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BRES2019-012178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: T-d4r41wQ91,rw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED BRES2019-0121 53497 VIA PISA 777190004 ROVNER / 6,676SF DWELLING/VB/RES-3/CLASS A-FR/13D $592,725.30 Applicant: STRACTS INC - ANTON MARINKOVICH 550 S. OLEANDER ROAD PALM SPRINGS, CA 92264 PQ °D OCT 0 Z 2019 CITY OF LA QUINTA DESIGN & 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 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 1026884 Date: I�` ` Cantrartor: OWNER -BUILDER DECIARATION I hereby affirm under penalty of perjury that I am exempt From Tre Eontrdctor's State License Law for the following reason (Sec, 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). () I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/2/2019 Owner: ROBERT & IRENE S. ROVNER 53497 VIA PISA LA QUINTA, CA 92253 Contractor: MARIO A YANEZ CONSTRUCTION PO BOX 580925 NORTH PALM SPRINGS, CA 92258 (760)285-1532 LIc. No.: 1026884 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' compensate , as provided for by Section 3700 of the Labor Code, for the performance of the ich this permit is issued. ave and will maintain workers' compensation insurance, as required by Section 700 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: NORGUARD IN5URANCE COMPANY 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 ofthe Labor all forthwith comply with those provisions. Date: Ay "Z ^!•Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSA N COVE E IS UNLAWFUL, AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENA D 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 ofthis 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 th e- mentioned property for inspection purposes. f Date: ofVrZ:�/ nature(ApplicantorAgent Date: 10 /2019 Application Number: BRES2019-0121 Owner: Property Address: 53497 VIA PISA ROBERT & IRENE S. ROVNER APN: 777190004 53497 VIA PISA Application Description: ROVNER / 6,676SF DWELLING/VB/RES-3/CLASS A-FR/13D LA QUINTA, CA 92253 Property Zoning: Application Valuation: $592,725.30 Applicant: Contractor: STRACTS INC - ANTON MARINKOVICH MARIO A YANEZ CONSTRUCTION 550 S. OLEANDER ROAD PO BOX 580925 PALM SPRINGS, CA 92264 NORTH PALM SPRINGS, CA 92258 (760)285-1S32 Llc. No.: 1026884 '+-------------•------------------------- --------------------------------------- --4^-1�------ Detail: ROVNER / 6,676SF SINGLE FAMILY DWELLING - (VB/RES-3/CLASS ftff/13A�,TI IS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES. U r��M?��w.�C ..',iliIGi;�yti'rtlf 3Nc)I�=, t FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $981.81 Total Paid for ART IN PUBLIC PLACES - AIPP: $981.81 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $24.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $24.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - LIBRARIES 253-0000-43200 0 $344.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 DESCRIPTION ACCOUNT CITY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $18.68 Total Paid for ELECTRICAL: $45.36 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $95.27 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $39.20 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $160.10 DESCRIPTION ACCOUNT CITY AMOUNT RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $52.83 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $347.40 DESCRIPTION ACCOUNT CITY AMOUNT FIRE NEW RESIDENITIAL PC 101-0000-42420 0 $240.00 Total Paid for FIRE FEES: $240.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF 101-0000-42408 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT>7KSF PC 101-0000-42600 0 $200.12 Total Paid for GRADING: $240.14 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $240.12 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $160.08 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.34 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $240.12 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $160.08 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $120.06 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $48.06 Total Paid for MECHANICAL: $987.20 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $885.65 Total Paid for NEW CONSTRUCTION PERMIT: $885.65 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,918.89 Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,918.89 DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK DEPOSIT- RESIDENTIAL 101-0000-42600 1 $1,200.00 Total Paid for PLAN CHECK DEPOSIT - RESIDENTIAL: $1,200.00 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.34 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.68 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $493.58 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $493.58 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $40.02 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT ROOF DRAIN 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $16.00 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 j 0 $13.34 Total Paid for PLUMBING FEES: $1,240.62 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($21.00) DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $21.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $0.00 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $77.05 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $77.05 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($5.00) DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $0.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($1,174.00) DESCRIPTION ACCOUNT CITY AMOUNT SINGLE FAMILY DETACHED 2018 UPDATE 224-0000-20320 0 $1,174.00 DESCRIPTION ACCOUNT CITY AMOUNT SINGLE FAMILY DETACHED 2018 UPDATE 224-0000-20320 0 $1,136.00 Total Paid for TUMF - RESIDENTIAL: $1,136.00 TOTALS: PERMIT PLXNI J,OCATION: Project Address: u�1+ /S. Project Description: Pool, Remodel, Add't, Elect, Plumb, iMech Applicant Name;$ Address: SSU D City, ST, Zip: Telephone: 76oU. g Email: AAl�rh S __ L. C!/I� Valuation of Projects !d(', "'Jac, 00 Contractor Name: � New SFD Construction: Address: r �� Conditioned Space City, St, Zip Garage Telephone: Patio/Porch Email: Fire Sprinklers State Lic: City Bus Lic: 416? ZSF /!p LO SF SF &1e7�2 SF Arch/En Name: 5z$ 7-/y c ` P - gEe 4ALY fi[Gf� Construction Ty e• Occu anc�: p //YO,v gt1T� p /tS U/ Address: G Grading: City, St, Zip 5 4-6 Telephone: 7C20 : Bedrooms: Stories: ✓� , # Units: Email: State Lic: G_.3y y City Bus Lie:G/�5/efGr� Property Owner's Name:,A Address: :?y±z City. ST, Zip Pli,1f k lu Telephone: ! • C�+• Email: ecl / Tenant Improvements: Total Building SF Construction Type: Occupancy: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 Water Quality, Manaciement Plan (WQMP) Exemotion Form - Whitewater River Renion Documentation of Project Not Reg Wring a WQMP but Re y ring Site Design BMPs and Source Control by Entitlement Conditions of Approval or Permit Conditions — WQMP Required for the Listed Change of BMPs Land Uses or for Changes of Pollutant Stream (All Questions Below Must be Answered "No" To Exempt Project) Yes No Entitlement or construction of new single-family hillside residence(s) that create 10,000 square feet, or of impervious area where thUre-development natural slope is 25% or greater? Elmore, 21 Entitlement or construction of new single-family hillside residence(s) that create 10,000 square feet, or more, of impervious area where the pre -development natural slope is 10% or greater where erosive ❑ _soil conditions are known? Entitlement or construction of new commercial and industrial development(s) of 100,000 square feet or more? Entitlement or construction of new automotive repair shop(s) including body, upholstery, paint, exhaust, tire, transmission, engine or other automotive specialty repair. [Standard Industrial Classification (SIC) codes 5013, 7532, 7533, 7534, 7537, 7538, and 753�? Entitlement or construction of new retail gasoline outlet(s) disturbing greater than 5,000 square feet? Entitlement or construction of new restaurant(s) (or potential restaurant shell space) disturbing greater than 5,000 square feet? ❑ Entitlement or construction of new home subdivision(s) with 10 or more housing units? Entitlement or construction of new parking lot(s) of 5,000 square feet or more, or with 25 or more parking spaces, and potentiallyex aced to Urban Runoff? ❑ Applicant Information Name and Title Mike Tuvell, President Company Sunrose Corporation 760-218-0566 sunrose.sedona@gmail.com T T Phone Email Project Information Project Name Rovner Residence Type (SFH, Multi -Family, Commercial, Etc.) SFR Location or Street Address 53-497 Via Pisa Nearest Cross Streets Via Pessaro Municipality/County/Zip Code La Quinta Tract Number(s) and/or Assessor Parcel Number(s) 29894-2 / 777-190-004 Other Location Information Watershed Whitewater River Source Control BMP Information Size of Project Area (nearest 0.1 acre) 15953 Project Area managed with Site Design or Low Impact Development (LID) 13MPs (nearest 0.1 acre) Is the project subject to onsite retention by City ordinance or policy? yes Sunrose Corporation Name of the Entity that will implement, operate, and maintain the Source Control BMPs Contact Name Cole Tuvell Street or Mailing Address 40101 Monterey Ave. 131-214 Rancho Mirage City Zip Code 92270 - -� 760-218-0566 Phone TAChecklists - Forms 8 Applications\Forms 8 Applications\GREEN SHEET cover 8 PM10less than 1 Acre Revised 9-25-09.doc Check Item I To be Source Control BMP Requirements - All Projects Require Non -Structural BMP Source Control Performed Non -Structural BMP (See Appendix H, Section 4.5.2.1) Ongoing Irrigation System and Landscape Maintenance Ongoing Litter Control `— �/ Ongoing Drainage System Inspection & Maintenance Education/Training for Property Owner, Operators, Occupants, or Employees ✓� Activity Restrictions — Prohibition of Debris Blowing/Sweeping/Washing into Street/Storm Drain, Closed Trash Lids, Restriction of Vehicle Washing Ongoing Street Sweeping at Private Streets and Private Parking Lots Check Item Source Control BMP Requirements — Small Sloped Lots, Small Commercial, <10 Unit To be Subdivisions, <5,000 Square Ft. Parking Lots, Etc. Provided Structural BMP (See Appendix H, Section 4.5.2.2) Storm Drain Inlet Stenciling and Signage Landscape and Irrigation System Design to Minimize Erosion & Nuisance Runoff Protection of Slopes and Channels to Minimize Erosion Multi -Family Project Use of Community Car Wash Racks Wash Water Controls for Food Preparation Areas to Use Sanitary Sewer Fueling Area (Design & Maintenance) Including PCC Surface, Canopy & Spill Prevention Air/Water Supply Area Drainage (Design & Maintenance) Including Spill Area Containment Trash Storage Areas (Design & Maintenance) Including Attached Lids, Storm Water Controls ❑ Loading Docks (Design & Maintenance) Including Storm Water Controls, Dry & Frequent Cleaning Procedures Maintenance Bays(Design& Maintenance) Including Indoor Location & Storm Water Containment Vehicle and Equipment Wash Areas (Design & Maintenance) Including Canopy & Containment Outdoor Material Storage Areas (Design & Maintenance) Including Canopy & Containment Outdoor Work Areas or Processing Areas (Design & Maintenance) Including Canopy & Containment CC&R's, Maintenance Agreements or Other mechanisms will be used to ensure the ongoing operation, ❑ maintenance, funding, transfer and implementation of the project -specific WQMP requirements. Legal description and plat stamped by Registered Surveyor to be attached to the applicable CC&R or Maintenance Agreement for recordation at Riverside County. (Optional Requirement to be reviewed on a Project by Project basis) BMP Acknowled The applicant shall comply with listed BMPs and applicable provisions of the City's NPDES stormwater discharge permit, LQMC Sections 8.70.010 et seq. (Stormwater Management and Discharge Controls), and 13.24.170 (Clean Air/Clean Water); Riverside County Ordinance No. 457; the California Regional Water Quality Control Board — Colorado River Basin Region Board Order No. R7-2008-0001 and the State Water Resources Control Board's Order No. 99-08-DWQ. ement Signature: Print Name: Cole Tuvell Title: Administration Date: 9 119 12019 Phone: (76_ 0 218-0566 T!1Checklists - Forms & ApplicationsWorms & Applications\GREEN SHEET cover& PM10less than 1 Acre Revised 9-25r09 doc 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 Project Manager's Name Project Manager's Phone Number Project Manager's E-mail Address) Builder! Contractor Number, Street or PO Box City, State, Postal Code Project Square Footage City Approval By Date of City Approval 9/19/2019 53497 Via Pisa (Lot #279) Robert and Irene Rovner c/o 40101 Monterey Ave #B1-214 0 9 Rancho Mirage, CA. 92270 iE c/o (760)-702-0119 Sunrose Corp (760) 702-0119 !!"I-00�� -�J cc c� CA- 9 sunrose."dgm(o)a all con CL Sunrose Corp w � 40101 Monerey Ave #B1-214 n1 Rancho Mirage, CA. 92270 7,696sq ft r' Renado Gouldlock/DEC-SuMec Wash- Materials To Be Discarded: Product Tons Trash 25.00 Not recyclable Asphalt 0.00 Recyclable Brick/Block 0,00 Recyclable Cardboard 0.00 Recyclable Commingled 0.00 Recyclable Concrete 26.00 Recyclable Drywall 4.00: Recyclable Donated / Reuse* 0.0011 Recyclable *Describe Items Product Tons Masonry (broken) 0.00 Plaster 8.50 Scrap Metal 0.00 Tile (floor) 0.75 Tile (roof) 1.00 Wood 10.00 Landscape Debris 0.00 Totals: Recycle Trash Projected Diversion: 50.3 1 1 25.0 66.78% 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 65% of the jobslts waste is diverted from landfilling. The remaining material will be recycled or reused. 1 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 (hvT�tar T Developer /project Manager / Supedntendant Date Construction Debris Management Plan Summary of Requirements As of January 1, 2017, The Green Building Standards Code (CALGreen) requires that the construction of most new structures in the State of California comply with sections 4.408 and 5.408 of the code in accordance with Assembly Bill 939 requiring that no more than 35% of jobsite waste be disposed of as trash at local land fill sites and transfer stations. Exceptions may be made for certain projects under certain conditions. The City of La Quinta is committed to the highest level of environmental respect, to conserving our precious natural resources and setting an example to provide for a better world for generations to come. Recycling helps keep reusable resources out of landfills and will also reduce disposal costs. IMPORTANT: Burrtec Waste & Recycling Services is the City's franchise hauler. If you choose to self -haul any recyclables or trash, you must provide copies of all weight tickets and/or receipts from the transfer station, landfill, or recycler as the job progresses. Clean-up companies and other haulers are not permitted to haul waste or recyclables from the City of La Quinta. Self -haul weight tickets should be submitted to: Renado Gouldlock, District Environmental Coordinator - rgouldlock@burrtecdesert.com, or faxed to (760) 340-0417, or mailed to: 41575 Eclectic Street, Palm Desert, CA. 92260. Before applyl ng for your permit... New Requhment A requirement that applies to every city and county in California is the 2010 Green Building Standards Code (CAL Green). Effective January 1, 2017, most newly constructed commercial and residential buildings are required to develop a waste management plan and divert at least 65% of the construction materials from landfill by recycling or reusing them. (Sections 4.408 & 5.408, CAL Green). Complimenting the state requirement, the City of La Quinta requires most construction, demolition, remodel, and tenant improvement projects to divert a minimum of 50% of jobsite waste from landfilling. Diversion means recycling or reusing unwanted materials rather than disposing of them as trash. Prior to issuance of a building permit, the contractor or property owner must submit a Construction & Demolition Debris Management Plan to the City. This is accomplished through these simple steps: 1. Call the City's District Environmental Coordinator (through Burrtec) at (760) 674-1026. You will receive free assistance in preparing your C&D Debris Management Plan and will be provided guidance toward compliance. Most plans can be prepared within one working day of your initial call. 2. Once the plan is prepared, you will receive a copy to sign and date. Please submit this to the Community Development Department and keep a copy for your records. 3. You may contact the District Environmental Coordinator anytime during your project for guidance. Please note. Burriec Waste & Recycling is the exclusive franchised hauler for the City ofLa Quinta. It is Illegal for clean-up companies and other haulers to haul waste from your project. Se/f- hauling is permitted under certain conditions. The District Environmental Coordinator will explain your options. Recycling, salvaging, or reusing construction material can save you money by reducing your disposal costs. In most cases, the tipping fees are higher at landfills and transfer stations than at recycling facilities. Below is an example of the potential savings: Disposal cost at Recycling Material IandFlll cost Wood $312 $210 Concrete $103 $30 $120 Drywall $260 Plaster $3631 $112 Total cost: $1,038 $472 RECYCLING SAVINGS: jQ56>6 The rates shown above are representative of recent costs. However, they do fluctuate slightly due to market conditions and other factors. Check with Burrtec's District Environmental Coordinator prior to starting your job for the approximate current rates. Recycling is good for the planet and your bottom line. District Environmental Coordinator, Renado Gouldlock (760) 674-1026 Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: Hideaway Owner's Name: Robert & Irene S. Rovner This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: 1. COMMAND. AMOUNT: DATE: RECEIPT: CHECK It: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Address: 53-497 Via Pisa, LaQuinta Project Description: SFD APN: 777-190-004 Tract #: Type of Development: Residential xx Commercial Total Square Feet of Building Area: 6,676 s . ft. Date: September 26, 2019 Phone No. 760-702-0119 Lot #'s: Industrial 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: September 26, 2019 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Note: Number of Sq.Ft. 6676 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. $3.79 homes being relocated within the same school district's Amount Collected $25302.04 jurisdiction are exempt from developer fees. Building Permit Application Completed: Yes/No By: Larry Moen, Director Facilities Dev. & Planning Certificate issued by: Laurie Howard, Administrative Spec. _ Signature, 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 re uirements as de i I) V.:'Y mnent code. Additional) the amount of the fees imposed is as herein set forth whether payable at this q ��i� Di P Y y� y P Ytime or in whole a t "i"'i I (' lificatc of Occu anc . As in the latter the 90 da s starts on the date hereof. This Certificate of Compliance is vali[I � s 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. SEP 2 6 2019 11/2010 CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT COMMUNITY DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7012 FAX (760) 777-701 1 CERTIFICATION OF BUILDING AREA STREET ADDRESS OF JOB: 53-497 VIA PISA APN: 777-190-004 DESCRIPTION OF WORK: NEW SINGLE FAMILY DWELLINGS t✓ SQUARE FOOTAGE: 6,676 S.F. �.3. 7? fw»t-d= 7-5� OWNER'S NAME: ROBERT & IRENE S. ROVNER For questions regarding this letter, please call: City of La Quinta Permit Center (760) 777-7012 Coachella Valley Unified School District 83-733 Avenue 55 P O Box 847 Thermal, CA 92274 (760) 398-5909 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 CITY OI° LA QUINTA BUILDING DIVISION REVIEWEC 'OR CODE C MPLIANCE ATE � 112011 6Y �JF Please note: This letter verifies conditioned square footage. Please can your School District to verify school fees, requirement for cashier's check or money order and hours of operation. RECORDING REQUESTED BY: WFQ Title Company AND WHEN RECORDED MAIL TO: The Rovner Family Trust ufDIT dated June 6, 1988 3481 Country Club Place Danville, CA 94506 Order No.: 7117096 Escrow No:: F32276 A.P.N.: 777-190-004.9. TRA: _ 020.160 DOC # 2017-0249329 06/21/2017 01:00 PM Fees: $18.00 Page 1 of 2 Recorded in Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder "This document was electronically submitted to the County of Riverside for recording" Receipted by: LISA #580 SPACE ABOVE THIS LINE IS FOR RECORDER'S USE THE UNDERSIGNED GRANTOR(S) ❑ECI LRE(S) GRANT DEED DOCUMENTARY TRANSFER TAX IS $660.00 [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. [ ] unincorporated area [ X ] City of La Qulnta F{}R A VALUABLE CONSIDERAT€CN, receipt of which is hereby acknowledged, Robert T. Ravis artd Yonhee O: Ravis, Trustees of The Ravis Fam ily Living Trust, dated September 17, 2007 hereby GRANT(S) to Robert A. Rovner and Irene G. Rovner, Trustees of The Rovner Family Trust 'U/DIT dated June 6, 1988 the following described real property in the County of Riverside, State of California See Exhibit °A" attached hereto and made a part hereof. RECEIVED Commonly known as: Vacant Lot 279, La Quinta, CA 92253 Dated: June 15,.2017 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY OF Ong i G before me, a notarypublic, pars I ally appea ed L.-4- t to t who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islare subscribed to the within instrument and acknowledged to me that helshelthey executed the same in hislher/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument, certify under PENALTY OF PERJURY under the laws of the State -of California that -the fo'egaing paragraph is true and t-orrect. . AUG U 7 2019 CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT The Ravis Family Living Trust, dated Sept ar 17, 2007 )SS. Sy: Robert T. Ravis, Trustee .. _ By: yOnhee O. Ravis, Trustee 01"w Lr.e KIMSERLY M, J4RRETT Commission s 2129590 IDNotary eLrbiie - C&INdfnle Rlvlrelde CGU* Aft Comm. mires Oct 9 2019 WITNESS my hand and official seal. Signature (Seel) (This area for official notary seal) M TAX STATEMENTS AS DIRECTED ABOVE r�> Building Permit Number: Project Description: ISFR 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 Owners Phone Number Owner's E-Mail Address Project Managers Name Project Manager's Phone Number Project Manager's E-mail Address Builder / Contractor Number, Street or PO Boxy City, State, Postal Code 5/30/2019 53497 Via Pisa (Lot #279) Rovner Residence 53497 Via Pisa (Lot #279) La Quinta, CA. 92253 c/o 760-864-9448 Julie McCormick 760-864-9448 a dm i nQm iraa edeve lojer. co m Mirage Developers Inc 72049 Petland Place suite A-2nd floor Thousand Palms, CA. 92276 Project Square Footage I Approx. 7,696sf City Approval By Renado Gouldlock-DEC/Burrtec Waste Date of City Approval ��.{� !,-;,) Materials To Be Discarded: Product Tons Trash 31.50 Not recyclable Asphalt _ 0.00 Recyclable Brick/Block 0.00 Recyclable Cardboard 0.00 Recyclable Commingled 0.00 Recyclable Concrete 36.00 Recyclable Drywall 4.00 Recyclable Donated / Reuse" 0.00 Recyclable "Describe Items Totals: Recycle Trash 62.0 1 31.5 Product Tons Masonry (broken) 0 00 Plaster _ 9.00 Scrap Metal 0.00 Tile (floor) 0.75 Tile (roof) _ 1.00 Wood 1 11.25 Projected Diversion: Cm 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 65% 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 Owner / Developer / Project Manager / Superintendant Date ()A Construction Debris Management Plan Summary of Requirements As of January 1, 2017, The Green Building Standards Code (CALGreen) requires that the construction of most new structures in the State of California comply with sections 4.408 and 5.408 of the code in accordance with Assembly Bill 939 requiring that no more than 35% of jobsite waste be disposed of as trash at local land fill sites and transfer stations. Exceptions may be made for certain projects under certain conditions. The City of La Quinta is committed to the highest level of environmental respect, to conserving our precious natural resources and setting an example to provide for a better world for generations to come. Recycling helps keep reusable resources out of landfills and will also reduce disposal costs. IMPORTANT: Burrtec Waste & Recycling Services is the City's franchise hauler. If you choose to self -haul any recyclables or trash, you must provide copies of all weight tickets and/or receipts from the transfer station, landfill, or recycler as the job progresses. Clean-up companies and other haulers are not permitted to haul waste or recyclables from the City of La Quinta. Self -haul weight tickets should be submitted to: Renado Gouldlock, District Environmental Coordinator - rgouldlock@burrtecdesert.com, or faxed to (760) 340-0417, or mailed to: 41575 Eclectic Street, Palm Desert, CA. 92260. CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Hideaway 279 Calculation Date/Time: 14:43, Wed, Oct 10, 2018 CF1 R-PRF-01 Page 1 of 14 Calculation Description: Title 24 Analysis Input File Name: Hideaway Lot 279-Stracts-Rovner-18.ribd16x 412- • 1 A W1 a 1 t'7 GENERAL INFORMATION 01 Project Name Hideaway 279 02 Calculation Description Title 24 Analysis 03 Project Location Hideaway Lot 279 04 City La Quinta 05 Standards Version Compliance 2017 06 Zip Code 92253 07 Compliance Manager Version BEMCmpMgr 2016.3.1 (1149) 08 Climate Zone CZ15 09 Software Version EnergyPro 7.2 10 Building Type Single Family 017 Front Orientation (deg/Cardinal) 90 12 Project Scope Newly Constructed-rV • 1-T� Number of Dwelling Units 1 -- -A 14 Total Cond. Floor Area (ft2) 6676 V V %J 11 V 1 A Number of Zones 6 16 Slab Area ft2 ( ) 4995 • nQ Number of Stories 3 18 Addition Cond. Floor Area(ft2) n/a Natural Gas Available Yes 20 Addition Slab Area (ft2) n/a 0 R IJaN E Glazing Percentage (%) 22.7% COMPLIANCE RESULTS DATIP 01 Building Complies with Computer Performance 02 This building incorporates features that require field testing and/or verification by a certified HERS rater under the supervision of a CEC-approved HERS provider. 03 This building incorporates one or more Special Features shown below ENERGY USE SUMMARY 04 05 06 07 08 Energy Use (kTDV/ft2-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 2.91 4.26 -1.35 -46.4% Space Cooling 83.81 86.02 -2.21 -2.6% IAQ Ventilation 0.82 0.82 0.00 0.0% Water Heating 246 2.10 0.36 14.6% Photovoltaic Offset -14.67 14.67 Compliance Energy Total 90.00 78.53 11.47 1\L.`/1-1 V E�6-dl APR 2 2 2019 CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT Registration Number: 218-P010238564B-000-000-0000000-0000 Registration Date/Time: 2018-10-10 15:00:44 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 Report Generated at: 2018-10-10 14:44:57 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Hideaway 279 Calculation Date/Time: 14:43, Wed, Oct 10, 2018 CF1 R-PRF-01 Page 2 of 14 Calculation Description: Title 24 Analysis Input File Name: Hideaway Lot 279-Stracts-Rovner-18.ribd16x 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) with California modeling assumptions. 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 Efficiency EDR of Proposed Efficiency EDR Value of Proposed PV + Battery Final Proposed EDR 47.8 49.2 12.5 36.7 ❑ 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. U 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 photovoltaic (PV) renewable energy generation sufficient to achieve a Final Energy Design Rating (EDR) of zero or less. The PV System must be verified. Notes: • Excess PV Generation EDR Credit: Bypassing PV size limit may violate Net Energy Metering (NEM) rules ENERGY DESIGN RATING PV SYSTEM INPUTS - DETAILED DC System Size (kWdc) Module Type CFI Azimuth (deg) Tilt Input Array Angle (deg) Tilt: (x in 12) Inverter Eff. (%) 5 Standard ❑ 180 deg 22.0 4.8 96 • PV System offsets 25% of the total proposed design kTDV/ft-yr 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: 5 kWdc Registration Number: 218-Po10238564B-000-000-0000000-0000 Registration DatefTime: 2018-10-10 15:00:44 HERS Provider: CaICERTS inc CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 Report Generated at: 2018-10-10 14:44:57 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFI R-PRF-01 Project Name: Hideaway 279 Calculation Description: Title 24 Analysis Calculation Date/Time: 14:43, Wed, Oct 10, 2018 Page 3 of 14 Input File Name: Hideaway Lot 279-Stracts-Rovner-18.ribd16x HERS FEATURE SUMMARY 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: • High quality insulation installation (QII) • IAQ mechanical ventilation Cooling System Verifications: • Minimum Airflow, • Verified EER • Verified SEER • Verified Refrigerant Charge • Fan Efficacy Watts/CFM HVAC Distribution System Verifications: • Duct Sealing Domestic Hot Water System Verifications: None -- BUILDING - FEATURES INFORMATION 01 02 03 04 05 06 07 Project Name Conditioned Floor Area (ft2) Number of Dwelling Units Number of Bedrooms Number of Zones Number of Ventilation Cooling Systems Number of Water Heating Systems Hideaway 279 6676 1 6 6 0 1 ZONE INFORMATION 01 02 03 04 05 06 07 Zone Name Zone Type HVAC System Name Zone Floor Area (ft) Avg. Ceiling Height Water Heating System 1 Water Heating System 2 Master Conditioned HVAC master1 1120 11.5 DHW Sys 1 n/a living area Conditioned HVAC kitchen2 2491 12.5 DHW Sys 1 n/a Media Conditioned HVAC media3 353 10 DHW Sys 1 n/a Casita Zone Conditioned HVAC Casita4 1031 10 DHW Sys 1 n/a 2nd bedroom Conditioned HVAC 2nd beds 1355 9 DHW Sys 1 n/a exercise Conditioned HVAC exercise6 326 9 DHW Sys 1 n/a Registration Number: 219-Po10238564B-000-000-0000000-0000 Registration Date/Time: 2018-10-10 15:00:44 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 Report Generated at: 2018-10-10 14:44:57 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R-PRF-01 Project Name: Hideaway 279 Calculation Description: Title 24 Analysis Calculation Date/Time: 14:43, Wed, Oct 10, 2018 Page 4 of 14 Input File Name: Hideaway Lot 279-Stracts-Rovner-1 8.ribdl 6x OPAQUE SURFACES 01 02 03 04 05 06 07 08 Name Zone Construction Azimuth Orientation Gross Area (ft) Window & Door Area (ftZ) Tilt (deg) N Wall Master R-21 Wall (W.21.2x6.16) 0 Right 260 0 90 E Wall Master I R-21 Wall (W.21.2x6.16) 90 Front 96 0 90 S Wall Master R-21 Wall (W.21 2x6.16) 180 Left 702 53.8 90 W Wall Master R-21 Wall (W.21.2x6 16) 270 Back 343 100 90 Interior Surface Master R-0 Interior Wall n/a n/a 250 0 n/a Roof Master R-38 Roof Attic n/a n/a 1120 n/a n/a N Wall 2 living area R-21 Wall (W.21.2x6.16) 0 Right 720 76 90 E Wall 2 living area R-21 Wall (W.21.2x6.16) 90 Front 580 160 90 S Wall 2 living area R-21 Wall (W.21.2x6.16) 180 Left 300 108 90 W Wall 2 living area R-21 Wall (W.21.2x6.16) 270 Back 1056 561.6 90 Interior Surface 2 living area R-0 Interior Wall n/a n/a 450 0 n/a Roof 2 living area R-38 Roof Attic n/a n/a 2491 n/a n/a N Wall 3 Media R-21 Wall (W.21 2x6.16) 0 Right 300 25 90 E Wall 3 Media R-21 Wall (W.21.2x6.16) 90 Front 300 0 90 Interior Surface 3 Media R-0 Interior Wall n/a n/a 250 0 n/a Interior Surface 4 Media R-0 Interior Wall n/a n/a 250 0 n/a Interior Surface 5 Media R-0 Interior Wall n/a n/a 250 0 n/a Interior Surface 6 Media R-0 Interior Wall n/a n/a 250 0 n/a Interior Surface 7 Media R-0 Interior Wall n/a n/a 250 0 n/a Interior Surface 8 Media R-0 Interior Wall n/a n/a 250 0 n/a Roof 3 Media R-38 Roof Attic n/a n/a 353 n/a n/a N Wall 4 Casita Zone R-21 Wall (W.21.2x6.16) 0 Right 380 83 90 E Wall 4 Casita Zone R-21 Wall (W.21.2x6.16) 90 Front 30 0 90 S Wall 3 Casita Zone R-21 Wall (W.21.2x6.16) 180 Left 430 12 90 W Wall 3 Casita Zone R-21 Wall (W.21.2x6.16) 270 Back 310 26 90 Interior Surface 9 Casita Zone»living area R-0 Interior Wall n/a n/a 250 0 n/a Roof 4 Casita Zone R-38 Roof Attic n/a n/a 1031 n/a n/a N Wall 5 2nd bedroom R-21 Wall (W.21.2x6.16) 0 Right 750 37 90 E Wall 5 2nd bedroom R-21 Wall (W.21.2x6.16) 90 Front 200 25 90 S Wall 2nd bedroom R-21 Wall (W.21.2x6.16) 180 Left 750 87 90 Registration Number: 218-P010238564B-000-000-0000000-0000 Registration Date/Time: 2018-10-10 15:00:44 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 Report Generated at: 2018-10-10 14:44:57 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Hideaway 279 Calculation Date/Time: 14:43, Wed, Oct 10, 2018 CF1 R-PRF-01 Page 5 of 14 Calculation Description: Title 24 Analysis Input File Name: Hideaway Lot 279-Stracts-Rovner-18.ribd16x W Wall 4 2nd bedroom R-21 Wall (W.21.2x6.16) 270 Back 200 76 90 Interior Surface 10 2nd bedroom R-0 Interior Wall n/a n/a 450 0 n/a Roof 5 2nd bedroom R-38 Roof Attic n/a n/a 1355 n/a n/a N Wall 6 exercise R-21 Wall (W.21.2x6.16) 0 Right 200 20 90 E Wall 6 exercise R-21 Wall (W.21.2x6.16) 90 Front 200 40 90 S Wall 5 exercise R-21 Wall (W.21.2x6.16) 180 Left 200 46 90 W Wall 5 exercise R-21 Wall (W.21.2x6.16) 270 Back 200 0 90 Interior Surface 11 exercise R-0 Interior Wall n/a n/a 450 0 n/a Roof 6 exercise R-38 Roof Attic n/a n/a 326 n/a n/a Raised Floor exercise R-19 Floor Crawlspace n/a n/a 326 n/a n/a ATTIC 01 02 03 04 05 06 07 08 Name Construction Type Roof Rise Roof Reflectance Roof Emittance Radiant Barrier Cool Roof Attic Master Attic RoofMaster Ventilated 0 0.1 0.85 No No Attic living area Attic Roofliving area Ventilated 0 0.1 0.85 No No Attic Media Attic RoofMedia Ventilated 0 0.1 0.85 No No Attic Casita Zone Attic RoofCasita Zone Ventilated 0 0.1 0.85 No No Attic 2nd bedroom Attic Roof2nd bedroom Ventilated 0 0.1 0.85 No No Attic exercise ' Attic Roofexercise Ventilated 0 0.1 0.85 No No Registration Number: 218-Po10238564B-000-000-0000000-0000 Registration Date/Time: 2018-10-10 15:00:44 HERS Provider: CaICERTS inc CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 Report Generated at: 2018-10-10 14:44:57 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Hideaway 279 Calculation Date/Time: 14:43, Wed, Oct 10, 2018 CF1 R-PRF-01 Page 6 of 14 Calculation Description: Title 24 Analysis Input File Name: Hideaway Lot 279-Stracts-Rovner-18.ribd16x FENESTRATION / GLAZING 01 02 03 04 05 06 07 08 09 10 Name Type Surface (Orientation -Azimuth) Width (ft) Height (ft) Multiplier Area (W) U-factor SHGC Exterior Shading U Window S Wall (Left-180) -•-• -- 1 28.8 0.44 0.24 Insect Screen (default) T Window S Wall (Left-180) 1 12.5 0.44 0.24 Insect Screen (default) S Window S Wall (Left-180) 1 12.5 0.44 0.24 Insect Screen (default) 10 Window W Wall (Back-270) 1 100.0 0.44 0.24 Insect Screen (default) P Window N Wall 2 (Right-0) - 1 12.0 0.44 0.24 Insect Screen (default) N Window N Wall 2 (Right-0) -- 1 12.0 0.44 0.24 Insect Screen (default) M Window N Wall 2 (Right-0) ---- ---- 1 12.0 0.44 0.24 Insect Screen (default) 6 Window N Wall 2 (Right-0) .... ---- 1 24.0 0.44 0.24 Insect Screen (default) L Window N Wall 2 (Right-0) 1 4.0 0.44 0.24 Insect Screen (default) K Window N Wall 2 (Right-0) - 1 4.0 0.44 0.24 Insect Screen (default) J Window N Wall 2 (Right-0) - -- 1 4.0 0.44 0.24 Insect Screen (default) H Window N Wall 2 (Right-0) ---- - 1 4.0 0.44 0.24 Insect Screen (default) B Window E Wall 2 (Front-90) 1 30.0 0.44 0.24 Insect Screen (default) 1 Window E Wall 2 (Front-90) - ---- 1 60.0 0.44 0.24 Insect Screen (default) A Window E Wall 2 (Front-90) - 1 30.0 0.44 0.24 Insect Screen (default) CC Window E Wall 2 (Front-90) - -• 1 16.0 0.44 0.24 Insect Screen (default) C Window S Wall 2 (Left-180) 1 6.0 0.44 0.24 Insect Screen (default) 8 Window S Wall 2 (Left-180) - 1 102.0 0.44 0.24 Insect Screen (default) 9 Window W Wall 2 (Back-270) -- 1 48.0 0.44 0.24 Insect Screen (default) R Window W Wall 2 (Back-270) ---- -- 1 240 0.44 0.24 Insect Screen (default) 82 Window W Wall 2 (Back-270) - - 1 339.6 0.44 0.24 Insect Screen (default) 7 Window W Wall 2 (Back-270) -- 1 100.0 0.44 0.24 Insect Screen (default) Q Window W Wall 2 (Back-270) ---- - 1 50.0 0.44 0.24 Insect Screen (default) G Window N Wall 3 (Right-0) --- ---- 1 12.5 0.44 0.24 Insect Screen (default) F Window N Wall 3 (Right-0) - -- 1 12.5 0.44 0.24 Insect Screen (default) AA Window N Wall 4 (Right-0) -- - 1 10.0 0.44 0.24 Insect Screen (default) BB Window N Wall 4 (Right-0) --- 1 25.0 0.44 0.24 Insect Screen (default) 13 Window N Wall 4 (Right-0) -- 1 48.0 0.44 0.24 Insect Screen (default) V Window S Wall 3 (Left-180) ---- ---- 1 6.0 0.44 0.24 Insect Screen (default) Registration Number: 218-Po10238564B-000-000-0000000-0000 Registration Date/Time: 2018-10-10 15:00:44 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 Report Generated at: 2018-10-10 14:44:57 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Hideaway 279 Calculation Date/Time: 14:43, Wed, Oct 10, 2018 CF1 R-PRF-01 Page 7 of 14 Calculation Description: Title 24 Analysis Input File Name: Hideaway Lot 279-Stracts-Rovner-18.ribdl6x W Window S Wall 3 (Left-180) - 1 6.0 0.44 0.24 Insect Screen (default) X Window W Wall 3 (Back-270) - 1 6.0 0.44 0.24 Insect Screen (default) Y Window W Wall 3 (Back-270) 1 10.0 0.44 0.24 Insect Screen (default) Z Window W Wall 3 (Back-270) -- 1 10.0 0.44 0.24 Insect Screen (default) JJ Window N Wall 5 (Right-0) ---- --- 1 4.0 0.44 0.24 Insect Screen (default) HH Window N Wall 5 (Right-0) ---- - 1 4.0 0.44 0.24 Insect Screen (default) GG Window N Wall 5 (Right-0) - 1 4.0 0.44 0.24 Insect Screen (default) EE Window N Wall 5 (Right-0) --- - 1 25.0 0.44 0.24 Insect Screen (default) DID Window E Wall 5 (Front-90) --- 1 25.0 0-44 0.24 Insect Screen (default) SS Window S Wall 4 (Left-180) 1 12.5 0.44 0.24 Insect Screen (default) RR Window S Wall 4 (Left-180) -- -- 1 12.5 0.44 0.24 Insect Screen (default) QQ Window S Wall 4 (Left-180) 1 6.0 0.44 0.24 Insect Screen (default) PP Window S Wall 4 (Left-180) - ---- 1 12.5 0.44 0.24 Insect Screen (default) NN Window S Wall 4 (Left-180) - 1 12.5 0.44 0.24 Insect Screen (default) MM Window S Wall 4 (Left-180) - 1 6.0 0.44 0.24 Insect Screen (default) LL Window S Wall 4 (Left-180) -- 1 12.5 0.44 0.24 Insect Screen (default) KK Window S Wall 4 (Left-180) ---- - 1 12.5 0.44 0.24 Insect Screen (default) 30 Window W Wall 4 (Back-270) --- -- 1 76.0 0.44 0.24 Insect Screen (default) UU Window N Wall 6 (Right-0) ---- - 1 10.0 0.44 0.24 Insect Screen (default) TT Window N Wall 6 (Right-0) 1 10.0 0.44 0.24 Insect Screen (default) 39 Window E Wall 6 (Front-90) ---- ---- 1 40.0 0.44 0.24 Insect Screen (default) 38 Window S Wall 5 (Left-180) 1 24.0 0.44 0.24 Insect Screen (default) WW Window S Wall 5 (Left-180) --- -- 1 16.0 0.44 0.24 1 Insect Screen (default) W 2 Window S Wall 5 (Left-180) ---- -- 1 6.0 0.44 0.24 1 Insect Screen (default) OPAQUE DOORS 01 02 03 04 Name Side of Building Area (ft) U-factor 14 E Wall 2 24.0 0.50 Registration Number: 218-P010238564B-000-000-0000000-0000 Registration Date/Time: 2018-10-10 15:00:44 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 Report Generated at: 2018-10-10 14:44:57 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Hideaway 279 Calculation Date/Time: 14:43, Wed, Oct 10, 2018 CF1 R-PRF-01 Page 8 of 14 Calculation Description: Title 24 Analysis Input File Name: Hideaway Lot 279-Stracts-Rovner-18.ribd16x OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 06 07 Total Cavity Winter Design Construction Name Surface Type Construction Type Framing R-value U-factor Assembly Layers • Around Roof Joists: R-0 0 insul. • Cavity/Frame: R-13.0/2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic RoofMaster Attic Roofs Wood Framed Ceiling in. O.C. R 13 0.078 Roofing. Light Roof (Asphalt Shingle) • Inside Finish: Gypsum Board Ceilings (below Cavity/Frame: R-9.1 /2x4 R-38 Roof Attic attic) Wood Framed Ceiling 2x4 @ 16 in. O.C. R 38 0.025 Over Ceiling Joists: R-28.9 insul. • Inside Finish: Gypsum Board • Cavity/Frame: R-21 /2x6 R-21 Wall (W.21.2x6.16) Exterior Walls Wood Framed Wall 2x6 @ 16 in. O.C. R 21 0.069 Exterior Finish: 3 Coat Stucco • Inside Finish: Gypsum Board • Cavity / Frame: no insul. / 2x4 R-0 Interior Wall Interior Walls Wood Framed Wall 2x4 @ 16 in. 0 C. none 0.277 Other Side Finish: Gypsum Board • Around Roof Joists: R-0.0 insul. • Cavity / Frame: R-13.0 / 2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 Roof Deck., Wood Siding/sheathing/decking Attic Roofliving area Attic Roofs Wood Framed Ceiling in. O.C. R 13 0.078 Roofing: Light Roof (Asphalt Shingle) • Around Roof Joists: R-0.0 insul. • Cavity/Frame: R-13.0/2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic RoofMedia Attic Roofs Wood Framed Ceiling in. O.C. R 13 0.078 Roofing: Light Roof (Asphalt Shingle) • Around Roof Joists: R-0.0 insul. • Cavity/Frame: R-13.0/2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic RoofCasita Zone Attic Roofs Wood Framed Ceiling in. O C. R 13 0.078 Roofing: Light Roof (Asphalt Shingle) • Around Roof Joists: R-0.0 insul. • Cavity/Frame: R-13.0/2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 Roof Deck: Wood Siding/sheathing/decking Attic Roof2nd bedroom Attic Roofs Wood Framed Ceiling in. O.0 R 13 0.078 Roofing: Light Roof (Asphalt Shingle) • Around Roof Joists: R-0.0 insul. • Cavity/Frame: R-13.0/2x4 Top Chrd 2x4 Top Chord of Roof Truss @ 24 Roof Deck., Wood Siding/sheathing/decking Attic Roofexercise Attic Roofs Wood Framed Ceiling in. O.C. R 13 0.078 Roofing: Light Roof (Asphalt Shingle) • Floor Surface: Carpeted • Floor Deck., Wood Siding/sheathing/decking R 19 in 5-1/2 in. Cavity/Frame: R-19 in 5-1/2 in. (R-18) / R-19 Floor Crawlspace Exterior Floors Wood Framed Floor 2x12 @ 16 in. O.C. cavity (R-18) 0.048 2x12 Registration Number: 218-Po10238564B-000-000-0000000-0000 Registration DateMme: 2018-10-10 15:00:44 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 Report Generated at: 2018-10-10 14:44:57 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Hideaway 279 Calculation Description: Title 24 Analysis Calculation Date/Time: 14:43, Wed, Oct 10, 2018 Input File Name: Hideaway Lot 279-Stracts-Rovner-18.ribd16x C F1 R-PRF-01 Page 9 of 14 SLAB FLOORS 01 02 03 04 05 06 07 Name Zone Area (ft) Perimeter (ft) Edge Insul. R-value & Depth Carpeted Fraction Heated Slab -on -Grade Master 1120 94 None 0.8 No Slab -on -Grade 2 living area 2491 145 None 0.8 No Slab -on -Grade 3 Media 353 26 None 0.8 No Slab -on -Grade 4 Casita Zone 1031 94 None 0.8 No BUILDING ENVELOPE - HERS VERIFICATION 01 02 03 04 Quality Insulation Installation (QII) Quality Installation of Spray Foam Insulation Building Envelope Air Leakage CFM50 Required Not Required Not Required n/a 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 (2) 2 .0% WATER HEATERS 01 02 03 04 05 06 07 08 09 10 11 12 Name I Heater Element Type Tank Type Number of Units Tank Volume (gal) Uniform Energy Factor / Energy Factor / Efficiency Input Rating / Pilot / Thermal Efficiency Tank Insulation R-value (Int/Ext) Standby Loss / Recovery Eff First Hour Rating / Flow Rate NEEA Heat Pump Brand / Model / Other Tank Location or Ambient Condition DHW Heater 1 Gas Small Instantaneous 2 0 0.96 EF <= 200 kBtu/hr R-0/R-0 0 n/a n/a n!a Registration Number: 218-P010238564B-000-000-0000000-0000 Registration Date/Time: 2018-10-10 15:00:44 HERS Provider: CaICERTS inc CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 Report Generated at: 2018-10-10 14:44:57 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Hideaway 279 Calculation Date/Time: 14:43, Wed, Oct 10, 2018 Calculation Description: Title 24 Analysis Input File Name: Hideaway Lot 279-Stracts-Rovner-1 8.ribdl 6x CF1 R-PRF-01 Page 10 of 14 SPACE CONDITIONING SYSTEMS 01 02 03 04 05 06 SC Sys Name System Type Heating Unit Name Cooling Unit Name Fan Name Distribution Name HVAC masted Other He ti stemd Cooling Y Heating Component 1 Cooling Component 1 HVAC Fan 1 Air Distribution System 1 HVAC kitchen2 Other Heating and Cooling System Heating Component 2 Cooling Component 2 HVAC Fan 2 Air Distribution System 2 HVAC media3 Other Heating and Cooling System Heating Component 3 Cooling Component 3 HVAC Fan 3 Air Distribution System 3 HVAC Casita4 Other He ti sg and Cooling Y Heating Component 4 Cooling Component 4 HVAC Fan 4 Air Distribution System 4 HVAC 2nd bed5 Other Heating ad Cooling System Heating Component 5 Cooling Component 5 HVAC Fan 5 Air Distribution System 5 HVAC exercise6 Heat Pump Heating and Cooling System Heat Pump System 6 Heat Pump System 6 HVAC Fan 6 Air Distribution S stem 6 Y HVAC - HEATING UNIT TYPES 01 Name Heating Component 1 Heating Component 2 Heating Component 3 Heating Component 4 Heating Component 5 HVAC - HEAT PUMPS 01 Name Heat Pump System 6 02 03 04 System Type Number of Units Efficiency CntrlFurnace 1 80 AFUE CntrlFurnace 2 80 AFUE CntrlFurnace 1 80 AFUE CntrlFurnace 1 80 AFUE CntrlFurnace 1 80 AFUE 02 03 04 1 05 06 07 08 09 10 11 System Number of Heating Cooling Zonally Compressor HERS HSPF/COP Cap47 Cap 17 SEER EER Type Units Controlled Type Verification SplitHeatPump 1 I 10 21600 11500 192 14 Not Zonal Single Speed Heat Pump System 6-hers-cool Registration Number: 218-P010238564B-000-000-0000000-0000 Registration Date/Time: 2018-10-10 15:00:44 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 Report Generated at: 2018-10-10 14:44:57 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Hideaway 279 Calculation Date/Time: 14:43, Wed, Oct 10, 2018 CF1 R-PRF-01 Page 11 of 14 Calculation Description: Title 24 Analysis Input File Name: Hideaway Lot 279-Stracts-Rovner-18.ribd16x HVAC - COOLING UNIT TYPES 01 02 03 04 05 06 07 08 Efficiency Name System Type Number of Units EER SEER Zonally Controlled Compressor Type HERS Verification Cooling Component 1 SplitAirCond 1 13 16 Not Zonal Single Speed Cooling Component 1-hers-cool Cooling Component 2 SplitAirCond 2 13 16 Not Zonal Single Speed Cooling Component 2-hers-cool Cooling Component 3 SplitAirCond 1 13 16 Not Zonal Single Speed Cooling Component 3-hers-cool Cooling Component 4 SplitAirCond 1 13 16 Not Zonal Single Speed Cooling Component 4-hers-cool Cooling Component 5 SplitAirCond 1 13 16 Not Zonal Single Speed Cooling Component 5-hers-cool HVAC COOLING - HERS VERIFICATION 01 02 03 04 05 06 Name Verified Airflow Airflow Target Verified EER Verified SEER Verified Refrigerant Charge Cooling Component 1-hers-cool Required 350 Required Required Required Cooling Component 2-hers-cool Required 350 Required Required Required Cooling Component 3-hers-cool Required 350 Required Required Required Cooling Component 4-hers-cool Required 350 Required Required Required Cooling Component 5-hers-cool Required 350 Required Required Required Heat Pump System 6-hers-cool Required 350 Required Required Required Registration Number: 218-P010238564B-000-000-0000000-0000 Registration Date/Time: 2018-10-10 15:00:44 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 Report Generated at: 2018-10-10 14:44:57 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Hideaway 279 Calculation Date/Time: 14:43, Wed, Oct 10, 2018 CFI R-PRF-01 Page 12 of 14 Calculation Description: Title 24 Analysis Input File Name: Hideaway Lot 279-Stracts-Rovner-18.ribd16x 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 DuctsAttic Sealed and tested 8 Attic None Air Distribution System 1-hers-dist Air Distribution System 2 DuctsAttic Sealed and tested 8 Attic None Air Distribution System 2-hers-dist Air Distribution System 3 DuctsAttic Sealed and tested 8 Attic None Air Distribution System 3-hers-dist Air Distribution System 4 DuctsAttic Sealed and tested 8 Attic None Air Distribution System 4-hers-dist Air Distribution System 5 DuctsAttic Sealed and tested 8 Attic None Air Distribution System 5-hers-dist Air Distribution System 6 DuctsAttic Sealed and tested 8 Attic None Air Distribution System 6-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 5.0 Not Required Not Required Not Required Not Required n/a Air Distribution System 2-hers-dist Required 5.0 Not Required Not Required Not Required Not Required n/a Air Distribution System 3-hers-dist Required 5.0 Not Required Not Required Not Required Not Required n/a Air Distribution System 4-hers-dist Required 50 d Not Required Not Required Not Required Not Required n/a Air Distribution System 5-hers-dist Required 50 Not Required Not Required Not Required Not Required n/a Air Distribution System 6-hers-dist Required 5.0 Not Required I Not Required Not Required Not Required n/a HVAC-FAN SYSTEMS 01 02 03 04 Name Type Fan Power (Watts/CFM) HERS Verification HVAC Fan 1 Single Speed PSC Furnace Fan 0.58 HVAC Fan 1-hers-fan HVAC Fan 2 Single Speed PSC Furnace Fan 0.58 HVAC Fan 2-hers-fan HVAC Fan 3 Single Speed PSC Furnace Fan 0.58 HVAC Fan 3-hers-fan HVAC Fan 4 Single Speed PSC Furnace Fan 0.58 HVAC Fan 4-hers-fan HVAC Fan 5 Single Speed PSC Furnace Fan 0.58 HVAC Fan 5-hers-fan HVAC Fan 6 Single Speed PSC Furnace Fan 0.58 HVAC Fan 6-hers-fan Registration Number: 218-P010238584B-000-000-0000000-0000 Registration Date/Time: 2018-10-10 15:00:44 HERS Provider: CaICERTS inc CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 Report Generated at: 2018-10-10 14:44:57 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Hideaway 279 Calculation Description: Title 24 Analysis Calculation Date/Time: 14:43, Wed, Oct 10, 2018 Input File Name: Hideaway Lot 279-Stracts-Rovner-18.ribd16x C F1 R-PRF-01 Page 13 of 14 HVAC FAN SYSTEMS - HERS VERIFICATION 01 02 03 Name Verified Fan Watt Draw Required Fan Efficiency (Watts/CFM) HVAC Fan 1-hers-fan Required 0.58 HVAC Fan 2-hers-fan Required 0.58 HVAC Fan 3-hers-fan Required 0.58 HVAC Fan 4-hers-fan Required 0.58 HVAC Fan 5-hers-fan Required 0.58 HVAC Fan 6-hers-fan Required 0.58 IAQ (Indoor Air Quality) FANS 01 02 03 04 05 06 Dwelling Unit IAQ CFM IAQ Watts/CFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification SFam IAQVentRpt 119 0.25 Default 0 Required Registration Number: 218-Po10238564B-000-000-0000000-0000 Registration Date/Time: 2018-10-10 15:00:44 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 Report Generated at: 2018-10-10 14:44:57 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CFI R-PRF-01 Project Name: Hideaway 279 Calculation Description: Title 24 Analysis Calculation Date/Time: 14:43, Wed, Oct 10, 2018 Page 14 of 14 Input File Name: Hideaway Lot 279-Stracts-Rovner-1 8.ribdl 6x DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature_ Tim Scott'�� Company: Signature Date: Scott Design and Title 24, Inc. 2018-10-10 15:00:44 Address: CEA/HERS Certification Identification (If applicable): 77085 Michigan Drive City/State/Zip: Phone: Palm Desert, CA 92211 760-200-4780 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. I 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 approval with this building permit application. Responsible Designer Name: Responsible Designer Signature: Tim Scott Company: Date Signed: Scott Design and Title 24, Inc. 2018-10-10 15:00:44 Address: License: 77085 Michigan Drive na City/State/Zip: Phone: Palm Desert, CA 92211 760-200-4780 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Easy to Verify at CaICERTS.com Registration Number: 218-PO10238564B-000-000-0000000-0000 Registration Date/Time: 2018-10-10 15:00:44 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-06282018-1149 HERS Provider: CaICERTS inc. Report Generated at: 2018-10-10 14:44:57