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BRES2019-0385
78-495 CALLE TAMPICO C 0 U aCP Qumro VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED Owner: Application Number: BRES2019-0385 RICHARD DOAN Property Address: 53285 HUMBOLDT BLVD 53285 HUMBOLDT BLVD APN: 767700012 LA QUINTA, CA 92253 Application Description: DOAN / 9335SF DWELLING Property Zoning: Application Valuation: $798,360.00 Applicant: Contractor: JOSE ZAVALA - RICHARD DOAN CONSTRUCTION D RICHARD DOAN CONSTRUCTION P O BOX 8011 �%R O 20�0 P O BOX 8011 RANCHO SANTA FE, CA 92067 RANCHO SANTA FE, CA 92067 CITY OF LA QUINTA (858)756-4930 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 374118 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: 8 _ License No.: 374118 Date:.)/La4f c�z/J Contractor OWNER-9ilILDER 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, CM C.). Lender's Name: Lender's Address: Date: 3/2/2020 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ""7 1 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: STATE COMPENSATION INSURANCE FUND Policy Number: 1908709 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' 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 Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Da Le: 3� Signature (Applicant or Agent): Daie: 3/2/2020 Application Number: BRES2019-0385 Property Address: 53285 HUMBOLDT BLVD APN: 767700012 Application Description: DOAN / 9335SF DWELLING Property Zoning: Application Valuation: $798,360.00 Applicant: JOSE ZAVALA - RICHARD DOAN CONSTRUCTION P 0 BOX 8011 RANCHO SANTA FE, CA 92067 Owner: RICHARD DOAN 53285 HUMBOLDT BLVD LA QUINTA, CA 92253 Contractor: RICHARD DOAN CONSTRUCTION P0BOX 8011 RANCHO SANTA FE, CA 92067 (858)756-4930 Llc. No.: 374118 Detail: 9335SF DWELLING - LOT 60-B [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $1,495.90 Total Paid for ART IN PUBLIC PLACES - AIPP: $1,495.90 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW 101-0000-42600 1 $125.00 Total Paid for BLDG CITY STAFF - PER HOUR: $125.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $32.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $32.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 $21.60 Total Paid for Credit Card Fee: $21.60 DESCRIPTION ACCOUNT QTY 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 QTY 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 QTY 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 QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITIONAL 1,000SF 101-0000-42403 0 $136.90 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, EA ADDITIONAL 1,000SF PC 101-0000-42600 0 $56.40 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $161.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL, FIRST 1,000SF PC 101-0000-42600 0 $53.13 Total Paid for ELECTRICAL - NEW CONSTRUCTION 2019: $407.43 DESCRIPTION ACCOUNT QTY AMOUNT OTHER ELECTRICAL EQUIPMENT 101-0000-42403 0 $80.49 DESCRIPTION ACCOUNT QTY AMOUNT OTHER ELECTRICAL EQUIPMENT PC 101-0000-42600 0 $80.49 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES 101-0000-42403 0 $26.83 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES PC 101-0000-42600 0 $13.42 DESCRIPTION ACCOUNT CITY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $26.83 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $18.78 Total Paid for ELECTRICAL 2019: $246.84 DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($161.00) DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($242.00) DESCRIPTION ACCOUNT QTY AMOUNT FIRE NEW RESIDENITIAL PC 101-0000-42420 0 $242.00 DESCRIPTION ACCOUNT QTY AMOUNT FIRE NEW RESIDENTIAL 101-0000-42421 0 $161.00 Total Paid for FIRE FEES: $0.00 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL -CUSTOM HOME >7KSF 101-0000-42408 0 $40.25 DESCRIPTION ACCOUNT QTY AMOUNT RESIDENTIAL - CUSTOM HOME >7KSF PC 101-0000-42600 0 $201.25 Total Paid for GRADING 2019: $241.50 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $201.25 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $134.15 DESCRIPTION ACCOUNT CITY AMOUNT EXHAUST HOOD 101-0000-42402 0 $13.42 DESCRIPTION ACCOUNT CITY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.37 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $201.25 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $134.15 DESCRIPTION ACCOUNT CITY AMOUNT OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $40.25 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $40.25 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN 101-0000-42402 0 $134.20 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN PC 101-0000-42600 0 1 $53.70 Total Paid for MECHANICAL 2019: $957.99 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION PERMIT 2019 101-0000-42400 0 $4,492.36 Total Paid for NEW CONSTRUCTION PERMIT 2019: $4,492.36 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION PLAN CHECK 2019 101-0000-42600 0 $2,800.11 Total Paid for NEW CONSTRUCTION PLAN CHECK 2019: $2,800.11 DESCRIPTION ACCOUNT CITY AMOUNT PLAN CHECK DEPOSIT- RESIDENTIAL 101-0000-42600 1 $1,200.00 Total Paid for PLAN CHECK DEPOSIT - RESIDENTIAL: $1,200.00 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.83 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.78 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $483.12 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $483.12 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $40.25 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.83 DESCRIPTION ACCOUNT CITY AMOUNT ROOF DRAIN 101-0000-42401 0 $254.98 DESCRIPTION ACCOUNT CITY AMOUNT ROOF DRAIN PC 101-0000-42600 0 $254.98 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $40.26 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $24.15 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.42 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.42 Total Paid for PLUMBING 2019: $1,680.14 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($21.00) I DESCRIPTION I ACCOUNT I CITY I AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 1 0 $21.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $0.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($0.50) DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $0.50 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.00 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 ($770.50) DESCRIPTION ACCOUNT CITY AMOUNT TUMF 2018 - SINGLE FAMILY DWELLING 224-0000-20320 0 $770.50 DESCRIPTION ACCOUNT CITY AMOUNT TUMF 2018 - SINGLE FAMILY DWELLING 224-0000-20320 0 $1,539.50 Total Paid for TUMF 2018: $1,539.50 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUTION - SINGLE FAMILY RESIDENTIAL 101-0000-42400 0 $161.00 Total Paid for ZONING CLEARANCE - PLANNING PLAN CHECK: $161.00 Qa�Kra - PERMIT # *—bC�,ES Z 00 "' 0 3 s PLAN LOCATION: Project Address: 53285 Humbolt Blvd. Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: 779-410-036 New single family dwelling with landscape and precise grading Applicant Name: Richard Doan Address: PO Box 8011 City, ST, zip: Rancho Santa Fe CA 92067 Telephone: 858 756 4930 Email: Valuation of Project $ I���}� Contractor Name: Richard Doan Const. New SFD Construction: Address: PO Box 8011 Conditioned Space 9335 SF City, St, zip Rancho Santa Fe CA 92067 Garage 1325 SF Telephone: 858 756 4930 Patio/Porch 2608 SF Email: doanconstruction@yahoo.com Fire Sprinklers SF State Lic: 374118 City Bus Lic: Arch/Eng Name: Mark Radford Architecture Construction Type: VB Occupancy: R3/U Address: 2282 Via Cascabel Grading: City, St, Zip Escondido CA 92027 Telephone: 760 519 9008 Bedrooms: 6 Stories: 1 # Units: Email: markarc#sbcglobal.net State Lic: c18230 City Bus Lic: (_See CwieAbM DeeO) Property Owner's Name: Rtc.r►A,R.o D014N New Commercial / Tenant Improvements: Address: Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 Project Name: Owner's Name: This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS CERTIFICATE OF COMPLIANCE (California Education Code 17620) Richard Doan — Madison Club Richard Doan Project Address: 53-285 Humboldt Boulevard, LaQuinta Project Description: SFD APN: 767-700-012 Tract #: Type of Development: Residential xx Commercial Total Square Feet of Building Area: 9 335 sq. ft. Date: February 7, 2020 Phone No. Lot #Is: Industrial Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes statement und� penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. LU 1m Dated: February 7, 2020 Signature: O N SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE 5UTIEffiN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) i`L_1 LL- i..o � CC Education Code Gov. Code Project Agreement Existing Not Subject to Fee o 17620 65995 Approval Prior to 1/1/87 Requirement Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Commercial 9335 $3.79 $35379.65 Building Permit Application Completed: Yes/No By: Larry Moen, Director Facilities Dev. & Planning Note: Pursuant to AB 181 any room additions or enclosures of 500 sq. ft. or less are exempt from developer fees. Any mobile homes being relocated within the same school district's jurisdiction are exempt from developer fees. Certificate issued by: Laurie Howard. Administrative Spec. Signature: 6uj a.t L NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. cl<'s�Cc_s _Iitk,.'? o1 I-=IIII 1 3 11/2010 P�i�ES�I�-r�3�5 CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9/25/2009 Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant. Date: 1 / 28 / 20 Developer: Richard Doan Construction Tract No.: 33076-2 Tract Name: Address(s): 53285 Humboldt Blvd. Lot No.(s) 60 Phone Number: f 858 7 756-4930 The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: ❖ CUSTOM HOMES: PROVIDE ITEMS #F #3 #4 #5 & #7 BELOW ❖ TRACT HOMES: PROVIDE ITEMS #'I, #2. #3 & #5 BELOW ❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1 42 #3 #5 & #7 BELOW ❖ WALLS_, SIGNS, OTHER: PROVIDE ITEM #6 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: htt ::/�.la- uinta.or /PlanCheck/m search.as x have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City staff. Recommended by Date: /-2107-7 Public Works Distribution: ( ) Green Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: T:\Checklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement (<1 acre/lot or Infill Project) ProLct Information Project Phase (check one) 0 Construction MDemolition Total Acres in Active Construction (<1 acre per Lot):.84 iect Contractor: Project Name: lot 60 Madison Club Project Tract/Lot Numbers: 33076-2/60 Project Street Address: 53285 Humboldt Blvd La Quinta CA 92253 Anticipated Start Date: 1 / 28 / 20 Anticipated Completion Date: 1 / 28 / 20 PM10 Contact Please note: Dust control is required 24 hours a day, 7 days a week, regardless of Information construction status. Person listed below is responsible for dust control during business and non -business hours. Name: I Jose Zavala Title: I Super Name: I Richard Doan Construction Mailing Address: I PO Box 8011 City, State, ZIP Code: Phone M Rancho Santa Fe CA 92067 858 756 4930 Fax M 24 Hour Emergency Phone#: 760 766 5450 Cell Phone M 1 760 766 5450 Email Address: I zavalastoyz@aol.com �PM10 Certificate MI G V U U ),- 0 0 9 3y 3_ 9 3( g The above stated property owner or authorized -representative): ❖ Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP; ❖ Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. ❖ Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week, throughout the period of project performance, regardless of project size or status; ❖ Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; ❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; ❖ Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes; ❖ Shall hol harmless the City/County and its representatives from liability for any actions related to this dust control plan or1;iq Vf City/Q4ou1ft initiated abatement activities. Signature of Property Owner or Authorized Representative T:1Checklists - Forms & ApplicationslForms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc 1 h S ;p Dat Water Quality Management Plan (WQMP) Exemption Form - Whitewater River Region Documentation of Project Not Requiring a WQMP but Rgguiring Site Design BMPs and Source Control BMPs by Entitlement Conditions of Approval or Permit Conditions — WQMP Required for the Listed Change of 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 more, of impervious area where the pre -development natural slope is 25% or greater? ❑ 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 7539 ? Entitlement or construction of new retail gasoline outlets 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 subdivisions 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 potentially exposed to Urban Runoff? ❑ Applicant Information Jose Zavala Name and Title Company Richard Doan Construction Phone 760 766 5450 Email zavalastoyz@aol.com Project Information Project Name Type (SFH, Multi -Family, Commercial, Etc.) lot 60 Madison Club Location or Street Address 53285 Humboldt Blvd. Nearest Cross Streets Meriwether Way Municipality/County/Zip Code La Quinta Tract Number(s) and/or Assessor Parcel Number(s) 33076-2 / 767-700-012 Other Location Information madison club lot 60 Watershed Whitewater River Source Control BMP Information Size of Project Area (nearest 0.1 acre) 84 Project Area managed with Site Design or Low Impact Development (LID) BMPs (nearest 0.1 acre) 84 Is the project subject to onsite retention by City ordinance or policy? no Doan Construction Jose Zavala Name of the Entity that will implement, operate, and maintain the Source Control BMPs Contact Name Street or Mailing Address zavalastoyz@aol.com City PO Box 8011 Zip Code 92067 Phone 760 766 5450 T:\Checklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc Check Item To be Performed Source Control BMP Requirements - All Projects Require Non -Structural BMP Source Control 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 i 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 Acknowledgement The applicant shall comply with listed BMPs and applicable provisions of the City's NPDES stormwater discharge permit, Signature: LQMC Sections 8.70.010 et seq. (Stormwater Management and Discharge Controls), and 13.24.170 (Clean Air/Clean Water); Print Name: Jose Zavala Riverside County Ordinance No. 457; the California Regional Water Quality Control Board — Colorado River Basin Region Title: Super Board Order No. R7-2008-0001 and the State Water Resources Control Board's Order No. 99-08-DWQ. Date: 1 128 / 20 Phone: (858 756-4930 TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc Applicant Certification I certify that I have read this form in its entirety and understand the City's submittal and review process and the requirements for this form. I understand and agree that if during the processing of the form, it is determined the information contains errors or omissions, clarification and/or supplemental information may be required and the preparation of such information may be considered, in the Community Development Director's judgment, an unreasonable delay and will result in a suspension of processing time limits in accordance with the California Code of Regulations, Title 14, Section 15109. Signature: Zet—,- Pose Zavala Print Name: Title: Super Date: Phone: ( 7606 i 766-5450 Owner Certification certify under the penalty of the laws of the State of California that I am the property owner of the property that is the subject matter of this application and I am authorizing and hereby do consent to the filling of this application and acknowledge that the final approval by the City of La Quinta, if any, may result in restriction, limitations and construction obligations being imposed on this real property. Signature: K JAA4 F Richard Doan Print Name: Title: Date: 1 131 n Phone: (_ Building Permit Number: $20(—0 38,7 Project Description: 7iFR�_ Exempt: (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Job Site Address Owner's Name Number, Street, or PO Bo) 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 2/11 /2020 53285 Humboldt Boulevard La Quinta, CA 92253 Richard Doan P.O. Box 8011 Rancho Santa Fe A 92067 Jose Zavala (760)766-5450 za_vkaa"z&@gl.com Builder/Contractor Richard Doan Number, Street or PO BoxI P.O. Box 8011 City, State, Postal Code Rancho Santa Fe, CA 92067 Project Square Footage 9,000 Approval By Burrtec Date of City Approval Materials To Be Discarded: Product Tons Trash 33.30 Not recyclable Product Tons Asphalt 0.00 Recyclable Masonry (broken) 0.00 Recyclable Brick/Block 0.00 Recyclable Plaster 1125 RWY1 Aab;Q Cardboard 2.43 Recyclable Scrap Metal 0.00 Recyclable Commingled 0.00 Recyclable Tile (floor) 1.00 Recyclable Concrete 45.00 Recyclable Tile (roof) 1.25 Recyclable Drywall 4.77 Recyclable Wood 17.10 Recyclable Donated / Reuse* 0.00 Recyclable Landscape Debris 0.00 Recyclable *Describe Items I otals: Recycle Trash 82.8 33.3 Projected Diversion: 71.32% 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 station. Q W a _ LU o N W �LU C' a S o m p LU W L.L r z cn w M wn Oev er 1 ro anager 15upennten ant Date Sladden Engineering 45090 Golf Center Parkway, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863-0847 6782 Stanton Avenue, Suite C, Buena Park, CA 90621(714) 523-0952 Fax (714) 523-1369 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-9863 800 E. Florida Avenue, Hemet, CA 92543 (951) 766-8777 Fax (951) 766-8778 January 15, 2020 Project No. 544-15213 20-01-021 Mr. Richard Doan Post Office Box 8011 Rancho Santa Fe, California 92067 Project: Proposed Custom Residence 53285 Humboldt Boulevard The Madison Club — Lot 60B La Quinta, California Subject: Foundation Plan Review Ref: Geotechnical Update prepared by Sladden Engineering dated August 26, 2019; Project No. 544-15213, Report No.19-08-389 In accordance with your request, we have reviewed the Foundation Plans and Details prepared by Res Struct for the proposed custom residence to be constructed at 53285 Humboldt Boulevard within The Madison Club development in the City of La Quinta, California. Based on our review, it is our opinion that the recommendations provided in the above referenced Geotechnical Update as well as previous geotechnical reports have been properly incorporated into these plans. If you have questions regarding this memo or the referenced report, please contact the undersigned. Respectfully submitted, SLADDEN ENGINEERING Brett L. Anderson Principal Engineer Letter/ra Copies: 4 / Mr. Richard Doan ,Y W ANDERS()N it o.g�� LU LU C1Vf[ (, ENGtNEER(NG �r Q� CALIF z Q z W Sladden Engineering www.Sladdriiengineering.com "�'D Sladden Engineering 45090 Golf Center Parkway, Suite F, Indio, CA 92201 (760) 863-0713 6782 Stanton Avenue, Suite C, Buena Part;, CA 90621 (714) 523-0952 450 Egan Avenue, Beaumont. CA 92223 (951) 845-7743 800 E. Florida Avenue, Hemet, CA. 92543 (951) 766-8777 www.Sladdenengincering.com August 26, 2019 Project No. 544-15213 19-08-389 Mr. Richard Doan Post Office Box 8011 Rancho Santa Fe, California 92067 RECEIVED Subject: Geotechnical Update JAN 2 12020 Project: Proposed Custom Residence CITY OF LA QUINTA 53-285 Humboldt Boulevard DESIGN AND DEVELOPMENT DEPARTMENT The Madison Club — Lot 60B La Quinta, California Ref: Geotechnical Investigation Report prepared by Sladden Engineering dated January 28, 2005; Project No. 544-4810, Report No. 05-01-101 Report of Testing and Observation During Rough Grading prepared by Sladden Engineering dated March 2, 2006; Project No. 522-4810; Report No. 06-02-120 Geotechnical Update prepared by Sladden Engineering dated August 31, 2015; Project No. 544-15213, Report No, 05-08-356 In accordance with your request, we have reviewed the above referenced geotechnical reports as they relate to the design and construction of the proposed custom residence to be constructed on the site (Lot 60B) located at 53-285 Humboldt Boulevard within the Madison Club development in the City of La Quinta, California. It is our understanding that the proposed residential structure will be of relatively lightweight wood -frame construction and will be supported by conventional shallow spread footings and concrete slabs on grade. The subject lot was previously graded during the rough grading of the Madison Club project site. The rough grading included over -excavation and recompaction of the native surface soil along with the placement of engineered fill material to construct the building pads. The site grading is summarized in the referenced report of Testing and Observation During Rough Grading along with the compaction test results. Because the lot has been previously rough graded, the remedial grading required at this time should be minimal provided that the building area that falls within the previously assumed building envelope. The building areas should be cleared of surface vegetation, scarified and moisture conditioned prior to precise grading. The exposed surface should be compacted to a minimum of 90 percent relative compaction prior to fill placement. The previously removed soil and any fill material should be placed in thin lifts at near optimum moisture content and compacted to at least 90 percent relative compaction. Sladrlerr Engineering ►vwtv.Sladdeiterrgineering.carn /5 August 26, 2019 -2- Project No. 544-15213 19-08-389 The referenced reports include recommendations pertaining to the construction of residential structure foundations. The previous reports also address the potential for liquefaction, subsidence and differential settlement. Based upon our review of the referenced reports, it is our opinion that the structural values included in these reports remain applicable for the design and construction of the proposed residential structure foundations. The allowable bearing pressures recommended in the referenced GeotechnicaI Investigation report remain applicable. Conventional shallow spread footings should be bottomed into properly compacted fill material a minimum of 12 inches below lowest adjacent grade. Continuous footings should be at least 12 inches wide and isolated pad footings should be at least 2 feet wide. Continuous footings and isolated pad footings should be designed utilizing allowable bearing pressures of 1500 psf and 2000 psf, respectively. A]lowable increases of 300 psf for each additional 1 foot of width and 300 psf for each additional 6 inches of depth may be utilized, if desired. The maximum allowable bearing pressure should be 3000 psf. The recommended allowable bearing pressures may be increased by one-third for wind and seismic loading. Lateral forces may be resisted by friction along the base of the foundations and passive resistance along the sides of the footings. A friction coefficient of 0.48 times the normal dead load forces is recommended for use in design. Passive resistance may be estimated using an equivalent fluid weight of 300 pcf. If used in combination with the passive resistance, the frictional resistance should be reduced by one third to 0.33 times the normal dead load forces. The bearing soil is generally non -expansive and falls within the "very low" expansion category in accordance with the 2016 (CBC) classification criteria. The seismic design category for a structure may be determined in accordance with Section 1613 of the 2016 CBC or ASCE7. According to the 2016 CBC, Site Class D may be used to estimate design seismic Ioading for the proposed structures. The 2016 CBC Seismic Design Parameters are summarized below. Risk Category (Table 1.5-1): II Site Class (Table 1613.3.2): D Ss (Figure 1613.3.1):1.537g S1 (Figure 1613.3.1): 0.725g Fa (Table 1613.3.3(1)):1.0 Fv (Table 1613.5.3(2)): 1.5 Sms (Equation 16-37 [Fa X Ssl):1.537g Smi (Equation 16-38 1Fv X Sil): 1.088g SDS (Equation 16-39 12/3 X Smsl): 1.025g SDI (Equation 16-40 12/3 X Smil): 0.725g Seismic Design Category: D Sladden Engineering wivw.Sladdenengineering. cons August 26, 2019 -3- Project No. 544-15213 19-08-389 In addition, we have sampled the surface soil on the subject lot to determine the soluble sulfate content as it relates to selecting appropriate concrete mix designs. The testing indicated soluble sulfate content of 8100 ppm (0.810 percent) that corresponds with the "severe" exposure category in accordance with ACI 318-08, Table 3. Based upon this, the use of sulfate resistance concrete mixes will be required. Structural concrete in contact with the soil should have a minimum compressive strength of 4500 psi and a maximum water cement ratio of 0.45. We appreciate the opportunity to provide service to you on this project. If you have any questions regarding this letter or the referenced reports, please contact the undersigned. Respectfully submitted, SLADDEN ENGINEERING BRETT L. -�Q ANDERSON 0- � � Brett I . 'Anderson No. C�45389 rr`V Principal Engineer `�idlt z ENGINEERING SER/nh OF CA�lal Copies: 4/ Mr. Richard Doan Sladden Engineering iviv►v.Slrrdrlenerrgineering.eonr Please verify that soils reports contain all of the above Information. in addiEion, to as continuity between the Investigation/reporting stage and the execution stage, please use the) following checklist to verify that the conclusions and recommendations in the report cover all the required elements. Only then can we be assured that the constmcSon documents address all of the site Gall conditions. La Quinta Geotechnical Report Checklist Does the "Conclusions and Recommendations" se following criteria? ction of the report address each of the "Address" means; (a) the criterion Is considered significant and mitigatlQn measilre(s) no or; (b) the criterion is considered insighl5cant and explicitly so stated. Y No Criterion ❑ Foundation criteria based upon bearing capacity of natural or compacted soil. © Founda4on criteria to mitigate the effects of expansive soils. ❑ Foundation criteria based upon bearing capacity, of natural or compacted soil. ❑ Foundation criteria to mitigate,the effects of liquefaction. 0 Foundation criteria to mitigate settlement. the effects of selsmicatly induced differential ❑ Foundation criteria to mitigate the: effects of long-term differential settlement ❑ Foundation criteria to mitigate the effects of varying soil strength, Q Foundation criteria to mitigate expected total and differential settlement. Any "No" answers to the checklist should be noted as specific required corrections. Sladden Engineering 6782 Stanton Ave., Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 45090 Golf Center Pkwy, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863-0847 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863 Date: August 28, 2019 Account No.: 544-15213 Customer: Mr. Richard Doan Location: Lot 60B, 53285 Humboldt Boulevard, La Quinta Sulfate Series Analytical Report Soluble Sulfates per CA 417 ppm Soluble Chloride per CA 422 ppm 2050 Sulfate 544-15213 082819 TABLE 19_A_2—REQUIREMENTS FOR SPECIAL EXPOSURE CONDITIONS MINIMUM fc. ItAXJMUM NORMAL-WEIGFrr ANO WATER-CEMl NTFMUS UGHTWEIGPIT MATERIALS RATIB.BY AGGREGATE CONCRETE, EXPOSURECONE)MON WEIGHT.NORMAL-WEIGHT pal Concrete in[cnded to have low permeability when AGGAEGATE CONCRETE xp,pp5p9lorldPo exposed to water Concrete exposed to freezing and thawing in a moist 0.50 4,000 condition or to deicing chemicals 0.45 4 500 Forcotrosion prolcct " for reinforced concrete exposed to chlorides from deicing chemicals, salts or brackish water, or spray foam these sources 0.40 5,000 TABLE 19•A-3--REO(JIFiEMENTS FOR CONCRETE EXPOSED TO SULFATE -CONTAINING SOLUTIONS NORMAL -WEIGHT tlGHTWE[GIir AGGREGATE AGGREGATE CONCRETE Maximum wetar- WATER- SOLUBLE Cetncnittloas f'. Narmot- Sl�alpphtand SULFATE Maleria[a Ratio, by 5A1}� IN SOIL, W010¢h , TE E GAGE 9Y No? UahlwaiphI AGPnVato E)CPOSt1RE SULFATE (SO4) !N —I -Weight WF.IGNr Cancrate, psi' WATER, ppm CEMENTTYPE CanC�releY aill Negligible 0.M-0.10 x o.tlo5gs for MPa D-I50 .� _ Moderatez 0.10-0.20 I50-I,500 H. IP(MS), IS 0S0 d,000 (MS) Severe 0.20-7-00 1500-10.000 V 0.45 4.500 Very severe Over 2.00 Over 10,000 V plus 0.45 4,500 i�OEW120 1A Iower corm-cemcntitious materials raioorhigherstncngth may bcrtquired furlow permeability or for protection watcr against eolTnsion or embedded items or freezing and thawing ('Fable I9-A-2). z�W� Fnn that has been determined by tee[ arsery Wiriing�'Ic V cement ice record 10 improve sulfate resistance when used in concrete con- taiin 2-264 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R-PRF-01 Project Name: Madison Lot 60-B Calculation Description: Title 24 Analysis t1e1q_o A0 Calculation Date/Time: 14:13, Tue, Jan 14, 2020 Input File Name: Madison Lot 60- -Radford-19.ribd16x - 20*< Page 1 of 13 GENERAL INFORMATION 01 Project Name Madison Lot 60-B i ;t V i 02 Calculation Description Jr Title 24 Analysis 03 Project Location Lot 60-B INTE vG" UP 04 City La Quinta 05 Standards Version Cc(rtjiJice�1�/ 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 11 Front Orientation (deg/Cardinal) 35 12 Project Scope Newly Constructed 13 Number of Dwelling Units 1 14 Total Cond. Floor Area (ft2) 9335 15 Number of Zones 5 16 Slab Area (ft2) 9335 17 Number of Stories 1 18 Addition Cond. Floor Area(ft2) n/a 19 Natural Gas Available Yes 20 Addition Slab Area (ft2) n/a 21 Glazing Percentage (%) 28.9% COMPLIANCE RESULTS 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 2.05 3.48 -1.43 -69.8% Space Cooling 69.93 68.62 1.31 1 9% IAQ Ventilation 0.68 0.68 0.00 0.0% Water Heating 1.76 1.52 0.24 13.6% Photovoltaic Offset ---- 0.00 0.00 Compliance Energy Total 74.42 r` 11 xr rM 0.12 ° CITY OF LA DUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE I� [- - V S L V V I PJ JAN 2 8 2020 INTERWWEST CONSULTING GROUP Registration Number: 219-PO102 9788.000-0 egistr tion Date/Time: 2020-01-1414:19:58 CA Building Energy Efficiency Sta S§)AT(2 ersion - CF1 R-01162019-1149 JAN 2 12020 CITY OF LA QUINTA 1- DESIGN AND DEVELOPMENT DEPARTMENT HERS Provider: CaiCERTS inndr" Report Generated at: 2020-01-14 14:14:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Madison Lot 60-B Calculation Date/Time: 14:13, Tue, Jan 14, 2020 Calculation Description: Title 24 Analysis Input File Name: Madison Lot 60-B-Radford-19.ribd16x ENERGY DESIGN RATING CFI R-PRF-01 Page 2 of 13 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 (CA LGreen). 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 44.9 0 EDR of Proposed Efficiency EDR Value of Proposed PV + Battery 44.8 0.0 � CaICERTS, Inc. Final Proposed EDR 44.8 Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2020-01-14 14:14:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-01 Project Name: Madison Lot 60-B Calculation Date/Time: 14:13, Tue, Jan 14, 2020 Page 3 of 13 Calculation Description: Title 24 Analysis Input File Name: Madison Lot 60-13-Radford-19.ribd16x BUILDING - FEATURES INFORMATION 01 02 03 04 05 06 07 Number of Dwelling Number of Ventilation Number of Water Project Name Conditioned Floor Area (ft2) Units Number of Bedrooms Number of Zones Cooling Systems Heating Systems Madison Lot 60-B 9335 1 5 5 0 1 ZONE INFORMATION 01 02 03 04 05 06 07 Zone Floor Area Avg. Ceiling Zone Name Zone Type HVAC System Name (ft2) Height Water Heating System 1 Water Heating System 2 Master Conditioned AC Zone 11 2196 11.6 DHW Sys 1 n/a Great Conditioned AC Zone 22 1939 15 DHW Sys 1 n/a Entry/Flex Conditioned AC Zone 33 1802 12 DHW Sys 1 n/a Bedrooms 2 & 3 Conditioned AC Zone 44 1698 12 DHW Sys 1 n/a Guest Conditioned AC Zone 25 1700 111.2 DHW Sys 1 n/a CaICERTS, Inr HEFTS PR0VIDE1' Registration Number: 219-P010238978B-000-000-0000000-0000 Registration Date/Time: 2020-01-14 14:19:58 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2020-01-14 14:14:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Madison Lot 60-B Calculation Date/Time: 14:13, Tue, Jan 14, 2020 Calculation Description: Title 24 Analysis Input File Name: Madison Lot 60-B-Radford-19.ribd16x CF1 R-PRF-01 Page 4 of 13 OPAQUE SURFACES 01 02 03 04 05 06 07 08 Name Zone Construction Azimuth Orientation Gross Area (ft) Window & Door Area (ftZ) Tilt (deg) 35d Wall Master R-21 Wall (W.21.2x6.16) 35 Front 360 144.3 90 125d Wall Master R-21 Wall (W.21.2x6.16) 125 Left 322 72 90 215d Wall Master R-21 Wall (W.21.2x6.16) 215 Back 252 216 90 305d Wall Master R-21 Wall (W.21.2x6.16) 305 Right 861 148.2 90 Interior Surface Master»Great R-0 Interior Wall n/a n/a 420 0 n/a Roof Master R-38 Pitched Roof w/ R-1 n/a n/a 2196 n/a n/a 215d Wall 2 Great R-21 Wall (W.21.2x6.16) 215 Back 672 658 90 Interior Surface 2 Great—Entry/Flex R-0 Interior Wall n/a n/a 120 0 n/a Interior Surface 3 Great —Master R-0 Interior Wall n/a n/a 420 0 n/a Interior Surface 4 Great —Bedrooms 2 & 3 R-0 Interior Wall n/a n/a 420 0 n/a Roof 2 Great R-38 Pitched Roof w/ R-1 n/a n/a 1939 n/a n/a 35d Wall 2 Entry/Flex R-21 Wall (W.21.2x6.16) 35 Front 520 515.97 90 305d Wall 2 Entry/Flex R-21 Wall (W.21.2x6.16) 305 Right 80 72 90 Interior Surface 5 Entry/Flex R-0 Interior Wall n/a n/a 120 0 n/a Interior Surface 6 Entry/Flex»Great R-0 Interior Wall n/a n/a 120 0 n/a Roof 3 Entry/Flex R-38 Pitched Roof w/ R-1 n/a n/a 1802 n/a n/a 35d Wall 3 Bedrooms 2 & 3 R-21 Wall (W.21.2x6.16) 35 Front 180 0 90 125d Wall 2 Bedrooms 2 & 3 R-21 Wall (W.21.2x6.16) 125 Left 900 233.5 90 215d Wall 3 Bedrooms 2 & 3 R-21 Wall (W.21.2x6.16) 215 Back 280 150,029 90 305d Wall 3 Bedrooms 2 & 3 R-21 Wall (W.21.2x6.16) 305 Right 200 0 90 Interior Surface 7 Bedrooms 2 & 3 R-0 Interior Wall n/a n/a 120 0 n/a Interior Surface 8 Bedrooms 2 & 3»Bedrooms 2 & 3 R-0 Interior Wall n/a n/a 420 0 n/a Roof 4 Bedrooms 2 & 3 R-38 Pitched Roof w/ R-1 n/a n/a 1698 n/a n/a 35d Wall 4 Guest R-21 Wall (W.21.2x6 16) 35 Front 360 60.9 90 125d Wall 3 Guest R-21 Wall (W.21.2x6.16) 125 Left 322 138 90 215d Wall 4 Guest R-21 Wall (W.21.2x6.16) 215 Back 444 254.591 90 305d Wall 4 Guest R-21 Wall (W.21.2x6.16) 305 Right 861 76.2 90 Interior Surface 9 Guest»Master R-0 Interior Wall n/a n/a 100 0 n/a Roof 5 Guest R-38 Pitched Roof w/ R-1 n/a n/a 1700 n/a n/a Registration Number: 219-P010238978B-000-000-0000000-0000 Registration Date/Time: 2020-01-14 14:19:58 HERS Provider: CaICERTS inc CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2020-01-14 14:14:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Madison Lot 60-B Calculation Daterrime: 14:13, Tue, Jan 14, 2020 Calculation Description: Title 24 Analysis Input File Name: Madison Lot 60-B-Radford-19.ribd16x CF1R-PRF-01 Page 5 of 13 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 Unventilated 3 0.1 0.85 No No Attic Great Attic RoofGreat Unventilated 3 0.1 0.85 No No Attic Entry/Flex Attic RoofEntry/Flex Unventilated 3 0.1 0.85 No No Attic Bedrooms 2 & 3 Attic RoofBedrooms 2 & 3 Unventilated 3 0.1 0.85 No No Attic Guest Attic RoofGuest Unventilated 3 0.1 0.85 No No � CaICERT..,,, fin« Registration Number: P19-P010238978B-000-000-0000000-0000 Registration Date(fime: 2020-01-14 14:19:58 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2020-01-14 14:14:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Madison Lot 60-6 Calculation Date/Time: 14:13, Tue, Jan 14, 2020 Calculation Description: Title 24 Analysis Input File Name: Madison Lot 60-B-Radford-19.ribd16x CF1 R-PRF-01 Page 6 of 13 FENESTRATION / GLAZING 01 02 03 04 05 06 07 08 09 10 Height Area Name Type Surface (Orientation -Azimuth) Width (ft) (ft) Multiplier (ft2) U-factor SHGC Exterior Shading 3 Window 35d Wall (Front-35) 11.5 12.0 1 138.0 0.39 0.32 Insect Screen (default) A Window 35d Wall (Front-35) 2.5 2.5 1.008 6.3 0.36 0.30 Insect Screen (default) 2 Window 125d Wall (Left-125) 6.0 12.0 1 72.0 0.39 0.32 Insect Screen (default) 4 Window 215d Wall (Back-215) 18.0 12.0 1 216.0 0.39 0.32 Insect Screen (default) Window 305d Wall (Right-305) --- ---- 1 42.0 0.36 0.30 Insect Screen (default) H Window 305d Wall (Right-305) 1 6.3 0.36 0.30 Insect Screen (default) G Window 305d Wall (Right-305) ---- -- 1 10.5 0.36 0-30 j Insect Screen (default) F Window 305d Wall (Right-305) -- -- 1 10.5 0.36 0.30 Insect Screen (default) E Window 305d Wall (Right-305) -- 1 6.3 0.36 0.30 Insect Screen (default) D Window 305d Wall (Right-305) - - 1 6.3 0.36 0.30 Insect Screen (default) C Window 305d Wall (Right-305) ---- 1 6.3 0.36 0.30 Insect Screen (default) B Window 305d Wall (Right-305) --- - 1 60.0 0.36 0.30 Insect Screen (default) 5 Window 215d Wall 2 (Back-215) 47.0 14.0 1 658.0 0.39 0.32 Insect Screen (default) 1 Window 35d Wall 2 (Front-35) 28.5 12.0 1.035 354.0 0.39 0.32 Insect Screen (default) 10 Window 35d Wall 2 (Front-35) 11.5 12.0 1 138.0 0.39 0.32 Insect Screen (default) 11 Window 305d Wall 2 (Right-305) 6.0 12.0 1 72.0 0.39 0.32 Insect Screen (default) P Window 125d Wall 2 (Left-125) ---- - 1 56.3 0.36 0.30 Insect Screen (default) O Window 125d Wall 2 (Left-125) --- - 1 6.3 0.36 0.30 Insect Screen (default) N Window 125d Wall 2 (Left-125) 1 6.3 0.36 0.30 Insect Screen (default) M Window 125d Wall 2 (Left-125) -- - 1 56.3 0.36 0.30 Insect Screen (default) L Window 125d Wall 2 (Left-125) - 1 72.0 0.36 0.30 Insect Screen (default) K Window 125d Wall 2 (Left-125) - 1 30.0 0.36 0.30 Insect Screen (default) J Window 125d Wall 2 (Left-125) ---- --- 1 6.3 0.36 0.30 Insect Screen (default) 6 Window 215d Wall 3 (Back-215) 12.5 12.0 0.997 150.0 0.39 0.32 Insect Screen (default) Z Window 35d Wall 4 (Front-35) 11.0 3.0 1 33.0 0.36 0.30 Insect Screen (default) X Window 35d Wall 4 (Front-35) ---- 1 6.3 0.36 0.30 Insect Screen (default) 12 Window 125d Wall 3 (Left-125) - - - 1 138.0 0.39 0.32 Insect Screen (default) T Window 215d Wall 4 (Back-215) 1 6.3 0.36 0.30 Insect Screen (default) 13 Window 215d Wall 4 (Back-215) 11.5 12.0 1 138.0 0.39 0.32 Insect Screen (default) Registration Number: 219-P010238978B-000-000-0000000-0000 Registration Date/Time: 2020-01-14 14:19:58 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2020-01-14 14:14:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Madison Lot 60-B Calculation Date/Time: 14:13, Tue, Jan 14, 2020 Calculation Description: Title 24 Analysis Input File Name: Madison Lot 60-13-Radford-19.ribd16x CF1 R-PRF-01 Page 7 of 13 V Window 215d Wall 4 (Back-215) 45 45 1 002 20.3 0.36 0.30 Insect Screen (default) 14 Window 215d Wall 4 (Back-215) 10.0 9.0 1 90.0 0.39 0.32 Insect Screen (default) W Window 305d Wall 4 (Right-305) ---- --- 1 33.0 0.36 0.30 Insect Screen (default) Y Window 305d Wall 4 (Right-305) 1 43.2 0.36 0.30 Insect Screen (default) OPAQUE DOORS 01 02 03 04 Name Side of Building Area (ft2) U-factor Door 35d Wall 2 24.0 0.50 Door 17 35d Wall 4 21.6 0.50 OVERHANGS AND FINS 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Overhang Left Fin Right Fin Window Depth Dist Up Left Extent Right Extent Flap Ht. Depth Top Up Dist L Bot Up Depth Top Up Dist R Bot Up 3 10 0.1 10 10 0 0 0 0 0 0 0 0 0 A 10 0.1 10 10 0 0 0 0 0 0 0 0 0 2 10 0.1 10 10 0 0 0 0 0 0 0 0 0 4 8 0.1 8 8 0 0 0 0 0 0 0 0 0 5 22 0.1 22 0 0 0 0 0 0 0 0 0 0 1 14 0.1 14 14 0 0 0 0 0 0 0 0 0 10 8 0.1 8 8 0 0 0 0 0 0 0 0 0 11 10 0.1 10 10 0 0 0 0 0 0 0 0 0 6 8 0.1 8 8 0 0 0 0 0 0 0 0 0 Z 2 0.1 2 2 0 0 0 0 0 0 0 0 0 13 10 0.1 10 10 0 0 0 0 0 0 0 0 0 V 10 0.1 10 10 0 0 0 0 0 0 0 0 0 14 4 0.1 4 4 0 0 0 0 0 0 0 0 0 Registration Number: 219-P010238978B-000-000-0000000-0000 Registration DatefFime: 2020-01-14 14:19:58 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2020-01-14 14:14:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Madison Lot 60-B Calculation Date/Time: 14:13, Tue, Jan 14, 2020 Calculation Description: Title 24 Analysis Input File Name: Madison Lot 60-13-Radford-19.ribd16x CFI R-PRF-01 Page 8of13 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 • Roof Deck: Wood Siding/sheathing/decking Attic RoofMaster Attic Roofs Wood Framed Ceiling 2x4 @ 24 in. O.C. R 13 0.078 Roofing: Light Roof (Asphalt Shingle) • Inside Finish: Gypsum Board Ceilings (below Cavity/Frame: R-14.3/2x6 R-38 Pitched Roof w/ R-1 attic) Wood Framed Ceiling 2x6 @ 16 in. O.C. R 38 0.026 Over Ceiling Joists: R-23.7 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 O.C. none 0.277 - Other Side Finish: Gypsum Board • Around Roof Joists: R-0.0 insul. • Cavity/Frame: R-13.0/2x4 • Roof Deck., Wood Siding/sheathing/decking Attic RoofGreat Attic Roofs Wood Framed Ceiling 2x4 @ 24 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 • Roof Deck: Wood Siding/sheathing/decking Attic RoofEntry/Flex Attic Roofs Wood Framed Ceiling 2x4 @ 24 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 Attic RoofBedrooms 2 & 3 Attic Roofs Wood Framed Ceiling 2x4 @ 24 in. O.C. R 13 0.078 • Roof Deck: Wood Siding/sheathing/decking • Roofing: Light Roof (Asphalt Shingle) • Around Roof Joists: R-0.0 insul. • Cavity/Frame: R-13.0/2x4 Attic RoofGuest Attic Roofs Wood Framed Ceiling 2x4 @ 24 in. O.C. R 13 0.078 • Roof Deck. Wood Siding/sheathing/decking • Roofing: Light Roof (Asphalt Shingle) Registration Number: 219-P01023897BB-000-000-0000000-0000 Registration Date/Time: 2020-01-1414:19:58 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2020-01-14 14:14:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Madison Lot 60-B Calculation Date/Time: 14:13, Tue, Jan 14, 2020 Calculation Description: Title 24 Analysis Input File Name: Madison Lot 60-B-Radford-19.ribd16x CF1 R-PRF-01 Page 9 of 13 SLAB FLOORS 01 02 03 04 05 06 07 Name Zone Area (ft2) Perimeter (ft) Edge Insul. R-value & Depth Carpeted Fraction Heated Slab Master 2196 182 None 0.8 No Slab 2 Great 1939 48 None 0.8 No Slab 3 Entry/Flex 1802 182 None 0.8 No Slab 4 Bedrooms 2 & 3 1698 142 None 0.8 No Slab 5 Guest 1700 182 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 (3) 3 .0% WATER HEATERS 01 02 03 04 05 06 07 08 09 10 11 12 Name 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 3 0 0.95 EF <= 200 kBtu/hr R-0/R-0 ❑ n/a n/a n/a Registration Number: 219-P010238978B-000-000-0000000-0000 Registration Date/Time: 2020-01-14 14:19:58 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2020-01-14 14:14:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Madison Lot 60-B Calculation Date/Time: 14:13, Tue, Jan 14, 2020 Calculation Description: Title 24 Analysis Input File Name: Madison Lot 60-13-Radford-19.ribd16x CF1 R-PRF-01 Page 10 of 13 SPACE CONDITIONING SYSTEMS 01 02 03 04 05 06 SC Sys Name System Type Heating Unit Name Cooling Unit Name Fan Name Distribution Name AC Zone 11 Other Heating and Cooling System Heating Component 1 Cooling Component 1 HVAC Fan 1 Air Distribution System 1 AC Zone 22 Other Heating and Cooling System Heating Component 2 Cooling Component 2 HVAC Fan 2 Air Distribution System 2 AC Zone 33 Other Heating and Cooling System Heating Component 3 Cooling Component 3 HVAC Fan 3 Air Distribution System 3 AC Zone 44 Other Heating and Cooling System Heating Component 4 Cooling Component 4 HVAC Fan 4 Air Distribution System 4 AC Zone 25 Other Heating and Cooling System Heating Component 5 Cooling Component 5 HVAC Fan 5 Air Distribution System 5 HVAC - HEATING UNIT TYPES 01 02 03 04 Name System Type Number of Units Efficiency Heating Component 1 CntrlFurnace 2 80 AFUE Heating Component 2 CntrlFumace 2 80 AFUE Heating Component 3 CntrlFumace 2 80 AFUE Heating Component 4 CntrlFurnace 2 80 AFUE Heating Component 5 CntrlFurnace 2 80 AFUE 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 2 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 2 13.2 16.5 Not Zonal Single Speed Cooling Component 3-hers-cool Cooling Component 4 SplitAirCond 2 132 16.5 Not Zonal Single Speed Cooling Component 4-hers-cool Cooling Component 5 SplitAirCond 2 13.2 16.5 Not Zonal Single Speed Cooling Component 5-hers-cool Registration Number: 219-Po10238978B-000-000-0000000-0000 Registration Date/Time: 2020-01-14 14:19:58 HERS Provider: CaICERTS inc CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2020-01-14 14:14:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Madison Lot 60-B Calculation Date/Time: 14:13, Tue, Jan 14, 2020 Calculation Description: Title 24 Analysis Input File Name: Madison Lot 60-B-Radford-19.ribd16x CF1 R-PRF-01 Page 11 of 13 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 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 Specified Lower Leakage Target 8 Attic None Air Distribution System 1-hers-dist Air Distribution System 2 DuctsAttic Specified Lower Leakage Target 8 Attic None Air Distribution System 2-hers-dist Air Distribution System 3 DuctsAttic Specified Lower Leakage Target 8 Attic None Air Distribution System 3-hers-dist Air Distribution System 4 DuctsAttic Specified Lower Leakage Target 8 Attic None Air Distribution System 4-hers-dist Air Distribution System 5 DuctsAttic Specified Lower Leakage Target 8 Attic None Air Distribution System 5-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 6.0 Not Required Not Required Not Required Not Required Required Air Distribution System 2-hers-dist Required 6.0 Not Required Not Required Not Required Not Required Required Air Distribution System 3-hers-dist Required 6.0 Not Required Not Required Not Required Not Required Required Air Distribution System 4-hers-dist Required 6.0 Not Required Not Required Not Required Not Required Required Air Distribution System 5-hers-dist Required 6.0 Not Required Not Required Not Required Not Required Required Registration Number: 219-P010238978B-000-000-0000000-0000 Registration Date(Time: 2020-01-14 14:19:58 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2020-01-14 14:14:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Madison Lot 60-B Calculation Date/Time: 14:13, Tue, Jan 14, 2020 -Calculation Description: Title 24 Analysis Input File Name: Madison Lot 60-B-Radford-19.ribd16x CF1 R-PRF-01 Page 12 of 13 HVAC-FAN SYSTEMS 01 02 03 04 Name Type Fan Power (Watts/CFM) HERS Verification HVAC Fan 1 Single Speed PSC Furnace Fan 0.5 HVAC Fan 1-hers-fan HVAC Fan 2 Single Speed PSC Furnace Fan 0.5 HVAC Fan 2-hers-fan HVAC Fan 3 Single Speed PSC Furnace Fan 0.5 HVAC Fan 3-hers-fan HVAC Fan 4 Single Speed PSC Furnace Fan 0.5 HVAC Fan 4-hers-fan HVAC Fan 5 Single Speed PSC Furnace Fan 0.5 HVAC Fan 5-hers-fan HVAC FAN SYSTEMS - HERS VERIFICATION 01 02 03 Name Verified Fan Watt Draw Required Fan Efficiency (Watts/CFM) HVAC Fan 1-hers-fan Required 0.50 HVAC Fan 2-hers-fan Required 0.50 HVAC Fan 3-hers-fan Required 0.50 HVAC Fan 4-hers-fan Required 0.50 HVAC Fan 5-hers-fan Required 0.50 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 138 0.25 Default 0 Required Registration Number: 219-P010238978B-000-000-0000000-0000 Registration DatefFime: 2020-01-14 14:19:58 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 Report Generated at: 2020-01-14 14:14:33 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Madison Lot 60-B Calculation Date/Time: 14:13, Tue, Jan 14, 2020 -Calculation Description: Title 24 Analysis Input File Name: Madison Lot 60-B-Radford-19.ribdl6x CF1 R-PRF-01 Page 13 of 13 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 Signature Date: Scott Design and Title 24, Inc. 2020-01-14 14:19:58 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. 2020-01-14 14:19:58 Address: License: 77085 Michigan Drive NA tate/Zip: Phone: m Desert, CA 92211 F 760-200-4780 Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration Provider responsibility for the accuracy of the information. Easy to Verify Registration Number: 219-P010238978B-000-000-0000000-0000 Registration Date/Time: 2020-01-14 14:19:58 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version - CF1 R-01162019-1149 HERS Provider: CaICERTS inc. Report Generated at: 2020-01-14 14:14:33 RECEIVED AN 2 12020 LA QUINTA l.OPMENT DEPARTMENT Design and Development Department - Building Division 78-495 Cake Tampico, La Quinta, CA 92253 PH: (760) 777-7125 Fax: (760) 777-7011 Website: www.la-quinto.org DEFERRED TRUSS SUBMITTAL FORM Date: da i / C) Application Number: a E C t�o —G J 9 S Project Street Address: (2,4 b n S—Z yc Applicant:❑Architect orV_6ntractor of Project (Please check appropriate box) Policy Conditions: 1. Limited to Custom residential pre -fabricated wood trussed roof projects on a case by case basis; 2. This form will be completed and submitted to the Building Division for approval prior to the Second submittal, ** The approved form will be submitted as part of the second submittal package; 3. Deferred Truss Submittal will consist of two sets wet stamped Truss Calculations, Roof Layout and Engineer of Record's Acceptance stamp or letter; 4. Review timeframe is 10 working days; 5. Service Fee of plan review and processing based on actual hourly cost of plans examiner, structural consultant, permit technician (payment required at the time of pickup of approved truss calculations; 6. The deferred truss submittal review and approval will be required prior to a foundation / footing inspection (no exceptions). 7. The approved "JOB" Copy of Truss Calculations is required to be onsite at the time of inspection. Print name: 7S_;,<e X . /�,r. %1.e, � r, 91-1 Signature. By singing is oror the and requ' ements. icant acknowledges and agrees to all conditions A Approved By: Title: Date:2�&A v **Note to Permit Technician: Do Not Accept submittal without Approval of Form. 78-495 Calle Tampico I La Quinta I California 92253 1 760.777.7000 1 www.La-Quinta.org PRINT