09-0863 (AR)Sr�
.P.O. BOX 1504
78-495. CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN: .
Application description.:
Property Zoning:
Application valuation:
09-0.0000863 -
78735 VILLETA DR
604-142-002-162 -23269 -
ADDITION - RESIDENTIAL
LOW DENSITY RESIDENTIAL
20253
Applicant: Architect or Engineer:
A.A182�/
• ��
- -VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/28/09
Owner: :-
BUTLER MICHAEL K & SUSAN D
78735 VILLETA DR
LA QUINTA, CA 92253
(760) 200-9321
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 IS5001.:
( "�) 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.).
(_ I 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( ) I am exempt under Sec.' , B.&P.C. for this reason
/ Date: V Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the. performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: -
Lender's Address:
LQPERAIIT
Contractor:
Owner O t� c?•
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 Policy Number
I certify that, in the performance of the work for which this permit is issued, 1 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
�0 of the La r Co e, I shall forthwi comply with those.provisions.
/e: plicant:
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
of1his coounty� tootenter
�ruupon the above-mentioned pe i
for inspect
`
Date: ` ` W Signature (Applicant or Agent):
LQPE%IIIT -
Application -Number . . . . 09-00000863
------ Structure Information 315 SF GAME ROOM ADDITION.
-----
Other struct info CODE EDITION 2007
FLOOD ZONE NO
GARAGE SQ FTG
>00
- - FATIO SQ FTG = - - _ -
° 168.00_:
1ST FLOOR SQUARE FOOTAGE
315.00
2ND FLOOR SQUARE _FOOTAGE
.00
Permit BUILDING PERMIT
Additional desc 315 SF GAME RM. ADDITION
Permit"Fee 216.00, Plan Check Fee
140.40
Issue Date Valuation
20253
Expiration Date .' 3/27/10
Qty 'Unit Charge Per
Extension
BASE FEE
45.00
19.00 9..0000 THOU BLDG 2,001-25,.000
171.00 .
'J"-------------------------------------------"------------------I----------------
._
Permit ELECT .- ADD/ALT/REM _
Additional,desc .
Permit Fee 26.03 Plan Check Fee
6.51
Issue Date Valuation
0..
Expiration Date 3/27/10
Qty, Unit Charge Per
Extension
BASE FEE:*
15.00
315.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY
11.03'
-----Special Notes and Comments
315 SF GAME ROOM ADDITION AT GROUND
LEVEL WITH 168 SF PATIO COVER AT UPPER
- LEVEL. 2007 CODES.
-----------
Other Fees . . . . BLDG STDS ADMIN (SB1473)
1.00 "
•
ENERGY REVIEW FEE
14.04 .
STRONG MOTION (SMI) - RES
2.03
Fee summaryCharged Paid Credited
Due.
Permit Fee Total 242.03 .00 .00
242.03
Plan Check Total. 146.91 .00 .00.
146:91
Other Fee Total 17.07. .00 .00
17.07
Grand Total 40:6,.01. .00 .00
;406.01.
LQPE%IIIT -
Bin #
i
CityOf La[,1111 � `
J Q '
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit�ti` Q,�3
c O(� cJ
Project Address: Owner's Name: d 1' 3w-t�
A: P. Number: tCJO -Z4.2- .00 - ( . 2, dress: -1213 S V 1 Jew Q
Legal Description: E City, ST, Zip: v 1 (2A C1 7�2 S 3
Contractor: b c rn ,/'7_00
"C.:� �v AAA, Telephone: — 9 3 �•'''i::;:iyn4ii�'�ii'•.:i:"•:i•.'•v.•::%{�
Address: Project Description: A Aobry'(C)�4
City, ST, Zip:
Telephone:
{....... ;:;:f::<;:: z:::>::•<: ;r,; :: 4 <>>::>;<: 4-
State Lie. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
:z:.>.z::.:< <>:::::::ri:>.:.,>'.:>>..>}::.Construction Type: Occupancy:
} Project type (circle one): New Add'n Alter Repair Demo
State Lie..0>}:
Name of Contact Person: Sew- f� Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 2x:�o -- 1-11 4'41 • Z-00 ^ q 3 istimated Value of Project: Is i DO v , `x—'
APPLICANT: DO NOT WRITE. BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Pian Check submi 1V i n
Item
Amount
Structural Calcs.
Reviewed, ready forection Plan Check Deposit
Truss Calcs.
Called Contact Per UG 1
Plan Check Balance
Title 24 Calcs.
Plans picked up I
Construction
Flood plain planPlans
resubmitted B,y - -
Mechanical
Grading plan
2"" Review, ready for orrectio
Electrical
Plumbing
Subcontactor List
Called Contact Perso //
Grant Deed
Plans picked up. 1111 1
S.M.I.
H.O.A. Approval
Plans resubmittedq
y, n Z Sr
Grading
INHOUSE:-
Review,.ready for correctio ue L Qp
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
�.1
" CERTIFICATE OF COMPLIANCE . �_1.i�is�;
�? Desert Sands Unified School District �qG'r�N 0
O
47950 Dune Palms Road` Q BERMUDA DUNES
` rn RANCHO MIRAGE
Date 917109 La Quinta, CA 92253 r N INDIAN WELLS
No. 30494 (760) 771-8515 d� PALM DESERT
LA QUINTA
NDIO
n=
Owner Michael & susan butler APN # 604-142-002
Address 78-735 Villeta Dr JurisdictionLa Quinta `
City La Quinta Zip Permit #
Tract # No. of Units 1 ;
Type ` Residential Addition _• ,
Lot # No. Street • S.F. Lot # No.. Street '- S.F.
,Unit 1 78735 Villeta Dr Unit 6
Unit 2 Unit ?
Unit 3 Unit 8 • '
'Unit 4
Unit 9
Unit 5 Unit 10 _
Comments r
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 living, sleeping, cooking, eating or 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 t t
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 0 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 - Susan Butler Check No
Name on the check Telephone 200-1719
Funding Exempt A _
BY -Dr. Sharon P'. McGehee
Superintendent , 4 a;'r• .
Fee collected /exem ed y Sh o Gilv . y Payment Recd =x$0.00
• �� j5, ,
r' ��rOver/Uhde��
Signature G -
• m
NOTICE: Pursuant to Cbvemment Code Section 66020(d)(1),-this will serve to you that the 90-day approval period in which you may protest the fees o '
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paidtto the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy- ApplicanUReceipt . Copy - Accounting
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CAt:LE TAMPICO
LA QUINTA, CALIFORNIA 92253
,$ f..
BUILDING & SAFETY DEPARTMENT
(760) 777-70.12
FAX (760) 777-7011
PROPERTY O'WNER'S PACKAGE T
Disclosures & Forms for Owner -Builders Applying for Construction Permits
111 P4 4NT! NOT' le
)[CE TO PROPERTY OWNER ;
:.Dear Property Owner.
.An. application -fora- building permit has been . submitted in your name listing yourself as the builder of the property
.-improvements specified at
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware..of-your, ,
responsibilities and possible risk you may incur by having thispermit-issued in your name as the
Owner -Builder. We will not issue, a buildingpermit until you, have read, initialed your understanding of each: provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute thisnotice
unless you, the property owner, obtain the prior approval of the permitting authority.
OVMER'S ACKNOWLEDGMENT AND VERIFICATION OF MORMATION
DIRECTfONS: Read and initial eachstatement below, tosignify you understand orverify this information.
&01. I understand a frequent practice of unlicensed' persons ,is to have the property owner obtain an "Owner -Builder''
.building perinit thai erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as.an Owner -Builder and ani aware of the limits of my insurance coverage for injuries to workers
on my property.
1 /2. I understand building permits yare not required to be signed by property owners unless they are responsible for the
construction and arenot hiring a licensed Contractor to assume this responsibility.
. I understand as an "Owner -Builder" I'am the responsible.party of record on the permit. I understand, that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
I understand if I employ or otherwise engage any persons- other than California licensed Contractors, and the total value
%MOY construction is at least five hundred dollars $50D including I may be considered an "employer"
( ), mg labor and materials, y
under state and federal law.
. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand 'my, failure to abide by these laws may subject me to serious financial
risk.
. I understand under California Contractors' StateLicense Law, an Owner -Builder who builds single-family residential
structures cannot .legally build them with the .intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four' within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
(J8. I understand as an Owner -Builder if I.sell the property for which this permit is issued, I may be held liable for any
financial or personal. injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Inter. -Hat Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand i may contact the California Contractors' State License Board (CS -LB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
10. I am aware of and consent to an. Owner -builder building permit applied for in my name, and understand that I am the
party legally and financially responsible . for proposed construction activity at the following address:
101 L.1 agree that, as the party legally and financially responsible for this proposed construction activity,.) will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
12. I agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' .State License Board may be unable to assist you with any financial loss . .
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be inicivil court. It is also
important for you to: understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property; you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing, the.perniit. Note: A copy of the property owner's deiver's.l cefEsei form notarization, or
other verification acceptable t agency is required to be presented when the permit is issued to verify the property
owner's signature. I I
Signature of property owner Date:
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for. a construction permit for the Owner -Builder -
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, .the execution of which I understand. is my personal responsibility, I hereby authorize
the following person(s) to act as, my agents) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the propertyowner's signature..
Property Owner's Signature: Date:
TITLE 24 REPORT
Title 24 Report: for:
SUSAN BUTLER
78735 VILLETA DRIVE
LA Q I NTA, : CA 92253 '
Project. esigner
SUSAN 8UTLER'.
78735 VILLETA DRIVE,
LA QUI:NTA,;CA 92253
Report .Prepared By:
ADRIANA'GIL
AOriana,Gil
(760) 404'7.91.:7
CITY -UF LA Q��i�ITAr
BUILDING & .SAFETY DEFY.
;. APPROVE...
FOR CONSTRUCTION
DATE Z D� BYJob
NUmber:.
ADY736=0709
..Date.'
9%17/2009
The EnergyPro canputer program has been used to perform the calcula6onss immarized in this .campliance reportThis program has;approval and is
authorized by the �alifomia Energy:Commission for r use with both tfie Res�deritiat and Nonresidential 2005'Building.Energy EffiGency.Standards. .
This program de4elopedby Energy$oft LLC- "" :energysoft com.
EnergyPro 4.4 by EnergySoft 'J66 Number. AbWi3 709
User Number. 5553
�;
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A
�; .
t
Certificate Of Compliance: Residential (Part 1 of 3) CF -1 R
SUSAN BUTLER
315 ft2
9/17/2009
Project Title
Raised Floor Area:
Date
18235VILLETADRIVE I A nl1_INTA
315 ft2
Average Ceiling Height:
Project Address
Number of Dwelling Units:
Building Permit #
-Adr-i.ana-Gil
1
(760) 404-7917
Documentation Author
Telephone Plan Check/Date
_.E11egy2pO_
Compliance Method
A Ilmat Orle 15 Field Check/Date
Climate Zone
TDV Standard
Proposed.
Compliance
- kBtu/sf- rr Design
Design
Margin
Space Heating 2.20
3.20
-1.00
Space Cooling 71.27
67.33
3.94
Fans 10.13
9.66
0.47
Domestic Hot Water 0.00
0.00
0.00
Pumps 0.00
0.00
0.00
Totals 83.61
80.20
3.41
Percent better than Standard:
.4.1%
Building Type: Single Family
❑ Multi Family
Building Front Orientation:
Fuel Type:
Fenestration:
Area: 80 ft 2
Ratio: 25.4%
BUILDING ZONE INFORMATION
Zone Name
Addition
❑ Existing + Add/Alt
(N) 0 deg
Natural Gas
Avg. U: 0.65
Avg. SHGC: 0.40
Floor Area Volume
OPAQUE SURFACES Insulation Act.
Type Frame Area U -Fac. Cay. Cont. Azm. Tilt
-Roof- Wond 315 _0.021i _B_38_ R_0 0 270 1
Wall_ Wood_ 5.6_ n.1 o2 R_13 R-0.0 _18.0_-g0
Wall, Wood_ 62 0.10202 R-13 R-0.0 270 _9,0,
Wall_ Wood_ JL4_ 0.102 R-12 R-0 0 Q0 gn
Total Conditioned Floor Area:
315 ft2
Existing Floor Area:
n/a ft2
Raised Floor Area:
0 ft2
Slab on Grade Area:
315 ft2
Average Ceiling Height:
8.0. ft
Number of Dwelling Units:
0.17
Number of Stories:
1
# of Thermostat Vent
Units - Zone Type Type Hgt. . Area
Gains Condition.
7Y/ NN Status JA IV Reference Location / Comments
Y
til LJ New 01 -AIR WHnl F
® ❑New 09-A3 WHOLE
A ®Flew _G -A3 WHOLE
Pq New 09-A3 WHOLF
LJ ❑
❑ ❑
❑❑
{- Run Initiation Time: 09/17/09 08:12:57 Run Code: 1253200377
j EnergyPro 4.4 by EnergySoft User Number: 5553 Job Number: ADY736-0709 Page: 3 of 9
Certificate Of Compliance: Residential (Part -2 of 3) CF -IR
SUSAN BUTLER 9/17/2009
Project Title Date. .
FENESTRATION SURFACES
True Cond. Location/
# Type Area U -Factor' SHGCZ Aim. Tilt Stat. Glazing Type Comments
-1— -Windcw Bear (S) 40"Q n.wi NFRG -o-A0 NFQC 180 90 New DEFAULT DBL PANE WHOLE
2 Window Right (W) 40.0 0.650 NFRG 0_40 NFRC 270 90 New DEFAULT DBL PANE WHOLE
1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 1168.
INTERIOR AND EXTERIOR SHADING. Window Overhang Left. Fin Right Fin
# Exterior Shade Type SHGC Hgt. Wd. ten. Hgt LEA RExt Dist Len Ngt ' Dist Len Hgt
1 Bug Screen 0.76 6.7 6.0 2.0 0.1 2.0 2.0 _
2 Bug Screen 0.76 6.7 6.0 - 2.0 0.1 2.0 2.0
THERMAL MASS FOR HIGH MASS DESIGN
Area Thick. Heat Inside Condition -Location/,
Type (sf) (in.) Cap. Cond. R -Val. JA IV Reference Status Comments
PERIMETER LOSSES Insulation Condition Location/
Type Length R -Val. Location JA IV Reference Status Comments
Slab Perimeter 33 None No Insulation 26-A1 New WHOLE
Run Initiation Time: 09/17/09 08:12.57 Run Code: 1253200377
EnergyPro 4.4 by EnergySoft User Number: 5553 Job Number: ADY736-0709 Page•4 of 9
Certificate Of Compliance:. Residential
(Part.3 & 3) CFA R
SUSAN BUTLER
Project Title
9/17/2009 '
Date
HVAC SYSTEMS
Heating Minimum
Location Type Eff
Cooling
Type
Minimum Condition Thermostat
Eff Status Type
HVAC DISTRIBUTION
Location Heating Cooling
Duct
Location
Duct Condition Ducts
R -Value Status Tested?
Hydronic Piping Pipe Pipe Insul.
System Name Length Diameter Thick:
WATER HEATING SYSTEMS
Water Heater
System. Name Type Distribution
Rated
# ih Input
Syst (Btu/hr)
Tank Energy Tank Insul.
Cap. Condition Factor _Standby R -Value
(gal) Status or RE Loss (%) Ext
Multi -Family Central Water Heating Details
r
Hot Water Pump
Control # HP Type
Hot Water Piping Length (ft) Add 1/2"
In Plenum 'Outside Buried -Insulation
REMARKS
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and 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 recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality,
and building envelope sealing require installer testing and certification and field verification by an approved HERS rater.
Designer or Owner (per Business & Professions Code) 'Documentation Author
Name: Name: ADRIANA GIL
Title/Firm: SUSAN BUTLER Title/Firm: Adriana Gil
Address: 78735 VILLETA DRIVE Address: 74-854 Velie Way Ste. 98
LA QUINTA, CA 92253 Palm De rt, CA 92260
Enforcement Agency
Name:
Title/Firm:
Address:
Telephone:
(signature) (date).
Run Initiation Time: 09117/09 08.12.57 Run Code: 1253200377
EnergyPro 4.4 by EnergySoft User Number: 5553 Job Number. ADY736-6709 Page
Mandatory Measures Summary: Residential (Page 1 of 2) MFA R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance
requirements from the Certificate of Compliance supersede the items marked with'an asterisk (') below.. 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 Check or initial applicable boxes or check NA if not applicable and included with the , .
permit application documentation. NIA DESIG
Building Envelope Measures
§ 150(a): Minimum R-19 in wood ceiling insulation or equivalent LI -factor in metal frame ceiling. ❑ ❑X
§ 150(b): Loose fill insulation manufacturer's labeled R -Value: ❑ ❑
•§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not ❑' ❑X
apply to exterior mass walls).
§ 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor.
§ 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. ,
t. Masonry and factory -built fireplaces have:
a. closable metal or glass door covering the entire opening of the firebox
b. outside air intake with damper and control, flue damper and control
2. No continuous burning gas pilot lights allowed.
§ 150(0: Air retarding wrap installed to comply with §151 meets requirements specified in the ACM Residential Manual.
§ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only:
§ 150(1): Slab edge insulation - water absorption rate for the insulation alone.without facings no greater than 0.3%, water vapor
permeance rate no greater than 2.0 pennfinch.
§ 118: Insulation specified or installed meets insulation installation quality.standards..Indicate type and include
CF -6R Form:
§ 116-17: Fenestration Products, Exterior Doors, and Irdiltration/Exfiltration Controls.
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain
Coefficient (SHGC), and infiltration certification.
3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
Space Conditioning, Water Heating and Plumbing System Measures
o: ❑
§ 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. '
❑ '
§ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE; SMACNA or ACCA.
❑
§ 150(i): Setback thermostat on all applicable heating and/or cooling systems.
❑ .,
§ 1500): Water system pipe and tank insulation and cooling systems line insulation.
❑
1. Storage gas water heaters rated with an Energy Factor less than 0.58'must be externally wrapped with insulation -
❑,
having an installed thermal resistance of R-12 or greater.
2. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external
❑' !
insulation or R-16 internal insulation and indicated on the exterior of the tank showing.the R -value, .
El
3. The following piping is insulated according to.Table 150, -AIB or Equation 150-A Insulation Thickness:
1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire
❑
length of recirculating sections of hot water pipes shall be insulated to Table 1508. '
2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and
❑ ,
indirect hot water tank shall be insulated to Table 150-8 and Equation 150-A.
4. Steam hydronic heating systems or hot water systems >,1 5 psi, meet requirements of Table 123-A.
i
❑
5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance,
❑
and wind.
6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed
❑ ;
entirely in conditioned space.
7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation.
❑
EnergyPro 4.4 by EnergySoft User Number: 5553 Job Number: ADY736-0709
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Page: 6 of 9
Mandatory Measures-Summary: Aesidential (Page 2 of 2) MF-1 R ^
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance'
requirements from the Certificate of Compliance supercede the items marked with an asterisk(') below. 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
a " t they are shown elsewhere in the documents or on this checklist only. _
Residential Kitchen Lighting Worksheet WS -5R
SUSAN BUTLER 9/17/2009
Project Title Date
At least 5014 of the total ratedwattage of permanently installed luminaires in kitchens must be in luminaires that are high efficacy luminaires
as defined in Table 150-C. Luminaires that are"not high efficacy must be switched separately.
Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens. '
" High Efficacy .
Luminaire Type High Efficacy? Watts Quantity Watts Other Watts
Yes No x = or .
Yes No x = or
Yes No x or
Yes No x = or
Yes No x = or
Yes No x _ or
Yes No x _ or
Yes No x = or
Yes No x
Yes No z = or
Yes No x = or
—._ Yes No x = or
Yes 'No x or
Yes No x = or
Yes No x = or
Yes ENo x = or
Yes x _ or
Yes No, _
HVAC SYSTEM HEATING. AND COOLING, LOADS SUMMARY.
PROJECT NAME
SUSAN BUTLER
DATE
9/17/2009
SYSTEM NAME
ExistingWindow System
FLOOR AREAEA
315
ENGINEERING CHECKS
ISYSTEM LOAD
Number of Systems
Heating System
COIL
"CFM '
Room Loads 339
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation 0
Supply Fan,
Supply. Air Ducts -
TOTAL SYSTEM LOAD'
COOLING PEAK
COIL
HTG.'PEAK
Sensible
' Latentf
CFM
Sensible
Output per SystemTotal
7,586
1,040
140
5,953
Total Output (Btuh)
0
Output (Btuh/sgft)
0
0
Cooling System
0
p
Output per system
0
0
0
0
Total output (Btuh)
0
0
7,586 1;040
0
Total Output (Tons)
Total output (Btuh/sgft)
..0
5,953
Total Output (sgft/Ton)
Air System
CFM per System
HVAC EQUIPMENT SELECTION
Total Adjusted System Output
(Adjusted for Peak Design Coridftions)
TIME OF SYSTEM PEAK, Aug 2 pm
" Jan t2:am
Airflow (cfm)
Airflow (cfm/sgft)
Airflow (cfmrron)
Outside Air (%)
Outside Air (cfm/sgft)
Note: values above given at ARI conditions
EATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating Peak
26.0 OF 70.0 OF 110.00E
Supply Air Ducts
Outside Air .
0 cfm
Heating Coil 110.0 OF
.ROOMS
70.0 of 70.0 OF
Return Air Ducts
OOLING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Cooling Peak
111.0 177.6 OF
Outside Air -
0 cfm
76.0/61.7°F
76.0 /.61.7 OF 55.0 / 53.8 OF
Supply AirDucts
-
Cooling Coil 55.0 / 53.8 OF
44.4% R.H. ROOMS::
76.0/61..7OF
Return Air Ducts
EnergyPro 4.4 by EnergySoft User Number: 5553 Job Number ADY736-0709
Page•9 of 9