BRES2017-009978-495 CALLE TAMPICO Ct 0 D �wNUCl/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2017-0099
Property Address: 57370 PENINSULA LN LN
APN: 762150043
Application Description: DEBOER / 530 SF ADDITION :160 SF PATIO COVER
Property Zoning:
Application Valuation: $100,000.00
Applicant:
ABARCA CONSTRUCTION INC
79154 OLITE COURT
INDIO, CA 92203
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/11/2017
Owner: m
SID &KAREN DEBOER
WORKER'S COMPENSATION DECLARATION
57370 PENINSULA LN a
1 hereby affirm under penalty of perjury one of the following declarations:
LA QUINTA, CA 92253 z
_ I have and will maintain a certificate of consent to self -insure for workers'
my License is in full force and effect. .
compensation, as provided for by Section 3700 of the Labor Code, for the performance
OT
of the r or which this permit is issued.
M
sl ave and will maintain workers' compensation insurance, as required by
Contractor: p
Section 3700 of the Labor Code, for the performance of the work for which this permit is
ABARCA CONSTRUCTION I
o_
79154 OLITE COURT m
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9014108
INDIO, CA 92203 a
_ I certify that in the performance of the work for which this permit is issued, I
(760)766-5088 m
shall not employ any person in any manner so as to become subject to the workers'
Llc. No.: 884767
compensation laws of California, and agree that, if I should become subject to the
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
1 hereby affirm under penalty of perjury one of the following declarations:
(commencing with Section 70001 of Division 3 of the Business and Professions Code, and
_ I have and will maintain a certificate of consent to self -insure for workers'
my License is in full force and effect. .
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: B License No.: 884767
of the r or which this permit is issued.
-ate: % i
sl ave and will maintain workers' compensation insurance, as required by
Con
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:
OWNER -BUILDER DECLARATION
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9014108
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter; improve, demolish, or repair any
compensation laws of California, and agree that, if I should become subject to the
structure, prior to its issuance, also requires the applicant for the permit to file a signed
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
statement that he or she is licensed pursuant to the provisions of the Contractor's State
comply with those provisions.
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
Dater ( pplicant
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).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) I, as.owner of the property, am exclusively contracting with licensed contractors to
1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon,
as a result of this application , the owner, and the applicant, each agrees to, and shall
and who contracts for the projects with a contractor(s) licensed pursuant to the
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(_) I am exempt under Sec. . B.&P.C. for this reason
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
Date: Owner:
for 180 days will subject permit to cancellation.
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:
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.
D1 e / _ I 1 Si ature_rA—plicant_or Agent):
Date: 7/11/2017
Application Number: BRES2017-0099
Owner:
Property Address: 57370 PENINSULA LN LN
SID & KAREN DEBOER
APN: 762150043
57370 PENINSULA LN
Application Description: DEBOER / 530 SF ADDITION + 160 SF PATIO COVER '
LA QUINTA, CA 92253
Property Zoning: -
Application Valuation: $100,000.00
Applicant:
Contractor:
ABARCA CONSTRUCTION INC
ABARCA CONSTRUCTION INC
79154 OLITE COURT
79154 OLITE COURT
INDIO, CA 92203
INDIO, CA 92203
(760)766-5088
--------------------------------------------------------------------------------------------
Llc. No.: 884767
Detail: 530 SF ADDITION AT SOUTH SIDE OF DWELLING + 160 SF OF COVERED PATIO AREA (ENGINEERED DESIGN). ADD NEW BATHROOM (UNDER
EXISTING ROOF) AND NEW MECHANICAL CLOSET (28 SF) W/ NEW FAU (UNDEGROUND DUCTS). 2016 CALIFORNIA BUILDING CODES..
FINANCIAL
DESCRIPTION ACCOUNT
QTY
AMOUNT
ADDITION, EA ADDITIONAL 500 SF
101-0000-42400
0
$65.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
ADDITION, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$18.24
DESCRIPTION
ACCOUNT
QTY
AMOUNT
ADDITION, FIRST 100 SF
.101-0000-42400
0
$127.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
ADDITION, FIRST 100 SF PC
101-0000-42600
0
$179.36
Total Paid for ADDITION: $390.64
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 PRINCIPAL/STRUCTURAL ENGINEER
101-0000-42600
1.5
$225.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600
1
$95.00
Total Paid for BLDG CITY STAFF - PER HOUR: $340.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$4.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES,. FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES/FIXTURES, ADDITIONAL
101-0000-42403
0
$65.78
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES/FIXTURES, ADDITIONAL PC
101-0000-42600
0
$16.38
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SERVICES
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SERVICES PC
101-0000-42600
0
$12.67
Total Paid for ELECTRICAL: $170.82
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE
• 101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE PC
101-0000-42600
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN PC
101-0000-42600
0
$5.07
Total Paid for MECHANICAL: $144.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, DESIGNED
101-0000-42404
0
$139.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, DESIGNED PC
101-0000-42600
0
$176.32
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $316.16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$38.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
.101-0000-42600
0
$38.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.67
Total Paid for PLUMBING FEES: $101.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$13.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Y`
i
Bin. #
'V
-
Qty. of La Quinta
Building 8t Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjectAddtrss: 57 17 '•
Owner's Name: n `i
A. P. Number. �� 00 .,�A
Address: E
Legal Description:
City, ST, Zip: LA QVlb!rA 227
Contractor.Telephone
G
a " •`;a3, ' :: ° '
Description:
Address: 775 OuTprProject
City, $T, Zip:
Telephone
State Lic. # : City Lie'. A.
Arch., Engr Designer 5o
Addtess:7
City, ST, Zip: soz S 3
Telephone -1606 --SCA . >`
State Lic. #: }
,.
Name of Contact Person: S.Sq.
Construction T ye V13 Occu an cY: P- —
Project type (circle one): New AMn Alter Repair Demo
Ft.: �j3O # Stories: # Units:
Telephone # of Contact Person:I& i �
Estimated Value of Project 00 QO
APPLICANT: DO NOT WRITE BELOW THIS LINE
d
Submittal
Req'd
Recd
TRACMGAO
PERM[T FEES
2
Plan Sets
Plan Check submitted
p
Item Amount
2
Structural Calcs
Reviewed, ready for corrections
Plan Cbeck Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Z
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2`! Review, ready for correctionsliissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN SOUSE:-
'"' Review; ready for correctionslissue
Developer Impact Fee
Planning Approval.
Called Contact Person
AXP P.
Pub. W.U. Appr
Date of permit Issue
School 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) 398-5 frax'Eftf29--W24'
JUL .1 12017
AREA: -
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMMAND. AMOUNT:
DATE:
RECEIPT: - -
CHECK#:
INITIALS
CITY OF LA QUINTA
COMMUNITY DEVELOPMENTCERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: PG --A Date: June 19, 2017
Owner's Name: Sid & Karen Deboer Phone No.
Project Address: 57-370 Peninsula Ln., LaQuinta
Project Description: Addition to existing dwelling
APN: 762150043 Tract #: Lot #'s:
Type of Development: Residential XX! Commercial Industrial
Total Square Feet of Building Area: 530 sq. ft.
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer.
Dated: June 19,2017 Signature: —9vtMVS
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
Note:
Number of Sq.Ft. 530 Pursuant to AB 181 any room additions or enclosures of 500
sq. ft. or less are exempt from developer fees. Any mobile
Amount per Sq.Ft. $3.48 homes being relocated within the same school district's
Amount Collected $1844.40 jurisdiction are exempt from developer fees.
Building Permit Application Completed: Yes/No
By: Elsa F. Esqueda, Director of Facilities and Maintenance
Certificate issued by: Laurie Howard, Secretary Signature:.e
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District 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.
A4V:c/ruy:docs/devfees/ceniiicace of compliance form upda[ed 3-2007 11/2010
Plan Submittal
Job
Owners N
Number, Street, or PO
City, Stets, Postal C
Owners Phone Nun
Owners E -Mail Add
Project Managers
Project Managers Phone N
Builder/ C ontn
Number, Street or PO
City, State, Postel C
Project Square
Building Permit Number. IVES ADI 7 — 00 qq
Project Description room addition
Exempt ❑
(Materials may contain hazardous wash and
are not subject to recycling provisions)
Construction Debris Management Plan
City Approval By
Date of City Approval
Product
Trash
Asphalt
Bdck/Block
Cardboard
Commingled
Concrete
Drywall
Donated / Reuse•
*Describe Items
7/11/2017
51370 Pennisula Ln
Sid Deboer
57370 Pennlsula Ln
La Quints, CA. 92253
rJo
Andrew Abarca
700-786-6086 +
Abarca Construction
79154 Olite Ct
Indio, CA 92203
Approx. 530 square fest
RECEIVED
JUL 1 1 2011
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
Rensdo Gouldiack-DEC/Burrtec Waste
T�2az 7 _ .
ble Product
Masonry (broken)
Plaster
Scrap Metal
Tile (floor)
Tile (roof)
.Wood
Landscape Debris
Totals: Recycle Trash Protected Diversion:
2.3 1 1.3 65.08%
1 understand it Is the property owners responsibility to submit copies of weight tickets or receipt: to the DWct
Environmental Coordinator as these hauls occur. l hereby certify that completion, implementation and adherence of the
Debris Management Plan (DMP) for the above named project shall guarantee that at least 85% of the jobsite waste is
diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining
materiels 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 or the property owners) 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 still
issued In the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the
DMP are adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through
bMnonthly reports. if self -hauling, all refuse material from this project site must be taken to an approved mcycler or transfer
1
tl
9fteV/ Develolfer rPmject Mana / §dperintondant D
i
�'CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: DEBOER RESIDENCE Calculation Date/Time: 14:34, Mon, Jun 12, 2017
Calculation Description: Title 24 Analysis Input File Name: 5R-005- DEBOER ADD.ribd16x
CF1R-PRF-01
Page 1 of 8
GENERAL INFORMATION
01 Building Complies with Computer Performafi–ceP
01
Project Name DEBOER RESIDENCE
��`.�� p.�
i, 5* \�'., k tmoi_„ -. 6-". U, vTI II
03 This building incorporates one.or>more Special=Features-shown-below RRRIII
RP
id ;�y9 y*
Y U U� V
02
Calculation Description Title 24 Analysis
08
Energy Use (kTDV/ft2-yr)
03
Project Location 57370 PENINSULA LANE
Compliance Margin
Percent Improvement
04
City LA QUINTA
05
Standards Version Compliance 2017
06
Zip Code 92253
07
Compliance Manager Version BEMCmpMgr 2016.2.1 (695)
08
Climate Zone CZ15
09
Software Version CBECC-Res 2016.2.1 (868)
10
Building Type Single Family
11
Front Orientation (deg/Cardinal) 270
12
Project Scope Newly Constructed
13
Number of Dwelling Units 1
14
Total Cond. Floor Area (ft2) 530
15
Number of Zones 1
16
Slab Area (ft2) 530
17
Number of Stories 1
18
Addition Cond. Floor Area n/a
19
Natural Gas Available Yes
20
Addition Slab Area (ft2) n/a
21
Glazing Percentage (%) 75.2%
COMPLIANCE RESULTS
01 Building Complies with Computer Performafi–ceP
02 This building incorporates features that re quire field:testin' and/or verification b atcertified HERS rater under the supervision of a CEC-a roved HERS provider.
.a PP
ip, �a .,9, la �a y <A��rr
��`.�� p.�
i, 5* \�'., k tmoi_„ -. 6-". U, vTI II
03 This building incorporates one.or>more Special=Features-shown-below RRRIII
RP
id ;�y9 y*
Y U U� V
� " t K 5 V K UI V I U E K
Registration Number: 217-P,e 010197688A-000-000-0000000-0000
ItCA Building Energy Efficiency Standards - 2016 Residential Compliance
APPROVED.
FOR CONSTRUCTION `E
IATE7 & 17 sv
Registration Date/Time: 2017-06=12 15:37:27
Report Version - CF1 R-05232017-695 -
mi- - - N f Mm -s h
=,,* P
JUN 112917
CITY OF LA QUINTA
fRNING DEPARTMENTCaiCERTS inc.
Report Generated at: 2017-06-12 14:34:50
ENERGY USE SUMMARY
04
05
06
07
08
Energy Use (kTDV/ft2-yr)
Standard Design
Proposed Design
Compliance Margin
Percent Improvement
Space Heating
1.02
2.09
-1.07
-104.9%
Space Cooling
126.67
150.38
-23.71
-18.7%
IAQ Ventilation
1.76
1.76
0.00
0.0%
Water Heating
16.61
14.80
1.81
10.9%
Photovoltaic Offset
l A
23.66
—
Compliance Energy Total
14 .0
0.69
0.5%
Registration Number: 217-P,e 010197688A-000-000-0000000-0000
ItCA Building Energy Efficiency Standards - 2016 Residential Compliance
APPROVED.
FOR CONSTRUCTION `E
IATE7 & 17 sv
Registration Date/Time: 2017-06=12 15:37:27
Report Version - CF1 R-05232017-695 -
mi- - - N f Mm -s h
=,,* P
JUN 112917
CITY OF LA QUINTA
fRNING DEPARTMENTCaiCERTS inc.
Report Generated at: 2017-06-12 14:34:50
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: DEBOER RESIDENCE
Calculation Description: Title 24 Analysis
Calculation Date/Time: 14:34, Mon, Jun 12, 2017
Input File Name: 5R-005- DEBOER ADD.ribd16x
CF1 R -PRF -01
Page 2 of 8
ENERGY DESIGN RATING
Energy Design Rating (EDR) is an alternate way to express the energy performance of a building using a scoring system where 100 represents the energy performance of the Residential
Energy Services (RESNET) reference home characterization of the 2006 International Energy Conservation Code (IECC). A score of zero represents the energy performance of a building
that combines high levels of energy efficiency with renewable generation to"zero out" its TDV energy. Because EDR includes consideration of components not regulated by Title 24, Part 6
(such as domestic appliances and consumer electronics), it is not used to show compliance with Part 6 but may instead be used by local jurisdictions pursuing local ordinances under
Title 24, Part 11 (CALGreen).
As a Standard Design building under the 2016 Building Energy Efficiency Standards is significantly more efficient than the baseline EDR building, the EDR of the Standard Design building
is provided for Information. Similarly, the EDR score of the Proposed Design is provided separately from the EDR value of installed PV so that the effects of efficiency and renewable
energy can both be seen
EDR of Standard Design EDR of Proposed Design EDR Value of Proposed PV Final EDR of Proposed Design
52.1 57.4 33.4 24.0
❑
Design meets Tier 1 requirement of 15% or greater code compliance margin (CALGreen A4.203.1.2.1) and QII verification prerequisite.
❑
Design meets Tier 2 requirement of 30% or greater code compliance margin (CALGreen A4.203.1.2.2) and QII verification prerequisite.
❑
Design meets Zero Net Energy (ZNE) Design Designation requirement for Single Family in climate zone CZ15 (Palm Springs) (CALGreen A4.203.1.2.3) including on-site
2
photovoltaic (PV) renewable energy generation sufficient to achieve a Final Energy Design Rating (EDR) of zero or less. The PV System must be verified.
ENERGY DESIGN RATING PV SYSTEM INPUTS - DETAILED
DC System Size (kW)
Module Type �a (�
�rCFI= [;:'CAzimutfi:(de`g))
Tilt Input
Array Angle (deg)
Tilt:
(x in 12)
Inverter Eff. (%)
/i «ems 11
I� 1
i i) $I dl
11 ++�,
r►
2
Standard
j180
11 deg $ t >f {
22.0
4.8
96
REQUIRED SPECIAL FEATURES
The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis.
• PV System: 2.0 kWdc
• Ceiling has high level of insulation
• Insulation below roof deck
• Window overhangs and/or fins
• Exposed slab floor in conditioned zone
• Non-standard duct location (any location other than attic)
Registration Number: 217-P010197688A-000-000-0000000-0000 Registration Date/Time: 2017-06-12 15:37:27 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-05232017-695 Report Generated at: 2017-06-12 14:34:50
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: DEBOER RESIDENCE
Calculation Description: Title 24 Analysis
HERS FEATURE SUMMARY
Calculation Date/Time: 14:34, Mon, Jun 12, 2017
Input File Name: 5R-005- DEBOER ADD.ribd16x
CF1 R -PRF -01
Page 3 of 8
The following is a summary of the features that must be field -verified by a certified HERS Rater as a condition for meeting the modeled energy performance for this computer analysis. Additional detail is
provided in the building components tables below.
Building -level Verifications:
• IAQ mechanical ventilation
Cooling System Verifications:
• Minimum Airflow
• Verified EER
• Verified SEER
• Refrigerant Charge
• Fan Efficacy Watts/CFM
HVAC Distribution System Verifications:
• Duct Sealing
• Low -leakage Air Handling Unit
Domestic Hot Water System Verifications:
• -- None --
BUILDING - FEATURES INFORMATION
01
02 03
04
- 05
06
07
Project Name
- -Number of Dwelling
Conditioned Floor Area (ft2) .+ys� UnitsNumbeof
�edcooms�
rt -�06
Number of Zones
Number of Ventilation
Cooling Systems
Number of Water
Heating Systems
DEBOER RESIDENCE
530 vow l X
L LY'
, 11*P% Awl
0
1
ZONE INFORMATION V" '*ft" %^ W 'Ofto Now It %L 10 4iii i! W 0 t N%w e
01
02 `'Ilk
H E 1V4 S P�04
V I
D 05 =R
_ 06
07
Zone Name
Zone Type
HVAC System Name
Zone Floor Area
(ft)
Avg. Ceiling
Height
Water Heating System 1
Water Heating System 2
ZONE 1
Conditioned
A -AC -1
530
10
DHW Sys 1
Gross Area (ft2)
OPAQUE SURFACES
01
02
03
04
05
06
07
08
Name
Zone
Construction
Azimuth
Orientation
Gross Area (ft2)
Window & Door Area (W)
Tilt (deg)
NE -205
ZONE 1
R-21 WALL
45
- specify -
205
0
90
SE -363
ZONE 1
R-30 WALL
135
- specify -
363
203.896
90
SW -293
ZONE 1
R-30 WALL
225
- specify -
293
92.628
90
NW -202
ZONE 1
R-30 WALL
315
- specify -
202
101.948
90
530
ZONE 1
R -60-R-21
530
Registration Number: 217-P010197688A-000-000-0000000-0000 Registration Datefrime: 2017-06-12 15:37:27 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-05232017-695 Report Generated at: 2017-06-12 14:34:50
, CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: DEBOER RESIDENCE
Calculation Description: Title 24 Analysis
Calculation Date/Time: 14:34, Mon, Jun 12, 2017
Input File Name: 5R-005- DEBOER ADD.ribd16x
CF1 R -PRF -01
.Page 4 of 8
ATTIC
01 02 03 04 05 06 07 08
Name Construction Type Roof Rise Roof Reflectanje�j Roof Emittance Radiant Barrier Cool Roof
Attic ZONE 1 Attic RoofZONE 1 Ventilated 4 0.1 1 0.85 No No
FENESTRATION / GLAZING
N�A
01
02
03
04
05
06
07
08
09
10
Name
Type
10
Surface (Orientation -Azimuth) Width (ft)
Height
(ft)
Multiplier
Area
(ft2)
U -factor
SHGC
Exterior Shading
11280
Window
SE -363 (- specify -135)
11.0
8.0
1.015
89.3
0.30
0.22
Insect Screen (default)
112802
Window
Left
Extent
SE -363 (- specify -135)
11.0
8.0
1.015
89.3
0.30
0.22
Insect Screen (default)
ARCH 12.63
Window
2
SE -363 (- specify -135)
11.0
1.0
1.148
12.6
0.27
0.24
Insect Screen (default)
ARCH 12.63 2
Window.
0
SE -363 (- specify -135)
11.0
1.0
1.148
12.6
0.27
0.24
Insect Screen (default)
10080
Window
0
SW -293 (- specify -225)
10.0
8.0
1
80.0
0.30
0.22
Insect Screen (default)
ARCH 12.63 3
Window
0
SW -293 (- specify -225)
11.0
1.0
1.148
12.6
0.27
0.24
Insect Screen (default)
112803
Window
r
NW 202 (.-_specify X 15)
0
0
1.015
^ 89.3
0.30
0.22
Insect Screen (default)
ARCH 12.63 4
Window' I'
VR
N1N-202 (:rs"ci. X315)
11.0
�1.0
II 1.41481
' 12.6
0.27
0.24
Insect Screen (default)
OVERHANGS AND FINS
N�A
01
02
03
'04 r._
i *05--"
S
O6
" N
0 'W 7
--
08
r-_ h Y
09
10
11
12
13
14
Overhang
Left Fin
Right Fin
Window
Depth
Dist Up
Left
Extent
Right
Extent
Flap Ht.
Depth
Top Up
DistL
Bot Up
Depth
Top Up Dist R
Bot Up
11280
2
0.1
2
2
0 1
0
0
0
0
0
0
0
0
112802
2
0.1
2
2
0
0
0
0
0
0
0
0
0
ARCH 12.63
2
0.1
2
2
0
0
0
0
0
0
0
0
0
ARCH 12.63 2
2
0.1
2
2
0
0
0
0
0
0
0
0
0
10080
8
0.1
8
8
0
0
0
0
0
0
0
0
0
ARCH 12.63 3
8
0.1
8
8
0
0
0
0
0
0
0
0
0
112803
15
0.1
15
15
0
0
0
0
0
0
0
0
0
ARCH 12.63 4
15
0.1
15
15
0
0
0
0
0
0
0
0
0
Registration Number: 217-P010197688A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration DatefTime: 2017-06-12 15:37:27
Report Version - CF1 R-05232017-695
HERS Provider: CaICERTS inc.
Report Generated at: 2017-06-12 14:34:50
, CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: DEBOER RESIDENCE
Calculation Description: Title 24 Analysis
Calculation Date/Time: 14:34, Mon, Jun 12, 2017
Input File Name: 5R-005- DEBOER ADD.ribd16x
CF1R-PRF-01
Page 5 of 8
OPAQUE SURFACE CONSTRUCTIONS
01
02
03
04
05
06
07
Total Cavity
Winter Design
Construction Name
Surface Type
Construction Type
Framing
R -value
U -value
Assembly Layers
• Under Roof Joists: R-8.0 insul.
• Cavity / Frame: R-13.0 / 2x4 Top Chrd
• Roof Deck: Wood Siding/sheathing/decking
2x4 Top Chord of Roof Truss @ 24
Tile Gap: present
Attic RoofZONE 1
Attic Roofs
Wood Framed Ceiling
in. O.C.
R 21
0.045
Roofing: 10 PSF (RoofTile)
• Inside Finish: Gypsum Board
Ceilings (below
Cavity/Frame: R-9.1 /2x4
R -60-R-21
attic)
Wood Framed Ceiling
2x4 @ 24 in. O.C.
R 60
-0.016
Over Ceiling Joists: R-50.9 insul.
• Inside Finish: Gypsum Board
• Cavity / Frame: R-21 / 2x6
R-21 WALL
Exterior Walls
Wood Framed Wall
2x6 @ 16 in. O.C.
R 21
0.069
Exterior Finish: 3 Coat Stucco
• Inside Finish: Gypsum Board
r
Cavity/ Frame: R-38 / 2x6
R-30 WALL
Exterior Walls
Wood Framed Wall
2x6 @ 16 in. O.C.
R38
0.054
Exterior Finish: 3 Coat Stucco
SLAB FLOORS n gn � �Rs n 3
01 i , '02 .� If J( 03�= "-'-04� $ N, #' 05 06 07
Name 11�Zo e , "�A�ea�(ft )T Penmete�(ft) U Edge I sul.(R-value & Depth Carpeted Fraction Heated
5302 ZeNE l H E R S 530 P R 0 10 1 1Q E R None 0 No
BUILDING ENVELOPE - HERS VERIFICATION
01 02 03 04
Quality Insulation Installation (QII) Quality Installation of Spray Foam Insulation Building Envelope Air Leakage CFM50
Not 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 DHW Standard DHW Heater 1 (1) 1 .0%
Registration Number: 217-PO10197688A-000-000-0000000-0000 Registration DatefTime: 2017-06-12 15:37:27 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-05232017-695 Report Generated at: 2017-06-12 14:34:50
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: DEBOER RESIDENCE
Calculation Description: Title 24 Analysis
Calculation Date/Time: 14:34, Mon, Jun 12, 2017
Input File Name: 5R-005- DEBOER ADD.ribdl6x
CF1 R -PRF -01
Page 6 of 8
WATER HEATERS
01
02
03
04
05
06
07
08
09
10
11
Distribution Name
A -AC -1
Heat Pump Heating and
Cooling System
Heat Pump System 1
Tank
Energy
Air Distribution System 1
Tank Insulation
SEER
EER
Tank Location or
S IitHeitPum"
, P � ipk
Heater
Required
Number
Volume
Factor or
Input
R -value
Standby Loss /
Not Zonal
a
Ambient
Name
Element Type
Tank Type
of Units
(gal)
Efficiency
Rating/Pilot
(Int/Ext)
Recovery Eff
NEEA Heat Pump Type
Condition
DHW Heater 1
Gas
Instan a Small
1
0
0.92 EF
185,000 Btu/hr
R-0
n/a
/n
n/a
SPACE CONDITIONING SYSTEMS
01
02
03
04
05
06
SC Sys Name
System Type
Heating Unit Name
Cooling Unit Name
Fan Name
Distribution Name
A -AC -1
Heat Pump Heating and
Cooling System
Heat Pump System 1
Heat Pump System 1
HVAC Fan 1
Air Distribution System 1
HVAC - HEAT PUMPS
01
02
03
04 05 06
07 08
09
10
11
Name
System
Type
Number of
Unitsn,
Heating
Cooling
Zonally
Controlled
Compressor
Type
HERS
Verification
Specified Lower Leakage
Target
rCap 47�-Cap-17
Outside
SEER
EER
Heat Pum System 1
P Y
S IitHeitPum"
, P � ipk
11
f( Ji
Required
11
i
.�.
24000
F it
20000
))
lr
19.4
. )( ff[�N�l
3
t V
Not Zonal
a
Sin le S eed
g P
Heat Pump System
1 -hers -cool
HVAC COOLING - HERS VERIFICATION
C o Q (-'I ✓ I n S P
01
02 !
03
04 05
06
Name
Verified Airflow
Airflow Target
Verified EER Verified SEER
. Verified Refrigerant
Charge
Heat Pump System 1 -hers -cool
Required
355
Required Required
Required
HVAC - DISTRIBUTION SYSTEMS
01
02
03
04
05
06
07
Name
Type
Duct Leakage
Insulation R -value
Duct Location
Bypass Duct
HERS Verification
Air Distribution System 1
DuctsOutdoor
Specified Lower Leakage
Target
8
Outside
None
Air Distribution System
1 -hers -dist
HVAC DISTRIBUTION - HERS VERIFICATION
01
02
03
04
05
06
07
08
Name
Duct Leakage
Verification
Duct Leakage
Target (%)
Verified Duct
Location
Verified Duct
Design
Buried
Ducts
Deeply Buried
Ducts
Low -leakage
Air Handler
Air Distribution System 1 -hers -dist
Required
4.0
Not Required
Not Required
Not Required
Not Required
Required
Registration Number: 217-P010197688A-000-000-0000000-0000 Registration Date/Time: 2017-06-12 15:37:27 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-05232017-695 Report Generated at: 2017-06-12 14:34:50
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: DEBOER RESIDENCE Calculation Date/Time: 14:34, Mon, Jun 12, 2017
Calculation Description: Title 24 Analysis Input File Name: 5R-005- DEBOER ADD.ribdl6x
CF1R-PRF-01
Page 7 of 8
HVAC -FAN SYSTEMS
01 02 03 04
Name Type Fan Power (Watts/CFM) HERS Verification
HVAC Fan 1 Single Speed PSC Furnace Fan 0.55 HVAC Fan 1 -hers -fan
HVAC FAN SYSTEMS - HERS VERIFICATION
01 02 03.
Name Verified Fan Waft Draw Required Fan Efficiency (Watts/CFM)
HVAC Fan 1 -hers -fan Required 0.55
IAQ (Indoor Air Quality) FANS
01
02
03
04
05
06
Dwelling Unit
a IAQ CFM
IAQ Watts/CFM
IAQ Fan Type
IAQ Recovery
Effectiveness(%)
HERS Verification
SFam IAQVentRpt
; 1 120
0.25
Default
0 •
Required
PROJECT NOTES
--ALL INPUT DATA, HVAC EQUIPMENT, WATER HEATER EQUIPAUSED IN THIS �CALCULATIONIWAStiPROVIDED �BY THE PLANS PREPARER. ANY ALTERATION OR DEVIATION FROM THIS
CALCULATION WILL BE GENERAL CONTRACTOR RESPONSABILITY.A�CCONTRACTORrSHALL7VERIFY�LOAD CALCUL?ATIONS�AND AC SIZING. HVAC LOADS PROVIDED IN THIS
PDOCUMENT ARE APROXIMATE CALC
RIOR OF HVAC EQUIPMENT ORDERULATIONSREVISION/CHANGESHALLBE NOTIFIEDTOHE ERGiY CONSULT ANT DEVISE COMPLIANCE WITH THE STANDARDS
Registration Number: 217-P010197688A-000-000-0000000-0000 Registration Date/Time: 2017-06-12 15:37:27 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-05232017-695 Report Generated at: 2017-06-12 14:34:50
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: DEBOER RESIDENCE
Calculation Description: Title 24 Analysis
Calculation Date/Time: 14:34, Mon, Jun 12, 2017
Input File Name: 5R-005- DEBOER ADD.ribdl6x
CF1R-PRF-01
Page 8 of 8
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
ARMANDO CHAVEZ
Company:
Signature Date:
TITLE 24 OF THE DESERT
2017-06-12 15:35:15
Address:
CEA/HERS Certification Identification (If applicable):
74800 Shirley #62
N.A.
City/State/Zip:
Phone:
PALM DESERT, CA 92260
760-278-1840
RESPONSIBLE PERSON'S DECLARATION STATEMENT
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.
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.
3. 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 approvalwwithAhis_b.uilding permit application.
Responsible Designer Name:Responsible
L00�11
11 (Lit
Designer Signature:
C
Stephen Nieto ,r "�
jl
n
Company:
Date Signed:
South West Concepts
2370612 15:37:2
Address:
License:
78-115 Calle Estado
N.A.
City/State/Zip:
Phone:
La Quinta, CA 92253
760-564-4704
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration
Provider responsibility for the accuracy of the information.
Registration Number: 217-Po10197688A-000-000-0000000-0000 Registration DatefTime: 2017-06-12 15:37:27
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CHR -05232017-695
Easy to Verify
at CaICERTS.com
HERS Provider: CaICERTS inc.
Report Generated at: 2017-06-12 14:34:50
0
0
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0
0
0
0
0
0
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LAS MEVIDAS DE LA INSTALLAC1,6N DE LOS TRUSSES
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