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04-6771 (SFD)BUILDING & SAFETY DEPARTMENT P.O ox 1504 (760),777-7012 94 5 CALLE TAMPICO �o� FAX (760) 777-7011 pQR �P'yUINTA; CAL'IFOR'NIA 92253. INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT pplication Number04-00 6 1 —Y-� Date' 4/21/05 Property Address:"; 53443 VIA MALLOR"CA APN: 772 -420 -999 -46 -298943 - Application description . DWELLING - SINGLE FAMILY DETACHED Property Zoning*. LOW DENSITY RESIDENTIAL Application valuation y,, 43,9794 Owner Contractor - -- — -. i •...a— — = -.••,✓ —.-4`..L — —!_. �' d1y4.+_G1 3. — — — — — — — Y--"— — — — — DAVID JACOBSEN ,MONARCH HOMES, INC. 73 -290 -EL PASEO #4 73290 EL PASEO, SUITE.#4 .PALM DESERT, CA 92260 PALM DESERT, CA 92260 , (760.) 568-3905 WCC: STATE FUND WC: 0002290026122 06/01/05 CSLB: 809688 06/30/06 CCC: B Other struct info ## BEDROOMS 4.00 GARAGE SQ FTG 708.'00 PATIO SQ FTG 773.00 NUMBER OF UNITS 1.00 IST FLOOR SQUARE FOOTAGE 5144.00 P.O. Box 1504 4 4Q�� 75-495 CALLS TAMPICO VOCE (760) 777-.7012 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7153 BUILDING & SAFETY DEPARTMENT V, , Application Number: o41—G771 ` ' Date: 0.5, Applicant: Archjt t or En LI r Applicant's Mailing Address: Archi e t or En Ineer's Address: r `I !mac o,�TFU Tei �� • % 3/D � Lic. No.: G 7-2 3 9 BUILDING PERMIT DECLARATIONS 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 ode, and Licensp�s in full force and effect. n� � n� Licens�e/Class ss_ �j /,� icense No. js a ate 7 ' Z(I• Oy ontrwo,016AIACC.i ICZ049rT *i 7- 61sl. 1,✓G OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' 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 Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 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 Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or 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.). U 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.). U 1 am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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' compens on insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. M�worrker�' compensati�sura'nce carrier and of1j y number are - Carrier STtl.�i>c wJ / policy Number 2'� y� D 2Lo i2 _ I certify that, in the performance of the work for which this pe it 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 forthwith comply with those p visions. ateT ' •"Y' �� plicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cou to enter up n the above-mentioned property for inspection purposes. ate' �• 10 Signature (Applicant or Agent): I -------------------------- �' Application Number ---------------------------------------------------------------------------- ---------------------------------------- 04-00006771 ----------- Permit BUILDING PERMIT Additional desc. Permit Fee 1693.00 Plan Check Fee 1100.45 Issue Date . . . Valuation 400718 Expiration Date 10/18/05 Qty Unit Charge -Per Extension BASE FEE 639.50 301.00 3.5000 THOU BLDG 1001001-500,000 1053.50 Permit . . I. . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . 224.20 Plan Check Fee 56.05 Issue Date 'Valuation . . . . 0 Expiration Date-. 10/18/05 Qty Unit Charge Per Extension BASE FEE 15.00 5144.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY - 180.04 708.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL' 14.16 1.00 15..0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . . . GRADING PERMIT Additional desc , Permit Fee 15.00 Plan Check'Fee .00 Issue Date . .Valuation . . . . 0 t' Expiration Date 10/18/05 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE., 15.00 Permit . . . MECHANICAL.. Additional desc Permit Fee 101.50 Plan Check Fee 25.38 Issue Date Valuation . . . . 0 Expiration Date 10/18/05, Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C`<=3HP/100K BTU 27.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 .EA MECH EXHAUST HOOD- 6.50 Permit . . PLUMBING Additional desc Permit Fee 210.00 Plan Check Fee 52.50 Issue Date Valuation . . . . 0 Expiration Date 10/18/05 Qty Unit Charge Per Extension BASE FEE 15.00 23.00 6.0000 -EA PLB FIXTURE 138.00 1.00 15.°0000 EA PLB_BUILDING SEWER 15.00 1.00 7.5000 EA `' PLB,WATER HEATER/VENT 7.50 ----------------- .s Application --------------------------------------------- Number, . . 04-00006771 -------------- ---------------------------------------------------------------------------- Permit . . . . . PLUMBING Qty Unit.Charge Per Extension 1.00 3.0000 EA PLB•WATER INST/ALT/REP 3.00 1.00 9:0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 10.00 .7500 EA PLB GAS PIPE >=5 7.50 1.00 15.'0000 EA PLB GAS METER 15.00 Special Notes andComments 5144 SQ. FT. SFD THIS PERMIT DOES NOT I NCLUDE POOL & SPA BLOCK WALLS OR DRIVEWAY APPROACH.April 21, 2005 • 6:24:41 AM jjohnson ---------------------------------------------------------------------------- Other Fees ART IN PUBLIC PLACES -RES 599.48 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 110.05 DIF FIRE PROTECTION -RES 97.00 " GRADING PLAN CHECK FEE 00 DIF LIBRARIES -, RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 43.97 DIF STREET MATNT FAC -RES 15.00 DIF' TRANSPORTATION - RES 1098.00 Fee summary - Charged Paid_ Credited Due Permit Fee ------------ Total, 2243.70 _ .00 .00 2243.70 Plan Check Total 1234.38 500.00 .00 734.38 Other Fee Total 3158.50 .00' .00 3158.50 Grand Total 6636.58 500.00 .00 6136.58 PC = 7 P.O. BOX 1504 APPLICATION ONLY Bullding 78-495 CALLE TAMPICO I e� AfIrirPQR LA QUINTA, CALIFORNIA 92253 (�Ul� 46 a -Z, -`7 411 -w E?__ _b_.r_or3S45-,d Mailing -/ Address 7-3-2.-'90 �Q->�u �� Z��o �%� •��'�®sem lN:� Address State Lic. City & Classif. �� Lic. # Arch., Engr., � J Designer ®� 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 provisionsoI 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 employees, 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 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 employany 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 '� 7--�{.ro — o•Z3 BUILDING: TY CO ST. '7ZOCC. GRP.. A.P. Number Legal Description Lo % 714 Z9 8`I q — 3 Project 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 INSPECTOR Issued by: Validated by: Validation: Date YELLOW = APPLICANT PINK = FINANCE SFt. �j C Size / r No. Dw. SNo.tories Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. ,—bD Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway EncJffl1r- - W M Infrastructure �� _ , A nnnk A�-- ��rMAtt<.�� DEQ TOTAL REMARKS 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 INSPECTOR Issued by: Validated by: Validation: Date YELLOW = APPLICANT PINK = FINANCE t 1 1 Coachella Valley Unified School. District. 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DFVF.I.OPF.R FF.F.S PATI) AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/IND. AMOUNT: DATE- RFCF.IPT- CHF.r.K H• INITIALS - CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name Residence is at;The H-ideaway Date: April 26, 2005 Owner's Name: Monarch.Homes Desert Division, Inc. " Phone No. 568-30905 Project Address: 53-443 Via Mallorca La Quinta, CA Project Description: 1 SFD APN: 772-410-023 Tract #: Type of Development: Residential 1 X ' Lot #'s: 46C Commercial Industrial Total Square Feet of Building Area: 5,144 sq. ft. Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authored to sign on behalf of the owner/developer. Dated: April 26, 2005 Signature: .w �� - 11" zvf ivvr- SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement . Note: Number of Sq.Ft. 5,144 Amount per Sq.Ft. $ 2.88 Amount Collected $ 14,814. 72 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services 0 Certificate issued by: Elvira Mattson, Office Technician Sigriature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the'amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts. on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. 1V:ehnyJocshleclees,'ccrti6cateofcompliance. (i)rm tabiesl7C1 USEi.doc 1/16/03 T April 22, 2005 , Mr. Bob Easton _ 1486 East Valley Road t - Montecito, CA 93108 �tE: J e d t�nal•Workiog Drawings #3 46C on 3 Via Mallorca - Dear Mr. Easton: i, -The Hideaway Design Review Committee reviewed the complete Final Working Drawings submitted for Lot 46C. The project is approved with the exception of the following corr&nent: ' • Chamaeropg'is not allowed for use in the Transition Area. Please replace the plant wilth an. acceptable alternate. A Pre -Construction Meeting has been held 'and construction may commence once the items listed on the February 24`h letter have been submitted for our files. Please:call grook,Marshall at (760) 346-1,161 with any questions. Sincerely, Hideaway Design Review Committee cc: lee Winer DRC Pik Post -W Fax Note 7671 4 paoa;► '2. Oate4Fro Tb Cha ,s ColDept. Co. Phone Ir - Phone ` Post -W Fax Note 7671 4 paoa;► '2. Oate4Fro Tb Cha �Y ColDept. Co. Phone Ir - Phone ` Certificate of OccupanY I vc SL,ro- OF� Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California. Building Code, certifying that, at the time. of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use: BUILDING ADDRESS. 53443 VIA MALLORCA Use classification: SFD Building Permit 'No.: 04-6771 Occupancy Group: R3U1 Type of Construction: VN Land Use Zone- RL Owner of Building: DAVID JACOBSEN y Address- 53443 VIA MALLORCA City, ST ZIP: LA QUINTA CA 92253 By: EDDIE MUIR Date: 12-1-2006 Building OffiGAI ' POST IN A CONSPICUOUS PLACE ell, O c— 4Llo G. CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT FMOF rte° 777-7012 EQUEST LINE- Lr�� 7 153 i Owner' )NARCN LIOIVLES SORT DIV, INC Contra) of ,VI )... T H&fJV.I.E ESERT DI.V, INC # Permit rnb6fly- -IT clip INTA UOUS PLACE r INSPECTOR MUST SIGN ALL APPLICABLE SPACES ' -53.443 VIA MI NUORCA JOB ADDRESS , - SQ. -r. SFD THIS PERMIT DOES NOT I � NCL,UDE. POOL, & SPA Bl,(.)( -.'K WAILS OR r DRIVEWA V.A-PPROACHRLPLACEMENTJOB CARD. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U G PLUMBING / WASTE U G ELECTRICAL / GROUNDING OTINGS / STEEL CONCRETE SLAB ff DO NOT POUR CONCRETE UNTIL ABOVE SIGNED I` ROOF NAIL/ PRE -ROI OKAY TO WRAP . FRAMING'(COMBINAI ROUGH ELECTRIC • ROUGH PLUMBING INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST - - SEPTIC ABANDONMENT. SEWER CONNECTION " SEPTIC/ GREASE INTERCEPTOR j MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM I' POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS I U/G ELECTRICAL j PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS . TEMP. USE OF PERMANENT POWER -� O ELECTRICAL PLUMBING MECHANICAL l PUBLIC WORKS DEPARTMENT ( -c, ' COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED. ABOVE APPROVALS DO NOT INCLUDE RIGHT TO' ,,' TURN ON UTILITIES OR OCCUPY BUILDING Certificate of Compliance: Residential .(Part 1 of 2) CF -.1 R Jacobson Residence 0.756 9/1/2004 Project Title Wood Date Lot 46-C - Hideaway La Quinta None 0.387 U -Factor Project Address Shading Yes / No Building Permit # / No Insu-Form Inc. (760) 324-0216 48.0 0.60 0.45 Bug Plan Check / Date Documentation Author Telephone 0 Front (East) Computer Performance 15 0.45 Field check / Date Screen Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION X❑ Front Total Conditioned Floor Area:. 5,171 f? Average Ceiling Height: 10.7 ft Total Conditioned Slab Area:. 4,430 fl? . Screen Building Type y ❑ (check one or more) ' (South) X❑ Single Family Detached ❑ Addition ` 0.45 ❑ Single Family Attached ❑ Existing Building X❑ ❑ Multi -Family ❑ Existing Plus Addition X❑ Front Orientation: (East) 90 deg Number of Dwelling Units: 1.00 Number of Stories: 2 Component Slab On Grade Slab On Grade R-19 Wall (W.19.2x6.16) R-38 Roof (R.38.2x14.16) Solid Wood Door ' Floor Construction Type: ® Slab Floor Const. Frame Assembly n/a 0.756 n/a 0.756 Wood 0.065 Wood 0.028 None 0.387 ❑ Raised Floor Location/Comments (attic, garage, typical, etc.) Covered Slab w/R-0.0 Perimeter Insulation Exposed Slab w/R-0.0 Perimeter Insulation Exterior Wall Exterior Roof Exterior Door FENESTRATION Sharlinn novicpc Type Orientation Area Fenestration Exterior Overhang Side Fins SF U -Factor SHGC Shading Yes / No Yes / No Front (East) 48.0 0.60 0.45 Bug ScreenX❑ El F-1 0 Front (East) 25.0 0.63 0.45 Bug Screen X❑ ❑ ❑ X❑ Front (East) 105.8 0.55 0.45 Bug Screen X❑ ❑ ❑ X❑ Left (South) 48.0 0.55 0.45 Bug Screen X❑ ❑ ❑ X❑ Left (South) 66.0 0.63 0.45 Bug ScreenX❑ ❑ ❑ X❑ Left (South) 130.0 0.60 0.45 Bug Screen X❑ ❑ ❑ X❑ -Rear (West) 160.0 0.55 0.45 Bug Screen X❑ ❑ ❑ X❑ Rear (West) 160.0 0.68 ' 0.45 Bug ScreenX❑ ❑ ❑ a Right (North) 48.0 0.55 0.45 Bug Screen[x] ❑ ❑ X❑ Right (North) 115.4 0.63 0.45 Bug ScreenX❑ ❑ ❑ X❑ Left (Southwest) 25.5 0.63 0.45 Bug Screen X❑ ❑ ❑ X❑ Rear (West) 5.0 0.63 0.45 Bug Screen X❑ ❑ ❑ X❑ Run Initiation Time: 09/01/04 11:34:30 Run Code: 1094063670 Ener Pro 3.1 By Ener Soft User Number: 2655 Job Number: Pa e:3 of 16 K M Certificate of Compliance: Residential (Part 1 of 2) CF -1 R Jacobson Residence ` 9/1/2004 Project Title Date Lot 46-C - Hideaway La Quinta Project Address Building Permit # Insu-Form Inc. (760) 324-0216 Plan Check / Date Documentation Author Telephone Computer Performance 15 Field Check / Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION 1-1 1:1 Total Conditioned Floor Area: ' 5,171 if Average Ceiling Height: 10.7 ft Total Conditioned Slab Area: 4,430 ft2 s Building Type: ❑ ❑ (check one or more) X❑ Single Family Detached ❑ Addition ❑ Single Family Attached ❑ Existing Building ❑ Multi -Family ❑ Existing Plus Addition Front Orientation: (East) 90 deg Floor Construction Type: ® Slab Floor Number of Dwelling Units: 1.00 :Number of Stories: 2 ❑ Raised Floor ` Const. Component Frame Assembly Location/Comments Type Type U -Value (attic, garage, typical, etc Y T. FENESTRATION l Sharlinn navicac Type . Orientation Area Fenestration Exterior Overhang Side Fins SF U -Factor SHGC Shading. Yes / No Yes / No Right (Northeast) 82.6 0.55 0.45 Bug Screen x❑ ❑ ❑ X❑ El 1:1 El El 1-1 1:1 El 1-1 1:1 1:1 El ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ _ 1:1 1:1 ❑❑ ❑❑ ❑❑ ❑ ❑ ❑ ❑ ❑❑ ❑❑ Run Initiation Time: 09/01/04 11:34:30 Run Code: 1094063670 Ener Pro 3.1 By Ener Soft . User Number: 2655 • I Job Number: Pa e:4 of 16 M Certificate of Compliance: Residential (Part 2 of 2) CF -1 R Jacobson Residence 9/1/2004 Project Title Date HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location / pump, etc.) (AFUE/HSPF) (ducts, attic, etc.) R -Value Type Comments ParkayPd Heat Pump 7.20 HSPF Ducts in Attic 4.2 'Setback 'First Floor Packaged Heat Pump 6.60 HSPF Ducts in Attic 49 Setback Second Floor Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type Comments Packaged Heat Pump 12.0 SEER Ducts in Attic 42 Setback First Flnnr Packaged Heat Pump A2 0 SEER Ducts in Attic 42 Setback - Sernnrt Flnnr WATER HEATING SYSTEMS Rated 1 Tank Energy Fact! 1 External Water Heater Water Heater Distribution . # in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value A-0. SMITH FPS -50-224 Small Gas Recirc/Time+Temp_ l_. 43,000 50 0.62 n/a n/a r J 1 For small gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. REMARKS 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. The undersigned recognize that compliance using duct sealing and TXV's requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Documentation Author Name: ROK Rasa r., Name: Joan D. Hacker Title/Firm: 84S F-i9s7*O1V Aj/R 4&4WreL7 Title/Firm: Insu-Form Inc. Address: '=•r Address: 68255 Corta Road IAj!�YA- ai4AA A914 Cathedral City, CA 92234 Telephone: BOS' T&tf S Df! Telephone: (760) 324-0216 #: G 2239 3 , os- 1 0 �- (sign lure) �,0& (date) (sig to ) (date) Enforcement Agency Name: Title/Firm: Address: Telephone: signature/stamp date Run Initiation Time: 09/01/04 11:34:30 Run Code" 1094063670 EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number: Page:S of 16 Certificate of Compliance: Residential ♦ (Addendum) 2F-1 R Jacobson Residence ; 9/1/2004 Project Title ; J Date • Special Features and Modeling Assumptions ` The local 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 local enfnrrement aaenry determines the adeauacv of the iustification. and may refect a building or design that otherwise complies based on the adequacy of the special justification and documentation'submitted. + Plan Field The HVAC System "Second Floor" must meet all CEC Criteria for a Zonally Controlled system serving only Sleeping Areas. - 1, •� • � - HERS Required Verification r' ♦ ` These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS 10♦— 119— uua.u111c19a u+c ucw vcnn�auUn anu ulaynUmw acauny U1 uioao 111caouMa vn a wnn Lr -um plan Field t , ... . ° . t.7 f Run Initiation Time: 09/01/0411':34:30' Run Code: 1094063670 nergyPro 3.1 By EnergySoft User Number: 2655 Job Number: Page:6 of 16 U Mandatory Measures Checklist: ' Residential (Page 1 of 2)' MF -1 R ` NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded 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 minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION. Instructions: Check or initial applicable boxes or enter.N/A if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures '§150(a): Minimum R-19 ceiling insulation. y _. 1150(b): Loose fill insulation manufacturer's labeled R -Value. Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does ' ❑11150(c): i� not apply to exterior mass walls). �• E]' §150(d): Minimum R-13 raised floor insulation in framed floors or equivalent. + §150(1): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor,transmission rate no greater than, 2.0 perm/inch. §118: Insulation specified or installed meets insulation quality standards. Indicate type and form. ® §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.. 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. • - §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150('D: Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. ,. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: t a. Closeable metal or glass door' ' b. Outside air intake with damper and control c. Flue damper and control + 2. No continuous burning gas pilots allowed', •.} Space Conditioning, Water Heating .and Plumbing System Measures § 110-13: HVAC equipment, water heaters, show erheads and faucets certified by the Commission., y , §150(h): Heating and/or cooling loads calculated in accordance with ASH RAE, SMACNA or ACCA. § 150(i): Setback thermostat on all applicable heating and/or cooling systems: §1500): Pipe and Tank Insulation. 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external ' insulation or R-16 combined internal/external insulation. - 14. All buried or exposed piping insulated in recirculating sections of hot water systems. ' 5. Cooling system piping below 55 degrees F. insulated. ? 6. Piping insulating between heating source and indirect hot water tank. EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number: Page:7 of 16 I + I k Mandatory Measures Checklist: Residential (Page 2 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these, measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded 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 minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) X] '§150(m): Ducts and Fans r ' 1. All ducts and.plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181 A, or UL181 B. If mastic or tape is used to seal openings , greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. 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 drawbands. 2. 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. 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive e • duct tapes unless such a tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilation systems serving conditioned space have eitherautomatic or readily accessible; manually operated dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. 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. ❑ § 114: Pool and Spa Heating Systems and Equipment J 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating, and no pilot. 2. System is installed with at least 36" of pipe between filte'r and heater for future solar, cover for outdoor pools or spas. a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. ' 3. Pool system has directional inlets and a circulation pump time switch. §115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr)' §118 (f): Cool Roof material meet specified criteria Lighting Measures ® §150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. FX I §150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. " 3.1 By EnergySoft User Number: 2655 Job Number: Page:8 of 16 Computer Method Summary .(Part 1 of 3) C -2R JaCoh-snn Residence 9/1/2004 Date Project Title 46-(' I of —Hideaway Project Address a_Qlllnta Building Permit # Inst i -Form Inc (760) 324-0216 Documentation Author Telephone Plan Check/Date C'nmptltAr PArformancp 15 Field Check/Date Compliance Method (Package or Computer) Climate Zone Source Energy Use Standard .Proposed . Compliance (kBtu/sf-yr) Design Design Margin - Space Heating 2.14 3.09 -0.95 Space Cooling 31.96 31.95 0.01 Domestic Hot Water 5.51 4.57 0.94 Totals 39.61 39.60 0.01 Total Conditioned Floor Area: 5,171 ft2 Building Type: Single Fam Detached Building Front Orientation: (East) 90 deg Number of Dwelling Units: 1.00 Number of Stories: 2 BUILDING ZONE INFORMATION Zone Name • Floor Area Volume Floor Construction Type: ❑ Raised FloorX❑ Slab Floor Total Fenestration Area: 19.7% Total Conditioned Volume:' 55,399 ft 3 Total Conditioned Slab Area: 4,430 ft 2 # of Units First Floor 443 487.1 0 a6 _Second Floor 741 666 0 14 Solar OPAQUE SURFACES Act. Gains Type Area U -Fac. Azm. Tilt Y / N Wall 451 0.065 90 gQ ® ❑ Wall . 340 0 065 180 gn ® ❑ Wall 370 0 065 270 gn ® ❑ Wall 570 0.065 0 go ® ❑ Ronf 3,539 0.028 270 0 ® ❑ Wall 290 0 065 90 gn ® ❑ Wall 276 0.065 180 gQ ® ❑ Wall 174 0.065 225 gn ® ❑ Wall 192 n n6s 97n 90 ® ❑ Door 22 0 387 270_ 90_ ® ❑ Wall 266 0.065 o 90 Wall 17 0.065 45 go ® ❑ -Root_ 741 0 028 go 0 ® ❑ ❑❑ Thermostat Vent Zone Type Type Hgt. Area Cnnditinned Sethark $ n/a Sleeping _S_leepingStat 8 n/a Form 3 Reference Location / Comments 0 ❑ ❑' ❑❑ ❑ ❑ F-1 F-1 ❑ ❑ F-1 F-1 ❑❑ F1 ❑❑ F ❑ ❑❑ -1 El Run Initiation Time: 09/01/04 11:34:30 Run Code: 1094063670 EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page:9 of 16 Computer Method Summary (Part 2 of 3) C -2R Jacobson Residence 9/1/2004 Project Title Date FENESTRATION SURFACES Location/ Comments INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. RExt. Dist. Len. Hgt. First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor Second Floor Second Floor Second Floor Second Floor Second Floor Second Floor Second Floor Right Fin Dist. Len. Hgt. 1 Bug Screen 0.76 8.0 U- 2.0 Act. IGlazing Type # Type - Bug Screen Area Factor SHGC Azm. Tilt 1_ Window Front (East) 480 -0 600_ 0 45 9f) qQ Milnard Windows 2 Window Front (East) 15.0 0.630 0.45 90 90 Milgard Windows 3 Window Front (East) 105.8 0.550 0.45 90 90 Milgard Windows 4 Window Left (South) 48.0 0.550 0.45 180 90 Milgard Windows 5 Window Left (South) 42.0 0.630 0.45 180 90 Milgard Windows 6 Window Left (South) 88.0 0.600 0.45 180 90 Milgard Windows Z Window Left (South) 12-0 0-600 0.45 180 90 Milgard Windows 8 Window Left (South) 30.0 0.600 0.45 180 90 Milgard Windows 6 Window Rear est) 80.0 0.550 0-45 270 90 Milgard Windows 1Q Window Rear est) 160.0 0.680 0.45 270 90 Milgard Windows 11 Window Rear (West) 80.0 0.550 0.45 270 90 Milciard Windows 12 Window Right (North) 48.0 0.550 0.45 0 90 Milgard Windows 1a Window Right (North) 15.0 0.630 O45 0 _90 Milgard Windows 14 Window Right (North) 12.4 0.630 0.45 0 90 Milgard Windows 15 Window Right (North) 33.0 0.630 0.45 0 90 Milgard Windows 16 Window Right (North) 6.2 0.630 0.45 0 90 Milgard Windows 17 Window Right (North) 15.0 0.630 0.45 0 90 Milgard Windows 18 Window Front (East) 10.0 0.630 0.45 90 90 Milgard Windows JR Window -Left (South) 8.0 0.630 0.45 180 90 Milgard Windows 20 Window Left (South) 16.0 0.630 0.45 180 90 Milgard Windows 21 Window Left (Southwest) 25.5 0.630 0.45 225 90 Milgard Windows 22 Window Rear (West) 5.0 0.630 0.45 270 90 Milgard Windows 23 Window Right (North) 33.8 0.630 0.45 0 90 Milgard Windows 24 Window Right (Northeast) 82.6 0.550 0.45 45 90 Milgard Windows 10.4 8.0 0.1 8.0 8.0 Location/ Comments INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. RExt. Dist. Len. Hgt. First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor First Floor Second Floor Second Floor Second Floor Second Floor Second Floor Second Floor Second Floor Right Fin Dist. Len. Hgt. 1 Bug Screen 0.76 8.0 6.0 2.0 0.1 2.0 2.0 2 Bug Screen 0.76 5.0 3.0 2.0 0.1 2.0 _ 2.0 3 Bug Screen 0.76 11.5 9.0 7.0 0.1 7.0 7.0 4 Bug Screen 0.76 8.0 6.0 2.0 0.1 2.0 2.0 5 Bug Screen 0.76 6.0 7.0 2.0 0.1 2.0 2.0 6 Bug Screen 0.76 8.0 11.0 2.0 0.1 2.0 _ 2.0 7 Bug Screen 0.76 3.0 2.0 2.0 0.1 2.0 2.0 8 Bug Screen 0.76 5.0 6.0 2.0 0.1 2.0 2.0 9 Bug Screen 0.76 8.0 10.0 8.0 0.1 8.0 8.0 10 Bug Screen 0.76 10.0 16.0 22.0 0.1 22.0 _ 22.0 Ti Bug Screen 0.76 8.0 10.0 9.0 0.1 9.0 _ 9.0 12 Bug Screen 0.76 8.0 6.0 30.0 0.1 30.0 30.0 13 Bug Screen 0.76 5.0 3.0 2.0 0.1 2.0 2.0 14 Bug Screen 0.76 2.8 2.4 2.0 0.1 2.0 2.0 15 Bug Screen 0.76 5.5 6.0 2.0 0.1 2.0 2.0 16 Bug Screen 0.76 2.8 2.4 2.0 0.1 2.0 _ 2.0 17 Bug Screen 0.76 5.0 3.0 2.0 0.1 2.0 _ 2.0 18 Bug Screen 0.76 4.0 2.5 2.0 0.1 2.0 2.0 19 Bug Screen 0.76 4.0 2.0 2.0 0.1 2.0 _ 2.0 20 Bug Screen 0.76 4.0 4.0 2.0 0.1 2.0 2.0 21 Bug Screen 0.76 4.5 5.8 2.0 0.1 2.0 _ 2.0 22 Bug Screen 0.76 2.5 2.0 2.0 0.1 2.0 2.0 23 Bug Screen 0.76 4.5 7.5 2.0 0.1 2.0 2.0 24 Bug Screen 0.76 8.0 10.4 8.0 0.1 8.0 8.0 EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number: Paoe:10 of 16 1 Cooling Equipment f Minimum Duct Type (air conditioner, ' Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc) R -Value Type Comments Packaged Heat Pump 12.0 SEER Ducts in Attic 4-2— Setback First Floor Packaged Heat Pump 12.0 SEER Ducts in Attic 4.2 Setback Second Floor WATER HEATING SYSTEMS Ratedl Tank Energy f=acts 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. 'or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency Loss (%) Ext. A.O: SMITH FPS -50-224 Small Gas Recirc/Time+Temp 1X3-000 50 0.62 n/a n/a 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, and Recovery Efficiency. REMARKS 0 r Computer Method Summary (Part 3 of V C -2R Jacobson Residence 9/1/2004 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location , Type (sf) (in.) Cap. Cond. Form 3 Reference R -Val. 1 Comments PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments Slab Perimeter 22 '-0-M 0.0 0 First Floor Slab Perimeter 99 0.76 0-0 —0 First Floor HVAC SYSTEMS " Heating Equipment . Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Location / pump, etc.) (AFUE/HSPFxducts/attic, etc.) R -Value Type Comments Packaged Heat Pump 7.20 HSPF Ducts in Attic 4-2 Setback First Floor Packaged Heat Pump 6.60 HSPF Ducts in Attic 4.2 Setback Second Floor .Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. Cooling Equipment f Minimum Duct Type (air conditioner, ' Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc) R -Value Type Comments Packaged Heat Pump 12.0 SEER Ducts in Attic 4-2— Setback First Floor Packaged Heat Pump 12.0 SEER Ducts in Attic 4.2 Setback Second Floor WATER HEATING SYSTEMS Ratedl Tank Energy f=acts 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. 'or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency Loss (%) Ext. A.O: SMITH FPS -50-224 Small Gas Recirc/Time+Temp 1X3-000 50 0.62 n/a n/a 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, and Recovery Efficiency. REMARKS 0 Computer Method Summary (Addendum) C -2R Jacobson Residence .. 9/1/2004 Project Title Date Special Features and Modeling Assumptions The local 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 local 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. I Plan I Field The HVAC System "Second Floor' must meet all CEC Criteria for a Zonally Controlled system serving only Sleeping Areas. HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved provider. The HERS rater must document the field verification and diagnostic testing of these measures on a fort HERS CF -6R. Plan Field Run Initiation Time: 09/01/04 11:34:30 Run Code: 1094063670 EnergyPro 3.1 By EnergySoft . User Number: 2655 Job Number: I Page:12 of 16 7 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Jacobson Residence 9/1/2004 SYSTEM NAME FLOOR AREA First Floor 4,430 Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK I I COIL HTG. PEAK CFM I Sensible Latent I I CFM I Sensible 4,515 79,195 11,412 2,113 71,755 0 3,960 3,588 0 0 0 0 0 0 0 0 0 3,960 3,588 87,1141 11,4121 F---78,9301 CARRIER 48JZN060115301 113,157 45,548 108,517 10.0 kW Supplemental Electric 102,390 Total Adjusted System Output 113,157 45,548 210,907 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 m Jan 12 am EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26.0 OF 69.4 OF 69.4 OF = 86.3 OF 102.2 OF Supply Air Ducts Outside Air 0 cfm Supply Fan Heating Coil Aux. Heat Coil 101.7 OF 6000 cfm ROOMS 69.4 of 70.0 of Return Air Ducts I DOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 111.0/77.4OF 78.6/66.4°F 78.6/66.3OF 61.0/59.9OF „;'"`' Supply Air Ducts Outside Air'` 0 cfm Supply Fan Cooling Coil 61.6 / 60.1 OF 6000 cfm 54.0% R.H. ROOMS 78.6/66.40F 78.0/66.2OF h Return Air Ducts `i EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number: Page:13 of 16 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Jacobson Residence 9/1/2004 SYSTEM NAME FLOOR AREA Second Floor 741 Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM Sensible Latent CFM I Sensible 563 12,385 345 231 9,535 0 619 477 0 0 a 0 0 0 0 0 0 6191 1 477 13,6241 345 10 489 HVAC EQUIPMENT SELECTION CARRIER 48GXN02406031 18,055 2,815 15,521 5.0 kW Supplemental Electric 17,065 Total Adjusted System Output 18,055 2,815 32,586 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 m Jan 12 am EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26.0°F 69.4°F 69.4°F 88.3°F 109.2°F ' 00 Supply Air Ducts Outside Air 0 cfm Supply Fan Heating Coil Aux. Heat Coil 108.6 °F 765 cfm ROOMS 70.0 OF 69.4 °F k Return Air Ducts 4 COOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 111.0/77.4°F 78.8/63.4°F 78.8/63.30F 56.7/55.40F ' '' Supply Air Ducts Outside Air w 0 cfm Supply Fan Cooling Coil 57.5 / 55.7 OF 765 cfm 44.1 ,6 R. H. ROOMS 78.8/63.4°F 78.0/63.2°F >% Return Air Ducts y EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number: Page: 14 of 16 e%f%RA 1 f% A r% C% 1 MARA A rlV EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Page: 15 of 16 ROOM LOAD SUMMARY PROJECT NAME Jacobson Residence DATE 9/1/2004' SYSTEM NAME Second Floor FLOOR AREA 741 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME ROOM NAME Mult. CFM SENSIBLE LATENT CFM SENSIBLE NT LATENT CFM SENSIBLE Second Floor Second Floor 1 563 12,385 345 563 12,385 345 231 9,535 4 PAGE TOTAL TOTAL 1 5631 12,3851 3451 2311 97535] 5631 12,3851 7345 1 2311 9,535 EnergyPro 3.1 By EnergySoft User Number: 2655 -Job Number: Page:16.of 167 WEDDL,E SURVEYING MAPPING, INC Boundary- Construction • Topographic Aerial Surveys • ALTA Surveys • GPS Consulting June 9, 2005 - Mr. TimothyR. Jonasson Public Works Director./ City Engineer -City of La Quinta 78=495 Calle Tampico La Quinta,=CA 92253=1504 Re:' Pad/Form Grade, Verification. _ City -of La Quinta Lot 46C Tract_No.' 29894-3 Amended TBE --HIDEAWAY Dear Mr. Jonasson: _ -We have performed a field'survey to determine the vertical. location: of the building pad and -form for the above referenced project, The elevation's observed are as follows: PAD (DESIGN) PAD. (AS -BUILT)' 998.40 , 998.4 FORM (DESIGN) _ FORM (AS -BUILT) _. 998.90: 998.87 These field observations, are in substantial- .conformance with the _precise-giading plan _ . . - _�..- prepared 'by-ESSI-SHAHANDEH, CIVIL ENGINEER; dated' 3/3/04 -and the building horizontal location substantially conforms ,to the. required setbacks and site layout as shown on the approved site plan. Sincerely; WEDDLE. SURVEYING MAPPING, INC. 5�� 1.ANp s(� O - * NO: -5570 m "X David L. Weddle; President' EXP 09/30/05 L.S. 5570, Exp 9/30/05 s- P.O. Bax 10418 • Palm Desert, CA 92255-0418 73.-960 Hwy. 111, Ste. 6 • Palm Desert, CA. 92260 • 760.346.3748 E-Mail:'WedSury @061.com • Fax 760.346.3749' '` Gary EW SHAHANDkH. C1111L ENGINEER 45175 Panorama Dr., Suite "E" Telephone (760) 340-5597 ' Palm Desert, CA. 92260 ; Fax (760) 340-1121 w t � January 24`x, 2006 .. ♦_, � . r City of La Quinta Department of Building & Safety RE: 3-443 ViaRfiorQ La Quinta, CA C_Lot 46C Hideaway, Matt Cwiertnia Residence To..Whom It May Concern:, *' This letter is to verify specifically that the minimum required anchor bolts and hold downs for both the shear panel and double wall between the garage doors on the'above mentioned structure have been installed satsifactorily by the contractor. This portion•and the rest of the structure have been inspected and observed to be in conformance with the -approved plans.. Sincerely, Essi Shahandeh, P.E. jQ4G V�p,F SHq 9 FZ 4,a yy 4 Q m w NO. X783 `r_ 'Exp. 4F OF CAI�� ESSI SIIAII DSII, (MMIC FjV6bVEER 45175 Panorama Dr., Suite "E" ,Telephone (760) 340-5597 Palm Desert, CA 92260 Fox(760)340 1121 January 13, 2006 'City of La•Quinta - 1 78-495 Calle Tampico La Quinta, CA. 92253. APveperformed uilding Inspector lrca, Matt Cwiertnia Residence way . • . a Framing Ispectibn on this project and found it to be in compliance with the approved permitted plans, I have also reviewed and approved all differences between the plans and as -built. ' Sincerely, Essi Shahandeh, P.E. ; , r .. Q�,®FESS10A,, CD LU w No.47834" c1c: Ems, /2 �/ 7 • Sr \ • v ^ t gTEOF