13-1484 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253. BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-000014 84
Property Address: 78515 VIA SONATA
APN:" 646-290-009- - -
Application description: PLUMBING
Property Zoning: LOW DENSITY .RESIDENTIAL
Application valuation: 1058
.Applicant: Architect or Engineer:
v
Owner:
JAMES ROCKE
78515 VIA SONATA
'LA QUINTA, CA 92253-
(
Contractor:
CALIFORNIA DELTA MECHNI
6056 E. BASELINE RD, #1
MESA, AZ 85206
(866)692-5273
Lic-'No.: 811114
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:11/21/13
CA I C NOV 212013
55
CITY OF LA QUINTA
FINANCE DEPT.
--------------------------------------------------
- _ LICENSED CONTRACTOR'S DECLARATION N
----------------------------------------------
- WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm underpenalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and P ofessionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: ASB , C10 , 16 L' a No.: 811114 -
for by Section 3700 of the Labor Code, for the performanceof the work for which this permit is
"
Date: 1 , �3 Contractor..
issued. '
- I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
-
_
Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND .Policy Number 1697823-11
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
(.certify that; in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that: he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Cod hall fo with comply with those provisions. -
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Date:.. G Applicant:
(_) 1, as owner of the property, or my employeeswithwages 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
• - Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.). -
APPLICANT ACKNOWLEDGEMENT
1 _ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of .Building and Safety for a permit subject to the -
- 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as result of this application,
(_ I I am exempt under Sec. , B.&P.C. for this reason"
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
- -
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
,. Date: Owner: -
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
CONSTRUCTION LENDING AGENCY
permit to cancellation.
' I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). -
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
ofthis county to enter upon the above-mentioned property f pectin purposes. -
Lender's Name:
-
Date: �' ignature (Applicant or Agent):((c.J�"`^�
Lender's Address: A
LQPERM[1T
Application Number 13-00001484
Permit . . PLUMBING 2013
Additional desc .
Permit Fee 11.92
Plan Check Fee
.00
Issue Date
Valuation
j. 0
Expiration Date 5/20/14
Qty Unit Charge Per
Extension,
1.00 1-1.9200"EA PLBG WATER
HEATER/VENT
11.92
-----------------------------------------------------------------------------
Special Notes and Comments
WATER HEATER CHANGE OUT - 40GALLON/GAS
[2008 ENERGY] CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO FINAL.
INSPECTION. 2010 CALIFORNIA BUILDING
CODES.
----------------------------------------------------------------------------
Other Fees . . . ,. . . . . PERMIT
ISSUANCE M/P/E
- 90.57
PLAN CHECK, PLUMBING
7.15
Fee summary Charged Paid
Credited
Due
Permit Fee Total 11.92
.00 .00
11.92
Plan Check Total .00
.00 .00
.00
Other Fee Total 97.72
.00 .00
97.72
Grand Total 10.9.64
.00 .00
109.64
LQPERMIT
'
Qin #
. ..
Building Bt. Safety Division
Permit #
P -O: Box 1564,18-495 Calle Tampico
/1�,
La.Quinta, CA 92253 (760) 777-7012
•
Building Permit Application and Tracking Sheet
Project Address:IQS(rJ Via„
SO L'IJR• Owner's Name:.:
A. P. Number.
Address:
Legal Description:
City, ST, Zip: UL Ca, n.60.
Contractor:ea Mechanical Ind. - • `
. <:
-Telephone:
Address: 605e E Baseline RoadProject-Description-
Suite 155
City, ST, 'Lip:
'
Telephone:
.
h'2Dn55'S .. �.. C''�•"
City Lic. #•: 1oA ��j
Arch., Eng., Designer.
Address:
City, ST, Zip:
Telehone:Z'
p
:>> - .
Construction Type: Cato Occupancy:
State Lic. #:
xAdd'n Alter Repair DemoaP
Name of ContactPerson: •'1'
Sq. Ft.: #Stories: #Units:
Telephone # of Contact Person; (o(p .
73 Estimated•Value of Project: o5g
APPLICANT: DO 140T WRITE BELOW THIS LINE
# Submittal Rcq'd Recd TRACMG PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Cities.
Reviewed, ready for corrections Plan Check Deposit.
Truss Cates.
Called.Contact Person Plan Check Balance.
Title 24 Cales.
Plans picked up Construction
Flood plain plan
Plans resubmitted.'. Meehapical
Grading pian
rl,Rev'icw, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Gront.Deed
Plans picked up
S,.M.I.
ILOA. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, ready 'for correctionvIssue
Developer impact Fee
Planning Approval
Called Contact Person
A:LP.P.
Pub. Wks. Appr
Date of permit issue
school Fees
Permit Fees
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC- CFA R -ALT (Revised 03/101
CALIFORNIA EN
Prescriptive Certificate of Compliance: Residential C&M-ALT
Residential Alterations age 1 of 7
Project Name: Climate Zone # I # of Stories
General Information
Site Address:
Enforcement Agency:
Date:
Building Type ❑ Single Family ❑ Multi Family
Circle the Front Orientation: N, E, S, W, or degrees
Conditioned Floor Area (CFA):
Project Type' ❑ Alterations ❑ Envelope ❑ Fenestration ❑ Roof ❑ HVAC
Re lacement or Change Out ❑ Duct Replacement ❑ Water Heater
NOTE: This form is not to be used for Newly Constructed Buildings or Additions
Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
❑ Opening of framed cavity alone— Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the
mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A —C and enter mandatory insulation value in Column H.
❑ Replacement of entire assembly— Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Package- D insulation values in Table 151-C. Fill in Columns A —J.
Opaque Surface Details.For the furred portioned of Mass Walls see Furring Strips Construction Table below.
A B C D
E
F G H I J
Proposed ee ore
Standard
Values From JA4
Table
Walls From Reference
Framing Thickness,
Framed
Continuous
JA4
Proposed
Tag/
ID'
Assembly Name
or T eZ
Material Spacing,
and Size or Other;
U-
factor°
JA4 Table Cavity
Numbers R -value
Insulation
R -.Value
Assembly
Row/Cola
Assemblsy
U -factor
C,' y
W
Assembly j
r
c g •�°�
o, 7
P.
Final
Mass
Name or JA4 Table ' y
d 7 E
E o
° ' '
Assembly
Thickness'
T e' Numbe? ¢ >
a x e
id Q >
U-factorb�
Comment
Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
Furring Constnrction table below.
1. For Tag/ID indicate the identification name that matches the building plans.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate in column G the Frame
material and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc....
4. Based on the Climate Zone; enter the equivalent U factor found in JA4 Table based on the R -Value from Table 151-B, C, or D
5. Enter the Table number that closely resembles the proposed assembly.
6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ".
7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0".
8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J
9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply.
Furr ing Strips Construction Table for Mass Walls Onl
A B C D E
F I C I H I J I K
L
M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint Appendix Table 4.3.5, 4.3.6, 4.3.7
Joint Appendix Table 4.3.13
Q)
V N
`
��,,
V U
`�
C,' y
W
Assembly j
r
c g •�°�
o, 7
P.
Final
Mass
Name or JA4 Table ' y
d 7 E
E o
° ' '
Assembly
Thickness'
T e' Numbe? ¢ >
a x e
id Q >
U-factorb�
Comment
Re;istrntionNtunber Re_xistratori"Date/Tinte HERSProvider ,Pon
2008 Residential Compliance Forms March 2010
G
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC- CF -1 R -ALT Revised 03110 CALIFORNIA ENERGY COMMISSION
Prescriptive Certificate of Com liance: Residential CF -IR -ALT
Residential Alterations Page 2 of 7
Project Name: Climate Zone # # of Stories
Mass and Furring Strips Construction(footnotes)
1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
befound Reference Joint Appendix J44.
2. This is the U -Factor based on the thickness of the assembly in inches.
3. The R -value of the insulation to be added on the interior or exterior of the assembly.
4. The Calculated R- Value is the R -value of the furred out section of the assembly.
-6. The Final Assembly is calculated using Equation 4-2 or- Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column
added to Column L Column K is the inverse from column J.
7. Insert the calculated U factor value on to the Opaque Surface Details in Column J
FENESTRATION PROPOSED AREAS
❑ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC. Value requirements of Component Package D in
Table 151-C. The Total Fenestration and West facing Area requirements are not applicable.
❑ Adding 50ft2 or less of window area — Newly installed windows .shall meet the U -Factor and SHGC Value requirements of Component
Package D in Table 151-C
❑ Adding more than 50fe of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration
Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -1 R -ALT
Orientation
Fenestration Type and Frame (North, East, PropsedArea' Maximum Maximum NFRC or Default
Window, Glass Door or Skylight) South, West) (ft' U -factor" SHGC" 1.4 Values
1. Fenestration area is the area of total glazedproduct (i.e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration
area may be the glass area phis a "2 inch frame" around the glass.
2. Enter value from Component Package D Requirements in Table 151-C.
3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower
SHGC value than that specified on the CF -JR ALT Form.
4. Submit a completed WS -31? Form if a reduced SHGC is calculated with exterior shading.
5.If applicable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default - valuesfound in Table 116-A or B.
ALTERED FENESTRATION
ALLOWED AREAS
(Complete if more than 50ft2
of fenestration is added)
Ai
B
C
D
E
F
G
CFA of
Allowed
Existing
Allowed
Entire
% of
Fenestration
Area
Fenestration
Area
Proposed Area 4
Dwelling
CFA'''
Area
Removed
Area Added
A x B
(E -D)'+ C
Total Fenestration
>
Areae' ft2
West Fenestration Area
(Required In
>_
CZ's 2,4&7-15
RegistrAliom'1Vumber<• ,..,.....Regis"trationDa"te%Tiine: _. _ �FIERSProvider"
2008 Residential Compliance Forms March 2010
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFAR-ALT Revised 03/10
Prescriptive Certificate of Compliance: Residential
-Residential Alterations '
Project Name:
1 a ,
CALIFORNIA ENERGY COMMISSION
CF -1R -ALT
Page 3 of 7
Climate Zone # # of Stories
/.The Proposed West Fenestration Area includes West -sloping skylight area and any other skylight area with a pitch less• than 1:12.
2. Enter 20% when no West orientation restriction or 15% when West fenestration is being installed in Climate Zones 2, 4, & 7-15. Note that the'
maximum allowed fenestration can only be 5% of the CFA as indicated in Column F. Column G must be equal to or less than Column F
3. In climate zones 2, 4, 7-15, no more than 5% of the CFA is allowed for west facing glazing.
4. Existing Fenestration area must be counted toward the maximum allowed 15% or 20% of the whole building and calculated in. Column G. The
Proposed Area must be less than or equal to Column F.
5. Enter the fenestration removed as part of the alteration if any in column D.
.1
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC- CF -1R -ALT Revised 03/10
Prescri tive Certificate of Compliance: Residential
Residential Alterations
Project Name:
CALIFORNIA ENERGY COMMISSION
CF -IR -ALT
Pa e4df7
Climate Zone # # of Stories
ROOFING PRODUCTS (COOL ROOFS) §151(t)12,
When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000 f , whichever is
less, the new roofing area must meet the roofing product "Cool Roof' requirements of §152(b)IHi, 152(b)1Hii, or 152(b)IHiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If any
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in
§118(1) are not applicable. Do not fill table below. .
❑ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch.
❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less
than 5lb/ft2.
Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12) - -
❑ Insulation with'a thermal resistance of at least 0.85 heft •°FBtu or at least a 3/4 inch air -space is added to the roof deck
over an attic; or /
❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or
❑ In climate zones 10, 12 and 13, with 1 ftZ of free ventilation area of attic ventilation for every 150 ft2 of attic floor area, and
where at least 30 percent of the free ventilation area is within 2 feet veitical distance of the roof ridge; or
❑ Building has at least R-30 ceiling insulation; or ,
❑ Building has radiant barrier in the attic meeting the requirements of §151(02; or
❑ Building has no ducts in the attic; or
❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic.
Exception to §152(b)1Hiii, Low -slope roof (pitch <_ 2:12) -
❑ Building has no ducts in the attic. J -
Other Exceptions `
❑ Roofing area covered by building integrated; photovoltaic panels and solar thermalpanels are exempt from the below .Cool Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/fie is exempt from the below Cool Roof criteria.
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise,
Check the applicable box below if Exempt from the Roofing Products "Cool Roof' Re uirement:
Roof Slope
Product Weight
Product
Aged Solar
Thermal
CRRC Product ID Number[
2:12. > 2:12
< 5lb/fig >_ 51b/fi2
Type Z
Reflectance 3,4
Emittance
SRI5
_<
❑
❑
❑
0
❑4
❑
11.
❑
❑ •
❑4
w
❑
❑
❑
❑'
❑4
❑
❑
❑
❑'
-
EV
c /
11
. ❑
11,
11❑4
1. The CRRC Product ID Number'can be obtained from the Cool Roof Rating Council's Rated Product Director), at www.coolroo s.or /products/search.php
2. Indicate the type of product is being used for the rooftop, i.e. single ply roof, asphalt roof, metal roof, etc.
3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same -
directory and use the equation (0.2+0.7(pi„hint — 0.2) to obtain a calculated aged value.. Where p is the Initial Solar Reflectance.
4. Check box if the Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI- Worksheet at h_ tip•//www.ener;ey.ca..gotdlitle24/and enter the resulting value in the SRI Column above and attach acop); of
the SRI- Worksheet to the CF -JR.
o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage '
recommended by the coatings manufacturer and meet minimum performance requirements listed in § 1 I8(i)4. Select the applicable coating:
FOAhuninurn-Pigmented Asphalt Roof Coating
TO Cement -Based Roof Coating
❑ Other
4.
Registration:Num6er:W57Regis tration'Date/Timei HERSRro"viler .:
'2008 Residential Compliance Forms March 2010
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF-IR-ALT Revised 03/10 CALIFORNIA ENERGY COMMISSION
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations (Page 5 of 7
Project _N�e: / ! Climate Zone # # of Stories
HVAC SYSTEMS - HEATING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be
gas or propane fired. Hot water pipe insulation from the DHW heater to the kitchen (s) and on all underground hot water pipes is required in all
Minimum
Duct or Piping
Configuration
Heating Equipment
Efficiency ;
Distribution Insulation
Thermostat
(Central, Split,
Type and Capacity" 2,3
AFUE or HSPF
Type and Location R -Value
Type
Space, Package or H dronic
(Standard, Recirculating)2
System
Capacity (gal)
Thermal Efficiency
R-Value3
S015-5
1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.)
2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity
< 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception.
3. Refer to the HERS Verification section on Page 4 of the CF -IR -ALT Form for additional requirements and check applicable bores.
4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc)
HVAC SYSTEMS - COOLING
Minimum
1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.)
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do
Efficiency
Duct or Piping
Configuration
Cooling Equipment (SEER/EER or Distribution
Insulation
Thermostat (Central, Split,
Type and Capacity' .2 COP) Type and Location
R -Value
Type Space, Package or H dronic
1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc)
2. Refer to the HERS Verification section on Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes.
3. Indicate Type or Location(Ducts, H dronic in Floor, Radiators, etc.
WATER HEATING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be
gas or propane fired. Hot water pipe insulation from the DHW heater to the kitchen (s) and on all underground hot water pipes is required in all
component packages in all climate zones.
External Tank
Water Heater Type/Fuel
Distribution Type
Number In
Tank
Energy Factor or
Insulation
Typen
(Standard, Recirculating)2
System
Capacity (gal)
Thermal Efficiency
R-Value3
S015-5
1
1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.)
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do
not allow the installation of a recirculating water heating system for single dwelling units.
3. The external water heating tank and i es shall be insulated to meet the requirements o §150 ).
SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below.
These items may require written justification and documentation and special verification.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier re uirement of § 151 (92 does not apply to roof alterations.
Slab Edge (Perimeter) Insulation ❑ YES ❑ NO
YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required.
Heated Slab Insulation ❑ YES ❑ NO
YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Raised Slab Insulation ❑ YES ❑ NO
YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R4 is required under component Package D.
Registrdtion Nirnrlier.' Registration Date/Tinne< , HERS`Providerrr
2008 Residential Compliance Forms March 2010
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF-IR-ALT Revised 03/10 CALIFORNIA ENERGY COMMISSION
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 6 of 7
Project Name:/ Climate Zone # # of Stories
7A.Sl S 11;A f01
Thermal Mass
To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach.
1,
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF -41? Form for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space, the ducts are to be sealed per § 152(b)1Dii and the newly installed ducts are to be insulated per § 15l(f)l0.
❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per § 152(b)1 Di.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler,
outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be
sealed per §152(b)IE.
❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS verification is required for this measure.
❑ YES ❑ NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air
handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the fumace heat
exchanger) a refrigerant charge measurement shall be verified per 152(b)1F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of § 150(o) do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
❑ YES ❑ NO YES: In Climate Zones 10 through 15, when the existing-, space -conditioning system (HVAC equipment and ducting) is,
replaced, the airflow and fan watt draw shall be verified per § 152(b)1Ci to meet the requirements of § 151(f)7B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name:
Signature:
Company:
Date:
Address:
If Applicable ❑ CEA or ❑ CEPE
(Certification #):
City/State/Zip:
Phone:
Responsible Building Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
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2008 Residential Compliance Forms March 2010
STATE OF CALIFORNIA r
RESIDENTIAL ALTERATIONS
CEC- CF -IR -ALT Revised 03/10 CALIFORNIA ENERGY COMMISSION
Prescriptive Certificate of Com liance: Residential CF -IR -ALT
Residential Alterations • (Page 7 of 7
Project Name:. Climate Zone # # of Stories
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For assistance or questions rVgarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
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2008 Residential Compliance Forms March 2010 r