BRES2016-02291, w. IT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BRES2016-0229
Property Address:
52541 MERIWETHER WY
APN:
767690026
Application Description:
JERRY RISE / ADDITION
Property Zoning:
Application Valuation:
$111,263.30
c&ht 4 4a Q91KZ
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Applicant:
VASSOS DEMETRIOU
43100 COOK ST SUITE 203
PALM DESERT, CA 92211 MAY 0 2 2017
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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: 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
Vub:s the applicant to a civil penalty of not more than five hundred dollars ($500).:
as owner of the property, or my employees with wages as their sole
nsation, 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
r she did not build or improve for the purpose of sale.).
Mss owner of the property, am exclusively contracting with licensed contractors to
r t 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
ontractors' State License Law.).
exempt under Sec. B.&P.C. for this reason
r Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JERRY RISE
P 0 BOX 2896
KIRKLAND, WA 92253
Contractor:
OWNER BUILDER
Llc. No.:
Date: 5/2/2017
,4A&Ut to /1040
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:
C r Policy Number: _
I certify that in the performance of the work for which this permit is issued, l
sha 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.
9P�
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the 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 th' ity to enter up the above-
mentioned property for inspection purposes.
6-2,1
Date: Signature (Applicant or Agent):
f A
'
Date: 5/2/2017
Application Number: BRES2016-0229
Owner:
Property Address: 52541 MERIWETHER WY
JERRY RISE
APN: 767690026
P 0 BOX 2896
.Application Description: JERRY RISE/ ADDITION
KIRKLAND, WA 92253
Property Zoning:
Application Valuation: $111,263.30
Applicant:
Contractor:
VASSOS DEMETRIOU
OWNER BUILDER
43100 COOK ST SUITE 203
PALM DESERT, CA 92211
--------------------------------------------------------------------------------------------
Llc. No.:
Detail: 1189 SQ. FT. ADDITION WITH ATTACHED 636 SQ. FT. GARAGE PER 2013 CRC CODES '
r
F,
1
.t.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY
AMOUNT
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0
$187.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
ADDITION, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$52.20
DESCRIPTION
ACCOUNT
QTY
AMOUNT
ADDITION, FIRST 100 SF
101-0000-42400
0
$120.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
ADDITION, FIRST 100 SF PC
101-0000-42600
0
$171.14
Total Paid for ADDITION: $531.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF
101-0000-42600
0.5
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF
101-0000-42600
0.25
$10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF
101-0000-42600
0.25
$10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600
4
$380.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600
1.25
$118.75
Total Paid for BLDG CITY STAFF - PER HOUR: $594.75
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$5.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$12.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$5.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.86
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $210.30
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
'$72.52
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$48.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE
101-0000-42402
0
$72.52
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE PC
101-0000-42600
0
$48.34
78-495 CALLE TAMPI1 I
LA QUINTA, CALIFOR .IA 92 . 3
Application Number: t . Bg� 2016-0229
Property Address: 0 541 MERIWETHER WY
APN: 767690026
Application Description: JERRY RISE /ADDITION
Property Zoning:
Application Valuation: $111,263.30
Applicant:
VASSOS DEMETRIOU
43100 COOK ST SUITE 203
PALM DESERT, CA 92211
T4t�t 4 64� Qa4tM
DESIGN & DEVELOPMENT DEPARTMENT,
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000} of Division 3 of the Business and Professions 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. 70315, 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 70315 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:).
(_J I am exempt under Sec. P.C. for this r n
01
. Date: n ,
CONSTRU N 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:
COPY
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: .10/10/2016
Owner:
JERRY RISE
P O BOX 2896 -
KIRKLAND, WA 92253
Contractor: /�------�__
OWNER BULC0,11ELIC
____,'
Q16
Llc. No.:Lr�OuN.TA
'MEWDEP;tRTf,IEf,T
WORKER'S COMPENSATION DECLARATION
I hereby affirm under.penalty of perjury one of the following declarations:
1 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, 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:
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the 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 ci to' nter upon
above-mentioned property for inspection purposes.
Date'7of0�1 Signature (Applicant or Agen
t ,
+
4
Date: 10/11/2016
Application Number:
BRES2016-0229
Owner:
Property Address:
52541 MERIWETHER WY
JERRY RISE
APN:
767690026
P 0 BOX 2896
Application Description:
JERRY RISE / ADDITION
-
` KIRKLAND, WA 92253
Property Zoning:
'
Application Valuation:
$111,263.30
r; .
Applicant:
Contractor:
r VASSOS DEMETRIOU
OWNER BUILDER
43100 COOK ST SUITE 203
PALM DESERT, CA 92211
Llc. No.:
Detail: 1189 SQ. F.T. ADDITION WITH ATTACHED 636 SQ. FT. GARAGE PER 2013 CRC CODESJ.
1
1
lirn # City of La: Quinta
• Building a Safety _Division
Permlt.# P.O. Box:1504, 78-495 Cale Tarnplco -
La Qulnpa CA 92253 • (760):777-7012
20 tb' 3..Q Building Permit Application, and Tracking Sheet
Project Address: 52-541 Menwether Way, La Quinta, CA ..'Owner's -Name:::.. Jerry Rise
A: P. Number: 767-690-026 Address: 52-541 Menwether Way
Lot orac , ass own in map o0
Legal Description: maus.recQversdey. City;.ST, Zip: La Quinta, CA 92252
nanqContractor; Owner as contractor: Jerry Rise Telephone: _..
Address: 52-541 Merlwether Way. Project Description::
City; ST, zip: to Quinta, CA 92252 2 -story, 1,186 SF addition to.a.single-family residence, with
Telephoner (206)9 . 48 1508
State Lic. # i .... City Lie #
Arch. Engr. Designer: Brian Gotlieb, B.G. Structural'
Address: 43-100 Cook Street, Suite 203
city., sT, zip: Palm Desert, CA 92211
Telephone: (760) 5683553 .•,q "�
Construction Type: V -B Occupancy: Group R Group U
>•
State Lic # C33047 Project. a circle.one New Add'n Alter Repair.. Demo
Vassos DemetriouF man aavassa
Name of Contact Person.pemetrArcoSq. Ft 1,186 SF # Stories:„ 2 #Units: 1 (existing)
Telephone # of Contact Person::. (425)-827..1700 Estimated Value of Project; $113,521.80
APPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal Req'd:. i2ec'd... TRACMG' PERMIT FEES
Plan Sets Plan Check submitted.. Item Amount:
Structural Calcs. Reviewed; ready. for corrections Plan Check Deposit
Truss Cales . Caned Contact Person Plan Check Balance;. ;
Title 24 Cates. Plans picked.up Construction'
Flood plain lad Plans:iesubmitted Mechanical:
.... ...
Grading plan; tad Review, ready for corrections/issue. Electrical
Subcontactor List :Called Contact Person , Plumbing.
Grant Deed Plans picked up S.M.L.
H.O.A. Approval Plans resubmitted-: Grading
IN HOUSE:- '"' Reytew, ready for corrections/issue Developer Impact Fee
�ld: 9 .gAE S4Y1 1ledontaciPerson:.P...
P n In p
Pub. Wks. Appr Date of permlt issue
Schodl Fees
_....... Total Permit Fees.....
Coachella Valley Unified School District • This Box For District Use only
83-733 Avenue 55, Thermal, CA 92274 DEVELOPER FEES PAID
(760) 398-5909 — Fax (760) 398-1224
AREA: -
AMOUNT
LEVEL ONE AMOUNT:
LEVELTWOAMOUNT:
MITIGATION AMOUNT:
COMM/IND. AMOUNT:
DATE:
RECEIPT: '
CHECK q:INITIALS
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Rise (Madison Club) Date: October 10, 2016
Owner's Name: Rise Phone No.
Project Address: 52-541 Meriwether Way, La Quinta, CA 92253
Project Description: Room Addition
APN: 767-690-026 Tract #: Lot #'s:
Type of Development: Residential Commercial Industrial
XX
Total Square Feet of Building Area: 1,189 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 autho ' sign on beha of the owner/developer.
Dated: 0 AJ �� 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. 1,189
Amount per Sq.Ft. $3.48
Amount Collected $4,137.72
Building Permit Application Completed: Yes/No
By: Elsa F. Esqueda, Director of Facilities and Maintenance
Certificate issued by: Leticia Torres, Facilities Analyst Signatur
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FE SD TATE E OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this D strict provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to, issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted.
M V:c/mydocs/devfees/certificafe of compliance .fomrupdated 3-2007 11/2010
0
THE MADISON CILUB OWNERS' .ASSOCIAPION
August 29, 20.16 r K I D
Mr. Jerry Rise. SEP 2 6 20.16.
52541 Meriwether Way.' • CITY OF LA QUINTA
La Quinta, CA 92253 COFAMUNITY DEVELOPMENT
RE: Lot 34B at 52541 Meriwether Way
Remodel — Room, Addition at Front of dome ,
Dear Mr. Rise: ti
This. correspondence shall serve as notification from The Madison. Club Design Review
Committee ("DRC") that your request to remodel the.home .was approved subject to the
following conditions: ,
1. No landscape changes were received. The 'committee understands that landscape
will be removed to accommodate the addition: If, any landscape changes are
proposed, other than the 'removal of :trees and plant material in the impacted area,
the -changes must be submitted .for:review prior to installation in the field.
2. All color and material selections are to match the existing materials.
3. Per the field meeting with Bruce Maize .and Brook Marshall, the existing property
line wall on the southeast side of the home will be finished (where it faces Lot 35B)
as part of the remodel construction.
Please contact Brook Marshall at. 760-219-8057 or by.email at DRCFacilitator@gmail.com
with any questions or to. schedule your Pre -Construction Meeting once a Building Permit
has been obtained by the City'of La Quinta:, Constriction and/or demolition cannot begin
until a Building Permit is received.
Sincerely,.
MADISON CLUB DESIGN REPTEW COMMITTEE '
By: Ito - L
Title: Dater
Pursuant to CaL Civil Code, any, rejection. by *ARC may be appealed to,the Board of Directors for the Association. Ifyou Irish to.
pursue an appeal• please contact.the Association's. property manager so :thatyou may be put on the wxt meeting agenda..
cc DRC Filr
t • ,µ
Plan Submittal
Job Site
Owners N
Number, Street, or PO
city, State, Postal C
Owner's Phone Nun
Owners E -Mail Add
Project Managers
Project Manager's Phone N
Project Managers E -mall Ai
Building Permit Number.
Project Description: SFR
Exempt ❑
(Materials may contain hazardous wastes and
are not subject recycling provisions)
Construction Debris Management Plan.
9/9/2016
52-541 Meriwether Way, La Quinta 92252
Jerry Rise
P.O. Box 2896
Kirkland We 98034
.
Amanda Cavassa / Demetriou Architects
425.827.1700
ANCOdemetriou.net
74 4 ? �
V..
SEP 2 6 2016
Builder/contractor JerryRise
Number, Street or PO Box P.O. Box 2896 CIT( OF LA QUiNTA
City, State, Postal code Kirkland We 98034 CO�jgMUNITY DEVELOPMENT
Project Square Footage 1,822 SF
City Approval By ! J --� d7U2ahte- W8g;6-,
Date of City Approval
Materials To Be Discarded:
Product
Tons
Trash
8.00
Not recyclable
Product Tons
Asphalt
0.00
Recyclable
Masonry (broken)
0.00
Recyclable
Brick/Block
0.00
Recyclable
Piaster
2.00
Recyclable
Cardboard
0.00
Recyclable
Scrap Metal
0.00
Recyclable
Commingled
0.00
Recyclable
Tile (floor)
0.12
Recyclable
Concrete
7.25
Recyclable
Tile (roof)
0.13
Recyclable
Drywall
0.75
Recyclable
Wood
I 2.75
Recyclable
Donated / Reuse'
0.00
Recyclable.
Landscape Debris
1 0.00
Recyclable
'Describe Items
Totals: Recycle Trash Projected Diversion:
13.0 F61.909/0
I understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the District
Environmental Coordinator as these hauls occur. I hereby certify that completion, Implementation and adherence of the
Debris Management Pian (DMP) for the above named project shall guarantee that at least 50% of the Jobsite waste Is diverted
from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or reuse, remaining materials
generated from the first day of the project through the completion of the project In accordance with this plan. This DMP is
Issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition
project A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is stili issued In the
name of the property owner(s) and V owner retains legal responsibility for ensuring that the provisions of the DMP are
adhered property owners d general contractor shall be kept informed of the diversion progress through bi-monthly
reports. auling, all refus erial from this project site must be taken to an approved recycier or transfer station.
owner / or / Project Minifer /`Sygpdntendant Date
I understand as an Owner-Bailder if. I sell rty the propefor.: which flus:perrivt is issue may be held liable for any
financial..or personal:in'uries sustained •b an
y;. ysubsequent owners) that result from any latent constructton defects in;the
workmanship or,materials.:
b
I understand 1 may. obtain. more: information regarding my:"obligaiions ;as an "employer` -* from: the Internal Revenue
eru ce,ahe::United.States:Small Busmess;Administration,:the Califomia::Department of Benefitand.1he California
.Payments
Divisnon:of Industrial Accidents I also understand Imay coatact:the California Contractors:' State. License` Board.(CSLB)::at
OU= CSLB (2732) or www cslb. ca gov for more <mformation:about lrcensed contractors_:
J. am aware of And 'consent`to an Owner -Builder building pernvt:apphed for to my.name; and understand that :amahe
gaily ;and:: financially responsible for proposed construction ` activity at : the :< following address:
D1AL a La umta CA 92252...... _.
ether W y. Q
tsomeon
I agree that,as the; partyaegally and financially responsible for this proposed:construction activity, L will: abidelelaws and: requirement$ tilat govern Owner -Builders as well: as employers:;
Iagreeto notify the issuer.of this form immediately of any additionsdeletions, or changesto:anyofthe information I
vided:on.this. foniit Licensed contractorsare. regulated'by.:laws designed to protect: the: public:: If you'contract with
who does not have a license, the Contractors', State Zicense Board may be unable to.assistyou -with any financial loss
you: may sustain.a&a result, of a.co lanni :.Your remedy: a au>st`unlicen§ed Contractors:ma be in.civil 'court. -It is'also
Y Y Y X g y
important for you to understand that: if an unlicensed Contractor `or employee of that individual or:firm: i'smi juredwhile working
on your property;:you:may, be held liabl$ for damages If you obtain a:peibit a§ Owner -Builder and':wish to. -hire Contractors;
you will be.responsible for verifying whether or: not those Contractors are:properly.licensedland.the status: of theirworkers'
compensation insurance:coverage
Before a building permit can:be issued, this form must lie completed':and.signed by the property:owner;and retunned to
the agency responsible for issuin :the'permit.,Naie A:copy. of the property owner.'s driver's liceirse,.form notar4ation, or
other yerifrcai{on: acceptable to e . ency is_r i. ::to he presente4.wheivVie permit::is issued lo; verify the property
owner's signature.
nature: of. roe owner:: yyKQO
$ . P P rh' . - 1 _... ..:...........
Si ._ .. Date .l
Note: 77ie follotivingAuthorizatzon Form is required to be completed by lhe:property owner-only.when dd ating
do a ent.a .the ro ert owner lo..a l or a construction 1.ermtt or the t2x!ner Builder ,:
Property.Owner s Signature :.. Date%.. t_
_... _
r '
,.
r
REXCO. ELECTRIC, INC.
'
RISE RESIDENCE'
_
52-541 Meriwether Way LaQuinta,
CA '
'.
... Madison Club
Electrical Load Calculations
General load @ 3 Watts per square foot (6277 X 3)
16830.0
' Small appliance circuits (1500_ X 2)
3000.0
Laundry Circuit
` '
1500.0
Ovens/Range
,!
7500.0
Dishwasher
x
1800.0
Disposal X 2
1800.0
Washer .
1200.0
' Dryer
5500.0
Refrigerator.
1800.0
' Microwave
1500.0
Compactor
1800.0
Spa tub`-
f
1800.0
Landscape lighting
F f
4000.0
_ Partial Load
} -
50030.0
First .10 KVA @ 100%
10000.0
Remainder @ 40%
16012.0 ,
Air conditioning
66500.0
Pool/Spa/Water feature equipment ,@ 100% ,> `
•12500.0
TOTAL LOAD
, ♦
105012.0
. -
.. .Muir. i- �`
' • '
240,. VOLTS /.105012:0+ WATTS= 438 AMPS
USE 600 AMP MAIN, SERVICE
CITY OF LA QUINTA
RuE' C E.
BUILDING & SAFETY DEPT.
uc. #611016
APPROVED
S E P 2016
77-700 Enfield Land, Ste. D-1,.Palm Desert, CA 9
Phone
M1 FOR CONN
#760-345-8051 Fax #760-345-688
OF
., .,
DATE :BL
C0,0MUWITY 13Ev1 ,10ENT
,
mEXCO •.
f ` `
_ EDTRNEW ICAL G�NTRACTOR 1NC.
SUB PANEL
"D,
4 SINGLE LINE DIAGRAM
Main rated @ 22K AIC/ series rated system #imiting branch circuits to 10K AfC 10K AIC
100 AMP
LOAD CENTER
12{24 CIRCUIT
F70]
413 NM CABLE SUB PANEL B"
P"V "
22K AIG Main breaker
600 AMP MAIN SERVICE 2"`PVC 3#310 CU THHN
SEP 2 6.2016I 10KAIC
I` 200 AMP
CITY OF LA QUINTA & #6
LOAD CENTER
C0%, 4MUNITY DEVELOPMEITO2C)n M.L.O.
30/40 CIRCUIT
SUB PANEL `A"
#4 CU BOND TO
GAS PIPING i 2': PVC 'w{3#3/0 CU THH 10KAIC
i 200 AMP
&LOAQ CENTER
30i40 CIRCUIT
• _ �, • 2" PVC w{3# /O CU THHN & 1#6
"C-SUB PANEL
,CONDUIT(S) PER S,C:'E./I.I,'D.
10K AIC
TO POWER CO. P.O.C: 200 AMP
OAD CENTER
_ 210 CU TO COLD H2O PIPE & (N(QF" QUINTAt
- BUILDING & SAFETY DEPF.
APPROVED
Li c., #Ep d .CgNSTRUCTION
7, -760 Enfield LanLDATE
alm esert, CA 92211-
(760) 345-3x,(760) 345-6884 0{40 CIRCUIT
j BY
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R -PRF -01
Project Name: Rise Residence Addition Calculation Date/Time: 15:30, -Mon, Sep 12, 2016 - Page 1 of 8 f
Calculation Description: Title 24 Analysis w Input File Name: Rise Residence Addition.ribdx t`
GENERAL INFORMATION
01
Project Name Rise Residence Addition
�i ¢ tf r4 - s. i. �M!
02 -` This building Incorporates features�that require 'field testino and/or verificationpby
a certifed:HERS raterunder the supervision of a CEC-approved HERS provider. -
02
Calculation Description Title 24 Analysis ;
"•
f . _ ENERGY USE'SUMMARY' •. '
03
Project Location 52541 Meriwether Way
-
04 .
City is Quinta
05
Standards Version Compliance 2015. -
06
Zip Code 92253
07
Compliance Manager Version BEMCmpMgr 2013-4b (433)
08
- Climate Zone CZ15. '
09
Software Version EnergyPro 6.8
10 •
"f Building Type Single Family'
11
Front Orientation (deg/Cardinal) 90 .
12
Project Scope Newly Constructed -
13
Numberof Dwelling Units 1
14
Total Cond. Floor Area (W) 1189 ' '
15
Number of Zones 2
16
Slab Area (ft2) 529 v ,,
17'
Number of Stones 2 >
18
Additioo Cond. Floor Area N/A ':
18
"Natural Gas Available Yes, '.
20
• _ „Addition Slab Area (ft2) N/A r"
21 '_
Glazing Percentage (%) 26.8% -
COMPLIANCE RESULTS
01 . Building Complies vrith`Computer'Performance `i ` �')j� !) ""
i
•.�
At
�i ¢ tf r4 - s. i. �M!
02 -` This building Incorporates features�that require 'field testino and/or verificationpby
a certifed:HERS raterunder the supervision of a CEC-approved HERS provider. -
03 This building Incorporates one .or more SpecfaLfFeaturesFshown below "-
'*
"•
f . _ ENERGY USE'SUMMARY' •. '
coo
F
f . _ ENERGY USE'SUMMARY' •. '
t
�705
O6
'07
, -08
E s� Ik -yr)
".
• Standard Design '`Proposed Design
Compliance Margin Percent Improvement
'•
Z ci91 tin
9.267.54
1.72
18.6%
r
p c o
170.50: - 171.92.
-1.42
-0.8%
t
r C t•
;1.01 9 :01
0.00..,
0.0%-
17:03 16.20
0.83
4.9%
®o VfiRa�' et
— 0.00 ,;
0.00
—
Complianc me>bTotal ".
197.80 + -. 196.67
1.13
0.6%
p
- Registration Number: 216-N6336609A-000000000-0000
; Registration Date/Time: j " 201609-12 15:50:39,
a.
HERS Provider:, CaICERTS inc.
't •` CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-03112016-433
Report Generated at: 2016-09-12 15:30:50
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R -PRF -01
•. Project Name: Rise Residence Addition { Calculation Date/Time: 15:30, Mon, Sep 12, 2016 r . Page 2 of 8h.`,"
Calculation Description: Title 24 Analysis R Input File Name: Rise Residence Addition.ribdx
C• +
ir
".
ENERGY DESIGN RATING"�-
4
This is the sum of the annual TDV energy,bonsumption for energy`.usee components$ included in the performance compliance approach'for the Standard Design Building (Energy Budget) and the annual
TDV energy consumption for lighting and components not regulated by'Titie 24; Part 6"(such`as domestic appliances and consumer electronics)_ and accounting for.the annual TDV energy offset by an
on-site renewable energy system.
Reference Energy Use ; ( E. , Design Rating Margin Percent Improvement,
ce
1 Energy -y , , s i_ 0.4%r."
mclud s Iculat lia�egs a iscellaneous Energy Use (AME ,rV x-
*,,
r �
r
BUILD -FEAT E ON
02.
03
'
05•
07O
C0 C0. ='` =
-$rojec m Conditioned floor Area (ft2)
Number of DWelling
Units
Number of Bedrooms
F: Number of Zones .1
Number of Ventilation
Cooling Systems
Number of Water '
Heating Systems.
i Resid yt n1189
1,`
1
2
0
1
ZON I FORM/ -
i Y
0 V102
03
04
05•
06
07
"one -blame{ Zone Type
HVAC System Name
Zone Floor Area
(ftp)
Avg. Ceiling
Height
Water Heating System 1
Water. Heating System 2
Zone,1 Conditioned •
HVAC System 11
660 -
9
DHW Sys 1
Zone 2. Conditioned
HVAC System 22
529
9
DHW Sys 1
Registration Number:' 216-No3366o9A-000000000-0000 Registration Date/ Time: 2016-09-12 15:50:39 ' ' HERS Provider: ., CaiCERTS inc.-
C4
nc.CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-03112016-433 _ Report Generated at: 2016-09-12 15:30:50
a
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Rise Residence Addition Calculation Date/Time: 15:30, Mon, Sep 12, 2016
Calculation Description: Title 24 Analysis Input File Name: Rise Residence Addition.ribdx
CFI R -PRF -01
Page 3 of 8
OPAQUE SURFACES
01
04 051 , e.,: ti.. rµ. 06 07, 08
Name Constr'uctiori"
Type { -""Roof Rise :1 -'ADof Reflectancei f.: Roof Emittance Radiant Barrier Cool Roof
Attic Zone 1 Attic RootZone 1wi,'`�
+d r .� s.
Veiihlated ' 2 0.1a %4 is 0.85 Yes No
01
02
03
04
05
06
07
08
Name
Zone
Construction
Azimuth
Orientation
Gross Area (ft2)
Window & Door Area (111:2)
Tilt (deg)
North Exterior Wall
Zone 1
R-21 Wall
0
Right
690
32
90
South Exterior Wall
Zone 1
R-21 Wall
180
Left
870
90
East Exterior Wall
Zone 1
R-21 Wall
90
Front
610
101
90
West Exterior Wall
Zone 1
R-21 Wall
270
Back
690
54.5
90
Roof
Zone 1
R-38 Roof Attic
660
North Exterior Wall 2
Zone 2
R-21 Wall
0
Right
400
24
90
South Exterior Wall 2
Zone 2
R-21 Wall
180
Left
590
48
90
East Exterior Wall 2
;' ;Zone 2
R-21 Wall
90
Front
780
50
90
West Exterior Wall 2 1
% ,Zone 2
1 R-21 Wall
270
Back
-790
33.5
90
ATTIC
01
04 051 , e.,: ti.. rµ. 06 07, 08
Name Constr'uctiori"
Type { -""Roof Rise :1 -'ADof Reflectancei f.: Roof Emittance Radiant Barrier Cool Roof
Attic Zone 1 Attic RootZone 1wi,'`�
+d r .� s.
Veiihlated ' 2 0.1a %4 is 0.85 Yes No
c
vo +.
oG'® '
coo ���
-
_. . .
�
< m,� Y
—i M C:_
zC�Z
Registration Number: 216-N0336609A-000000000-0000 Registration Date/Time: •2016-09-12 15:50:39 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R 03112016 433 Report Generated at: 2016-09-12 15:30:50
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFIR-PRF-01
Project Name:.Rise Residence Addition Calculation Date/Time: 15:30, Mon, Sep 12, 2016 Page 4 of 8
Calculation Description: Title 24 Analysis Input File Name: Rise Residence Addition.ribdx `
.WINDOWS
a e ' de of Building ,�.
b3 Si
Area (ft2) -factor
U
-•n '. ;North Exterior Wall 2
ritL ,1) r 130a
,: 24.0
01
02
03
04
05
06
07
08
09
10
Name
Type
{ -
Surface (Orientation -Azimuth)
Width (ft) Height (ft)
Multipli
er
Area
(ftp)
U -factor
SHGC
Exterior Shading
Window 204
Window
North Exterior Wall (Right -0)
3.0
4.0
1
12.0
0.28
0.18
Insect Screen (default)
Window 206
Window
North Exterior Wall (Right -0)
5.0
4.0
1
20.0
0.28
0.18
Insect Screen (default)
Window 205
Window
East Exterior Wall (Front -90)
3.0
4.0
1
12.0
0.28
0.18
Insect Screen (default)
Window 207
Window
East Exterior Wall (Front -90)
5.0
4.0
1
20.0
.0.28
0.18
Insect Screen (default)
Window 208
Window
East Exterior Wall (Front -90)
5.0
4.0
" 1
20.0
0.28
0.18
Insect Screen (default)
Window 211 a
Window
East Exterior Wall (Front -90) :
-
1
49.0
0.32
0.23 _
Insect Screen (default)
Window 201
Window
7- West Exterior Wall (Back -270)
5.0
' ', 4.0
.1
20.0
0.34,
0.23`
Insect Screen (default)
Window 202
Window
West Exterior Wall (Back -270)
.6.0',
• = , 4.5 _
1 •
27.0 a
0.49
0.19
Insect Screen (default)
Window 203
Window
West Exterior Wall (Back -270)
2.5
, 3.0
1 ;
7.5
0.28
' 0.18
Insect Screen (default)
,Window 131a +
Window"
South Exterior Wall 2 (Left -180) • `
-
-.1 "
48.0
0.32
0.23..
Insect Screen (default)
-Window 107 `.
Window.,
- .1-90)
-
-
1
25.0
0.28'
0.18
Insect Screen (default)
Window 108
Window
\ East Exterior Wall 2 (Front -90);- f
1
25.0
0.28
0.18'
insect Screen (default)
Window 101
Window
,,O,`0 < .,
ltll� 77.5
0.28
0.18'
Insect Screen (default)
Window 102
WindowWest
Extenor,Wall 2 Back -270
+�
= "
t�� 1 t x•.•.6:0
0.28 ' .
0.18.
Insect Screen default
DOORS r , ,� �► «y,+
n -
a e ' de of Building ,�.
b3 Si
Area (ft2) -factor
U
-•n '. ;North Exterior Wall 2
ritL ,1) r 130a
,: 24.0
py .'
`' .SIMS . • {
,.X�- ww��. �. •'. C.r. _ a ` { •_ ., • , ":a.. ��_-' _ ' _ .. .1 -.,Tri .. , ..,.
Registration Number: 216-NO336609A-000000000-0000 Registration Date/Tirrie:' 2016-09-1215:50.39 HERS Provider: •CaICERTS inc. '1
4 CA Building Energy Efficiency Standards,- 2013 Residential Compliance Report Version - CFIR-03112016-433 ReportGenerated 'at: 2016-09-12 15:30:50
CERTIFICATE OF COMPLIANCE = RESIDENTIAL PERFORMANCE COMPLIANCE METHOD' CF1 R -PRF -01 y
Project Name: Rise Residence Addition ; Calculation Date/Time: 15:30, Mon, Sep 12, 2016 Page 5 of 8
Calculation Description: Title 24 Analysis Input File Name: Rise Residence Addition.ribdx
OVERHANGS AND FINS
0102:
-G TI
�,;r"03
ra-` ..,...:•_» 04=.
05,E
06
07 l
`
,. �" "' • , - ,•�
c �I
Total Cavity,,.
01
02
03
04
05
06
—0777-F
08
09
10
• 11
12 13
14
x I
Cavity /Frame: no insul. / 2x4 Top Chrd
Overhang
- .
2x4)Top;Chord of�Roof Truss @,24
Left Fin
• , Roof Deck: Wood Siding/sheathing/decking
Attic RoofZone 1 '
Right Fin
Wood:Framed Ceiling-
Window
Depth
Dist Up •
Left
Extent
Right
Extent
Flap Ht.,:
Depth
Top Up
DistL
Bot Up
Depth
Top Up Dist R
Bot Up
Window 204
2
0.1.
2
2
0
0
0
0
0
0
0 0
0
Window 206
2
0.1 '
2
2
0
0
0
0
0
0
0 0
0
Window 205
2
0.1
2
2
0
0
0
0
0'
0
0 0
0
Window 207
2=
0.1-
2
2
0
0 z:
.. 0
0
0
0
0 0
0
Window 208
2
0.1
2
2
0
0
0
0
0
0
0 0 ,.
p
Window 201
2
0.1
2
2•
0
01
0
'0 .
• 0
0
0 0
0
Window 202
2 A:
0.1
2
2
0
0
0
0
0
0
0 0
0,
Window 203 . ;
2 i ,
0.1 t
2
2 :.
' 0 :
0. • .
0
p..
0 _ '
0 y
01 -
0..
OPAQUE SURFACE CONSTRUCTIONS•-�, _ "
�. -.z:. .. r s
0102:
-G TI
�,;r"03
ra-` ..,...:•_» 04=.
05,E
06
07 l
`
,. �" "' • , - ,•�
c �I
Total Cavity,,.
iWinter;Design `
k
"Assembly
'Construction Name '
Surface Type
Constru ion Type
; , Framing ��
� R -value .t
ii f 11 -value;;,- .
Layers
U IA • V r 4a:
x I
Cavity /Frame: no insul. / 2x4 Top Chrd
- .
2x4)Top;Chord of�Roof Truss @,24
, r
• , Roof Deck: Wood Siding/sheathing/decking
Attic RoofZone 1 '
Attic Roofs
Wood:Framed Ceiling-
in. O.C.
none
�•+ 0:644
•. Roofing: Light Roof (Asphalt Shingle)
p :�
_
`
w . K
Inside Finish: Gypsum Board
; `
wdo
-•4 R-21 Wall' C' ..
Exterior Walls ,
Wood Framed Wall
2x6 @ 16 in: O C. ,
' ', • R 21 ,
0.Oi39 _
• Cavity / Frame: R-21 /2x6
Exterior Finish: 3 Coat Stucco
Inside Finish: Gypsum Board
:.�
Z
Ceilings (below
± =
'0.025,
Cavity/:Frame: R-9.1 /2x4 ,
1
F2-38 R
attic)
Wood Framed Ceiling
2x4 @ 24 in. a.C.
R38 -
over Ceiling Joists: R-28.9 insul.
SLA LOORS�
-G TI
02 03 - = -04 t-- 05 06
Ir>e
Zone Area (ftZ)' Perimeter (ft) Edge insul. R -value 8 Depth Carpeted Fraction Heated
Slab a Z=
Zone 2 : 529 120 None 1 No
f
rn
' Registration'Number: 216-NO336609A-OOOOO0000-0000 '.Registration Date/Time: 2016-09-12 15:50:39 HERS Provider: ; CaICERTS inc.
CA Building Energy Efficiency Standards -'2013 Residential Compliance' Report Version - CF1R-03112016-433 Report Generated at: 2016-09-12 15:30:50
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFIR-PRF-01
Project Name: Rise Residence Addition .Calculation Date/Time: 15:30, Mon, Sep 12, 2016 Page 6 of 8•
Calculation Description: Title 24 Analysis - Input File Name: Rise Residerice Addition.ribdx -
BUILDING ENVELOPE - HERS VERIFICATION
01 02 03 04
Quality Insulation Installation (QII) Quality Installation of Spray Foam Insulation Building Envelope Air Leakage CFM50
Required Not Required Not Required
WATER HEATING SYSTEMS _
'01 '02 03 04 05 06
Name - System Type Distribution Type Water Heater Number of Heaters Solar Fraction (%)
DHW Sys 1 - 1/1, DHW Standard DHW Heater 1: t .0%
i'
F
WATER HEATERS '
01
02,h T
03 1;.
04
05
06
07'
08 -
me
I��me C
. ` Pipe Insulation.
.'
_
Polnt-of Use
Recirculation
Control t '
Tank Exterior
Dfi
. Sys 1 - 4q , r-
.,
��
Tank Volume
-Energy Factor or
Heat Pump Heating and
Cooling System '
Insulation, '
Standby toss
Name
Heater Eleme T a
Yp
Tank T•
Yf�
al
(9 )
Efficient Y
In ut Ratlnrv'
p g
R -value
Fraction
(Fraction)
-
No
4
,
DHW Heater;l
^Natural Gas _ "7
� .z. Small Storage
50
0.62
37000-Btu/hr .
0_
+ 0'
WATER HEATING -HERS VERIFICATION/"AF.' FA A
x--01
�.��- = 02"A �t ,. �
...., .w, 03�' - -... •.,
.: ��04 ,�% ;�
05 �.
66
07
'04
me
I��me C
. ` Pipe Insulation.
,.,.Parallel Piping
I'Awso
Compact Distribution
Polnt-of Use
Recirculation
Control t '
Central DHW-
Distribution
Dfi
. Sys 1 - 4q , r-
.,
Distribution Name'
-feat Pumyse::
_ I .
+
-
Heat Pump Heating and
Cooling System '
_.
3
:s
N .
r
• •y�yx
e
SPACE COND
TIONIN Yf S
.. k
�-
AI12o
02
03
'04
05
06
SCS 3e�Tl
System Type
Heating Unit Name
Cooling Unit Name
fan Name
Distribution Name'
-feat Pumyse::
_ I .
+
-
Heat Pump Heating and
Cooling System '
Heat Pump System 1 '
Heat Pump System 1- '
_ None- 7
- None-
at Pump�y f2i::
-p
Heat Pump Heating and
Cooling System.
Heat Pump System 2
,Heat Pump System 2
-
No
None
� { _ � • `e •G� _ tt _. • - ! - •, a a• . f'.. l YT • , i,.. _ _ � ,
,
r
Registration Number: 2 1 6-N0336609A-000000000-0000 ` Registration Date/Time: 2016-09-12 15:50:39 HERS Provider: T! CaICERTS inc.
CA Building Energy Efficiency Standards _'2013 Residential Compliance Report Version - CF1R-03112016-433 - Report Generated at: 2016-09-12 15:30:50
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Rise Residence Addition Calculation Date/Time: 15:30, Mon, Sep 12, 2016
Calculation Description: Title 24 Analysis Input File Name: Rise Residence Addition.ribdx
CF1 R -PRF -01
Page 7 of 8
HVAC - HEAT PUMPS
01
02,'
03 04 05,
O6 07
08
09
10
Name
.
Type
Heating
HSPF/COP Cap 47 Cap 17
Cooling
SEER EER
Zonally
Controlled
Multispeed
Compressor
HERS
Verification
Heat Pump System 1
DuctlessHeatPump
8.3 '
38000
34000
17
8.3
No
No
Heat Pump System
1 -hers -cool
Heat Pump System 2
€ DuctlessHeatPump
8.3
30000
26000
19
10.7
No
No
Heat Pump System
2 -hers -cool
HVAC COOLING - HERS VERIFICATION a
01
02
03
04
05
06
Name
Verified Airflow
Airflow Target
Verified EER
Verified SEER
Verified Refrigerant
Charge
Heat Pump System 1 -hers -cool
[,,,Not Required
—
Not Required
Not Required
'Not Required`
Heat Pump System 2 -hers -cool •
Not Required _
—
'Not Required
Not Required
Not Required
- - r a — — -CP
IAQ (Indoor Air Quality) FANS . •
""�
* -
01�
Dwelling Unit.
x'02
,[�.',�
�f IAQ, M
00M
)L03j.,i�
IAQ Watts/CFM
.. 1104 rw�
IAQ Fan Typ
US
IAQ Recovery
Effectiveness(%)
Ofi, .,
HERS Verification `
SFam � CIL en p
'� 26.89`�
r _
�'
'
0.25'1;
)�Defaul4', ' >
- 0
Required
00M
T
o
r _
Z7 i•
, ,
M��
Registration Number: 216-No336609A-000000000-0000
Registration Date/Time: 2016-09-12 15:50:39
HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Report Version - CF1R-03112016-433 -
Report Generated at: 2016-09-12 15:30:50 .
_ - CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R -PRF -01' .
Project Name: Rise Residence Addition Calculation Date/Time: 15:30, Mon, Sep 12, 2016 • _ Page_ 8 of 8
` Calculation Description: Title 24 Analysis - Input File Name: Rise Residence Addition.ribdx ,
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT '
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: -
Butch White
Company:
Signature Date:
BREEZE AIR CONDITIONING INC
2016-09-12 15:50:39
Address:
CEA/HERS Certification Identification (If applicable): : i • �.,
-75-145 ST CHARLES PLACE
.`-' `•
City/State/Zip: s -
Phone:
PALM DESERT, CA 92211 T. °
760-346-0855
RESPONSIBLE PERSON'S DECLARATION STATEMENT • 4 �" .. +. o
I certify -the following -under penalty of perjury, under the laws of the State of California:
1. 1 am eligible under Division 3 of the Business`"and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. i~
2. -1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of
Regulations.'-rik4,.� „
3. '0 The building design features or system design1eatures 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, .
Responsible Designer Name: - Responsible Designer Signature:
Butch White <,, 07 .:
Company: e
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Date, Signed:
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BREEZE Ai ITIONING INC •v ' F
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'2016.09-12 15.50:39 ' .`"7 �. .•a •e...- ~ h.4:: t. Tett'
Address: A r •
License:
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75-145 HA ES r�'� ''^'
406394 '' ,,
City/State ..J>
Phone: *1•N T G
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PALM SER C11 "" ` ,'
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^. Digita 1 signed by CaICERT ital signature is provided in order to secure the content of this registered document and in no way implies Registration
Prove er for the ac�cur cy of the information. " t
Registration Number: 216-N0336609A-000000000-0000 = Registration Date
g g• Mme: 2016-09 12 15:50:39 + HERS Provider: ;CaICERTS inc. s
` CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version'- CF1R-03112016-433 Report Generated at: 2016-09-12 15:30:50
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