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9903-109 (SFD)N CO ' W O�c'O W aZl� Q0o �Uw W W I— 'a ,Z LICENSED CONTRACTOR 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. License # Lic: Class Exp: Date 671203 B N 111 Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that'I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ') I, as owner of the property; am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ). I am exempt under Section , B&P.C. for this reason, Date Signature of Owner - 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 Sed . n 3700 of the. Labor Code; for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Cartier Policy No. (This section need not be completed if the permit valuation is for $100.00 or less). O 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 provision`s of Section 3700 of the Labor I Code, shall forthwith comply with those provisions. biiiie:,Applicant —�-? Warning: Failure to secure Workers' CompensAtion coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney'sfees. IMPORTANT Application is hereby made to the Director of Building and; Safety for a, permit subject to the conditions and restrictions set forth on his' 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 applicaton agrees to, & shall, indemnify &.hold harmless the City of La Quinta, its officers, agents and employees. 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,'State laws relating to the building construction, and hereby authorize representatives of this City to enter upon. the above-mentioned property for inspection purposes. Jll gnature (Owner/Agent) - ,` '= j_- Date�� ,I i PERMIT# ' BUILDING PERMIT .Ilt1_80., DATE VALUATION `b���l*S)fbx.9f9 LOT 6 TRACT }f�;�'T(1_j . t 1F JO&,'SITE ADDRESS 13-561 ]DEACON ai9tIVE CAST APN 1k5°b-t3,�t3 •teii�i OWNER" CONTRACTORDESIGNER ENGINEER SVi'T1}t1�ti� •(((���y C011Mt/AlET,'ON 6N.11,'R V HF`_r�) y PALMI D.R,<4,'RT CA x02ttii USE OF PERMIT SIt\it.i;. E FA.A•i.10 1.)WELL INO ti i3 - ,dt:) i,31:.t3i.;K WALLS OR POOL. CONH)LIANCE' Villi ALL i4d)0(-Ai..� 'T1 ATE LAW:` , INCLUDIN( 'VI -IE IV',} d 1!4 1531, ls"t' SEQ-) IF APPLICABLE, IS ktL,f.±UIR110, ��49 OF i[10.00 :ii' OARAUEICAItF' A41' 41 63,UU 3I•' tNTttiIA V.D +CO3T 091 ' t"4:1NN'l11, ZI IL" I0N ),946 VIV PERI►OT feralg StAflir KV C(X4,YfH.L)t:; r(C)N FENT 101 -40a0 -418 --WO 1,1,134.1lgt )YI_ AN C' f.!Fr`k ti tWl i f) I-my-1—tiQ i I R R-4,1 r -,-4 1"L1:!'Jlni='01311' I.t}1- J =i3 }•31�t y.?=;il,rjfi lvll's1;.fI��IVtCA1. F1 !i 104-( }t3-4211-000 1124. 1j@ i t.t3{:'I'FCIt'AL i 1:I . 1,01 di{)t)-d.lU Cltlii i2+14.�+ Fw_1 rrtApttt!.6 {:f? tf11-ili)fl-ala-(tuft Aio� r�1 `YIRC:)h't^d 1L9C:1'.i I0,N F11.- RI-Sif.) 101 (1W -211,01V S`4 01 011 ADINQ HAH,s IC11 OOi)-d2.3-(ICiI� .c13t fj!i It•JIB'RASTRUCTUI?'1 F4F 2.' -000. 443-342 tRT IN i7+?t)i,lr� t>1..hr f; y _ i2,i.!; 5: 701-Q(111 ?tib it(i(j slsg� 41 �A F;t � I a S11P-1:V1i:�1..!�;iw ;r;V f K -1`0N AN1:)PJ Ant!.'Fii�"'.+� MAR 18 1999 �, OUP, NOW ,ITYGe LQ%1g41 �A. RECEIPT DATE BY DATE FINALED INSPECTOR OPERATION DATE. I INSPECTOR OPERATION DATE INSPECTOR (BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings im1 07 Ducts Slab Grade Return Air Steel Combustion Air Roof Deck - 517 Exhaust Fans O.K to Wrap - ( F.A.U. Framing T Compressor Insulation 10Z'PfS7 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wail Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL(APkOVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure • Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Z,- Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) yG 1 P...O. BOX 1504 APPLICATION ONLY Building 78-495 CALLE TAMPICO Address _r>V4 CSA.OUtNTA, CALIFORNIA 92253 Owner �_ c f l Mailing BUILDING: TYPE'CONST. Y OCC. GRP. Address -.,15-0 5- „oO 14" f, A.P. Number J/� City Zip ' ) -- ' co 1� _ Legal Description Zip r tate Lic. City 8 Classif: I Lic. # I Uei5W I LIC. y , v LICENSED CON RACTOR'S DECLAMATION �- I hereby affirm that I am licensed under provisions of Chapter (commencIngr with Section 7000) of Ivision 3'of the Business and Professions Code, and mplicense 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. 7031.6,SusMass and Professions Code: Any city or county which requires a permit to construct, after. Improve. demolish. or repair any structure. prior to *Its Issuance also requires the applicant for such permit to Ida a signed statement that he la licensed pursuant to the provisions- of the Contractorm License law, Chapter 8 (commencing with Section, 7000) of 0lvision 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 sub)ects'the applicent.to a ciwl penalty of not.rnore than five hundred dollars (1500)• [7 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, Bulsness and Professions Code: The Contrictoi's License Law does- not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, provided that such improvements 'are not intended or offered for sale. 1I, however, the building or lrriprbverrwnt. is sold wlthkr one year of corriplefion, the owrierbuNder wilt haws the burden of proJlrrp that he did not build or'improve.for the,puiOmo of. sale.) I'1 I„as owner of the property, am exclusively contracting with licensed contractors-tocon- struct the project. (Sec. 7044, Business and Professions Code:_ The Contractor's License Lew does not apply to an owner of p(Opehy Who builds of improves thereon, and who contracts for such pro)ects•wltha contrictorls) licensed pursuant to the Contrector's License Law.) 1-1 1 am exempt under Sec. B. 8 P.C. for this reason Date owner WORKERS' COMPENSATION DECLARATION WorkeI hereby affirm that I have a certificate of consent to•self•Insure,, or a certificate of re Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company n Copyis filed with the city. ❑ Certified copyrls hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (kris section need nor be completed If the pamst is for one hundred dollars (5100) valuation or less.) I certify that inr the performance: of the work4or which this permit Is Issued,'I shall not employ any peca=n in any manner so,as to become subjec£to the Workers' Compensation laws Of California. Date Owner NOTICE TO APPLICANT. ff, after making this Cerffw&e of Exemptlon you should beanie subject to the Workers' Compensation provisions or the Labor Code, you must forthwith comply with :such . provisions or this permitshall be.deemed revoked. CONSTRUCTION LENDING AGENCY 1hereby affirm that there is a construction lending agency for the performance of the work for which this permit•is Issued. (Sec. 3087. ClW Code:) Lender's Name - Lender's Address This is abuilding 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 a0plicant Date Mailing Address City, State, Zip Sq. Ft. Newp Add ❑ No. Stories Alter ❑ No. Dw. Units Repair ❑ Demolition ❑ 3timated Valuation PERMIT AMOUNT Plan Chk. Dep. G`p Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL ZONE: BYr Minimum Setback Dlstanc s: FronfSe back from Center Line Rear Se„ ack from Rear Prop. Line Side Street Setb fr m Center Line Ra— Side Setback fro t1111mme FINAL DATE 6 ORA Issued by: Date ,G �`Y�lmit d V . Validated by -.-14; Validation: WHITE = FINANCE YELLOW = APPLICANT PINK= BUILDING DIVISION Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 3/16/99 APN # 769-850-006 No. 18457 Jurisdiction La Quinta owner NameJohn Colleen Cameron Permit # No: 78561 Street Deacon Drive East Log # City La Quinta Zip 92253 Study Area Tract # Lot # Square Footage 2799 Type of Development ,Single Family Residence No. of Units 1 Comments 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 or replacement mobilehomes. It has been determined 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 Government Code 53080 in the amoudi-9f 1.93 X 2,799 or $ 5,402.07 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/PD National Bank/Andrew Pierce 'Telephone Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Adriana Gauto Payment Received. $5,402.07 Check No. 74714 Signature NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notdy 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 sesued'or on which they are paid to the District(s) or to another public entity authorized to collect them on the Districtes)(s) behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/keceipi Copy - Accounting y � q.....�. !,. ,,l FlT� AMP" ,.,: � tl !fl%rancf Gompany Girder No. �'►,+tl�'1h- :I. Escrow No i 1 Loan Nu. WKEN Ri CORDED Ni .Nil 1() Jahn 1'. (:omeror C0J.J.een Cameror ? MAIL TA X STATr7m -*: T'c r ( ) 159385 RECEIVED FOR RECdHp Al 8.:OOAM PAID APR 2 4 1998 DOG, TranWar Tan Aa�wi. chow. Rlv. Co 'Romtder Asoott�r " t Feat; for DOCUMENTARY TRANSFF,R TA: $ 2 21.: 0 —A X_Computtd on the considered any jI conveyed; OR SAME AS ni3OVF Computed on the consideration or value less liens or encumbrttnces remaining, at time of sale _TheU.`dertiun dGrantnr Signature of Declarant or. Agent determining tax -Firm Name APN- /6V ib o TRA; 020-0115 GRANT'I)P n FOR A VA1,t1;1i3LF INSIDFKATION,,receipt o.fwhich is hereby scimowledged, TRADITION, C•LL!B A`,k fOU! aTE:S LLC a Uelawate Limited liability company herehvGR.ANT(S)to ;,., I', CaatVtuu aud. Collccn Cameron, and Wife as Community Property the real property in the City of La Quinte County of Rivemide State of California, described a4 I..- „ Tract 28474-.1 (See Exhibit' A" Attached Hereto) Dated: Slate orCalitbrrlia iS. Coun of On 14 before me, personally appeared personally known to mc.,+e :arra red to me on the b its of satisfactory evidence.) to he the penoniWWhose name subscribed•to the within ill untcnt ►nd gcJ W me the he the executed the same irit"i,/a their awhotir.e�! , apacity(isl/, and that b�i%t hernheii signature{a7 tin the instriinwnt the person(*Kor the entity upon behalf of which the person the instrument. VI'ITN MY HAND .%-ND FICIAL SF.AI. Y s TR DI O LUB A TES LLC a Dela a ted il' company By: _.. Its: &xGGVTrvd YrGE Pk63�r�"f i� Its: o i t SEAL IN '-AM E SFfARAMN q COJNM. • 1039,454 TrPufrlic • Calbania SIAF COUNTY UmI My 6 199Drsa (Ibis' area for official notarial seal) • - 159385 EXHIBIT "A - Lot _ of Tract 28470-1., as shown by map on file in book 263 pages 76 through 90 of mars, re- r%s urRiverside County, Califoriuia. THIS DEEP IS MADE AND ACCEPTED SUBJECT TO THE FOLLOWING: 1) tion-delo)yurni ieul estate taxes assessments. 2) All Mailers of record, including without hinitation, that certain Declaration of Covenants. Conditions, ,Restrictions and Reservation of Basements for the Tradition C'omr►itilt] i_. , �c:k.oid(- i on July 25, 1997 as.Instrunlent No. 262677 and rc-recorded August 151. 1997 as Instn,ment no. 292176 both of Official records of Riverside County, C'alifomm -,1tich i incorporated by reference herein as if fully set forth at. length (the " Uecrlaratior"). The Declaration includes, among other matters, certain architectural and devclopmenl )±uuielinzs and restrictions which will apply to the construction of a residcaict. do tt.A, ;iho.ve-described lot. a A( 1)e(,95 Dear Builder: T4ht 4 4 Q" PUBLIC WORKS CLEARANCE LETTER FOR CUSTOM HOME LOTS Prior to issuance of a building permit, you will be required to obtain clearance from the Public Works Department for one, or more, of the following: 1. Verification that rough grading is complete, and the pad elevation certifications prepared by a licensed surveyor, or engineer, are on file in the Public Works Department. 2. Verification that infrastructure improvements and other required tract improvements are complete, or sufficiently advanced to warrant building permit issuance. 3. Prepare an engineered grading plan that provides for on -lot storm water retention, and have it checked and approved by the Public Works Department. • Tract 26524 (Estancias) • Tract 26769 (Mountain View Estates) 4. Prepare an engineered grading plan that provides for building pad grading in accordance with the existing soils report and tract grading plan, and have it checked and -approved by the Public Works Department. • Tract 28034 (South Valley Estates) FOR INTERNAL USESY PUBLIC WORKS'DEPARTMENT TRACT: LOT: 6 � do U tel% PUBLIC WORKS AUTHORIZATION DATE F.IPWDEPTIDOCSWORMSIPW CLEARANCE LETTER,ss COMMENTS: TRADITION GOLF CLUB February 5. 1999 W 760 564 2356 1J qiradifion Ms. Kristi Hanson, AIA 72-813 Haystack Palm Desert. CA 92260 Re: Lot 6, 7lract 28470-I ( lla:l) 78.561 Deacon Drive East Construction Documents — I" Submittal Dear Kristi, 02/24/99 11:31 X1:01/02 NO:328 via Pyr_ t clan luau and faMmile The ADRC of Tradition Golf Club met on. February 3, 1999 and reviewed the Construction Documents for the above referenced lot. The architectural review was approved as submitted. The committee has approved the landscape plans subject to the following conditions: Hardscape 1. Terminate g.c. end of east pl wall in a pilaster. Landscape 1. Coordinate plan and legend sizes. 2. Show planting along golf course and coordinate. 3. Large areas of Verbena will be unsightly during winter months. 4. Use of Petite Oleanders along pl in front will result in a "hedge." Choose a lower growing groundcover type plant. 5. Where is. annual color in front? 6. Are mall box numbers illuminated? 78505 M AvrNuE 52 - LA QuigrA - CA 92253-1120 - PHONE 760/564-.3355 - FAX 7601564-2:356 TRADITION GOLF CLUB 9 760 564 2356 02/24/99 11:3115 :02/02 NO:328 7. Please underplant front areas with annual color as a temporary planting until shrubs have an oppommhyto grow in, or utilize drip irrigation in front and cover all beds with an approved, colored rock groundcover. 8. Provide planting details. 9. Use of Nerium species not recommended due to potential for Pierce's disease. 14ghdnS 1. Pathlights will be obscured by Dwarf Oleander in drive, suggest changing to low growing plant to avoid conflict with lighting and possible car doors. Grading 1. Show fountain on front of wall. Irrigation 1. Provide plan.and details. If you have any questions or need additional information, please do not hesitate to call. Sincerely, Christina J. Dores Architectural Review Coordinator pc: Mr. and Mrs. John Cameron Certificate of.0ccup'ancy City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 149 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.- BUILDING ollowing. BUILDING ADDRESS: 78-561 DEACON DRIVE EAST Use Classification: SFD Bldg. Permit No.: 9903-109 Occupancy Group: R 3 Type of Construction: VN Land Use Zone: RL Owner of Building: JOHN & COLLEEN CAMERON Address: . By: STEVE TRAXEL Date: 04-04-00 Building Official POST IN A CONSPICUOUS PLACE. cry REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED JON TANDY ❑ REINFORCED CONCRETE ❑ POST TENSIONED CONCRETE ❑ REINFORCED MASONRY Cl STRUCT. STEEL ASSEMBLY X 4& ❑ ASPHALT ❑ OTHER ❑ FIRE PROOFING JOB LOCATION ,7g, _5b l PICD 0 -41 qM-T 37630 Medjool Ave. READ Palm Desert, CA 92211 PERMIT NO.o CMOs - �$ 3 Office (760) 772-7192 Fax (760) 772-7193 f DAY OF WEEK MATERIAL DESCRIPTION Pager (760) 776-3336 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ POST TENSIONED CONCRETE ❑ REINFORCED MASONRY Cl STRUCT. STEEL ASSEMBLY X 4& ❑ ASPHALT ❑ OTHER ❑ FIRE PROOFING JOB LOCATION ,7g, _5b l PICD 0 -41 qM-T 1,a Avco tq REPORT SEQUENCE NO. TYPE OF STRUCTURE C '&QoN R Q TA^A;k%aNs PERMIT NO.o CMOs - �$ 3 DATE to,zb DAY OF WEEK MATERIAL DESCRIPTION ARCHITECT INSPECTOR MRS. CHARGED ENGINR 7o�c lla�W ASSISTANTS HRS. CHARGED 7— INSPECTION DATE. GENERAL QG� CONTRACTOR /'1 �C CONTRACTOR /� T5 �o seavtal 1�-� F � Il t , It E —N �c. 1 S.� SO S z -C -Bo it 4ctlis No rr;: A t l well; INw e ka" c t 1 vAclk z -d centi e,.A, 3641" %i'? lt4 COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE ❑ PAGE l OF CERTIFICATION OF COMPLIANCE. I HEREBY CERTIFY THAT I. HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS,_ AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. Pl T SIGN TURF OF REGI RED INSPECTOR cd Z& 4 X. r-Ao �l1 13Z�-`f9 PATE Ot REPORT REGISTER NUMBER JON TANDY -� 6 )?tCD 37630 Medjool Ave. Palm Desert, CA 92211 Office Fax Pager REGISTERED INSPECTOR'S WEEKLY REPORT (760) 772-7192 (760) 772-7193 (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ POST TENSIONED CONCRETE ❑ REINFORCED MASONRY ❑ STRUCT. STEEL ASSEMBLY ❑ ASPHALT ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATION �j� ^p �* REPORTSEOUENCE'NO. TYPc AREMOR © k ` "` Ro PERMIT pQ.j ®� e a T DAV Of WEEK MATERIAL DESCRIPTION ARCHITECT INR R HRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL SUB A CONTRACTOR Q �«V C�� CONTRACTOR �JQ� vas-„" v� w� S v►I�6A1 tJ t h COPY SENT TO CLIENT O C INUED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK, UNLESSOTHERWISE NOTED. 1 HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE =�u> WU...G BUILDING LAWS: GN TURE OF REGIST INSPECT R -71 Q �` + DAISE OF1 REPORT REGISTER NUMBER op� JON TANDY r; '�'" r►,#30 Medlool. Ave. NIAY Palm Desert, CA 92211 RECpOfflce (760) 772-7192 -Fax (760) 772-7193 REGISTERED INSPECTOR'S WEEKLY REPORT Payer (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB S ,e ^ N ` L A Qv `� REPORT SEOLIENCE NO. TYP OF -LgI,�TjRE /� 1eie�YaT n _ , PERMIT`N0. DA _ !� DAV OF WEEK MATERIAL D $CRIPTION/`JIiJLY„ ARCHITECT ILSiC'4IPR, HRS. CHARGED ENGINEERASSISTANTS HRS. CHARGED INSPECTION DATE GENERAL �'" CONTRACTOR V 1. "e n CONTRACTS � ( cs�c_ M L,TES s���_ f5ftaet GA -TJ ON paoa ¢aL010G- e e COPY SENT TO CLIENT. CONTINUED ON NEXT PAGE. ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNA URE OF REGISTERED IN TOR 0n A a 6a ATE O REPOR REGISTER NUMBER 1 +4 q W SS FABEtICATIDDi FEFORT BexLn Late: Job Name: �AMG?-&�1 Job No.' Fab. Shop tj)41-ES- &d. Date: *Materials and weldments conform to plans and specifications and AISC, and AWS Dl.l Shipping Mark 905 SHEL 9/Jc Alar Special Deputy Insp. IN Filets (ACC) 1 Tj I E (Symbol) I (VIS) (Date) NEE (Date); M -T e—,N NMI emu■�■�r�����a Mllm§Mmiiiimm I l�m 11R2I111I1H1I= imi�MEM mmommmlimm 0���■rte■�m������ *Materials and weldments conform to plans and specifications and AISC, and AWS Dl.l Shipping Mark 905 SHEL 9/Jc Alar Special Deputy Insp. OCT -20-1,998 48:51 AM- YOUNG -.ENG --IW October 20, 1999 Tom Hartung Building Official City of La Quints RING 760 342 6164 Re.. The Cawrogs Residence. 78-561 Deacon- Dr. East. Tlke TiaMos. La tTerhm pear Tom, P, 01 We have reviewed the framing for the above referencedproject and find it.to be -in general conformance with the approved structural plans with the exception of the item listed below: In lieu.of 2-MST36 strapped around post at guest room.strap'face of beawto 6X,posts block between post. . At shortened SW #14 increase. nailing to type "B" panel and epo, MA w!''/." dia. all thread embeduninimum 7" :into existing footing using Simpson- SET epoxy. - At shear wall`#R4 finish nailing strap as shown.in dela IPS3.4., - At the frontofthe.garage,provide;an MST;2isfrap:to;thb;faceof.the header to the.faoi of 6X blocking along the bays of theAdjoining shearwalls. ReU detail" d.9/S3.2. - Tighten down stab^bolt at shear:mall #6. If you have any questions.please call. Sincerely, Jeffrey B. Young S.E. Title 24 Report for: THE CAMERON RESIDENCE LOT 6, VILLAS!, THE TRADITION LA QUINTA, CA 92253 - Project Designer: KRISTI HANSON ARCHITECT - 72813' HaystackRoad Palm Desert, , CA 92260 (760) 776-4086 Report Prepared By: R. Krown CEPE R90-4018 KROWN MECHANICAL DESIGN P.O.BOX 1761 LA Q:U I NTA, CA 92253 (760) 564-8332 - Job Number: -. 99002 Date: 1/19/99 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 1995 Building Energy Efficiency Standards. This program developed by Gabel Dodd/EnergySoft, Ito (4157 883,%M. - EnergyPro 1.0 By EnergySolt Job Number: 99002 User Number:2366 Certificate of Compliance: Residential (Part 1 of 2) CF -1 R THE CAMERON RESIDENCE 1/19/99 Project Title Date T 6 VILLAS 1, THE TRADITION LA QJINTA ,.Pwject Address building Permit # KROWN MECHANICAL DESIGN (760) 564-8332 Plan Check/Date - Documentation Author - -- Telephone Computer Performance 15 Field Check / Date Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION.- Total Conditioned Floor Area: 2,799 ft' U -Value (attic, to garage, typical, etc.) Building Type: (check one or more) ® Single Family Detached (SFD) ❑ Addition Alone ❑ Single Family Attached (SFA) ❑ Existing Building ❑--Multi-Family ❑ Existing Plus Addition Front Orientation: (North) 0 deg -- Number of Dwelling Units: _.. _ 1.00 Floor Construction Type: Slab Floor ---- BUILDING SHELL INSULATION Const. 'Component -Assembly Location/Comments Type U -Value (attic, to garage, typical, etc.) CARPETED SLAB 0.720 Covered Slab w/R-0.0 Perimeter Insulation EXPOSED SLAB -- 0.900 E_xAxsed Slab w/R-0.0 Perimeter Insulation -_ TILE/ATTIC/RLWGYP 0.029 -Exterior Roof FLAT ROOF (TRUSS) 0.029 Exterior.Roof R-21 Wall (W.21.2x6.16) 0.059 Exterior Wall Solid Wood Door 0.387 Exteriorpoor - FENESTRATION - Shading Devices Fenestration Area Fenes. # Interior Exterior Overhang Side Fins Framing Orientation (SF) U -Value Panes (roller blind, etc.) (shadescreen, etc.) Yes,/ No Yes / No Type " - Skylight 4.0--'- 0.80 2 None•SMWjed None Specified ❑ X❑ ❑ X❑ Metal Front (North) 22.5 0:70 2 Standard Drape Standarr! Bug Screen ❑ © ❑ © Metal Left - ' (Southeast) 105.0 0.66 2 Standard Drape Standard Bug Screen ® ❑ ❑ 0 Metat Rear' (South) 240.0 0.66 —' 2 Standard Drape Standard Bug ScreenQ ❑ ❑ X❑ Metal Rear (South) 38.0 0.49 . _ 2 Standard Drape Standard Bug Screen ® ❑ ❑ ® Metal Right M(est) 67.0 0.49 _ ._ 2 Standard Drape Standard Bug Screen - ❑ .. ® ❑ I metal Right (West) 24.0 0.n 2 Standard Drape Standard Bug Screen ❑ © ❑ ® Metal Right (Northwest) 9.0 .. 0.57 2. Standard Drape Standard Bug Screen ❑ X❑ ❑ 0 None Front (North) 41.0 0.49 2 Standard Drape Standard Bug Screen ❑ X❑ ❑ X❑ Metal Front (North) 30.0' 0.77 2 Standard Drape Standard Bug Screen ❑ X❑ ❑ X❑ Metal _ _THERMAL MASS Type/Covering Exposed Area Thickness _ (slab/tile, etc.) Yes / No (SF) (inches) Location / Description (kitchen, bath, etc.) Concrete. Heavyweight ❑ 19 1 377 3.50 / Slab on Grade Concrete. HemWmlght ® ❑ 1,422 3.50 / Slab on Grade ❑ ❑ F 71 -JEgyPto1.0 By EgySoft User Number. 23W Job Number 99002 : 3 of 15 Certificate of Comaliance:. Residential (.Partl of 2) CF -1 R THE CAMERON RESIDENCE 1119/99 Project Title Date LOT. 6, VILLAS 1., THE TRADTLON__ LA QUINTA _ _ _ _______ _._ _ ____ _-_ Project Address Building Permit # KROWN MECHANFCAL DESIGN (760) 564-8332 Plan Check/Date Documentation Author Telephone Computer Performance 15 Field Check /Date Compliance Method (Package. Point Svstem or Comuuter) Climate Zone Enforcement Aaencv Use Oniv GENERAL INFORMATION_ - Total Conditioned Floor Area: _2,.799 ftz - -- Building Type: (check one or more) ® Single Family Detached (SFD) ❑ Addition Alone _ .. _❑ .Single Family Attached (SFA) _ ❑ Existing Building . ❑ Multi -Family ❑ Existing Plus Addition Front Orientation: (North) 0 deg- Number egNumber of Dwelling Units: 1.00 Floor Construction Type: Slab Floor BUILDING SHELL INSULATION Const. Component Assembly Location/Comments Type U -Value (attic, to garage, typical, etc.) FENESTRATION Shading Devices Fenestration Area Fenes. # Interior Exterior Overhang Side Fins Framing Orientation (SF)- U -Value Panes (roller blind, etc.) (shadescreen, etc.) Yes / No Yes / No Type Rear (Southwest) 12.0 0.49 2 Standard Drape Standard Bug Screen ❑ X❑ ❑ X❑ Metal - -Richt (Northwest) 12 -0.49 ' 2 Standard Drape Standard Bug Screen ❑ © ❑ © Metal — ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ - THERMAL MASS Tyyppe/Covering Exposed Area Thickness (slab/tile, etc.) Yes / No (SF) (inches) Location / Description (kitchen, bath, etc.) ❑ ❑ _ ❑- -7- JEmgyPW 1.0 By Enewson User Number. 2366 Job Number. 99002 e`4 of 15 Certificate of Compliance.: Residential (Part 2 of 2) CF J R THE CAMERON RESIDENCE 1/19/99 _ Pmed -rm Date HVAC SYSTEMS Note: Input Hydronic data under Water Heating Systems. Distribution Heating Equipment Minimum Type and Duct or. Type (furnace, heat Efficiency Location Piping Thermostat Location / pump, etc.) (AFUEIHSPF) (ducts/attic,.etc.) R -Value TYpe Comments Fylna 0.800 Ducts in Attic 4.2 Setback CU/FURN-1 F. -mare O.SOO Duds in Attic 42 Sethack CU/FURN-2 Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location/ heat pump,.evap. cooling) (SEER) (attic, etc.) R -Value Type . Comments Split AirConditioner -- 17000 Ducts' in Attic 47 Sethack CU/MMA Split Air Conditioner 12 0m Ducks in Attic 42 Setback CU/FURN-2 .WATER HEATING SYSTEMS - -.-. Rateds Tank Energy Fact." Standbys Tank lnsul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Loss (%) R -Value System Name Type Type Syst.. (Btu/hr) (gal) Efficiency or Pilot Int. Ext. A_O.Smith FGT-75 Small Gas Recire-Timer 1— 713OM 5 O.Sn n/a j3/a_ 011 - 1-' For small gas storage (rated input — 75000 Btu/hr), electric' resistance and, heat, pump water heaters, list energy factor. For large gas storage water heaters (rated Input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. _ For instantaneous gas water heaters, list Rated Input, Pilot and -Recovery Efficiency. SPECIAL FEATURES / REMARKS (Add extra sheets if necessary) A Zonally Controlled HVAC System which meets CEC criteria has.been assumed. COMPLIANCE STATEMENT This certificate of compliance lists the building • features and performance specifications needed .to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built. in multiple orientations, anyshading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business .& Professions Code) Documentation Author Name-.. Name:. R. Krown CEPE RGID4018 Title/Firm: KRISTI HANSON ARCHITECT Tide/Firm: KROWN MECHANICAL DESIGN Address: 72813 Haystack Road Address: P.O.BOX 1761 Palm Desert., CA 92260 LA QUINTA. CA 92253 T lepho 760 Teleph laeo) 564-13332 70 Li #: �o (I (date (si nature) (date) - . Etforcerkent Agency Name: Tide/Firm: Address: Telephone: (signature) (date) EnergyPro 1.0 By EnergySott User Number:' 2366 Job Number: 99002 Page:6 of 15 Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrise residential buildings subject to,the Standards must contain these.measures regardless of:the compliance approach used. Items marked with en asterisk (') may besuperse7ed by more stringent -compliance requirements listed on the Certificate of Compliance. When this checklist Is incorporated Into the permit documents, the features noted shall be considered by all parties - •as binding mhNmum component perfomrancezpeclflcations for the mandatory measures whether they are shown elsewhere In the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures X "S 150(a); Minimum R-19 ceiling, insulation. ❑ 1150(b): Loose fill insulation, manufacturers labeled R -value. x '§ 150(c): Minimum R-13:wall insulation in framed walls (does not apply to exterior mass walls). ❑X '§150(d): Minimum R-13 raised floor insulation inframed floors; minimum R-8 in concrete raised floors.. ❑ $150(1): Slab edge insulation -water absorption rate no greater than 0.396,. water vapor, transmission rate no greater than2.0 perm/inch. $116: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. 0 $116.17 Fenestration Products, Exterior Doors and Infiltration/Exfiltrabon Controls a. Doors and windows between conditioned andunconditioned spaces designed to limit air leakage. b. Manufactured fenestration prodUft have label with certified U -value, and Infiltration certification. c. Exterior doors and windows weatherstripped; all joint"and penetrations caulked and sealed. ❑ §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ 61513(f): Special infilUation barrier installed to�comply with section 151 meets Commission quality standards:. 0 §150(e): Installation of Fireplaces, Decorative Gas Applances and Gas Logs. 1. Masonry and factory -built fireplaces have: 1. Cbmseable metal or glass door - •- 2. outside air intake with damper and control 3. Flue damperand control Z No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures FX] $110-13: HVAC equipment, water heaters, showerheads and faucets certified by1he Commission. D -.150(h)1.: Heating Systems must meet the minimum heating capacity required by UBC Section 31.0.11. §15D(i)t Setback thermostat on all applicable heating and/or cooling systems. X] §150Q): Pipe and Tank Insulation - ...... 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket(R-12 or greater) or combined interior/extedor insulation (R-1'6 or greater). 2. First five feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 orgreater). 3. All buried or exposed,piping Insulated in recirculating sections of hot watersystem. 4. Cooling system piping below 55 degrees. F insulated. 5. Piping insulated between heating source and indirect hot water tank. ®*§1 Mm): Duds and Fans ._ 1. Ducts constructed, installed and sealed to comply with current UMC requirements; ducts Insulated to a minimum installed value of R-4.2 or ducts enclosed entirety within conditioned space: 2. Exhaust fan systernwhave back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §114: Pool and Spa Heating Systems and Equipment - 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating.instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" of pipe between filter and heater for futuresolar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 0 $115: Gas-fired central furnaces, pool heaters, spa heater or household cooking appliances have, no --continuously, burning pilot light. (Exception: NWIectncal cooking appliance with pilot< 150 Btumr.) Lighting Measures - IX I §150(k): 40 lumens/watt.orgreater for general lighting in kitchens and roomswdh water closets; and recessed ceiling fixtures are IC (insulation cover) approved. Energ ro 1.0 By EnergySoft User Number: 2366 Job Number: 99002 Page:6 of IS Computer Method Summary (Part 1. of 3) C -2R THE CAMERON RESIDENCE - - 1/19/99 Project Title Date StandardProposed Compliance Source Energy Use (kBTULsf-yr) . Design Design Margin Space Heating 3..75 3.56 0.20 - ... - .. Space Cooling.- 27.19 21.36 5.83. Domestic Hot'Water 9:33 10.70 -1.37 - Totals 40:28 35:62 4.65 BUILDING COMPLIES GENERAL INFORMATION " - - Compliance Method: Computer Performance Climate Zone: 15 Conditioned Floor Area: 2,799 Building Type: Single Fam Det Building Front Orientation: (North) 0 deg Number of Dwelling Units: 1.00 Numberof Stories: 1 Floor Construction Type: Slab Floor Total Conditioned'Volume: 33,243 Conditioned Footprint. Area: 2,799 Slab Floor Area: 2,799 BUILDING ZONE INFORMATION _ _ _ # of Thermostat Vent Zone Name .Floor Area Volume Units Zone Type Type Hgt. Area �11/Fl1RN_1 1 751 22 0 63_ 1 a i M aStat _1 nM ' UNUIRN-2 - 1448 10490 0-37 SleePj� SlPaninn _ _2 �1a Solar OPAQUE SURFACES Act. - Gains Type Area [J -Val Azm. Tilt Y ! N Roof 747 0 024 _a 0 Boca__ 1,ow 0-029 —0 —0 Wail 134 0.039 0 _aQ WWI 48 nnso. 45 go aAfall— 320 0-099 8 Al_9Q Wall 53 0.059 iq _90 M11 _ 287 0.0m 18 _g Wal— 124 0 059 999.8n Wall 246 0.0519 2M _g Wall 76 0-099 315 —9Q D>Z6L — n n387 315. '_90 Roof 1,Qgg nm — n —0 wall 42 0439 0 —90 wall 13 0.039 _ 0 ,g -Wall 153 0.059 4A0 _90 1Afalt _ 3 O fm A go wall 9 0.0M 12M 9p Wan 41 0.059 315 _ u u EnergyPro 1.0 By EnergySoft User Number 23N Job Number: W= Pagel of 15 COMPUTER METHOD SUMMARY (Part 2 of 3) C -2R THE CAMERON RESIDENCE 1/19/99 Prae d Title _. _. - _ Date Dividers Act. # Type Area Frame Yes / No U -Val. Azm. --- <L Sindight Front (Nodh) _ 40 Metal Q O_eCi 2 Window Front (North)_ 22.5 Metal 0.64 LIVING ZONE 3 Window Left (Southeast) 105.0 Metal LIVING ZONE 90 4 Window Rear (South) 140D Metal g0 O.'64L 5 Window Rear (South) 3BD Metal 0.64 SLEEPING ZONE 3 Window Right. - i 23.8 -Metal ZONE _ 90. -7 Window... Rigtrt Mao 22.5 Metal 90 0.64 8 Window Riaht, (West) 24.0 -Metal 0.87 _- 15 Standard Drape 0.78 Standard Bug Window Right (Northwest)• 9.0 - -,. None Screen 0.87 .1.Q Window Front (North) 17.0 Metal J-1 WindpN Front, (North) 30.0 Metal _.-72 Window Front ' (North) 24.0 Metal J.a Window Rear (Spjdh) 10D0 Metal. 14 Window Rear (Southwest) 12.0 Metal 15 Window Right (Wester 20.7 Metal _]6 Window Right (NortMnrest) 12.0 Metal INTERIOR AND EXTERIOR SHADING # Interior Shade Tvoe SC Eliterier Shade Tvt Window Left. Fin Right Fin 1 None Specified Glass Location / Tilt Only Comments Q O_eCi LIVING7QNE 90 0.64 LIVING ZONE 90 0.64 LIVING ZONE 90 0.64 LIVING ZONE 90 0.64 LIVING ZONE 90 0:64 LIVING ZONE --Q _QM .LIVINGZ014E g0 O.'64L LIVING ZONE -M O"86 1JVING ZONE --M 0.64 SLEEPING ZONE _SQ 0:64 SLEEPING ZONE .90 0.64 ZONE _ 90. _164 _SLEEPING SLEEPING ZONE 90 0.64 SLEEPING ZONE 90 0.64 SLEEPING ZONE 90 0.64 SLEEPING ZONE Left. Fin Right Fin 1 None Specified _. None Specified 2 Standard -Drape 0.78 Standard, Buo Screen 0.87- 3 Standard Drape 0.78 Standard Bug Screen 0.87 10.0 10.5 9.0 0.1 9.0 9.0 Standard Drape 0.78 Standaid Bug Screen 0.87 -WD A4,Q 13,Q 2.0 AU -LU - - - - - - 5 Standard Drape 0.78 Standard Bust Screen 0:87 9.5 4.0 10.0 1.0 A= -MD - - - - - _ : 6 Standard' Drape 0.78 Standard Bug Screen 0.87 -.- - - - - - - - - - - 7 Standard Drape 0.78 Standard Bug Screen 0.87- 8 Standard Drape 0.78 Standard.Bug Screen 0.87- 9 Standard Drape 0.78 Standard Bug Screen 0.87 10 Standard'Drape 0`78 Standard Bug Screen 0.87- 1 t Standard.Drape 0_78. Standard Bug Screen 0.87 12 Standard Drape 0.78 Standard -Bug Screen 0.87 _ 13 Standard Drape 0T78 Standard Bug Screen 0.87 10.0 10.0 10:0 0.1 10.0 10.0 14 Standard Drape 0_78 Standard. Bug Screen 0.87 _- 15 Standard Drape 0.78 Standard Bug Screen 0.87 - - - - - - - - - - - 16 Standard Drape 0.78 Standard Bua Screen 0.87 Enefyy 1.0 By Energy&h Ubw- Number. 2366 Job Number. 99002 Page: a or 15 COMPUTER METHOD SUMMARY (Part 3 of 3) C -2R THE.CAMERON RESIDENCE _ 1/19/99 Project Title Date. THERMAL MASS - -- Area -Thick. Heat Inside Location Type (so (in.) Cap. Cond. Form 3'Reference R -Val. Comments Concrete. HeaA Ight 3M X?g _OM n/a —2 1. IVIN - 7CINF /+Blah an -rade Concrete. eaNeight 1,401 3.50 _X O_98 n/a 0 LIVING ZONE / Slab on Grade Concrete, Hmomfpht -i= _3M _-Z 0.98 n/a 2 SLEEPING ZONE / Slab on Grade Concrete Fl�vv_weioht 21 3"50 _� _QM n _Q SLEEPING ZONE / Slab on Grade PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments Covered _58 2D ' " 0 -- LIVING ZONE Fwased 111 _09Q. _A2.Q 0 LIVING ZONE: .Covered 108 0.72 O.O 0 ..-,SLEEPING ZONE HVAC SYSTEMS nent Minimum .Distribution Type heat Efficiency and Location Duct Thermostat Location / (AFUE/HSPFXducts/attic, etc:) R -Value Type Comment Furnace n_8M --Ducts in Attic 42 Setback C UIFURN-1 L3: •:•• Ducts in Attic 42 Set back • I Hydronic Piping Pipe- Pipe ._. Insul. System Name Length Diameter Thick. Cooling Equipment ' - Type (air conditioner; heat, pump, evap: cooling) _ Split Air Conditioner Split Air Conditioner Duct: Location Duct Thermostat Location / (attic, etc,) R -Value Type Comment 120M Ducts in Attic 4-7 Setback CU/FURN-1 . buds in Attic - 4.2 Setback CU/FURN-2 - WATER HEATING SYSTEMS Water Heater ' Water Heater Distribution # in System Name Type Type Sys Tank Energy Fact! Standby' Tank Insul. Cap. or Recovery Loss (%) R -Value (oal) Efficiencv or Pilot Int. Ext. A -0 -smith -06T-75 Small Gas Reciic-Timer I 70,000 _5 0.60 n/a For small gas storage (rated Input <= 75000 Bhftyj electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters.(rated input > 75000. Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, Pilot and Recovery Efficiency. SPECIAL FEATURES/ REMARKS (Add extra sheets if necessary) 1,Zonally Controlled HVAC System which meets CEC criteria has been assumed. i r- • • EneMyPro 1.0 By EnemvW User Number: 2366 Job Number: 99002 Pa e:9 of 15 IN TALLATION CERTIFICATE (Part 1 of 4) CF -6R Site Address Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is optional.) After completion of final inspection, a copy. must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(b). - HVAC SYSTEMS: Heating Equipment - Equip. # of Efficiency Duct Duct or Heating Heating Type­jpkg: CEC Certified Mfr Name heatpump -$ Model -Number -- Identical (AFUE etc.)) Location Piping Load Capacity Systems [>= CF -1R Value] (attic, etc.) • R -Value (Btu/hr) (Btuihr) - =- Cooling Equipment Equip. CEC Certified Compressor # of Efficiency Duct Cooling Coolingg Type{pkg, Unit MfrName & - Identical (SEER etc.) Location Duct or Load Capacity heat pump Model Number Systems [>= CF -1 R Value] (attic, etc.) R -Value (Btu/hr) (Btu/hr) I, the undersigned, verify that equipment listed above my signature (1) is the actual equipment installed; (2) is equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for_residential buildings; and (3) the equipment meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner WATER HEATING SYSTEMS: CEC Certified' Distribution if Recir- # of Rated' Tank Effi- Extemal Heyaf6k ' Mfr Name Type (Std,) culation, Identical Input (kW Volume (cienc�') Standby' Insulation n la io Type & Model Number Polnt=oT-Use Control Type Systems or Btu/hr Gallons EF, KE Loss ` ), - • For small gas storage (rated input <=75,000 Btu/hr), electric resistance and heat -pump water heaters, list Energy Factor,. -For large gas storage water, heaters (rated input > 75,000 Btu/hr), list Recovery Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Recovery Efficiency and Rated Input. _ . Faucets & Shower Heads:. - All faucets & shower heads installed are certified to the Commission, pursuant to Tide 24, Part 6, Subchapter 2, - Section 111. -- --. _ I, the undersigned, verify that equipment listed,above my signature (1) is the actual equipment installed; (2) is equivalent: to or more efficient than that"specified in the certificate of compliance (Form CF -1 R) submitted for compliance,with the Energy -- Efficiency Standards for residential -buildings; and (3)she equipment meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner E'nergyPro 1.0 By _E e j Sbft User -Number. 2366 Job Number. 99002 Page. 10 of 15 INSTALLATION" CERTIFICATE (Part 2 & 4) CF -6R Site Address Permit Number FENESTRATION / GLAZING: Manufactured Operator Products Site Built, - Type (e.g.,-- . Labelled Total foxed U -Value (<= # of Default Quantity Square Comments/ Manufacturer/Brand Name slider) CF -1 R value) Panes U Values` (Optional) Feet Special Features GROUP LIKE PRODUCTS 2. 3. 4. 6. 7. S. 9. -- 10. 11. 12. 1.3.... 14. Installed U -value must be less than or equal to value from CF -1 R. Alternatively, installed weighted average U -value for the total _..__ fenestration area is less than or equal to value from CF -1 R. I; the undersigned, verify that the fenestration/glazing listed above my signature (1) is thwactuall fenestration product installed; (2) is equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and (3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable.. Item ft Signature, Date (if applicable) _ Item #s (if applicable) _(if applicable) Signature, Date Signature, Date - Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Installing Subcontractor (Co. Name) OR General Contractor (Co. Name)OR Owner Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Ene,gypm 1.0 9yErwjySoft Usw..MV mber.' 2366 Job Number. 99002 Page:11 of 1s -aNSTALLATION CERTIFICATE (Part 3 of 4) CF -6R - The following i& an explanation of many of the input values required on this form: HVAC SYSTEMS Heating Equipment Type must be one of the following: Furnace: Gas or oil -fired central furnace & space heater Boiler: -Gas or oil -fired boiler .. PckgHeatPump Packaged central heat pump S litHeatPum Split central'heat pump RoomHeatPump Room heat pump - UgPkgHeatPump Large packaged heat. um 65,000 Btu/hr output) Electric: - Electric resistance heating (fixed HSPF = 3.413); radiant electric resistance (fixed HSPF = 3.55) CombinedH dro: -Referenee water heater under water heating systems below - --- CEC Certified Manufacturer Make & Model Number from applicable CEC approved appliance directory. V of Identical Systems"is.for those systems with the same efficiency; duct location, duct R -value and capacity. Efficiency from applicable CEC approved appliance directory. Duct Location is attic, crawl space, CVC crawl space, conditioned space; unconditioned space (piping) or none. Duct or Piping R -value from- Directory -of Certified.Insulation Materials and/or manufacturer's data. Heating/Cooling Load refer to CEC-approved load calculation procedure. - Heating/Cooling Equipment Capacity from the applicable CEC approved appliance directory. Note: location elevations over 2,000 ft above sea level require a derating of output capacity (refer to manufacturer's literature). Cooling EquipmentType must be one of the :following: IMr.Cond: Split system air conditioner - Pc irCond: Packaged air conditioner SpIitHesitP6mp Split sysfe'rtr heat pump PckgHeatPump Packaged heat pump RoomHeatPump Room heat pump LrgPkgHeatPump Large packaged heat pump (>=65,000 Btu/hr output) RoomAirCond: Room air -conditioner. Minimum SEER varies* Lr Pk irCond: Large packaged air conditioner >=65,000 Btu/hr output) EvapDirect-. - Direct evaporative cooling system. For compliance calculation purposes;%ced values: - SEER =11-.0; duct. location = attic; duct insulation R -value = 4.2 Evapindirect: Indirect evaporative cooling system. For compliance calculation purposes, fixed values: SEED= 13.0; duct"location= attic; duct insulation R -value = 4.2 * Refer to California Energy Commission (CEC) publication Appliance Efficiency Regulations, P400-92-029 EnwOPW 1.0 By EmUySoft Usff Number- 2386 Job Number 99002 Page, 12 of 15 INSTALLATION CERTIFICATE (Part4 of 4) C.F-6R The -following is an explanation of many of the input values required on this form: WATER HEATING SYSTEMS Distribution Systems: Refer to Residential Manual for more details. Standard:- Standard Information Needed Pipe Insulation:- -Pi a Insulation on all 3/44nch pipes POU/HWR; Point of Use/Hot Water Recovery System Recirc/NoControl: Recirculation loo with no controls " Reciri.vTimer: Recirculatbon loop with after Recirc/Tem : .Recirculation loop with temperature control Recirc/Time + Temp: Recirculation loop with a timer and tem erature control Recirc/Demand: I Recirculation loop with demand control Water Heater Type ench.doors, skylights, garden windows, and any door with more than one square foot of glass Information Needed Slider, hinged, foced U -Value: Energy Factor Recovery Efficiency Standby Loss Rated Input Storage Gas, Oil or Electric Yes No No No Heat Pump Yes No No No. _ Instantaneous Gas No Yes No No Instantaneous Electric Yes No No No Large Storage Gas Yes Yes Yes Indirect Gas (Boiler) _No No Yes (AFUE) No Yes FENESTRATION / GLAZING Fenestration:.:.Windows, sliding glass doors, fr COPY TO: Building Department Building -Owner at -Occupancy EIM9Y io 1.0 By EnergyS ft Uaei Number. 2366 Job Number. 99002 Page:13 of 1S ench.doors, skylights, garden windows, and any door with more than one square foot of glass Operator Type; Slider, hinged, foced U -Value: Installed U -value must be less than or equal to value from CF -11R OR _ Installed weighted average U -value for the total` fenestration area is less than or equal to value from CFA R - COPY TO: Building Department Building -Owner at -Occupancy EIM9Y io 1.0 By EnergyS ft Uaei Number. 2366 Job Number. 99002 Page:13 of 1S ,-HVAC SYSTEM HEATING• D COOLING LOADSUM-MARY PROJECT NAME DATE THE. CAMERON RESIDENCE __ 1/19/99 SYSTEM NAME FLOOR AREA CU/FURN-1 1,751 ENGINEERING CHECKS 38,588 Number of Systems 1� Heating System Output per Sydem 89,000 Total Output (Btuh) 89,000 Output (BtuhisgR) 50.8 Cooling Sysiem 0 Output per System 58,000 Total Output (Btuh) --58.000 26.0 of Outside -Air 0 cim 69.1 of COIL CFM Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts COIL HTG. PEAK CFM I Sensible 1, 38,588 -1.,701 1,006 37,730 0' 1,829 1,887 0 0 0 0 0 0 0 0. 0 1,829 1,887 TOTAL, SYSTEM LOAD 1 4024 -1.7011a1 503 CAR 58PAV711-20/3BBR06030 47,153 834 89, Total Adjusted System Output. 47,153 834 89,000 (Adjusted for Peak Design Conciftns) .TME OF SYSTEM PEAK F Aug2 m Jan 12 am 1�7-IAGIGlUW1iaGQ�l►7/t\I�`li7�Oi1■ 69.10F--_.- 69.1oF 105.06F Supply Fan Heating Coil 2000.efm i 6 Return Air Ducts 4 Supply Air Ducts 104.10F ROOMS 70.0 °F 115.0/73:3°F 78.9/81.50F 78,9161.50F--- 55.0/52.8°F _ •• ® Supply Air Ducts Outside Air 0 dM 55.9'/53.2 of Supply Fan Coding Coil 2000cim - 37.9% R.H. ROOMS 78.9781.5 of 78.0 61.2 OF Return Air Ducts EnergyPro 1.0 By t nergySoft User Number: 2366 Job Number: 99002 Page:14 of 15 PROJECT NAME DATE THE CAMERON RESIDENCE 1/19/99 SYSTEM NAME FLOOR AREA CU/FURN-2 - 1.048 I Number of Systems , - Heating System .I - --._. . .I �,,,,,, "081 Total Room Loads Total Output (egftron) 359.3 -- Air System COIL COOLING PEAK Total Output (8tuh) I 35,OMI Return Vented Lighting Return Air Ducts -- Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD output (Btuhtsght) 33.4 Cooling System Output per system 35,000 Total Output (Btuh) 35,000 _ Total output (Tons) 2.9 Total Output (Btuhlsgft) 33.4 Total Output (egftron) 359.3 -- Air System COIL COOLING PEAK COIL HTG. PEAK CFM ISensiblel Latent I I CFM I Sensible 20.668 -620 21780 CFM per System 1,200 Airflow (CIM), 1,200 CAR 58PAV04rr12/.�BBRCOCi63" 29,030 7 36, Alrflow (cfhVsgft) - - — 1.15 Airflow (cfrNTon) • _411.4 _ _ Total Adjusted_ System Output Outside Air (9�) - 0.0 (Adjusted for'Peek DesigmCondibons) 29, 7 36,000 Outside Air'(cfhVsgft) 0.00 TIME OF SYSTEM PEAK Aug2 pm L Jan 12 am Note: values above given at ARI conditions • ..26.0 OF 69.2 OF 69.2 OF 105.O0T --Og Supp/ Air Ducts --outside Air O Cfm Supply Fan Heating Coil 104.20F 12Wdm ROOMS 70.OoF 69.2 of Return Air Ducts 115.0/732ft 78.7/61.7 OF 78.7/61.70F 55.0153.0 OF -- _. Supply Air Ducts outside Air O cf►n Supply Fan Cooling Coil 551/53. 3 of 1=ofm 38.696 R.H. ROOMS 78.7761.7 of 78D 61.4 of - Return Air Ducts EnergyPrc 1.0 By EnergySoft User.Number: 2366 Job Number: 99002 Page:16 of 15