08-1256 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
08-00001256
51480 AVENIDA HERRERA
773-085-012-13-000000-
REMODEL - RESIDENTIAL
COVE RESIDENTIAL
7711
Tity/ 4 4& Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Professionals Code, and my License is in full force and effect.
License Class: License No.:
Date: Contractor:
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 applicantfor 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 a
plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: yI,
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 nr
improve for the purpose of sale.). U
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.). WIamexemptunderSec. , B.&P.C. for this reason CONSTRUCTION
LENDING AGENCY I
hereby affirm under penalty of perjury that there is a construction lending agency I( work
for which this permit is issued (Sec. 3097, Civ. C.). Lender'
s Name: Lender'
s Address: Owner:
CIOLI
RICHARD 51480
AVENIDA HERREZ
LAQUINTA, CA 92253 909)
Owner
VOICE (
760) 777-7012 FAX (
760) 777-7011 INSPECTIONS (
760) 777-7153 4
WORKER'
S COMPENSATION DECLARATION Date:
10/28/08 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
2007 Policy Number --------------- 1
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 shou!,4ecome subject to the workers' compensation provisions of Section r
37A0 of the Labor Codee. Ushall forthwitticomotvwith those orovisions. WARNING:
FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT
AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($
100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION
3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT
ACKNOWLEDGEMENT IMPORTANT
Application is hereby made to the Director of Building and Safety 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,yter upon the above -mentioned prop4yYy"t r inspection pur/ srinspioDatgn'
ature (Applicant or Agentl Iiuri6 i - LQPERMIT
Application Number . . . . . 08-00001256
Permit . . . BUILDING PERMIT INV FEE
Additional desc .
Permit Fee . . . . 198.00 Plan Check Fee 64.35
Issue Date . . . . Valuation . . . . 7711
Expiration Date . . 4/26/09
Qty Unit Charge Per Extension
BASE FEE 90.00
6.00 18.0000 THOU BLDG 2,001-25,000 108.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . . 20.32 Plan Check Fee 5.08
Issue Date . . . . Valuation . . . . 0
Expiration Date 4/26/09
Qty Unit Charge Per Extension
BASE FEE 15.00
80.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 2.80
126.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 2.52
Permit . . . MECHANICAL
Additional desc . .
Permit Fee . . . . 24.00 Plan Check Fee 6.00
Issue Date . . . . Valuation 0
Expiration Date . . 4/26/09
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00
Permit . . PLUMBING
Additional desc . .
Permit Fee . . . . 37.50 Plan Check Fee 9.38
Issue Date . . . . Valuation . . . . 0
Expiration Date 4/26/09
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 6.0000 EA PLB FIXTURE 6.00
1.00 7.5000 EA PLB WATER HEATER/VENT 7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00
2.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 6.00
Special Notes and Comments
REMODEL EXISTING LAUNDRY ROOM TO MEET
LQPERMIT
Application Number . . . . . 08-00001256
Special Notes and Comments
THE 5 FT. SIDE YARD BACKS. ALSO ADD NEW
STORAGE ROOM WITH PATIO.CODE CASE NO
PERMITS FOR EXISTING LAUNDREY ROOM.
DOUBLE FEES CHARGED.
Other Fees . . . ENERGY REVIEW FEE 6.44
STRONG MOTION SMI) - RES 77
Fee summary Charged Paid Credited Due
Permit Fee Total 279.82 00 00 279.82
Plan Check Total 84.81 00 00 84.81
Other Fee Total 7.21 00 00 7.21
Grand Total 371.84 00 00 371.84
LQPERMIT
M
N
N
N
G1
El
z
m
O
J
Q
U
+ a
z
Q
oto o u o M° o a %; a° c a
u a• El 8� a o ub
El
64 a
b a a [ C U v a �¢
ocn c 04
1-4
O w .r 4 u -0 O C bA fi cd
b O m O v 9-4 4 b 'i�. O. v= v u C
-fl " x vY w °�L.
Ou�O Q° p p0u 0� Y
0 yO ca
Ln
"m cdv a'cm m —v pb vO yc. O v� c.
p
qO v 0 0 O cd O cd
Q w p75Lv r. vN"3 y au O �
O �cd
4 L u sa
V v w u cd cd u u h V
O cd O cd v Q[ O v O 'b c'd �. O N 0.4
ti F s�i w u b y u O C Y w
v p C O _ O O— — y � v bA O
'�' u •� 'b O J'.. O b��A ,� 'b cud v 9-4
m O
O '�5 vYd ��o � Yaa ay
"a 0
(� >O rCc) O O O. 0a O O 00 y.0
-�
N A .0 G pp cad ° "0 0, v 0 d O ti a bA N04 o cd
v o a w o
vO ca a O N u u O v N O O cd O '-' p v O L� N cd ti
W C
Nu 0N a w y a u er Q r. C -004 1i 04 bbb
-°.0 °°o'� O'a 64 4-4 co cdoo r. vN
o�
O
=a '' �y�� � �as O
w L. r. 'o o
°O Qj Y. up O z v p O Ncd cd
Q O 4 cd O cl cn 0y
O
=� O c+ cd v
0°
"
i
ao ovw 04 t6 cn
5°'O 0w b 0 o.�bo oi0
g.
0
a. O -u Z
p c. cd " v5 O O C O cd O %. 0 OuO
tic.. p u vC�
Y�u o H+uw ZOO No Zo'o°b° o o Y cd ON
N�`rr�
o�_ `� � I" N'sG
p O v — c cd
O u 04 U4O ¢ °�
O.r , O
y O O Elp cd 0 w 0 '�cu� 1G — ocd w Or
o � o° O.' p d - cdp, O ;v V.
O o au vo. >1 v ti v v rr^
cz
1-4 b o Ei v v � ON -
Q ¢� w0 El cd Gn
0 a o '� c� cd ,—I-i cad p O F iv. - W. ° a � 03 ° C O a
� O. � ° a �
V(�r�w
y
t
_<7
Bin #
City of La Quinta
Building a Safety Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
/P y-,re l',4 Owner's Name: / U
A. P. Number: �- Address: U S �l2
Legal Description:
City, ST, Zip: G-�� 9z2s
Contractor: Q CV✓V e ✓
1�3 01'l e? l-- Telephone: oLL �� g
Address:
/Vannel-4
Project Description:
City, ST, Zip:
10 !2 g
Telephone:
- f /•O L N '
State Lie. # :
City Lie. #:
L
Arch., Engr., Designer:
iL
Address:
tip] UD P p i j D A
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: f Z �Grvl�.�
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: 7.4
APPLICANT: DO NOT WRITE
BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACEING
PERMIT FEES
Plan Sets
Plan Check submitted
(1
J
Item
Amount
Structural Calcs.
Reviewed, ready r corrections
%p
Plan Check Deposit
Truss Calcs.
Called Contact Person
]��
Plan Check Balance
'
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
0-&— To 16SU
Date
11 /12/08
No.
30254
Owner
Cioli
Address
51480 Avenida Herrera
City
La Quinta Zip
Tract #
Type
Residential Addition
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47960 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
Jurisdiction
Permit #
No. of Units
O��1FtED,��
r
R. SERMUDA DUNES Q
Cn RANCHO MPRAGE
Y INDIAN WELLS
�. PALM DESERT
c5 LuUINT
Q a
773-085-012
La Quinta
1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 51480 Avenida Herrera 80 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 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above -named owner is exempt from paying school fees at this time due to the following reason:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 80 S.F. or $0.00 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By Exempt - Dorca Cioli
Name on the check
By Dr. Sharon P. McGehee
Superintendent
Fee collected
Signature
Check No.
Telephone
Funding Exempt
Payment Reed [$p. 0 11
Over/Under
NOTICE: Pursuant to Government Code Section 66020(d)(1), thisav I s rve to notify you that the 90-day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which 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
5NOD /10FA A Nt 12 2E12,-
reom i qOu--�,F
N
W
H
Q
� a
ah
Z W
G
Z
a
m
} m
r
Z
m W
am�v
�l , l
O,
Q
o
rgoti i
140Vst:
Iz
A
a
E
m
-1
CERTIFICATE, OY0,01%xiDy
EDENTL&L (Pa&-lof4) CF-11Z.
- -------------------
'"Vim Title ------------------
Date
Z!, Alawma
Project Ad&;is
Documentation Author Fae e/8 .
I-emplianoep Method
Liw6he& 1 �62 C�.
Al!emative, cm Y
Ponent Paclope c, Mdfiod. (Check one) —C _D
Package C.20d PaCkAge D choices require (ematin)
For Padcago D Ahern ;D see reVirt rater fjJd verification tc4�9(Rc &-IR Me 3)..
'APPCQdiX8'k3bk'151-CF6bbqlI T-14
GENERAL IMORN AnON
Total C '60fled Floor Arei (CFA) AV= it
Maxim4mAllovvxdwestFacjg
umduMm Atlowtd 710W Per TWO 151
FOICSkation- PmdLKts POrTibl-0 15143 or 'I' Or 51-C—ON XCFA)
El Boding TYPX 5 1 -C � (201% X qA)
(dw* om or more)-- ale'. FaI ity, matira,,ly
fil If -Out W,,4 Ad&aW— Altu gion
for Addi6m and 8.3.3 for Ai M14141i, Mowed Area -W%iahed aW SOO Soction 832
'Door conwvCdoo Nutuber ofDwaling Ui3ift:
'W;-_ �S&Rwi
Nodh 1 South FaAl West /All Ibrim uw* ww tations fiva0rimft6m in dq;,= fwm'
Trice
R -ed in Cr
QPA)UE SURFACES L NCLUDIN
WE DOORS
DIDDAPIDMnIt
Type (W4 Frame Azetably u-
R0a0b4 EFdloof. - facdrm(fowr
jo'md
t I 1p, Casty cbutinwttrSl(Wkm insCation Appa' Barrer
or
or No Iral, etc.
C-,el I
1) See Joint Appe mdixlVjnSection IV_? , V_3 anal I
PFCspriptive. Val is the basis forthe
GXGGCdU- a-Aprcritcrim V_
uo: to 'how Oquivalcwx, to R-values. Cannot
CITY OF LA,QUINTA
BUlLDlNd*&.:.SAFM DEPT.'
APPROVED.
FOR CONSTRU Tl 0 N
q
Residem6a) C6mpll,,,,c Forms
y
March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Pale 2 of 4) CF-IR
5 t2 _ 4 UCA)rf PA I/ere r►+r-A
Project Title
Date
FENESTRATION PRODUCTS — U-FACTOR AND SHGC
✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS-4R —must be included for New Construction,
Additions and Alterations.
Fenestration
#/Type/Pos.
(Front, Left,
Rear, Right,
Skylight)
Orien-
tation,
N S, E, Wt
Area
(ft2)
U-factor2
U-factor
Source
SHGC4
SHGC
Sources
Exterior
Shading/Overhangs6,'
✓ box if WS-3R is
included
N0P,
0.3
❑
7'
Wa7m
I z
0.3
❑
I ) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction
when the pitch is less than 1:12. See § 15l(f)3C and in Section 3.2.3 of the Residential Manual
2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A.
3) Indicate source either from NFRC or Table I I6A,
4) Enter values in this column from NFRC or from Standards Default Table I I6B or adjusted SHGC from WS-3R.
5) Indicate source either from NFRC or Table l 16B.
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS-3R to calculate Exterior Shading devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment
Type and Capacity
( Furnace, heat oum , boiler, etc.
Minimum
Efficiency
AFUE or HSPF)
Distribution
Type and Location
ducts, attic, etc.)
Duct or Piping
R-Value
Thermostat
Type
Configuration
(split or package)
Cooling Equipment
Type and Capacity
(A/C, heat pump, evap. cooling.)
Minimum
Efficiency
(SEER or EER)
Duct Location
(attic, etc.)
Duct
R=Value
Thermostat
Type_
Configuration
(split or package)
Residential Compliance Forms March 2005
CERTNICA.TE OF COMPLL4X : I 5`IDENTia Y.
��? rr
Prvjcd Title
i
z
CF-XR
Date ' ' —
SEALEDDUCTS and TJCVs Ior Alternative MentttA signed CFt4R Form must beroe
doe buildin
Mired. g d epent for each home for which the following_ are
p ' Sealed Duds all climate rvr Installer testis and ficatian and HERS rater field verifcation uire� 10ve
XVs,readilyible(climatezones 2 and 8-15 only)sternertes[in and certification and HERS Rater field vetifnafiRe frigexann-S onlrifipti6n � i -A x y}.(Installer testing and certification and HERS Rater field
p . Aitttr:ativ- to Sealed Ducts and
n kc geat ProleckenotheRM a
dix B Tab l5 sg Package D AlUeirnalive Package Fcaau is for
OA , oomotcs 7 14.
For sddii7ons and altdrations, duct
p scaled as oonfumed �s that sore not doc�meuted to.have been preVivusly
R�esldexRial ACNE find+ifreagan and diagnostic tstiq Manual and duct systems with more than in accordance wide procedures in the
PLO shall meet the uu�a,� of secti Wear fee# in unconditinncd
WATER HEATING SYSTF`MS on I5 m and duct insulation u'uunents ofP I].
a Checkbox if system meets criied 2 of a "Scat d� ward sternwe is one
not allowed If the water heater is a storage type, Sp'gallons is the �' water lxeaber per
m'.[x�xicity and recirculation system is
p Chexlc box w using PreaWroved AltetTw;16•e W
i Manual. No water h calcula born are ater Hrafiagtable,Table 5-4 tn-Chapter S in fhe:-Residexitiaol
Check box if system does not meet and co lies ,
17 A ltemadve Water H Sena of"`Standard" system, a� does not co Heating table. In this case the Perforrnahae IvI reply •vrith the PYeapproved
subuuttal et5od must be used and must be included in the
Chock box to
units y y that-a..tme eantml is required for a
System Pup for a system serving multiple
Rated
Water Heater Distributlott Nurnnber hippue Tattk
V or aril
inem t3tnittt - Mops
S stern servin ruin ' le dwelling units [�
Rated
Water Heater Distribution Number Input, Tank
e (kW.or Capacil
lI1 StC,[i1- •$l��Ih r1 i�.n___•
En Tank
FaCto�or F.xtexnal
r Thermal Standby' Insulation
Efficiency Ld= [*/o) R Value
For
r 'hernial
Efficien
Standby'
l..oss %
Tank
Extcmd
Insulation
A Value
1. Far small gas storage water heaters (rated inputs of less than or equal to 7S,p00 Btv/hr), elect ie resistance, and heat
pumP grater heaters, list Fmcrgy Fastar.- For large gn storage water•�aters rated input of
Btuhr), list Rated input, Recovery ]3Meien Thermal t p - meter than 75,OW
heatem, list Rated Input and The- EfiSciCY, Thermal Efficienoy Ind Standby l;dss. For instantaneous gas water
E13011cs',r
]txsti'2*D1l Q*cheu lines 2t 3/4 inches) All hot waterpipes from tlxatngsource to the Idtchcol fixtures tlat are'/ g at, in diarineter shall be _thermal
ly. insulated as specified by Section
l50 (j) i A or 150
ReAdMdal CompIiance Forms
March 2005
MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page I of 2) MF-IR
Project Title�% Date
(�IIL rD _ Zt?L13
Note: Low•tise residential buildings subject to the Standards must contain Owse measures regardless of the co tpliance proach used. More
stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*) below. When this
checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component
performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
Instructions: Check or initial applicable boxes or check NA if not applicable and included with the permit application
documentation.
DESCRIPTION
NA
Designer
Building Envelope Measures:
✓
✓*
NE
§ 150(a): Minimum R-19 in wood frame ceiling insulation or equivalent U-factor in metal frame ceiling.
❑
❑
§150(b): Loose fill insulation manufacturer's labeled R-Value:
❑
❑
❑
* § 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U-factor in metal frame walls (does not apply
to exterior mass walls).
❑
❑
❑
* § 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U-factor.
❑
❑
❑
§ 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
1. Masonry and factory -built fireplaces have:
a. closeable metal or glass door covering the entire opening of the firebox
❑
❑
❑
b. outside air intake with damper and control, flue damper and control
❑
❑
❑
2. No continuous burning gas pilot tights allowed.
❑
❑
❑
§ 150(f): Air retarding wrap installed to comply with § 151 meets requirements specified in the ACM Residential Manual.
❑
❑
❑
§ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
❑
❑
❑
§150(I): Slab edge insulation - water absorption rate for the insulation material alone without facings no greater than 0.3%,
water vapor permeance rate no greater than 2 0 rm/inch.
❑
❑
❑
§118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include CF-6R
Form:
❑
❑
❑
§ 116-§ l 17: Fenestration Products, Exterior Doors, and Inftltration/Exf ltration Controls.
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
❑
❑
❑
2. Fenestration products (except field -fabricated) have label with certified U-factor, certified Solar Heat Gain
Coefficient (SHGC), and infiltration certification.
❑
❑
❑
3. Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed.
❑
❑
❑
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. ❑
❑ ❑
§ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑
❑ ❑
§ 150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑
❑ ❑
§1500): Water system pipe and tank insulation and cooling systems line insulation.
1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation
having an installed thermal resistance of R-12 or greater-
❑
❑
❑
2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or
R-16 internal insulation and indicated on the exterior of the tank showing the R-value.
❑
❑
3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness:
1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length
of recirculatin sections of hot water p!jn shall be insulated to Table 150B.
❑
❑
2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and
indirect hot water tank shall be insulated to Table 150-B and Equation 150-A.
❑
❑
❑
4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A.
❑
❑
❑
Residential Compliance Forms December 2005
MANDATORY MEASURES SUMMARY: RESIDENTIAL Page 2 of 2) MF-1R
DESCRIPTION
Enforce -
NA
Designer
nrent
Space Conditioning, Water Heating and Plumbing System Measures: continued
✓
✓
✓
5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
❑
❑
❑
6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in
❑
13
❑
conditioned space.
7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation.
❑
❑
❑
+ § 150(m): Ducts and Fans
1. All ducts and plenums installed, sealed and insulated to meet the requirement of the CMC Sections 601, 602, 603, 604, 605
and Standard 6-5; supply -air and retum-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 I81 A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If
mastic or tax is used to seal openings ter than 1/4 inch, the combination of mastic and either mesh or tape shall be used.
2. 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
❑
Elsupport
11
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.
3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
El
❑
❑
unless such ta is used in combination with mastic and draw bands.
4. Exhaust fan systems have back draft or automatic dampers.
❑
1 ❑
❑
5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
❑
❑
❑
dampers-
6 Protection of Insulation. 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.
7. Flexible ducts cannot have porous inner cores.
❑
❑
❑
§ 114: Pool and Spa Heating Systems and Equipment.
1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on -off switch mounted outside of the
❑ ❑ ❑
heater, weatherproof operating instructions, no electric resistance heating and no pilot light
2. System is installed with:
a. at least 36" of pipe between filter and heater for future solar heating
❑
❑
❑
b. cover for outdoor pools or outdoor spas
❑
❑
❑
3. Pool system has directional inlets and a circulation pump time switch.
❑
❑
❑
§115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously
❑
❑
❑
burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/tu
§ l 18(i): Cool Roof material meets specified criteria
❑
❑
❑
Residential Lighting Measures:
§ 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as
outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater
❑ ❑ ❑
are electronic and have an output frequency no less than 20 kHz
§ I50(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table
❑ ❑ ❑
150-C, luminaire has factory installed HID ballast
§ 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as
determined in § 130 (c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy
❑ ❑ ❑
luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy
luminaires.
§ I50(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms and utility rooms shall be high efficacy
luminaires. OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on
❑ ❑ ❑
automatically or have an always onoption.
§ 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility
rooms shall be high efficacy luminaires (except closets less than 70if): OR are controlled by a dimmer switch OR are
❑ 11 El
by an occupant sensor that complies with Section 119(d) that does not turn on automatically or have an always
onoption.
§ 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are
❑ ❑ Elcertified
airti ht to ASTM E283 and labeled as air ri ht (AT) to less than 2.0 CFM at 75 Pascals.
§ 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on
the same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other
❑ ❑ ❑
Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section
119(d).
§ 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147.
❑ ❑ ❑
Li&hting for parking garages for 8 or more vehicles shall have lighting that complies with Sec. 130 131, and 146.
§ 150(k)8: 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 OR are controlled by occupant sensor(s) certified to comply with
❑ ❑ ❑
Section 119(d).
Residential Compliance Forms December 2005