The URL can be used to link to this page

13-1371 (SFD)rw- P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 13-00001371 Property Address: 56525 VILLAGE DR APN: 764-040-015- - - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 338188 Applicant: Architect or Engineer: CpNI"ct o c N f1' LiC. No.: OOR SQUARE FOOT ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License CI,4 13 License No.: 845082 Dai t?\ 1 �1 Contractor, a �- OWNER-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—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 1 1, 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 am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.)• Lender's Name: _ Lender's Address: LQPERMIT Owner: ROBERT & GRETCHEN MATHERSON 56-525 VILLAGE DR LA QUINTA, CA 92253 Contractor: ANTHONY & ASSOCIATES, JOHN 80591 TANGELO COURT INDIO, CA 92201 (760)578-6441 Lic. No.: 845082 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 OFn A Qtl_Tq ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by 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,,EXEDIFT Policy Number EXEMPT ify that, in the performance of the work for which this permit is issued, I shall not employ any .� person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith cgmply with those provisions. Dat /1/-' / Applicant: WARNING: FAILURE TO SECURE ORW KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to buildin�onstruction, and hereby authorize representatives of thisfty- enter upon the above-mentioned prope ti pu S. , Datee ZL Signature (Applicant or Agentl Application Number . . . . . 13-00001371 Permit BUILDING 2013 Additional desc . . Permit Fee . . . . 651.27 Plan Check Fee . Issue Date . . . Valuation . . . . Expiration Date 7/28/14 .00 338188 Qty Unit Charge Per Extension BASE FEE 573.43 139.00 .5600 THOU BLDG $200,001-$lM 77.84 ---------------------------------------------------------------------------- Permit . . . ELECTRICAL 2013 Additional desc . . Permit Fee . . . . 239.30 Issue Date . . . . Expiration Date . . 7/28/14 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension .00 23.8300 LS ELEC FIXTURES, FIRST 20 .00 1.00 23.8300 EA ELEC SERVICES 23.83 1.00 23.8300 EA ELEC TEMP -POWER POLES 23.83 1.00 143.0000 LS ELEC NEW RES, FIRST 1 KSF 143.00 4.00 ---------------------------------------------------------------------------- 12.1600 EA ELEC NEW RES, ADD'L 1 KSF 48.64 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 309.86 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date . . 7/28/14 Qty Unit Charge Per Extension 3.00 35.7500 EA MECH FURNACE 107.25 3.00 35.7500 EA MECH CONDENSER/COMP 107.25 7.00 11.9200 EA MECH VENT FAN 83.44 1.00 ---------------------------------------------------------------------------- 11.9200 EA MECH EXHAUST HOOD 11.92 Permit . . . PLUMBING 2013 Additional desc . . Permit Fee . . . . 321.83 Issue Date . . . . Expiration Date . . 7/28/14 Plan Check Fee . . Valuation . . . . Qty Unit Charge Per 20.00 11.9200 EA PLBG FIXTURE/TRAP 1.00 11.9200 EA PLBG BUILDING SEWER LQPERMIT �I N Extension 238.40 11.92 Application Number . . . . . 13-00001371 Permit . . . . . . PLUMBING 2013 Qty Unit Charge Per Extension 2.00 11.9200 EA PLBG WATER HEATER/VENT 23.84 1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92 1.00. 35.7500 LS PLBG GAS SYS, 5+ OUTLETS 35.75 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 350.18 BLDG STDS'ADMIN (SB1473) 14.00 DIF COMMUNITY CENTERS -RES 129.00 DIF CIVIC CENTER - RFS 94? nn DIF FIRE PROTECTION -RES 433.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 344.00 MULTI -SPECIES (MSHCP) FEE 1278.00 PLAN CHECK, ELECTRICAL 95.83 DIF PARK MAINT FAC - RES 40.00 PLAN CHECK, MECHANICAL 181.14 PLAN CHECK, SFD GRADING 143.00 PLAN CHECK, PLUMBING 300.37 DIF PARKS/REC - RES 2048.00 BLDG PC 200K -1M 1392.03 STRONG MOTION (SMI) - RES 34.01 TUMF: RESIDENTIAL 1837.44 DIF STREET MAINT FAC -RES 116.00 DIF TRANSPORTATION - RES 2842.00 Fee summary Charged Permit Fee Total 1522.26 Plan Check Total .00 Other Fee Total 12520.00 Grand Total 14042.26 LQPERMIT Paid Credited Due .00 .00 1522.26 .00 .00 .00 750.00 .00 11770.00 750.00 .00 13292.26 Building Address Owner Mailing Address ir/ Titif 4 4 " A � 1 y� P.O. BOX 1504 �� 9(Z. LA QUINTACCALIFORNIA 92253 13- /_371 APPLICATION ONLY OP JIR;�TC,R" k�A/ BUILDING: TYPE CONST. OCC. GRP. ' e LL4-(ViE F— A.P. Number 7C Z/ O O' 4,ll' Zip r2Zf� Tel. Legal Description Project Description eJ S � Gt/k 5 i. M Q�TA State Lic. v City & Classif. I Lic. # Arch., Engr., I Designer &Z,5 & MO(A'1' Address Tel. CiIWL4 � ! p qu�I State LICENSED CONTRACTOR'S DECLARATION I hereby affirm tWQsnsed under pr f Chapter 9 (commencing with Section 70 0) of Division 3 ofs an rofes o C �dl, and my license is in full fo a and ct. SIGNATURE DAT OWNER -BUILD ECLARATION 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 Contrac- tor'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 penally 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 improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT.. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Sear Prop. Line Side Street Setback from Center -Li Side Setback Ahm ProP4AXLine FINAL DATE— Issued by: Validated by: — Validation: YELLOW = APPLICANT PINK = FINAME Sq. Ft. c , /„� Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Dv o i �Jo 36 S A- 160— 5_77ci(' Cot 7 Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 0 7 Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure • • • TOTAL , --�'— CONTACT INFORMATION NAME: PHONE: ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Sear Prop. Line Side Street Setback from Center -Li Side Setback Ahm ProP4AXLine FINAL DATE— Issued by: Validated by: — Validation: YELLOW = APPLICANT PINK = FINAME COACHELLA VALLEY UNIFIED SCHOOL DISTRICT P.O. Box 847 • Thermal, California 92274 Phone: (760) 399-5137 DATE 2M Amount of Account $ V Amount Paid $ Balance Due $ Cash[J Check O M.0 Form No. 1793 IF THA K YOU! By it .. --;Z Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVELONEAMOUNT: LEVELTWOAMOUNT: MITIGATION AMOUNT: COMM/IND. AMOUNT: DATE: RECEIPT: :HECK 4: INITIALS CERTIFICATE OF COMPLIANCE California Education Code 17620) Project Name: K Obert & Gretchen Matherson (The Palms CC Owner's Name: Project Address: 56-525 Village Dr., La Quinta, CA Project Description: Single Family Dwelling Unit Date: February 3, 2014 Phone No. APN: 764-040-015 Tract #: Lot #'s: Type of Development: Residential XXCommercial Industrial Total Square Feet of Building Area: 3,659 SQ. FT. Certification of Applicant/Owners: The person signing certifies that the above information is correc. and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: ?J t Signature: 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. 3,659 Amount per Sq.Ft. $3.20 Amount Collected $11,708.80 Building Permit Application Completed: Yes/No By: Elsa F. Esqueda, Director of Facilities and Maintenance Certificate issued by: Leticia Torres, Facilities Analyst Signat> re: X� NOTICE OF 90 DAY PERIOD FOR PROTEST OF FMS ANTE STWTEMF2gT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires th?attLis'Distr_ct 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. iviV:c/mydoes'devfccs/certificate ofcompliance furor updated 3-2007 112010 RECORDING'REQUE'3TED BY: NEW CENTURY TITLE GGi a ANY AND WHEN RECORDED, MAIL TO: John R Matheson 20 Nuvola Court Rancho Palos Verdes, CA 90275 DOC # 2006-0346951 05/12/2006 08:00A Fee:10.00 Page 1 of 2 Doc T Tax Paid Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder VIII Ilillll VIII VIII Iilll IIII IIIIII III VIII IIII IIII GRANT DEED S�21 0 ASSESSOR'S PARCEL NO.: 764040-015-1 The undersigned GrantorM Grantor(s) declare that the DOCUENT TRANSFER TITLE ORDER NO.: 2365621 $ 588.50 County ESCROW NO.: 24896-003 XX computed on the full value of the interest of property conveyed, or _ computed on the full value less the value of liens or encumbrances remaining thereon - at the time of sale. OR transfer is EXEMPT from tax for the following reason: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Francis J. Ferraro and Margaret M. Ferraro, Husband and Wife as Joint Tenants hereby GRANT(S) to John R. Matheson and Gretchen C. Matheson, Husband and Wife as Joint Tenants all that real property situated in the City of La Quinta, County of Riverside, State of CA, described as: Lot 52 of Tract No. 28983, as shown by map on file in Book 285, pages 76 through 82 of maps, Records of Riverside County, California. Dated April 13, 2006 State of Illinois County of Kane On ( , )� re me �L n Notary Public Perso 1 appeared Francis J. Ferraro and Margaret M. Ferraro Personally known to me (or provided to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatuie(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WTTNE my -wand and official seal �. I? ' k I I A, %, Signa a MAIL TAX STATEMENTS TO: John R. Matheson 20 Nuvola Court Rancho Palos Verdes, CA 90275 F cis J. Ferraro Mar M. Ferraro "OFFICIAL SEAL" Kelly Griffin Notary Public, State of Illinois Kane County My Commission Expires 06-16-2009 MOM GRANT DEED S�21 0 ASSESSOR'S PARCEL NO.: 764040-015-1 The undersigned GrantorM Grantor(s) declare that the DOCUENT TRANSFER TITLE ORDER NO.: 2365621 $ 588.50 County ESCROW NO.: 24896-003 XX computed on the full value of the interest of property conveyed, or _ computed on the full value less the value of liens or encumbrances remaining thereon - at the time of sale. OR transfer is EXEMPT from tax for the following reason: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Francis J. Ferraro and Margaret M. Ferraro, Husband and Wife as Joint Tenants hereby GRANT(S) to John R. Matheson and Gretchen C. Matheson, Husband and Wife as Joint Tenants all that real property situated in the City of La Quinta, County of Riverside, State of CA, described as: Lot 52 of Tract No. 28983, as shown by map on file in Book 285, pages 76 through 82 of maps, Records of Riverside County, California. Dated April 13, 2006 State of Illinois County of Kane On ( , )� re me �L n Notary Public Perso 1 appeared Francis J. Ferraro and Margaret M. Ferraro Personally known to me (or provided to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatuie(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WTTNE my -wand and official seal �. I? ' k I I A, %, Signa a MAIL TAX STATEMENTS TO: John R. Matheson 20 Nuvola Court Rancho Palos Verdes, CA 90275 F cis J. Ferraro Mar M. Ferraro "OFFICIAL SEAL" Kelly Griffin Notary Public, State of Illinois Kane County My Commission Expires 06-16-2009 CITY OF LA QUINTA SUB -CONTRACTOR. LIST . 2 1�,� T NUMBER OWNER ,(1��'J -BUILD ERr`�/�i1%��l%-�J�V�, JOB ADDRESS �� S PERMIT This form shall be posted on the 'ob with the BuildingInspection Card at all times in a conspicuous lace. 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_ . � � � ed below must be completed by applicant. "On File" is not an acceptable response. information re uest each applicable icable trade, all info q For :«::,<:.;:;:.;::.;::;::,;:::<.;:::::..:»>::>::>::::> uildin ermit. pp of b 9 q ..._ _ _ :_ ::..::::::..::::.:... .::<...r...r.,. R„s�nPss:License.;;:>;;::.: Company Name �A-W'561') ✓\fl Cotj5r W CVf a&y Cit GMZC`> Vf-W/4-U, L& /V A flld��L'14�V �J5 t?',AtiN Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date (e.g. A, B, C 8) (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies), (xx/xx/xx) (xxxx) (xx/xx/xx) G- (7 el3S"3C `CO2 G- 2 2215'l7 T�r7�iv�� (f� 5 WLF_61` 73'2061f( 6 30 -535'5- 3 31 I � I I • 2� /✓i��vi.,4'f'ZD yN� �' i clq S/7 -till y G- glut 0- G 36 " pS-6 t v i( S -q f �14-� ms s, W w 6, 06 z Z -q I q - l `� --3<<< �1 1/3 1/14 3 2 qqI��(�' SV3I? tt G- (7 el3S"3C `CO2 G- 2 2215'l7 T�r7�iv�� (f� 5 WLF_61` 73'2061f( 6 30 -535'5- 3 31 I � I I !t l /✓i��vi.,4'f'ZD yN� �' G 3� �� t%rh. l -�i�f 4 glut ly-ill D I t v i( S -q f �14-� ms s, W w 6, 06 z Z -q I q - l `� --3<<< �f60t 3 2 r• - t �o r �r rL� t��✓ ,-� 76-aDO( 1�.1ZII G-2� 57�© © (L �� ►y Co Ir �'`?j I(t� i S G/�rLi FSS -6 (a lit 1 1!1 G- (7 el3S"3C `CO2 G- 2 2215'l7 T�r7�iv�� (f� 5 WLF_61` 73'2061f( 6 30 -535'5- 3 31 I � I I I r' /✓i��vi.,4'f'ZD yN� �' . /►��i,,�G �J(�f�1 �5I �� t%rh. l -�i�f 4 glut ly-ill 61 -70600-� 3r�M�T �o r �r ��7�� - 2� ✓ � 3i '� l G-2� 57�© © (L �� ►y Co �'`?j I(t� i S G/�rLi FSS _ CITY OF LA QUINTA SUB -CONTRACTOR. LIST . /2 V' IT NUMBER OWNER I�LxJ/`' BUILDERr� X�/�/�%A�-�J/lJ(� ��X�, IOB ADDRESS S > S V �a�'� PERM 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 For each ch applicable cable trade all information eq uest ed below must be completed by applicant. "On File" is not an acceptable response. f uildin erm pp A p _ _ ..........._ ..- _.................. _ _.................... _ ._................................................. _. _. ,..::. ,. ,>nPss::L�cense..:::::;. Company Name �A-W e�lblj ,pwj � �3 Z /* (3OYo^,;4 iZi5 1l/ M A-4 Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date (e.g. A, B, C-8) (xxxxicx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies). (xx/xx/xx) (xxxx) (xx/xx/xx) 41,1/1 �'�+�� 2 ia'/w- -r L ,� . i 5; .N fi?-/�r�r f� r�,rtc2t � /✓�-f� �A► Cl ry r �� S /��(C} 'T.�S C D qs� 71C,000 0 � `fao(a2 �v3 -e�t7 7EvJoj 2'� 2i? j EA � ��-S✓��"q 3 �-t - �Fl 30 -. 1g30 `� 'its S i i. IZ�3l j' ��; ��S (Z��Y � ' c�5� i iD I" G-35" X57 �5-.. 6 2 z lr r C, 17,Lt-7 3Sto 3 G' -o1 • N- r f ., `t G- 3� y `f 3 5 �� 7 ylo-6 Wcoal (3LCo2 ------------ � - i �= 15 7 001 �- cf-- "N 15'`� S 3 3t �i` 73, C �,�A) �i�� w"��-�73 2aGZ{( 3cs-535`'S� 3 3i ri G— 2 2Z1"17 3�3� 1�ir7Nlf�rAj5 �- 6C_q1 5/ l �l I .7 2y'O ?5 -70600 -1, LP -(;-47 _00Gy/ tet_ C— 2'L D//16''2,'51 I AL4 e. -i- l`i l `Y-<-2 Lb _ CITY OF NUMBER LA QUINTA SUB—CONTRACTOR. LIST OWNER ,��->`� _BUILDER((k462 % JOB ADDRESS S PERMIT 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 Failure to comply will result in a stoppage of work and/or the voidance on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. low must be completed by applicant. "On File" is not an acceptable response. requested be P of building permit. For 9P b le trade all Information each applicable Ica 71:............. :::::.:...........:..:::::.:•:::............::::::.:::::..:::..:.............:::::::::::.:::.............::.::::.:.:.::::::•::..... :::::.:::::..............:::::::::.:............::::::.::....................:::::::::::::. ........::.::::::::::::::::::................:.::.:::.:.::..:.....:......:::.:::.: .:.>::::;;:..;:.;:.;:.:;<.:::.<;.:.>:.;:.;:::.;:.:<;.;:.:<.;:.;:.:.;:.;:<.;:.; :.:.::::.:..::. •:. .............. .............:::::::::::. ............: .: rape:e:<:>::>::>:<:>::>::>:......................:...... Workers P ensat�on.: nsu:......... :....;::<.;,...;:,;:::<.;<:.;8::::>::<.;::;.;;.:<.::>:<::::<:>::::> Cit ..Business. y apse.......... ................ Stag Contra cto rsUc Ex .Date Carrier Name Policy Number Exp. Date s1 xxlx /xx1 (Format Van' License Number xxxx1 Exp. Date x xx/xx 1 Company Name Classification License Number X. (e.g. ABC-81 xx x1 xx x / xx/xx1 (x e. .Stato Fund,CaIC mP 1 EAR:T H VIGQ,R K;I;C.;;7! ST . ► S . 76060 3 t ::.. ::::::::::: ... CONCRETE 7 G� 2 c 1� vuv v �r S T r . d 3 -t S -y !�✓ - �( - 5 - r. �%:�it.M �'(/Z{• G G-- �Z �, 5 . fv ! l 3 i ! , v �Zr l '( �Ice)0� �`I STRIJCTs:,S7�EL:CC.;S:.::.:.:::: ! lt q�_=1S L G A 3 D PLUMBING:>{.:Q;::3.;. v;.;:.;::::::..:�. /�; �� y-l� f //may`/ I�LtI�/J� ��L 7E (7�0� 2 G - 1 � /-}' G- G J 3� r 3 / 6 N C.D L � 1N 5 t�. - vc>s�.;?.;:131--�r�T _� f r G " (i� �_+ "7 `{ r �` ?! iLie�7��✓`! C> _• 7� o - flit t ELECTRICAL (C 10) pig �r l�iC�iJ G 5 G- 3 y� 7 — s� r i �. • v � u r G-�S�'tG —vf-©L r i -�S S� `f INS:UL'QTIQ1>I<(C.;;:: S EIN.AG.E;;DtSP>I C 2) 3 . .. LE':.'.I:C 2 7,1;' T4'!t 4 4 a" MEMORANDUM To: Greg Butler, Building Official From: Amy Yu, Assistant Civil Engineer Via: mothy R. Jonasson, P.E., Public Works Director / City Engineer - Ed Wimmer, P.E., Development Services Principal Engineer ?-, Date: February 13, 2014 Re: Public Works Department Green Sheet for 56-525 Village Drive Public Works clearance for release of building permit for 56-525 Village Drive is recommended with the following conditions: 1. Applicant to submit to Building & Safety Division a building pad elevation certification from a licensed Surveyor (PE at 55.30) and; 2. Applicant to submit to Building & Safety Division compaction reports (90% or greater) for the building pad from a licensed Soils Engineer. /37/ CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9/25/2009 Green Sheet approvals are forwarded to the Buildinq & Safety Department directiv by Publ c Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot be processed will bB returned to applicant. Date: 2' / / Developer: 30o--, P ll, -s - +o 4 y t ASSp Gil A l QS �!G Tract No.: 20 -1 Tract Name:(fC—T4&MS, V 6 _ Lot No.(s): Z Address(s): ��^ �Z�y/��'C��\�tv Phone Number: The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: A CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW ❑ TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW ❑ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1. #2, #3, #5 & #7 BELOW ❑ WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW 1. 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 su :)mittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference 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. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special -acility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMF exemption form. Approved maps/plans may be viewed at the following link: http://www.la-guinta.org/PlanCheck/m search.aspx have reviewed and confirmed the requirements listed above as presented and find the imp-ovements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City staff. Recommended by: Date: Public Works Distribution: ( ) en Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Aqreement (<1 acre/lot or Infill Proiect) Project Information Project Contractor: V O� A T:\Checdists - Forms 8 ApplicationsWorms 8 Applications\GREEN SHEET cover 8 PM10less than 1 Acre Revised 10-02-12.doc 1. ;V Project Phase (check one) Construction ❑ Demolition Project Name: ,! Project Tract/Lot Numbers: Zrfi -7�' s S� ��.Z�GC',/�'C��i Project Street Address: / (� 1- of `�� v //;; 4-' 6ZZ3 Total Acres in Active Construction (<1 acre per Lot): Anticipated Start Date: 51 Anticipated Completioi Date: ly l l PM10 Contact Information Please note: Dust control is required 24 hours a day, 7 days a week, regardless of construction status. Person listed below is responsible for dus: control during business and non-business hours. Name: \ } cJ a (-� 1,V a PSS cJ u L l +' S Title: i, tiJ . Co -r;Z4&-rOF_1Jo1,1,-J Atiir Company Name: Z?DO Mailing Address: City, State, ZIP Code: /; � � f d C4-. 2 Z & o Primary Phone #: -1 0- 5 7 S- 6 Z� I Fax 7(,0-- 24 Hour Emergency Phone#: /� > �- l�G - 7 e6-, Ce 4 / 09- Cell Phone #: Q — �;_7 !K Email Address: a Li ti. MA v. &A p k, PM10 Certificate #: 1 re; (&� l Z" d�•� Gj77 Fj The above stated property owner (or authorized representative): - I " - - ❖ Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP; ❖ Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. ❖ Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week, throughout the period of project performance, regardless of project size or status; ❖ Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; ❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; ❖ Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes; ❖ 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 ZitVroperty Owner or A orized Representative Date City of La Quinta - PM10 Fugitive Dust Control Plan (<1 acre per Lot or Infill Project) This Fugitive Dust Control Plan shall take into account applicable SCAQMD Regulations Rule 403, 403.1, 401, 402, 201, 203 and Portable Equipment Registration Program (PERP). ❖ WATERING: Continuous watering is required to prevent dust and must occur a minimum of four (4) times daily. Water shall be applied from an adequate sized metered water source to dry soils to prevent: ■ Visible dust emissions >20% opacity ■ Visible dust emissions that travel >100 feet from the source (within site) ❖ EDUCATION: The responsible dust control Individual and key personnel shall attend SCAQMD PM10 class and obtain PM10 certificate number prior to construction activity (training information may be obtained by contacting SCAQMD at (909) 396-2183). ❖ CONSTRUCTION & DEMOLITION ACTIVITIES: A copy of this approved Fugitve Dust Plan must be kept on site. At least one short-term stabilization method must be used during off hours. At least one long-term stabilization measure must be used within ten (10) days of ceasing activity. ❖ WEATHER MONITORING: Wind predictions shall be monitored. ❖ SIGNAGE: Approved signs shall be installed at a highly visible location. Please refer to the Coachella Valley Fugitive Dust Control Plan Handbook for Construction 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 and sprinklers; and a maximum traffic speed of 15mph will be enforced. Fugitive Dust shall be prevented by fencing off site to present unauthorized traffic on pad. ❖ PARKING: Parking is not allowed on pad. All vehicles must park on street at designated areas only. ❖ TRACK OUT: Provide 24 hour street cleaning and track out system as approved by City Public Works inspectors. No dirt on public or private roads. Track out shall be cleaned up within one (1) hour of incident and at the conclusion of each workday. ❖ 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 p -les will require stockpile or grading permit. ❖ FENCING: Provide PM10 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 appgy. Block walls can replace PM10 fencing during the construction phase. ❖ 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 also be applied during excavation or grading operations. ❖ DUMP TRUCKS: Open top dump trucks shall be wet down, moist and covered with a tarp prior to leaving site. ❖ INACTIVE SITE: Within 10 days of ceasing of activities, re -vegetate or permanently stabilize as required. ❖ RECORD KEEPING: Fugitive Dust Control Plan records (i.e. self inspection records records of use of chemical suppressants, etc.) shall be maintained for 3 years by the Property Owner (or Authorized Representative). Property Owner shall notify the City and SCAQMD within 10 days of completion of propct. Water Quality Management Plan (WQMP) Exemption Form - Whitewater River Reaic Documentation of Project Not Requiring a WQMP but Requiring Site Design BMPs and Source Contro by Entitlement Conditions of Approval or Permit Conditions — WQMP Required for the Listed Change I Uses or for Changes of Pollutant Stream (All Questions Below Must be Answered 'No" To Exempt P Yes Entitlement or construction of new single-family hillside residence(s) that create 10,000 square feet, or more, of impervious area where the pre -development natural sloe is 25% orgreater? Entitlement or construction of new single-family hillside residence(s) that create 10,000 square feet, or more, of impervious area where the pre -development natural slope is 10% or greater where erosive soil conditions are known? Entitlement or construction of new commercial and industrial development(s) of 100,000 square feet or more? Entitlement or construction of new automotive repair shop(s) including body, upholstery, pai it, mvhni Pct firm fronemiecinn onnino nr nfhor of ifmmnfiwo cnorriolhi rmnnir rCfonrlorri Inrfi ictriol r .I BUILDING ENERGY ANALYSIS REPORT I PROJECT: MATHESON RESIDENCE'S CASITA 56525 VILLAGE DR. LA QUINTA, CA 92253 Project Designer: BOB MATHESON 56525 VILLAGE DR. LA QUINTA, CA 92253 Report Prepared by: ARMANDO CHAVEZ GLS Architecture Group 74991 JONI DR SUITE #9 PALM DESERT, CA 92260 760 340-3528 Job Number: 2013 -GLS -036 X CITY OF LA QUINTA BUILDING & SAFETY DEPT. 7/31/2013 t ROVED I FOR CONSTFiUCTIOIiq RECEIVEr% t JAN 0 2 2014 The EnergyPro computer program has been used to perform the calculations'summarized in/tj�is d i l authorized by the California Energy Commission for use with both the Residential arid-Non'Fe This program developed by EnergySoft, LLC — www.energysoft. This progeam has approval and is c Epergy[Efficiency Standards. I EnergyPro 5.1 by EnergySoft User Number: 5553 RunCode: 2013-07-31T14:13:05 /D: 2013 -GLS -,736 I ip I TABLE OF CONTENTS I Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Summary CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVE® FOR CONSTRUCTION DATE 3Y 2 3 8 EnergyPro 5.1 by EnergySoft Job Number: ID: 2013 -GLS -036 User Number: 5553 . PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name MATHESON RESIDENCE'S CASITA Building Type 0 Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Additio-i/Alteration Date 7/31/2013 Project Address 56525 VILLAGE DR. LA QUINTA California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area Addition 363 n/a # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST El Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. El Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (fe) Features (see Part 2 of 5) Status Roof Wood Framed Attic R-38 363 Radiant Barrier Venting New Slab Unheated Slab -on -Grade None 363 Perim = 0' New Wall Wood Framed R-21 740 New FENESTRATION U- Orientation Area(ft2) Factor Exterior SHGC Overhang Sidefins Shades Status Left (SE) 48.0 0.400 0.35 12.0 none Bug Screen New Rear (SW) 40.0 0.400 0.35 8.0 none Bug Screen New Right (NW) 7.6 0.400 0.35 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status AC -1 Ducted Ducted Attic, Roof Ins 8.0� New Ir U1- LA (--,i ern 1 & SAFETY ng7Q-r-y WATER HEATING Qty. Type Gallons Min. Eff Distribu669 C0NST--4„1 Tlnr r Status 1 Small Gas 50 0.58 No f pe Insulation New EnergyPro 5.1 by EnergySoft User Number: 5553 RunCode: 2013-07-31714:13:05 ID: 2013 -GLS -036 Page 3 of 10 PERFORMANCE CERTIFICATE: Residential (Part 2- of 5) CF -1 R Project Name MATHESON RESIDENCE'S CASITA Building Type ® Single Family ❑ Addition Alone 1 ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1713112013 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items. require special written justification and documentation, and special verification to be used with the performance approach. The Enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies )ased on the adequacy of the special justification and documentation submitted. HIGH MASS Design - Verify Thermal Mass: 363.0 ft2 Exposed Slab Floor, 4.000" thick at 363 The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation crite is as specified in Residential Appendix RA4.2.2. The Roof R-38 Roof Attic Concrete Tile (10 Wso Roofing 1/150 Vent Area 50% of Vents Located High requires verification. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. The Cooling System YorkCZB24.PS8Al2N40.800cfm includes credit for a 11.3 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System AC -1 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System AC -1 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. CITY OF LA QUINTA - 6, 6N -t I Y DEPT. FOR CONSTRUCTION DATE RV -------------- EnerqyPro 5.1 by Ener Soft User Number. 5553 RunCode: 2013-07-31714:13:05 ID: 2013 -GLS -036 Pae 4 of 10 11 1 PERFORMANCE CERTIFICATE: Residential (Part,'--, of 5) CF -1 R Project Name Building Type 0 Single Family ❑ Addition Alone Date MATHESON RESIDENCE'S CASITA ❑ Multi Family ❑ Existing+ Addi-ion/Alteration 7/31/2013 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 3.72 1.57 2.15 Space Cooling 96.64 85.01 11.63 Fans 19.74 22.31 -2.57 Domestic Hot Water 59.11 58.74 0.37 Pumps 0.00 0.00 0.00 Totals 179.21 167.63 11.58 Percent Better Than Standard: 6.5% BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (NE) 45 deg Ext. Walls/Roof Wall Aiea Area Number of Dwelling Units: 1.00 (NE) 214 0 Fuel Available at Site: Natural Gas (SE) 210 48 Raised Floor Area: 0 (SW) 210 40 Slab on Grade Area: 363 (NVtq 202 8 Average Ceiling Height: 10.0 Roof 363 0 Fenestration Average U -Factor: 0.40 TOTAL: 96 Average SHGC: 0.35 Fenestration/CFA Ratio: 26.3 REMARKS ALL PROPOSED INPUT DATA USED IN THIS CALCULATION WAS PROVIDED BY THE PLANS PREPARER. ANY ALTERATION OR DEVIATION FROM THIS CALCULATION WILL BE GENERAL CONTRACTOR RESPONSABILITY. STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of Regulations. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company GLS Architecture Group 7/31/2013 Address. 74991 JONI DR SUITE #9 Name ARMANDO CHAVEZ City/State/ZipCity/State/Zip PALM DESERT, CA 92260 Phone 760 340-3528 Signed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and recognizes-that=compliance=us ng duct design, duct sealing, verification of refrigerant charge, insulation installation quali y, andfbui ding enve;,00pe�seali sealing . installer testing and certification and field verification by an approved HER�Siri t�e�rjN &SAFETY DEPT. Designer or Owner (per Business & Professions Code) APP OVEQ Company BOB MATHESON FOR ST 1 TION Address 56525 VILLAGE DR. Name Name)1127 City/State/Zip LA QUINTA, CA 92253 Phone DATE ned By ense # Date EnerqvPro 5.1 by Ene Soft User Number.- 5553 RunCode: 2013-07-31T14:13:05 ID: 2013 -GLS -036 Page 5 of 10 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF-1 R Project Name MATHESON RESIDENCE'S CASITA Building Type 0 Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 7/31/2013 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appencix Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Roof 363 0.025 R-38 0 16 New 4.2.1-A21 BEDROOM SYSTEM Slab 363 0.730 None 0 180 New 4.4.7-A1 BEDROOM SYSTEM Wall 214 0.069 R-21 45 90 New 4.3.1-A6 BEDROOM SYSTEM Wall 162 0.069 R-21 135 90 New 4.3.1-A6 BEDROOM SYSTEM Wall 1701 0.069 R-21 225 90 1 New 4.3.1-A6 BEDROOM SYSTEM Wall 194 0.069 R-21 315 90 New 4.3.1-A6 BEDROOM SYSTEM FENESTRATION SURFACE DETAILS ID Type Area LI-Factor' SHGC2 Azm Status Glazing Type Location/Comments 1 Window 48.0 0.400 NFRC 0.35 NFRC 135 New 2008 PRESCR Z-15 BEDROOM SYSTEM 2 Window 40.0 0.400 NFRC 0.35 NFRC 225 New 2008 PRESCR Z-15 BEDROOM SYSTEM 3 Window 3.8 0.400 NFRC 0.35 NFRC 315 New 2008 PRESCR Z-15 BEDROOM SYSTEM 4 Window 3.8 0.400 NFRC 0.35 NFRC 315 New 2008 PRESCR Z-15 BEDROOM SYSTEM (1) U-Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window Overhang Left Fin Right Fin H t LExt REA Dist Len -Iqt Dist Len H t ID Exterior Shade Type SHGC -Hcit WdE12.0 1 Bug Screen 0.76 7.5 5.5 0.1 10.0 10.0 2 Bug Screen 0.76 7.5 4.5 0.1 8.0 8.0 3 Bug Screen 0.76 4 Bug Screen 0.76 rll- c 1 f'il --TI/lN I DATE BY- EnergyPro 5.1 by EnergySoft User Number. 5553 RunCode: 2013-07-31T14:13:05 ID: 2013-GLS-036 Page 6 of 10 CERTIFICATE OF COMPLIANCE: Residential (Part E• of 5) CF-1 R Project Name MATHESON RESIDENCE'S CASITA Building Type 10 Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addidon/Alteration Date 7/31/2013 BUILDING ZONE INFORMATION System Name Zone Name Floor Area New Existing Altered Removed Volume Year Built AC-1 363 363 3,630 Totals 363 01 0 0 HVAC SYSTEMS System Name Qt Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status _Heating AC-1 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name Heating Duct Ducts Cooling Duct Location R-Value Tested? Status AC-1 Ducted Ducted Attic, Roof Ins 8.0 New WATER HEATING SYSTEMS S stem Name Qt Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. ' Tank Insul. R- Value Status Standard Gas 50 gal or Le 1 Small Gas No Pipe Insulation 40,000 50 0.58 n/a n/a New MULTI-FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft 0 0 �ZZ a Q c — Y OF LA Pipe•- r.�.-. - & Sr 11 tai , FV-Narne ► - Pipe Diameter Insul. Thick. Qty. HP Plenum Outside Buried ❑p ANX iF —r -. i 01 1 ❑ i ❑ ATE E Y— EnergyPro 5.1 by Ener Soft User Number: 5553 RunCode: 2013-07-31 T14:13:05 ID: 2013-GLS-036 Pae 7 of 10 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Date MATHESON RESIDENCE'S CASITA 1713112013 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory neasures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicakle sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit arr leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Facto, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the installation of a Cool Roof is specified on the CF -1 R Form. *§150(a): Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. 150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§1 50 c : Minimum R-13 insulation in wood -frame wall orequivalent U -factor. *§1 50 d : Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor. 150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95 2000 when s e:ified on the CF -1 R Form. 150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 03%; water vapor permeance rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances a -e certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occL;pancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, househod cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACOA. 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section i 12(c). §1500)1A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §1500)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system. or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. §1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculatina sections of hot water pipes are insulated per Standards Table 150-B. §1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >vPsi meets� therequirements off.Standards Table 123-A. , . �, G. r_CTV CD §150(j)3A: Insulation is protected from damage, including that due to sunlight, moisture, e w megt,maintenance-and wind. §1500)3A: Insulation for chilled water piping and refrigerant suction lines include", a vapor'eetaf'da'nt oSTRU6sed,4Vrely in conditioned space. 150(j)4: Solar water -heating systems and/or collectors are certified by the Solar atinq and Certification Corporation. DATE BY EnergyPro 5.1 by EnergySoft User Number: 5553 RunCode: 2013-07-31 T14:13:05 ID: 2013 -GLS -036 Page 8 of 10 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date MATHESON RESIDENCE'S CASITA 7/31/2013 §150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements cf UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 150(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 150 m 10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that wil allow all pumps to be set or programmed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no -ower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchenE shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; Fnd all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms•.are. high, efficacy•and-controlled -by-a manual -on occupant sensor. I r t n-- I n r)! ! ! XITA I §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 7044tts of power per linear ootof b0ILL)I,\& 3/-kFE i Y DEPT. � illuminated cabinet. A':- Dto1-3C _)ViJ FOR CONSTRUCTION nATF BY EnergyPro 5.1 by EnergySoft User Number: 5553 RunCode: 2013-07-31T14:13:05 IAm2.01,3_-GLS.036 Page,q'bf 10 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date MATHESON RESIDENCE'S CASITA 7/31/2013 §150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry room" closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)11: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, -garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual - on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with §150 k 11. §150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lurriunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch th at disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock- OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptions to §150(k)13 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be hi h efficacy luminaires. §150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §130(d). §150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall complw with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles sharl comply with the applicable requirements of Sections 130, 131, 134, and 146. §150(k)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential builJings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of §119. CITY OF LA OUIRTA BUILEING & SAFETY DEPT. APPROVED FOA C014STRUCTION DATE BY EnergyPro 5.1 by EnergySoft User Number: 5553 RunCode: 2013-07-31 T14:13:05 ID: 2013 -GLS -036 Page 10 of 10 BUILDING ENERGY ANALYSIS REPORT I PROJECT: MATHESON RESIDENCE'S CASITA 56525 VILLAGE DR. LA QUI NTA, CA 92253 Project Designer: BOB MATHESON 56525 VILLAGE DR. LA QUI NTA, CA 92253 Report Prepared by: ARMANDO CHAVEZ GLS Architecture Group 74991 JONI DR SUITE #9 PALM DESERT, CA 92260 760 340-3528 r. VE JA IV 0 2 20 14 Job Number: �o CITY of r M/yUN r" a QUrNTa 2013 -GLS -036 �I..�..� �� fLl:�fi`,t0 S,A�EN �' Date: PPROVEDEPT. 7/31/2013 i FOR CONSTRU TION 1 LIATE _�_ /�'�� BY The EnergyPro computer program has been used to perform the calculations summarized in this•complianc ort. is ogra proval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Buildi nerg tandards. This program developed by EnergySoft, LLC — www.energysoft.com. Energ Pro 5.1 by Energ Soft User Number. 5553 RunCode: 2013-07-31T14:13:05 ID: 2013 -GLS -J36 L: Ft I TABLE OF CONTENTS I Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Summary cf. Y OF LA- QlJ!!'�,lTq BUILDING & SA= TY DEPT, FA P ROVED TF UCTION DATE ------- � BY 1 2 3 8 EnergyPro 5.1 by EnergySoft Job Number: ID: 2013 -GLS -036 User Number: 5553 1 '0", or PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name MATHESON RESIDENCE'S CASITA Building Type © Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Additicn/Alteration Date 7/31/2013 Project Address 56525 VILLAGE DR. LA QUINTA California Energy Climate Zone CA Climate Zone 15 Total Cond. Floor Area 363 Addition n/a # of Stories 1 FIELD INSPECTION ENERGY CHECKLIST El Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. El Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (ft`) Features (see Part 2 of 5) Status Roof Wood Framed Attic R-38 363 Radiant Bander Venting New Slab Unheated Slab -on -Grade None 363 Perim = 0' New Wall Wood Framed R-21 740 New FENESTRATION U- Exterior Orientation Area(ft2) Factor SHGC Overhang Sidefins Shades Status Left (SE) 48.0 0.400 0.35 12.0 none Bug Screen New Rear (SW) 40.0 0.400 0.35 8.0 none Bug Screen New Right (NW) 7.6 0.400 0.35 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status AC -1 Ducted Ducted Attic, Roof Ins 8.0 New I VI l Y 0,- LA (1^ ;IKITA bUILDI1NG & SAFEIY npo�' WATER HEATINGi -PPROVLD Qty. Type Gallons Min. Eff D/-ist6bI tiftNSTR 1 Status 1 Small Gas 50 0.58 No Pipe Insulation New UATE E BY Energ Pro 5.1 by EnergySoft User Number: 5553 RunCode: 2013-07-31T14:13:05 ID: 2013 -GLS -036 Page 3 of 10 o' PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name MATHESON RESIDENCE'S CAS/TA Building Type ® Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 7/31/2013 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HIGH MASS Design - Verify Thermal Mass: 363.0 ftz Exposed Slab Floor, 4.000" thick at 363 The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4.2.2. The Roof R-38 Roof Attic Concrete Tile (10 #/so Roofing 1/150 Vent Area 50% of Vents Located High requires verification. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. The Cooling System YorkCZB24. PS8A 12N40.800cfm includes credit for a 11.3 EER Condenser. A certified HERS rater must field verify the installation of the correct Condenser. The HVAC System AC -1 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display. The HVAC System AC -1 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specked criteria. 1.4UI1\4 IA BUILDING & SAFETY ❑1=n APPROVED ter., I — Y %a vo 1 rlur✓ I ION DATE �_ BY EnergyPro 5.1 by EnergySoft User Number- 5553 RunCode: 2013-07-31714:13:05 ID: 2013 -GLS -036 Pa e=4 of 10 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R Project Name Building Type 2 Single Family ❑ Addition AlonE Date MATHESON RESIDENCE'S CASITA ❑ Multi Family ❑ Existing+ Add:tion/Alteration 7/31/2013 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 3.72 1.57 2.15 Space Cooling 96.64 85.01 11.63 Fans 19.74 22.31 -2.57 Domestic Hot Water 59.11 58.74 0.37 Pumps 0.00 0.00 0.00 Totals 179.21 167.63 11.58 Percent Better Than Standard: 6.5 BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (NE) 45 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (NE) 214 0 Fuel Available at Site: Natural Gas (SE) 210 48 Raised Floor Area: 0 (Stag 210 40' Slab on Grade Area: 363 (NVtg 202 8 Average Ceiling Height: 10.0 Roof 363 0 Fenestration Average U -Factor: 0.40 TOTAL: 96 Average SHGC: 0.35 Fenestration/CFA Ratio: 26.3 REMARKS ALL PROPOSED INPUT DATA USED IN THIS CALCULATION WAS PROVIDED BY THE PLANS PREPARER. ANY ALTERATION OR DEVIATION FROM THIS CALCULATION WILL BE GENERAL CONTRACTOR RESPONSABILITY. STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the Efficiency Standards of the California Code of Regulations. The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company GLS Architecture Group 7/31/2013 Address 74991 JONI DR SUITE #9 Name ARMANDO CHAVEZ City/State/ZipCity/State/Zip PALM DESERT, CA 92260 Phone 760 340-3528 Signed Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and r"� e g 'zes that compliance=using-duct design, duct sealing, verification of refrigerant charge, insulation installation q%allty, and=buldi.ngenvelopey5ealjng1 require installer testing and certification and field verification by an approvee d 1HE'R.S:r4ter' & SAFET'y DEPT. Designer or Owner (per Business & Professions Code) APPROVED Company BOB MATHESON FOR CONS`" C i J ` Address 56525 VILLAGE DR. Name Name City/State/Zip LA QUINTA, CA 92253 Phone DATE iY---- Liuerlzie # Date EnerqvPro 5.1 by Ene Soft User Number: 5553 RunCode: 2013-07-31714:13:05 ID: 2013 -GLS -C36 Pa e 5 of 10 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name MATHESON RESIDENCE'S CASITA Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 7/31/2013 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Roof 3631 0.025 R-38 0 16 New 4.2.1-A21 BEDROOM SYSTEM Slab 363 0.730 None 0 180 New 4.4.7-A1 BEDROOM SYSTEM Wall 214 0.069 R-21 45 90 New 4.3.1-A6 BEDROOM SYSTEM Wall 162 0.069 R-21 135 90 New 4.3.1-A6 BEDROOM SYSTEM Wall 170 0.069 R-21 225 90 New 4.3.1-A6 BEDROOM SYSTEM Wall 194 0.069 1 R-21 315 90 New 14.3.1-A6 BEDROOM SYSTEM FENESTRATION SURFACE DETAILS ID Type Area LI -Factor' SHGC2 Azm Status Glazing Type Location/Comments 1 window 48.0 0.400 NFRC 0.35 NFRC 135 New 2008 PRESCR Z-15 BEDROOM SYSTEM 2 Window 40.0 0.400 NFRC 0.35 NFRC 225 New 2008 PRESCR Z-15 BEDROOM SYSTEM 3 Window 3.8 0.400 NFRC 0.35 NFRC 315 New 2008 PRESCR Z-15 BEDROOM SYSTEM 4 Window 3.8 0.400 NFRC 0.35 NFRC 315 New 2008 PRESCR Z-15 BEDROOM SYSTEM (1) Ll -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value 2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS Window Overhang Left Fin Right Fin ID Exterior Shade Type SHGC H t Wd Len H t LExt RExt Dist Len H t Dist Len H t 1 Bug Screen 0.76 7.5 5.5 12.0 0.1 10.0 10.0 2 Bug Screen 0.76 7.5 4.5 8.0 0.1 8.0 8.0 3 Bug Screen 0.76 4 Bug Screen 0.76 rl _� 1 �: it A (' J t�'c'iil ;I �'�i ��.. ✓' ��'. f - L "--I a , i Ener Pro 5.1 by EnergySoft User Number. 5553 RunCode: 2013-07-31714:13:05 ID: 2013 -GLS -036 Pae 6 of 10 I .• Y CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name MATHESON RESIDENCE'S CASITA Building Type 10 Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 1713112013 BUILDING ZONE INFORMATION System Name Zone Name Floor Area f New Existing Altered Removed Volume Year Built AC -1 363 363 3,630 Totals 363 0 01 0 HVAC SYSTEMS System Name Qt Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status _Heating AC -1 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name Heating Duct Ducts Cooling Duct Location R -Value Tested? Status AC -1 Ducted Ducted Attic, Roof Ins 8.0 D New ❑ WATER HEATING SYSTEMS S stem Name Qt . Type Distribution Rated Input Btuh TankEnergy Cap. al Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status Standard Gas 50 gal or Le 1 Small Gas No Pipe Insulation 40,000 50 0.58 n/a n/a New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length (ft) ro a — I r1 1 Pipe Diameter Insul. Thick. CITY Q F LA BUILDING & SAF S �l .., i .L'' =�Pipe�L"'T /Length- Qty. HP Plenum Outside Buried �n� e�Cl�.1C7n1 t/�Tt/�w1 ❑ TE - Ener Pro 5.1 by Ener Soft User Number. 5553 Run Code: 2013-07-31T14:13:05 ID: 2013 -GLS -036 Page 7 of 10 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name MATHESON RESIDENCE'S CASITA Date 1713112013 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the installation of a Cool Roof is specified on the CF -1 R Form. *§150(a): Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. §150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§1'50(c): Minimum R-13 insulation in wood -frame wall orequivalent U -factor. *§1 50 d : Minimum R-13 insulation in raised wood -frame floor orequivalent 1 -1 -factor. 150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95 2000 when specified on the CF -1 R Form. 150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)l B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight-fiffing tight—fittingdamper and or a combustion -air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA. 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §1500)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §1500)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. §1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes are insulated per Standards Table 150-B. §1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. ' — s Cpsi; meets the 7requirena'enfs of`Sta "dards Table §1500)2: Pipe insulation for steam hydronic heating systems or hot water syste X1'5 123-A. III n NI G A q_AFF PT - 150 ' 3A: Insulation is protected from damage, including that due to sunli ht,oisture, ui ment_:maintenance7and wind,. §1500)3A: Insulation for chilled water piping and refrigerant suction lines includes a va or!retardant16r-is en'Iose" entirely in conditioned space. �OR CONSTRUG I j N 150(j)4: Solar water -heating systems and/or collectors are certified by the Sol r Rating and Certification Corporation. DATE BY EnergyPro 5.1 by EnergySoft User Number: 5553 RunCode: 2013-07-31 T14:13:05 /D: 2013 -GLS -036 Page 8 of 10 V"'. , a _y MANDATORY MEASURES SUMMARY: Residential (Page 2 of3 MF -1 R Project Name _77/31/2013 Date MATHESON RESIDENCE'S CASITA §150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the recuirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements cf UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support plafforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 150(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 150 m 10: Flexible ducts cannot have porous inner cores. §150(0): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card witl- operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter anddl heater, or dedicated suction and return lines, or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that wi 1 allow all pumps to be set or programmed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no ower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2. 150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). 150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchen: shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling urits larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; End all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, andutility'roi5ms are.tiigh efficacy and controlled by a manual -on occupant sensor. �;� �}� LA ..t+.1I'v I f1 §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more thani20-watts-of pOi !erAI560linear,fo t of illuminated cabinet. "� V L_.J FOR CONSTRUCTION DATE _ — B'Y — EnergyPro 5.1 by EnergySoft User Number: 5553 RunCode: 2013-07-31T4.4"5 ------ D M 3 -CALL Page 9 of 10 40a C 41 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date MATHESON RESIDENCE'S CASI TA 7/31/2013 §150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)11: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual - on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with §150 k 11. §150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150(k)13: Luminaires providing out lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptions to §150(k)13 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be hi h efficacy luminaires. §150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §130(d). §150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131, 134, and 146. §150(k)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. UINTA CITY O: -A BUILDINGY DEPT. APPED FOR CTION DATE EnergyPro 5.1 by EnergySoft User Number: 5553 RunCode: 2013-07-31T14:13:05 ID: 2013 -GLS -036 Page 10 of 10