07-3041 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
07-00003041
48290 VISTA CALICO
649-530-035- - -
ADDITION - RESIDENTIAL
LOW DENSITY RESIDENTIAL
28467
T4ht 4 4 a"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Class: HB c : 792381
Date: Contractor:
OWNER -BUILDER DECLARATI
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, 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
grnnerty whn huilrls nr imPrmrac thernnn, ,nrl , hq ggntraata far She p.-aj63tc, 11411 v wniuuul�l Il�enaeJ
pursuant to the Contractors' State License Law.).
1 _ 1 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 (Seo. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERAIIT
Owner:
SHERMAN DANIEL A
48-290 VISTA CALICO RD.
LA QUINTA, CA 92253
Contractor:
RISEN CONSTRUCTION
82775 CHARLESTOWN A
INDIO, CA 92201
(760)347-6399
Lic. No.: 792381
VOICE (760)777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153.'
9)
Ff,06
Date: 2/05/08
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 STATE FUND Policy Number 229-0025305
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 twori me subject to the workers' compensation laws of California,
and agree that, if I should beub'e o the workers' compensation provisions of Section
3700 of the Labor Code, I sh wi comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.
I . EBcn parson upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building cons [tion, and. hereby authorize representatives
of this county to enter upon the above-mentioned property for i purposes.
Date: __ � Signature (Applicant or Agent): .
Application Number . . . . . 07-00003041
Permit . . . . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
278.00 Plan Check
Fee
180.70
Issue Date . . . .
Valuation
. . . .
28467
Expiration Date
7/23/08
Qty Unit Charge
Per
Extension
BASE FEE
252.00
4.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
26.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
31.86 Plan Check
Fee
7.97
Issue Date
Valuation
. . . .
0
Expiration Date
7/23/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
444.00 .0350
ELEC NEW RES - 1 OR 2
FAMILY
15.54
66.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
1.32
Permit . . . MECHANICAL
Additional desc . .
Permit Fee . . . .
30.50 Plan Check
Fee
7.63
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
7/23/08
Qty Unit Charge
Per,
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH APPL REP/ALT/ADD
9.00
1.00 6.5000
--------------------------------------------------------------------=-------
EA IMECH VENT FAN
6.50
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
36.00 Plan Check
Fee
9.00
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
7/23/08
Qty Unit_ Ch4rge
Per
Rxtonoion
BASE FEE
15.00
3.00 6.0000
EA PLB FIXTURE
18.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and Comments
444 SQ. FT. ADDITION
IN GARAGE TO LIVING
LQPERMIT
Application Number . . . . . 07-00003041
-------------------- -------------------------------------------------------
Special Notes and Comments
SPACE AND 66 SQ. FT. GARAGE EXTENSION
------------------------------------------------------------7---------------
Other Fees . . . . . . . . ENERGY REVIEW FEE 18.07
STRONG MOTION (SMI) - RES 3.71
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
LQPERMIT
Charged Paid
376.36 .00
205.30 .00
21.78 .00
603.44 .00
Credited Due
.00 376.36
.00 205.30
.00 21.78
.00 603.44
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
L/,S&Dullding Permit Application and Tracking Sheet
Permit
Project Address: AL
270
t
Owner's Name:
A. P. Number:
-- s
Address: 491— 2
Legal Description:
Contractor:killrl�o(
Address:P
City, ST, Zip: l -u 7 Z
Telephone: `%COj 77 -. Q'Q ZZ
Project Description:
City, ST, Zip: ej
CA
-
- of �
Telephone:70J 34
Telephone:( -70J
State Lic. # :
Arch., En Designer•Nelsow
_G 3 et
% City Lic. #:
S L LIIs
eu S' d-ol/
Address:
ja2
City, ST, Zip:
t
9130
Telephone:_
- 6W
OQ
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'r. Alter Repair Demo
Name of Contact Person:
�4]Sstimated
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 6LOJ
-49S-- ,$-75
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal
Req'd
Ree'd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitte
�� Item
Amount
Structural Calcs.
Reviewed, ready r corrections
11 ej�;iPlan Check Deposit
Truss Calcs.
Called Contact Pe on
Plan Check balance
Energy Calcs.
Plans picked up
Construction ., d
Flood plain plan
Plans resubmitted
' Mechanic
Grading plan
2nd Review, ready for corrections�ssue
Elecrt ical
Subcontactor List
Called Contact Person
r
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue
Developer lir, pact Fee
Planning Approval
Called Contact Person
A.I,p.p,
Pub. Wks. Appr
Date of permit issu
School FeesJr
(Q
Total Permit Fees
n� --� VcAevue I ZIZ/01
� �o NQS R4�
CERTIFICATE OF COMPLIANCE 4�J�� k -
Desert Sands Unified School District
47950 Dune Palms Road Q BERMUDA DUNES 17
VI RANCHO MIRAGE d
Date 1/30/08 La Quinta, CA 92253 E' INDIAN WELLS
No. 29893 (760) 771-8515 d� PALM DESERT
LA QUINTA
PIN0 y�
O
Owner Sherman APN # 649-630-035
Address 48290 Vista Calico Rd Jurisdiction La Quinta
City La Quinta Zip 92253 Permit #
Tract # No. of Units 1
Type Residential Addition
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 48290 Vista Calico Rd
Unit 2
Unit 3
Unit 4
Unit 5
Comments
444 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for Irving, sleeping, cooking, eating cc sanitation) or replacement mobile ho
mes.. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 444 S.F. or $0.00 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By Exempt - Sijifredo Fernandez Check No.
Name on the check Telephone 347.6399
Funding Exempt
BY Dr. Sharon P. McGehee
Superintendent
Fee collected /exe Pa' ment Recd sq,(ip ;t
pte y h o McGilvrey Y ��]-
-Over/Unde`r - .
Signature
J', f
NOTICE: Pursuant to Government Code Section 6 Qth
thiswill serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run fromon which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting
CERTIFICATE OF COMPLIANCE: RESIDENTIAL age 1 cf 5 CF -111
oject Title
i SI" s<prn oN
Date
1 11- q- O
Builditg Permit 0
Project Address 4s - Zq O VI S -M C.A LI GO
La QU (V; T'A t 60t
Plan CEeck / Date
Documentation Author
Q4✓t Cn ML -L t Oil' EN 0216cv SWIM
Telephone
Field Caeck / Date
Compliance Method (Prescriptive)
PWGfaG tC 1 $:rM M'
Climate Zone
1 157
Enforcement Agency Use Only
Alternative Component Package Method: (check one) C XD D (Altemative)
Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 8-14 in the Residential Compliance Manual (RCM)
GENERAL INFORMAT, D N
Total Conditioned Floor Area (CFA) 44 ft2
Average Ceiling Height: 10 tt "IV -2 6 2007 L�
Chc& Applicable Boxes
Building Type: (check one or more) Single Family Multif B on teration
(If adding fenestration fill -out WS -4R, Fenestration Maximum Allowed Area Works tan a tion 8.3.2
for Additions and 8.3.3 for Alterations in the RCM.)
• Maximum Allowed Total Fenestration Area I dD to fl' (from WS -4R)
• Maximum Allowed West Facing Fenestrations , W (from WS -4R)
• Number of Stories: i Number of DwellingUni�T
• Floor Construction Type: SL /4 6 wised Floor (circle one or both)
• Front Oritmiation: MOM -n+ o South /East / West : All Orientations (input front oriTA
ents
from True North and circle one).
IA T check box if in climate zo 2 5 I
NOG & SAFETYIDE TT.
/-X r rV L-
OPA UE SURFACES INCLUDING OPA UE DOOFOR CONSI'T�UCTION
. o_ c , j\ /
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
Type
(Wood or
Cavity
Insulation
R -Value
Continuous
Insulation
R -Value
Assembly67 E
factor (for'Y20 _
metal frame and
mass
assemblies)'
o.. nt--
Appendix
IV
Reference
B
ooPR�flrani-
Barrier
Tnstalled2
Yes o: No
oration
Comments
(attic, garage,
typical, etc.
U,
W
- 1
4,,'A-
o
W
Re6vw
-a
.L
. oi.
Y -
t) See Joint Appendix IV in Section I V.2, I V.3, and I V.4, which is the basis for the U -factor criterion. Gfactors cannot exceed
prescriptive value to show equivalence to R -values.
2) This column is for the inspector to verify installation of roof radiant barrier.
Residential Compliance Forms
December 2005
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
��FENESTRATION MA X3MUM ALLOWED AREA WORKSHEET WS -4R — must be incluc ed for New
Construction, Additions, and Alterations.
Fenestration
#/Type/Pos_ (Front,
Left, Rear, Right,
Skylight)
Chien-
tation, Area U -factor
NSE W' (fe) U-(actor2 Source SHGC'
Exterior
Shading/Ove� 7
SHGC' V box if WS -3R is
Source' included
Duct or Piping
R -Value
Thermostat
T
O
EA
Socs 0
l — O
Art, 6— G
Q
O V CI+S
17
I1
W s s fl
17
O
REW
O
1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tted in any direction when
the pitch is less than 1:12. See §151(f)3C and in Section 3.2.3 of the Residential Manual.
2) Enter values in this column from either NFRC Certified Label or from Standards Default Table 116-A—
3) Indicate source either from NFRC or Table 116-A,
4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R.
5) Indicate source either from NFRC, Table 116B or WS -3R
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment
Type and Capacity
furnace treat pumpboikr, etc
Minimum Distribution
Efficiency Type and Location Duct OF P'Pmg Thermostat Configuration
AFM «ti.SPF at&) R -Value T ' - o
Distribution
Type and Location
(&Nb, do.
Duct or Piping
R -Value
Thermostat
T
Configuration
(split or package)
�C is
1 I N H EW
Art, 6— G
Cooling Equipment
Type and Capacity
(A/C, heat pump, evap.
cooling)
Minimum
Elf-tciency
(SEER or
EER)
Distribution
Type and Location
(&Nb, do.
Duct or Piping
R -Value
Thermostat
T
Configuration
(split or package)
,
O V CI+S
F—Xt!r
G. X!:521.
(N
AW IfEll Salts
h.
REW
vC,
Residential Complimrce Forms
December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL 3 of CF -1R
Project Title Date
S 2 If -q-0-7
SEALED DUCTS and TXVa for Alternative Meamrea)
A si CF4R Form must be provided to the building department for each home for which the following are required.
❑
Seated Ducts all climate zones(Installer testing and certification and ITERS rater field verification required.)
❑
TXVs, readily accessible (climate zones 2 and 8-15 only)
❑
]nstaller testing and certification and HERS Rater field verification r
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (installer testing and certification and HERS Rater Geld
❑
verification iced.
❑ Alternative to Scalod Ducts and Refrigerant Charge /fXVs (See Package D Alternative Package Features for I
Proiect Climate Zone in the RM Anoendix B Table 151-0, Footnotes 7-14.
OR
❑
No ducts installed.
❑
New ducts from existing ce conditioning equipment, not exceeding 40ft. in length.
❑
For additions and alterations, duct systems that are not documented to have been previously sealed as confirmed
❑
through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual.
N
Duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m)
❑
and duct insulation mauirements of Packaste D.
WATER HEATING SYSTEMS
F-7-1
❑
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per dwelling
Rated
Inpurtl
(kW or
Bta/hr)
unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed
❑
Check box when using Preapproved Altemative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Tank
External
Insulation
R -Value
Manual. No water heating calculations are required, and the system complies automatically.
N
Check box if system docs not meet criteria of "Standard" system, and does not comply with the Preapproved
❑
Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
submittal.
❑
Check box to verify that a time control is required for a recirculating stem pump fora system serving multiple units
Systems serving sinele dwelling Unita (See RM Table 54, Alternative Water Heating Systems for recirculation requirements)
Water Heater Distribution
TypelFuel Type Type
Number
in System
Rated
Inpurtl
(kW or
Bta/hr)
Tank
Capacity
oom)
Energy
Factor' or
Thermal
Efficiency
Standby
oss /o
Tank
External
Insulation
R -Value
N
N/A
texts .
System serving muldnle dwellina units (see Residential Manual Section 5.3.3)
Water Heater Distribution
T Type
ted
Irriipwi
Number (kW or
in System Bwbr)
Energy
Tank Factor'' or
Capacity Thermal
udkw) Efficiency
'Tank
External
Standby Insulation
Loss/o R -Value
N
N/A
1) For small gas storage water heaters (rated inputs of less thea or equal W75,000 BW&rk electric resistance, and beat pump water heaters, list
Energy Factor. For large gas storage water beaters (rated input of greater than 75.000 Btu/hr), fist Rated Input, Recovery Efficiency, Thermal
Efficiency and Standby loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies.
Pipe Insulation (kitchen lines > 314 inches) All hot water pipes from the heating source to the kitchen fixtures
that are % inches or greater in diameter shall be thertrwily insulated as specified by Section 150 6) 2 A or 150 6) 2 B.
Residential Compliance Forms December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4,of 5) CF -1R
Project Title Date
:54 SO KAk t4 I
SPECIAL FEATURES REQUIRING BUMDING OFFICAL or HERS RATER VERIFICATION
Indicate which special features are parts of this project. The list below only represents special features relevant to the prescriptive method.
Category
suitding Official
Verification of
Special Feahrres
HERS Rater
Veriflration
HERS Rater
Diagnostic
Tesft
Measure
Ducts
❑
Y
100% of ducts in rrawispeceftmement
❑
Y
Buried duds
❑
Y
Diagnostic supply duct location, surface area, and R -value
Y
Duct Increased R -value
❑
Y
Dud leakage
Y
Ducts in attle with radiant barriers
❑
Y
Less than 12 ft. of duct outside conditioned space
❑
Y
Non-standard duct location
❑
Y
Supply registers within two ft of floor
Envelope
❑
Y
Air retarding wrap
❑
Y
Coot roof
❑
Y
Exterior shades
❑
Y
High thermal mass
❑
Y I
Inter -zone ventilation
❑
Y
Metal framed walls
(03Y
Non -default vent heights
13Y
4
Quality insulation installation
Y
Radiant barrier
❑
Y
Reduced inTittration (blower door). May also rewft mechanical ventilation.
❑
Y
Solar gain targeting (for sunspaces)
❑
Y
Sunspace with interzone surfaces
❑
Y
Vent area greater than 10%
HVAC Equipment
❑
Y
Adequate air flow
❑
Y
Air conditioner size
❑
Y
Air handier tan power
❑
Y
High EER
❑
Y
Hydronic heating systems
❑
Y
Mechanical ventilation
❑
Y
Refrigerant charge
❑
Y
Thermostatic expansion valve (TXV)
❑
Y
Zonal control
Water Heater
❑
Y
Combined hydronic
❑
Y
High EF for existing water heaters
❑
Y
Non-NAECA water heater
❑
Y
Nonstandard water heaters (whlunit)
❑
Y
Water heater distribution credits
Residential Compliance Forms
December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (page 5 of 5) CF -1R
Project Title Date
Saecial Remarks
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and specifications needed to comply with Title 24,
Parts I and 6 of the California Code of Regulations, and the administrative regulations to implement them. This
certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that
compliance using duct design, duct sealing, verification of refrigerant charge and T)Cls, insulation installation
quality, and building envelope sealing require installer testing and certification and field verification by an
approved HERS rater.
Deskner or Owner r Business and Professions Code
"ohowinsantatinn Authar
Name: ?A Q L—
Name:
naY 1 a Cl.Ll a
TittelFirm:
Title/Firm:
Address.
Address. 1013 SVG e3 X
PLS
-4 ur,-- Cid.
V14,TVIR alt LLF CA
Telephone: -1
Tel W 74vo - 2 4 3- 3 6S 3
#:R
11
Liooase a: (if 'cable) v -rs — 12 G S A G E
T�Uj
I I kL- . D"7
11-9-07
(signature) 1
%1.1 (date)
(signature) (date)
Enforcement Agency
Name: Comments: r r
Title
N910�. 1:t16t�jr riOtlSil�flE•
Agency: CEFMRED ENERGYANWM
Telephone:
DAVID Ik ELLIOTT
to m s— 40
(signature / stamp) data
Residential Compliance Forms
PF
December 2005
FENESTRATION - MAXIMUM ALLOWED AREA WORKSHEET WS -4R
Project Title
G1;aYb 4t-4
Date
FENESTRATION PRODUCTS - NEW CONSTRUCTION- NEW BUILDING5
T T..+ 1t.;. I.M. fnr -- 6.itAi— fnn¢tnu4inn to raft-nnnt fnr Intal futilAino *A of fAK-ctrntinn
A B
C
D
E
F
G
tl/fype/pos.
(Front, Left,
Rear, Right,
Skylight) Orientation
Total
Fenestration,
West Facing
Area W
Total Fenestration for
N, S, E Orientations
Area ftp
CFA(fl)
Total Percent of
West }�acittgt
Fenestration
C x 100%
Total % of
l:enestration'
Including West
x 100%+F
North
Proposed
Installed
New Area
(ft2)
1
ROAR
South
North
South
East
West
West
G
•/•
South
Totals
South
Total
. IV/ -
1) If west facing area exceeds 5% of CFA in climate zones 2, 4, and 7-15, the performance approach must be used.
2) If total percent of fenestration exceeds 20% including West facing orimtations then performance approach must be used. West facing area includes
skylights tilted to the west or tilted in my direction when the pitch is less than 1:12 for Package D only.
FENESTRATION gR DUCTS - NEW CONSTRUCTION- ADDITIONS
✓ 01-ess than 100 ft . X less than or Eaual to 1000 ft . ❑ Greater 1000 Re
A
B C D
E F
G
H
N/fype/Pos.
(Front, Left,
Rear, Right,
Skylight)
Proposed
Proposed Addition's
Orienta- Addition's Fenestration
tion CFAI•7,' Area (f?)4
Fenestration Total Area
Area Removed to Added
make way for FenestrationFenestration
Addition fiz Z - E
Total % of West Facing
(G/C) x 1001/0
Total % of
Fenestra -
tion �,
(F/C) x 100%
Removed
Orientation
North 44-4
Proposed
Installed
Orientation
Proposed
Installed
New Area
(ft2)
1
ROAR
South
North
North
East
Rl t'"
West
G
•/•
South
South
Total
. IV/ -
1) Additions:5100 sf are allowed to install up to 50ft of fenestration and are exempt from the 5% west facing and 20% maximum total area
limits and shall meet the U -factor and SHGC requirements of Package D. See Table 8-2 in the Residential Manual. Note: Leave columns E, F,
G, H, and I blank.
2) Additions:_1.000 W. the maximum net allowed fenestration is 20% and may be increased additionally to by the amount of glazing removed in
the wall that separates the addition from the existing house. However, the total West facing fenestration can not exceed 5% of the proposed
addition's CFA including skylights orientated in any direction and tilted with a pitch of:1:12. Column G can not exceed 5% and Column H can
not exceed 20%.
3) Additions > 1,000 fig, must meet Package D requirements. See Table 8-2 and Table 151-0 in Appendix B of the RM or use Performance Approach.
4) The 5%west orientation restrictions are only for Climate zones 2, 4, and 7-15; for Climate Zones 2,4 and 7-15 enter aero (0) in column E.
FENESTRATION PRODUCTS: ALTERATIONS
Use this table for alterations to an existing building where fenestrations nrodtmts (windows) are being removed and/or added
A
B C
D
E
F
G
H
I
Existing
CFA
13Z
Existing
Existing Area
Orientation
Removed
Orientation
Removed
Area
(ft2)
Proposed
Installed
Orientation
Proposed
Installed
New Area
(ft2)
ToW Net
Fenestration
(ft2)
(C-E+G
Total % of
Fenestra-tio,"
(H/A) x 100%
Max of 20%
North
North
North
South
South
South
East
East
East
West
West
West
Total
Total
Total
1) When 50 tr or more of fenestration area is added to an existing building, then the fenestration must meet the requirements of Package D.
2) The area requirement for the total fenestration area for the whole building, including the added fenestration, must not exceed 20%.
(Otherwise,_ the Performance Approach must be used. See Section 8.3.3 in the RM for further details.
Residential Compliance Forms December 2005
MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page i of 2) MF-iR
Project Title I
Date
SiA6--a" th ti -G - o
Note: Low-rise residential buildings subject to the Standards must contain these measures regardless of the comPitmce approach used. More
stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (a) below. When this
checklist is incorporated into the permit documents, the features noted shall be considered by all parties &&minimum component
performance specifications for the mandatory measures whether they aro shown elsowbam in the do°umenis or on this checklist only.
Instruedons: Check or initial applicable boxes or check NA if not applicable and inchded with the permit application
documentation.
DESCRIPTION
NA
Des ser
Enforce
-wentnt
Building Envelope Measures:
101
r/
G
• §150(a)-. Minimum in wood frame coiling insulation or equivalent Wt. in metal dame ceiling. Q3 p
❑
R
❑
§150(b): Loose fill insulation manufacturer's labeled R -Value: a 3
❑
E
❑
• §150(c): Minimum R-13 wail insulation in wood framed walls orequivalent Wactor in metal frame walla (does not apply
to exterior mass walls
❑
29
❑
* §150(d): Minimum R-13 raised floor insulation in framed floors or equivalent Wactor.
❑
❑
❑
§150(e): Installation of Fireplaces, Dive 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 bunting gas pilot lights allowed
E
❑
❑
§130(f): Air retarding wrap installed to comply with §15 1 meets requirements specified in the ACM Residential Manual.
,E
❑
❑
§150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only.
to
❑
❑
§150(1): Slab edge insulation - water absorption rate for the insulation material alone without facings no greater than 0.3%
water vaW pameanac rate no greater than 2.0 /inch.
�
❑
❑
§118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include CF -6R
Form:
L`
❑
❑
§116-§117: Fenestration products, Exterior Door, and Wiluation/Exfiltration Controls.
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
❑
9
❑
2 Fenestration pruduuts (ctocpl field -fabricated) have label with certified U -factor, oerfified Solar Heat (lain
Coefficient (SHCrCX and infiltration certification.
❑
10
❑
3. Exterior door and windows weathembipped, all joints and penetrations caulked and sealed.
❑
0
❑
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water hcatm. ahowcnccads and faucets certified by the Encrgy Commission. E ❑ ❑
§150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or RCCA. 91 ❑ ❑
§ l Wiy Setback thermostat on all applicable heating and/or cooling systems. ® ❑ ❑
§ 150(i): Water system pipe and tank insulation and cooling systems line insulation.
1. Storage ges water hasten rated with an Energy Factor Ioss than 0.58 must be externally wrapped with insulation
having an installed thermal resistance of R-12 or
IX
❑
❑
2 Back-up tanks for sotar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or
internal insulation and indicated on the exterior of the tank showin the R -value.
q
T
13
13R-16
3. The following piping is insulated according to Table 150 -AIB or Equation I50 -A Insulation Thickness:
1. First 5 feet of hot and cold water pipes closest to water heater tank, note-reciroulating systems, and entire length
of recirculating sections of hot water pipes shall be insulated to Table I SOB.
®
❑
❑
2. Cooling system piping (auction, chilled water, or brine lines), piping insulated between heating source and
indirect hot walcr tank shall be insulated to Table 150-B and Equation 150-A.
®
❑
❑
4. Steam hydronic heating systems or hent water systema >15 psi, meet requirements of Table 123-A.
in
❑
❑
Residential Compliance Forms December 2005
MANDATORY MEASURES SUMMARY: RESIDENTIAL Pale 2 of 2) MF -1R
DESCRIPTION
E"�r
NA
t
De r meat
Space Conditioning, Water Heating and Plumbing System Measures: (continued)
✓
✓ ✓
5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
91
❑ ❑
6. Insulation for chilled water piping and refrigerant auction piping includes a vapor retardant or is enclosed entirely in
p+t
W
13conditioned
s
7. Solar water -heating ayatems/oollecton are cartified by the Solar Rating and Certification Corporation.
E3
+97
s §150(m): Ducts and Fans
1. All duds and plenums installed, sealed and insulated to meet the requirement of the CML: Sections 601, 602, 603, 604, 605
and Standard 6-5; supply -air and Tatum -air ducts and plenums ars 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 181A, m UL 181B or aerosol sealant that meets the requirements of UL 723. If
mastic or tape is used to seal openinga greater than 1/4 inch, the omnhinstim of mastic and either mesh or tape shall be used,
2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than
sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and
❑
M
❑
support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause
redntoticsea in the oross�aational area of the ducts.
3. 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 hands.
4, Exhaust fan systems have back draft or automatio dampers.
❑
M
❑
5. Gravity ventilating system serving ccaeditioned space have either automatic or readily accessible, manually operated
❑
sr
�r
C3dam
6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment
maintenance, and wind. Cellular foam insulation shell 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.
7, Flexible ducts cannot have porous inner acres.
❑
1 Q 1
❑
§114: Pool and Spa Heating Systema and Equipment.
1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the
pl
A+
❑
heater, weatherproof operating instructions, no electric resistance heating and no pilot light
2. System is installed with:
a at least 36^ of pipe between filter and heater for future solar heating
® ❑ ❑
b. cover for outdoor pools or outdoor apes i R1 ❑ ❑
3. Pool system has directional inlets and a circulation pump time switch. W ❑ ❑
§115: Gas feed fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuouslyburning ° [3 13ilot
'on:
light. Nem-clectrioal cookie appliances with pilot < 150 Btu/hr)
§118(i): Cool Roof material meets specified criteria 10 ❑ ❑
Residential Ligating Measures:
§1 50(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 ❑
0
❑
are electmnio and have an output no less than 20 kHz
§150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑
21
❑
150-0 luminaire has factory installed HID ballast
§150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as
determined in § 130 (off of permanently installed luminaires in kitchens may be in luminaires that are nut high eflivacy 19
❑
❑
luminaires, provided that these luminaires ate oonirolled by switches separate from those controlling the high efficacy
luminaires. n
§150(k).3: Permanently installed luminaires in bathrooms, garages, laundry rooms and utility rooms shall be high effeowy
luminaires. OR ars controlled by an occupant seasor(a) certified to comply with Section 119(d) that does not tam on
ED
❑
❑
automatically or have an always on option.
§150(k)4: Permanently installed luminaires located other than in kitchen&, bathrooms, garages, laundry rooms, and utility
rooms shall be high efficacy htminaires (except closets lase than 70W): OR aro controlled by a dimmer switch OR are
❑
®
❑
controlled by an oucupant sensur that uomplies with Scctiun 119(d) that dues not tum on automatically or have an always
ono tion.
§150(k)5: Luminaires that are recessed into insulated ceilings are approved for zem oleatamm insulation cover (IC) and are
❑
❑
certified airtight to ASTM E283 and labeled as air tight A to less than 2,0 CFM at 75 Pascals.
§1 SM)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 including lighting around swimming poola/weter features or other
13
JO
13Article
680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section
11 d
§150(k)7: Lighting for perking Iota for 8 or more vehicles shall have lighting that complies with Seo. 130, 132, and 147.
16
❑
❑
Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Seo. 130, 13 1and 146.
§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 occupant sansor(s) certified to comply with
►�
,pP
`
❑
❑
Suction 11 d
Residential Complimrce Foyms December 2005