BRES2018-0066at (760) 777-71 -5
78-495,.CAU.E TAMP.I.CO
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN &DEVELOPMENT DEPARTMENT FAX
(760) 777-7153
BUILDING PERMIT
Date: 2/14/2018
Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL Owner:
Application Number: BRES2018-0066 WENDELL & BETSY WHITE
Property Address: 56468 PALMS DR 56468 PALMS DR
APN: 764020011 LA QUINTA, CA 92253.
Application Description: WHITE / WINDOW AND SLIDER REPLACEMENT
Property Zoning:
Application Valuation: $18,000.00
Applicant: rc
1 I1 Contractor:
ROBIN REDIRA LOS ANGELES CUSTOM WINDOWS INC DBA RENEW
22982 ALCALDE DRIVE UNIT 100
B 14 2018 LAGUNA HILLS, CA 92653
Y OFLAQUINTA (714)259-5120
DEVELOPMENT DEPARTMENT LIC. No.: 990416
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 CI ss: B C17,D24,D41 LicensO s No.: 9 0416
Date: v Contractor: XIL
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.).
( 11, 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 contractors) 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 Name:
Lender's Address:
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
Mrk 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: EVEREST NATIONAL INSURANCE COMPANY Polity Number: CA10002426
_ 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 Secti 3700 of Labor Code, I shall forthwith
comply wit thos provisions:
Dater I 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, an hereby authorize representatives of this ity to e t r upon the above-
mentioned rop rty for inspection purposes.
Date: 2 ` I " Signature (Applicant or Agent):
I
Date: 2/14/2018
Application.Number,„•.„ ,•, BRES2018-0066.
Owner:
Property•Add,ess:' ”' " 56468%PALMS DR
WENDELL & BETSY WHITE
APN: 764020011
56468 PALMS DR
Application Description: WHITE / WINDOW AND SLIDER REPLACEMENT
.LA QUINTA, CA 92253
Property Zoning: .
Application Valuation: $18,000.00
Applicant:
Contractor:
ROBIN REDIRA
LOS ANGELES CUSTOM WINDOWS INC DBA RENEW
22982 ALCALDE DRIVE UNIT 100
LAGUNA HILLS, CA 92653
(714)259-5120
-------------------------------------------------
Llc. No.: 990416
--------------------------------------
Detail: REPLACE 9 WINDOWS AND 3 SLIDERS WITH ANDERSEN RENEWAL WINDOWS AND SLIDERS INTO EXISTING OPENINGS LIKE FOR LIKE' PER 2016
CALIFORNIA BUILDING CODES
v -;N DE5CRIRTI ON
BSAS SB1473 FEE
ACCOUNT QTY AMOUNT
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$2.34 .
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $2.34
DESCRIPTION ACCOUNT QTY AMOUNT
TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW,-RETRO/REPAIR, EA ADDITION 5
101-0000-42400
0
$10.92
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7
101-0000-42400
0
$65.54
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC
101=0000-42600
0
$63.98
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $140.44
0
Window And Door
Replacement
The Following Locations Require Safety
Glazing, Laminated or Tempered, To Be
Etched Marked:
A. Glass In Doors.
Jamb And Less Than 60 Above Floor.
C. Glass Within 5' Of Pool Or Spa Waters
Edge.
,D. Glass At Shower, Bathtub Or Stair
Landing Less Than 60" Above Floor.
All Construction Shall Comply With The
2016 CRC -California Residential Code ..
All Windows Are Rated With 20 lbs. Of
Wind Load And Meet IBC Sect 1203 For
For Light ( 8%) & Venilation ( 4% )
All Windows Meet 2016 C.B.C.-
LI-Factor
.B.C.LI-Factor 0.32 SHGC 0.25
Smoke Alarms in All Bedrooms and Halls
Carbon Monoxide Alarms Outside All Sleep-. ,
ing Areas - CRC R315.2_3 & R314.1_3
All Bedrooms Must Have At Least One
Window Or Door Opening Directly To The,
Exterior Meeting This Criteria:
Minimum Clear Width 20"
Minimum Clear Height = 24"
Min. Area.= 5.7,Sq-. Ft. ( 5.0 Sq. Ft. For
Grade Floor,Residential:),
Maximum Sill Height = 44" .
Door Win. Room Size
Size Egress
Total
Existing
I
New Win
Sq: Ft.
131 W5
W1 MBED 45 x 44 XO 45 x
4,4
,
14
W2 MBED 33 x 57 SH 33 x
W2 D2
D3
13
W3 MBED 21 x 57 SH 21 x
5;7
W4'
8
W4 MBED 21 x 57 SH 21 x
5,7
RBA DH
8
IMBED r
5,7
RBA DH • ' .
1
W6 BATH1 21 x 15 PIX 21 x-
115
FAM
2
I.
5,7
RBA CST YES
W3)
KIT
5,7
RBA CST YES
13
W9 MBATH 9 x 15 PIX 9 x
.
.. ..
i
•'
x byVd
'volar urunlraal a+w.w..yu. `-
1
RBA PDS -Tempered .
BATH1 ENTRY
'
1
1
.,I.
I
,I
laaare.mnc, 'ftC1Mff0bm=bFFLew H
$MMM
�,y�.cnaanstwann
MRSY PERFOMAUCE RATINGS.
u-FW0r (usyl-P.. saw Hese cai Coorroicnt
-
0.29 0.21
1
6
BED1
! C
W8
,AMMDX L PUM)R UCE RATINGS .
v�s�W7rananamnco::..
1
MBATH
.. .
L
,
. 1. ..
0.49
. ...:.
W9
.. ... .... . • ..
Renewal by Andersen Orange Co.
Cfln�aniY mrfutl. I.wawp>�1�rtrr�
Oapnn nee Uxa
22982 Alcalde Drive, Unit 100
�W1.
Phone 760-777-1756 +'''
..
Laguna Hills, CA 92653
Year'Built : 2002
(714).259-51.20 : LIC. 990416.
Drawn By Steve Janosik _ .
1
LEGEND:.:. :. :.
. .,4 - : �
•
BED2
�
1
W7. 1
�
anion vaesmmam n
/� _
L�SS LC nA,101U.8110er.(0) FF
w..s.aeriacc-..11lfirrms..:a.vn u..m-c.crwnwyr. .
1
�
PDS PATIO DOOR SLIDER
�
I
Ratings May Vary Checklndividualth�nd6�nr
-
Window And Door
Replacement
The Following Locations Require Safety
Glazing, Laminated or Tempered, To Be
Etched Marked:
A. Glass In Doors.
Jamb And Less Than 60 Above Floor.
C. Glass Within 5' Of Pool Or Spa Waters
Edge.
,D. Glass At Shower, Bathtub Or Stair
Landing Less Than 60" Above Floor.
All Construction Shall Comply With The
2016 CRC -California Residential Code ..
All Windows Are Rated With 20 lbs. Of
Wind Load And Meet IBC Sect 1203 For
For Light ( 8%) & Venilation ( 4% )
All Windows Meet 2016 C.B.C.-
LI-Factor
.B.C.LI-Factor 0.32 SHGC 0.25
Smoke Alarms in All Bedrooms and Halls
Carbon Monoxide Alarms Outside All Sleep-. ,
ing Areas - CRC R315.2_3 & R314.1_3
All Bedrooms Must Have At Least One
Window Or Door Opening Directly To The,
Exterior Meeting This Criteria:
Minimum Clear Width 20"
Minimum Clear Height = 24"
Min. Area.= 5.7,Sq-. Ft. ( 5.0 Sq. Ft. For
Grade Floor,Residential:),
Maximum Sill Height = 44" .
Door Win. Room Size
Size Egress
Total
Existing
I
New Win
Sq: Ft.
W1 MBED 45 x 44 XO 45 x
4,4
RBA XO. - Tempered
14
W2 MBED 33 x 57 SH 33 x
5,7
RBA DH
13
W3 MBED 21 x 57 SH 21 x
5;7
RBA DH
8
W4 MBED 21 x 57 SH 21 x
5,7
RBA DH
8
W5 MBED 21 x 57 SH 21 x
5,7
RBA DH • ' .
8
W6 BATH1 21 x 15 PIX 21 x-
115
RBA PIX
2
W7 IBED1 33 x 57 SH 33 . x
5,7
RBA CST YES
13 .
W8 BED2 33 x 57 SH 33 x.
5,7
RBA CST YES
13
W9 MBATH 9 x 15 PIX 9 x
115
RBA PIX
1
D1 MBED 72 x 95 PDS 72 x
9,5
RBA PDS -Tempered .
48
D2 FAM 141 x 94; PDS 141. x
9,4
RBA PDS - Tempered
92 '
D3 NOOK 117 x94 117 x
9,4
RBA PDS - Tempered
76
Total
297
.Name Wendell & Betsy White
Address : 56468 Palms Drive
Renewal by Andersen Orange Co.
City,Zip La Quinta, 92253
22982 Alcalde Drive, Unit 100
Phone 760-777-1756 +'''
..
Laguna Hills, CA 92653
Year'Built : 2002
(714).259-51.20 : LIC. 990416.
Drawn By Steve Janosik _ .
LEGEND:.:. :. :.
. .,4 - : �
•
'JOB• .1873'11 - dr,
XX 'SLIDER -SLIDER XO SLIDER -FIXED ;' GW GARDEN WINDOW
CST CASEMENT t PIX PICTURE WINDOW
AWN AWNING WINDOW DH DOUBLE HUNG .! SH SINGLE HUNG
PDS PATIO DOOR SLIDER
�.
...RBA ; `Renewal By Andersen Dual Glaie.Low - E -4 Windows
' +
SCOPE OF WORK:
I
Replace 9 windows and 3 slider doors with Andersen
Renewal windows and sliders into existing
openings. Like for like.,
S6Y.6 PALAS
Window And Door
Replacement
The Following Locations Require Safety
Glazing, Laminated or Tempered, To Be
Etched Marked:
A. Glass In Doors.
Jamb And Less Than 60" Above Floor.
C. Glass Within 5' Of Pool Or Spa Waters
Edge.
D. Glass At Shower, Bathtub Or Stair'
Landing Less Than 60" Above Floor.
All Construction Shall Comply With The
2016 CRC - California Residential Code
All Windows Are Rated With 20 lbs. Of
Wind Load And Meet IBC Sect 1203 For
For Light ( 8% ),& Venilation ( 4% )
All Windows Meet 2016 C.B.C.
LI -Factor 0.32 SHGC 0.25
Smoke Alarms in All Bedrooms and Halls
Carbon Monoxide Alarms Outside All Sleep-
ing Areas - CRC R315.2_3 & R314.1_3
All Bedrooms Must Have.At Least One
Window Or Door Opening Directly To The.
Exterior Meeting'This Criteria:
Minimum, Clear Width =20"
Minimum Clear Height = 24"
Min. Area =.5.7 Sq. Ft. ( 5.0 Sq. Ft. For
Grade Floor Residential )
Maximum Sill Height = 44"
Door
Win.
Room
Size
Existing
I Size
New
Egress
Win
Total
Sq. Ft.
W1
LIV
67 x 54 XO
67 x 54 RBA XX -Tempered
25
W2
NOOK
67 x 54 XO
67 x 54 RBA XX
25
D1
MBED
70 x 79 PDS
70 x 79 RBA PDS -Tempered
38
i
Total 89
Name Brent S. Conley
Address 44435 Blazing Star. Trail Renewal by Andersen Orange Co.
City,Zip La Quinta, 92253 f 22982 Alcalde Drive, Unit 100
Phone 760-464-3999 Laguna Hills, CA 92653
Year Built 1989 } (714) 259-5120 LIC. 990416
Drawn By Steve Janosik
LEGEND: JOB :187213 mb
XX SLIDER -SLIDER XO SLIDER -FIXED GW GARDEN WINDOW CST CASEMENT PIX PICTURE WINDOW
AWN AWNING WINDOW DH DOUBLE HUNG SH SINGLE HUNG PDS PATIO DOOR SLIDER
RBA Renew B Andersen Dual Glaze Low E -4 Windows
SCOPE OF WORK::
Replace 2 windows and 1.slider'do'or with Andersen Renewal windows and slider into existing openings
� 9
Like for like changeouts _ _...
� 3S
5-(A I
�
. I
r STP:!�E OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1 R -ALT -05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of $.
Project Name: - Date Prepared: '
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CF1R-ALT- 01 shall first be registered
with a HERS -Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT-05 and CF2R- ALT -05 Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40 ft of ducts were added or replaced; or the existing duct system was insulated with asbestos; or the existing duct system was previously tested and passed byo
HERS Rater. if space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-ALT-02 must be completed and registered with a HERS Provider Data Registry.
Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having an R -value other than 5:8 per inch, or Open Cell Spray
Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R -value of 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data
Registry.'
if more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are
responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met.
Temporary labels shall not be removed before verification by the building inspector.
A. General Information
01
Project Name:
02
Date Prepared:
03
Project Location:
�O ��� �%
04
Building Front Orientation (deg or cardinal):
05
CA City:
V � rJ
06
Number of Altered Dwelling Units:
07 '
Zip Code:
08
Fuel Type:
0q
Climate Zone:
10
Total Conditioned Floor Area (ft2):
I
Building Type:
S L1J") l
12
Slab Area (ftz)
11 .
Project Scope (Select all that apply):
❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD. ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting.
❑ C. Roof Replacement ❑✓ D. & F. Fenestration/Glazing - REPLACE ❑ H. Water Heating System ❑ Include Mandatory Measures?
CA Building Energy Efficiency Standards- 2016 Residential Compliance April 201.6
STATF OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT105-E Revised 04/16
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name: -
:RGY COMMISSION
MR -ALT -05-E
Page 2 of 5
D. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1)
01 02 03 04 05 06 07
Maximum
Maximum
Existing
Allowed
Allowed
Fenestration
Existing
Maximum
.,Maximum
Maximum
Maximum
Fenestration
West -Facing
for All
West -Facing
Allowed
Allowed
Allowed
Allowed
Alterationfor
All
Fenestration
Orientations
Fenestration
LI -Factor
U -Factor
SHGC
SHGC
Type
Orientations (ft2)
Area Only (ftZ)
(ftZ)
Area (ftZ)
(Windows)
(Skylights)
(Windows)
(Skylights)
Comments
CA Building Energy Efficiency Standards - 2016 Residential Compliance.
April 2016
STATF OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification'
CEC-CFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations. That Do Not Require HERS Field Verification Page 3 of 5
Project Name: - Date Prepared:
'i
F. Fenestration/Glazing Proposed Areas arid Efficiencies - Replace (Section 150.2(b)1B)
y
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Tag/ID
Fenestration
Type
Frame Type
Dynamic
Glazing
Orientation "
(N, S, W, E)
Area
' Removed
(ft')
Area
Added
(ft')
Net
Added
Area (ftz)
U -factor
Source
SHGC
Source
Exterior
Shading Device
Combined
SHGC from
MR -ENV -03
�—
S
D
•. 3z
2>
w�
'PtiAV3,-,Z
�e
N
0
3z
to
V_ OF
�
0
• 3 Z
• �- 13"
•
w
0 P� �mm
SA L?
o
W.0
NDI,_\V?
�iL,
5
2
�/
0
.3 z
Z
W
o voczDax
cp.5i5
13
03z
zr�
lrJ
i✓b�'
P�`—r�
0
L) 5
Lo
0
�? 2
sLocL
°tZ
�Z
o
,3Z
•Zs
0v*sp�2
"1
-76
0
3Z
Aid Rowe
peete Row
0
15 Net Added West -facing Fenestration Area
16 _ Is Net Added Fenestration Area 5 for west -facing fenestration?C`j
Yes No
17, Net Added Fenestration Area (all orientations)
1B Is Net Added Fenestration Area 5 0 for all orientations?
Yes Q No
CA Building Energy Efficiency Standards -,2016 Residential Compliance
April 2016
STATE OF CALIFORNIA.
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC�CFIR-ALT-05-E Revised 04/16
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name:
19
Proposed Fenestration U -factor (Windows)
20
Required Fenestration U -factor (Windows)
21
Is the proposed Fenestration U -factor 5 the Required Fenestration U -factor?
Yes No
22
Proposed Fenestration SHGC (Windows)
23
Required Fenestration SHGC (Windows)
24
Is the Proposed Fenestration SHGC 5 the Required Fenestration SHGC?
Yes No
25
Proposed Fenestration U -factor (Skylights)
26
Required Fenestration U -factor (Skylights)
27
Is the proposed Fenestration U -factor 5 the Required Fenestration U -factor?
Q Yes r No
28
Proposed Fenestration SHGC
29
Required Fenestration SHGC
30
Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC?
t^ Yes No
J
O
,r
CA Building Energy Efficiency Standards - 2016 Residential Compliance
CALIFORNIA ENERGY COMMISSION
MR -ALT -05-E
Page 4 of 5
d:
April 2016
Oft
STATFOF CALIFORNIA
Prescriptive Residential Alterations That. Do Not Require HERS Field Verification
CEC-CFIIR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-05-E
Pr ' escriptive Residential Alterations That Do Not Require HERS Field Verification Page 5 of -5
Project Name: Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
A
1. 1 certify that this Certificate of Compliance documentation is. accurate and complete.
Documentation Author Name:t-1
Documentation Author Signature:
Company:
-Y -
Signature Date:
Address:
CEA/ HERS Certification IdentIfication If applicable):
City/State/Zip:
-4(LL,<
�ho_n-
V-2X
RESPONSIBLE PERSON'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.
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
.2.
designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of
Compliariceconform 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,
calculations, plans and specifications submitted to the enfo.rcement agency for approval with this building permit application.
5.. 1 will ensure that a registered of this Certificate of.Compliance shall be made available with the building permitjs) Issued for the building, and made available to the enforcement agency
icopy
for all applicable inspections. I understand that a registered 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:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.'
CA Building Energy Efficiency Standards - 2016 Residential Compliance -April 2016