2014-0484 (SFD)78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ANDREW PIERCE CORP
44835 DEEP CANYON
PALM DESERT, CA 0
SFD-14-484
79465 TOM FAZIO LN N
766032013
NEW SINGLE FAMILY HOME
$595,178.10
AUG 0 5 2014
CITY OF LA QUINTA {
COMMUNITY 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 Clas License No.::CONV:14052 53035341
x Date: Contractor4_
/
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 allege ,
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).:
(_),I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that he
or she did not build or improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
License Law does not apply to an owner of property who builds or improves thereon, and
who contracts for the projects with a contractor(s) licensed pursuant to the Contractors'
State License Law.).
(_) I am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/5/2014
Owner: .
TOM & PALELA DANIELS
6600 JANSEN AVE NE
ALBERTVILLE, MN 55301
Contractor:
ANDREW PIERCE CORP
44835 DEEP CANYON
PALM DESERT, CA 0
Llc. No.: :CON V: 140528101253035341
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700•of_the Labor Code, for the performance of
the work for which this permit is issued.
_ I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number: _
_ I certify that in'the performance of the work for which this permit is issued, 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
yose ovisions. :0�g
/y
ate: v IZ tt Applic
WARNING: FAILURE TO SECURE WORKERS'MPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit issued
as a result of this application , the owner, and the applicant, each agrees to, and shall
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
commenced within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the ove-
mentioned 9(opelty for inspection purposes.
Date: p I 9L+Signature (Applicant
FINANCIAL INFORMATION
DESCRIPTION,,:
ACCOUNT
QTY. AMOUNT.
PAID
PAID DATE
ART IN PUBLIC PLACES - RESIDENTIAL
270-0000-43201
0 $987.94
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forART IN PUBLIC PLACES - AIPP: $987.94 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID.DATE
BLDG PC 200K -1M
10160003428200
$1,500.00
$1,500.00
4/22/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for BLDG PC 200K -1M: $1,500.00 $1,500.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$24.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $24.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$0.00
PAID BY `"
METHOD
RECEIPT #
CHECK # ` `'
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #,
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID,
PAID DATE
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - LIBRARIES
253-0000-43200
0
$344.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION-
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK # ' •
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
PAID BY
METHOD
RECEIPT #
'CHECK #
CLTD BY
DESCRIPTION
ACCOUNT"
QTY
PAID
PAID DATE
r♦
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$0.00
z° PAID BY`' , p
+ ` .'METHOD
RECEIPT # _ 'r
=,'`CHECK # ":`
CLTD BY
DESCRIPTION
1 ACCOUNT
QTY
AMOUNT
, PAID
PAID DATE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
PAID BY
- METHOD
RECEIPT#
CHECK#
'CLTD BY
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00
DESCRIPTION
ACCOUNT`
QTY'
AMOUNT
PAID
PAID'DATE
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$85.12
$0.00
PAID BY • - -
METHOD
RECEIPT #
CHECK #-
CLTD BY
DESCRIPTION -
'ACCOUNT -
QTY,
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$35.07
$0.00
PAID BY . -
'METHOD
RECEIPT #
- CHECK #`'
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$143.00
$0.00
PAID BY
:METHOD.
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.19
$0.00
PAID.BY
METHOD
RECEIPT #
CHECK #
CLTD, BY
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $310.38 $0.00
- DESCRIPTION'
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL FINISH GRADING PC
101-0000-42600
0
$143.00
$0.00
PAID BY
METHOD
RECEIPT #
e CHECK #
CLTD BY
Total Paid forGRADING: $143.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID,
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$178.75
$0.00
PAID BY
METHOD
RECEIPT #"
CHECK # ..: '.
CLTD BY .
DESCRIPTION'
ACCOUNT
QTY'
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$119.15
$0.00
PAID BY +
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
'' ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD
101-0000-42402
0
$11.92
$0.00
PAID BY- ` - _
METHOD
RECEIPT #
CHECK #
"-CLTD BY
� 11
' DESCRIPTION ° F
ACCOUNT'.
QTY
- AMOUNT•PAID
f,-
PAID DATE.
EXHAUST HOOD PC
101-0000-42600
0
$4.77'
$0.00
... PAID BY `.
" . ::, METHOD
RECEIPT # .._ , ...
CHECK #
'CLTD BY
'• DESCRIPTION
' ACCOUNT Y
QTY,.
AMOUNT r
PAID
PAID DATE
FURNACE
101-0000-42402
0
$178.75
$0.00
PAID BY
METHOD
RECEIPT #
- CHECK # ..
CLTD BY
DESCRIPTION
ACCOUNT
•QTY
AMOUNT
_ PAID "'
PAID DATE
FURNACE PC
101-0000-42600
0
$119.15
$0.00
'PAID BY
METHOD
RECEIPT #
CHECK # • _ :
CLTD BY
DESCRIPTION' _
ACCOUNT
QTY
AMOUNT
' PAID = -
PAID DATE
VENT FAN
101-0000-42402
0
$95.36
$0.00
y PAID BY. -' r
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION'
,_ACCOUNT
QTY
AMOUNT
PAID, x ...
PAID DATE
VENT FAN PC
101-0000-42600
0
$38.16
$0.00
' PAID BY
METHOD _
RECEIPT:_#,
'CHECK #
CLTD BY'
Total Paid forMECHANICAL: $746.01 $0.00
4 DESCRIPTION ' °
" "ACCOUNT
QTY i
'- ' -AMOUNT`!.._ '
PAID
PAID DATE
MULTI -SPECIES RESIDENTIAL 0-8 UNITS
101-0000-20310
0
$1,292.00
$0.00
PAID BY - , ...
METHOD
RECEIPT # `•
CHECK # _ °
CLTD BY,,
Total Paid forMULTI-SPECIES RESIDENTIAL- $1,292.00 $0.00
° 'DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$795.19
$0.00
PAID BY
METHOD
RECEIPT # -'
'CHECK #
CLTD BY
Total Paid forNEW CONSTRUCTION PERMIT: $795.19 $0.00
DESCRIPTION
ACCOUNT
QTY'
AMOUNT
PAID
PAID DATE'
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,718.42
$0.00
PAID BY "
.METHOD
RECEIPT #CHECK#
CLTD' BY
Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,718.42 $0.00
..DESCRIPTION
ACCOUNT _
QTY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE
101-0000-42401
0
$11.92
$0.00
PAID BY .
METHOD
RECEIPT #'.'
CHECK #��
CLTD BY
DESCRIPTION
ACCOUNT-
QTY_1
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE PC
101-0000-42600
0
$4.77
$0.00
n
PAID BY _
METHOD '
RECEIPT #
CHECK #
CLTD BY _
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-0000-42401
0
$11.92
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER PC
101-0000-42600
0
$11.92
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$345.68
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTIONL
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP PC
101-0000-42600
0
$345.68
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$35.75
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$23.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE.
ROOF DRAIN
101-0000-42401
0
$59.60
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY'
AMOUNT
PAID
PAID DATE
ROOF DRAIN PC
101-0000-42600
0
$59.60
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY'
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$23.84
$0.00
PAID BY _
METHOD
RECEIPT. #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$14.30
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY "
. N.
,. DESCRIPTION :: ; ^
ACCOUNT
QTY
; AMOUNT Y f
Y PAID; ''_" "
`PAID DATE`
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$11.92
$0.00. '
c:. ..
a .. PAID BY' .moi _
,' ' =' .. w
. ��r METHOD
;" .
RECEIPT
CHECK # 'f;
r'CLTD BY
t DESCRIPTION; '" r..k
ACCOUNT - '
QTY
AMOUNT-
-PAID ` "r
� PAID. DATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$11.92
$0.00
PAID BY —,,,
" - METHOD,' .
jS RECEIPT #
CHECK #, "
{ CLTD BY'
.
Total Paid for PLUMBING FEES: $972.65 $0.00
..,,,-'DESCRIPTION . = f
ACCOUNT. t
QTY
AMOUNT
='PAID ~'
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$77.37
$0.00
PAID BY : ` '
METHOD
RECEIPT # i "
"CHECK # .:' `
'CLTD BY"'
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $77.37 $0.00
r. _- 7-
,';,DESCRIPTION' x.' .r.
_
>ACCOUNT
- -
QTY
AMOUNT
' " "PAID
PAID DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$0.00
PAID,BY �' �` a
METHOD
t ' 'RECEIPT .#
CHECK # s
°CLTD BY
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00
TOTALS:40 $1,500.00
It
Description: NEW SINGLE FAMILY HOME
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: PLAN CHECK
Applied: 4/22/2014
FAMILY DETACHED
Approved:
Parcel No: 766032013 Site Address: 79465 TOM FAZIO LN N LA QUINTA,CA 92253
Subdivision: Block: Lot:
Issued:
Lot Sq Ft: Building Sq Ft: Zoning:
Finaled:
Valuation: $595;178.10 Occupancy Type: Construction Type:
Expired:
No. Buildings: No. Stories: No. Unites:
PAID DATE, RECEIPT # 'CHECK # pglp gy
Details: NEW SFD 6553 SQ. FT. WITH CASITA, HOME IS FIRE SPRINKLED PER 2013 CRC CODES. THIS PERMIT DOES NOT INCLUDE POOL, SPA,
. BLOCKWALLS, DRIVEWAY APPROACH, BBQ FIRE -PIT OR WATER FEATURES.
CONDITIONS
Printed: Friday, July 11, 2014 9:32:15 AM
1of5
0? L./ SYSTEMS
• ••
•.
-,�:
�'
wMETHOD
`+ CLTDs'f
DESCRIPTI66ht{ F4,ACCOUNT'' , s y ! �QiY`'
°;!AMOUNT
='PAID'
PAID DATE, RECEIPT # 'CHECK # pglp gy
B_ Y :.
ART IN PUBLIC PLACES -
270-0000-43201 0$987.94
RESIDENTIAL
$0.00
Total Paid -forART IN PUBLIC PLACES - AIPP:
$987.94
$0.00
BLDG PC 200K -1M7
10160003428200
$1,500.00
$1,500.00
4/22/14
Total Paid for BLDG PC 20OK-1M:
$1,500.00
$1,500.00
Printed: Friday, July 11, 2014 9:32:15 AM
1of5
0? L./ SYSTEMS
r
,� v '+fin. � � • �'•:•,c�;�'
a
-DESCRIPTION Ie �;.
t ACCOUNTtP r - A,
cQn(�
r+=. AMOUNTr
�"' " PAIOT« �;
PAID DATE
tAtCEIPT,#
I CHECK #:
; METHOD
' PAID BY - r
CTL D
z
BSAS SB1473 FEE
101-0000-20306
0
$24.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$24.00 $0.00
BSA:
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$0.00
DIF - COMMUNITY
CENTERS
254-0000-43200
0
$129.00
$0.00
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
DIF - LIBRARIES
253-0000-43200
0
$344.00
$0.00
DIF -PARK
MAINTENANCE
256-0000-43200
0
$40.00
$0.00
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
DIF - STREET
MAINTENANCE
255-0000-43200
0
$116.00
$0.00
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00
RESIDENTIAL, EA
ADDITION 1,000SF
101-0000-42403
0
$85.12
$0.00
RESIDENTIAL, EA
ADDITION 1,000SF, PC
101-0000-42600
0 •
$35.07
$0.00
RESIDENTIAL, FIRST
1,000SF
101-0000-42403
0
$143.00
$0.00
RESIDENTIAL, FIRST
1,000SF, PC
101-0000-42600
• 0
$47.19
$0.00
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $310.38 $0.00
RESIDENTIAL FINISH
GRADING PC
101-0000-42600
0
$143.00
$0.00
Total Paid forGRADING: $143.00 $0.00
Printed: Friday, July 11, 2014 9:32:15 AM
2of5
v..�'7q SYSTEMS
3
�F vim. r� - ;' T.�=�4+ :,• ,w.
t.. e
�DESCRIP�TION
iiACCOUNT
QTY„
+ :AMOUNT.
;PAID"i'
='
PAID A E..
LRECEIFT�#
'CHECK'#
`=METHOD
PAIDBYr' q�'`
rCLTD
CONDENSER/COMPRES
SOR
101-0000-42402
0
$178.75
$0.00Yi
CONDENSER/COMPRES
SOR PC
101-0000-42600
0
$119.15
$0.00
EXHAUST HOOD
101-0000-42402
0
$11.92
$0.00
EXHAUST HOOD PC
101-0000-42600
0
$4.77
$0.00
FURNACE
101-0000-42402
0
$178.75
$0.00
FURNACE PC
101-0000-42600
0
$119.15
$0.00
VENT FAN
101-0000-42402
0
$95.36
$0.00
VENT FAN PC
101-0000-42600
0
$38.16
$0.00
Total Paid forMECHANICAL: $746.01 $0.00
MULTI -SPECIES
RESIDENTIAL 0-8 UNITS
101-0000-203100
$1,292.00
$0.00
Total Paid forMULTI-SPECIES RESIDENTIAL ✓ $1,292.00 $0.00
NEW CONSTRUCTION
PERMIT
101-0000-42400
0
$795.19
$0.00
Total Paid forNEW CONSTRUCTION PERMIT: $795.19 $0.00
NEW CONSTRUCTION
PLAN CHECK
101-0000-42600
FO
$1,718.42
$0.00
Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,718.42 $0.00
BACKFLOW DEVICE
101-0000-42401
0
$11.92
$0.00
BACKFLOW DEVICE PC
101-0000-42600
0
$4.77
$0.00
BUILDING SEWER
101-0000-42401
0
$11.92
$0.00
BUILDING SEWER PC
101-0000-42600
0
$11.92
$0.00
'FIXTURE/TRAP
101-0000-42401
0
$345.68
$0.00
FIXTURE/TRAP PC
101-0000-42600
0
$345.68
$0.00
Printed: Friday, July 11, 2014 9:32:15 AM 3 of 5
0TsrsreMs
il-
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a
n
3
DESCRIPTION # ,i
= ACCOUNT 4
QTYG
AMOUNT
PAID
'V PAID DATE:
RECEIP;T�#"
CHECK #
#METHOD"
4, PAID BY ;.
CLTD'
N
BY
GAS SYSTEM, 5+
OUTLETS
101-0000-42401
0
$35.75
_
$0.00
GAS SYSTEM, 5+
OUTLETS PC
101-0000-42600
0
$23.83
$0.00
ROOF DRAIN
101-0000-42401
0
$59.60
$0.00
ROOF DRAIN PC
101-0000-42600
0
$59.60
$0.00,
WATER HEATER/VENT
101-0000-42401
0
$23.84
$0.00
WATER HEATER/VENT
PC
101-0000-42600
0
$14.30
$0.00
WATER SYSTEM
INST/ALT/REP
101-0000-42401
0
$11.92
$0.00
WATER SYSTEM
INST/ALT/REP PC
101-0000-42600
0
$11.92
$0.00
Total Paid for PLUMBING FEES: $972.65 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$77.37
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $77.37 $0.00
SINGLE FAMILY
DETACHED
224=0000-20320
0
$1,837.44
$0.00
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00
�i 4`��r �� �-� rev ��v �r i r�� •;..tc l d.x E a`t�C. �. +.�� _i � •za r� — -
`INSPECTIONS
,
PARENTPROJECT51*F�`.��
Printed: Friday, July 11, 2014 9:32:15 AM 4 of 5
SYSTEMS
P.O. BOX 1504-"I v
78-495 CALLE TAMPICO APPLICATION ONLY
Building LA QUINTA, CALIFORNIA 92253
Address r
Ownar V' ,/
BUILDING: TYPE CONST. _ Y /9 OCC. GRP.
Mailing
Address tSlIco 0 A.P. Numbersyr%
City Zip Tel. 763 \ Legal Description cea -2 27a,2
Contractor S O J Project Description 22A6&_-
Address
City Zip Tel.
State Lic. City Sq. Ft. / No. No. Dw.
& Classif. Lic. # Size fo SS Stories Units
Arch., Engr., _ New Add ❑ _A1terR - air ffj Demolition ❑
Designer
Address Tel.i-
736.2%
City, Zi State r„
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm 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. _ _
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
(Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct,
alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for
such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac-
tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, or that he 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).
OI, 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 Profes-
sions Code: The Contractor's License Law does not apply to an owner of property who builds or
improves thereon and who does such work himself or through his own employees, provided that
such 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 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 Contractor's License Law does not apply
to an owner of property who builds or improves thereon, and who contracts for such projects with
a contractor(s) licensed pursuant to the Contractor's License Law)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑Copy is filed with the city. ❑Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less).
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 Workers' Compensation Laws of California.
Date Owner
NOTICE TO APPLICANT.. If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions or the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
Estimated Valuation
n
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
CONTACT INFORMATION
NAME:
PHONE:
AMOUNT
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line _
Side Street Setback from Center Line
Side Setback from Property Line —
FINAL DATE
Issued by:
Validated by: —
Validation:
YELLOW = APPLICANT
INSPECTOR
Date Permit
PINK = FINANCE
Date
7/24/14
No.
32209
Owner
John & Pamela Daniels
Address
79-465 Tom Fazio
City
La Quinta Zip
Tract #
Type
Single Family Residence
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
Jurisdiction
Permit #
No. of Units
4�J�ZFIFAk_
QQ BERMUDA DUNES
'RANCHO MIRAGE d
{�J INDIAN WELLS
PALM DESERT
LA QUINTA y
�QINDIO y�
766-032-013
La Quinta
1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 79465 Tom Fazio 6553 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $3.36 X 6,553 S.F. or $22,018.08 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By CC/Bank of Southern California - Gary Lohman Check No. 407363
Bank Name/Recipient of Certificate Telephone 760-346-3228
Funding Residential
By Dr. Gary Rutherford
Superintendent
Fee collected /exem Payment Recd 6 _1-
p Y Sha c y y � �o.00 rid -
$22,018.08 ~aver/undar,
Signature
NOTICE: Purs ant to Government Code Sectio 66020(d)(1), this will s e to notify you that the 90 -day approval period in which you may protest the fees
or other paym nt identified above will begin to run date on whl h the building or installation permit for this project is issued, or from the date on
which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy -.Accounting
B
'
`
,i
II
DOC # 2013-017850¢
04/16/2013 12:24 PM Fees: $21.00
RECORDING REQUESTED BY: `
Page 1 of 3 Doc T Tax Paid
First American Tide Insurance Co. "
Recorded in Official Records
County of Riverside
AND WHEN RECORDED MAIL TO:
Larry W. Ward
Mr. and Mrs. Johri Daniels
Assessor, County Clerk & Recorder
6600 Jansen Ave. NE
Albeft1le, MN 55301
'
"'This document was electronically submitted
to the County of Riverside for recording"
"...; r
Receipted by: TVERBA
I rns WAL& 1 -UK KMVKUWCb Ut5h ONLY:
Title order No.: 33 6s--? crow No.: 05MS-KM
APN: 766-032-013
GRANT DEED
Tax Rate Area No. 020-121
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX Is $38699- 330.00
[X) computed on full value of property conveyed, or
[ J Computed on full value less value of liens or encumbrances remaining at time of sale.
[ ] Unincorporated area [XI City of La Quinta AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Douglas Stuart, Trustee of The Woody Creek Trust dated 1015199
hereby GRANT(s) to:
John Daniels and Pamela Daniels, Husband and Wife As Joint Tenants
the real property in the City of La Quinta, County of Riverside, State of California, described as:
LEGAL DESCRIPTION ATTACHED HERETO AS EXHIBIT "A" AND MADE A PART HEREOF
7 �)
DATED March 2'!P, 2d13
STATE OF�--kZ aa' Douglas , Trust of The Woody Creek Trust
COUNTY'OfIaAj
� LrL dated 10!
On Yv . 2-1., 3
beton: me; ,, Kkti BY:
A rotary Public personally appeared
x�C'I Dougt s Stua rustee
who proved to me on the basis of satisfactory evidence to be
the person(s) whose name(s) Ware subscribed to the within
instrument and acknowledged to me that he/shefthey
executed the same in hismerRheir authorized capacity(les),
and that by his/heritheir signature(s) on the instrument the
person(s), or the entity upon behalf of. which the person(s) "'.P'ba JEi1W FALUS.
acted, executed the Instrument. 3' s= Notary Pu
• Shh of Ronda
1 certiFy under PENALTY OF PERJURY under the laws of the State 3• •r Iqy Comm, Expires Sep a, 2011
of California that the foregoing paragraph is true and correct COM EK
n s EE 12358
WITNESS my hand and o a4 �a 4gt.M1, `� Borged rle4otHt 1 Alar.
M
Signature (Seal) '
MAIL TAX MENTS O PARTYS OWN BELOW; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE:
F
: DOC #2013-0178505 Page 2 of 3 04/16/201312:24 PM
NOTARY SEAL
'� nder_the provisions°.of Government Code 27361.73 .! certify
* funder the penalty of perjury that the Notary Seal on the
.;,.document to which this statement is attached reads as
follows:
Name of Notary: -:Y� G M r) e Fa f i
Commission #: 3 cI q
,'Date Commission Expires: 2
� nn
County where Bond is filed 1 ._1_0111
PLACE OF EXECUTION: San Bernardino
DATE:
+SIG.NATURE:
\
fy.
: DOC #2013-0178505 Page 2 of 3 04/16/201312:24 PM
NOTARY SEAL
'� nder_the provisions°.of Government Code 27361.73 .! certify
* funder the penalty of perjury that the Notary Seal on the
.;,.document to which this statement is attached reads as
follows:
Name of Notary: -:Y� G M r) e Fa f i
Commission #: 3 cI q
,'Date Commission Expires: 2
� nn
County where Bond is filed 1 ._1_0111
PLACE OF EXECUTION: San Bernardino
DATE:
+SIG.NATURE:
DOC #2013-0178505 Page.3 of 3 04/16/201312:24 PM
' Order Number. NHSC-4336530 (50)
EXH O BOT "N'
'. LEGAL DESCRIPTION
Real property in the City of La Quinta, County of Riverside, State of California, described as
follows:
L0T48, :TRACT. NO 27728; THE COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS PER MAP
RECORDED IN BOOK 249, PAGE 1 THROUGH 13, INCLUSIVE OF MISCELLANEOUS MAPS, IN THE
OFFICE OF THE COUNTY RECORDED OF SAID COUNTY.
EXCEPT ONE=HALF OF ALL OIL, GAS AND OTHER HYDROCARBON SUBSTANCES AND ALL
MINERALS, .WHETHER. METALLIC OR NON-METALLIC WHICH MAY BE EXTRACTED OR REMOVED
PROVIDED, HOWEVER, THAT THE SAID GRANTOR, HER SUCCESSORS OR ASSIGNS, SHALL NOT
USE THE SURFACE OF SAID LAND OR ANY PART OF PARTS WITHIN 500• FEET OR SURFACE
THEREOF AND IN THE EXERCISE OF SUCH RIGHTS SHALL NOT DISTURB THE SURFACE OF
'. SAID LAND:.OR ANY IMPROVEMENTS THEREON, OR INSURE OR IMPAIR THE LATERAL OR
SUBJACENT SUPPORT OF SAID LAND OF ANY IMPROVEMENT THEREON, AS RESERVED IN THE
_ DEED FROM ETHEL S. SOKOLOW, A MARRIED WOMAN, RECORDED SEPTEMBER 20, 1960 AS
INSTRUMENT/FILE NO. 81986 OF OFFICIAL RECORDS OF RIVERSIDE COUNTY, CALIFORNIA.
ALSO, EXCEPT THEREFROM, ALL OIL, GAS AND OTHER HYDROCARBON SUBSTANCES AND ALL
' MINERALS, WHETHER METALLIC OR NON-METALLIC, IN UNDER, OR ON, OR WHICH MAY BE
I,' PRODUCED; EXTRACTED OR REMOVED, AS CONTAINED IN THE DEED RECORDED OCTOBER 15,
1951 IN BOOK 1310 PAGE 289 OF OFFICIAL RECORDS OR RIVERSIDE COUNTY, CALIFORNIA.
APN: 766-032-013-8
FiistAmeiican Title
Building Permit Number:
Project Description: SFR
Exempt: ❑
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Plan Submittal Date
Job Site Address
Owner's Name
Number, Street, or PO Box
City, State, Postal Code
Owner's Phone Number
Owner's E -Mail Address
7/25/2014
79465 Tom Fazio Lane North
John Daniels
P.O. Box 3420
Palm Desert, Ca. 92261
c/o 760-346-3228
Project Managers Namel Nate Rucker
Project Managers Phone Number 760-346-3228
Project Managers E-mail Address I nate.rucker(a)andrewpiercecorp.com
Builder/ Contractor Andrew Pierce Corp
Number, Street or PO Box P.O. Box 3420
City, State, Postal Code Palm Desert, Ca. 92261
Project Square Footage 6553 sq ft
City Approval By
Date of City Approval
Materials To Be Discarded:
Product
Tons
Trash
26.50 Not recyclable
Product
Tons
Asphalt
0.00 Recyclable
Masonry (broken)
0.00 Recyclable
Brick/Block
0.00 Recyclable
Plaster
7.75 Recyclable
Cardboard
0.00 Recyclable
Scrap Metal
0.00 Recyclable
Commingled
0.00 Recyclable
Tile (floor)
0.25 Recyclable
Concrete
28.50 Recyclable
Tile (roof)
0.75 Recyclable
Drywall
3.00 Recyclable
Wood
8.75 Recyclable
Donated / Reuse"
0.00 Recyclable
Landscape Debris
0.00 Recyclable
'Describe Items
Totals: Recycle Trash
49.00 26.50
Projected Diversion:
64.90%
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 Plan (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 re -use, 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 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
bi-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer
/ Developer / Project Manager / Superintendant
Date
q.y 'u t�,� Num,. L�`
jIl . t•'"'� D
CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREE4_.-,SVr1kKs..,.,pzk 1 �Q14
i PUBLIC WORKS CLEARANCE FOR RELEASE OF'BUILDING fkForm updated &effective 9x25/2009 Wr
DE E( CGreen Sheet a royals are forwarded to the Buildin & Safet De artment direct) b Public W .,Lh le Ji
submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until w "uinemar�ts�li@X
a
below are complete. Incomplete applications or applications which cannot be processed will be returned to applican .
1
Date: �/ 11 /� Developer: John Daniels
Tract No.: 27728 Tract Name:
Address(s): 79-465 Tom Fazio Lane North
Lot No.(s):48
'Phone Number: ( 760 ) 346-3228
The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the
Building & Safety Department:
s CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW
TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW _
COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW
WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW
TENT
1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum
allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date).
If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation
Certificate can be provided. C -
2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils
Engineer. Recently rough graded residential developments which have a previously approved geotechnical
certification are exempt from this requirement.
3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots.
4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan
agreement or provide alternative & valid City approved PM10 plan set reference number or, hard copy plan. a. .
PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans •
& are subject to additional requirements. A current PM10 certification number is required.
5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(S)_,;
for pad elevation verification. AO flood zone developments will require an approved flood plain developmeht plan., ;
6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations.
7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable.. PWL -
.approved building construction projects require either a WQMP or a completed WQMP exemption form. '
Approved maps/plans may be viewed at the following link: http://www.la-ciuinta.org/PlanCheck/m search asox 0,1•_ r ;
I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently ,
complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to, my findings, .
the above project may be released for building permit issuance.
This section completed by City staff. Q
Recommended by: Date: O //
Public Works Distribution: ( __Zeen Sheet to Building & Safety
( ) Green Sheet to Planning Department
Declined for approval for reason(s) as follow(s), please correct and resubmit:
TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc
rt
` -City of La Quinta - PM10 Fugitive Dust Control Project Information
Construction Phase PM10 Agreement (<1 acre/Int nr Infill PrniPr_tl
Project Information
tr ` Andrew Pierce Cor oration
Pro ect Contractor: P
Project Phase
(check one)
Construction
Demolition
Project Name: Daniels Residence
-
Project Tract/Lot Numbers: 27728 Lot 48
Project Street Address: 79-465 Tom Fazio Lane North
Total Acres in Active
Construction (<1 acre per
Lot): .55
Anticipated Start Date: / / Anticipated Completion Date:
PM10 Contact
Information
Please note: Dust control is required 24 hours a day, 7 days a week, regardless of
construction status. Person listed below is responsible for dust control during business and
non -business hours.
Name:
David J. Muth
Title:
Project Manager
Company Name:
Andrew Pierce Corporation
r
Mailing Address:
P.O. Box 3420
�.
City, State, ZIP Code:
Palm Desert, CA. 92261
Primary Phone #:
760-346-3228
Fax #:
760-346-6263
24 Hour Emergency
- Phone#:
760-346-3228
w
Cell Phone #:
760-250-4903
;
Email Address.
dave.muth@andrewpiercecorp.com
PM10 Certificate M
CV13-01-1245
The above stated property owner•(or authorized representative):
•: Shall act as his/her acknowledgement of dust control requirements and their enforceability; pursuant to SCAQMD-
,; Rules 403, 403.1, 401, 402, 201, 203 and PERP; r, ,
' Shall constitute an Agreement to comply with all project conditions as identified. in the approved dust control plan. ;.
Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) daysla week, throughout the
period of project performance, regardless of project size or status; - ' i y l
Shall ensure that each and every contractor, subcontractor and all other persons associatedwith the project`shall. -
be in continuous compliance with all requirements of the approved dust'control plan; a .4 •
❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed,in the dust
control plan are necessary; h F
•3 Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes;, t.
Shall hold harmless the City/County and its representatives from liability for any actions related to this dust control
plan ora ity/Count d abatement activities.
nature o roperty Owner or Authorized Representative Date 7"
TAGhecklists - Forms & Applications\Fors & Applications\GREEN SHEET cover & PM10less than 1 Acre Revised 9-25-09.doc :,
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name
Daniels Residence
Building Type 0 Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
7/11/2014
Project Address
Lot 48 - Tom Fazio North La Quinta
California Energy Climate Zone
CA Climate Zone 15
Total Cond. Floor Area
6,553
I Addition
1 n/a
# of Stories
1
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes ❑ No HERS Measures -- If Yes, A CF -413 must be provided per Part 2 of 5 of this form.
❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION
Construction Type
Area Special
Cavity Features see Part 2 of 5 Status
Wall Wood Framed
R-21 3,398 New
Door Opaque Door
None 48 New
Roof Wood Framed Attic
R-38 6,553 Radiant Barrier New
Slab Unheated Slab -on -Grade
None 6,553 Perim = 114' New
FENESTRATION U-
Orientation Area Factor
Exterior
SHGC Overhang Sidefins Shades Status
Front (N) 299.6 0.500
0.36 2.0 none Bug Screen New
Left (E) 189.0 0.500
0.36 2.0 none Bug Screen New
Rear (S) 168.0 0.500
0.36 10.0 none Bug Screen New
Rear (S) 416.0 0.500
0.36 2.0 none Bug Screen New
Rear (S) 100.0 0.500
0.36 12.0 none Bug Screen New
Right (W) 48.0 0.500
0.36 12.0 none Bug Screen New
Right (lM 53.3 0.500
0.36 2.0 none Bug Screen New
Right (IM 60.0 0.500
0.36 6.0 none Bug Screen New
HVAC SYSTEMS
City. Heating Min. Eff Cooling Min. Eff Thermostat Status
4 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback
New
1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback
New
HVAC DISTRIBUTION
Location Heating
Duct
Cooling Duct Location R -Value Status
Whole House Ducted
Ducted Attic, Ceiling Ins, vented 8.0
New
Casita Ducted
Ducted Attic, Ceiling Ins, vented 8.0
New
WATER HEATING
Ot . Type Gallons Min. Eff Distribution
3 Small Gas 50
0.64 All Pipesilns Ike-Tt�ubbd
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PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R
Project Name
Daniels Residence
Building Type ® Single Family ❑ Addition Alone
1 ❑ Multi Family ❑ Existing+ Addition/Alteration
Date
7/11/2014
SPECIAL FEATURES INSPECTION CHECKLIST
The enforcement agency should pay special attention to the items specified in this checklist. These items require special written
justification and documentation, and special verification to be used with the performance approach. The enforcement agency
determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of
the s ecial justification and documentation submitted.
HIGH MASS Design - Verify Thermal Mass: 3, 000.0 ft2 Exposed Slab Floor, 3.500" thick at Whole House
HIGH MASS Design - Verify Thermal Mass: 2,669.0 ft' Covered Slab Floor, 3.500" thick at Whole House
HIGH MASS Design - Verify Thermal Mass: 684.0 ft2 Covered Slab Floor, 3.500" thick at Casita
HIGH MASS Design - Verify Thermal Mass: 200.0 ft2 Exposed Slab Floor, 3.500" thick at Casita
The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential
Appendix R44.2.2.
HERS REQUIRED VERIFICATION
Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a
completed CF -4R form for each of the measures listed below for final to be given.
The Cooling System Carrier 38ETGO4830 includes credit fur a 11.0 EER Condenser. A certified HERS rater must field verify the installation of the
correct Condenser.
The HVAC System Whole House incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display.
The HVAC System Whole House includes credit for verified adequate airflow. A certified HERS rater must diagnostically measure airflow of the HVAC
System.
The HVAC System Whole House incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that
duct leakage meets the specified criteria.
The Cooling System Carrier 38ETG03630 includes credit fora 11.0 EER Condenser. A certified HERS rater must field verify the installation of the
correct Condenser.
The HVAC System Casita incorporates HERS Verified Refiigerant Charge or a Charge Indicator Display.
The HVAC System Casita includes credit for verified adequate airflow. A certified HERS rater must diagnostically measure airflow of the HVAC
System.
The HVAC System Casita incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct
leakage meets the specified criteria.
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PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R
Project Name
Building Type m Single Family ❑ Addition Alone
Date
Daniels Residence
❑ Multi Family ❑ Existing+ Addition/Alteration
7/11/2014
ANNUAL ENERGY USE SUMMARY
Standard Proposed Margin
TDV kBtu/ft2- r
Space Heating 2.64 3.62 -0.99
Space Cooling 47.27 41.68 5.59
Fans 9.30 42.25 -2.95
Domestic Hot Water 5.57 7.22 -1.65
Pumps 0.00 0.00 0.00
Totals 64.77 64.76 0.01
Percent Better Than Standard: 0.0%
BUILDING COMPLIES - HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation: (M 0 deg Ext. Walls/Roof Wall Area Area
Number of Dwelling Units: 1.00 (N) 1,500 300
Fuel Available at Site: Natural Gas lq 1,000 189
Raised Floor Area: 0 (S) 1,400 684
Slab on Grade Area: 6,553 (►M 880 161
Average Ceiling. Height: 10.0 Roof 6,553 0
Fenestration Average U -Factor: 0.50 TOTAL: 1,334
Avera a SHGC: 0.36 Fenestration/CFA Ratio: 20.4%
REMARKS
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and specifications needed
to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the
Efficiency Standards of the California Code of Regulations.
The documentation author hereby certifies that the documentation is accurate and complete.
Documentation Author
Company lnsu-form, Inc.
7/112014
Address 77810 Las Montanas Road, Suite 201 Name Joan D. Hacker, -
City/State/ZipCity/State/Zip Palm Desert, Ca 92211 Phone 760-345-1352 Si nea Date
The individual with overall design responsibility hereby certifies that the proposed building design represented in this set
of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and
with any other calculations submitted with this permit application, and recognizes that compliance using duct design,
duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require
installer testing and certification and field verification by an approved HERS rater.
Designer or Owner (per Business & Professions Code)
Company Ochoa Design Associates Ad 31va
Address Name /� I
City/State/Zip Palin Desert, Ca 92260Phone 760-773-6605 S1gQldD �� LgNse #) Date
EnerayFro 5.1 by En Soft User Number: 2655 RunCode: 2014-07-1 iT11:09:14
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CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R
Project Name
Daniels Residence
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date .
7/11/2014
OPAQUE SURFACE DETAILS
Surface
Type Area
U- Insulation
Factor Cavity Exterior Frame Interior Frame Azm
Joint Appendix
Tilt Status 4 Location/Comments
Wall
625
0.069 R-21
0
90 New 4.3.1-A6
Whole House
Wall
263
0.069 R-21
90
90 New 4.3.1-A6
Whole House
Door
• 48
0.500 None
90
90 New 4.5.1-A4
Whole House
Wall
454
0.069 R-21
180
90 New 4.3.1-A6
Whole House
Wall
329
0.069 R-21
270
90 New 4.3.1-A6
Whole House .
Roof
5,669
0.025 R-38
0
0 New 4.2.1-A21
Whole House
Slab
3,000
0.730 None
0
180 New 4.4.7-A1
Whole House.
Slab
2,669
0.730 None
0
180 New 4.4.7-A1
Whole House
Wall
576
0.069 R-21
0
90 New 4.3.1-A6
Casita
Wall
500
0.069 R-21
90
90 New 4.3.1-A6
Casita
Wall
262
0.069.R-21
180
90 New 4.3.1-A6
Casita
Wall
390
0.069 R-21
270
90 New 4.3.1-A6
Casita
Roof
884
0.025 R-38
0
0 New 4.2.1-A21
Casita
Slab
684
0.730 None
0
180 New 4.4.7-A1
Casita
Slab
200
0.730 None0
180 New 4.4.7-A1
Casita
FENESTRATION SURFACE DETAILS
ID
Type
Area U -Factor
SHGC
Azm Status
Glazing Type
Location/Comments
1
Window
48.0 0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low-E
Whole House
2
Window
18.0 0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low-E
Whole House
3
Window
2.3 0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low--E
Whole House
4
Window
48.0 0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low--E
Whole House
5
Window
12.0 0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low--E
Whole House
6
Window
60.0 0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low-E
Whole House
7
Window
48.0 0.500 1 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low--E
Whole House
8
Window
12.0 0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low--E
Whole House
9
Window
2.3 0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low--E
Whole House
10
Window
4.5 0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low-E
Whole House
.11
Window
10.0 0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low-E
Whole House
12
Window
10.0 0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low-E
Whole House
13
Window
12.0 0.500 NFRC
0.36 NFRC 90 New
IWC 6200 AlumAow-E
Whole House
14
Window
6.0 0.500 NFRC
0.36 NFRC 90 New
IWC 6200 Alum/Low-E
Whole House
15
Window
48.0 0.500 NFRC
0.36 NFRC 90 New
IWC 6200 Alum/Low-E
Whole House
16
Window
22.5 0.500 NFRC
0.36 NFRC 90 New
IWC 6200 Alurnkow-E
Whole House
(1) Ll -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value
2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Exterior Shade Type SHGC
Window
H t Wd
Ove hang Left Fin
Len H t LExt RExt Dist Len
Right Fin
Hot Dist Len H t
1
Bug Screen
0.76
8.0 '6.0 2.0 0.1
2.0 2.0
2
Bug Screen
0.76
6.0 3.0 2.0 0.1
2.0 2.0
3
Bug Screen
0.76
4.0 5.0 2.0 0.1
2.0 2.0
4
Bug Screen
0.76
8.0 6.0 2.0 0.1
2.0 2.0
5
Bug Screen
0.76
2.0 6.0 2.0 0.1
2.0 2.0
6
Bug Screen
0.76
10.0 6.0 2.0 0.1
2.0 2.0
7
Bug Screen
0.76
8.0 6.0 2.0 0.1
2.0 2.0
8
Bug Screen .
0.76
2.0 6.0 2.0 0.1
2.0 2.0
9
Bug Screen
0.76
6.0 3.0 2.0 0.1
2.0 2.0
10
Bug Screen
0.76
6.0 3.0 • 2.0 0.1
2.0 .2.0
11
Bug Screen
0.76
6.0 1 3.0 2.01 0.1
2.01 2.0
12
Bug Screen
0.76
6.01 3.0 2.0 0.1
2.0 2.0
13
Bug Screen
0.76
6.0 2.0 2.0 0.1
2.0 2.0
14
Bu Screen
0.76
3.0 2.0 2.0 0.1
2.0 2.01-
15
Bug Screen
0.76
8.0 6.0 2.0 0.1
2.0 2.0
�,
16
Bug Screen
0.76
4.5 5.0 2.0 0.1
2.0 2.Oj
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CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R
Project Name
Daniels Residence
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
1711112014
OPAQUE SURFACE DETAILS
Surface U- Insulation
-Type Area Factor Cavi Exterior Frame Interior Frame Azm
Joint Appendix
Tilt Status 4 Location/Comments
FENESTRATION SURFACE DETAILS
ID
Type Area
LI -Factor'
SHGC
Azm Status Glazing Type
Location/Comments
17
Window 12.0
0.500 NFRC
0.36 NFRC 90 New
IWC 6200 Alum/Low-E
Whole House
18
Window 12.0
0.500 NFRC
0.36 NFRC 90 New
IWC 6200 Alurnkow-E
Whole House
19
Window 12.0
0.500 NFRC
0.36 NFRC 90 New
IWC 6200 Alum/Low-E
Whole House
20
Window 12.0
0.500 NFRC
0.36 NFRC 90 New
IWC 6200 Alum/Low-E
Whole House
21
Window 12.0
0.500 NFRC
0.36 NFRC 90 New
IWC 6200 Alurnkow-E
Whole House
22
Window 22.5
0.500 NFRC
0.36 NFRC 90 New
IWC 6200 Alum/Low-E
Whole House
23
Window 9.0
0.500 NFRC
0.36 NFRC 90 New
IWC 6200 Alum/Low-E
Whole House
24
Window 9.0
0.500 NFRC
0.36 NFRC 90 New
IWC 6200 AlumAow-E
Whole House
25
Window 48.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low--E
Whole House
26
Window 10.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low-E
Whole House
27
Window 48.0
0.500 NFRC
0.36 NFRC 1801 New
IWC 6200 AlumAow-E
Whole House
28
Window 14.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alurnkow-E
Whole House
29
Window 14.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alurnkow--E
Whole House
30
Window 100.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alurnkow--E
Whole House
31
Window 25.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low-E
Whole House
32
Window 60.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low-E
Whole House
(1) U -Factor Type:
2 SHGC Type:
116-A = Default Table from Standards, NFRC = Labeled Value
116-13 = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Exterior Shade Type
SHGC
Window
Hot I Wd
Ove hang Left Fin Right Fin
Len H2L LExt RExt Dist Len Hot Dist Len I H t
17
Bug Screen
0.76
5.01 1.5 2.0 0.1
2.0 2.0
18
Bug Screen
0.76
5.0 1.5 2.0 0.1
2.0 2.0
19
Bug Screen
0.76
5.0 1.0 2.0 0.1
2.0 2.0
20
Bug Screen
0.76
5.0 1.0 2.0 0.1
2.0 2.0
21
Bug Screen
0.76
4.0 2.0 2.0 0.1
2.0 2.0
22
Bug Screen
0.76
4.0 2.0 2.01 0.1
2.0 2.0
23
Bug Screen
0.761
4.0 2.0 2.0 0.1
2.0 2.0
24
Bug Screen
0.76
4.0 2.0 2.0 0.1
2.0 2.0
25
Bug Screen
0.76
8.0 6.0 10.0 0.1
10.0 10.0
26
Bug Screen
0.76
2.0 5.5 10.0 0.1
10.0 10.0
27
Bug Screen
0.76
8.0 6.0 10.0 0.1
10.0 10.0
28
Bug Screen
0.76
8.0 6.0 10.0 0.1
10.0 10.0
29
Bug Screen
0.76
8.0 3.0 2.0 0.1
2.0 2.0
30
Bug Screen
0.76
10.0 10.01 12.0[____0_1
12.0 12.0 --
31
Bug Screen
0.76
10.0 2.01 2.01 0.1
2.0 2.01-
.0I--
1
32
32
-Bug Screen
0.76
10.0 6.01 2.01 0.1
2.0 2.0
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CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R
Project Name
Daniels Residence
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
1711112014
OPAQUE SURFACE DETAILS
Surface U- Insulation
Area Factor Cavi Exterior Frame Interior Frame Azm
Joint Appendix
Tilt Status 4 Location/Comments
-Type
FENESTRATION SURFACE DETAILS
ID
Type Area
1.1 -Factor'
SHGC
Azm Status Glazing Type
Location/Comments
33
Window 10.5
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low--E
Whole House
34
Window 10.5
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low-E
Whole House
35
Window 10.5
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low-E
Whole House
36
Window 10.5
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low-E
Whole House
37
Window 40.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low-E
Whole House
38
Window 10.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low-E
Whole House
39
Window 7.5
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low-E
Whole House
40
Window 7.5
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low--E
Whole House
41
Window 20.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low--E
Whole House
42
Window 48.0
0.500 NFRC
0.36 NFRC 270 New
IWC 6200 Alum/Low-E
Whole House
43
Window 4.5
0.500 NFRC
0.36 NFRC 270 New
IWC 6200 Alum/Low-E
Whole House
44
Window, 4.5
0.500 NFRC
0.36NFRC 270 New
IWC 6200 AlumAow--E
Whole House
45
Window 4.0
0.500 NFRC
0.36NFRC 270 New
IWC 6200 Alum/Low-E
Whole House
46
Window' 4.0
0.500 NFRC
0.361N FRC 270 New
IWC 6200 Alum/Low-E
Whole House
47
Window 60.0
0.500 NFRC
0.36NFRC 270 New
IWC 6200 Alum/Low-E
Whole House
48
Window 24.0
0.500 NFRC
0.36NFRC 270 New
IWC 6200 Alum/Low-E
Whole House
(1) LI -Factor Type:
2 SHGC Type:
116-A = Default Table from Standards, NFRC = Labeled Value
116-13 = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Exterior Shade Type
SHGC
Window
H t Wd
Ove ang Left Fin Right Fin
Len H t. LExt RExt Dist Len Hot Dist Len H t
33
Bug Screen
0.76
4.0 2.0 2.0 0.1
2.0 2.0
34
Bug Screen
0.76
4.0 2.0 2.0 0.1
2.0 2.0
35
Bug Screen
0.76
4.0 2.0 2.0 0.1
2.0 2.0
36
Bug Screen
0.76
4.0 2.0 2.0 0.1
2.0 2.0
37
Bug Screen
0.76
8.0 5.0 2.0 0.1
2.0 2.0
38
Bug Screen
0.76
'2.0 5.0 2.01 0.1
2.0 2.0
39
Bug Screen
0.76
4.0 2.0 2.0 0.1
2.0 2.0
40
Bug Screen
0.76
4.0 2.0 2.0 0.1
2.0 2.0
41
Bug Screen
0.76
4.0 2.0 2.0 0.1
2.0 2.0
42
Bug Screen
- 0.76
8.01 6.0 12.0 0.1
12.0 12.0
43
Bug Screen
0.76
3.0 1.5 2.0 0.1
2.0 2.0
44
Bug Screen
0.76
3.0 1.5 2.0 0.1
2.0 2.0
45
Bug Screen
0.76
2.0 2.0 2.0 0.1
2.0 2.0
46
Bug Screen
0.76
2.0 2.02.0 0.1
2.0 2.0
47
Bu Screen
0.76
8.0 3.9 6.0 0.1
6.0
48
JBug Screen
0.76
8.0 3.0 2.01 0.1
2.0 2.0
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RunCode: 201407-11T12:03:01 tVID:t-L,-)nw 7. Pae of 15
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CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R
Project Name
Daniels Residence
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
7/11/2014
OPAQUE SURFACE DETAILS
Surface U- Insulation
Type Area Factor Cavi Exterior Frame Interior Frame Azm
Joint Appendix
Tilt Status 4 Location/Comments
FENESTRATION SURFACE DETAILS
ID
Type Area
U -Factor
SHGCz
Azm Status Glazing Type
Location/Comments
49
Window 2.3
0.500 NFRC
0.36 NFRC 270 New
IWC 6200 Alurnkow-E
Whole House
50
Window 10.0
0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low--E
Casita
51
Window 10.0
0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alum/Low-E
Casita
52
Window 4.5
0.500 NFRC
0.36 NFRC 0 New
IWC 6200 Alurnkow--E
Casita
53
Window' 48.0
0.500 NFRC
0.36 NFRC 160 New
IWC 6200 AlumAow-E
Casita
54
Window 48.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low--E
Casita .
55
Window 10.5
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alurnkow-E
Casita
56
Window 10.5
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 AlumAow-E
Casita
57
Window 40.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alurnkow--E
Casita
58
Window 12.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low-E
Casita
59
Window .10.5
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alurnkow-E
Casita
60
Window 10.5
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alurnkow-E
Casita
61
Window 48.0
0.500 NFRC
0.36 NFRC 180 New
IWC 6200 Alum/Low-E
Casita
62
Window 4.0
0.500 NFRC
0.36 NFRC 270 New
iWC 6200 Afum/Low-E
Casita
63
Window 6.0
0.500 NFRC
0.36 NFRC 270 New
IWC 6200 Alum/Low-E
Casita
(1) U -Factor Type:
2 SHGC Type:
116-A = Default Table from Standards, NFRC = Labeled Value
116-B = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Exterior Shade Type
SHGC
Window
H t Wd
Ove hang Left Fin
Len Hot LExt I RExt Dist Len
Ri ht Fin
Hat Dist Len H t
49
Bug Screen
0.76
3.0 2.0 2.0 0.1
2.01 2.0
50
Bug Screen
0.76
5.0 2.0 2.0 0.1
2.01 2.0
51
Bug Screen
0.76
5.0 2.0 2.0 0.1
2.0 2.0
52
Bug Screen
0.76
3.0 1.5 2.0 0.1
2.0 . 2.0
53
Bug Screen
0.76
8.0 6.0 10.0 0.1
10.0 10.0
54
Bug Screen
0.76
8.0 6.0 2.01 0.1
2.0 2.0
55
Bug Screen
0.76
7.0 1.5 2.0 0.1
2.0 2.0
56
Bug Screen
0.76
7.0 1.5 2.0 0.1
2.0 2.0
57
Bug Screen
0.76
8.0 5.0 2.0 0.1
2.0 2.0
56
Bug Screen
0.76
2.0 6.0 2.0 0.1
2.01 2.0
59
Bug Screen
0.76
2.0 6.0 2.0 0.1
2.0 2.0
60
Bug Screen
0.76
2.0 6.0 2.0 0.1
2.0 2.0
61
Bug Screen
0.76
8.0 6.01 2.01 0.1
2.0 2.0
62
Bug Screen
0.76
2.0 2.0 2.0 0.1
2.0 2.0
63
IBug Screen
0.76
3.0 2.0 2.01 0.1
2.0 2.0 j
EnergyPro
5.1 by EnergySoft
User Number. 2655
RunCode: 201407-11T12:03:01 ( ID: IV U J 07679 5
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CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R
Project Name
Daniels Residence
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
1711112014
BUILDING ZONE INFORMATION
System Name Zone Name
Floor Area
New Existing Altered Removed Volume Year Built
Whole House Whole House
5,669 56,690
Casita Casita
884 8,840
Totals 6,5531 0 01 0
HVAC SYSTEMS
System Name Q1y. Heatin Type
Min. Eff. Cooling Type Min. Eff. Thermostat Type Status
Whole House 4 Central Furnace
80% AFUE Split Air Conditioner 13.0 SEER Setback New
Casita 1 Central Furnace
80% AFUE Split Air Conditioner 13.0 SEER Setback New
HVAC DISTRIBUTION
System Name Heating
Duct Ducts
Cooling Duct Location R -Value Tested? Status
Whole House Ducted Ducted Attic, Ceiling Ins, vented 8.0 m New
Casita Ducted Ducted Attic, Ceiling Ins, vented 8.0 m New
WATER HEATING SYSTEMS
S stem Name
Qty.
Type
Distribution
Rated
Input
Btuh
Tank
Cap.
al
Ext.
Energy Standby Tank
Factor Loss or Insul. R-
or RE Pilot Value
Status
A. 0. SMITH FPS -50-224
3
Small Gas
All Pipes Ins
43,000
W
0.64 n/a n/a
New
MULTIFAMILY WATER
HEATING
DETAILS
HYDRONIC
HEATING SYSTEM PIPING
Control
Hot Water Piping Length
ft
C
0
8
¢ —
System Name
Pipe Pipe Insul.
Length Diameter Thick.
Cty. HP
Plenum Outside Buried
❑
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EnergyPro, 5.1 by EnergySoft User Number: 2655
RunCode: 201407-11712:03:01 ID: rl '� A rN 9_ 1 —P, ag&,11.Q f 15
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MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R
Project Name
Daniels Residence
Date
1 7/11/2014
NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of
the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF -
1 R -ALT Form) shall supersede the items marked with an asterisk (') below. This Mandatory Measures Summary shall be incorporated
into the permit documents, and the applicable features shall be considered by all parties as minimum component performance
specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R
Form with plans.
Building Envelope Measures:
116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified LI -Factor, certified Solar Heat Gain
Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a).
117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed.
118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -613 Form.
§118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the
installation of a Cool Roof is specified on the CF -1 R Form.
150(a): Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor.
150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value.
150(c): Minimum R-13 insulation in wood -frame wall orequivalent LI -factor.
150(d): Minimum R-13 insulation in raised wood -frame floor or equivalent U -factor.
150(f): Air retarding wrap is tested labeled and installed according to ASTM E1677-95 2000 when specified on the CF -1 R Form.
150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance
rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is
equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device.
§150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the
outside of the building,are prohibited.
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy
Commission.
§113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release
valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5 *
3 c 5.
§115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances
(appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and
spa heaters.
150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA.
§1500): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c).
§1500)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped
with insulation having an installed thermal resistance of R-12 or greater.
§1500)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water
tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the
tank.
§1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of
recirculatina sections of hot water pipes are insulated per Standards Table 150-13.
§1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot
water tank shall be insulated to Table 150-B and Equation 150-A.
§1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table
123-A.
1500)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
§1 500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor efaYctant-er is -enclosed entirely in
conditioned space.
§1506)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corp'o'ration. 31VO
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MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R
Project Name
Date
Daniels Residence
1 7/11/2014
§150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections
601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-
4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the
applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is
used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used
§150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed
sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may
contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area
of the ducts.
§150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
unless such tape is used in combination with mastic and draw bands.
150(m)7: Exhaust fans stems have back draft or automatic dampers.
§150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
dampers.
§150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar
radiation that can cause degradation of the material.
150 m 10: Flexible ducts cannot have porous inner cores.
§150(0): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air
Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation
required in Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency
Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and
shall not use electric resistance heating ora pilot light.
§114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction
and return lines, or built-up connections for future solar heating.
114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover.
§114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or
programmed to run only during off-peak electric demand periods.
150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 .
Residential Lighting Measures:
§150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies
contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2.
150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d).
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than
20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain
only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line -
voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a
medium screw -base socket.
150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k).
150(k)7: All switching devices and controls shall meet the requirements of §150(k)7.
§150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be
exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a
manual -on occupant sensor.
§150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of
illuminated cabinet.
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MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R
Project Name
Date
Daniels Residence
1711112014
§150(k)l0: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms
shall be high efficacy.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on
occupant sensor certified to comply with the applicable requirements of §119.
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual -on occupancy sensor.
§150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms,
closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be
allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual -
on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less
than 1000 square feet located on a residential site is not required to comply with §150 k 11.
§150(k)l2: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters
Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air
leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between
the luminaire housing and ceiling.
§150(k)l3: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more
dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that
they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor,
and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management
control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor
luminaires used to comply with Exceptionl to §150(k)l3 may be controlled by a temporary override switch which bypasses the motion
sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed
luminaires in or around swimming pool,, water features, or other location subject to Article 680 of the California Electric Code need not
be high efficacy luminaires.
§150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no
more than five watts of power as determined according to §130(d).
§150(k)l5: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable
requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable
requirements of Sections 130, 131, 134, and 146.
§150(k)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more
dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided
that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119.
Ae 31114
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HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
Date
Daniels Residence
7/11/2014
System Name
Floor Area
Whole House
5,669
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
4
COIL
CFM
Total Room Loads 2,195
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation 1 0
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COOLING
Sensible
52,925
0
3,055
0
0
0
3,055
1 59,036
PEAK COIL HTG.
PEAK
Heating System
Latent CFM
Sensible
Output perSystem 70,000
4,262 1,389
51,472
Total Output Btuh 280,000
Output Btuh/ 1t 49.4
2,530
Cooling System
0
Output perSystem 48,0001
0 0
0
Total Output Btuh 192,000
4,262
0
Total Output (Tons) 16.0
2,530
Total Output Btuh/s ft 33.9
Total Output s ft/Ton 354.3
56,531
Air System
CFM perSystem
1,395
HVAC EQUIPMENT SELECTION
Airflow cfm
5,580
Carrier 38ETG04830
149,005 14,710
280,000
Airflow cfm/s ft
0.98
Airflow cfmlron
348.8
Outside Air °/6
0.0%
Total Adjusted System Output
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK
149,005 •14,710
Aug 3 PM
280,000
Outside Air cfm/s h 0.00
Note: values above given at ARI conditions
I Jan 1 AM
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating
Peak
26 OF 70 OF
70 OF 105 OF
�T
Outside Air
Ar
0 cfm Supply Fan
Heating Coil
105 OF
5,580 cfm
ROOM JU
70 OF
70 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak
112/78°F 79/63°F 79/62°F 55/54°F
Outside AirA.
�
0 cfm
Supply Fan Cooling Coil
56 / 54 OF
5,580 cfm
- - - - —
4 o
3-LV(]
79/63°F
78/ 62°F
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EnergyPro 5.1 by EnergySoft User Number.- 2655 RunCode: 201407-11T12:03:01
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--------------
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
Date
Daniels Residence
7/11/2014
System Name
Floor Area
Casita
884
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
1
COIL COOLING
CFM Sensible
Total Room Loads 533 12,855
Return Vented Lighting 0
Return Air Ducts 742
Return Fan 0
Ventilation 0 0
Supply Fan 0
Supply Air Ducts 742
TOTAL SYSTEM LOAD 1 14,339
PEAK COIL HTG.
PEAK
Heating System
Latent CFM
Sensible
Output per System 53,000
740 439
16,215
Total Output Btuh 53,000
Output Btuhl ft 60.0
797
Cooling System
0
Output per System 35,600
0 0
0
Total Output Btuh 35,600
740
0
Total Output (Tons) 3.0
797
Total Output Btuh/s ft 40.3
Total Output s fUron 298.0
17,808
Air System
CFM per System
1,395
HVAC EQUIPMENT SELECTION
Airflow (cfm)
1,395
Carrier38ETGO3630
27,189
3,124
53,000
Airflow cfm/s ft 1.58
Airflow cfm/Ton
470.2
Outside Air %
0.0%
Total Adjusted System Output
(Adjusted for Peak Design conditions)
I TIME OF SYSTEM PEAK
27,189
3,124 53,000
Aug 3 PM Jan 1 AM
Outside Air cfm/s ft 0.00
Note: values above given at ARI conditions
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating
Peak
26 OF 69 OF
69 OF 105 OF
No-*-
[a
Outside Air
Ar
0 cfm Supply Fan
Heating Coil
104 OF
1,395 cfm
ROOM
69 OF
70 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling
Peak
112/78°F 78/62°F 78/62°F 55/54°F
Outside Air
0 cfm
Supply Fan Cooling Coil
55 / 54 OF
1,395 cfm
- --
74
90
31H
78/62°F
78/62°F
00 HOZI
.tea° 0 d
EnergyPro 5.1 by EnergySoft User Number. 2655 RunCode: 2014-07-11T12:03:01
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