'Y7/ �S�/
F
4
P.O. BOX 1504
LAQUINTA, CALIFORNIA 92247-1504 BUILDING &SAFETY DEPARTMENT
OP fly 78-495 CALLE TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
PROPERTY OWNER'S PACKAGE
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMMATANT1 NOTICE'rn punpEKTv OWNER
Dear Property Owner.
An application for a building permit has bees submitted in your name listing yourself as the builder of the property
imWovements specified at
We are providing you with as Owner -Builder Aclmowlodgment and Information Verification Form to make You awm of your
responailities and possible risk you may incur by having dais permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your under tan ling of each provision,
signed, and returned this form to us at our otfleial address indicated. An agent of the owner cannot exectrte dais notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OVKNVR'S ACKN .WL.EDE>'MWfI AND VEAIFLCATWN OF RMARMAMN
DIRE/CYTONS: Read and initial each statement below to signify you und'v3twed or verify dais information.
1. I understand a fiequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies drat the property owner is providing his or her own labor and material permnal}y. I, 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 party.
J�V--2. I understand building permits are not required to be signed by property owners unless they are responsible for the
n construction and are not hiring a licensed Contractor to assume this responsibility.
_Zs• I understand as an "Owner -Builder" I am tate responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in has or her name Instead of my
wn.
�4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
units and contracts.
5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
_ of_my construction is at_least. foe=hundred=dollars:.($500),-including labor =and--materials,-L: may=be -be,
under state and federal law.
N 6. I understand if I am considered an "employee, under state and federal law, i must re
gaster 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 financier
\t� risk
7. 1understand under California Contractors' State License Law, an Owner -Builder who builds single-family residenti<
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by license
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performt
under contract with a licensed general building Contractor.
V 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal, bo ries sustained by any subsequent owner(s) that result from any latent construction defects in the
won a,aship or materials.
t/ 4. l understand I may obtain more information regarding my obligations as an "employer ' from the Latsrnal Rov"enue
Service; -the United States Small -Business •Administration;-thc-CafifomiaDeP- artmcut of Benefit Payments: and"the California
--
Division of Industrial Accidents. I also understand 1 may contact the California Contractors' State License Board (C9LB) at 1-
800�321-CSLB (27 52) or www.csib.ca.gov for more information about licensed contractors.
I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
ply legally and financially responsible for proposed construction activity at the following address:
-C'—'/—t I. I agree that, as the party legally and ftnaacially responsible for this proposed construction activity, 1 will abide by all
applicable liws and requirements that govern Owner -Builders as well as employers.
V2. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to my of the inforuuation 1
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 lkmw, the Conbwtors' State License Board may be unable to ash you with any financial loss
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 you to. understand Meat if an unlicensed Contractor or employee of that individual or firm is injured while waking
on your property; you may be held kis* for damages. If you obtain a permit as Owner -Builder and wish to titre Cot"ciors,
you will be mspoushis for verifying whether or not those Contractors are property tkmmd and the status of their workers'
compensation insuuaaoe 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 issaift iko permit. Now A copy of the property owias►'s *+Osex Nowne, fwm xqftdwdoxh or
other verification acceptable so the is required to be presenW when tyre perrrrit is iin"d to vw' d" proPCm
owner's signature.
fJSignature 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 Ouvner-Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S UR6LF
Excluding the Notice to Property Owner, the execution of which l understand. is my personal responsibility, l hereby authorize
the following person(s) to act as my agent(s) to apply for, sign- d file the documents necessary to obtain an Owner -Builder
Permit for my project: ' r
Scope of Construction Project (or Description of Work): O
Cn
Project Location or Address:
Name of �uthoriaed Agent: (2 L'�L L=� Tel No 60 S
----Addr�css_oL-Autho�_Agent:=6j �Co�(
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 ratify 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 p ed when the permit is issued to verify the property owner's signature.
Property Owner's Signature:EA Date: l � ��
BUILDING ENERGY ANALYSIS REPORT
PROJECT:
Pahl Residence
78-701 Deacon Drive East
La Quinta, CA
Project Designer:
{
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
`i FOR CONSTRUCTION
DATE
Report Prepared by:
Joan D. Hacker
Insu-form, Inc.
77-810 Las Montana Road, Suite 210
Palm Desert, Ca 92211
760-345-1352
I-ECEIVED
MAY 2 8 2010
BY:
Job um er:
Date:
4/6/2010
9010 BY I
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.
I TABLE OF CONTENTS . I
Cover Page 1
Table of Contents 2
Form CF -1 R Certificate of Compliance 3
Form MF -1 R Mandatory Measures Summary 12
HVAC System Heating and Cooling Loads Summary 15
5.0
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name
Pahl Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
4/6/2010
Project Address
78-701 Deacon Drive East La Quinta
California Energy Climate Zone
CA Climate Zone 15
Total Cond. Floor Area
4,359
Addition
n/a
# of Stories
1
FIELD INSPECTION ENERGY CHECKLIST
El 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
Slab Unheated Slab -on -Grade
None 4,359 Perim = 68' New
Wall Wood Framed
R-19 2,086 New
Roof Wood Framed Attic
R-38 4,359 Radiant Barrier New
FENESTRATION U-
Orientation Area Factor
Exterior
SHGC Overhang Sidefins Shades Status
Front (N) 36.0 0.350
0.24 2.0 none Bug Screen New
Front (N) 72.0 0.360
0.20 2.0 none Bug Screen New
Front (N) 12.0 x350
a24 2.0 none Bug Screen New
Front (N) 12.0 0.350
a24 2.0 none Bug Screen
New
Front (N) 48.0 0.360
0.20 2.0 none Bug Screen
New
Left (E) 35.8 0.350
0.24 2.0 none Bug Screen
New
Left (E) 1.8 0.350
0.24 2.0 none Bug Screen
New
Left (E) 25.0 0.350
0.24 2.0 none Bug Screen
New
Left (E) 48.0 0.360
0.20 2.0 none Bug Screen
New
Left (E) 6.0 0.990
0.74 2.0 none Bug Screen
New
Rear (S) 48.0 0.350
0.24 2.0 none Bug Screen
New
HVAC SYSTEMS
Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status
2 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback
New
1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback
New
HVAC DISTRIBUTION
Location Heating
Duct
Cooling Duct Location R -Value Status
Whole House Ducted
Ducted Attic, Ceiling Ins, vented 8.0
New
Casita Ducted
Ducted Attic, Ceiling Ins, vented 8.0
New
WATER HEATING
Ot . Type Gallons Min. Eff Distribution Status
2 Small Gas 50
0.62 All Pipes Ins
New
1 Small Gas 40
0.62 All Pipes Ins
New
Ener Pro 5.0 by Ener Soft User Number. 2655 RunCode: 2010.04-06T16:12:1 to:
Page 3 of 16
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name
Pahl Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
4/6/2010
Project Address
78-701 Deacon Drive East La Quinta
California Energy Climate Zone
CA Climate Zone 15
Total Cond. Floor Area
4,359
Addition
n/a
# 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
FENESTRATION U-
Orientation Area Factor
Exterior
SHGC Overhang Sidefins Shades Status
Rear (S) 96.0 0.360
0.20 2.0 none Bug Screen New
Rear (S) 180.0 0.360
0.20 14.0 none Bug Screen New
Rear (S) 16.0 0.350
0.24 2.0 none Bug Screen New
Right (W) 18.6 0.350
0.24 2.0 none Bug Screen New
Right (W) 2.3 0.350
0.24 2.0 none Bug Screen New
Right (tN) 3.0 0.350
0.24 2.0 none Bug Screen
New
Right (tN) 2.3 0.350
0.24 2.0 none Bug Screen
New
Left (SE) 12.0 0.350
0.24 2.0 none Bug Screen
New
Front (N) 12.0 0.350
0.24 2.0 none Bug Screen
New
Front (N) 12.0 0.350
0.24 2.0 none Bug Screen
New
Front (N) 9.0 0.350
0.24 2.0 none Bug Screen
New
HVAC SYSTEMS
Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status
HVAC DISTRIBUTION
Location Heating
Duct
Cooling Duct Location R -Value Status
WATER HEATING
Ot . Type Gallons Min. Eff Distribution Status
EnergyPro5.0 by Ener Soft User Number: 2655 RunCode: 2010-04-06T16:12:1 ID:
Page 4 of 16
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name
Pahl Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
4/6/2010
Project Address
78-701 Deacon Drive East La Quinta
California Energy Climate Zone
CA Climate Zone 15
Total Cond. Floor Area
4,359
Addition
n/a
# 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.
El Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION Area Special
Construction Type Cavity Features see Part 2 of 5 Status
FENESTRATION U- Exterior
Orientation Area Factor SHGC Overhang Sidefins Shades Status
Rear (S) 6.0 0.350 0.24 2.0 none Bug Screen New
Rear (S) 6.0 0.350 0.24 2.0 none Bug Screen New
Right (Kq 24.0 0.350 0.24 8.0 none Bug Screen New
Right (tM 48.0 0.360 0.20 8.0 none Bug Screen New
Right (M 48.0 0.350 0.24 6.0 none Bug Screen New
HVAC SYSTEMS
Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status
HVAC DISTRIBUTION Duct
Location Heating Cooling Duct Location R -Value Status
WATER HEATING
City. Type Gallons Min. Eff Distribution Status
Ener Pro 5.0 by Ener Soft User Number: 2655 RunCode: 2010-04-06T16:12:1 /D:
Page 5 of 16
PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R
Project Name
Pahl Residence
Building Type ® Single Family ❑ Addition Alone
1 ❑ Multi Family ❑ Existing+ Addition/Alteration
Date
4/6/2010
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.
The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential
Appendix RA4.2.2.
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.
The Cooling System Bryant includes credit for a 11.2 EER Condenser. A certified HERS rater must field verify the installation of the correct
Condenser.
The HVAC System Whole House includes credit for Verified Fan Energy. Measured Fan Energy may not exceed 0.58 w/cfm.
The HVAC System Whole House incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display.
Compliance credit for quality installation of insulation has been used. HERS field verification is required.
The HVAC System Whole House includes credit for verified adequate airflow. A certified HERS rater must diagnostically measure airflow of the HVAC
System.
The Cooling System Bryant includes credit for a 11.2 EER Condenser. A certified HERS rater must field verify the installation of the correct
Condenser.
The HVAC System Casita includes credit for Verified Fan Energy. Measured Fan Energy may not exceed 0.58 w/cfm.
The HVAC System Casita incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display.
The HVAC System Casita includes credit for verified adequate airflow. A certified HERS rater must diagnostically measure airflow of the HVAC
System.
Ener Pro 5.0 by Ener Soft User Number: 2655 RunCode: 2010-04-06T16:12:1 1D: Page 6 of 16
PERFORMANCE CERTIFICATE: Residential Part 3 of 5 CF -1 R
Project Name
Building Type m Single Family ❑ Addition Alone
Date
Pahl Residence
1 ❑ Multi Family ❑ Existing+ Addition/Alteration
4/6/2010
ANNUAL ENERGY USE SUMMARY
Standard Proposed Margin
TDV kBtu/ft2 r
Space Heating 0.87 1.64 -0.77
Space Cooling 55.16 47.90 7.26
Fans 10.86 10.73 0.13
Domestic Hot Water 8.37 11.81 -3.44
Pumps 0.00 0.00 0.00
Totals 75.27 72.08 3.18
Percent Better Than Standard: 4.2%
BUILDING COMPLIES - HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation: (N) 0deg Ext. Walls/Roof Wall Area Area
Number of Dwelling Units: 1.00 (N) 610 213
Fuel Available at Site: Natural Gas (E) 846 129
Raised Floor Area: 0 (S) 820 352
Slab on Grade Area: 4,359 (K9 650 146
Average Ceiling Height: 9.8 Roof 4,359 0
Fenestration Average U -Factor: 0.36 TOTAL: 840
Average SHGC: 0.22 Fenestration/CFA Ratio: 19.3%
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 Insu-form, Inc.
4/ 20 0
Address 77-810 Las Montana Road, Suite 210 Name Joan D. Hacker i - 0
City/State/ZipCity/State/Zip Palm Desert, Ca 92211 Phone 760-345-1352 i ed 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 envel a sealing require
installer testing and certification and field verification by an approved HERS rater.
Designer or Owp�ir (per usiness & Professions Code)
Companyro*r?l Y'4r 4W4� 1AC.
Address ���%s C��� ��% /f�Vame ✓�s,• `• /'/G �Y7
`r
"7 !/ "��G/
City/State/Zip `� Phone �/� �� Signed License # Date
At
L
Ener Pro 5.0 by Ener Soft User Number: 2655 RunCode: 2010-04-06T16:12:1 /D: Page 7 of 16
CERTIFICATE OF COMPLIANCE: Residential
Part 4 of 5 CF -1 R
Project Name
Pahl Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
4/6/2010
OPAQUE SURFACE DETAILS
Surface
Type Area
U Insulation Joint Appendix
Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments
Slab
2,625
0.730 None
0
180 New 4.4.7-A1
Whole House
Slab
1,000
0.730 None
0
180 New 4.4.7-A1
Whole House
Wall
240
0.074 R-19
0
90 New 4.3.1-A5
Whole House
Wall
449
0.074 R-19
90
90 New 4.3.1-A5
Whole House
Wall
260
0.074 R-19
180
90 New 4.3.1-A5
Whole House
Wall
474
a074 R-19
270
90 New 4.3.1-A5
Whole House
'Roof
3,625
0.025 R-38
0
0 New 4.2.1-A21
Whole House
Wall
48
0.074 R-19
135
90 New 4.3.1-A5
Whole House
Slab
514
0.730 None
0
180 New 4.4.7-A1
Casita
Slab
220
0.730 None
0
180 New 4.4.7-A1
Casita
Wall
157
0.074 R-19
0
90 1 New 4.3.1-A5
Casita
Wall
220
0.074 R-19
90
90 New 4.3.1-A5
Casita
Wall
208
0.074 R-19
180
90 New 4.3.1-A5
Casita
Wall
30
0.074 R-19
270
90 New 4.3.1-A5
Casita
Roof
r 734
0.025 R-38
0
0 New 14.2.1-A21C2
sita
FENESTRATION SURFACE DETAILS
ID
I Type
Area Ll -Factor'
SHGC
Azm Status
Glazing Type
Location/Comments
1
Window
6.0 0.350 NFRC
0.24 1 NFRC 0 New
Aspen Windows
Whole House
2
Window
6.0 0.350 NFRC
0.24 NFRC 0 New
Aspen Windows
Whole House
3
Window
12.0 x350 NFRC
0.24 NFRC 0 New
Aspen Windows
Whole House
4
Window
48.0 0.360 NFRC
0.20 NFRC 0 New
Aspen Doors
Whole House
5
Window
12.0 0.350 NFRC
0.24 NFRC 0 New
Aspen Windows
Whole House
6
Window
24.0 0.360 NFRC
0.20 NFRC 0 New
Aspen Doors
Whole House
7
Window
12.0 0.350 NFRC
0.24 NFRC 0 New
Aspen Windows
Whole House
8
Window
12.0 0.350 NFRC
0.24 NFRC 0 New
Aspen Windows
Whole House
9
Window
48.0 0.360 NFRC
0.20 NFRC 0 New
Aspen Doors
Whole House
10
Window
16.0 0.350 NFRC
0.24 NFRC 90 New
Aspen Windows
Whole House
11
Window
6.0 0.350 NFRC
0.24 NFRC 90 New
Aspen Windows
Whole House
12
Window
6.0 0.350 NFRC
0.24 NFRC 90 New
Aspen Windows
Whole House
13
Window
6.0 0.350 NFRC
0.24 NFRC90 New
As en Windows
Whole House
14Window
1.8 0.350 NFRC
a24 NFRC 90 New
Aspen Windows
Whole House
15.
lWindow 1
1.81 0. 3501 NFRC
1 0.24 1 NFRC 1 90 New
Aspen Windows
Whole House
16
Window
25.0 0.350 NFRC
0.24 NFRC 90 New
Aspen Windows
Whole House
(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
Exterior Shade Type SHGC
Window
H t Wd
Ove hanq Left Fin Ri ht Fin
Len H t LExt RExt Dist Len HqA Dist Len H t
1
Bug Screen
0.76
3.0 2.0 2.0 0.1
2.0 2.0
2
Bug Screen
0.76
3.0 2.0 2.0 0.1
2.0 2.0
3
Bug Screen
0.76
8.0 1.5 2.0 0.1
2.0 2.0
4
Bug Screen
0.76
8.0 6.0 2.0 0.1
2.0 2.0
5
Bug Screen
0.76
8.0 1.5 2.0 0.1
2.0 2.0
6
Bug Screen
0.76
8.01 3.0 2.0 0.1
2.0 2.0
7
Bug Screen
0.76
8.0 1.5 2.0 0.1
2.0 2.0
8
Bug Screen
0.76
8.0 1.5 2.0 a 1
2.0 2.0
9
Bug Screen
a76
8.0 6.0 2.0 0.1
2.0 2.0
10
lBuq Screen
0.76
4.0 4.0 2.0 0.1
2.0 2.0
11
IBug, Screen
a 76
3.0 2.0 2.0 0.1
2.01 2.0
12
JBug Screen
0.76
3.0 2.0 2.0 0.1
2.0 2.0
13
Bug Screen
0.761
3.0 2.0 2.0 0.1
2.0 2.0
14
Bug Screen
0.76
1.4 1.4 2.0 0.1
2.0 2.0
15
Bug Screen
0.761
1.4 1.4 2.0 0.1
2.0 2.0
16
Bug Screen
1 0.761
5.0 5.0 2.0 0.1
2.0 2.0
Ener
Pro 5.0 bv Ener Soft User Number: 2655
RunCode: 2010-04-06716:12:1 ID:
Page 8 of 16
CERTIFICATE OF COMPLIANCE: Residential
Part 4 of 5 CF -1 R
Project Name
Pahl Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
4/6/2010
OPAQUE SURFACE DETAILS
Surface U- Insulation
Type Area Factor Cavity Exterior Frame Interior Frame Azm
Joint Appendix
Tilt Status 4 Location/Comments
FENESTRATION SURFACE DETAILS
ID
Type Area
U -Factor
SHGC
Azm Status GlazingType
Location/Comments
17
Window 48.0
x360 NFRC
0.20 NFRC 90 New
Aspen Doors
Whole House
18
Window 6.0
0.990 NFRC
0.74 NFRC 90 New
Glass Block
Whole House
19
Window 16.0
0.350 NFRC
0.24 NFRC 180 New
Aspen Windows
Whole House
20
Window 48.0
0.360 NFRC
0.20 NFRC 180 New
Aspen Doors
Whole House
21
Window 16.0
0.350 NFRC
0.24 NFRC 180 New
Aspen Windows
Whole House
22
Window 180.0
0.360 NFRC
0.20 NFRC 180 New
Aspen Doors
Whole House
23
Window 16.0
0.350 NFRC
0.24 NFRC 180 New
Aspen Windows
Whole House
24
Window 48.0
0.360 NFRC
0.20 NFRC 180 New
Aspen Doors
Whole House
25
Window 16.0
x350 NFRC
0.24 NFRC 180 New
Aspen Windows
Whole House
26
Window 1.8
x350 NFRC
0.24 NFRC 270 New
Aspen Windows
Whole House
27
Window 1.8
0.350 NFRC
0.24 NFRC 270 New
Aspen Windows
Whole House
28
Window 3.0
0.350 NFRC
a24 NFRC 270 New
Aspen Windows
Whole House
29
Window 2.3
0.350 NFRC
a24 NFRC 270 New
Aspen Windows
Whole House
30
Window 3.0
0.350 NFRC
0.24 NFRC , 270 New
Aspen Windows
Whole House
31
Window 2.3
x350 NFRC
0.24 NFRC 270 New
Aspen Windows
Whole House
32
Window 12.0
0.350 NFRC
0.24 NFRC 270 New
Aspen Windows
Whole House
(1) U -Factor Type:
2 SHGC Type:
116-A = Default Table from Standards, NFRC = Labeled Value
116-13 = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Exterior Shade Type
SHGC
Window
H t Wd
Ove hanq
Len I HqA LExt REA Dist
Left Fin Ri ht Fin
Len H t Dist Len H t
17
Bug Screen
0.76
8.0 6.0 2.0 0.1
2.0 2.0
18
Bug Screen
0.76
3.0 2.0 2.0 0.1
2.0 2,0
19
Bug Screen
0.76
8.0 2.0 2.0 0.1
2.0 2,0
20
Bug Screen
0.76
8.0 6.0 2.0 a 1
2.0 2.0
21
Bug Screen
a76
8.0 2.0 2.0 0.1
2.0 2,0
22
Bug Screen
0.76
9.0 20.0 14.0 0.1
14.0 14.0
23
Bug Screen
0.76
8.0 2.0 2.0 0.1
2.0 2.0
24
Bug Screen
0.76
8.0 6.0 2.0 0.1
2.0 2.0
25
Bug Screen
0.76
8.0 2.0 2.0 0.1
2.0 2.0
26
Bug Screen
a76
1.4 1.4 2.0 0.1
2.0 2.0
27
Bug Screen
0.76
1.4 1.4 2.0 0.1
2.0 2.0
28
Bug Screen
0.76
2.01 1.5 2.0 0.1
2.0 2.0
29
Bug Screen
0.76
1.5 1.5 2.0 0.1
2.0 2 0
30
Bug Screen
0.76
2.0 1.5 2.0 0.1
2.0 2,0
31
JBug Screen
a76
1.5 1.5 2.0 0.1
2.0 2,0
32
Bu Screen
0.76
4.0 3.0 2.0 0.1
Ener
Pro 5.0 by Ener Soft
User Number: 2655
RunCode: 2010-04-06T16:12:1 ID:
Page 9 of 16
CERTIFICATE OF COMPLIANCE: Residential
Part 4 of 5 CF -1 R
Project Name
Pahl Residence
Building Type 0 Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
4/6/2010
OPAQUE SURFACE DETAILS
Surface U
Type Area Factor
Insulation Joint Appendix
Cavity7Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments
FENESTRATION SURFACE DETAILS
ID
Type Area
U -Factor
SHGC
GlazingType
AzmVNew.
Location/Comments
33
Window 12.0
0.350 NFRC
0.24 NFRC 135Aspen Windows
Whole House
34
Window 12.0
0.350 NFRC
0.24 NFRC 0Aspen Windows
Casita
35
Window 12.0
0.350 NFRC
0.24 NFRC 0 Aspen Windows
Casita
36
Window 9.0
0.350 NFRC
0.24 NFRC 0Aspen Windows
Casita
37
Window 6.0
0.350 NFRC
0.24 NFRC 180Aspen Windows
Casita
38
Window 6.0
0.350 NFRC
0.24 NFRC 180Aspen Windows
Casita
39
Window 12.0
x350 NFRC
0.24 NFRC 270Aspen Windows
Casita
40
Window 48.0
x360 NFRC
0.20 NFRC 270Aspen Doors
Casita
41
Window 12.0
x350 NFRC
0.24 NFRC 270Aspen Windows
Casita
42
Window 48.0
0.350 NFRC
0.24 NFRC 270Aspen Windowy
Casita
(1) Ll -Factor Type:
2 SHGC Type:
116-A = Default Table from Standards, NFRC = Labeled Value
116-B = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Exterior Shade Type
SHGC
Window
H t Wd
Ove hanq
Len H t LExt REA Dist
Left Fin Ri ht Fin
Len H t Dist Len H t
33
Bug Screen
0.76
4.0 3.0 2.0 0.1 2.0 2.0
34
Bug Screen
0.76
4.0 3.0 2.0 0.1 2.0 2.0
35
Bug Screen
0.76
4.0 3.0 2.0 0.1 2.0 2.0
36
Bug Screen
0.76
3.0 3.0 2.0 0.1 2.0 2.0
37
Bug Screen
a76
2.0 3.0 2.0 0.1 2.0 2.0
38
Bug Screen
0.76
2.01 3.0 2.01 0.1 2.01 2.0
39
Bug Screen
0.76
8.0 1.5 8.0 0.1 8.0 8.0
40
Bug Screen
0.76
8.0 6.0 8.0 0.1 8.0 8.0
41
Bug Screen
0.76
8.0 1.5 8.0 0.1 8.0 8.0
42
Bug Screen
0.76
8.0 6.0 6.0 a 1 6.0 6.0
Ener
Pro 5.0 by Ener Soft
User Number: 2655
RunCode: 2010-04-06T16:12:1 ID:
Pae 10 of 16
CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5
CF -1 R
Project Name
Pahl Residence
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
4/6/2010
BUILDING ZONE INFORMATION
System Name
Zone Name
Floor Area ft
New Existina I Altered Removed Volume
Year Built
Whole House Whole House
3,625
36,250
Casita Casita
734
6,606
Totals 4,3591 0 01 0
HVAC SYSTEMS
System Name Qty. Heating Type
Min. Eff. Cooling Type Min. Eff. Thermostat Type
Status
Whole House
2 Central Furnace
80% AFUE Split Air Conditioner 13.0 SEER Setback
New
Casita
1 Central Furnace
80% AFUE Split Air Conditioner 13.0 SEER Setback
New
HVAC DISTRIBUTION
System Name
Heating
Duct
Cooling Duct Location R -Value
Ducts
Tested? Status
Whole House Ducted Ducted Attic, Ceiling Ins, vented 8.0
❑
New
Casita Ducted Ducted Attic, Ceiling Ins, vented 8.0
❑
New
WATER HEATING SYSTEMS
S stem Name
Oty.
Type
Distribution
Rated
Input
Btuh
Tank
Cap.
al
Energy Standby
Factor Loss or
or RE Pilot
Ext.
Tank
Insul. R-
Value
Status
A. 0. SMITH FPS -50-224
2
Small Gas
All Pipes Ins
43,000
50
0.62 n/a
n/a
New
A. 0. Smith FSG -40-222
1
Small Gas
All Pipes Ins
32,000
40
a62 n/a
n/a
New
MULTI -FAMILY WATER
HEATING
DETAILS
I HYDRONIC
HEATING SYSTEM
PIPING
Control
E(ft)
E
w
Hot Water Piping Length
o
m
(A
Q —
S stem Name
Pipe
Len th
Pipe
Diameter
Insul.
Thick.
O HP
Plenum Outside Buried
❑
❑
❑
❑
❑
❑
❑
❑
Ener Pro 5.0 by Ener Soft
User Number: 2655
RunCode: 2010-04-06T16:12:1 ID:
Pae 11 of 16
MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R
Project Name
Pahl Residence
Date
1 4/6/2010
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 U -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 U -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 LI -factor.
*§150(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 a 1A: 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).
§1500)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.
§1500)113: 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.
§1500)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 150-13.
§1500)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.
§150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table
123-A.
1 50 ' 3A: Insulation is protected from damage, including that due to sunlight, moisture equipment maintenance and wind.
§150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in
conditioned space.
150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
EnergyPro 5.0 by EnergySoR User Number: 2655 RunCode: 2010-04-06T16:12:17 /D: Page 12 of 16
MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R
Project Name
Date
Pahl Residence
1 4/6/2010
§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 181A, 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 eff icacy 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 watts of power per linear foot of
illuminated cabinet.
EnergyPro 5.0 by EnergySoft User Number: 2655 RunCode: 2010-04-06716:12:17 ID: Page 13 of 16
MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R
Project Name
Date
Pahl Residence
4/6/2010
§150(k)11: 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 Exceptions to §150(k)13 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 hiah 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.
EnergyPro 5.0 by EnergySoft User Number: 2655 RunCode: 201 0-04-0 6 71 6:12:17 /D: Page 14 of 16
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
Pahl Residence
Date
4/6/2010
System Name
Whole House
Floor Area
3,625
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
2
COIL
CFM
Total Room Loads 2,674
, Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation 1 0
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COOLING
PEAK COIL HTG.
PEAK
Heating System
Sensible
Latent CFM
Sensible
Output per System:: 70,000
29,513
3,3611 926
30,629
Total Output Btuh 140,000
0
Output Btuh/s ft 38.6
2,199
2,022
Cooling System
0
0
Output per System 46,500
0
0 0
0
Total Output Btuh 93,000
0
3,361
0
Total Output ons 7.8
2,199
2,022
Total Output Btuh/s ft 25.7
Total Output s ft/Ton 467.7
1 33,911
34,673
Air S stem
CFM per System
2,055
HVAC EQUIPMENT SELECTION
Airflow cfm
4,110
Bryant 49,760
Total Adjusted System Output 1 49,760
(Adjusted for Peak Design conditions)
I TIME OF SYSTEM PEAK
38,976 140,000
38,976 1140,000
Aug 3PM Jan 1 AM
Airflow cfm/s ft 1.13
Airflow cfm/Ton 530.3
Outside Air % 0.0 %
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 70 OF
Outside Air
0 cfm Supply Fan
4,110 cfm
70 OF
70 OF 102 OF
Heating Coil
101 OF
ROOM
70 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak
112/78°F 79/69°F 79/69°F 67/66°F
C
Outside Air c
0 cfm Supply Fan Cooling Coil 68 / 66 OF
-
4,110 cfm � �
64.3% � ROOM
79 / 69 IF �— 78 169 OF
EnergyPro 5.0 by EnergySoft
User Number: 2655 RunCode: 2010-04-06716:12:17 /D:
Page 15 of 16
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
Pahl Residence
Date
4/6/2010
System Name
Casita
Floor Area
734
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
1
COIL
CFM
Total Room Loads 385
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation 0
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COOLING
Sensible
9,288
0
692
0
0
0
692
1 10,672
PEAK COIL HTG.
PEAK
Heating System
Latent CFM
Sensible
Output perSystem 70,000
1,319 230
8,489
Total Output Btuh 70,000
Output Btuh/s ft 95.4
560
Cooling System
0
Output perSystem 46,500
0 0
0
Total Output Btuh 46,500
1,319
0
Total Output ons 3.9
560
Total Output Btuh/s ft 63.4
Total Output s ftrron 189.4
9,610
Air System
CFM perSystem
2,055
HVAC EQUIPMENT SELECTION
Airflow cfm
2,055
Bryant
34,507
5,231
70,000
Airflow cfm/s ft
2.80
Airflow cfmfron
530.3
Total Adjusted System Output
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK
34,507
5,231 70,000
Aug 3 PM Jan 1 AM
Outside Air % 0-0%
Outside Air cfm/s ft 0.00
Note: values above given at ARI conditions
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Healing
Peak
26 IF 70 OF
Outside Air
0 cfm Supply Fan
2,055 cfm
70 OF
4 .40a
70 OF 105 OF
Heating Coil
105 OF
ROOM
70 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Coolie Peak
112/78°F 78/63°F 78/63°F 55/54°F
Q c
Outside Air c
0 cfm Supply Fan Cooling Coil
2,055 cfm
78 / 63 OF
—
55 / 54 IF
41.8% I ROOM In
78 / 62 OF
EnergyPro 5.0 by EnergySoff
User Number: 2655 RunCode: 2010-04-06T16:12:17
ID:
Page 16 of 16