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BRER2016-007478-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 T-,itlt 4 4� Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: . BRER2016-0074 Property Address: 78998 HIGHWAY 111 APN: 643080006 Application Description: SHELL GAS STATION / REROOF Property Zoning:. Application Valuation: $5,000.00 Applicant: SO COAST & VALLEY ROOFING INC 14258 E VALLEY BLVD STE C LA PUENTE, CA 91746 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 Professions Code, and my License is in full force and effect. License Class: C39 License No.: 830059 /� /�t.� /� Dater tractor. i`T-co V 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).: (_) 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's Address: C. VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/18/2016 3VIN//A69'SJNSTRIIBUTORSIC QQS-ALBRAE ST02ND'+ F v, . CUFREMONT/,SA 92253 Lr11ryrJA Dp,E(CP QUIN�q '�riVTCEhyRrrtf- rr'� r Contractor: SO COAST & VALLEY ROOFING INC 14258 E VALLEY BLVD STE C LA PUENTE, CA 91746 (626)333-8500 Llc. No.: 830059 I 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 polity number are: Carrier: _ Policy Number: _ _ 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 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 comply with those provisions. Date: Vzaz 14 Applicant:-rK&!Z 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 Building Official 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 city to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SO COAST & VALLEY ROOFING INC CREDIT CARD MR324 BRER2016-0074 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE Credit Card Fee 101-0000-43505 0 $4.04 $4.04 7/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SO COAST & VALLEY ROOFING INC CREDIT CARD MR324 BRER2016-0074 MFA Total Paid for Credit Card Fee: $4.04 $4.04 DESCRIPTION , ACCOUNT QTY AMOUNT PAID PAID DATE RE -ROOF - EA ADDITIONAL. 1,000 SF 101-0000-42404 0 $34.80 $34.80 7/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SO COAST & VALLEY ROOFING INC CREDIT CARD MR324 BRER2016-0074 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID. PAID DATE RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $49.31 7/18/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SO COAST & VALLEY ROOFING INC CREDIT CARD MR324 BRER2016-0074 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE; RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $98.62 $98.62 7/18/16 .PAID BY METHOD RECEIPT # CHECK # CLTD BY SO COAST & VALLEY ROOFING INC CREDIT CARD MR324 BRER2016-0074 MFA Total Paid for RE -ROOF: $182.73 $182.73 TOTALS: $187.77 $187.77 Description: SHELL GAS STATION / REROOF CONDITIONS Type: RE -ROOF Subtype: Status: ISSUED Applied: 7/18/2016 MFA Approved: 7/18/2016 MFA Parcel No: 643080006 Site Address: 78998 HIGHWAY 111 LA QUINTA,CA 92253 Subdivision: PM 25865 Block: Lot: 8 Issued: 7/18/2016 MFA Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,000.00 Occupancy Type: Construction Type: Expired: 1/14/2017 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 LA PUENTE Details: REROOF OVER EXISTING WITH CLASS A TITLE 24 ROOF SYSTEM CARLISLE SINGLE PLY. PER 2013 CALIFORNIA BUILDING CODE CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SO COAST & VALLEY ROOFING INC 14258 E VALLEY BLVD LA PUENTE CA 91746 STE C CONTRACTOR SO COAST & VALLEY ROOFING INC 14258 E VALLEY BLVD LA PUENTE CA 91746 STE C OWNER VINTNERS DISTRIBUTORS INC 41805 ALBRAE ST 2ND FREMONT CA 92253 FL FINANCIAL INFORMATION Printed: Monday, July 18,201611:28:05 AM 1 of 2 J SYS7Eti1S Printed: Monday, JUly 18, 2016 11:28:05 AM 2 of 2 SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BRER2016- CREDIT SO COAST & VALLEY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/18/16 MR324 MFA 0074 CARD ROOFING INC Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: Credit Card Fee 101-0000-43SOS 0 $4.04 $4.04 7/18/16 MR324 BRER2016- CREDIT SO COAST & VALLEY MFA 0074 CARD ROOFING INC Total Paid for Credit Card Fee: $4.04 $4.04 RE -ROOF - EA 101-0000-42404 0 $34.80 $34.80 7/18/16 MR324 BRER2016- CREDIT SO COAST & VALLEY MFA ADDITIONAL 1,000 SF 0074 CARD ROOFING INC RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $49.31 7/18/16 MR324 BRER2016- CREDIT SO COAST & VALLEY MFA SF 0074 CARD ROOFING INC RE -ROOF - FIRST 2,000. 101-0000-42600 0 $98.62 $98.62 7/18/16 MR324 BRER2016- CREDIT SO COAST & VALLEY MFA SF PC I I I I I 1 1 0074 CARD ROOFING INC Total Paid for RE -ROOF: $182.73 $182.73 TOTALS: $187.77 $187.77 Printed: Monday, JUly 18, 2016 11:28:05 AM 2 of 2 SYSTEMS Bin # Permit # Project Address: 8 g. Qty of La Quinta Building 8F Safety Division 78-495 Calle Tampico La Quinta, CA 92253 _ (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name: S A. P. Number:�% tv ' �- Address: Legal Description: City, ST, Zip: Contractor: Ga T e h ne: P 0 Address: 0./ 6jectDescripti}ons: n Q City, .qT. Z., V �r r/V, � /0 (D f/ V � �Q i`11% 6 O' Telephone: State Lic. # :S 3 00� City Lie. #. C T. / .. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: hone:Construction TYP e• O ccu ancY: . S tate L ic. #. Project Pe (circle one):' New Add'n Alter Repair Demo Name of Contact Person:lO� Cl O &C// Sq. Ft.: J I cod # Stories: #Units: Telephone # of Contact Person: (p (o fi 0 estimated Value of Project: �— APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit. Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"! Review, ready for corrcctions/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. \Vks. Appr Date of permit issue School Fees, Total Permit Fees STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH :EC-NRCC-ENV-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach Page 1 of 8 Project Name: Date Prepared: A. GENERAL INFORMATION 1 Project Location:8 Qg 6 Compliance•Method: Component 7 8 9 10 ❑Unconditioned (file Affidavit) 2 CA City and Zip Code: Interior or 7 Building Front Orientation (deg or cardinal): Tag/ID Assembly Type Assembly Materials ❑ New Construction 3 Climate Zone: Appendix JA4 8 Phase of Construction ❑ Addition (inches) Insulation Ajteration Reference U -Factor from Tables B, C, D Comments Nonresidential 4 Total Conditioned =Are,. R -Value 9 Building Type(s) ❑ High -Rise Residential _ ❑ Hotel/Motel Guest Room C]Schools (Public School) [:]Relocatable Public School Bldg. ❑ Conditioned Spaces ❑ Unconditioned Spaces 5 ❑ Skylight Area for Large Enclosed Space > 5000 ftZ (If checked include the NRCC-ENV-04-E with submittal) B. ENVELOPE DETAILS - FRAMED 1 2 3 4 5 6 7 8 9 10 11 Frame Frame Frame Appendix JA4 Cavity Continuous Proposed Required UI -Factor from Field Inspection Tag/ID Assembly Type Insulation Material Depth Spacing Reference R -Value U -Factor Tables B, C, D Comments R -Value .Add Row '.' t.•Remove Last' C. ENVELOPE DETAILS - NON -FRAMED 1 . 2 3 4 5 6 7 8 9 10 Interior or Continuous Tag/ID Assembly Type Assembly Materials Thickness Core Insulation Appendix JA4 - Proposed Required U -Factor Field Inspection (inches) Insulation R -Value . Reference U -Factor from Tables B, C, D Comments R -Value I Add'Rowa_71 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH . CEC-NRCC-ENV-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach Page 2 of 8 Project Name: Date Prepared: D. ENVELOPE DETAILS - MASS 1 2 3 4 5 6 7 8 9 10 11 Mass Density Mass Furring Strip Interior Exterior Appendix JA4 Proposed .Required U -Factor Thermal Tag/ID Type (Ib/ft3) Thickness Thickness Insulation Insulation Reference Insulation from Tables B, C, D Field Inspection Notes or greater (inches) (inches) R -Value R -Value U -Factor ' A E. ROOFING PRODUCTS (COOL ROOF) 1 2 3 4 5 6 7 8 9 10 11 Proposed Minimum Required Mass Roof 25 Ib-ft2 Roof Pitch CRRC Product Product Type Aged Solar Thermal SRI2 Aged Solar Thermal SRI Comments ' ID Number Reflectancel Emittance (Optional) Reflectance Emittance (Optional) or greater Add Row �`Remove Last - An aged solar reflectance less than 0.63 is allowed provided the maximum roof/ceiling LI -factor in TABLE 140.3 is not exceeded - High-rise residential buildings and Hotels and Motels with low -sloped roofs in Climate Zones 1 through 8, 12, and 16 are exempted from aged Solar Reflectance and emittance requirements - High-rise residential and Hotels and Motels with steep -sloped roofs in Climate Zones 1 and 16 are exempt from aged Solar Reflectance and emittance requirements - The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from aged Solar Reflectance and emittance requirements - To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §110.8(i)4. Select the applicable coating: ° Aluminum -Pigmented Asphalt Roof Coating ° Cement -Based Roof Coating ° Other. NOTES: T: Check the box if the aged Solar Reflectance was not available in the Cool Roof Council's Rated Products Directory, "then use the equation in Section 110.8(i)2: paged = 0.2 + a(Pinitial - 0.2) where 6 is either 0.65 for Field applied coatings or 0.70 for all other roofing products and initial reflectance is the value found in the CRRC directory 2. Calculate the SRI Volue•by using the SRI -Worksheet and enter the resulting value in the SRI column above and attach a copy for the SRI -Worksheet NRCC ENV -03-E to the end of this form CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH CEC-NRCC-ENV-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach Page 3 of 8 Project Name: Date Prepared: ' F. AIR BARRIER 1 2 3 4 5 Name Air Barrier Material Type Air Barrier Assembly Type Whole Building Air Leakage Testing Comments Add Row f Remove Last G. FENESTRATION PROPOSED AREAS AND EFFICIENCIES 1 2 3 4 5 6 7 8 9 10 11 12 Tag/ID Fenestration Type Surface Area Orientation # of panes Max U -Factor Overhang Max SHGC Min VT Label Conditions Status Comments [77A6d Row '' ` Remove=Last H. ENVELOPE MANDATORY MEASURES Indicate location on building plans of Mandatory Envelope Measures Note Block: INSTRUCTIONS TO APPLICANT ENVELOPE COMPLIANCE & WORKSHEETS (check box if worksheet are included) _ For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Compliance Manual: ❑ NRCC-ENV-01-E Certificate of Compliance. Required on plans for all submittals. ❑ NRCC-ENV-04-E Use when minimum skylight requirements for large enclosed spaces are required in climate zones 2 through 15. Optional on plans. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA s ENVELOPE COMPONENT APPROACH CEC-NRCC-ENV-OI-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach Page 4 of 8• Project Name: Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Do umentation Author Name, e Documentation Author Signature: Company: Signature Date: Addre s: 7 CEA/ HER Certification Ide tification (if pplica le): CitiyF/State/ ip: ,^ Z Phone: RESPONSIBLE.PERS N'S DECLARATION STATEMENT - I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. . 5: I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the - building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Company: Date Signed: Address: License: City/State/Zip: Phone: CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance . August 2015 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-ENV-01-E Envelope Component Approach Page 5 of 8 Prescriptive NRCC-ENV-01-E Instructions Minimum requirements for prescriptive compliance can be found in Building Energy Efficiency Standards Section 140.3(a), and Tables 140.3-B, C and D. Completing these forms will require that you have the Reference Appendices for the 2013 Building Energy Efficiency Standards, which contains the Joint Appendices used to determine climate zone and to complete the table for opaque surfaces. When the term ENV -1E is used it means the NRCC-ENV-01-E. Worksheets are identified by their entire name and subsequently by only the worksheet number, such as ENV -01-E. Instructions for tables with column numbers and row letters are given separately. A. AGENERAL iNl ORMArIGN Project Name: Identifying information, such as owner's name. Date: Date of document preparation. Project Location: Enter legal street address of p°roperty or other applicable location identifying information. CA City: Legal city/town of property and Zip Code: 5 -digit zip code for the project location (used to determine climate zone). Climate zone: From Joint Appendix JA2.1.1. Total Conditioned Floor Area: Indicate the total conditioned floor area. Building Type: Indicate Nonresidential, High -Rise Residential or Hotel/motel Guest Room. Compliance Method: Component, unconditioned (file Affidavit). Building Front Orientation: Building front expressed in degrees, where North = 0, East = 90, South = 180, and West = 270. Indicate cardinal if it is a subdivision or multi -family project that will be built in multiple orientations. The standards (section 100.1) include the following additional details for determining orientation: • Cardinal covers'all orientations (for buildings that will be built in multiple orientations); • North is oriented to within 45 degrees of true north, including 45 degrees east of north; • East is oriented to within 45 degrees of true east, including 45 degrees south of east; • South is oriented to within 45 degrees of true south, including 45 degrees .west of south; • West is oriented to within 45 degrees of true west, including 45 degrees south of west. Phase of Constructions Newly constructed building, new Addition to an existing building or Alteration to an existing building. Building Type: Indicate if the building is a Non reside ntial,:High-Rise residential or Hotel/Motel Guest Room CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 CERTIFICATE OF COMPLIANCE — USER INSTRUCTIONS NRCC-ENV-01-E Envelope Component Approach Page 6 of 8 B. ENVELOPE DETAILS - FRAMED . 1. Tag/ID: A label (if any) from the plans, such as A1.4 or wall. 2. Assembly Type: Roof, Ceiling, Wall, Floor over crawlspace or floor over exterior. 3.'. Frame Material: Wood or Metal. 4. Frame Depth: Nominal dimensions (in inches) of framing material such as 2x4 or 2x6. 5. Frame Spacing: 16 or 24 (inches on center). 6. Appendix JA4iReference: enter the JA4 Table and cell (column/row) (e.g., 4.3.13 D6) used to determine the assembly U -factor. If an assembly is not available on JA4, attach a Worksheet for EZ Frame. If multiple assemblies are needed to achieve a weighted average U -factor, attach a NRCC-ENV-06-E.(Area Weighted Average Calculation Worksheet) form. 7.- .0-avity R-valtke.::Cavit,/'R-,value:. insulation installed between freer iA&vnsinbe.rsr.41.OT.f*�16a)I U -factor required for all -climate zones is 0.065. This.U-factors can be met by wood framed 2x4 walls with R-13 cavity + R5 continuous insulation, R-15 cavity plus R-4 continuous insulation, or any combination of cavity and/or continuous insulation that results in a U -factor equal to or less than 0.065. 8. Continuous Insulation: R -value of rigid or continuous insulation (not interrupted by framing). 9. U -factor: The U -factor for°the proposed assembly. Must be less than or equal to column 10 or have an attached NRCC-ENV-06-E to show -that a weighted U -factor for multiple assemblies will meet the maximum value in column 10. 10. Required U -factor: from Tables 140.3 B; C or D: Value required based on climate zone and assembly type. 11. Field Inspection: A field inspector verifies if the requirement has been met. C. ENVELOPE DETAILS — NON -FRAMED 1. Tag/ID: A label (if any) from the plans, for example, A1.4 or wall. 2. Assembly Type: Roof, Wall. 3. Assembly materials: SIP OSB, SIP I -Joist, see JA4 for guidance. 4. Thickness: Thickness in inches. 5. Interior or Core Insulation R -value: Insulation installed within the materials or on the inside. See Joint . Appendix JA4 for guidance. 6.. Continuous Insulation R -value: Insulation installed on the exterior. See Joint Appendix JA4 for guidance. 7. Appendix JA4 Reference: enter the JA4 Table and cell (column/row) (e.g., 4.3.2 A13) used to determine the assembly U -factor. If an assembly is not available on JA4, attach a Worksheet for EZ Frame. If multiple assemblies are needed to achieve a weighted average U -factor, attach a NRCC-ENV-06-E (Area Weighted Average Calculation Worksheet) form. 8. U -factor: The U -factor for the proposed assembly. Must be less than or equal to column 9 or have an attached NRCC-ENV-06-E to show that a weighted U -factor for multiple assemblies will meet the maximum value in column 9: 9. Required Assembly U -factor fromTables140.3 B, C or D: Based on assembly type and climate zone. 10. Field Inspection: A field inspector verifies if the requirement has been met. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 CERTIFICATE OF COMPLIANCE— USER INSTRUCTIONS NRCC-ENV-01-E Envelope Component Approach Page 7 of 8 D. ENVELOPE DETAILS— MASS. 1. Tag/ID: A label (if any) from the plans, for example, A1.4. or wall. 2. Mass Type: ICF, Masonry. See JA4 for guidance. 3. Density: indicate the Density of the product being used in Ib/ft3 4. Mass Thickness: Thickness (in inches) of mass. 5. Furring Strips Thickness: If furring strips are required to meet the required wall U -factor shown in columns 10, indicate the thickness of the furring strip (in inches). See Table 4.3.14 of Joint Appendix 4. 6. Interior Insulation R -value: Enter the R -value of proposed insulation on the inside surface of the mass wall. See column 10 for the required insulation value for the wall type selected. See JA4 for guidance. Use the same descriptor. (R -value or U -factor). .- 7;Exterior Insulation,R-vaIue:.Di`Lcrthe R-.vaIue of proposed insulation 6n. the outside siWage�ofrhe:mass wall. See column 10 for the required insulation value for the wall type selected. See JA4 for guidance. 8. Appendix JA4 Table: Table number used to determine the U -factor (e.g., an ICF wall is 4.3.13). 9. U -factor: The U=factor for the proposed assembly. Must be less than or equal to column 9 or have an attached NRCC-ENV-06-E-to show that a weighted U -factor for multiple assemblies will meet the maximum value in column 9. 10. Required U -factor: from Tables 140.3 B, C or D: Value required based on climate zone and assembly type. 11. Field Inspection: A field inspector verifies if the requirement has been met. E. ROOFING PRODUCTS - COOL ROOF Roofing requirements are found in Sections 110.8(i) and 140.3(1). Depending on the climate zone and roof slope, a cool roof (defined as a minimum aged solar reflectance and thermal emittance, or a minimum SRI) may be required by Tables 140.3 B, C or D. 1. Mass roof 25 Ib/ft2 or greater: Mass roofs are not required to have a cool roof even if the climate zone specifies minimum performance requirements. 2. Roof Pitch: Expressed as 4:12, for example, which means the roof rises 4 foot within a span of 12 feet. When roofs have multiple pitches the requirements are based on the pitch of 50% or more of the roof. 3. The CRRC Product ID Number is obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolrobfs.org/products/search.php. Products are listed by manufacturer, brand, and type of installation, roofing material, and color, as well as product, performance. 4. Product type: See Cool Roof Rating Council's directory. Generally product types include single -ply roof, wood shingles, asphalt roof, metal roof, and tile roof. 5. Proposed Aged Solar Reflectance: Value is from the Cool Roof Rating Council's Rated Product Directory. If the aged value is not available, calculate the SRI using the initial solar reflectance on NRCC-ENV-03-E (Cool Roof and SRI Worksheet). 6. Proposed Thermal Emittance: From the product specifications. Skip this value if using a calculated SRI. 7. Proposed SRI: It is optional to meet either the SRI or the solar reflectance/thermal emittance. To calculate the SRI value_ use calculation from http://www.energy.ca.gov/title24/. Enter the resulting value in the SRI Column above and attach a copy of the WS -04. 8. Minimum Required Aged Solar Reflectance: Based on climate zone and roof slope. 9. Minimum Required Thermal Emittance: Based on climate zone and roof slope. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 CERTIFICATE OF COMPLIANCE - USER INSTRUCTIONS NRCC-ENV-01-E Envelope Component Approach Page 8 of 8 10. Minimum SRI: Based on climate zone and roof slope. 11. Comments: Any notes regarding location, unique conditions, or attachments, such as an SRI worksheet. If the cool roofing requirements will be met by a liquid field applied coating, Section 110.8(i)4 requires the coating be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the manufacturer. . F. AIR BARRIER 1. Indicate the identifying name of the opaque surface (i.e., West Wall #1, Roof #1 or Floor #1) 2. Identify the material type being used as.the air barrier. Include product data/specification sheet showing conformance to leakage testing to meet an air permeance not exceeding 0.004 cfm/ft2, under a pressure differential, of O:3 in-.-w.g. (1.57•psf)-.(0.02 L/m2 at 75 pa), when tested iri a-ecordancewith ASTM -.,E217817-.'1-- 3. Identify the assembly type being used as the air barrier. Include product data/specification sheet showing conformance to leakage testing to meet an air permeance not exceeding 0.04 cfm/ft2, under a pressure differential of 0.3 in. w.g. (1.57 psf) (0.2 L/m2 at 75 pa), when tested in accordance with ASTM E2357, ASTM E1677, ASTM E1680, or ASTM E283. 4. Indicate whether air leakage testing of the entire building has been conducted and the results of the test. The entire building shall have an air leakage rate not exceeding 0.40 cfm/ft2 at a pressure differential of 0.3 in w.g. (1.57 psf) (2.0 L/ m2 at 75 pa), when the entire building is tested, after completion of construction,, in accordance with ASTM E779 or another test method approved by the Commission. 5. Provide any comments necessary to explain the details of measures used for compliance. G. FENESTRATION/GLAZING AREAS ALLOWED 1. Tag/ID - Provide a name or designator for each unique type of fenestration surface. This designator should be used consistently throughout the plan set (elevations, finish schedules, etc.) such as, Window -1, Skylight -1 and etc ... to identify each surface. It should also be consistently used on the other forms in the compliance documentation. ?. Fenestration Type: Indicate the type of fenestration construction such as: Fixed Window, Operable Window, Curtainwall or Storefront, Glazed Doors. For Skylights use: Glass Curb Mounted, Glass Deck Mounted or Plastic curb Mounted. 3. Surface area indicates the in square feet (sf.) of each fenestration type. 4. Orientation Indicates the orientation of each fenestration type (N, S, W, E or Roof for skylights). 5. Number of panes indicates for each fenestration type. 6. Maximum U -factor indicate each fenestration type: Values listed in Column 6 are determined from NRCC-ENV-02-E worksheet column 4 and must be equal or better than value or listed in Table 140.3-B or C or D. 7. Overhangs: Indicate whether overhangs are part of the fenestration control scheme. Calculations for overhangs must be completed if Column 7 indicates, Yes. Use Env -2C Window Details to calculate the Relative Solar Heat Gain effect of the overhang. 8. Max (R) SHGC indicates the shading provided for each fenestration type based on the fenestration's [relative] solar heat gain coefficient ((R) SHGC). Values listed in Column 8 are determined from NRCC-ENV-02-E worksheet column 6 and must be equal or better than the values listed in Table 140.3-B or C or D. Use Env -2C Window Details to calculate the Relative Solar Heat Gain effect of the overhang. 9. Indicate the visible transmittance (VT) of the fenestration type. Values listed in Column 9 are determined from NRCC-ENV-02-E worksheet column 8 and must be equal or better than the values listed in Table 140.3-B or C or D. 10. Label Indicates where the label was derived for each fenestration type. Indicate if the efficiency values from NFRC Label Certificate or from the CEC Default Values. Enter NFRC or NRCC-ENV-OS-E (formally FC -1). 11. Condition status indicates the condition or status of each fenestration type (i.e., New, Existing or Upgrade). 12. Provide any comments that help provide details of fenestration performance elements.used for compliance. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015