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04-7995 (SFD)P.O-BOX 1504 ^� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Y Application Number: 04-00`007995 _- Owner: Property Address: 80980 VISTA DEL MAR FADEL AHMED S. APN: 772-260-.019-- - 82762 BOSTON CT Application description: DWELLING - SINGLE FAMILY DETACHED INDIO, CA 92201 F4 Property Zoning: VERY LOW DENSITY RES- Application ES-Application valuation: 318477 Contractor: Applicant: Architect or Engineer: Owner 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: - License No.: Date: Contractor: 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 _ 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.). ' r I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law,does not apply to an owner of property who builds or improves. thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.).- (_ ) I am exempt under Sec. , B.&P.C. for this reason Date: a Owner. ` A CONSTRUCTION LENDING AGENCY -r 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.). r Lender's Name: Lender's 'Address: VOICE (760) 777-7012 FAX -(760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/05/05 --------------------------———-----——--—--——------ WORKER'S COMPENSATION DECLARATION Ihereby 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. 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 is6ued. My workers' compensation insurance carrier and policy number are: , Carrier . Policy Number 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 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 complytwi a provisions. Date: i 1-Applica . 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.- 1. Each person upon whose behalf this application is made, each person at whose request and for • whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. / 2. Any permit issued as a result of this -application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work, for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspect' purposes. ` 6ate: Signature (Applicant or Agent) LQPERMIT. _ ...+..- .•...+.... _ _ - • - - - - - .. - Application Number . . . . . 04-00.007995 NEW RES - 1 OR 2 FAMILY ------ Structure•I•nformation 4701 SQ. FT. SFD ----- Construction Type.... TYPE V - NON RATED 1.00 Occupancy.Type . . . . .. . DWELLG/LODGING/LONG <=10 �• Flood Zone . . . . . NON -AO 'FLOOD ZONE Other. struct info .'. CODE EDITION 2001 CBC # BEDROOMS 4.00 _Plan Check Fee . FIRE SPRINKLERS "NO . . . .. GARAGE SQ FTG 768.00 Expiration PATIO•SQ FTG 2596.00 NUMBER OF UNITS 1.00 _ 1ST FLOOR SQUARE FOOTAGE 4701.00 Permit . ... BUILDING PERMIT Permit I. Additional desc . �. Permit Fee . . . . 1406.00 Plan Check Fee 913.90 Issue Date -Valuation •318477 Expiration'Date . , 6/05/06: Qty Unit Charge Per Extension BASE FEE 639.50 219.00 3,5000 THOU BLDG 100,001-500,000 766.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 209.90 Plan Check.Fee 52.48 Issue•Date Valuation 0• Expiration Date 6/05/06 Qty , Unit, Charge Per Extension BASE FEE 15.00 LQPERMIT 4701.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 164.54 768.00• .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.36 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit GRADING PERMIT Additional desc . Permit Fee . . . 15.00 _Plan Check Fee . .00. Issue Date . . . .. Valuation 0 Expiration Date 7/05/06 Qty. Unit Charge Per Extension BASE FEE 15.00 Permit I. . . . .. . MECHANICAL �. Application'Number . . . . . 04-00007995 Permit . . MECHANICAL Additional desc Permit Fee 114.50 Plan Check Fee 28.63 _ Issue Date . . . . Valuation . . . . - 0 Expiration Date 6/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA" MECH.FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 6.00 6.5000 EA MECH VENT FAN' 39:00 1.00 6.5000 ----------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.-50 Permit' PLUMBING Additional desc . Permit Fee 242.25 Plan Check Fee 60.•56 Issue Date Valuation 0 Expiration Date.. 6/05/06 Qty Unit Charge Per Extension BASE FEE 15.00' 25.00 6.0000 EA PLB FIXTURE 150.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 2:.00 6.0000 EA PLB ROOF DRAIN 12.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00'. 1'.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00' 9.0000 EA, PLB LAWN SPRINKLER SYSTEM..- 9.00 11.00 - .7500 EA PLB GAS PIPE >=5 .8.25 1.00 15.0000 EA PLB GAS METER 15.00 - ------------------------------------ - - Special Notes and Comments - - - - 77 - - - - - - - 4701 SQ/ FT. SFD THIS PERMIT DOES NOT ; INCLUDE POOL & SPA -BLOCK WALLS OR DRIVEWAY APPROACH. 2/1/05 8:03:46 AM ; JJOHNSON Other Fees -- --------------------------.---------------- : ART IN PUBLIC PLACES -RES 296.19 �T DIF COMMUNITY CENTERS -RES, 97.00 DIF CIVIC''CENTER - RES 366.00 ENERGY'REVIEW FEE 91.39 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF"LIBRARIES -'RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 " •STRONG MOTION (SMI) = RES 31.84 DIF STREET MAINT FAC -RES 15.00 - - - LQPERMIT_ Application Number 04-00007995 Other,Fees. - -- ------------ DIF TRANSPORTATION -------------- - RES -------------- '1098.00 Fee summary Charged Paid .Credited Due ' Permit Fee Total ---------- . 1987.65 ---------- -.00 ----- ----- ---------- 00 1987.65 .-Plan Check Total' 1.055.57 250.00 .00 805.57 Other Fee Total 2824.42 .00 .00 2824.42 Grand Total 5867.64 250."00 .00 5617.64 r - -'Building- ` ' AddresO, , • _ fi :Owner Mailing Address City F I,30aO, Contractor ' Address City & Classif. . ' I j e •^ I w -max• • :. . • - t • _ - . e� oT-1 • y P.O. BOX 1504 APPLICATION ONLY ; 7A -d95 CALLE TAMPICOYTA, CALIFORNIA 92253 " BUILDING: TYPE CONST. OCC. GRP. �6S'[0 ��' • A.P. Number Z.� — 3 T r ' • Legal Description l -OT ��''� • Sic. � � �- S _�� ZZ ®( � p9�i- .�t' h 1 e ° vin ►1 �e � sla eye c� . • Project Description Tel. City _ Lic. # Sq. Ft.No. Size 4 OZZ. fib• Sto No. Dw. Units Arch., Engr., New Add O Alter O Repair ❑ Demolition El Designer. GZr� •, - AddressTel. R City Zip State . f +V I, S `Z. Lic. # .. . ., " LICENSED CONTRACTOR'S DECLARATION ' I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE i OWNER -BUILDER DECLARATION Estimated Valuation I'hereby affirm that I am exempt from the Contractor's License Law for the following i 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 alsoPERMIT ' AMOUNT • requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of . Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis, Plan Chk. Dep. 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). ; plan Chk. 881. ' - ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do Const. 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 Mech: or improves thereon and who does such work himself or through his own employees, provided that suchimprovements are not intended or offered for sale. If, however, the building or im- ' provement is sold within one year of completion, the owner -builder will have the burden of Electrical proving that he did not build or improve for the purpose of sale). Plumbing I, as owner of the property, am exclusively contractingwith licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does S.M.I. 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) Grading ❑ I am exempt under Sec. B.'& P.C. for this reason Driveway Enc. w 'Date owner Infrastructure r WORKER'S COMPENSATION DECLARATION ( D INI • 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 f6n1 - x ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. t LUU CERTIFICATE OF EXEMPTION FROM ! TOTAL.' ` WORKERS' COMPENSATION INSURANCE OF (This section need not be completed if the permit is for one hundred dollars ($700) valuation REMARKS CIT�1 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. ZONE: BY. Minimum Setback Distances: } CONSTRUCTION LENDING AGENCY •� ' ` - •"" - Front Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work • Rear Setback from Rear Prop. Line for which this permit is issued. (Sec. 3097, Civil Code.) Lenders Name ' Side Street Setback from Center Line ( i Lender's Address Side Setback from Property Line 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. ' s " I certify that I have read this application and state that the above information is correct. FINAL DATE INSPECTOR 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned , property for inspection purposes. ^Issued by: Date Permit Signature of applicant Date ' ' Mailing Address ' Validated by: ,. City, State, Zip Validation: WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE' Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-4.95 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: G �/ �s/� — Owner's Name: G A. P. Number: .. „ O Address: Legal Description: 2, ( a_&Ity" City, ST, Zip: Contractor: Telephone: Address: Project Description: City, ST, Zip: Alblo .� Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: V City, ST, Zip: Vt Telephone: Construction Type: Occupancy: . Project type (circle one): New . Add'n Alter Repair Demo State Lic. #: Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 2/ Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd' TRACKING . PERMIT FEES Plan Sets Plan Check submitted �` o�i Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan ti Plans resubmitted Mechanical Grading. plan 2wd Review, ready for correctins/issue Electrical Subcontactor.List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval ° Plans resubmitted Grading IN HOUSE:- ''' Review, ready for 'corrections/issue Developer Impact Fee Planning Approval Called Contact Person S A.I.P.P. Pub. Wks. Appr Date of permit issue .School Fees t IiS l7 0C Total Permit Fees Cdachella Valley Unified School District .83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 —fax (760) 398-1224 A i Project Name Ahm d'Fadel Owner's Name: Ahmed Fadel Project Address: X80-980 Vista Delmar Project Description: Single Family Dv_ f. APN: 772-260-019 This Box.For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TVO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT:" DATE: RECEIPT: - CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Date: December 8, 2005 Phone No. (760) 899-8530 Quinta, CA.. Tract #: Lot #'s: Type of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 4,701 sq. Ft. - Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: 12/08/05 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. 4,701 Amount per Sq.Ft. $ 2.88 Amount Collected $ 13,538.88 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst.,Supt., Business Services. Certificate issued by: Leticia C. Torres, Facilities Clerk Signature Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires th'al thiAistrict 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 accordanciwith section.66020 of the Government code and other applicable law, this Notice shall serve to , advise you that the 90-d"ay 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. Cerfficate 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; �a 630° CITY OF LA QU1NTA S -CONTRACTOR LIST JOB ADDRESS S�`��. �STI� M RPERMIT NUMBER ntl-%9gSOWNER J"M-At) 'F��L BUILDER Ok1 P, "'>JJ11tL>( This form shall be posted on the job with the BuildingInsnection 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 of building permit. For each applicable trade, all information requested below must be completed by aDDlicant. "On File" is not an acceptable response. Trade/ Classltication ' 'Co'ritractor Stete..Contractot.9 Ucepse. ... Workers'Gom erisetlon.lriauranee .'.: Git Business Cieense . ' Company Name . Classification (e.g. A. B, C-8) License Number (xxxxxx) Exp. Date Canter Name (xx/xx/xxl (e.g. State Fund, CelComp) Policy Number (For'm/at Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx//xx/xx) EARTHWORK (C:112) ..�sv !t �r`��':`.'fv 1►ZZ "'g r7 ND dO L 3q Z3 2 1017Ji CONCRETE IC BI N. GO .;' { i. ' 3 _ FRAMING (C-6) R t oNSTit�c nTQ�\'/A 1- 31'n_5 t3 '2,Z. — O o STRUCT:`STEEL (C-5:11 MASONRY (C-29) 04 PLUMBING (C-36) "1 G ON /3z/ 06 LATH, PLASTER IC-361L'Yfa+Y/+ �5t// Z.� 22 1 ��(%f `T' �?'�3� a ��i 7 Z 1 D DRYWALL (C-9) 0 G " 0% .,. `' �y r -' � N`.I/ I �. 1 D � 7q HVAC (C-201` OAIGI 0,201 s q/14/0(0 NQS I �l?ll QS ELECTRICAL (C-10) ' .''• : ..: ATLE a� N► �iZ —o4-. tUl, ?� ROOFING;IC=39)4:'. •`'� �� - t� SHEET METAL (C431'" ` A' ' �.�� ® °Qo FLOORING (Cr:15);`:' ;' ". t�'i L GLAZING IC -17!" 0\14 Cmi 3�� 6 131 INSULATION'.(C 21 11\jS.._.... QWt�:sp, SEWAGE DtSP; (C•42) . < PAINTING IC=33) .p �. CERAMIC TILE (C-64) l CABINETS (C-6) ln1:(/Jy: "V.VO .G.Q. LX . ,_ }�y� ?JL �� '� 7� ST U I -A t/. 2 �'Z 3t /� � 0 �l % FENCING IC -131. LANDSCAPING (C47) POOL (C-53) a 1 630 0 '�Do 2CITY OF LA QUINTA S -CONTRACTOR LIST am JOB ADDRESS l. (STA ))a 14ARPERMIT NUMBER ��-%99�OWNER �� '�au�t, BUILDER U�� 1311jL1%��. This form shall be posted on the job with the Building Inspection Card at all times in a conspicuousID ace. 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 of huildinn nermit- Fnr Path annlicahlp traria all infnrmatinn rar n*.rari Trade /Classification Contractor Company Name :- :State.Contractol'a Uce�se Com ensition Insurance ".:' Classification License Number Exp. Date Carrier Name Policy Number Exp. Date fe.g- A. B, C-8) (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) Cit .Business License. License Number Exp. Date (xxxx) (xx/xx/xx) '7121f; EARTHWORK (C A DOLES a- i (.qp Dc ' ., ra CONCRETE (C 81 Ar r/�{-A� ryy I r FRAMING l65) `:` TO . AR e0t-1T'Pm d 1- _-IMP 5 151 tVQ S 0 STRUCT.'`STEEL IC -611 MASONRY 1C-291- Pj UMBIN(i IC 361 x ._4776 ON �1�`77Uv '. �.G LATH, PLASTER (C735) TT B(iA: R '&P 6_C 1, NG ni 221 o5%zg'JA ,12�1 -7,12110(1 DRYWALL C-91 'A r T / D: 1a°iI C�J�I OCG- • 7/yAd, ,5 HVAC. (C-20) ��r� C� . 20, 66 �W-2 ELECTRICAL IC -101 .�/_N °L ' 'r'' s ^ri C.' _ � `� II1 V'N► �CYn/ T�/r� 4� l�l)b- ROOFING.(C=391;;.''< f ��! f.d�9 i RCii. � /� l� d 2 a40.�1g9� %/ SHEET METAL (0=431:' ". �<°? VC n N,' oovr-1. �t -1 OJ 1 8 �( i/ . v FLOORING (G:15); GLAZING (C -'17Y ` > ' .'.: 1 O�rQ11h ��S . t.V�'i %!�0 1 �g 1 7�� & � 2 Z� O Z> 2 1."► -0 -71 INSULATION:(C721. .;; QI�{j �„-`IAIl�6y� -' SEWAGE QISPp (6-42) PAINTING IC=33) ' CERAMIC TILE (C-54) 3 �C. CABINETS (C-8) *lN rO�V,4N� Lx11 ✓T 1. t/ Z 3t J FENCING (C71i3) LANDSCAPING IC -27l. 2a �. POOL (C-53) ', .. t dc_ o< ...t......,..a...�'��... -xr. _.,_�.�......-:..,....cy.R:u-s�wa:.�gr=•-�. ,.. �.�n.—sc. Via.. swab sur *Sladdeh- Engineering < 6782 Stanton Ave., Suite A 39;;725 Garand Ln., Suite G Buena Park, CA 9062.1 Palm. Desert, CA 92211 (714) 523-0952 (760)'772-3893 T Fax (714) 523-1369 Fax (760) 772-3895 03115: 114 S. California Ave. 15438 -Cholane Road. Beaumont,rCA 92223 Victorville, CA 92392 (951:),845-7743" ` 760-962-1868 - Fax (951) 845-8863 Fax 760-962-1878 " _ Date FIELD, MEMO.: Job Ivo. Project Name Client: Site Address:.._ +I��ro (/iSAk 1.�e i%,v .Job Phone i j Work Done i t 'Test Summary / Footings Inspected . Test No Location Elev. Dry Density Moist % % Relative Compaction Ref: Max . pcf Moist % 13C /O7 �- Cl�O: //-2 1 u l'o rt'a /"i 7. 5- 5 UL Comments . j `Field Tech. - 24 hour notice requested to.schedule Field Technician; -Thank you"for the•opp service:--: - • , 01/29/2007 MON, 14: 30 • FAX `760 360 6546, Ponderosa"Homes ,,;i " . , r - 0002/004 ]INSTALLATION CERTIFICATE (Page 10 of 12) CI+ -61t Site Address ' OPermit Number 4_ r - VIs-r1 I11SUlation Installation Quality certificate - ' - }""• F Y .Description of Insulation, (CF -64 formerly IC 1) signed by the installer stating: insulation manufacturer's name, material identification, installed R+values; and for loose -fill insulation: minimum weight persquare foot and minimum inches w ; ✓YJ Installation meets all applicable requirements as specified in the%Iigh Quality Insulation Installation Procedures' (ACM, Appendix RH) ✓ FLOOR 1 .. ✓ FLOOR Yes No NA All floor joist cavity insulation installed to uniformly fit the cavi side-to-side and end-to-end Y tY e ❑ Na in in contact with the subfloor or rim joists insulated ❑ Yes i O No ' NA Insulation . ro r supported to avoid a P l3' PPo gaps, voids, and compression _ WALLS 13Wall 'NA stud cavities caulked or foamed to provide an air tight envelope es . No . ... fesOF es No ❑ NA Wall stud cavity insulation uniformly fills the cavity side-to-side, top -to -bottom, and front -to -back es No No gaps * ` es ❑ No o NA No voids over 3/4" deep or more than 10% of the batt surface area. ❑ 'No O' Hard to access wall stud cavities such as; corner channels, wall Intersections, and behindYes . NA tub/shower enclosures insulated to R -Value ' Yes I No' • 0 -proper Small spaces filled ❑ , .Yes . ❑ No ' Rim -joists ❑ ❑. Loose fill wall insulation meets or exceeds manufacturer's minimum weight -per -square -foot Yes No NA uirement , . , ✓ OOF/CEILING PREPARATION es, N NA All draft 'stops in place to fonn.a continuous ceiling and wall air barrier q Yes. ❑ No A , , AlAll dr s covered with hard covers t , es � All. draft stops and hard covers caulked or foamed to provide an air tiglrt,envelope F i ❑ ❑ All recessed light factures IC and air tight (AT) rated and sealed with a gasket or caulk between the Xes No housin and the ceilin ' ' l7 Yes No A g P j. g Floor cavities on multiple-storybuildi have air fight draft stops to all adjoining attics ' f , ❑ Ye ' ❑ No _ A ' Eave vents prepared for blown insulation - maintain net free -ventilation area, Yes ❑ No ❑ NA Knee walls insulated or prepared for blown insulation' r Q Area -under equipment platforms and cat -walks insulated accessible for blown insulation NA or coy I MLP14 Lk': sl FAX 760 360 6546 Ponderosa Homes 1@003/004 INSTALLATION CERTIFICATE (Page 11 of 12) .CF -6R ' Site -Address. i k O ^ v - Permit Number 6U 1AJl ✓ ROOF/CEILING BATTS . . Yes No NIA ' No gaps O ❑ Y No NA' 'No voids over''/. in. deep or more than 10% of the batt surface area. O p es No NA Insulation in contact with the air -barrier Yes No NA Remscd light fixtures covered ❑ O Net free -ventilation area maintained at eave vents Yes I No A V' ROOF/CEILING LOOSE -FILL Yes No, NA Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls. - O ❑ Yes No A Baines installed at eaves vents or soffit vents - maintain net free -ventilation area of cave vent D '3`Yes Nc Attic access insulated " D ❑UU Yes No NA Recessed light fixtures covered - O ❑ Yes No TA Insulation at proper depth - insulation rulers visible and indicatin g -proper depth and R=value ' D ❑ Loose Jill Insulation meets or exceeds mam facto er's minimum weight and thickness requirements ' Yes No °NA , for the target R -value. Target R -value r ,Manufacturer's minirnumrequired. , weight for the target R -value ..~. (pounds -per -square -foot). Manufacturer's minimum required thickness at time of installation Manufacturer's mininwm regi lred settled thickness Note: To receive compliance credit the HERS rater shall verify that the mans facturer's minimum weight and thickness has been achieved for the target R -value. CF -6R only), ----------- DEC RATION <0. I hereby certify that the installation meets all -applicable requirements as specified in"the Insulaticn Installation Procedures. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name r i Signature: -- Date: 3 0 i ✓ ROOF/CEILING BATTS . . Yes No NIA ' No gaps O ❑ Y No NA' 'No voids over''/. in. deep or more than 10% of the batt surface area. O p es No NA Insulation in contact with the air -barrier Yes No NA Remscd light fixtures covered ❑ O Net free -ventilation area maintained at eave vents Yes I No A V' ROOF/CEILING LOOSE -FILL Yes No, NA Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls. - O ❑ Yes No A Baines installed at eaves vents or soffit vents - maintain net free -ventilation area of cave vent D '3`Yes Nc Attic access insulated " D ❑UU Yes No NA Recessed light fixtures covered - O ❑ Yes No TA Insulation at proper depth - insulation rulers visible and indicatin g -proper depth and R=value ' D ❑ Loose Jill Insulation meets or exceeds mam facto er's minimum weight and thickness requirements ' Yes No °NA , for the target R -value. Target R -value r ,Manufacturer's minirnumrequired. , weight for the target R -value ..~. (pounds -per -square -foot). Manufacturer's minimum required thickness at time of installation Manufacturer's mininwm regi lred settled thickness Note: To receive compliance credit the HERS rater shall verify that the mans facturer's minimum weight and thickness has been achieved for the target R -value. CF -6R only), ----------- DEC RATION <0. I hereby certify that the installation meets all -applicable requirements as specified in"the Insulaticn Installation Procedures. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name r i Signature: -- Date: 3 0 DEC RATION <0. I hereby certify that the installation meets all -applicable requirements as specified in"the Insulaticn Installation Procedures. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name r i Signature: -- Date: 3 0 OJ/29/2C07 MON 14:31 FAX 760'36o 6546 Ponderosa HomeB 0004/004 INSTALLATION CERTIFICATE(Pa a 12 of 12) CF -6R Site.Address Permit Number �0��13� TSTA D At2 .r• .. County Subdivision Lot Number, = t Description of Insulation (Formerly IC -1 Form) - Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner ' OR Window Distributor y I. RAISED FLOOR Installing Subcontractor (Co. Name) OR Material Brand Name •. Thickness (inches)Thermal Resistance (R Value) Item #s (if applicable) 2.- -SLAB FLOOR/PE TER Installing Subcontractor (Co. Name) OR ' Material _ N A- � Brand Name • ti Thickness (inches) Thermal Resistance (R -Value) + . Perimeter. Insulation Depth ('inches) ' EXTERIOR WALL Frame Type 2 X ' A. Cavity Insulation - Material - l • grand Name Ct iia w T� ` Thickness (inches) ji B • Exterior Foam Sheathing Thermal Resistance (R -Value) 12 -- l °t - Material '_ Brand Name _ Thickness (inches) Thermal Resistance (R -Value) ' 4. FOUNDATION WALL ` Material ti k Brand Name r, V Thickness (inches) Thermal Resistance (R-Vahte) 5. ` CEILING ' 1 Batt or Blanket Type _ r-A—Ft- Brand Name Cy-je7TA i N Tul;: Thickness (inches) Thermal Resistance (R. -Value) Loose Fill Type Brand Contractor's min installed'weight/ft' lb Minimum thickness inches , Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) 6. ROOF .. ' Material y Brand Name ' Thickness (inches) Thermal Resistance (R -Value) . ' Declamation i y I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. Item #s if applicable) • ` Signa Date _... 3 l l J- l Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner ' OR Window Distributor Item #s (if applicable) Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner , _ OR Window Distributor Item #s (if applicable) Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner . ' OR Window Distributor xestaenuat Compliance Forms.. April 2005 b0 39tid QIWH9S NO9dVd ' ' ' Tb8TL.bE09LT TE:5T L00Z/Z0/E0 + CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 1). CF -4R Project Address I Ahmed Fade[ J ' . ! Builder % Installer 80-980 Vista Del Mar / La Quinta / CA / 92253 - x 'r c ESR Design -Build '. Builder/ Installer Contact '• z Telephone Plan Number / Permit Number Edward Rickter 5624006300 Casita HERS Rater r Telephone Sample Group Number + Jack LaFontaine - CIHIEIEIRIS® ID #CCNJL348610 ::, •7603604631•., 0 Compli a Method/r scriptive) ! , ` Climate Zone 15 Ce ig t e • - Date Sample House Number 0,0 7 Lot 19 .2. FiHERS Provider Energy Management Services CjHjEjEjRjSO Address City/State/Zip 41-485 Adams St., Unit C ' .. Indio /CA /92203 t Copies to: BUILDER, HERS PROVIDERAAND BUILDING DEPARTMENT �`.7 _ Fr - �'' HERS RATER COMPLIANCE STATEMENT + This house was:Tested C As"the HERS rater providing diagnostic testing and field verificatioi`�L if that the houses identified on this form comply with the diagnostic tested compliance'requirementsas'checked on this form." _ The installer has provided a copy of CF -6R (Installation Certi�ate). '� J r ❑ Distribution system is fully ducted (ci.e., do)` n##ot use buildingg,rWitie asplenums or,pla f rm returns in lieu of ducts). esi ❑ Where.cloth backed, rubber adhve duct tape is installed, mastic_and drawbands are used'in,combination with cloth backed, rubber adhesive - duct tape to seal leaks at duct connections - lo, .,. THERMOSTATIC EXPANSION.VALVE System #.l N��'"`•`.�� ,'r /.Yes - ONO : Thermostatic Expansion Valve is installed and Access Is.provided for �/ Pass ❑Fail inspection. -� i• J71 Residential Compliance Forms 'Generated by CjHjEjEjRjS® http://www.ClfEERS.org August 2001 t( V y�• I INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R Site Address Permit Number -7 c? 9-5 eoci6o \h�:a i)tv- "*a-. tp, Qj [OrA- An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type (pkg. heat pump) CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency (AFI)t, etc.) J (;->CF-IR value).— Duct Location (attic, etc.) Duct or Piping R . -value Heating Load, (BW/hr) Heating Capacity (Btu/hr) 5101-17- S"YR277'I 141 ST3 9k C I ------------------ KIK Cooling Equipment Equip Type (pkg. heat pump) CEC Certified Mfr., Name and Model Number # of Identical Systems(2tCF-Iltvalue) Efficiency (SEER or EER) ' Duct Location (attic, etc.) Duct R -value Cooling Load (Btu/hr) Cooling Capacity (Btu/hr) 5101-17- S"YR277'I 141 ST3 9k C I ------------------ KIK 1. > symbol reads greater than or equal to what is indicated on the CF -IR value. Include both SEER and EER if compliance credit for high EER -air conditioner is claimed. ✓E31 I�,e undersigned, verify that equipment listed above is: 1)'is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contra Co. Name) OR Owner M'�'a Signa re: Date: ZZZ,1 2 Copies to:EWLDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY z Residential Compliance Forms April U U JOU Numoer: LQ 121404 ey Date: - 6/1/2005 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2001 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC (415) 897-6400. EnergyPro 3.1 By EnergySoft Job Number: LQ121404 User Number: 5695 R 1 , � V. i � ` y Certificate of. Compliance: Residential 1 ` Part 1. of 2 CFA { _ r, MR: & MRS. AHMED FADEL - Guest House " 12/14/2004 . t Project Title i Date , LOT No. -19 VISTA DEL MAR LA QUINTA - Project Address Building Permit # Santiago Lopez-Ocarnpo (760) 485-8927 Plan Check Date . Documentation Author Telephone Computer Performance • 15 Field check Date . Compliance Method (Package or Computer) " 1 Climate Zone ' • Enforcement Agency Use Only GENERAL INFORMATION '. ' k -1"tal Conditioned Floor. Area: 679fit . T Average Ceiling Height: 10.0 ft �. Total Conditioned Slab Area: 679 ft? i •� Building Type: ,(check one or more) - k. Single Family Detached ❑Addition Single Family Attached ❑Existing Building r ❑, Multi -Family _ ❑ Existing Plus Addition • - Front Orientation. (South) 180 dei °Floor Construction Type: ® Slab'Floor Number of Dwelling Units:` 1.00 x , r 'Number of Stories: r 1 J F-1 Raised Floor - 44 BUILDING SHELL INSULATION FENESTRATION w=' Shading Devices By Type Orientation Area • •' 'Fenestration Exterior 'Overhang Side Fins' - S U -F ctor ` SHGC •Shadin - Yes /.No Yes / No Right (East) `' 35.0. 0.38 :' 0.40 Bug Screen ,. 0 E ❑. it Right • (Southeast) 30.0 0.38 ° ' 0.40 Bug Screen . X❑ ❑ ❑ X❑ Front (South) 48.0 " " 0.38' v 0.40 .r Bug Screen X❑ - El _ El 0Left (West) • 16.5 0.36 0.37 Bug Screen . ❑ IN], El X❑ , Right* (East) 64.0 0.34" 0.35 1. Bug Screen a]0 ❑ O' ' > -. El F-1 El El El D El El Fl. El El F1 El El ❑❑_- ❑- o El, .0 ,• .: El EJ 1:1 1:1 Run Initiation Time: 12/14104 21:38:43 Run Code: 1103089123 ' Ene 'Pro 3.1 Ene oft User .Const.' •: : Component Frame ,Assembly Location/Comments` :Type. Type _ ., U -Value (attic, garage, typical, etc.) R-38 Roof (R.38.2x4.24) Wood 0.024: Exterior Roof Slab On Grade '' nda , 0.756 Covered Slab w/R-0.0 Perimeter Insulation Slab On Grade = ri/a - 0.756 Exposed Slab w/R-0.0 Perimeter Insulation - R-19 Wall (W.19.2x6.16) ' Wood 0.065 `Exterior Wall i Solid Wood Door - ` None -0.387 Exterior Door --, - FENESTRATION w=' Shading Devices By Type Orientation Area • •' 'Fenestration Exterior 'Overhang Side Fins' - S U -F ctor ` SHGC •Shadin - Yes /.No Yes / No Right (East) `' 35.0. 0.38 :' 0.40 Bug Screen ,. 0 E ❑. it Right • (Southeast) 30.0 0.38 ° ' 0.40 Bug Screen . X❑ ❑ ❑ X❑ Front (South) 48.0 " " 0.38' v 0.40 .r Bug Screen X❑ - El _ El 0Left (West) • 16.5 0.36 0.37 Bug Screen . ❑ IN], El X❑ , Right* (East) 64.0 0.34" 0.35 1. Bug Screen a]0 ❑ O' ' > -. El F-1 El El El D El El Fl. El El F1 El El ❑❑_- ❑- o El, .0 ,• .: El EJ 1:1 1:1 Run Initiation Time: 12/14104 21:38:43 Run Code: 1103089123 ' Ene 'Pro 3.1 Ene oft User Number. 5732 Job Number. LQ121404 - Pa e`:3 of 12 -Certificate of Compliance: Residential (Part 2 of 2) CF -1 R Y MR. &NIRS. AHMED FADEL - Guest House 12/14/2004 Project Title - Date r . " HVAC .SYSTEMS Note: input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Distribution r Heating Equipment Minimum Type and Duct or. w . Type (furnace, heat Efficiency,Location Piping Thermostat Location/ pump, etc.) , (AFUE/HSP)(ducts, attic, etc.) R -Value Type Comments Cpntmi Fumarp 80% AFUE Ducts in Attic 42 Setback HVAC System Cooling Equipment Minimum -Duct Type (air conditioner,- . Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc.) R -Value- -Type Comments Split Air Conditioner 12.0 SEER Ducts in Attic 49 Setback HVAC Svctpm .WATER HEATING SYSTEMS • � - . - - -' 4 V Rated 1 ,. Tank Energy Facti I External ' Water Heater Water Heater Distribution # in Input . `Cap. -or Recovery Standbyy Tank Insul. System Name Type % -Type Syst. Btu/hr (gal) Efficiency Loss (0) -R-Value. I A.O. SMITH FPS -50-224 Small Gas` Standard • 1 43 000 - 50 0-60 n/a n/a • 1 , For small gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. r For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input; Recovery Efficiency and Standby Loss. A For instantaneous gas water heaters, list Rated Input and Recovery Efficiency.: - REMARKS COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognize that compliance using duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS rater. • _ ... i Designer or Owner (per Business & Pr fessions Code) Documentation Author , ' Name: 4 �.d4i� :Name: s.L'o. ' Tdie/Firm: MIKE MENDOZA. - Title/Firm: •Santiago Lone?-Ocam'Po Address:. , P.O. Box 692 s Address: `P.O. Box 1018 DESERT HOT SPRINGS, CA 92240 La Quinta, CA 92247, Telephone: 760-275-1816 ; ' : Telephone: (760) 485-8927 Uc. #: 104 (signature) (date) . (signature) (date) Enforcement Agency y - Name: Title/Firm: Address: Telephone: y , signature/stam date Run Initiation •381103089123 EnergyPro 3.1 By EnergySoft User Number. 5732 Job Number. L6121404 PageA of 12 Certificate of Compliance: Residential (Addendum) CF -1 R MR. & MRS. AHMED FADEL Guest House 12/14/2004 Project Title Date i Special Features and Modeling Assumptions - The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local iaseu on ine aaequacy of me specrar jusrmcauon ano aocumemanon suDrnmea. Plan Field The HVAC System "HVAC System" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual. HERS Required Verification M. These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -61R. Plan I Field The HVAC System "HVAC System" includes Refrigerant Charge and Airflow Credit (or a TXV). A certified HERS rater must provide verification of the TXV, or measure the Refrigerant Charge and Airflow. k Run Initiation Time: 12/14/04 21:38:43 Run Code: 1103089123 EnergyPro 3.1 By EnergySoft User Number. 5732 Job Number. 1-0121404 Page:5 of 12 Mandatory Measures Checklist: Residential (Page 1 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. hems marked with an asterisk O may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist Is Incorporated Into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures " whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter NIA if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures [X] 150(a): Minimum R-19 ceiling insulation. E] §150(b): Loose fill insulation manufacturer's labeled R -Value. ' ❑X §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). ❑' §150(d): Minimum R-13 raised floor insulation in framed floors or equivalent. ❑§150Q): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 pem>(nch. §118: Insulation specked or installed meets insulation quality standards. Indicate type and forth. ®§116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain ,Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ § 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(0: Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. FX§15 Ole): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door , b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. 'Space Conditioning, Water Heating and Plumbing System Measures §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. Y§ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑X § 150(i): Setback thermostat on all applicable heating and/or cooling systems. a§1506): Pipe and Tank Insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined intemallextemal insulation. - 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55 degrees F. insulated - 6. Piping insulating between heating source and indirect hot water tank. EnergyPro"3.1 By EnergySoft User Number. 5732 Job Number. Lai 21404 Page:6 of 12 Y ( 9 Mandatory Measures Checklist: 'Residential °) MF -1 R' NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used ,Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the CeRificate of Compliance. When this checklist is.incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specficatior s for the mandatory measures , 4whether they are shown elsewhere in the documents or on this checklist only., - • ' DESCRIPTION Instructions:Check or initial applicable boxes .or entei NIA if not applicable. I DESIGNER- ENFORCEMENT ,Space Conditioning, Water Heating and Plumbing System Measures: (contnued)y ` '14 c QMH V. .. n , ' '1 fit. {•] �Y.• �•� •' a f - ' § 150(m): Ducts and Fans' a • " • 1 ,AII ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, ' '= 4 603, 604 and Standard 63; ducts insulated to a minimum installed level of R4.2 or enclosed entirely in r „ r conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system •" • ; •: , . that meets the applicable requirements of UL181; UL181 A, or UL181 B. If mastic or tape is used to seal openings, greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not U be used for conveying conditione'd`air. Joints and seams of duct systems and their components shall not be :Jab Number: L0121404 Page: 7'of 12 •` [a sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and •. ' , .'a ¢ - � „ 'i r ' . •' �-f , drawbands.' - , h r�to -. ` � R ' 2. Building cavities, supportplatforms 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 • • { •' ' awe . 7 _ 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." .' ' • �+ air. '� ARU.�1 - _ } 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive •A • ' duct tapes unless such a tape is used in combination with mastic and drawbands. dT 401 _ 4. Exhaust fan systems have back draft or automatic dampers. o s, ► ,i k + + t a 5. Gravity ventilation systems serving conditioned space have eitherautomatic or readily accessible;- manually , operated dampers - 6. Protection of Insulation' Insulation shall be protected from damage, including that due to sunlight, moisture"i ' equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, -painted canvas, or,plastic cover. Cellular foam y' insulation shall be protected as above or painted with a coating that'is water retardant and provides shielding f" ' ,from solar radiation that can cause degradation of the material. t R Vit' �t�- , , #"' �,, !l, 7 � at J . �•- _ .., _ X § 114:• Poot and Spa Heating Systems and Equipment ? o y' 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance _ - -� heating, and no pilot: 1 ► > +? f 2.. System is installed with at least 36',of pipe between filter and heater for future solar, cover for outdoor pools or ,. spas, _ a. At least 36" of pipe between filter and heater for future solar heating.,� s� b. Cover for outdoor pools or outdoor spas: • 3. Pool system has directlonal Inlets and a circulation pump time switch. w - X `§115: Gas fired, central fumaces, pool heaters, spa heaters or household ocoking�appliances have no 4 ' continuously burning pilot light. (Exception: Nonelectrical cooking'appliances with pilot < 150 Btuthr). E§118 (f): Cool Roof material meet specified critena Lighting* Measures � . c t�::. a �� •. = j 'r i'".'`.. M1'..' , rv_�'_ §150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 Iumenstwattor greater for. ^ r ++�.' -• - general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting i• _ f - _ control panel at an entrance to the kitchen. a= §150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of X40 lumenstwatt or greater switched at the entrance to the room or one of the alternative to this requirement r r' allowed In Section 150(k)2. and recessed ceiling fixtures are IC (insulation cover) approved z t tx' ` +g'• "t y : r ; wi-- F' ` r .i. '• c QMH V. .. n , ' '1 fit. {•] �Y.• �•� •' a f - '3.1, By EnergySoft' " , „-_ User Number: 5732 :Jab Number: L0121404 Page: 7'of 12 •` [a ¢ - � „ 'i r ' . •' �-f , � r � - , h r�to -. ` � R e , e�} � . r H � 4.4 �' t• •c j) % -' '� ARU.�1 G �^f ,• � •A �+•.:`� t "li�� S� � li.� dT 401 _ Computer Method Summary ` - (Part 1- of 3) C -2R I ■E11:45 j Mk PMRS AHMED FAnFI = Guest } Project Title House 12/14/2004 Date L.nT-TA DEI MAR I A (JUNTA Project Address /�1 Building Permit # Santiago I npP_7-Ocamoo /.1 (760) 485-8927 i 1 i ..�.ITM RN—Trum Documen tion A thor Telephone . Plan Check/Date r Commuter Performance Compliance Method (Package or Computer) 15 + Climate Zone Field Check/Date Source Energy Use Standard - ' . Proposed Compliance (kBtu/sf-yr) Design Design IVlargin 0. „ Space Heating ` 5.02 4.49 0.54 Space Cooling 58.18 .' - 58.95 " " -0.77 41 , q Domestic Hot Water 28:96' 24:51 4.45 - Totals - -. _ 92.16 r 87.95 4:21. ■ Percent better than Standard: 4.60/6 € ' �•✓��r��y rIV��■- b�rV .1 r ,Total Conditioned FloorA'rea: 679 ft2 Floor Construction Type: ❑• Raised Floor XQ,'Slab'Floor Building Type: Single Fam Detached Building Front Orientation: (South) 180 deg '.Total Fenestration Area: 28.5% " Number of Dwelling' Units: 1.00 - Total Conditioned Volume: 6,790 ft 3 Number of Stories: 1 ` Total Conditioned Slab Area:-' 679 ft 2 ' BUILDING ZONE INFORMATION " '-+, - .# Of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type . Hgt. Area HVAC System 679 , 1679 • '1On_ rondainnect• Sethack _� n OPAQUE SURFACES Solar Act. Gains Type Area U=Fac. Aim. Tilt Y / N Form 3 Reference Location /Comments Rnnf' 679 0.024 0 14 Wali t "90 006.5 Ian g Doer 20 -- 0.387 180 90 Wall 23 0.065 ` go 90 ' - Wall •88 0.065 180'_90 Well, 54 0 065^ +• n —gn Wall 55 0.065 13 90 Wall 25 0.065 180 30 Wall 70 0 065 '970 go Wall 3n8 0 065 180 _gjZ Wall 211 n 065 270 90 Wall , 53 0_065- wall 065•Wall 96 0065 270 _20• ` Wall 240 0.065 n 90 (all_ 81 o n65 _ 0 90 !r t EnergyPro 3.1 By Ene .t 4 A • Run Initiation Time: • 12/14/04 21:; rgysoft - ' User Number: 5732 +4 :43 Run Code: 1103089123 Job Number: L0121404 . Page:8 of 12 r ■E11:45 PATITF1 IffiTITA..a .. WNSUMV7111 Mr. /�1 ■ /.1 ■ i 1 i ..�.ITM RN—Trum ■ ■ ■ ■ ■e Run Initiation Time: • 12/14/04 21:; rgysoft - ' User Number: 5732 +4 :43 Run Code: 1103089123 Job Number: L0121404 . Page:8 of 12 r Computer Method Summary (Part 2 of 3) C -2R MR. & MRS. AHMED FADEL - Guest House 12/14/2004 Project Title Date FENESTRATION SURFACES Window U- Left Fin Right Fin Act. Glazing Type Location/ # Type Len. Hgt. Area Factor SHGC Azm. Tift Comments -1_ Window Right (Fast) 35 0 0 9R0 0 40 Ao An MJgard W CLARSIr VINYI Iow E Guest House 2 Window Right (Southeast) 30.0 0.380 0.40 135 90 Milgard W. CLASSIC VINYL Low EGuest House 5 Window Front (South) 48.0 0.380 0.40 180 90 Milgard W. CLASSIC VINYL Low EGuest House 4 Window Left (West) 4.0 0.360 0.37 270 90 Milgard W. CLASSIC VINYL Low EGuest House 5 Window Left (West) 4.0 0.360 0.37 270 90 Milgard W. CLASSIC VINYL Low EGuest House 5 Window Left (West) 4.0 0.360 0.37 270 90 Milgard W. CLASSIC VINYL Low EGuest House 7 Window Left o/est) 4.5 0,360 0.37 270 _90 Milgard W_ CLASSIC VINYL Low EGuest House 8 Window Right (East) 64.0 0.340 0.35 90 90 Milgard W. CLASSIC VINYL Low EGuest House INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LEA REA. Dist. Len. Hgt. Dist. Len. Hgt. 1 Bug Screen 0.76 5.0 7.0 13.8 0.1 2.0 2.0 2 Bug Screen 0.76 5.0 • 6.0 23.0 0.1 2.0 2.0 3 Bug Screen 0.76 8.0 6.0 13.2 0.1 2.0 2.0 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 8.0 8.0 8.0 0.1 8.0 8.0 EnergyPro 3.1 By EnergySoft User Number: 5732 Job Number: L0121404 Paae:9 of 12 1 Computer Method Summary (Part 3 of 3)' C -2R MR- & MRSAHMED FADEL = Guest House 12/14/2004 .. Project Title Date . ' THERMAL MASS FOR HIGH'MASS DESIGN '3 `Area` Thick. .Heat' Inside Location • . Type •- (so '(in.) Cap. Cond: Form 3 Reference R,Val. Comments t PERIMETER'LOSSES +� �F2 . Insulation -Type Length Factor *R -Val. Depth Location / Comments - Slab Perimeter _93 0.76 .; - 0-0 , . s- 0 Guest House +Slab Perimeter- 25 . .0-76 0-0"'0 Guest House - • - ... • .. - '�'.: fes' _ " � . •_� 1 r w t _ S+ "^ HVAC SYSTEMS - . Heating Equipment. Minimum Distribution' Type yLocation Type (furnace, heat.* Efficiencyy :and Location, Duct ` Thermostat- . / «pump, etc.), (AFUE/HSPFXducts/attic, etc.) R -Value Type . Comments ' i., Central Furnace 80 LAFUE Ducts in Attic` 42 Setback HVAC System > _.Hydropic Piping. �+• F ' r ,; Pipe Pi e In ul " • System Name Length 'Diameter -,Thick.' ♦ 4 , Cooling Equipment i• ~ Minimum Duct - Type (air conditioner, 'Efficiency Location -. q ••Duct ` Thermostat"• location / ' heat pump, evap. cooling) (SEER) ' "(attic, etc,) :`. , "R -Value Type ., ` Comments t split Air Coriditioner' .31? O SFFR Ducts in Attic `• 42 ; Setback HVAC System ' ',' ; i' WATER HEATING SYSTEMS-';, s r f, ' d r. N Ratedt - r,Tank ' Energy Fact? • . ' w Tank Insul. .... »1lVater Heater Water Heater* Distribution �' ' . # in, Input " Cap. or Recovery . Standby 'R -Value. System Name • •Type ' `.Type- Syst. (Btu/hr) • , -- ( al) Efficiency Loss (%) "Ext: A.O: SMITH FPS -50-224 Small Gas- Standard- 1 : �_ 43.000 50 0.60 n/a n/a r. "1 For small gas storage (rated input<= 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. ' For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. + For instantaneous gas water heaters, list Rated Input; and Recovery Efficiency. _ s � � n- REMARKS ..*- � , "'` �„ , ,- � � a ., • r , r r a, M f - • u x . a 4 fi ' Run Initiation Time: 12/14/04 21:38:43• -Run Code:+1103089123 EnemyPro By Ener Soft - User Number 5732' Job Number: LQ121404 Pa e:10 of 12 Computer Method Summary (Addendum)- C -2R MR. & MRS. AHMED FADEL - Guest House 12/14/2004 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and,may reject a building or design that otherwise complies oases un me auequacy or me specram jusrmcauon anu uocumemamon suomit[eu. Plan Field The HVAC System "HVAC System" includes credit for a Radiant Barrier installed per Section 8.13 of the Residential Manual.' HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the fieldt diagnostict verificamon and testing of these measures on a form CF -GR Plan Field The HVAC System "HVAC System includes Refrigerant Charge and Airflow Credit (or a TXV). A certified HERS rater must provide verification of the TXV, or measure the Refrigerant Charge and Airflow. Run Initiation Time: 12/14/04 21:38:43 Run Code: 1103089123 EnergyPro 3.1 By EnergySoft F User Number. 5732 Job Number. L0121404 Page: 11 of 12 [HVACS'YSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME . DATE E. t. MR. & MRS. `AHMED FADEL'- Guest House _ 12/14/2004 . SYSTEM_ NAME 1 FLOOR AREA t HVAC System 679 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 Heating System Output per System -32,000 Total Output (Btuh) '.32,000 Output (Btuh/sqft) 47.1 Cooling System Output per System 23,400 Total Output (Btuh) 23,400 ^ Total Output (Tons) r' 2.0 Total Output (Btuh/sqft) 34.5 Total Output (sgft/Ton) 348.2 Air System ' CFM per System 800 Airflow (cfm) * '+ 4 800 Airflow (cfm/sqft) `` 1.18 Airflow (cfm/Ton) ,410.3 Outside Air 0.0 -Outside Air (cfm/sqft) 0.00 Note: values above given at ARI conditions 26.0 ° F. Outside Air 0 cfm 69.2 OF i �� z _ Total Room Loads . 'Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts COIL COOLING PEAK COIL HTG.'PEAK CFM ISensiblel Latent CFM J..Sensible 482 8,625 .• 0 ` ' 340 13,033 .0 - 431 652 0 0 0 0 0 0 0 ` 0 * = 0 431 652 TOTAL SYSTEM LOAD 9,488 0 1 a 336 HVAC EQUIPMENT SELECTION York H4DH024/P4HUA08L032 U&H 15,176 4,795. 32,000 1 - 3 Total Adjusted System Output15,176 - 4,795 32,000 ` (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAKAug 2 m Jan 12 am tream Temp2ratures at Time of Heating Peak 69.2°F 69.2 OF 106.80F # - Supply Air Ducts L �.y _ Supply Fan Heating Coil.'4 ` 106.1 OF 800 cfm ROOMS s + 70.0 °F { Retum Air POOLING SYSTEM'PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak). r 111.0/77.6°F 74.5162.2°F 74.5/62.2°F ' 56.7/55.7°F Supply Air Ducts � Outside Air 0 cfm Supply Fan Cooling Coil - 57.2/55.40F ti 800cfmT - a 51.2% R. H. ROOMS ° OF 74.5 ! 62.2 F _ 74.0 / 62.0 + ' Retum Air Ducts :` I EnergyPro 3.1 E Y EnergySoft User Number: 5732 Job Number: LQ121404 Page: 12 of 12