07-1224 (RER)48850 Avenida Anselmo
1111111 VIII III VIII IIII 48c&ty 4
P.O. BOX 1504 IE "
78-495 CALLE TAMPICO T
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
07-00001224
Property Address:
48850 AVENIDA ANSELMO
APN:
658-300-009- - -
Application description:
REMODEL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
11919
Applicant:
Architect or Engineer:
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 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).:
(_ 1 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 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 thiVeasonn
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPEILIIIT
Owner:
CHARLES COULTER
48850 AVENIDA ANSELMO
LA QUINTA, CA 92253
(760)564-5073
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
m1Ninoe►i o ► '
01
Date: 5/11/07
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
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 2001/2005 Policy Number - - - - - - - -=- - - - --
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' co
mpensatio visions of Section
370 of the Lobar Code, I shall hwitl mply 'th those pro
Dater licant:
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 construct'?,n, and hereby authorize representatives
of this cou to a er upon the above-mentioned property sp n p S.
D 'nature (Applicant or Agent):
Application Number . . . . . 07-00001224
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 135.00 Plan Check Fee 87.75
Issue Date . . . . Valuation . . . . 11919
Expiration Date 11/07/07
Qty Unit Charge Per Extension
BASE FEE 45.00
10.00 9.0000 THOU BLDG 2,001-25,000 90.00
----------------------------------------------------------------------------
Permit . . . ELECT - ADD/ALT/REM.
Additional desc .
Permit Fee 18.01 Plan Check Fee 4.50
Issue Date . . . . Valuation 0
Expiration Date . . 11/07/07
Qty Unit Charge Per Extension
BASE FEE 15.00
86.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 3.01
----------------------------------------------------------------------------
Permit . . . MECHANICAL
Additional desc
Permit Fee . . . . 30.50 Plan Check Fee 7.63
Issue Date . . : . Valuation . . . . 0
Expiration Date 11/07/07
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00
1.00 6..5000 EA MECH VENT FAN 6.50
----------------------------------------------------------------------------
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 48.00 Plan Check Fee 12.00
Issue Date . . . . Valuation 0
Expiration Date . . 11/07/07
Qty Unit Charge Per Extension
BASE FEE 15.0.0
5.00 6.0000 EA PLB FIXTURE 30.00
1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00
-----------------------------------------------------------------------------
Special Notes and Comments
REM/ADDITION 86 SQ. FT.
LQPERMIT
Application Number
. . . . .
07-00001224
------------------------------------------------------------------=---------
Other Fees . . . .
. . . . .
ENERGY REVIEW
FEE
8.78
STRONG MOTION
(SMI) - RES
1.19
Fee summary
-----------------
Charged
----------
Paid
--------------------
Credited
----------
Due
Permit Fee Total
231.51
.00
.00
231.51
Plan Check Total
111.88
.00
.00
111.88
Other Fee Total
9.97
.00
.00
9.97
Grand Total
353.36
.00.
.00
353.36
LQPERAIIT
IIIIIIIIIIIIIIIIIIIIIIIII 49
IE CERTIFICATE OF COMPLIANCE J��
-v ---- _ Desert Sands Unified School District S'D�I'�5� Vey°
47950 Dune Palms Road Q BERMUDA DUNES O
rn RANCHO MIRAGE
Date 1/2/07 La Quinta, CA 92253 INDIANWELLS
PALM LA QUINTA y
No. 29150 (760) 771-8515 `�t�j�INDDIO
Owner
Charles Coulter
APN # 658-300-009
Address 48-850 Avenida Anselmo
Jurisdiction La Quinta
City
La Quinta Zip 92253
Permit #
Tract #
Study Area
Type
Residential Addition
No. of Units
Lot # No. Street S.F.
Lot # No. Street S.F.
Unit 1
48850 Avenida Anselmo 75
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 75 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 N/A - Charles Coulter
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Yolanda Garcia
Check No. N/A
Telephone
Funding Exempt
Payment Recd 440.00 •'
,9ver/Un4er._ -
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve 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 if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting
Total Permit Fees
#`# ; IIIIIIIIIIIIIIIIIIIIIIIII
50
`�.--- 'E
: -J City of [:aQ utnta
Building U-Safety Division
Permit #
P.O. BOX 1504, 78-495 Cape Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:'
A. P. Number.
Owner's Namc: ri • r
Address:
Legal Description:
! ��
Contractor.
City, ST, Zip: f
Telephone:�-
Address:
Project Description: O%� e►
City, ST, Zip:
PIP
Telephone:
State Lie. #':
City Lie. #:
Arch., En 9r_1 Designer
Address:
City, ST, Zip:
il•-
Telephone:
Construction Type. Occupancy:
•
State Lic. #:
Name of Contact Person:
eject type (circle one): New Add'n Alter Repair Demo
Telephone # of Contact Person:
Sq. Ft.
# Stories:
# Units:
Estimated Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS UNE
#
Submittal
Rcq'd
Recd
TRACK7MG
Plan Sets
,
Plan Check submitted
PERMfii FEES
Structural Calcs.
Reviewed,' ready for corrections
Item
Amount .
Truss Cala.
Pon Check Deposit
Called Contact Person
Energy Calcs.
Plan Check Balance
.
Plans Pieked.ap
Flood plain plan
Plans resubmitted
Construction
Grading. plia
2'' Review, ready for correctio
Mechanical
Subcoutactor Lint .
�ssae
Called Contact Person
Electrical
Grant Deed
Plans picked up
Plumbing
H.O.A Approval
Plans res-0-matted
S.KL
�
IIY HOUSE,,
'"' Review, readyfor.correctift..r.sae
Grading
Planning Approval
Developer Impact Fee
Called Contact Person
Pub. Wks. Appr
Date of permit issue
A.LP.P.
School Fees
Total Permit Fees
Tdf
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
Finance Department, Please Collect The Following Fees For The Services Rendered
HTE APPLICATION No. 06-3846
PROJECT: REVISION TO CASITA (under construction)
ADDRESS: 48-850.AVENIDA ANSELMO
CUSTOMER: CHARLIE COULTER
SERVICES RENDERED: Plan Review for REVISION TO BATHROOM LAYOUT AND
ADDED WET BAR.SINK. SUPPLEMENT TO PERMIT 06-3846 UNDER
CONSTRUCTION.
Fees:!
Plan Review: .........................................
............................:....... $ 17.50
(.5 X $35/hr)
TOTAL FEES NOW DUE:....,* ............................$ 17.50
Date: Marc 12, 2007
Initials:
Alternative Component Package Method: (check one) C D _D (Alternative)
Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF-1R page 3)
For Package D Alternative see Appendix B Table I51-C Footnotes 8-14 in the Residential Compliance Manual (RCM)
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) 4&!;2_ft
Average Ceiling Height: _' ft
Check Applicable Boxes
;_ U?L-DiiNIG Sc SAFETY DEBT.
VE_D
FOR CONST UCTION
Building Type. (check one or more) _$,:� Single F ti v I i Alteration
(If adding fenestration fill -out WS-4R, Fenestration Maximum Allowed Arji Worksheet and see Section 8.3.2
for Additions and 8.3.3 for Alterations in the RCM.)
• Maximum Allowed Total Fenestration Area ft2 (from WS-4R)
■ Maximum Allowed West Facing Fenestration Area W (from WS-4R)
• Number of Stories: _Number of Dwelling Units:
■ Floor Construction Type: R SIab/Raised Floor circle one or both)
• Front Orientation: U3 North / South / Eas est : 11 Orientations (input front orientation in degrees
from True North and circle one).
BARRIER
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
Type
(Wood or
Metal)
Cavity
Insulation
R-Value
^�
Continuous
Insulation
R-Value
Assembly U-
factor (for wood,
metal frame and
mass
assemblies) I
Joint
Appendix
IV
Reference
Roof Radiant
Barrier
Installed'
Yes or No
Location
Comments
(attic, garage,
typical, etc.
&L
V10 y4wo
iq
1) See Joint Appendix IV in Section IV.2, IV.3, and IVA, which is the basis for the U-factor criterion. U-factors can not exceed
prescriptive value to show equivalence to R-values.
2) This column is for the Inspector to verify installation of roof radiant barrier.
Residential Compliance Forms December 2005
FENESTRATION PRODUCTS — U-FACTOR AND SHGC
✓ ® FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET W S-4R — must be included for New
Construction, Additions, and Alterations.
Fenestration
#/Type/Pos. (Front,
Left, Rear, Right,
Skylight)
Orien-
tation,
N. S, E, W'
Area
W)
U-factor2
U-factor
Source'
SHGC4
SHGC
Sources
Exterior
Shading/Overhangs','
✓ box if WS-3R is
included
13
13
1) 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 §151(f)3C and in Section 3.2.3 of the Residential Manual.
2) Enter values in this column from either NFRC Certified Label or from Standards Default Table 116-A.
3) Indicate source either from NFRC or Table 116-A,
4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS-3R.
5) Indicate source either from NFRC, Table 116B or WS-3R
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 pump_ boiler. etc.)
Minimum
Efficiency
(AFUE or HSPF)
Distribution
Type and Location
(ducts, attic, etc.)
Duct or Piping
R-Value
Thermostat
Type
Configuration
(split or ckaee)
6(1�T
Cooling Equipment
Type and Capacity
(A/C, heat pump, evap.
cooling)
Minimum
Efficiency
(SEER or
EER)
Distribution
Type and Location
(ducts, attic, etc.)
Duct or Piping
R-Value
Thermostat
Tyne
Configuration
(split or nacka e)
Residential Compliance Forms December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Wage 3 of 5) CF-IR
Projl^�r Title Date
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF-4R Form must be provided to the building department for each home for which the following are required
❑ 1 Sealed Ducts all climate zones Installer testingand certification and HERS rater field verification required-)
❑ TXVs, readily accessible (climate zones 2 and 8-15 only)
Installer testin and certification and HERS Rater field verification required.)
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification re uired.)
OR
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C. Footnotes 7-14.
OR -
❑
No ducts installed. '
New ducts from existing space conditioning equipment, not exceeding 40ft. in length.
_
For additions and alterations, duct systems that are not documented to have been previously sealed as confirmed
❑
through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual.
Duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m)
and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
X
Check box if system meets criteria of a "Standard" system. Standard system is one gas -fired water heater per dwelling
unit. If the water heater is a storage type, 50 gallons is the maximum m2acity and recirculation syslem is not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Manual. No water heating calculations are required, and the astern complies automatically.
Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
❑
Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
submittal.
❑
Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units
Systems serving single dwepingr units (See RM Table 5-4. Alternative Water Heating Svstema for recirci latinn renviirrmpntc)
Water Heater
Type/Fuel Tye
Distribution
Tyne
Number
in System
Rated
Input'
(kw or
Btu/hr)
Tank
Capacity
(gallons)
Energy
Factor' or
Thermal
Efficient
Standby'
Loss (%)
_ Tank
External
Insulation
R-Value
System serving multiple dwelling units (See Residential Manual Section 5.33)
Water Heater
Tye
Distribution
Type
Number
in Svstem
Rated
Input'
(kW or
Btu/hr)
Tank
Capacity
(gallons)
Energy
Factor' or
Thermal
Efficient
Standby'
Loss %
Tank
External
Insulation
R-Value
1) For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list
Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal
Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies.
Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures
that are'/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B.
Residential Compliance Forms December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 5) CF-1R
Project Title Date
SPECIAL FEATURES RE UMING BUILDING QFFICAL or HERS RATER VERIFICATION
Indicate which special features are parts of this project. The list below only represents special features relevant to the prescriptive method.
(Check Applicable boxes)
Category
Ducts
❑
❑
❑
❑
❑
❑
Building Official
Verification of HERS Rater
Special Features Verification
Y
Y
Y
Y
Y
HERS Rater
Diagnostic
Testing Measure
100% of ducts in crawlspace/basement
Buried ducts
Diagnostic supply duct location, surface area, and R-value
Duct increased R-value
Y Duct leakage
Ducts in attic with radiant barriers
❑
Y
Less than 12 ft. of duct outside conditioned space
❑
Y
Non-standard duct location
❑
Y
Supply registers within two ft of floor
Envelope
❑
Y
Air retarding wrap
❑
Y
Cool roof
❑
Y
Exterior shades
❑
Y
High thermal mass
❑
Y
Inter -zone ventilation
❑
Y
Metal framed walls
❑
Y
Non -default vent heights
❑
Y
Quality insulation installation
❑
Y
Radiant barrier
❑
Y
Reduced infiltration (blower door). May also require mechanical ventilation.
❑
Y
Solar gain targeting (for sunspaces)
❑
Y
Sunspace with interzone surfaces
❑
Y
Vent area greater than 10%
HVAC Equipment
❑
Y
Adequate air flow
❑
Y
Air conditioner size
❑
Y
Air handler fan power
❑
Y
High EER
❑
Y
Hydronic heating systems
❑
Y
Mechanical ventilation
❑
Y
Refrigerant charge
❑
Y
Thermostatic expansion valve (TXV)
❑
Y
zonal control
Water Heater
❑
Y
Combined hydronic
❑
Y
High EF for existing water heaters
❑
Y
Non-NAECA water heater
❑
Y
Non-standard water heaters (wh/unit)
❑
Y
Water heater distribution credits
Residential Compliance Forms December 2005
RTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 5 of 5) CF-I q
Project Title I Date
Special Remarks
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and specifications needed to comply with Title 24,
Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This
certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that
compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation
quality, and building envelope sealing require installer testing and certification and field verification by an
approved HERS rater.
Desivner or Owner (ocr Business and Professions Code) Documentntion Anthnr
Name:
W
Su ! T
zf�l4e ego
Name:
Title/Firm:
� pro r
Title/Finn:
Address:
Address:
Tele hon .
r S�
Telephone:
License #:
License #: (if applicable)
(signature)
(date)
(signature) (date)
Enforcement Agency
Name: Comments:
Title
Agency:
Telephone:
(Signature stamp) (date)
Residential Compliance Forms December 2005
'.f
MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 1 of 2) MFTR
Project Title Date
Note: Low-rise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More
stringent compliance requirements trom the Certiticate 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
✓
Eni;�rce
-mcnt
✓
Building Envelope Measures:
* § 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).
El
❑
* § 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:
eable metal or glass door covering the entire opening of the firebox
❑
❑
❑
side air intake with damper and control, flue damper and control
❑
❑
❑
ontinuous burning gas pilot lights allowed.
❑
❑
❑
P50(0:
etarding wrap installed to comply with §151 meets requirements specified in the ACM Residential Manual.r
barriers mandatory in Climate Zones 14 and 16 only.
❑
❑
❑edge
insulation - water absorption rate for the insulation material alone without facings no greater than 0.3%,
vapor permeance rate no greater than 2.0perm/inch.
❑
❑
❑r
§ 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include CF-6R
Form:
❑
❑
El
§ 116-§ 117: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration 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 recirculating sections of hot water pipes shall be insulated to Table 15013.
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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.
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4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A.
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Residential Compliance Forms
December 2005
MANDATORY MEASURES SUMMARY: RESIDENTIAL Page
2 of 2)
MF-1R
DESCRIPTION
Enforce -
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Designer
ment
Space Conditioning, Water Heating and Plumbing System Measures: (continued)
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5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
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6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in
space.
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7. Solar water -heating systems/col lectors are certified by the Solar Rating and Certification Corporation.
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* §I50(m): Ducts and Fans
1. All duels and plenums installed, sealed and insulated to meet the requirement of the CMC sectians 601, 602, 603, 604, 6D5
and Standard fry; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed
entirely in conditioned space. Openings shaII be sealed with mastic, tape or other duct -closure system that meets the
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applicable requirements of UL 181, UL I81A, or UL 191 B or aerosol sealant that meets the requirements of UL 723. If
mastic or tape is used to seal open inter than 114 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
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support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause
reductions in the cross -sectional area of the ducts,
3, Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
unless such to is used in combination with mastic and draw bands.
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4. Exhaust fan systems have back draft or automatic dampers.
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5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
dampers-
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6. Protection of insulation. Insulationshall 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
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retardant and provides sbidding from solar radiation that can cause de mdatian of the material.
7. Flexible ducts cannot have porous inner cores.
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§114: Pool and Spa Heating Systems and Equipment.
1. A thermal efirciency that complies with the Appliance Efficiency Regulations, on -off switch mounted outside of the
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heater, weatherproof o eratin instructions, no electric resistance heatingand no ilot light
2_ System is installed with:
a. at least 36" of pipe between filter and heater for future solar heating
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b. cover for outdoor pools or outdoor spas
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3. Pool system has directional inlets and a circulation pump time switch.
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§115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously
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buitning pilot light. (Exception: Non -electrical dooking appliatices with pilot < 150 Btulhr)
§ 118(i): Cool Roof material meets specified criteria
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Residential Lighting Measures:
§ l Wk) I : 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 (E241E26). Ballast for lamps 13 watts or greater
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are electronic and have an au t frequency no less than 20 kHz
§150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table
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150-C, iuminaire has factory installed HID ballast
§150(k)2; Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent ofthe wattage, as
determined in § 130 (c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy
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luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy
luminaires.
§ 150(k)3. Permanently installed luminaires in bathrooms, garages, laundry rooms and utility rooms shall be high efficacy
luminaires. OR are controlled by an occupant sensors) certified to comply with Section 119(d) that does not turn on
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automatically or have an always ono tion.
§I 50(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 70ft'): OR are controlled by a dimmer switch OR are
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by an occupant sensor that complies with Section l 19(d) that does not tum on automatically or have an always
on option.
§ 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are
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certified airti t to ASTM E283 and labeled as air tight A to less than 2.0 CFM at 75 Pascals.
§I50(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
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Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section
H 9(d).
§150(k)7: Lighting for parking Iots far 8 or more vehicles shall have sighting that complies with Sec. 130, 132, and 147.
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Ligttin for parkin garages for 8 or more vehicles shall have ii ghLing that com lies with Sec. 130 13i and 146.
§I50(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
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Section 119(d),
Residential Compliance Forms December 2005