BRES2019-044678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
T-itit 4 4v 09MM
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING RESIDENTIAL/REMODEL
BRES2019-0446
48545 VIA ENCANTO
646091008
GUERRINI /FRONT DOOR REPLACEMENT
Applicant: IB n L0
CLEARCHOICE WINDOWS AND DOORS INC W
4412 RHODELIA AVE
CLAREMONT, CA 91711 DEC n 4 7n19 ID
CRY 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 7000) of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: C17 License No.: 964835
Date: t2\ Contractor: 0 ),�k_
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any
structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that he
or she did not build or improve for the purpose of sale.).
() 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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/4/2019
Owner:
JOHN GUERRINI
48545 VIA ENCANTO
LA QUINTA, CA 92253
Contractor:
CLEARCHOICE WINDOWS AND DOORS INC
4412 RHODELIA AVE
CLAREMONT, CA 91711
(909)260-8994
Llc. No.: 964835
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 ork for which this permit is issued.
I have 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: SECURLTY-NAILQN61. lN5URANCE 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 of the Labor Code, I shall forthwith
comply with those provisions.
Date: �� Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMP SATION 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 behalfthis 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 u an the above -
mentioned property for inspection purposes.
Date: 1 y Signature (Applicant or Agent):
Date: 12/4/2019
Application Number:
BRES2019-0446
Property Address:
48545 VIA ENCANTO
APN:
646091008
Application Description
GUERRINI /FRONT DOOR REPLACEMENT
Property Zoning:
Application Valuation:
Applicant:
CLEARCHOICE WINDOWS AND DOORS INC
4412 RHODELIA AVE
CLAREMONT, CA 91711
Owner:
JOHN GUERRINI
48545 VIA ENCANTO
LA QUINTA, CA 92253
Contractor:
CLEARCHOICE WINDOWS AND DOORS INC
4412 RHODELIA AVE
CLAREMONT, CA 91711
(909)260-8994
Uc. No.: 964835
Detail: REPLACE FRONT DOOR RELOCATE HEADER FROM 6'8" TO 8' DOOR WIDTH TO REMAIN THE SAME. FRAMING TO BE FIELD VERIFIED. PER 2016
CALIFORNIA BUILDING CODES
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT CITY
AMOUNT
PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1
$125.00
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL:
$125.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE - MAJOR
101-0000-42416
0
$21.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR:
$21.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI:
$0.50
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
Zak
Project Address: "Aft
APN #: �7
Applicant Name:,,w
Address:
City, ST, Zip:
Telephone:
Email: .
Contractor Name:
Address: 1
City, St, Zip G G
Telephone:
Email: 4
C e,�
State Lic7-\��Aa
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie:
City Bus Lie:
City Bus Lic:
Property Owner's Name:��
Address:
City, ST, Zip'
Telephone:
Email: ' , \ _ _ _
PERMIT # kkg=U --
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
N
LON I Valuation of Project $
New SFD Construction:
i Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers SF
Construction Type: Occupancy:
Grading:
Bedrooms: Stories: # Units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
I.srfkjlol
CITY OF LA Q[1IN
BUILDING & SAFETY DEPT.
APPROVED
FOR CUNSTR iJCT; JN
a kzvo14 -oft
clf�
�PfSqS WA
14 yA5 -q,-� t%�
\o 9 D
RECORDING REQUESTED BY:
The Escrow Connection
AND WHEN RECORDED MAIL TO:
John Guerrini
Nicholas Robles
196 S. Mentor Ave #150
Pasadena, Ca 91106
Order No. 1737931-10
Escrow No. 41080-MN
Parcel No. 646-091-008
_T�k \1 I. (3ZO
R�crr�vE=r_;
JUL. 2 5 2018
ClTy OF LA QUINTA
COMMUN11Y DEVELOPMENT
GRAN I' DEED
DOC # 2016-0146623
04/13/2016 04:32 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: TERESA #134
THE UNDERSIGNED GRANTOR(S) DECLARE(S) THAT DOCUMENTARY TRANSFER TAX IS $385.00
X computed on full value of property conveyed, or
❑ computed on full valueless liens or encumbrances remaining at the time of safe.
❑ unincorporated area: City of J@ La Quinta, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Michelle Finch and 13 ; Coleman, Trustees of the Family Trust of William E. Coleman and Shirley H. Coleman dated January
26, 2011 J mes
Hereby grants to John Donald Robles—Guerrini and Nicholas Robles—Guerrini, Trustees of the
Robles—Guerrini Family Trust, dated March 22, 2016
the following described Teal property in the County of Riverside, State of California:
LOT 8 OF TRACT NO. 20052-5 IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA,
AS SHOWN BY MAP ON FILE IN BOOK 144 PAGES 91 THROUGH 94, INCLUSIVE, OF MAPS, IN THE OFFICE OF
THE COUNTY RECORDER OF RIVERSIDE COUNTY, CALIFORNIA.
Date March 15, 2016
Col, °m.an
Michelle Finch and James / Pi ir;tees of the Family
Trust of William E. Coleman and Shirley H. Coleman
dated January 26, 2011
y: M he a Finch, Trushe
By: ' es Coleman, Truatee
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document
to which this certificate is attached, and not the tmthfufness� accuracy, or validity of that document.
STATE OF CALIFORNIA
COUNTYOFSaIIM Cc..4" }S.S.
On I , before me, Pi L K I F "Fit notlry public,
' Personally appeared l _ Fl S FtiU who
proved to me on the basis of satisfactory evidence o be the person(s) whose name(s) Mare subscribed to the within instrument and
acknowledged to me that It/sle/they executed the same in I$&Vr/their authorized capacity(ics), and that by hilor/their signature(s)
on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS d and official seal. J7 PAUL J. KIEFE-R �
U COMM. 1$2027.3t 9
HOTMY PUSUC CAr IfORW fa
`` SANTA CLAkA COUNTY t7
Signature l _ (Seal) COMM. FrFiRFS MAY 19.2017 �
Mail Tax Statement to: SAME AS ABOVE or Address Noted Below
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E (Revised 01/19)
COMMISSION
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name:
CALIFORNIA ENERGY
CF1R-ALT-05-E
(Page 1 of 8)
Page 1 of 8 Date Prepared:
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CF1R-ALT-01 shall first be registered
with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CF1R-ALT-05 and CF2R- ALT-05 Compliance Documents. Possible exemptions from
duct leakage testing include: less than 40 ft of ducts were added or replaced; or the existing duct system was -insulated with asbestos, or the existing duct system was previously tested and passed
by a HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification then a CFIR ALT-02 must be completed and registered with a HERS Provider Data Registry.
Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having an R-value greater than 5.8 perinch or Open Cell Spray
Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R-value of 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data
Registry.
If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they
are responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be
met. Temporary labels shall not be removed before verification by the buddina inspector.
A. General
Information
02 Date Prepared:
04 Building Front Orientation (deg or cardinal):
06 Number of Altered Dwelling Units:
01
Project Name:
Ctr Cr-T
03
Project Location:
OS
CA City:
07
Zip Code:
��
08
Fuel Type:
09
Climate Zone:
10
Total Conditioned Floor Area (W):
11
Building Type:
`�
"�
12
Slab Area (W)•
13
Project Scope:
CA Building Energy Efficiency Standards - 2019 Residential Compliance
January 2019
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1R-ALT-05-E (Revised 01/19)
a
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2019
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1R-ALT-05-E (Revised 01/19)
COMMISSION
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name:
C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H)
CALIFORNIA ENERGY
Page 3 of 8 I Date Prepared:
CF1R-ALT-05-E
(Page 3 of 8)�
01 02 03 04 05 06 07 08 09 1 10 11 12
Propased Minimum Req
R-value Aged Solar Thermal SRI Aged SolarFEi
al
Method of Roof CRRC Product ID Deck Initial Solar Reflectanc Emittanc (Optional Reflectancnc
Compliance Pitch Exception Number Product Type Insulation Reflectance e e ) e
NOTES:
■ Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings must comply with installation criteria from Section 110.8(i)4.
D. Fenestration/Glazing
01
1 02
Allowed Areas
03
Maximum
and Efficiencies (Section 150.2(b)1)
04
05
Maximum
Allowed
Allowed West-
Existing Existing
Fenestration
Facing
Fenestration West -Facing
Maximum
Area For All
Fenestration
Area for All Fenestration
Allowed
Alteration
Orientations
Area Only
Orientations Area
U-factor
Type
(W)
ITtI (`t`)
(Windows)
06 1 07
Maximum Maximum Maximum
Allowed Allowed Allowed
U-factor I SHGC SHGC
Comments
13
SRI
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2019
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E (Revised 01/19)
COMMISSION
CERTIFICATE OF COMPLIANCE
CALIFORNIA ENERGY
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name: Page 4 of 8 Date Prepared:
E. Fenestration Proposed Areas and Efficiencies — Add (Section 150.2(b)1A)
Note: Doors with greater than or equal to 25
percent glazed area are considered glazed doors and are treated as fenestration products.
01 02 03 04
05 06 07
08 09
10 11
12
Tag/ID Fenestration Frame Dynamic
Orientatio Proposed
Number of
Proposed West
Facing Proposed
Proposed
Proposed
Proposed
-Type Type Glazing
n Fenestration
Panes
Fenestration U-factor
U-factor
SHGC
SHGC
N, 5, W, E Area ftz
Area ftz
Source
Source
CF1R-ALT-05-E
(Page 4 of 8)
13
14
Exterior
Combined
Shading
SHGC from
Device
CF111-ENV-03
15
Total Proposed Fenestration Area
16
Maximum Allowed Fenestration Area
17
Compliance Statement Existing + Proposed Fenestration Area <_ Maximum Allowed Fenestration Area
❑ Yes ❑ No
18
Total Proposed West -Facing Fenestration Area
19
Maximum Allowed West -Facing Fenestration Area
I
20
Compliance Statement Existing + Proposed West -Facing Fenestration Area <_ Maximum Allowed West -Facing Fenestration Area
❑ Yes ❑ No
21
Proposed Fenestration U-factor (Windows)
22
Required Fenestration U-factor (Windows)
23
Compliance Statement Proposed Fenestration U-factor 5Required Fenestration U-factor
❑ Yes ❑ No
24
Proposed Fenestration SHGC (Windows)
25
Required Fenestration SHGC (Windows)
26
Compliance Statement Proposed Fenestration SHGC <_ Required Fenestration SHGC
❑ Yes ❑ No
27
Proposed Fenestration U-factor (Skylights)
28
Required Fenestration U-factor (Skylights)
29
Compliance Statement Proposed Fenestration U-factor <_ Required Fenestration U-factor
❑Yes ❑ No
30
Proposed Fenestration SHGC (Skylights)
31
Required Fenestration SHGC (Skylights)
Energy Efficiency Standards - 2019 Residential Compliance
CA Building
January 2019
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E (Revised 01/19)
COMMISSION
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name:
32 Compliance Statement Proposed Fenestration SHGC15 Required Fenestration SHGC
F. Fenestration/Glazing Proposed Areas and Efficiencies — Replace (Section 150.2(b)1B)
01
Tag/
ID
15
51
02
Fenestration
Type
�vL lllall VI
03
Frame
Type
c4!Udl LU LJ
04
Dynamic
Glazing
Net
JJCtLCIIL jIdzeQ
05
Orientation
N, 5, W, E
Added West -facing
area are consi
06
Area
Removed
(ftz)
�
Fenestratiol
P
1
16
Is Net Added Fenestration Area 5 for west -facing fenestr
17
Net Added Fenestration Area (all orienta
18
Is Net Added Fenestration Area <_ 0 for all orienta
19
Proposed Fenestration U-factor (Win
20
Required Fenestration U-factor (Win
21
Is the proposed Fenestration U-factor <_ the Required Fenestration U-f;
Proposed Fenestration SHGC (Win
Required Fenestration SHGC (Win
Is the Proposed Fenestration SHGC 5 the Required Fenestration 5
Proposed Fenestration U-factor(Skyl
Required Fenestration U-factor (Skyl
Is the proposed Fenestration U-factor <_ the Required Fenestration U-fa
Proposed Fenestration
22
23
24
25
26
27
28
29 Required Fenestration
30 Is the Proposed Fenestration SHGC <_ the Required Fenestration 5
CA Building Energy Efficiency Standards - 2019 Residential Compliance
CAI IFnRNIA FNFRf,V
Page 5 of 8 I Date Prepared:
CHR-ALT-05-E
(Page 5 of 8)
❑ Yes ❑ No
January 2019
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1 R-ALT-05-E (Revised 01/19) COMMISSION CALIFORNIA ENERGY
CERTIFICATE OF COMPLIANCE
CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page of 8)
Proiect Name:
1 S1 Page 6 cd S Date Prepared:
G. Space Conditioning (SC) Systems — Heating/Cooling (Prescriptive Section 150.2(b))
Alterations to Space Conditioning Systems shall be exempt from HERS verification requirements as prerequisite for use of the CF1R-ALT-05 and CF2R- ALT-05 Compliance Documents. If new
space conditioning systems are installed or existing systems are altered and are not exempt from HERS verification, then a CF1R-ALT-02 shall be completed and registered with a HERS Provider
Data Registry. In each row below for each dwelling unit in the building, check the box that indicates the exemption from HERS verification compliance:
❑ a: space conditioning system was not altered;
❑ b: less than 40 ft of ducts were added or replaced;
❑ c: (exempt from duct leakage testing) if: the existing duct system was insulated with asbestos;
0 d: (exempt from duct leakage :e.5bng) if: the existing duct system was previously tested and assed by a HERS Rater.
01 02 03 04
Dwelling Unit Name SC System Identification or Name SC System Location or Area Served Exemption from HERS Verification
❑a ❑b ❑c ❑d
❑a
❑b
❑c
❑d
❑a
❑b
❑c
❑d
❑a
❑b
❑c
❑d
❑a
❑b
❑c
❑d
❑a
❑b
❑c
❑d
❑a
❑b
❑c
❑d
❑a
❑b
❑c
❑d
❑a
❑b
❑c
❑d
CA Building Energy Efficiency Standards - 2019 Residential Compliance
January 2019
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1R-ALT-05-E (Revised 01119)
COMMISSION
CALIFORNIA ENERGY
CERTIFICATE OF COMPLIANCE
CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project
-
(Page 7 of 8)
Name:
Page 7 of 8 DatePrepared:
H. Water Heating Systems (Section 150.2(b)1G)
01 02 1 03 04 05 06
07 08 09
10
11
12 13
14 15
Water
Water
Water Heating # of
Heater
Back -Up
System Water Heating Heating Water
Y Water
Storage Rated
Rated
Heating
g
Heating Standby
g Y
Exterior Solar
Dwelling Unit Identification or System Location System Heater Heaters
Volume Input
Input
Efficiency
Efficiency Loss
Insulation Savings
Name Name _ or Area Served Type Type in System
(gall Fuel Type Type
Value
Type
Value {36]
R-Value Fraction
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2019
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E (Revised 01/19)
CERTIFICATE OF COMPLIANCE
Prescript
Project Name:
Residential Alterations That Do Not Require HERS Field Verification
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate a
Documentation Author Name:' r
Company: ,
Address:
\Z
City/State/Zip:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
aCALIFORNIA ENERGY
Page 8 of 8 I Date Prepared:
Documentation Author Signature:
Signature Date:
CEA1 HERS Certification ldeatlficatipn (ifappltcablei.
Phone:
5 OC! 21b 0 O\aN4\
CF1R-ALT-05-E
(Page 8 of 8)
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance
documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement
agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the
building owner at occupancy.
Responsible Designer Name: Responsible Designer Signature:
Company Date Signed:
Address: License:
Gty/Seate�2ip; Phone
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2019