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08-0279 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00000279 Property Address: 56445 VILLAGE DR APN: 764-040-011- - - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 457347 Applicant: T4&t 4 44ur«rw BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: RICHARD COMBS 414 AVIATION BLVD DETACHED SANTA ROSA, CA 95403 Architect or Engineer: �7A LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licnsed r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and es ' s Code, and my License is in full force and effect. License Class: B License No.: 710230 Datei✓Z1 V Contractor NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, _ and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 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.). I ) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). e Lender's Name: Lender's Address: LQPERMIT Contractor: BOVENZI HOMES 50002 CANYON VIEW DRIVE PALM DESERT, CA 92260 (530)613-1173 Lic. No.: 710230 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/29/08 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 have and will maintain a certificate, of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number EXEMPT I certify that, in the performance of the work for hich this permit is issued, I shall not employ any person in any manner so as to become ject t the workers' compensation laws of California, and agree that, if I should become s lect to t workers' compensation provisions of Section 3700 of the Labor Co I shall fo with ply with those provisions. Date: �pplicant: WARNING: FAILURE TO SECURE WORKERS' k0l.PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1.. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La 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 cessatio of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above. informat' n ' correct. I agree to comply with all city and county ordinances and state laws relating to building construct' ^d hereby authorize representatives of this, county to enter upon the above-mentioned proper ins pur Date:t� .2— Signature (Applicant or Agent)' // { Application Number . . . . . 08-00000279 ------ Structure Information 5,251SF DWELLING/V-B/R-3/CLASS A -FR ----- Other struct info . . . . . CODE EDITION 2007CODES # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 1001.00 PATIO SQ FTG 1011.00 NUMBER OF UNITS 1.00 ----------7--------------------------------------------------------7-------- 1ST FLOOR SQUARE FOOTAGE 5251.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1892.50 Plan Check Fee 1230.13 Issue Date . . . . Valuation . . 457347 Expiration Date 1/24/09 Qty Unit Charge Per Extension BASE FEE 639.50 358.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 1253.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee 234.01 Plan Check Fee 58.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/24/09 Qty Unit Charge Per Extension BASE FEE 15.00 5251.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 183.79 1011.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 20.22 1.00 15.0000 ---------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Issue Date . . . . Expiration Date . . 1/24/09 Plan Check Fee . Valuation . . . Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 175.00 Plan Check Fee 43.75 LQPERMIT :- Application Number Permit Issue Date . . . Expiration Date . . . . . 08-00000279 MECHANICAL 1/24/09 Valuation . . . . 0 Qty Unit Charge Per Extension Extension BASE FEE 15.00 25.00 BASE FEE 15.00 4.00 11.0000 EA MECH FURNACE >100K 44.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 4.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 66.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit Additional desc Permit Fee Issue Date Expiration Date PLUMBING 244.50 Plan Check Fee 61.13 Valuation 0 1/24/09 Qty Unit Charge Per Extension BASE FEE 15.00 25.00 6.0000 EA PLB FIXTURE 150.00 3.00 7.5000 EA PLB WATER HEATER/VENT 22.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 9.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 27.00 4.00 .7500 EA PLB GAS PIPE >=5 3.00 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 5,251 SF DWELLING/V-B/R-3/CLASS A -FR THIS PERMIT DOES NOT INCLUDE BLOCKWALLS, POOL AND SPA, WATER FEATURES, LANDSCAPE ITEMS OR DRIVEWAY APPROACH. 2007 CALIFORNIA BUILDING CODES. July 28, 2008 10:44:11 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 643.36 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 123.01 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT'FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 45.73 DIF STREET MAINT FAC -RES 67.00 LQPERMIT Application Number . . . . . 08-00000279 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Permit Fee Total 2561.01 Plan Check Total 1393.51 Other Fee Total 5287.10 Grand Total 9241.62 LQPERMIT Paid Credited Due .00 .00 2561.01 1100.00 .00 293.51 .00 .00 5287.10 1100.00 .00 8141.62 (&4444" P.O. BOX 1504 Building 78 495 CALLE TAMPICO' Address ` ` 5 v 1�7,` LA QUINTA, CALIFORNIA 92253 P-16Vp i2_0 0001n 6j Mailing Address q16 'L vzooAj e- -r City Zip ITel. 601AI0502 CA 95Y9 Contractor Address M State Lic. City I & Classif. I Lic. # Arch., Engr., I Designer Address Tel. City Zip (State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own 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). 1 certify that in the performance of the work for which this permit is issued, I shall not employ Californiaany person in any manner so as to become subject to Workers' Compensation Laws of . 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. 1 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 Ii _ Ar APPLICATION ONLY BUILDING: TYPE CONST. OC P. C. GR A.P. Number— 2(a!56, 01ho • 011 Legal Description �i� Project Description -�2Nw�GCE t «`% 12,01 /2E%10Lt! BOOL Sq. Ft. Z �� No. ( No. Dw. Size Stories Units New2r Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Q Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure W QW.* TOTAL CE 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: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE APPLICATIQN ADDRESS VILIA26 By Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: Owner's Name: This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: Mr11GATIONAMOUNT., COMMIIND.AMOUNT: DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Richard Combs (The Palms CC Richard Combs Date: 08/29/08 Phone No. ( Project Address: 56-445 Village Drive, La Quinta, CA 92253 Project Description: 1 Single Family Dwelling APN: 764-040-011 Tract #: Lot #'s: Type of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 5,251 sq. Ft. Certification of Applicant/Owners: The person signing certifies that the above information 1 correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf o�f ie oyer/developer. Dated: 08/29/08 Signature: ************************************************-I(********************** 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 Number of Sq.Ft. Amount per Sq -Ft. Amount Collected 5,251 sq. ft. $ 3.78 $ 19,848.78 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Support Services Certificate issued by: Leticia C. Torres, Facilities Analyst 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. LT:c.'mNdocs/devfees'certificate of compliance form tables TO IISF-doc 1/16/03 T RECORDING REQUESTED 8Y: . SQUTkLAND TITLE - INLAND EMPIRE (Title) AND WHEN RECORDED MAIL TO: Richard Coombs IV y' q.1� ftaba-A q e� SINESS'' CTR "`:"�PAGE02/04= DOC # 2006-0455818 06/23/2006 08:00A Fee:36.00 Page i of' 3 Dee T Tax.Pald Recorded In Official Records County of Riverside Larry W. Ward Assessor, County Clerk 8 Recorder .11111111111111111111111111111111111111111111111-11111111 u -AGE :ii E pA Ff pts NQC(R SMF I MI$C, —`� ` '— I Order No.: 66622001 No.: PD12244-CM A.P.N.: 764040-011-7 —�— A i R rQ•o- j LONG i REFUND ! NCnG I EXAM — _ u GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $715.00 EIT [ X j cbmpufed on full veglUi? Cif property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. [ ] unincorporated area [ X ] City of La Quinta FOR A VALUABLE CONSIDERATION. receipt of which is hereby acknowledged., The Horodezky Family Living Truss: UTD 418104, Jason Alan Horodezky, and Melinda Joyce Horodezky, Trustees hereby GRANT(S) to Richard A. Coombs and Jennifer C. Coombs, husband and wif:e as community property with right of survivorship the following described real property in the County of Riverside, State of California Lot 48 of Tract No. 28983, in Rhe City of La Quinta, County of Riverside, State of California, as per map recorded in Book. 285, Page(s) 76-82 of Miscellaneous Maps, in the office of the County Recorder of said County. Dated: May 31, 2006 STATE OFCOUN.T-Y OF veg On dam _ '�—. -2 � r. before me a Notary Public, personaiiy Q -red k S -1014 Com— (or proved to rpe,an the basis of satisfactory evidence) to be the persol(i s) ,Whose nam�("�) is/are subscribed t _ e within instrume`nf and acknowl?ged to me that hers !th wit the same h 's/herltiieTr authorized capa ' s) nd that by hi.,rhentr hey sign (ju ) on the instrument a perso s), or the entity _ on behalf of which the p so s),)acted, a uted the instrument. WITNESSImv hfib and official seal. Signature i✓ Signature of Notary )SS. The Horodezky Family living Trust UTD 4/8/04, Jason Alan Horodezky, and Melinda Jo oro ezky T ustees By: We`i'inda -�-��, CABIN L. MOON y'` " Z \ Commission # 1385910 Notary Public - CoII(orniq Riversldecounry ? My Comm. Expires Nov 19, 20Q6 (This area for official notary seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE 4�— 04!02/2008 48:23 7075780722 AIRPORT BUSINESS CTR EXHIBIT "A" ORDER NO. 66622001 Lot 48 of Tract No. 28983, in the City of La Quinta, County of Riverside, State of California, as shown by map on file in Book 285 Page(s) 76 to 82 inclusive of Maps, in the Office of the County Recorder of said County. 04.>_ , 04/02/2008 08:23 7075780722 rnerica Lam Southland Title CM h�A RPORT 9 BUSIN•ESa3�-MTR r'" req w Escrow Division 72880 Fred Waring drive Suite A t Palm Desert, CA 92260 Phone (760) 568-3406 Fax (760) 836-0256 Escrow Officer's Fax (760) 816-0327 CMoon@southlandtifle.crom . ATTENTION: NOTARY PUBLIC YOUR NOTARY SEAL, EMBOSSED OR STAMPED, MUST BE (PRINTED IN ITS ENTIRETY AND MUST NOT COVER ANY PRINTED MATTER OR SIGNATURES, (INCLUDING YOUR, SIGNAT_URE), ON ANY DOCUMENTS. FAILURE TO COMPLY MAY CAUSE A REJECTION BY THE COUNTY RECORDER OF THESE DOCUMENTS. - ANY ALTERATION TO THE VERBIAGE CONTAINED IN THE NOTARY ACKNOWLEGEMENT REQUIRES THE INITIALS OF THE NOTARY MAKING THE ALTERATION AT THE SITE OF THE ALTERATION. IF YOU HAVE ANY QUESTIONS OR CONCERNS PLEASE CONTACT THE ESCROW OFFICER LISTED BELOW AT THE PHONE NUMBER LISTED ABOVE. IN THE EVENT A PROBLEM OR QUESTION SHOULD ARISE CONCERNING THE NOTARIZATION OF THESE DOCUMENTS, PLEASE COMPLETE THE FOLLOW)NG INFORMATION SO THAT WE MAY CONTACT YOU: /' , NOTARY'S NAME: TELEPHONE NO a-00-Stf , �"t r�lo _ FAX NO: E-MAIL ADDRESS.'0) (CC 4-\ov. ADDRESS: EXPIRATION DATE OF YOUR NOTARY: THANK YOU FOR YOUR ASSISTANCE IN THIS MATTER. So-utWard 71+1110 Carin Moon March 28, 2008 Richard and Jennifer Coombs 414 Aviation Blvd. Santa Rosa, CA 95403 Re: Architectural Request 56445 Village Drive Dear Richard and Jennifer Coombs: The Architectural Committee and the Board of Directors of the Village at The Palms Homeowners' Association has reviewed the plans for your new residences per the enclosed application. The Board o Directors is pleased to inform you that your architectural application has been approved. Notwithstanding this agreement, all requirements of the CC&R's and all Architectural Rules and Guidelines must be complied with unless specifically waived in writing by the Architectural Control Committee. Village of the Palms acknowledge that all agreed changes in the original design will be at the homeowner's expense. Any damage caused by this agreement construction will also be at the homeowner's expense to correct. It is the homeowner's responsibility to obtain any permits, which may be required. Additionally, the Board of Directors encourages that a licensed and insured contractor is used. This approval does not release the homeowner from meeting any county, state or federal requirements such as building permits, workmen's compensation, or other waivers or permits. Please feel free to proceed with your plans as agreed. Please complete the enclosed Notice of Completion form when the project is completed and return it to Monarch Management at the address below. Again, we appreciate your cooperation in order that we may maintain our properties in a manner to the benefit of you as the homeowner and of the community as a whole. Sincerely, THE BOARD OF DIRECTORS Village at The Palms Homeowner's Association M enclosure U � pP � 16 2008 cc: Board of Directors, Unit File, Mark Bovenzi - Bovenzi Homes �Y 42-600 Caroline Court, Suite 101, Palm Desert, CA 92211 • Tel: (760) 776-5100 • Fox: (760) 776-5111 CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 11/17/2006 Green Sheet approvals are forwarded to the Building &Safety Department directly by Public Works.: Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Pub=ic Works Department until ALL requirements listed below are complete. Incomplete applications or appli.aations which cannot be processed will be returned to applicant. Date: • , `�j fl� Developer: jZ(C/4'4 f% (QOM OS Tract No.: 3 Tract Name: 7L �._ `Tf/E /�AL/"1� Lot No.(s}: Address(s): _ h(o Y-: � 6 2 Y11- 4-4 C5 DA The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: n ee CUSTOM HOMES- PRnvIDF ITFMS �1 ria nin �t ntn► ❖ TRACT HOMES: PROVIDE ITEMS #1 #2 #3, #4 (AS APPLICABLE) AND #6 BELOW COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1 #2, #3 AND #5 BELOWRECIET� — WALLS: PROVIDE ITEMS #7 BELOW SIGNS: PROVIDE ITEMS #8 BELOW APR 16 ; Development Services Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise. grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provid3d. 6 483 2 Attach geotechnical certification of grading plan compliance. " Attach recorded final map showing proposed building locations are legal lots. C9n ".a' eGu� Attach a completed. < 1 acre per lot or infill project Fugitive. Dust Control project infor'm`ation form, . PM 10 plan & agreement or provide alternative & valid City approved PM 10. plan set referent number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot are submitted separately with grading plans & are subject to additional requirements. ttach an approved precise grading plan for the building location(s). AO flood zone development ill require an approved flo:o.d plain development plan. �Attach an approved rough grading plan for the building location(s). Attac.h wall plan & related approved grading plan. Attach sign layout/plan & related precise grading/landscape plan. I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed build ings/structures/wallsisigns on the subject lot(s). Pursuant my findings, the above ject may be released for building perm°t is.suance. Recommended by. Dated:'�'�/a $ Public Works Distribution: (Green Sheet to Building & Safety counter (_) Green. Sheet to Community Development Declined for approval for reason(s) as follow(s), please correct and resubmit: City of La Quinta - PM 10 Project Information (< 1 acre per Lot or Infill Project) Page 1 of 3 Form updated & effective 8/25/2005 Project Information Project Contractor: Project Phase �vVEnJzi 1�� MAILL (25o✓EN"Zi Project Phase .(Check One): Project Name: �i(70M fg�^3 i De,JC�. S Construction ❑ Demolition Project Tract Number: Lot Number(si: Anticipated Start Date: _0& --0! —Ob Anticipated Completion: Project Street Address: A QJi nJ rA CA. 9 22 S� Total acres in active construction (< 1 acre per Lot): • Project Contact Information Please Note: Dust control is re:quired' 24 hours a day, 7 days a week, regardless of construction status. Person listed below is responsible for dust control during business and non- business hours. _ Name;Iq P, r.- o1/ENZ Title: &P—iuet 4-.L .LDn�rn�a 4,T Company Name:[� D - nJ 14om e - . Mailing:Ad&ess:. 5,0.01 CQ4&JYvA2 VA -b,.) D� City:: ALN State: Zip Code: 9ot� Cva . Primary Telephone Number: (530) Col 3 -)/73 Fax: 24 Hour Access/Emergency Phone: C S 30' Cola -117 3 Cell Phone: FM10 Certificate Number: M 1A- �7e� Expanded PM 10 plans for commercial and residential developm nts > 1 acre are requir-9d by the City of La Quinta. PM 10 (< 1 acre per Lot or Infill Project) Fugitive Dust Control Plan Page 2 of 3 Plan updated & effective 8/25/2005 This plan shall take into account applicable SCAQMD Rule 403 regulations. Trainirg may be obtained by contacting SCAQMD (Sharon Zamora - Phone: (909) 396-2183). This plan shall consist of the following action items: WATERING: Continuous watering is required to prevent dust and must occur a minimum of 4 times daily. Water shall be applied to dry soils to stop: • Visible dust emissions over 20% opacity • Visible dust emissions that travel over 100 feet. • Water source % nch water meter at front (south) side cf pad. •:• EDUCATION: Responsible Dust Control Individual and key personnel shall attend SCAQMD PM 10 class and obtain PM 10 certificate number prior to construction activity. + WEATHER MONITORING: Wind predictions shall be monitored. SIGNAGE: Use. Coachella Valley Fugitive Dust Control Plan Handbook Construction Site Signage Guidelines, TRAFFIC: Construction traffic shall not be allowed on the pad-, unless absolutely necessary. If vehicles operate on pad; pad shall be kept firm and. moist through hose Watering or sprinklers. Fugitive Dust shall be prevented by fencing off site to prevent unauthorized traffic on pad. (15 mph maximum traffic speed). PARKING: .Parking is not allowed on the pad. All vehicles must park on street (at designated areas only). • TRACK O.UT:. Provide 24 flour street cleaning and track out system as approved by .City Public Works Inspector. (No dirt on public .or private roads). Track out .shall be cleaned up within one. hour of incident. 'DIRT" PILES: Dirt piles shall be limited to 50 cubic yards and built per California Building Code grading requirements. Piles shall be kept moist or covered with tarp material-. Larger dirt piles will require stockpile or grading permit. FENCING- Provide PM 10 fencing at perimeter of public roads and where applicable. Wood slat fencing can be installed at rear of property and return .20 feet on either side if HOA restrictions apply. Block walls can replace PM 10 fencing during the construction phase. 4- EQUIPMENT: Extra hoses and sprinklers shall be maintained on site. EXCAVATION MEASURES: All areas to. be excavated or graded shall be pre -watered. Water shall be applied during excavation or grading operations also. DUMP TRUCKS: Open top dump trucks to be wet down, moist and tarped or or to leaving site. •:• INACTIVE SITE: Within 10 days of ceasing of activities, re -vegetate or permanently stabilize as required.,.: Citv of La Quinta --Site. Specific Construction Phase PM 10 Agreement Page 3 of 3 Agreement updated & effective 8/25/2005 The signature of the property owner (or authorized representative): Shall act . as his/her acknowledgement of dust control requirements and their enforceability, pursuant to AQMD Rules 403 and 403.1; s• Shall constitute and agreement to comply with all project conditions as identified in the approved dust control plan; The property owner (or authorized representative): ❖ Acknowledges that dust control is required 24 hours a day, 7 days a week, throughout the period of project performance, regardless .of project size.or status; ke Shall ensure that each and every contractor/subcontractor and al) other persons associated 'with the project shall be in continuous compliance with all requirements of the approved dust control pian; Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; 'Shall authorize representative of .the City/County to enter upon the above mentioned property for, inspection and/or abatement purposes; and Shall hold harmless the City/County and its representatives. from liability_ for any actions related to this dust control plan or any City/County initiated abatement activities: Signature of Pfop.erty Owner or ,/1 Printed Name IMI -61-1 `e C'T / Uc Title e, o V 2N Z, any resentative A!AAk lSoV2510 z hivM e-5 Date Nom: IN THE UNINCORPORATED 'TERRITORY OF THE SDUNTY OF RIVERSIDE. STATE OF CAE"ENIA SHEET 5 OF 7 SHEETS SEE SHEETSURVEYOR'S 2 FOR FOR SEN& PTr TEARYNCaS TRACT � �� SBIYOW"S NOTES, EASE9oFFET MOTES, SHEET DJOEX AND BOUNDARY NAP. 83 - SUBDIVISION OF A PORTION OY 'BHT; t' AST ONE-QUARTER OF SWTION 22, -TOWNSHIP 6 SOUTH, RANGE 7 EAST, SAN BERNARDINO MERIDIAN: A SUBDIVISION OF THOSE PROPPMES SHOWN BY LOT LINE APRIL, 1999. - SCALE 1" =60' 9.4040 WATSON & CHRISTUN ENGINEERING - - - - FD 2 1/2' IP, ON 0.8" M/ NO TAG n SECTION LINE - - ACEEPTED AS NE CORNER SEC 22 M erCr,-,cr-E 2637.25 [2637.28) e A o m AMPORT BLVD hei r¢<w. ory LOT C1'� a 1.49 ACRES 8745-42-E2597.39 N 4 32_2252.32_40 '1 -N 9'46'I1•E 597.50 N 89'46'41'E 52/.00 ¢^ 5 dtax r!'�v 336.30 47.83 195.00 z). •�(�175.99g9 18.51' N 09'46'49'7L 3an_37�LLAG€ • 4 X;, N 2'P2Il'�'ff(i0 N 44'16'05`1 I t�"T nD n 10� '�4�I '&¢-� 1 87 18 5 m N ss99 s`ae.a.®" q `E7 46_SEf 53.14 . g9 N 52:11- _� Eg-��9. p� Gcuorv) m) of �C'mD.1 or � 0 A2 .163- _ y _ _7`x.09-18- Z.-rZ-d - - =� - -x=09 _• fL4.00 �g'1C9• I71, I 6 70 i r 9. . c Of [A C2 A c_o � - � Q1 plan 384 �T ea.vY - 95 mt ,.1-� - v n • m or .�1 ¢, n �8T �,` \ m f (COMMON LOT) w nL z z) N n n u I N ScS� <•2 l s PlulBs l� o + y D' to �a4 'sn_ l.* 42 0 43-r -/ I r� �' 48 o I _ W/ 1' I 98 z ti �. �r 0 0 ^r m a � `Q�. (C'.OJOION AREA) z -1 t' m a AAM iv ru I 4-7 P �. n�37 0 R.28 5 La3R 6� �• 1 1rj of p o f o a z z b/ 4' b�i� K� .: \ Q X33"30' 11 6 �V s1 711 w -+I z 2 •+ eij ooi y/ = \O N 69'20'19'E a a W n i! z+ �'I 1/ '�/ 'c \O \ 6.00 Q=5Sw 33 31� •`y0 n \ / I . I mf! o Fo \ @ 1 75.09 75.09 75-09 Acr) g� \ � m m z 170.82 K 89' 46' 41'E 250. f f. 150. Ltp [. 1 2,/ 2� 2/ © z �) .µ nitz�l o 7 83 j` �`Sg,7� ® 6 48 \ .%r aim (Sj LnI ^I zi' mf I z N - n,&TA O1ELTA/B1EARIW AADIM sd ml m M xt `3g z� f. 7450'48' 318.50 ;Dl �� m cw \ 11'31.07' 0 I LA QI z!'cu `t) n t C 13°23'53' 350.OD _I 38 ml o m 0 3 317 I 94.58 NI �I f N � o 9'20'42' 500. GO, 81.55 m I z "� 14'51'50' 350.00 I Z 7. 6'51'41' 500.00 77-33 38.74 8 13'06'06' 3.50.00 ..I 40.19 9 6.33'58' 500.00 57_30 z' f` 0 18_00 N 69'46'41'E 10.62 i 10'39'58' 350.0, 65.16 32.67 7'16 5• 281.50 35.90 17.97 21'31'19• 150_03 56_34 SCALE: 1' -. 6W N.89'4'6'AVE 14.21 1 26'W 55' 1 0' -V 60I 120 f 240 150.71 25-65 12.86 f 1'26'32' 750.00 18.88 9.44 ! N 31°54'00'1 9.39 10°58'52° 563.609 107.90 54.12 ��'l5 5"32'01' 750.00 72.43 36.5 6.01'54' 750.00 78-95 39.51. 6.27'18' 553.00 o m 31.75 I ` 5'51'50' 750 -CO I �m i Li J C G. 3.12'13' 537.00 310.03 n,&TA u 43 s � rA. 4 � a 51V '6� \ 00 \ 'o CD u v 0 _ m m n � o n o m z N m. tom ,ry N N m n to N n N n ; N 89.20'19'E ; m rn v 6.00 N m '9�, 102 ICOMMDN LoT 0 \ 52'O - 's co N 6704 Ekrte• gym.----• 53 �. \o �O 'tD 9 tel@ P e m N7�?�i ,two f �m e ma N 65.04'33'EIN D[•' .N o ® 54 O �m m •�. N 82'53'Of'E(R)y w nr 9' J N 820'19'E 184.08 n u to SEE ET 6 a 55 (COMMON LO 55' a 30' O1ELTA/B1EARIW AADIM LE LMST_ TA1JOEtif f 7450'48' 318.50 44_36 22.22 2 11'31.07' 500.00 100.52 50.43 O3 13°23'53' 350.OD B9_84 41.1E 4 16.03'46' 300.00 94.58 47.688 5 9'20'42' 500. GO, 81.55 40.E-1' 6 14'51'50' 350.00 910-60 45.66 7. 6'51'41' 500.00 77-33 38.74 8 13'06'06' 3.50.00 80.03 40.19 9 6.33'58' 500.00 57_30 28.68 N 89.45'41'E 18_00 N 69'46'41'E 10.62 i 10'39'58' 350.0, 65.16 32.67 7'16 5• 281.50 35.90 17.97 21'31'19• 150_03 56_34 28.51 i N.89'4'6'AVE 14.21 1 26'W 55' 150.OD 78-68 36.01 f 9°48'05' 150.71 25-65 12.86 f 1'26'32' 750.00 18.88 9.44 ! N 31°54'00'1 9.39 10°58'52° 563.609 107.90 54.12 5"32'01' 750.00 72.43 36.5 6.01'54' 750.00 78-95 39.51. 6.27'18' 553.00 63.43 31.75 5'51'50' 750 -CO 76.76 38.41 3.12'13' 537.00 310.03 15.02 N 00'39.41'1 25.00 27.35'14' 318.50 03.35 78.19 30'44'05' 31a.w 170.65 87.53 18'02'28' 600 -OD 11.93 95.5 13'11'51' 600.m 1 _20 69.41 N 00'13'19'1 6-00 u 43 s � rA. 4 � a 51V '6� \ 00 \ 'o CD u v 0 _ m m n � o n o m z N m. tom ,ry N N m n to N n N n ; N 89.20'19'E ; m rn v 6.00 N m '9�, 102 ICOMMDN LoT 0 \ 52'O - 's co N 6704 Ekrte• gym.----• 53 �. \o �O 'tD 9 tel@ P e m N7�?�i ,two f �m e ma N 65.04'33'EIN D[•' .N o ® 54 O �m m •�. N 82'53'Of'E(R)y w nr 9' J N 820'19'E 184.08 n u to SEE ET 6 a 55 (COMMON LO 55' a 30' CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS - yy S V / �� PERMIT NUMBER OWNER X-i-14� 6100 M BUILDER 80001122-1' MES This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance ..4 k..NA',, .. ..,;f Gnr nark trarla all infnrmatinn rP_n11P ztPr1 hpinw must hp cmmnleted by applicant. "On File" is not an acceptable response. - .. -State Contractor s License Workers Comperisatior Insurance. -' ` it . Business License: City Trade /Classification Contractor Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK 1C-12) v �� p A �� C -/ q q -, - S�1 i ;� pyo- 0►3- 3 -o(,, lot -7-08 11 9,C)/0 31 CONCRETE (C-8) 14 /��+J L' 0��1 - (0j % 2>9,8 -31-!x} 2� PIJ6oCYb I j7� -OI (-I'� -09 l� iD 9 9 -30 00 FRAMING (C-5) 4' %6VU"3-1f2JvT7^ 6 G -4q Z,TA-M7 232 -0 _�r STRUCT. STEEL IC -51) .MASONRY (C-29) L�-5 e- POa� C a �3 �J 2 30)7 0-3%-� �1�N�� — - 4193 -5°/ 30 -09 .PLUMBING (C-36) 6s SU LLi Ci-�Y 5 Z70S '7 3� �jTX1 �/rV 9S5 $-Ztn� )—I Z!7 b -2 8-0 LATH, PLASTER (C-35) DRYWALL (C-9) \ 1;2 i J - b� 1246 / 2-3/ -HVAC is -2o1 �l -31- lLed L,9� PS - 35�-o I z -3 3 4X>('3 0 ECTRICAL (C-10) b ✓en)Z i /4 me 7102-30 7-31-09 exec,� p (p 90� 7-31-07 ROOFING '(C-39) >, .::::::. ,®et,,J 2oo(W, C"3 / . qc)9(JQ _%5'6 O SHEET METAL IC -43) % A - - - - LOOKING (C-15).. Ql��j��L� D�3/G+�J IJ 7��/ rJ��`� �O/jM1. �l/5'�YI�% tVe- 3a 9i3ii7s 1;? W-00 9(ob3 _GLAZING (C -17k ' A h^^ �J� ► ` 3a�% --: CALL- COM-abi230-af 3D O NSULATION(C-2) U'A�ll4�on� sL i I (�° -2 22 JS) 7-_-30-09. t4AA54 06A 1�4 C-2JOf3/7ZZa SEWAGE DISP: (0-42)-I .PAINTING (C=33) I V1�1 �' 33 7 / .�-3i-_ S''��Tc {'vim ('> Y &/ CS / b / b -1 'Ob o2 3--3/-22 ERAMIC TILE (C-54) 7iD930 "31 06 .conmeIe_,k - 9 3t7S 663 CABINETS IC -61 /v/AJDA� ."IJ 5 - g864,7 2-28- STATE {%44 1-7.5.5--/S&-2007 /0-1-00 L/7.9 8-31-0 FENCING (C-13) /v A — —` LANDSCAPING (C-27). ZAe-_ p0 >E b5G c a 7 0;230 12 €3 3/-0 gx-em'r OOL (C-53) l r / (- ao C 53 02--30)3 S 31 -ti ey-ey"+ 'r -- — y 9 3S 51-30-00 SEP -14-2009 04:24 PM bution system is full must not reign" the P.02 ted -1 O Approved as part of $Ample testing, but was not tested diagnostic testing and field veritiaRion. t certify that the house identified on this form complies with race requirements as checked V on this form• -Me Hm rear must check and verify that the new acted and correct properly ly co ptt(�ed and signed CF-4R h s beleenn redceoiveedd for erry tt plodtand tated�� -41t until a properly The installer has provided a can of CMR (lnstallstim Certificate). New ducts are hilly ducted (i.e., does not use building cavities, as planutns or platform returns in lieu of ducts). New ducts with cloth backed, rubber adhesive duct tape is iaatallsel, msade and draw bands are used in combination with cloth backed rubber adhesive duct tape to sat leeks at duct connections,). REQUIRENIUM FOR DUCT tt,EAKAG9 REDUCTION Procedures for field verification and diagnostic toting of air distribution syr a /2u,+iJenrial ('u»rplfunce Fmn►s ,Z — / /;,Ovr S• 1,%0 December 21N!S logo -S', 77n SEP -14-2009 04:23 PM P. 03 HERS RATER COMPLIANCE STATEMENT The house was: /'Aleated OF C Approved as part of sample testing, but war nut tested As the HERS rater prov1d1n.2 diaanoadc eating and acid verMontiok l eartify that the house identified on this form complies with the di tic tested compliance requirements as checked on this fern. V &I jU installer has provided a copy of CFAR (Installation Certif csts)- 'TRERM0"AVC 1XPMS1W VMNZ 'Ixv) L /�L f/h ►�S i>/l 1 Jv�sSe calms an avwik M in RA(W. dpi Wix Rl, Prvhceduru,Jlorfislj wH/Icallon gjlltrnrfotsul(c expa�trlon _ -- v 0 arFRiGERANr CHARGE MEAB[:tWOT )utdoor Unit Serial N Location Outdoor Unit Make Outdoor Unit Model Date of Verification Date of ItimSerant Gouge Calibration Date of Thermocouple Calibration Note: The system should be inatallcd and cin shall be documented on CF -6R before starting h p Charge Measure Procedure V C Yea 0 No A copy Expansion Valva (must be chv*ed monthly) e with theftrd a er-a specificationsandinstaller verification If outdoor a W is below ss °F rat shall use the AItarnative in refrigerant charge ltesi&wiul Cosnpfillwr Forma April ZrluS SEP -14-2009 04:25 PM P. 04 HERS RATER COMPLIANCE STA'T'EMENT The house was: ✓ ;3'tested ✓ Q Approved as put of sample tasting, but was not tested As the RERg rater providing diagnostic testing and field vetiflcatioa, I certify that the house identified on this form complies with the di noetic teated compl lance requirements as checked on this form. � The installer has provided a copy of CF -6R OMWWWA Certificate . ✓ D ADEQUATE AIRFLOW VMW'CATION endir � / n....r,.� . w fiam v.rlBration and Aaa'twt/ic restm o n of rnv ovr.Uabl inRA["M, APP ✓ F13 yes 1 O No I Duet design 41131% on plans D RE4.1.1 Dia attic Fan in Flowvuwns 1.2 bias ostia pan Flo,,+Uglpa Plan Pressure D RE4.1.3 Dia oWc Fan t Usi Flow d MMu Total CFM AMI ted T cftWm ✓ O Yea O No Measured airflow greater tV the crie, in Table R&2 D O MAXUNUM COOLING CAPACITY ._ s ..•...— Jr DWI 1 O Yes O No Adequate airflow verified (see adequate uttow tt) 2 V O Yes Q No Refrigerant charge or TXV 3 ✓ D Yea ONO Duct leakage reduction credit verified Cooling capacities of installed systems)we to axim coli capacity 4 ✓ O Yes O No indicated on the PerformaceIa CFAR fthe cooling capacities of installed SYSUP111WO > than ma"'mum cooling ✓ ,/ 5✓ O Yes ONO apsd%y in the CF -1R, than the electrical input for the installed systems must ❑ be 5 to electrical input in the CF -1 R and "A .^ Yes to I Z and 34 and Yes to either 4 or 5 i a Past Fai {� HIGH BER AIA CONDITIONRR 1 VA i 11 /4S S Proredums for ve ' vation are available ' RM.M A rmft I 1 I V I 0-yok 1 O No I EER values of installed ! stems match the CF -I R 2 r/1 MCI 1 O No I Fors lit system, indoor coil is matched to outdoor coil ✓ 3 et 1 (3 No I Time Delay Relay Verified Of Required) 0 Residen&I Omplimce Forms 1 avorber 2005 Certificate of Occupancy OFT9 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: 56-445 VILLAGE DR Use classification: SFD Building Permit No.: 8-279 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: BRUCE GOSLIN Address: 56-445 VILLAGE DR City, ST, ZIP: LA QUINTA CA 92253 By: KIRK KIRKLAND J Date: 9-17-02 Building Official POST IN A CONSPICUOUS PLACE INSTALLATION CERTIFICATE (Page 1 of 12) CF-6R Site Address Permit Number Installation certificates (CF-6R) are required for each and every dwelling unit. When the installation o= measures that require field verification and diagnostic testing is complete, the builder or the builder's subcontractor shall complete diagnostic testing and the procedures specified in this section. When the installation is complete, the builder or the builder's subcontractor shall complete the CF-6R (Installation Certificate), and keep it at the building site for review by the building department. The builder also shall provide a copy of the Installation Certificate to the HERS rater for Eny measures requiring field verification and diagnostic testing, per Section 10-103(a). WATER HEATING SYSTEMS: Distribution CEC Certified Type Heater Mfr Name & (Std, Point- Type Model Number of -Use, etc) If # of Rated Input Recirculation, Identical (kW or Tank Volume Control Type Systems Btuft)�(gallons) External Efficiency Standby Insulation (EF, RE)z Loss (%)Z R -value 2. For small gas storage (rated input of less than or equal to 75,000 Btu/hr), electric resistance and beat pump water heaters, list Energy Factor (EF). For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Recovery (RE), Thermal Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Thermal Efficiency and Rated Input. R-12 external insulation is mandatory for storage water heaters with an energy factor of less than C.58. Kitchen Piping: If indicated on the CF -1R, all hot water piping > 3/4 inches in diameter that runs from the hot water source to the kitchen fixtures is insulated. Faucets & Shower Heads: All faucets and showerheads installed are certified to the Energy Commission, pursuant to Title 24L Part 6, Section 111. Central Water Heating in Buildings with Multiple Dwelling Units (required for prescriptive) ❑All hot water piping in main circulating loop is insulated to requirements of §1500) ❑Central hot water systems serving six or fewer dwelling units which have (1) less than 25' of distribution piping outdoors; (2) zero distribution piping underground; (3) no recirculation pump; and (4) insulation o.i distribution piping that meets the requirements of Section 1500) ❑Central hot water systems serving more than 6 dwelling units - presence of either a time contro or a time/temperature control ✓ ❑ I, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General I Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY 0l�(11�91 �od� Residential Compliance Forms September 2005 INSTALLATION CERTIFICATE (Page 2 of 12) CF± 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) 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(a). FENESTRATION/GLAZING: Item Manufacturer/Brand Name (GROUP LIKE RODUCTS) Total Quantity of Area Exterior Product U -factor Product SHGC # of Like Product Square Shading Device Comments/Location/ (5CFAR value z 5CFAR value z Panes O dopa Feet or Overhang Special Features 1. General Contractor (Co. Name) OR Owner 2. OR Window Distributor 3. Signature Date Installing Subcontractor (Co. Name) OR 4. General Contractor (Co. Name) OR Owner 5. OR Window Distributor 6. Signature Date Installing Subcontractor (Co. Name) OR 7. General Contractor (Co. Name) OR Owner 8. OR Window Distributor 9. 10. 11. 12. 13. 14. 15. Use values from a fenestration product's NFRC label. For fenestration products without an NFRC label, use the default values from Section 116 of the Energy Efficiency Standards. 2) Installed U -factor must be less than or equal to values from CF -1R. Installed SHGC must be less than or equal to values from CF -1R, or a shading device (exterior or overhang) is installed as specified on the CF -1R Alternatively, installed weighted average U -factors for the total fenestration area are less than or equal to values from CF -IR. If using default table SHGC values from § 116 identify whether tinted or not. ✓ ❑ I, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual fenestration product installed; 2) is equivalent to or has a lower U -factor and lower SHGC than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efflciency Standards for residential buildings; and 3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable. Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Copies to: Building Department, HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 3 of 12) 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) 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(a). HVAC SYSTEMS: Heating Equipment Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical S stems>_CF-1Rvalue) Efficiency� (AFUE, etc.) Duct Location attic etc. Duct or Piping R -value Heating Load tuft Heating Capacity tuft Cooling Equipment Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency (SEER or EER) zCF-IRvalue) Duct Duct Location attic etc. Duct R-value(Btu/hr) Cooling Load Cooling Capacity tu/hr 1. > symbol reads greater than or equal to what is indicated on the CF -IR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ 011, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address Permit Number INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAFAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ ❑Tested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE FOR NEW DUCTS: ❑ Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used on new ducts. ✓ ❑ DUCT LEAKAGE REDUCTION Procedures or eld verification and diagnostic testing of air distribution systems are available in RACM. Appendix RC4.3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) MeasuredValues 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass if Leakage Percentage < 61/6 for Final or < 4% at Rough -in without air handle: ❑ Pass ❑ Fail 1 100 x[—(Line # 1 / ine # 2 ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5 System for Duct System Alteration and/or Equipment Change -Out. Enter Reduction in Leakage for Altered Duct System 6 ine # 4 Minus—(Line # 5 —(Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage < 6% for Final. ❑ Pass ❑ Fail 8 100 x ine # 5 / Line # 2 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change- ✓ ✓ Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 15% [100 x [ (Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [100 x [ (Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage > 60% [100 x L(Line # 6) / (Line # 4)]] 11 and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass ❑ Pass ❑ Fail ✓ ❑I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standard-. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms December 2005 INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R Site Address Permit Number ✓ ❑ THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix PU ✓ ./ Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on ✓ ❑ Yes ❑ No the system and installation of the specific equipment ❑ [ shall be verified. Yes is a pass I Pass I Fad ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Return (evaporator entering) air dry-bulb temperature (Treturn, db) Outdoor Unit Make OF Outdoor Unit Model Cooling Capacity Btu/hr Date of Verification OF Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charee Measurement Procedure (outdoor air dry-bulb 55T and abovel: Procedures for Determining Refrigerant Charge using the Standard Method are available in RACM, Appendix RD2. Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air dry-bulb temperature (Treturn, db) OF Return (evaporator entering) air wet -bulb temperature (Tretum, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) °F Condenser (entering) air dry-bulb temperature (Tcondenser, db) °F Sunerheat Charee Method Calculations for Refrigerant Charge Actual Superheat = Tsuction, db — Tevaporator, sat OF Target Superheat (from Table RD -2) OF Actual Superheat — Target Superheat (System passes if between -5 and +5°F) OF Temperature Split Method Calculations for Adequate Airflow Split Method Calculation is not necessary ifAdeauate Airflow credit is taken Actual Temperature Split = T return, db Tsupply, db OF Target Temperature Split (from Table RD3) OF Actual Temperature Split Target Temperature Split (System passes if between - 3°F and +3°F or, upon remeasurement, if between -3°F and -100°F of Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 6 of 12) CF -6R Site Address Permit Number Standard Charge Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated. ✓ O Yes 113 No I System Passes Alternate Charge Measurement Procedure (outdoor air dry-bulb below 55 °F) Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is 5 5 OF or above, installer shall use the Standard Charge Measure Procedure: Procedures for Determining Refrigerant Charge using the Alternate Method are available in RA CM, Appendix RD3. Weigh -In Charging Method for Refrigerant Charge Actual liquid line length: ft Manufacturer's Standard liquid line length: ft Difference (Actual — Standard): ft Manufacturer's convection (ounces per foot) x difference in length = ounces (+ = add) (- = remove) leasured Airflow Method for Adequate Airflow Verification available in RACM, Appendix RD2.6 Calculated Airflow: Cooling Capacity (Btu/hr) X 0.033 (cfin/Btu-hr) = CFM Measured Airflow is CFM (Measured airflow must be greater than the calculated airflcw). Alternate Charge Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated. ✓ 10 Yes 10 No I Svstem Passes Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 7 of 12) CF -6R Site Address Permit Number MISCELLANEOUS CREDITS ✓ ❑ DIAGNOSTIC SUPPLY DUCT LOCATION, SURFACE AREA AND R -VALUE Procedures for field verification and diagnostic testing for this group compliance credits are available in RACA.. Appendix RC, RE & RH. ✓ ❑ LESS THAN 12 LINEAL FEET OF SUPPLY DUCT OUTSIDE OF CONDITIONED SPACE COMPLIANCE CREDIT ✓I ❑Yes I ❑No I Less than 12 lineal feet of supply duct outside of conditioned space. Yes to this compliance credit is a pass ✓ ❑ Pass I ✓ ❑ Fail ✓ ❑ SUPPLY DUCTS LOCATED IN CONDITIONED SPACE COMPLIANCE CREDIT ✓ ❑Yes 10 No I Ducts are located within the conditioned volume of building. Yes to this compliance credit is a pass ✓ ❑ Pass ✓ ❑ Fail 1. Supply duct surface area reduction 2. Buried supply ducts on the ceiling 3. Deeply buried supply ducts ✓ ❑ DUCT SYSTEM DESIGN VERIFICATION ✓ ❑ Yes ❑ No Adequate airflow verified ✓ ❑ Yes ❑ No The duct system design plan meets the requirements specified in RACM, Appendix RE, Section RE.4.2 ✓ ❑ Yes ❑ No The duct system design plan exists on building plans ✓ ❑ Yes ❑ No Duct sizes, duct system layout and locations of supply & return registers match the duct system design plan Yes to all is a pass I ✓ ❑ Pass I ✓ ❑ Fail ✓ ❑ SUPPLY DUCTS SURFACE AREA REDUCTION COMPLIANCE CREDIT Attic Crawl Space R-4.2 Deeply Duct Surface Basement Covered Covered Other Diameter Area R-6.0 S•-rface Area R-8.0 Surface Area ❑ ❑ ❑ ❑ ❑ ❑ ✓ Yes to ducts stem design, supply duct surface area reduction and this compliance credit is a pass ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Total Surface Area for Each R -Value = ✓ ❑ Yes I ❑ No tches Performance's CF -1R? Yes to all is a pass ❑ Pass ❑ Fail ✓ ❑ BURIED DUCTS ON THE CEILING COMPLIANCE CREDIT ✓ ❑ DEEPLY BURIED DUCTS COMPLIANCE CREDIT ❑ Yes ❑ No Buried Ducts on the Ceiling ✓ ❑ Yes ❑ No Verified High Insulation Installation Quality ✓ ✓ Yes to ducts stem design, supply duct surface area reduction and this compliance credit is a pass ❑ Pass ❑Fail ✓ ❑ DEEPLY BURIED DUCTS COMPLIANCE CREDIT Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 ❑ Yes ❑ No Deeply Buried Ducts ✓ ❑ Yes ❑ No Verified High Insulation Installation Quality ✓ ✓ Yes to ducts stem design, supply duct surface area reduction and this compliance credit is a pass ❑Pass ❑ Fail Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 8 of 12) CF -6R Site Address Permit Number ✓❑ FAN WATT DRAW Procedures for measuring the air handler watt draw are available in RACM. ADDendix RE3.2. ✓ Method For Fan Watt Draw Measurement ❑ RE3.2.1 Portable Watt Meter Measurement ❑ RE3.2.2 Utility Revenue Meter Measurement ✓ C3 Yes C3 No ❑ RE4.1.1 Diagnostic Fan Flow Using Flow Capture Hood ❑ Measured Fan Watt Draw Dia ostic Fan Flow Using Plenum Pressure Matching Measured Fan Flow enter total cfin from airflow verification If the cooling capacities of installed systems are > than maximum cooling capacity in the CF -1R, then the electrical input for the installed systems must be <_ to electrical input in the CF -1R. ❑ RE4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement Enter results of Watts/cfin Yes to 1, 2, and 3• and Yes to either 4 or 5 is a pass Pass Measured Airflow: ✓ ❑ Yes ❑ No Measured fan watt/cfin draw is equal to or lower than the fan watt/cfin draw documented in CF -1R ❑ ❑ 3 ❑ Yes ❑ No Time Delay Relay Verified (If Required) Yes is a pass Pass Fail ✓ ❑ ADEQUATE AIRFLOW VERIFICATION Procedures fnr measuring the airflow are available in RACM Anoendix RE3J_ ✓ Method For Airflow Measurement ✓ C3 Yes C3 No ❑ RE4.1.1 Diagnostic Fan Flow Using Flow Capture Hood ❑ RE4.1.2 Dia ostic Fan Flow Using Plenum Pressure Matching ❑ No If the cooling capacities of installed systems are > than maximum cooling capacity in the CF -1R, then the electrical input for the installed systems must be <_ to electrical input in the CF -1R. ❑ RE4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement ❑ Yes ❑ No Duct design exists on plans Yes to 1, 2, and 3• and Yes to either 4 or 5 is a pass Pass Measured Airflow: ✓❑ HIGH EER AIR CONDITIONER Procedures or veri cation are available in RACM, Appendix Rl. 1 ✓ ❑ Yes ❑ No I EER values of installed systems match the CF -1R Rated Tons cfin/ton ✓ ✓ 3 ❑ Yes ❑ No Time Delay Relay Verified (If Required) ❑ ❑ ✓ ✓ ✓ ❑ Yes ❑ No Measured airflow is greater than the criteria in Table RE -2 Fail Yes is a pass Pass Fail ✓ ❑ MAXIMUM COOLING CAPACITY Procedures for de rmining maximum cooling load capacity are available in RACM, Appendix RF3. 1 ✓ ❑ Yes ❑ No Adequate airflow verified (see adequate airflow credit) 2 ✓ ❑ Yes ❑ No Refrigerant charge or TXV 3 ✓ ❑ Yes ❑ No Duct leakage reduction credit verified Watts cfin Watts/cfin Total cfin cfin/ton 4 ✓ C3 Yes C3 No Cooling capacities of installed systems are <_ to maximum cooling ca aci indicated on the Performance's CF -1R and RF -3. 5 ✓ ❑ Yes ❑ No If the cooling capacities of installed systems are > than maximum cooling capacity in the CF -1R, then the electrical input for the installed systems must be <_ to electrical input in the CF -1R. ✓ ✓ ❑ ❑ Yes to 1, 2, and 3• and Yes to either 4 or 5 is a pass Pass Fail ✓❑ HIGH EER AIR CONDITIONER Procedures or veri cation are available in RACM, Appendix Rl. 1 ✓ ❑ Yes ❑ No I EER values of installed systems match the CF -1R 2 ✓ ❑ Yes ❑ No Fors lit system, indoor coil is matched to outdoor coil ✓ ✓ 3 ❑ Yes ❑ No Time Delay Relay Verified (If Required) ❑ ❑ Yes to 1 and 2; and 3 If Re uired is a pass Pass Fail Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 9 of 12) CF -6R Site Address I 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) 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(a). BUILDING ENVELOPE LEAKAGE DIAGNOSTICS ✓ ❑ ENVELOPE SEALING INFILTRATION REDUCTION Procedures for field verification and diagnostic testing of envelope leakage are available in RACM, Appendix RC. Diagnostic Testing Results ✓ ✓ Building Envelope Leakage (CFM @ 50 Pa) as measured by Rater: 1 ❑ ❑ Measured envelope leakage less than or equal to the required level from Yes No CF -IR? ❑ ❑ 2. Is Mechanical Ventilation shown as required on the CF -IR? Yes No 2a ❑ ❑ If Mechanical Ventilation is required on the CF -1R (`Yes' in line 2), has it Yes No been installed? ❑ ❑ Check this box `yes' if mechanical ventilation is required (`Yes' in line 2) 2b. and ventilation fan watts are no greater than shown on CF -IR. Yes No Measured Watts = ❑ ❑ Check this box "yes" if measured building infiltration (CFM @ 50 Pa) is 3. greater than the CFM @ 50 values shown for an SLA of 1.5 on CF -IR Yes No this box is checked no mechanical ventilation is required.) Check this box "yes" if measured building infiltration (CFM @ 50 Pa) is 4 ❑ ❑ less than the CFM @ 50 values shown for an SLA of 1.5 on CF -IR, Yes No mechanical ventilation is installed and house pressure is greater than minus 5 Pascal with all exhaust fans operating. Pass if: a. Yes in line 1 and line 3, or ✓ ✓ b. Yes in line 1 and line2, 2a, and 2b, or c. Yes in line 1 and Yes in line 4. ❑ ❑ Otherwise fail. Pass Fail ✓ ❑ I, the undersigned, verify that the building envelope leakage meets the requirements claimed for building leakage reduction below default assumptions as used for compliance on the CF -1R. This is to certify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. (The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or subcontractors certifying that diagnostic testing and installation meet the requirements for compliance credit.) Test Performed Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 10 of 12) CF -6R Site Address Permit Number Insulation Installation Quality Certificate ✓ ❑ Description of Insulation, (CF -6R, formerly IC -1) signed by the installer stating: insulation manufacturer's name, material identification, installed R -values, and for loose -fill insulation: minimum weight per square foot and minimum inches ✓ ❑ Installation meets all applicable requirements as specified in the High Quality Insulation Installation Procedures (ACM, Appendix RH) ✓ FLOOR ❑ ❑ ❑ Yes No NA All floor joist cavity insulation installed to uniformly fit the cavity side-to-side and end-to-end ❑ ❑ ❑ Yes No NA Insulation in contact with the subfloor or rim joists insulated ❑ Yes ❑ 1 No ❑ NA Insulation properly supported to avoid gaps, voids, and compression ✓ WALLS ❑ ❑ ❑ Wall stud cavities caulked or foamed to provide an air tight envelope Yes No NA ❑ Yes ❑ No ❑ NA Wall stud cavity insulation uniformly fills the cavity side-to-side, top -to -bottom, and front -to -back ❑ ❑ ❑ Yes I No NA No gaps ❑ ❑ ❑ Yes No NA No voids over 3/4" deep or more than 10% of the batt surface area. ❑ ❑ ❑ Hard to access wall stud cavities such as; corner channels, wall intersections, and behind Yes No NA tub/shower enclosures insulated to proper R Value ❑ ❑ ❑ Yes No NA Small spaces filled ❑ ❑ ❑ Rim joists insulated Yes No NA ❑ ❑ ❑ Loose fill wall insulation meets or exceeds manufacturer's minimum weight -per -square -foot Yes I No NA requirement ✓ ROOF/CEILING PREPARATION ❑ ❑ ❑ Yes No NA All draft stops in place to form a continuous ceiling and wall air barrier ❑ ❑ ❑ Yes No NA All drops covered with hard covers ❑ ❑ ❑ Yes No NA All draft stops and hard covers caulked or foamed to provide an air tight envelope ❑ ❑ ❑ All recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between the Yes No I NA housing and the ceiling ❑ ❑ ❑ Yes No NA Floor cavities on multiple -story buildings have airtight draft stops to all adjoining attics ❑ ❑ ❑ Yes No NA Eave vents prepared for blown insulation - maintain net free -ventilation area ❑ ❑ ❑ Yes No NA Knee walls insulated or prepared for blown insulation ❑ ❑ ❑ Yes No NA Area under equipment platforms and cat -walks insulated or accessible for blown insulation ❑ ❑ ❑ Yes No NA Attic rulers installed Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 11 of 12) CF -6R Site Address Permit Number ✓ ROOF/CEILING BATTS DECLARATION ✓ ❑ I hereby certify that the installation meets all applicable requirements as specified in the Insulation Installation Procedures. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 Yes No NA No gaps ❑ ❑ ❑ Yes No NA No voids over % in. deep or more than 10% of the batt surface area. Yes I No NA I Insulation in contact with the air -barrier Yes No NA Recessed light fixtures covered ❑ ❑ ❑ Net free -ventilation area maintained at eave vents Yes No NA ✓ ROOF/CEILING LOOSE -FILL Yes No NA Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls. Yes No NA Baffles installed at eaves vents or soffit vents - maintain net free -ventilation area of eave vent Yes No NA Attic access insulated Yes No NA Recessed light fixtures covered Yes No NA Insulation at proper depth — insulation rulers visible and indicating proper depth and R -value ❑ ❑ ❑ Loose -fill insulation meets or exceeds manufacturer's minimum weight and thickness requirements Yes No NA for the target R -value. Target R -value . Manufacture: 's minimum required weight for the target R -value (pounds per -square fcot). Manufacturer's minimum required thickness at time of installation . Manufacturer's minimum required settled thickness . Note: To receive compliance credit the HERS rater shall verify that the manufacturer's minimum weight and thickness has been achieved for the target R -value. CF -6R only) DECLARATION ✓ ❑ I hereby certify that the installation meets all applicable requirements as specified in the Insulation Installation Procedures. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 . . . INSTALLATION CERTIFICATE (Page 12 of 12) CF -6R Site Address Permit Number County Subdivision Lot Number Description of Insulation -(Formerly IC -1 Form) 1. RAISED FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 2. SLAB FLOOR/PERIMETER Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Perimeter Insulation Depth (inches) 4. EXTERIOR WALL Frame Type A. Cavity Insulation Material Thickness (inches) B . Exterior Foam Sheathing Material Thickness (inches) FOUNDATION WALL Material Thickness (inches) 5. CEILING Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) _ Loose Fill Type Brand Contractor's min installed weight/ft' lb Minimum thickness inches_ Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) r4=0616ya Material Thickness (inches) Declaration Brand Name Thermal Resistance (R -Value) ✓ ❑ I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. Item #s (if applicable) Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name1 OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Names OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Residential Compliance Forms April 2005 U CERTIFICATE ane, Uv:10 F COMPLIANCE: RESIDENTIAL COMPUTER METHOD Project Title ..... Project Address..'.. CF -1R Page 1 .... Coombs Residence Date..06/04/08 17:25:23 .... 56445 Village Drive ******* La Quinta, California *v7.20* Documentation Author... Denise M. Kowal P.E ******* Climate Zone...... Compliance Method. Denise M. Kowal, P.E. 14811 Slalom Way Truckee, CA 96161 530-582-8534 .... 15 Building Permit Plan Check Date Fie C ec Date .... MICROPAS7 v7.20 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -FORM CF -1R User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence MICROPAS7 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kTDV/sf-yr) Design Design Margin Space Heating.......... 2.40 1.46 0.94 Space Cooling.......... 72.29 73.78 -1.49 Water Heating.......... 4.89 3.75 1.14 Total 79.58 78.99 0.59 *** Building complies with Computer Performance *** *** HERS,Verification Required for Compliance *** GENERAL INFORMATION HERS Verification.......... Conditioned Floor Area..... Building Type .............. Construction Type ......... Fuel Type ................. Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height.:.,.. CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR C,O�QNSTRUCT N DA � �u17V BY _&L Required 5251 sf Single Family Detached New NaturalGas Front Facing 60 deg (NE) 1 1 FullYear Slab On Grade 3 47250 cf 5251 sf 25.2 % of floor area 0.37 Btu/hr-sf-F 0.3 9 ft @- N--8 JUIJ Z' 2008 �l Ul CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2 Project Title.......... Coombs Residence Date..06/04/08 17:25:23 MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -FORM CF -1R User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence BUILDING ZONE INFORMATION Length F2 Insul Surface (ft) Factor R-val HOUSE 23 SlabEdge 24 SlabEdge CASITAI 25 SlabEdge Appendix Solar IV Location/ Gains Reference Comments 366 Floor # of # of Cond- Thermo- Vent Vent Verified No Area Volume Dwell 0.720 Peop- it- stat Height Area Leakage or Zone Type (sf) (cf) Units le ioned Type (ft) (sf) Housewrap HOUSE Residence 3844 34600 0.73 2.9 Yes Setback 2.0 Standard No CASITAI Residence 617 5550 0.12 0.5 Yes Setback 2.0 Standard No FAMILY Residence 790 7100 0.15 0.6 Yes Setback 2.0 Standard No OPAQUE SURFACES U- Sheath- Solar Appendix Frame Area fact- Cavity ing Act Gains IV Location/ Surface Type (sf) or R-val R-val Azm Tilt Reference Comments HOUSE 1 Wall Wood 450 0.069 21 0 60 90 Yes IV.9 A6 4 Door None 56 0.330 0 0 60 90 Yes None 5 Wall Wood 246 0.069 21 0 60 90 No IV.9 A6 6 Door None 24 0.330 0 0 60 90 No None 7 Wall Wood 189 0.069 21 0 130 90 Yes IV.9 A6 8 Wall Wood 431 0.069 21 0 150 90 Yes IV.9 A6 12 Wall Wood 424 0.069 21 0 240 90 Yes IV.9 A6 15 Wall Wood 386 0.069 21 0 310 90 No IV.9 A6 16 Wall Wood 395 0.069 21 0 330 90 Yes IV.9 A6 20 Roof Wood 3844 0.026 38 0 n/a 0 Yes IV.1 A8 CASITAI 2 Wall Wood 190 0.069 21 0 60 90 Yes IV.9 A6 9 Wall Wood 186 0.069 21 0 150 90 Yes IV.9 A6 13 Wall Wood 149 0.069 21 0 240 90 Yes IV.9 A6 17 Wall Wood 212 0.069 21 0 330 90 Yes IV.9 A6 21 Roof Wood 617 0.026 38 0 n/a 0 Yes IV.1 A8 FAMILY 3 Wall Wood 311 0.069 21 0 60 90 Yes IV.9 A6 10 Wall Wood 165 0.069 21 0 150 90 Yes IV.9 A6 11 Door None 24 0.330 0 0 150 90 Yes None 14 Wall Wood 232 0.069 21 0 240 90 Yes IV.9 A6 18 Wall Wood 126 0.069 21 0 330 90 Yes IV.9 A6 19 Wall Wood 63 0.069 21 0 330 90 No IV.9 A6 22 Roof Wood 790 0.026 38 0 n/a 0 Yes IV.1 A8 PERIMETER LOSSES Length F2 Insul Surface (ft) Factor R-val HOUSE 23 SlabEdge 24 SlabEdge CASITAI 25 SlabEdge Appendix Solar IV Location/ Gains Reference Comments 366 0.720 R-0 No None 30 0..500 R-0 No None 98 0.720 R-0 No None • y CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 Project Title.......... Coombs Residence Date..06/04/08 17:25:23 MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -FORM CF -1R User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence Surface PERIMETER LOSSES Appendix Length F2 Insul Solar IV Location/ (ft) Factor R-val Gains Reference Comments FAMILY , 26 S1abEdge 115 0.720 R-0 No None 27 SlabEdge 7 0.500 R-0 No None FENESTRATION SURFACES Exterior Area U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/Comments HOUSE 1 Wind Front (NE) 134.5 0.370 0.300 60 90 Standard FGLASS/Vinyl/Slider/SC=O 4 Wind Left (SE) 194.5 0.370 0.300 130 90 Standard 70GLASS/Vinyl/Slider/SC= 5 Wind Left (SE) 82.0 0.370 0.300 150 90 Standard LGLASS/Vinyl/Slider/SC=O 7 Wind Back (SW) 373.5 0.370 0.300 240 90 Standard BGLASS/Vinyl/Slider/SC=O 12 Wind Right (NW) 91.3 0.370 0.300 310 90 Standard 250GLASS/Vinyl/Slider/SC 13 Wind Right (NW) 109.5 0.370 0.300 330 90 Standard RGLASS/Vinyl/Slider/SC=O CASITAI 2 Wind Front (NE) 44.0 0.370 0.300 60 90 Standard FGLASSI/Vinyl/Slider/SC= 6 Wind Left (SE) 30.0 0.370 0.300 150 90 Standard LGLASSI/Vinyl/Slider/SC= 8 Wind Back (SW) 85.0 0.370 0.300 240 90 Standard BGLASSI/Vinyl/Slider/SC= 14 Wind Right (NW) 4.0 0.370 0.300 330 90 Standard RGLASSI/Vinyl/Slider/SC= FAMILY 3 Wind Front (NE) 49.0 0.370 0.300 60 90 Standard FGLASS2/Vinyl/Slider/SC= 9 Wind Back (SW) 96.0 0.370 0.300 240 90 Standard BGLASS2/Vinyl/Slider/SC= 10 Wind Back (SW) 16.0 0.370 0.300 240 90 Standard BGLASS3/Vinyl/Slider/SC= 11 Wind Back (SW) 16.0 0.370 0.300 240 90 Standard BGLASS4/Vinyl/Slider/SC= OVERHANGS Surface FAMILY 9 Window 10 Window 11 Window Surface FAMILY 9 Window 10 Window 11 Window Window overhang Area Left Right (sf) Width Height Depth Height Extension Extension 96.0 12 8 6 1 4 24 16.0 4 4 6 1 25 10 16.0 4 4 6 1 30 5 SIDE FINS Window Left Fin Right Fin Area Ex- Ex- (sf) Width Heigth tension Depth Height tension Depth Height 96.0 12 8 14 7 10 n/a n/a n/a 16.0 4 4 n/a n/a n/a 10 50 10 16.0 4 4 n/a n/a n/a 5 50 10 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4 Project Title.......... Coombs Residence Date..06/04/08 17:25:23 MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -FORM CF -1R User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence THERMAL MASS Area Thick Heat Conduct- Surface Mass Type (sf) (in) Cap ivity UIMC R -value Location/Comments HOUSE 1 SlabOnGrade CASITAI 2 SlabOnGrade FAMILY 3 SlabOnGrade System Type HOUSE Furnace ACSplit CASITAI Furnace ACSplit FAMILY Furnace ACSplit 3844 4.0 28.0 0.98 4.60 R-0.0 Exposed 617 4.0 28.0 0.98 4.60 R-0.0 Exposed 790 4.0 28.0 0.98 4.60 R-0.0 Exposed HVAC SYSTEMS Verified Number Verified Verified Verified Verified Maximum of Minimum Refrig Charge Adequate Fan Watt Cooling Systems Efficiency EER or TXV Airflow Draw Capacity 2 0.900 AFUE 2 15.00 SEER 1 0.900 AFUE 1 15.00 SEER 1 0.900 AFUE 1 15.00 SEER System Type HOUSE Furnace ACSplit CASITAI Furnace ACSplit FAMILY Furnace ACSplit Total n/a n/a 11.7 Yes n/a n/a 11.7 Yes n/a n/a 11.7 Yes HVAC SIZING n/a n/a n/a No No No n/a n/a n/a No No No n/a n/a n/a No No No n/a n/a n/a n/a n/a n/a n/a 75711 n/a Verified Total Sensible Design Maximum Heating Cooling Cooling Cooling Load Load Capacity Capacity (Btu/hr) (Btu/hr) (Btu/hr) (Btu/hr) n/a n/a n/a n/a n/a n/a n/a 75711 n/a n/a n/a 64351 79859 14858 n/a n/a n/a 11457 14218 18401 n/a n/a n/a 12643 15690 108971 88450 109766 Sizing Location............ LA QUINTA Winter Outside Design...... 26 F Winter Inside Design....... 70 F Summer Outside Design...... 111 F Summer Inside Design....... 75 F Summer Range ............... 34 F n/a n/a n/a n/a n/a n/a n/a CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 5 Project Title.......... Coombs Residence Date...06/04/08 17:25:23 MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -FORM CF -1R User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence DUCT SYSTEMS Verified Verified Verified System Duct Duct Duct Surface Buried Type Location R -value Leakage Area Ducts HOUSE Furnace Attic R-8 No No No ACSplit Attic R-8 No No No CASITAI Furnace Attic R-8 No No No ACSplit Attic R-8 No No No FAMILY Furnace Attic R-8 No No No ACSplit Attic R-8 No No No WATER HEATING SYSTEMS Number Tank External Heater in Energy Size Insulation Tank Type Type Distribution Type System Factor (gal) R -value CONVENTIONAL 1 Instantaneous Gas Standard 1 n/a n/a R-n/a STORAGE 2 Large Gas Recirc/Demand 2 n/a 75 R-12 WATER HEATING SYSTEMS DETAIL Standby Internal Tank Recovery Rated Loss Insulation Pilot System Efficiency Input Fraction R -value Light CONVENTIONAL 1 Instantan 0.92 n/a n/a R- n/a 0 STORAGE 2 Large 0.92 n/a 0.01 R- n/a 0 SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion Valve (TXV). If a cooling system is not installed, then HERS verification is not necessary. This building incorporates HERS verified EER. This building incorporates a High Mass Design. This building incorporates a non-standard Water Heating System_. CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 6 Project Title.......... Coombs Residence Date..06/04/08 17:25:23 MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -FORM CF -1R User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence HERS REQUIRED VERIFICATION *** Items in this section require field testing and/or *** *** verification by a certified home energy rater under *** *** the supervision of a CEC-approved HERS provider using *** *** CEC approved testing and/or verification methods and *** *** must be reported on the CF -4R installation certificate.'*** This building incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion Valve (TXV). If a cooling system is not installed, then HERS verification is not necessary. This building incorporates HERS verified EER. REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 7 Project Title.......... Coombs Residence Date..06/04/08 17:25:23 MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -FORM CF -1R User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence 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. DESIGNER or OWNER Name.... Peter S. Gerdin Company. Peter S Gerdin, Architect Address. 15695 Donner Pass Rd #206 Truckee, CA 96161 Phone... (530) 587-7513 License. C� f3d `i% Signed.. AA a e ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. ate DOCUMENTATION AUTHOR Name.... Denise M. Kowal, P.E. Company. Denise M. Kowal, P.E. Address. 14811 Slalom Way Truckee, CA 96161 Phone ... ,_530-582-8534 1 Signed.. Lzo(p �08 at°e MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 1 Project Title.......... Coombs Residence Date..06/04/08 17:25:23 Pro'ect Address 56445 V'i ll D ' a ******* ..... ge rive La Quinta, California *v7.20* Documentation Author... Denise M. Kowal, P.E. ******* Building Permit Denise M. Kowal, P.E. 14811 Slalom Way Plan Check Date Truckee, CA 96161 530-582-8534 Fie C ec Date Climate Zone........... 15 Compliance Method...... MICROPAS7 v7.20 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -FORM MF -1R User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*). 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. BUILDING ENVELOPE MEASURES n/a *150(a): Minimum R-19 insulation in wood framed ceiling or equivalent U -factor in metal frame ceiling 150(b): Loose fill insulation manufacturer's labeled R -Value *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls) *150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door covering the entire opening of the firebox b. Outside air intake with damper and control, flue damper and control 2. No continuous burning gas pilot lights allowed 150(f): Air retarding wrap installed to comply with Sec. 151 meets requirements specified in ACM Residential Manual 150(8): Vapor barriers mandatory in Climate Zones 14,16 only 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than 0.3%, water vapor permeance rate no greater than 2.0 perm/inch 118: Insulation specified or installed meets insulation quality standards.. Indicate type and include CF -6R 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 SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES De- En- sign- force- er ment Y V V y FLvE %Klmz r�,nov �L —VIA —V De- En- MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 2 Project Title.......... Coombs Residence Date..06/04/08 17:25:23 MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -FORM MF -1R User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence sign- force n/a er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA ✓ 150(1): Setback thermostat on all applicable heating and/or cooling systems 150(j): Water system pipe and tank insulation and cooling systems line 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 R12 or greater ✓ 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 internal and indicated on the exterior of the tank showing the R -value ✓ 3. The following piping is insulated according to Table 15o -A B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B V 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A ✓ 4. Steam hydronic heating systems or hot water systems >15 si meet requirements of Table 123-A 5. Insulation must be protected from damage, including tha---due to sunlight, moisture, equipment maintenance and wind 6. Insulation for chilled water piping and refrigerant suc=:on piping includes a vapor retardant or is enclosed entirely in conditioned space 7. Solar water -heating systems/collectors are certified by t e Solar Rating and Certification Corporation /VA *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air dusts and plenums are insulated to a minimum installed level Df R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. 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 2. Building cavities, support platforms for air handlers, a_nT 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 MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 3 Project Title.......... Coombs Residence Date..06/04/08 17:25:23 MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -FORM MF -1R User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence 118(i): Cool Roof material meets specified criteria RESIDENTIAL LIGHTING MEASURES shall not be sealed with cloth backed rubber adhesive sign- force duct tapes unless such tape is used in combination with er ment 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: mastic and draw bands I/ 4. Exhaust fan systems have back draft or automatic damper- 5. Gravity ventilating systems serving conditioned space have _V either automatic or readily accessible, manually only high efficacy lamps as outlined in Table 150-C, operated dampers f 6. Protection of Insulation. Insulation shall be protected �L be high efficacy luminaires. Up to 50 percent of the wattage, from damage due to sunlight, moisture, equipment mainten- as determined in Sec. 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy ance and wind. Cellular foam insulation shall be protected luminaires, provided that these luminaires are controlled as above or painted with a coating that is water retardant efficacy luminaires and provides shielding from solar radiation that can cause 150(k)3: Permanently installed luminaires in bathrooms, degradation of the material 7. Flexible ducts cannot have porous inner cores Ve 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance in kitchens, bathrooms, garages, laundry rooms, and utility Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pilot light 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating b. Cover for outdoor pools or outdoor spas. v 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) v 118(i): Cool Roof material meets specified criteria RESIDENTIAL LIGHTING MEASURES De- En- sign- force n/a er ment 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic and have an output frequency no less than 20 kHz 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, luminaire has factory installed HID ballast 150(k)2: Permanently installed luminaires in kitchens shall �L be high efficacy luminaires. Up to 50 percent of the wattage, as determined in Sec. 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on automatically or have an always on option 150(k)4: Permanently installed luminaires located other than _JL in kitchens, bathrooms, garages, laundry rooms, and utility MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 4 Project Title.......... Coombs Residence Date..06/04/08 17:25:23 MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -FORM MF -1R User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence rooms shall be high efficacy luminaires (except closets less than 70 ft2), OR are controlled by a dimmer switch OR are controlled by an occupant sensor(s) that complies with Section 119(d) that does not turn on automatically or have an always on option 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are certified air tight to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires (not in- cluding lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d) V% 150(k)7: Lighting for parking lots for 8 or more vehicles shalT_— have lighting that complies with Sec. 130, 132, and 147. Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Sec. 130, 131, and 146 NA 150(k)8: Permanently installed lighting in the enclosed, non - dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) ffA RESIDENTIAL KITCHEN LIGHTING WORKSHEET WS -5R Page 1 Project Title.......... Coombs Residence Date..06/04/08 17:25:23 MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -FORM MF -1R User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence At least 50% of the total rated wattage of permanently installed luminaires in the kitchen must be in luminaires that are high efficacy luminaires as defined in Table 150-C. Luminaires that are not high efficacy mist be switched separately. KITCHEN LIGHTING SCHEDULE High Efficacy Luminaire Type (Yes/No) Watts COA41--�,'u Ws -S2 High Efficacy Quantity Watts x = or x = or x = or x = or x = or Total A= B= Complies if A >= B Yes No Rules for Determining Residential Kitchen Luminaire Wattage Other Watts Screw Base Sockets - Section 130(c) 1 (Not containing permanently installed ballasts) The maximum relamping rated wattage of the luminaire, as listed on a permanent factory -installed label (luminaire wattage is not based on type or wattage of lamp that is used). Permanently or Remotely Installed Ballasts - Section 130(c) 2 The operating input wattage of the rated lamp/ballast combination based on values published in manufacturerts catalogs based on independent testing lab reports. Line Voltage Track Lighting (90 through 480 volts) - Section 130(c) 3 1. Volt-ampere (VA) rating of the branch circuit(s) feeding the tracks; or 2. For tracks equipped with an integral current limiter, the higher of - The wattage (or VA) rating of an approved integral current limiter contr - 15 watts per linear foot of the track; or 3. For tracks without an integral current limiter, the higher of - 45 watts per linear foot of the track or - The total wattage of all of the luminaires included in the system. Low Voltage Track Lighting (less than 90 volts) - Section 130(c) 4 Rated wattage of the transformer feeding the system, as shown on a permanent factory -installed label Other Lighting - Section 130(c) 5 (Lighting systems that are not addressed in Sections 130 (c) 1-4) The maximum rated wattage, or operating input wattage of the system, listed on a permanent factory installed label, or published in manufacturer's catalogs, based on independent testing lab reports. HVAC SIZING HVAC Page 1 Project Title.......... Coombs Residence Date..06/04/08 17:25:23 Pro'ect Address 56445 V'i ll D 4 ******* ..... age rive La Quinta, California *v7.20* Documentation Author... Denise M. Kowal, P.E. ******* Building Permit Denise M. Kowal, P.E. 14811 Slalom Way Plan Check Date Truckee, CA 96161 530-582-8534 Field Check/ Date Climate Zone........... 15 Compliance Method...... MICROPAS7 v7.20 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program-HVF.0 SIZING User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence GENERAL INFORMATION Floor Area ................. Volume ..................... Front Orientation.......... Sizing Location............ Latitude ................... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 5251 sf 47250 cf Front Facing LA QUINTA 33.8 degrees 26 F 70 F 111 F 75 F 34 F Yes Yes Yes 0.24 HEATING AND COOLING LOAD SUMMARY Opaque Conduction and Solar...... Glazing Conduction and Solar..... Infiltration ..................... Internal Gain .................... Ducts ............................ Sensible Load .................... Latent Load ...................... 60 deg (NE) Heating Cooling (Btu/hr) (Btli/hr) 46298 13917 21575 32715 22018 12731 n/a 2520 19079 2D568 108971 83450 n/a 21316 Minimum Total Load 108971 109766 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. HVAC SIZING HVAC Page 2 Project Title.......... Coombs Residence Date..06/04/08 17:25:23 MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -HVAC SIZING User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence HEATING AND COOLING LOAD SUMMARY BY ZONE ZONE 'HOUSE' Floor Area ....................... 3844 sf Volume ........................... 34600 cf Heating Cooling Description (Btu/hr) (Btu/hr) Opaque Conduction and Solar...... 30297 13249 Glazing Conduction and Solar..... 16040 24979 Infiltration ..................... 16118 9319 Internal Gain .................... n/a 1840 Ducts ............................ 13256 14964 Sensible Load .................... 75711 64351 Latent Load ...................... n/a 15508 Minimum Zone Load 75711 79859 ZONE 'CASITAI' Floor Area ....................... 617 sf Volume ........................... 5550 cf Heating Cooling Description (Btu/hr) (Btu/hr) Opaque Conduction and Solar...... 7016 2881 Glazing Conduction and Solar..... 2654 4113 Infiltration ..................... 2587 1496 Internal Gain .................... n/a 302 Ducts ............................ 2602 2664 Sensible Load .................... 14858 11457 Latent Load ...................... n/a 2761 Minimum Zone Load 14858 14218 HVAC SIZING HVAC Page 3 Project Title.......... Coombs Residence Date..06/04/08 17:25:23 MICROPAS7 v7.20 File -COOMBS Wth-CTZ15S05 Program -HVAC SIZING User#-MP2008 User -Denise M. Kowal, P.E. Run -Coombs Residence ZONE 'FAMILY' Floor Area ...................... Volume .......................... Description Opaque Conduction and Solar...... Glazing Conduction and Solar..... Infiltration ..................... Internal Gain .................... Ducts............................ Sensible Load .................... Latent Load ...................... Minimum Zone Load 790 sf 7100 cf Heating (Btu/hr) 8985 2882 3313 n/a 3222 18401 n/a 18401 Cooling (Btu/hr) 3787 3623 1915 378 2940 12643 3047 15690 WARNOCK HERSEY LISTING LABEL - FACSIMILE - o o ,US LISTED MASONRY FIREPLACE SYSTEM OW0 1C UIM o3 MODELS: 4 4L MADE IN DENMAR7< W N , , J6" 00 NOT REMOVE OR COVER WH- EARTHCORE THIS LABEL. INDUSTRIES COMPLIES WITH APPLICABLE REQ. OF UL 121 ULC S610, UL 1111, 103HT JACKSONVILLE. FL 32256 CLEARANCE TO COMBUSTIBLES: UNIT FRONT AND ISOKERN CHIMNEY = Oin. UNIT SIDES AND REAR = 1.5in. (60mm) COMBUSTIBLE SHEATHING ABOVE OPENING TOP = 8in. (205mm) SHEATHING OR TRIM TO OPENING SIDES = Bin. (205mm) MANTLE ABOVE OPENING = 12in. (305mm) OPENING TO SIDEWALL = 24in. (610mm) HEARTH EXTENSION BEYOND FRONT = 20in. (510mm) HEARTH EXTENSION BEYOND SIDES = 12in. (305mm) COMBUSTIBLE FLOOR = 7.25in. (184mm) INSULATION FROM FIREBOX = 3in. (75mm) USE SOLID WOOD FUEL OR LISTED DECORATIVE GAS VENTED OR UNVENTED APPLIANCE. ALSO FOR USE WITH LISTED METAL CHIMNEY. DO NOT USE A FIREPLACE INSERT OR OTHER PRODUCTS NOT SPECIFIED FOR USE WITH THIS PRODUCT. IF DOORS ARE USED, OPERATE FIREPLACE WITH DOORS FULLY OPEN. WHEN BURNING A DECORATIVE GAS APPLIANCE IN THE FIREPLACE, LOCK THE DAMPER TO THE FULLY OPEN POSITION. INSTALLATION MUST BE IN ACCORDANCE WITH INSTRUCTIONS PROVIDED AND ICC ER 5017, SBCCI REPORT #96'26, LA. RR# 25483, MEA# 2490E. 0 CONTACT BUILDING OFFICIAL PRIOR TO INSTALLATION O FS Figure 1 Isokern Fireplace and Chimney Systems are tested and listed to UL standards: UL 127, ULC S610, UL 1777 and UL 103HT. r,90n?9!5 lefs®oef The listing label shown in Figure 1 above, outlines the listed clearances to combustibles and indicates that the units are suitable for use with solid fuel or listed gas appliances. Refer to the manufacturer's installation manual for detai:ed description of clear- ances to combustibles and all other installation information. A metal listing label similar to that shown above is affixed to each Standard fireplace. Do not remove the listing label from the Standard fireplace. Prior to beginning installation, contact local building official to determine the need to obtain a permit. 5/46 Noritz - Products - Tankless Gas Hot Water Heaters - Commercial and Residential Page 1 of 1 RADIUS: 30 miles fig ZIP CODE START SEARCH •31 TANKLESS ADVANTAGE WHY NORITZ IS THE BEST ALL PRODUCTS > RESIDENTIAL MODELS COMMERCIAL MODELS FLEXIBLE INSTALLATION SIZING REFERENCE FLOW RATE REFERENCE ACCESSORIES VENTING OLD MODELS PRODUCTS PRODUCTS 0931 SERIES MiII �_�� ©nolrr: N -0931M N -0931M -DV N -0931M -OD 1 SERVICES PRESS ROOM COMPANY CONTACT US A -I\/ K- (_E -_S7_ 0931 Series N 6-A-TOfL PRODUCT INFORMATION: . For our luxury line, we have the 931 series which can provide endless hot water up to 4+ showers at a time. And with its Quick -Connect systlem, two units can be linked together to meet the high demand of today's luxury hones. To accomodate the higher flow rate demand, these units have a dual flame bums-, redesigned heat exchanger and 25% thicker copper piping. No other tankless water heater in its class can beat its performance, dependability, and quality. The N -09311w is for indoor/outdoor use. The N -0931M -DV is for indoor use only. The N-093114-01) s for outdoor use only. >> Available in Natural Gas (NG) and Propane (LP) models only. >> Thermal Efficiency: 84% >> MSRP: ;2,099.00 (unit only) Moor/Qtedoar ArdoavD6e�haett Out standard oeeruhrg Out W units are lot allows the units to be Indoor Installation only. totalled indoors or These unitsate ideif for ousdo nd wru d Imtnikniomwhh Huh, �� .. bo;mnt�lyor..nUay. ■«t Combairordirtycombah ' -- suchasbuthorttais restaurants. and salorts. odor Our OD units ata bulk for outdoes irroaaaaim onty. Those units r V« no additional v uilsg •'"�'!t accessaws coca he bursal Vent `i bulk ria. into the urn. - Summer Water Supply r *F Winter Water Supply 45*F + aa45 rn:et 1 3/4 - HOMEOWNERS PROFESSIONALS SHOWROOMS CLICK HERE FOR EVENTS Copyright © 2007, Call us toll-free NORITZ AMERICA CORP. NORrrZ.COM PRODUCTS SERVICES PRESS ROOM COMPANY CONTACT US SITE MAP All Rights Reserved (866) 766-7489 http://www.-noritz.com/homeowners/Products/view/093 I_series/ 6/6/2008 Gas Consumption NG Matt :50,000 bwh - Min. i 1,000 tuh u) Max30AWbtub- Min. IlAwbtuh Max. Hot Water Capacity 14S*F RiSe) 93 GalAmin Capacity Range 03.11.1Gallmin. Type Instal'ation Inioor/Outdoor,WallHanging AirSupply/Exhaust Power Vented Minimum Flow Rate OS GPM Weight 62 lb - Dimensions 242^0t.V4 x 183'tawmx 94' mp" Connection Saes waterPnlet 3/4' Hot Water Outlet 3/4' aa45 rn:et 1 3/4 - HOMEOWNERS PROFESSIONALS SHOWROOMS CLICK HERE FOR EVENTS Copyright © 2007, Call us toll-free NORITZ AMERICA CORP. NORrrZ.COM PRODUCTS SERVICES PRESS ROOM COMPANY CONTACT US SITE MAP All Rights Reserved (866) 766-7489 http://www.-noritz.com/homeowners/Products/view/093 I_series/ 6/6/2008 -POwerVent Induced Draft Gas Water Heater with the Guardian System - �11 Available in 40, 50, 60 and 75 Gallon Tall — 40 and 50 Gallon Short Gas Models / 6 -Year Limited Tank and Parts Warranty* With ProtectionPlus" the 6 -Year Limited Tank Warranty Becomes 10 Years! Guardian System- • Air/fuel shut-off system offers double protection • Maintenance free — no filter to clean Flammable Vapor Detection Sensor • Protective control system that disables the heater in the presence of flammable, vapor accumulation Flexible Venting Options • Long venting lengths up to 100 feet • PVC, ABS, or CPVC vent pipe options • Vertical or horizontal termination New Quiet Blower • Less noise than ever before Self -Diagnostic System • Integrated self-diagnostic system control takes the guess work away Environmentally Friendly Burner • Low NOx design for low nitrous oxide emissions High Altitude Compliant • Tall models are certified for applications up to 7,700 feet above sea level • Short models: certified up to 6,000 feet above sea level Self -Cleaning • EverKleen" patented system fights sediment build-up (40, 50 and 60 gallon models only) • Reduces fuel costs • Provides more hot water Longer Life • Patented magnesium anode rod design incorporates a special resistor that protects the tank from corrosion • Provides longer tank life than using standard magnesium anode rods Plus. • Durable silicon nitride ignitor (HSI) • Standard 110 volt electrical connection • Exceeds National Appliance Energy Conservation Act (NAECA) and ASHRAE requirements See Residential Warranty Information Brochure for complete warranty information. Energy Factor and Average Annual Operating Costs based on D.O.E. (Departrnent of Ener)test procedures D.O.E. national average fuel rate natural gas 910// erm; LP $1.23/gallon. DESCRIPTIONROUGHING T y GAS INPUT IN HT.TO IN RECOVERYIN FIRST HOUR TOP OF TANK DIMENSIONS HT. TO GAS (SHOWNINFO. WATER HT. TO WATER CONA. SIDE T&P COIN. SHIP. ENERGY AVG, ANN. P GAL. MODEL E CAP. UUMSER 40 42VP.40FW THOUS. IIAT. 40 STU'HR. GAIL 90 RISE DEL. G.P.H. ASSEMBLY HT. DIANI. LP IIAT. LP IIAL A 8 C 40 40.4 40.4 68 69-1/4 59 19-314 CONN. 0 14 C14TA. VALVE SIZE E F G 8 53.1/1 3/4 VIT.. (LES) 140 FACTOR OPER. COSTS NAT. NAT. GAS 0.64 $213 T A 50 42VP50FW 42 42 42.4 42.4 87 68-1/4 58 2144 14 8 52-1/2 314 170 0.64 $213 L L 60 42VP60FW 55 50 55.6 50.5 104 69-1/4 58 22-1/4 14 8 51.1/4 314 205 0.62 $235 75Z' 42VP75FWZ 75 69 75.8 69.7 130 72 60-1/8 26- 4 14-314 it 53.1/4 1 330. 0.53 $257 402VP40SFW 36 34 36.4 34.3 71 61-112 501/2 201/4 4 8 44 3/4 152 0.64 strom 501 42VP50SFW 36 34 36.4 34.3 1 85 61-1/2 50-1/2 22-1/4 1 8 1 44 1 314 1 176 1 0.62 $220 • Specify LP gas when ordering. Add "PF suffix to the model number. Example 42VP40PFW. • 75 gallon model features side water connections for space heating applications. POWER VENT • See venting on reverse side. ASSEMBLY G ANODEROD units are designed to G onThese HOT ®• G meet or exceed ANSI 1 WATER - ' COLD (American National CONNECTION: ; WATER Standards Institute) require- E CONNECTION ments and have been tested according to D.O.E. test procedures and meet or R LIMITED K WARRANTY : T&P FITTING the energy efficiency 67C O M E S 10 3/4" NP.T.exceed requirements of NAECA, — ASHRAE standard 90, ICC 01 For more details, see form 101-7. Code and all state energy C efficiency performance SIDETAPS criteria for energy consuming p5 GAL, appliances.A PWSEE REVERSE g 112" EL F ONLY) Before purchasing this appliance, read important FOR energy cost and efficiency MINIMUM VENT fp information available from your supplier.iS In keeping with its policy of continuous 6,,,:�LENGTH dddA progress and product improvement, Rheem reserves the ri ht to make changes without L notice. Rheem Water Heating • 101 Bell Road, Montgomery, Alabama 36117-4305 • www.rheem.com PRINTED IN U.S.A 12/07 WP FORM NO. 101-85 Rev. 3 40 AND 50 GALLON MODELS MAXIMUM AND MINIMUM VENT LENGTHS VENTING INFORMATION FOR 2" VENTS NUMBER OF 90" ELBOWS WITH VENT TERMINAL NUMBER OF 45" ELBOWS MINIMUM PIPE LENGTH REO. (FT.) MAXIMUM PIPE LENGTH (FT.) One (1) None 4.0 44.0 One (1) One (1) 4.0 41.0 Two (2) None 4.0 38.0 Two (2) One (1) 4.0 35.0 Three (3) None 4.0 32.0 For the 2° vent, one 90" elbow is approximately equal to 6 feet of pipe. One 45" elbow is approximately equal to 3 feet of pipe. VENTING INFORMATION FOR 3" V_NTS NUMBER OF 90" ELBOWS WITH VENT TERMINAL NUMBER OF 45" ELBOWS MINIMUM PIPE LENGTH REO. (FT.) MAXIMUM PIPE LENGTH (FT.) One (1) None 5.0 95.0 One (1) One (1) 5.0 92.5 Two (2) None 5.0 90.0 Two (2) One (1) 5.0 87.5 Three (3) None 5.0 85.0 Three (3) One (1) 5.0 82.5 Four (4) None 5.0 80.0 Four (4) One (1) 5.0 77.5 Five (5) None 5.0 75.0 For the 3° vent, one 90" elbow is approxinately equal to 5 feet of pipe. One 45" elbow is approxim 3tely equal to 2.5 feet of pipe. 60 AND 75 GALLON MODELS MAXIMUM AND MINIMUM VENT LENGTHS HIGH ALTITUDE (2,000-7,700 FT.): 3" VENT NUMBER OF 90" ELBOWS WITH VENT TERMINAL NUMBER OF 45" ELBOWS MINIMUM PIPE LENGTH RED. (FT.) MAXIMUM PIPE LENGTH (FT.) One (1) None - 34.0 One (1) One (1) 5.0 31.0 Two (2) None - 28.0 Two (2) One (1) - 25.0 Three (3) None - 22.0 For the 3" vent, one 90" elbow is approximately equal to 5 feet of pipe. One 45° elbow is approximately equal to 2.5 feet of pipe. CouYY1 �35 SEA LEVEL TO HIGH ALTITUDE (0-7,700 =L): 4" VENT' NUMBER OF 90" ELBOWS WITH VENT TERMINAL NUMBER OF 45" ELBOWS MINIMUM PIPE LENGTH REO. (FT.) MAXIMUM PIPE LENGTH (FT.) One (1) None - 95.0 One (1) One (1) 5.00 92.5 Two (2) None - 90.0 Two (2) One (1) - 87.5 Three (3) None - 85.0 Three (3) One (1) - 82.5 For the 4" vent, one 90" elbow is approximately equal to 5 feet of pipe. One 45" elbow is approximately equal to 2.5 feet of pipe. Rheem Water Heating • 101 Bell Road, Montgomery, Alabama 36117-4305 • www.rheem.com PRINTED IN U.S.A 12/07 WP FORM NO. 101-85 Rev. 3 FA � WINE 43 O'HAGIN VENTILATION SY9TEM'. VENTS FOR CLAY TILE APPLICATIONS I L I r l N or au r C^M LnwI I Cu rvr%nr%PMI I I MODEL W #50037 MODEL "S" #50042 U.3. � .� $o ARCA ��" Deleo V \ ACTUAL OUTSIDE SIZE 23� X 19.5" ACTUAL OUTSIDE SIZE 24"X21,5" PERIMETER OPENING 101.25 SQ IN' PERIMETER OPENING 109.25 $0 IN 19.5" \ SCREEN OPENING 99.75 Sty IN SCREEN• OPENING MCA 120.00 SQ IN 215" WEIGHT PER VENT WEIGHT PER VENT ALUMINUM .032 3.25 Ibs ALUMINUM .032 3.50 Ibs GALVANIZED 26 ga 7 Ibs GALVANIZED 26 ga 7.50 Ibs COPPER 16oz 9 Ibs COPPER 16oz 10.00 Ibs ,MODEL "FLAT" AW 11M swm�� OUTSIDE SIZE 32" X 16" -- ^ PERIMETER OPENING 110.75 SO iN SCREENED OPENING 100.00 SO IN GHT PER VENA ALUMINUM .0 4.50 Ibs GALVANIZED 26 ga Ibs COPPER 16oz 9. Ibs NOT TO SCALESebastopol. Ca PRIMARY VENT - SUB FLASHING #PV50001 133 SQUARE INCH OPENING ACTUAL OUTSIDE SIZE 23"X 10.25" ACTUAL SC12EEN SIZE 19" X 6.25" ACTUAL FREE AIR 110 SQ IN WEIG ri PER SUB FLASHING ALUMINUM .032 .75 Ibs GALVANIZED 26 ga 1.25 Ibs (PROVIDED WITH EACH VENT SHOWN) COPPER 16oz 2.00 Ibs -11 ,k&H ►GINS INC. 1a" MODEL "M" # MODEL "M" #50052 U -S. TileQ 1r O .Oto Redlands Baja Cladding Mc9oan RCtUR SIZE 18" X 24" ACTU L IDE SfZ 4" X 28" / OPENING 105.56 $0 IN / C80.50 SO IN PERI ETER OPENING 124.50 SQ IN SCR N OPENING MCA 120.00 SQ IN r~ �^ WEIGHT PER VElleft WEIGHT PER VENT ALUMINUM .032 3.25 Ibs L 032 3.50 Ibs GALVANIZED 6 ga 9�Ibs I6oz ED 6 ga 7.50 Ibs COPPER 1 hoz 1�- COPPER 0.00 Ibs ,MODEL "FLAT" AW 11M swm�� OUTSIDE SIZE 32" X 16" -- ^ PERIMETER OPENING 110.75 SO iN SCREENED OPENING 100.00 SO IN GHT PER VENA ALUMINUM .0 4.50 Ibs GALVANIZED 26 ga Ibs COPPER 16oz 9. Ibs NOT TO SCALESebastopol. Ca PRIMARY VENT - SUB FLASHING #PV50001 133 SQUARE INCH OPENING ACTUAL OUTSIDE SIZE 23"X 10.25" ACTUAL SC12EEN SIZE 19" X 6.25" ACTUAL FREE AIR 110 SQ IN WEIG ri PER SUB FLASHING ALUMINUM .032 .75 Ibs GALVANIZED 26 ga 1.25 Ibs (PROVIDED WITH EACH VENT SHOWN) COPPER 16oz 2.00 Ibs -11 ,k&H ►GINS INC.